INTEGRATED HEALTH SERVICES INC
S-3/A, 1998-05-11
SKILLED NURSING CARE FACILITIES
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      AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON MAY 11, 1998
                                                     REGISTRATION NO. 333-48947
    
================================================================================
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                                 --------------
   
                                 AMENDMENT NO. 1
                                       TO
    
                                    FORM S-3
                             REGISTRATION STATEMENT
                                      UNDER
                           THE SECURITIES ACT OF 1933
                                 --------------
                        INTEGRATED HEALTH SERVICES, INC.
             (Exact name of registrant as specified in its charter)



<TABLE>
<S>                                     <C>
               DELAWARE                              23-2428312
   (State or other jurisdiction of      (I.R.S. Employer Identification No.)
    incorporation or organization)
</TABLE>
                                 --------------
      10065 Red Run Boulevard, Owings Mills, Maryland 21117, (410) 998-8400
  (Address, including zip code, and telephone number, including area code, of
                    registrant's principal executive offices)
                                 --------------
    Marshall A. Elkins, Esq., Executive Vice President and General Counsel
Integrated Health Services, Inc., 10065 Red Run Boulevard, Owings Mills,
                        Maryland 21117, (410) 998-8400

 (Name, address, including zip code, and telephone number, including area code,
                              of agent for service)
                                --------------
Copies of all communications, including all communications sent to the agent
                        for service, should be sent to:
<TABLE>
<S>                                       <C>
             Carl E. Kaplan, Esq.                      Leslie A. Glew, Esq.
        Fulbright & Jaworski L.L.P.   Senior Vice President and Associate General Counsel
             666 Fifth Avenue                     Integrated Health Services, Inc.
          New York, New York 10103                   10065 Red Run Boulevard
              (212) 318-3000                       Owings Mills, Maryland 21117
           (212) 752-5958(FAX)                            (410) 998-8400
                                                        (410) 998-8500(FAX)
</TABLE>
                                --------------
   
        Approximate Date of Commencement of Proposed Sale to the Public:
   From time to time after the effective date of this Registration Statement.
    
                                --------------
     If the only  securities  being  registered  on this Form are being  offered
pursuant to dividend or interest  reinvestment plans, please check the following
box: [ ]

     If any of the securities being registered on this Form are to be offered on
a delayed or continuous  basis  pursuant to Rule 415 under the Securities Act of
1933, other than securities offered only in connection with dividend or interest
reinvestment plans, check the following box: [X]

     If this Form is filed to  register  additional  securities  for an offering
pursuant to Rule 462(b) under the Securities Act, please check the following box
and list  the  Securities  Act  registration  statement  number  of the  earlier
effective registration statement for the same offering. [ ]

     If this Form is a  post-effective  amendment  filed pursuant to Rule 462(c)
under the  Securities  Act,  check the following box and list the Securities Act
registration  statement number of the earlier effective  registration  statement
for the same offering. [ ]

     If delivery of the  prospectus is expected to be made pursuant to Rule 434,
please check the following box: [ ]
                                --------------

<PAGE>

                        CALCULATION OF REGISTRATION FEE

   
<TABLE>
<CAPTION>
====================================================================================================================================
      TITLE OF EACH CLASS OF        AMOUNT OF SHARES     PROPOSED MAXIMUM OFFERING   PROPOSED MAXIMUM AGGREGATE        AMOUNT OF
    SECURITIES TO BE REGISTERED    TO BE REGISTERED(1)        PRICE PER SHARE(2)         OFFERING PRICE(2)       REGISTRATION FEE(1)
- ------------------------------------------------------------------------------------------------------------------------------------
<S>                                <C>                         <C>                          <C>
Common Stock, $.001 par value per
 share (including the Preferred
 Stock Purchase Rights)(3) .......         467,668                    $ 37.97           $ 17,757,353.96             $ 5,238.42
- ------------------------------------------------------------------------------------------------------------------------------------
</TABLE>
    

   
(1) A registration fee in the amount of $5,901.26  relating to 513,753 shares of
    Common Stock has previously been paid.

(2) Pursuant to Rule 457(c),  the proposed  maximum offering price per share and
    proposed maximum aggregate  offering price have been calculated on the basis
    of the  average  of the high  and low sale  prices  of the  Common  Stock as
    reported on the New York Stock Exchange on May 7, 1998.

(3) The Preferred Stock Purchase Rights, which are attached to the shares of IHS
    Common   Stock  being   registered,   will  be  issued  for  no   additional
    consideration; no additional registration fee is required.

     THE REGISTRANT  HEREBY AMENDS THIS  REGISTRATION  STATEMENT ON SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A FURTHER  AMENDMENT  WHICH  SPECIFICALLY  STATES  THAT  THIS  REGISTRATION
STATEMENT SHALL  THEREAFTER  BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF
THE  SECURITIES  ACT OF 1933 OR UNTIL THE  REGISTRATION  STATEMENT  SHALL BECOME
EFFECTIVE ON SUCH DATE AS THE  COMMISSION,  ACTING PURSUANT TO SECTION 8(A), MAY
DETERMINE. 

    
================================================================================
 <PAGE>

   
                    SUBJECT TO COMPLETION, DATED MAY 11, 1998
    

PROSPECTUS

   
                                981,421 SHARES
    

                                [GRAPHIC OMITTED]

                                        
                        INTEGRATED HEALTH SERVICES, INC.

                                  COMMON STOCK

                                 --------------
   
     This  Prospectus  relates to 981,421 shares (the "Shares") of Common Stock,
par value $0.001 per share  (together with the Preferred  Stock Purchase  Rights
associated therewith,  the "Common Stock"), of Integrated Health Services,  Inc.
("IHS" or the  "Company")  which are being  offered for sale by certain  selling
stockholders  (the  "Selling  Stockholders").  See "Selling  Stockholders."  The
Company's  Common Stock is traded on the New York Stock Exchange  ("NYSE") under
the symbol  "IHS." On May 8, 1998,  the  closing  price of the Common  Stock, as
reported in the NYSE consolidated reporting system, was $37.8125 per share.
    

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

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

                                 --------------
     SEE "RISK FACTORS," WHICH  BEGINS ON PAGE 6 OF THIS PROSPECTUS, FOR CERTAIN
INFORMATION THAT SHOULD BE CONSIDERED BY PROSPECTIVE INVESTORS.
                                --------------
    THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES
       AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION NOR HAS
          THE SECURITIES AND EXCHANGE COMMISSION OR ANY STATE SECURI-
              TIES COMMISSION PASSED UPON THE ACCURACY OR ADEQUACY
               OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CON-
                          TRARY IS A CRIMINAL OFFENSE.

                                --------------
               The date of this Prospectus is        , 1998

Information   contained  herein  is  subject  to  completion  or  amendment.   A
registration  statement  relating  to these  securities  has been filed with the
Securities  and Exchange  Commission.  These  securities may not be sold nor may
offers to buy be accepted prior to the time the registration  statement  becomes
effective.  This  prospectus  shall  not  constitute  an  offer  to  sell or the
solicitation of an offer to buy nor shall there be any sale of these  securities
in any State in which such offer,  solicitation  or sale would be unlawful prior
to registration or qualification under the securities laws of any such State.
<PAGE>

                             AVAILABLE INFORMATION

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

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

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


                                        2
<PAGE>

                 INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE

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

   
       (a) The Company's  Annual Report on Form 10-K for the year ended December
     31, 1997;

       (b) The Company's  Current  Report on Form 8-K dated October 17, 1996 and
     filed October 25, 1996,  reporting the acquisition of First American Health
     Care of Georgia, Inc., as amended by Form 8-K/A filed November 26, 1996 and
     Amendment No. 1 to Form 8-K/A filed July 11, 1997;

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

       (d) The Company's  Current  Report on Form 8-K dated October 21, 1997 and
     filed  November 5, 1997,  reporting  the  Company's  acquisition  of RoTech
     Medical Corporation, as amended by Form 8-K/A filed November 25, 1997;

       (e) The Company's  Current Report on Form 8-K dated December 31, 1997 and
     filed 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  Corporation,  as amended by Form 8-K/A filed
     March 16, 1998;

       (f) The  Company's  Current  Report on Form 8-K  dated  March 4, 1998 and
     filed March 12,  1998,  reporting  the  Company's  revenues  and  operating
     results for the fourth quarter and year ended December 31, 1997;
    

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

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

     All documents filed by the Company with the Commission pursuant to Sections
13(a),  13(c), 14 or 15(d) of the Exchange Act after the date of this Prospectus
and prior to the filing of a  post-effective  amendment which indicates that all
Shares  offered have been sold or which  deregisters  all Shares then  remaining
unsold shall be deemed to be incorporated by reference in this Prospectus and to
be a part  hereof  from the date of  filing  of such  documents.  Any  statement
contained herein or in a previously filed document  incorporated or deemed to be
incorporated  by reference  herein shall be deemed to be modified or  superseded
for purposes of this Prospectus to the extent that a statement  contained herein
or in any other  subsequently  filed  document which also is or was deemed to be
incorporated by reference herein modifies or supersedes such statement. Any such
statement so modified or superseded  shall not be deemed,  except as so modified
or superseded, to constitute a part of this Prospectus.

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

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


                                        3
<PAGE>

                                   THE COMPANY
   
     Integrated  Health  Services,  Inc.  ("IHS" or the "Company") is one of the
nation's leading providers of post-acute healthcare services. Post-acute care is
the  provision of a continuum of care to patients  following  discharge  from an
acute care  hospital.  IHS'  post-acute  care services  include  subacute  care,
skilled nursing facility care, home respiratory  care, home health nursing care,
other homecare services and contract  rehabilitation,  hospice,  lithotripsy and
diagnostic  services.  The  Company's  post-acute  care  network is  designed to
address  the fact that the cost  containment  measures  implemented  by  private
insurers  and  managed  care   organizations   and   limitations  on  government
reimbursement of hospital costs have resulted in the discharge from hospitals of
many  patients who continue to require  medical and  rehabilitative  care.  IHS'
post-acute healthcare system is intended to provide cost-effective continuity of
care for its patients in multiple  settings and enable  payors to contract  with
one provider to provide all of a patient's needs following  discharge from acute
care  hospitals.  The Company  believes that its post-acute  care network can be
extended beyond post-acute care to also provide "pre-acute" care, i.e., services
to patients  which reduce the  likelihood  of a need for a hospital  stay.  IHS'
post-acute  care  network  currently  consists of  approximately  2,000  service
locations in 47 states and the District of Columbia.
    

     The Company's post-acute care network strategy is to provide cost-effective
continuity of care for its patients in multiple  settings,  using geriatric care
facilities  as  platforms  to provide a wide  variety of  subacute  medical  and
rehabilitative  services  more  typically  delivered in the acute care  hospital
setting and using home  healthcare to provide  those medical and  rehabilitative
services which do not require  24-hour  monitoring.  To implement its post-acute
care network strategy,  IHS has focused on (i) developing  market  concentration
for its  post-acute  care services in targeted  states due to  increasing  payor
consolidation  and the increased  preference of payors,  physicians and patients
for dealing with only one service  provider;  (ii)  expanding  the range of home
healthcare  and  related  services  it offers to  patients  directly in order to
provide patients with a continuum of care throughout  their recovery,  to better
control  costs and to meet the growing  desire by payors for one-stop  shopping;
and (iii)  developing  subacute care units.  Given the increasing  importance of
managed care in the healthcare  marketplace  and the continued cost  containment
pressures  from  Medicare,  Medicaid  and private  payors,  the Company has been
restructuring its operations to enable IHS to focus on obtaining  contracts with
managed care organizations and to provide capitated  services.  IHS' strategy is
to become a preferred  or  exclusive  provider of  post-acute  care  services to
managed care organizations and other payors.

   
     In  implementing  its post-acute  care network  strategy,  IHS has recently
focused  on  expanding  its  home  healthcare  services  to  take  advantage  of
healthcare  payors'  increasing  focus  on  having  healthcare  provided  in the
lowest-cost  setting possible,  recent advances in medical technology which have
facilitated the delivery of medical services in alternative  sites and patients'
desires to be treated at home.  Consistent with the Company's  strategy,  IHS in
October  1996  acquired  First  American  Health Care of Georgia,  Inc.  ("First
American"), a provider of home health services,  principally home nursing, in 21
states, primarily Alabama, California,  Florida, Georgia, Michigan, Pennsylvania
and  Tennessee.   IHS  in  October  1997  acquired  RoTech  Medical  Corporation
("RoTech"),  a  provider  of home  healthcare  products  and  services,  with an
emphasis on home  respiratory,  home medical  equipment  and  infusion  therapy,
principally  to patients  in  non-urban  areas (the  "RoTech  Acquisition").  In
October  1997,  IHS also  acquired  (the "Coram  Lithotripsy  Acquisition")  the
lithotripsy  division (the "Coram  Lithotripsy  Division")  of Coram  Healthcare
Corporation  ("Coram"),   which  provided  lithotripsy  services  and  equipment
maintenance  in 180  locations  in 18  states,  in order to  expand  the  mobile
diagnostic  treatment  and  services  it offers to  patients,  payors  and other
providers.  Lithotripsy is a non-invasive technique that utilizes shock waves to
disintegrate  kidney stones.  IHS intends to use the home healthcare setting and
the delivery  franchise of the home healthcare  branch and agency network to (i)
deliver  sophisticated  care,  such as skilled  nursing care,  home  respiratory
therapy and rehabilitation,  outside the hospital or nursing home; (ii) serve as
an entry point for patients  into the IHS  post-acute  care  network;  and (iii)
provide a cost-effective site for case management and patient direction.
    

     IHS has also continued to expand its post-acute  care network by increasing
the number of facilities it operates or manages. In September 1997, IHS acquired
Community Care of America,  Inc.  ("CCA"),  which develops and operates  skilled
nursing facilities in medically underserved rural communities (the


                                        4
<PAGE>

"CCA  Acquisition").  IHS  believes  that CCA will broaden its  post-acute  care
network to include more rural markets and will complement its existing home care
locations  in rural  markets  as well as  RoTech's  business.  In  addition,  in
December 1997, IHS acquired from  HEALTHSOUTH  Corporation  ("HEALTHSOUTH")  139
owned,  leased or managed long-term care facilities and 12 specialty  hospitals,
as well as a  contract  therapy  business  having  over 1,000  contracts  and an
institutional pharmacy business serving approximately 38,000 beds (the "Facility
Acquisition").

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

   
     IHS presently  operates 324 geriatric care  facilities (267 owned or leased
and 57 managed),  excluding 16 facilities acquired in the CCA Acquisition and 21
facilities  acquired in the Facility  Acquisition which are being held for sale,
and 158 MSUs located within 84 of these  facilities.  Specialty medical services
revenues,   which   include  all  MSU  charges,   all  revenue  from   providing
rehabilitative therapies, pharmaceuticals,  medical supplies and durable medical
equipment to all its patients, all revenue from its Alzheimer's programs and all
revenue from its provision of pharmacy, rehabilitation therapy, home healthcare,
hospice care and similar services to  third-parties,  constituted  approximately
65%, 70% and 79% of net revenues  during the years ended December 31, 1995, 1996
and 1997,  respectively.  IHS also offers a wide range of basic medical services
as well as a comprehensive array of respiratory,  physical, speech, occupational
and physiatric therapy in all its geriatric care facilities.  For the year ended
December 31, 1997,  approximately  35% of IHS'  revenues  were derived from home
health and hospice care,  approximately 44% were derived from subacute and other
ancillary  services,  approximately  19% were  derived  from  traditional  basic
nursing home services,  and  approximately  2% were derived from  management and
other  services.  On a pro forma basis after giving  effect to the  acquisitions
consummated by IHS in 1997, for the year ended December 31, 1997,  approximately
30%  of  IHS'   revenues  were  derived  from  home  health  and  hospice  care,
approximately  43% were derived  from  subacute  and other  ancillary  services,
approximately  26% were derived from traditional basic nursing home services and
the remaining approximately 1% were derived from management and other services.

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


                                       5
<PAGE>

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

     Risks Related to Substantial  Indebtedness.  The Company's  indebtedness is
substantial in relation to its stockholders'  equity. At December 31, 1997, IHS'
total  long-term debt,  including  current  portion,  accounted for 74.8% of its
total capitalization. IHS also has significant lease obligations with respect to
the  facilities   operated  pursuant  to  long-term  leases,   which  aggregated
approximately  $704.9  million at December 31, 1997. For the year ended December
31, 1997 the Company's rent expense was $105.1 million  ($163.7 million on a pro
forma basis after giving effect to the acquisitions consummated by IHS in 1997).
In addition,  IHS is obligated to pay an  additional  $155 million in respect of
the  acquisition of First American  during 2000 to 2004, of which $113.0 million
(representing the present value thereof) has been recorded at December 31, 1997.
The Company's  strategy of expanding its specialty  medical services and growing
through  acquisitions  may  require  additional  borrowings  in order to finance
working   capital,   capital   expenditures   and  the  purchase  price  of  any
acquisitions.  The degree to which the Company is leveraged, as well as its rent
expense,  could have important consequences to securityholders,  including:  (i)
IHS' ability to obtain  additional  financing in the future for working capital,
capital  expenditures,   acquisitions  or  general  corporate  purposes  may  be
impaired,  (ii) a substantial  portion of IHS' cash flow from  operations may be
dedicated to the payment of principal and interest on its  indebtedness and rent
expense,  thereby reducing the funds available to IHS for its operations,  (iii)
certain of IHS'  borrowings  bear, and will continue to bear,  variable rates of
interest,  which expose IHS to increases in interest rates,  and (iv) certain of
IHS' indebtedness contains financial and other restrictive covenants,  including
those  restricting  the incurrence of additional  indebtedness,  the creation of
liens,  the payment of dividends  and sales of assets and  imposing  minimum net
worth  requirements.  In addition,  IHS' leverage may also adversely affect IHS'
ability to respond to changing business and economic  conditions or continue its
growth strategy.  There can be no assurance that IHS' operating  results will be
sufficient  for the  payment of IHS'  indebtedness.  If IHS were  unable to meet
interest,  principal or lease payments, or satisfy financial covenants, it could
be required to seek  renegotiation  of such payments and/or  covenants or obtain
additional  equity or debt financing.  If additional funds are raised by issuing
equity securities, the Company's stockholders may experience dilution.  Further,
such equity  securities  may have rights,  preferences  or privileges  senior to
those of the Common  Stock.  To the  extent IHS  finances  its  activities  with
additional  debt,  IHS may become  subject to certain  additional  financial and
other  covenants that may restrict its ability to pursue its growth strategy and
to pay  dividends on the Common Stock.  There can be no assurance  that any such
efforts would be successful or timely or that the terms of any such financing or
refinancing  would be  acceptable  to IHS.  See "--  Risks  Related  to  Capital
Requirements."

     In connection  with IHS' offering of its 9 1/4% Senior  Subordinated  Notes
due 2008 in September 1997 (the "9 1/4% Senior Notes"), Standard & Poors ("S&P")
confirmed its B rating of IHS' other  subordinated debt obligations,  but with a
negative  outlook,  and assigned the same rating to the 9 1/4% Senior Notes.  In
November  1997,  S&P placed the Company's  senior credit and  subordinated  debt
ratings on CreditWatch with negative  implications due to the proposed  Facility
Acquisition  and in January 1998 S&P downgraded  IHS' corporate  credit and bank
loan  ratings to B+ and its  subordinated  debt ratings to B- as a result of the
Facility Acquisition.  S&P stated that the speculative grade ratings reflect the
Company's high debt leverage and aggressive acquisition strategy,  uncertainties
with respect to future  government  efforts to control Medicare and Medicaid and
the unknown impact on IHS of recent changes in healthcare  regulation  providing
for a prospective payment system for both nursing homes and home healthcare. S&P
noted IHS'  outlook was stable.  In  connection  with the offering of the 9 1/4%
Senior  Notes,  Moody's  Investors  Service  ("Moody's")  downgraded  to B2  the
Company's other senior subordinated debt obligations, but noted that the outlook
for the rating was  stable,  and  assigned  the new rating to the 9 1/4%  Senior
Notes. Moody's stated that the rating action reflects Moody's concern about
    


                                        6
<PAGE>

the Company's continued rapid growth through acquisitions, which has resulted in
negative  tangible  equity of $114 million,  making no  adjustment  for the $259
million of  convertible  debt of IHS  outstanding.  Moody's also stated that the
availability provided by the Company's new credit facility and the 9 1/4% Senior
Notes positioned the Company to complete sizable acquisition  transactions using
solely  debt.  Moody's  further  noted that the rating  reflects  that there are
significant  changes underway in the  reimbursement of services rendered by IHS,
and that the exact impact of these changes is uncertain.

     Risks Associated with Growth Through Acquisitions and Internal Development.
IHS'  growth  strategy   involves  growth  through   acquisitions  and  internal
development  and, as a result,  IHS is subject to various risks  associated with
this growth strategy.  The Company's  planned  expansion and growth require that
the Company  expand its home  healthcare  services  through the  acquisition  of
additional home healthcare  providers and that the Company acquire, or establish
relationships  with,  third parties which provide  post-acute  care services not
currently provided by the Company and that the Company acquire, lease or acquire
the right to manage for others additional facilities.  Such expansion and growth
will depend on the Company's  ability to create demand for its  post-acute  care
programs,  the  availability  of  suitable  acquisition,   lease  or  management
candidates and the Company's  ability to finance such  acquisitions  and growth.
The successful  implementation of the Company's  post-acute  healthcare  system,
including  the  capitation  of rates,  will depend on the  Company's  ability to
expand the amount of post-acute care services it offers directly to its patients
rather  than  through  third-party  providers.  There can be no  assurance  that
suitable  acquisition  candidates  will be  located,  that  acquisitions  can be
consummated,   that  acquired  facilities  and  companies  can  be  successfully
integrated  into the  Company's  operations,  or that the  Company's  post-acute
healthcare  system,  including  the  capitation  of rates,  can be  successfully
implemented.  The post-acute care market is highly competitive,  and the Company
faces   substantial   competition  from  hospitals,   subacute  care  providers,
rehabilitation  providers and home healthcare  providers,  including competition
for  acquisitions.  The Company  anticipates  that  competition  for acquisition
opportunities will intensify due to the ongoing  consolidation in the healthcare
industry. See "-- Risks Related to Managed Care Strategy" and "-- Competition."

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

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

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


                                        7
<PAGE>

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

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

     Risks  Related to  Capital  Requirements.  IHS'  growth  strategy  requires
substantial  capital for the  acquisition  of  additional  home  healthcare  and
related  service   providers  and  geriatric  care  facilities.   The  effective
integration,  operation  and  expansion  of the  existing  businesses  will also
require  substantial  capital.  The Company expects to finance new  acquisitions
from a combination of funds from  operations,  borrowings  under its bank credit
facility  and the  issuance  of  debt  and  equity  securities.  IHS  may  raise
additional capital through the issuance of long-term or short-term  indebtedness
or  the  issuance  of  additional   equity   securities  in  private  or  public
transactions,  at such  times as  management  deems  appropriate  and the market
allows.  Any of such  financings  could  result in dilution  of existing  equity
positions,  increased  interest and amortization  expense or decreased income to
fund future expansion.  There can be no assurance that acceptable  financing for
future  acquisitions or for the integration and expansion of existing businesses
and operations can be obtained.  The Company's bank credit  facility  limits the
Company's  ability to make  acquisitions,  and certain of the  indentures  under
which the Company's  outstanding senior subordinated debt securities were issued
limit the Company's  ability to incur  additional  indebtedness  unless  certain
financial tests are met. See "-- Risks Related to Substantial Indebtedness."

     Risks Related to Recent  Acquisitions.  IHS has recently  completed several
major  acquisitions,  including the acquisitions of First American,  RoTech, CCA
and the Coram Lithotripsy Division and the Facility Acquisition, and is still in
the process of integrating those acquired businesses. The IHS Board of Directors
and senior  management of IHS face a  significant  challenge in their efforts to
integrate the acquired  businesses,  including First American,  RoTech, CCA, the
Coram Lithotripsy Division and the facilities and other businesses acquired from
HEALTHSOUTH. The dedication of management re-


                                        8
<PAGE>

sources to such integration may detract  attention from the day-to-day  business
of IHS. The  difficulties  of  integration  may be increased by the necessity of
coordinating geographically separated organizations,  integrating personnel with
disparate business backgrounds and combining different corporate cultures. There
can be no assurance that there will not be  substantial  costs  associated  with
such  activities  or that there will not be other  material  adverse  effects of
these integration efforts.  Further, there can be no assurance that management's
efforts to integrate the operations of IHS and newly acquired  companies will be
successful or that the anticipated  benefits of the recent  acquisitions will be
fully realized.

   
     IHS has recently  expanded  significantly  its home healthcare  operations.
During the years ended December 31, 1996 and 1997, home healthcare accounted for
approximately 16.3% and 35.4%,  respectively,  of IHS' total revenues.  On a pro
forma  basis,   after  giving  effect  to  the   acquisitions  and  divestitures
consummated by IHS in 1996 and 1997, home healthcare accounted for approximately
28.8% and 29.6% of IHS' total revenues in 1996 and 1997, respectively.  On a pro
forma basis, approximately 70.7% and 73.0% of IHS' home healthcare revenues were
derived  from  Medicare  in  the  years  ended   December  31,  1996  and  1997,
respectively.  On a pro forma basis, after giving effect to the acquisitions and
divestitures  consummated  by  IHS in  1996  and  1997,  home  nursing  services
accounted  for  approximately  64.2%  and  56.2%,  respectively,  of  IHS'  home
healthcare  revenues in these  periods.  Medicare  has  developed a national fee
schedule  for  infusion  therapy  and  home  medical  equipment  which  provides
reimbursement at 80% of the amount of any fee on the schedule. The remaining 20%
is  paid  by  other  third  party  payors  (including  Medicaid  in the  case of
"medically  indigent"  patients)  or  patients.  With  respect to home  nursing,
Medicare generally  reimburses for the cost of providing such services,  up to a
regionally adjusted allowable maximum per visit and per discipline with no fixed
limit on the number of visits prior to 1998. There generally is no deductible or
coinsurance. As a result, there is no reward for efficiency, provided that costs
are below the cap, and traditional home healthcare services carry relatively low
margins.  The Balanced  Budget Act of 1997 (the "BBA"),  enacted in August 1997,
provides  for a reduction in current  cost  reimbursement  for home nursing care
pending implementation of a prospective payment system for home nursing services
for  cost  reporting  periods  beginning  on  or  after  October  1,  1999,  and
implementation of a prospective payment system will be a critical element to the
success  of  IHS'  expansion  into  home  nursing  services.  Based  upon  prior
legislative proposals, IHS believes that a prospective payment system would most
likely provide a healthcare  provider a predetermined  rate for a given service,
with  providers that have costs below the  predetermined  rate being entitled to
keep some or all of this  difference.  There can be no assurance  that  Medicare
will  implement a prospective  payment  system for home nursing  services in the
next several years or at all. The implementation of a prospective payment system
requires  IHS  to  make  contingent  payments  related  to  the  First  American
Acquisition  of $155  million over a period of five years.  Until a  prospective
payment system for home nursing  services is introduced,  IHS  anticipates  that
margins for home nursing will remain low and may adversely  impact its financial
performance.  IHS is currently  exploring  ways to reduce the impact of its home
nursing business on its financial performance, which may include a "spin-off" of
such  operation.  In  addition,  the BBA reduces the Medicare  national  payment
limits for oxygen and oxygen equipment used in home  respiratory  therapy by 25%
in  1998  and  30%  (from  1997  levels)  in  1999  and  each  subsequent  year.
Approximately  50% of RoTech's  total  revenues  for 1997 were  derived from the
provision  of oxygen  services to Medicare  patients.  The  inability  of IHS to
realize  operating  efficiencies and provide home healthcare  services at a cost
below the established Medicare fee schedule could have a material adverse effect
on IHS' home healthcare operations and its post-acute care network. See "-- Risk
of Adverse Effect of Healthcare Reform."
    

     Reliance on  Reimbursement  by Third  Party  Payors.  The Company  receives
payment for services  rendered to patients  from  private  insurers and patients
themselves,  from the Federal government under Medicare,  and from the states in
which it operates  under  Medicaid.  The healthcare  industry is  experiencing a
trend toward cost  containment,  as government and other third party payors seek
to impose  lower  reimbursement  and  utilization  rates and  negotiate  reduced
payment  schedules  with service  providers.  These cost  containment  measures,
combined with the  increasing  influence of managed care payors and  competition
for  patients,  has  resulted in reduced  rates of  reimbursement  for  services
provided by IHS,  which has  adversely  affected,  and may continue to adversely
affect,  IHS'  margins,   particularly  in  its  skilled  nursing  and  subacute
facilities. Aspects of certain healthcare reform proposals, such as cutbacks


                                        9
<PAGE>

in the Medicare  and Medicaid  programs,  reductions  in Medicare  reimbursement
rates  and/or  limitations  on  reimbursement  rate  increases,  containment  of
healthcare  costs on an interim  basis by means that could  include a short-term
freeze on prices charged by healthcare  providers,  and permitting greater state
flexibility  in the  administration  of  Medicaid,  could  adversely  affect the
Company.  There can be no  assurance  that  adequate  reimbursement  levels will
continue to be available  for services to be provided by IHS which are currently
being reimbursed by Medicare,  Medicaid or private payors. Significant limits on
the scope of services  reimbursed and on reimbursement rates and fees could have
a material  adverse effect on the Company's  results of operations and financial
condition.  See "-- Risk of Adverse  Effect of  Healthcare  Reform."  During the
years ended December 31, 1995, 1996 and 1997, the Company derived  approximately
55%,  60% and 66%,  respectively,  of its patient  revenues  from  Medicare  and
Medicaid.  On a pro forma  basis after  giving  effect to the  acquisitions  and
divestitures  consummated  by IHS in 1996  and  1997,  approximately  69% of the
Company's  patient revenues have been derived from Medicare and Medicaid in each
of the years ended December 31, 1996 and 1997.

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

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

     Risk of Adverse  Effect of  Healthcare  Reform.  In addition  to  extensive
existing government healthcare regulation, there are numerous initiatives on the
federal and state levels for comprehensive reforms affecting the payment for and
availability of healthcare services,  including a number of proposals that would
significantly limit  reimbursement under Medicare and Medicaid.  It is not clear
at this time what proposals, if any, will be adopted or, if adopted, what effect
such proposals would have on the Company's business. Aspects of certain of these
healthcare  proposals,  such as cutbacks in the Medicare and Medicaid  programs,
containment of healthcare  costs on an interim basis by means that could include
a short-term  freeze on prices charged by healthcare  providers,  and permitting
greater state  flexibility in the  administration  of Medicaid,  could adversely
affect the Company.  The BBA  provides,  among other  things,  for a prospective
payment  system  for  skilled  nursing  facilities  to be  implemented  for cost
reporting  periods  beginning  on or after July 1, 1998, a  prospective  payment
system for home nursing to be implemented for cost reporting  periods  beginning
on or after October 1, 1999, a reduction in current cost  reimbursement for home
nursing care pending implementation of a prospective payment system,  reductions
(effective  January 1,  1998) in  Medicare  reimbursement  for oxygen and oxygen
equipment  for home  respiratory  therapy and a shift of the bulk of home health
coverage from Part A to Part B of Medicare. The BBA also instituted consolidated
billing  for  skilled  nursing  facility  services,  under  which  payments  for
non-physician  Part B services for  beneficiaries  no longer eligible for Part A
skilled  nursing  facility  care  will be made to the  facility,  regardless  of
whether the item or service  was  furnished  by the  facility,  by others  under
arrangement or under any other contracting or consulting arrangement,  effective
for items or services  furnished on or after July 1, 1997.  The inability of IHS
to provide home healthcare  and/or skilled nursing  services at a cost below the
established  Medicare fee schedule could have a material  adverse effect on IHS'
home healthcare operations, post-acute care network and busi-


                                       10
<PAGE>

ness generally.  IHS expects that there will continue to be numerous initiatives
on the federal and state levels for comprehensive  reforms affecting the payment
for and  availability  of healthcare  services,  including  proposals  that will
further limit reimbursement under Medicare and Medicaid. It is not clear at this
time what  proposals,  if any, will be adopted or, if adopted,  what effect such
proposals  will  have  on  IHS'  business.  See  "--  Risks  Related  to  Recent
Acquisitions"  and "-- Reliance on  Reimbursement  by Third Party Payors." There
can be no assurance that currently proposed or future healthcare  legislation or
other changes in the administration or interpretation of governmental healthcare
programs will not have an adverse  effect on the Company or that payments  under
governmental programs will remain at levels comparable to present levels or will
be   sufficient  to  cover  the  costs   allocable  to  patients   eligible  for
reimbursement pursuant to such programs.  Concern about the potential effects of
the proposed  reform  measures has  contributed  to the  volatility of prices of
securities  of companies in  healthcare  and related  industries,  including the
Company,  and may similarly affect the price of the Company's  securities in the
future. See "-- Uncertainty of Government Regulation."

     Under the new  prospective  payment  system for Medicare  reimbursement  to
skilled nursing facilities, facilities will receive a pre-established daily rate
for each individual Medicare  beneficiary being cared for, based on the activity
level of the  patient.  The  pre-established  daily rate will cover all routine,
ancillary and capital costs.  It is anticipated  that this  prospective  payment
system   will  be  phased  in  over  four  years  on  a  blended   rate  of  the
facility-specific costs and the new federal per diem, which has not to date been
established.  The blended rate for the first year of transition will take 75% of
the  facility-specific  per diem rate and 25% of the federal  per diem rate.  In
each subsequent  transition year, the  facility-specific per diem rate component
will  decrease by 25% and the federal per diem rate  component  will increase by
25%,  ultimately  resulting in a rate based 100% upon the federal per diem.  The
facility-specific  per diem rate is based upon the  facility's  1995 cost report
for routine,  ancillary and capital  services,  updated using a skilled  nursing
market basket index.  The federal per diem is calculated by the weighted average
of each  facility's  standardized  costs,  based  upon the  historical  national
average per diem for freestanding facilities. Prospective payment for IHS' owned
and leased skilled  nursing  facilities will be effective  beginning  January 1,
1999 for all  facilities  other than the facilities  acquired from  HEALTHSOUTH,
which will become  subject to prospective  payment on June 1, 1999.  Prospective
payment for skilled nursing facilities managed by IHS will be effective for each
facility at the  beginning of its first cost  reporting  period  beginning on or
after July 1, 1998. The new prospective payment system will also cover ancillary
services provided to patients at skilled nursing facilities.

   
     IHS anticipates  that the prospective  payment system for home nursing will
provide  for  prospectively  established  per visit  payments to be made for all
covered services,  which will then be subject to an annual aggregate per episode
limit at the end of the year.  Home health  agencies that are able to keep their
total  expenses per visit during the year below their per episode  annual limits
will be able to retain a  specified  percentage  of the  difference,  subject to
certain aggregate limitations. Such changes could have a material adverse effect
on the Company and its growth  strategy.  The  implementation  of a  prospective
payment system requires the Company to make contingent  payments  related to the
acquisition of First  American of $155 million over a period of five years.  The
failure to implement a prospective  payment system for home nursing  services in
the next  several  years could  adversely  affect IHS' post- acute care  network
strategy. See "-- Risks Related to Recent Acquisitions."
    

     With respect to Medicaid,  the BBA repeals the so-called  Boren  Amendment,
which required state Medicaid programs to reimburse  nursing  facilities for the
costs that are incurred by efficiently and  economically  operated  providers in
order to meet  quality  and  safety  standards.  As a  result,  states  now have
considerable flexibility in establishing payment rates.

     Uncertainty  of  Government  Regulation.  The  Company  and the  healthcare
industry generally are subject to extensive federal,  state and local regulation
governing   licensure  and  conduct  of   operations  at  existing   facilities,
construction of new facilities, acquisition of existing facilities, additions of
new services, certain capital expenditures, the quality of services provided and
the manner in which such  services are provided and  reimbursement  for services
rendered.  Changes in applicable laws and regulations or new  interpretations of
existing laws and regulations could have a material adverse effect on licensure,
eligibility for participation,  permissible activities,  operating costs and the
levels of reimbursement from


                                       11
<PAGE>

governmental  and other  sources.  There  can be no  assurance  that  regulatory
authorities  will  not  adopt  changes  or  new   interpretations   of  existing
regulations that could adversely affect the Company.  The failure to maintain or
renew any required  regulatory  approvals or licenses  could prevent the Company
from offering  existing  services or from  obtaining  reimbursement.  In certain
circumstances,  failure to comply at one  facility may affect the ability of the
Company to obtain or maintain  licenses or approvals under Medicare and Medicaid
programs at other  facilities.  In addition,  in the conduct of its business the
Company's  operations  are  subject  to review by federal  and state  regulatory
agencies to assure continued compliance with various standards,  their continued
licensing  under  state  law and their  certification  under  the  Medicare  and
Medicaid  programs.  In the course of these  reviews,  problems are from time to
time identified by these agencies. Although the Company has to date been able to
resolve  these  problems in a manner  satisfactory  to the  regulatory  agencies
without a material  adverse  effect on its  business,  there can be no assurance
that it will be able to do so in the future.

   
     In 1995 the  Health  Care  Financing  Administration  ("HCFA")  implemented
stricter  guidelines for annual state surveys of long-term  care  facilities and
expanded remedies available to enforce compliance with the detailed  regulations
mandating  minimum  healthcare  standards.  Remedies  include fines, new patient
admission moratoriums,  denial of reimbursement,  federal or state monitoring of
operations,  closure of facilities  and  termination  of provider  reimbursement
agreements.  These  provisions  eliminate the ability of operators to appeal the
scope and severity of any  deficiencies and grant state regulators the authority
to impose new remedies,  including  monetary  penalties,  denial of payments and
termination  of the  right  to  participate  in  the  Medicare  and/or  Medicaid
programs. The Company believes these new guidelines may result in an increase in
the number of facilities that will not be in "substantial  compliance"  with the
regulations  and, as a result,  subject to  increased  disciplinary  actions and
remedies,  including admission holds and termination of the right to participate
in the Medicare and/or Medicaid programs. In ranking facilities,  survey results
subsequent  to  October  1990  are  considered.   As  a  result,  the  Company's
acquisition of poorly performing facilities could adversely affect the Company's
business to the extent remedies are imposed at such facilities.
    

     In September 1997, President Clinton, in an attempt to curb Medicare fraud,
imposed a moratorium on the certification  under Medicare of new home healthcare
companies,  which  moratorium  expired in January 1998,  and  implemented  rules
requiring home healthcare providers to reapply for Medicare  certification every
three years. In addition, HCFA will double the number of detailed audits of home
healthcare  providers it  completes  each year and increase by 25% the number of
home healthcare  claims it reviews each year. IHS cannot predict what effect, if
any,  these new rules will have on IHS'  business and the  expansion of its home
healthcare operations.

     The  Company  is also  subject  to  federal  and state  laws  which  govern
financial and other arrangements between healthcare providers.  These laws often
prohibit  certain  direct and indirect  payments or  fee-splitting  arrangements
between  healthcare  providers  that are  designed  to induce or  encourage  the
referral of patients to, or the  recommendation  of, a  particular  provider for
medical  products and services.  These laws include the federal  "Stark  Bills,"
which  prohibit,  with  limited  exceptions,   financial  relationships  between
ancillary   service  providers  and  referring   physicians,   and  the  federal
"anti-kickback  law," which prohibits,  among other things, the offer,  payment,
solicitation  or receipt of any form of  remuneration in return for the referral
of  Medicare  and  Medicaid  patients.  The Office of  Inspector  General of the
Department  of Health and Human  Services,  the  Department of Justice and other
federal  agencies  interpret  these  fraud and abuse  provisions  liberally  and
enforce them  aggressively.  The BBA contains new civil  monetary  penalties for
violations of these laws and imposes an affirmative  duty on providers to insure
that they do not employ or contract  with  persons  excluded  from the  Medicare
program.  The BBA also  provides a minimum 10 year  period  for  exclusion  from
participation  in Federal  healthcare  programs of persons  convicted of a prior
healthcare  violation.  In  addition,  some  states  restrict  certain  business
relationships  between  physicians and other  providers of healthcare  services.
Many states prohibit business corporations from providing, or holding themselves
out as a provider of, medical care.  Possible  sanctions for violation of any of
these  restrictions or prohibitions  include loss of licensure or eligibility to
participate in reimbursement  programs (including Medicare and Medicaid),  asset
forfeitures  and civil and  criminal  penalties.  These  laws vary from state to
state,  are often  vague  and have  seldom  been  interpreted  by the  courts or
regulatory agencies. The Company seeks to structure its business


                                       12
<PAGE>

arrangements  in compliance  with these laws and, from time to time, the Company
has sought guidance as to the interpretation of such laws; however, there can be
no  assurance  that  such  laws  ultimately  will  be  interpreted  in a  manner
consistent with the practices of the Company.

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

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

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

     Effect of Certain Anti-Takeover Provisions. IHS' Third Restated Certificate
of Incorporation  and By-laws,  as well as the Delaware General  Corporation Law
(the "DGCL"), contain certain provisions that could have the effect of making it
more difficult for a third party to acquire,  or discouraging a third party from
attempting to acquire,  control of IHS. These  provisions  could limit the price
that  certain  investors  might be  willing  to pay in the  future for shares of
Common  Stock.   Certain  of  these  provisions  allow  IHS  to  issue,  without
stockholder  approval,  preferred  stock having voting rights senior to those of
the  Common  Stock.   Other  provisions  impose  various  procedural  and  other
requirements  that  could  make it more  difficult  for  stockholders  to effect
certain corporate actions. In addition, the IHS Stockholders' Rights Plan, which
provides  for  discount  purchase  rights to  certain  stockholders  of IHS upon
certain  acquisitions of 20% or more of the outstanding  shares of Common Stock,
may also inhibit a change in control of IHS. As a Delaware  corporation,  IHS is
subject to Section 203 of the DGCL,  which, in general,  prevents an "interested
stockholder" (defined generally as a person owning 15% or more of


                                       13
<PAGE>

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

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


   
                               RECENT DEVELOPMENTS

     In March 1998 the Company  sold five  long-term  care  facilities  to Omega
Healthcare Investors,  Inc. ("Omega"),  a publicly-traded real estate investment
trust,  for  approximately   $50.5  million.   Omega  immediately  leased  these
facilities to Lyric Health Care LLC ("Lyric") at an annual rent of approximately
$4.95 million. Lyric is a newly-formed company 50% owned by IHS and 50% owned by
TFN Healthcare  Investors,  Inc., an entity controlled by Timothy  Nicholson,  a
director of the Company.  The Company  manages these  facilities as well as five
other long-term care facilities which the Company sold to Omega and Omega leased
to Lyric in January 1998.  The Company  receives a base  management fee of 3% of
gross revenues, subject to increase if gross revenues exceed $350 million, and a
franchise  fee of 1% of gross  revenues.  The  management  agreement  with Lyric
provides  for an incentive  management  fee equal to 70% of annual net cash flow
(as defined in the management agreement).

     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 Lyric,  and that  Lyric  will  engage  the  Company to manage the
facilities  pursuant to the arrangements  described above. The transactions with
Monarch and Lyric 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.

     In April  1998 IHS  acquired a company  that  operates  13 skilled  nursing
facilities for approximately $15.9 million. The stockholder of this company is a
Selling  Stockholder  hereunder.  The Company also purchased,  for approximately
$5.5 million,  seven companies  which provide  respiratory  therapy  services in
April 1998.

     The Company has reached agreements in principle to purchase a company which
operates 31 skilled  nursing  facilities 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  acquisitions will be consummated on these terms, on different terms or at
all.
    


                                       14
<PAGE>

                                 USE OF PROCEEDS

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



                              SELLING STOCKHOLDERS

     The following  table sets forth certain  information as of February 1, 1998
(except as  otherwise  indicated)  and as  adjusted  to reflect  the sale of the
Common  Stock in the  offering,  as to the  security  ownership  of the  Selling
Stockholders.  Except as set forth below,  none of the Selling  Stockholders has
held any  position  or office or had any other  material  relationship  with the
Company or any of its predecessors or affiliates within the past three years.





<TABLE>
<CAPTION>
                                                                    SHARES OF                  SHARES OF
                                                                  COMMON STOCK                COMMON STOCK
                                                                  BENEFICIALLY                BENEFICIALLY
                                                                   OWNED PRIOR     SHARES     OWNED AFTER
                                                                   TO OFFERING   BEING SOLD     OFFERING
                                                                 -------------- ------------ -------------
<S>                                                              <C>            <C>          <C>
ARCADIA SERVICES, INC.(1)
 Dale G. Rands .................................................        390            34           356
 Joseph F. Galvin ..............................................        390            34           356
 Stuart Sinai ..................................................        390            34           356
 Ronald H. Riback ..............................................        390            34           356
 James C. Foresman .............................................        390            34           356
 Lawrence N. Dudek .............................................        195            17           178
 Phillip J. Shefferly ..........................................        195            17           178
 David B. Gunsberg .............................................        195            17           178
 David J. Gould and Laura M. Gould, joint tenants with rights
   of survivorship .............................................        195            17           178
 Howard Zoller and Beth Zoller, joint tenants with rights of
   survivorship ................................................        195            17           178
 Michael J. Eizelman and Shelley E. Eizelman, joint tenants with
   rights of survivorship ......................................        195            17           178
 Robert J. Sandler .............................................        780            67           713
 Herbert J. Graebner ...........................................     70,767        13,203        57,564
 Barbara Brewer ................................................      6,899           596         6,303
 Leonard E. Bellinson, Trustee for Leonard E. Bellinson Trust
   Dated 3/1/82 ................................................     45,806        13,742        32,064
 Lawrence S. Jackier Irrevocable Trust U/A/D 9/1/94 ............        390            34           356
 Conbet Associates .............................................     18,397         1,590        16,807
 Beth Elaine Lowenstein Trust U/A/D 7/30/92 ....................      9,198           795         8,403
 Rita M. Lord ..................................................      6,899           596         6,303
 Jill Bader ....................................................     13,797         1,192        12,605
 Charles Bader .................................................     13,797         1,192        12,605
 James C. Foresman and Cheryl A. Busbey, Co-Trustees of the
   Douglas E. Busbey Trust .....................................        390            34           356
 Robert M. Egren ...............................................        531            46           485
 Morris Rochlin ................................................     13,266         1,146        12,120
 Nicholas J. Pyett .............................................      1,062            92           970
 Lawrence S. Jackier, Trustee for Schlussel, Lifton, Simon,
   Rands, Galvin & Jackier .....................................        391            34           357
 Cameron D. Hosner .............................................     11,728         1,014        10,714
 James L. Bellinson ............................................     14,951         3,267        11,684
 Gregory G. Glaesmer ...........................................      4,776           413         4,363
 Gerald Vargo ..................................................      1,062            92           970
</TABLE>

                                       15
<PAGE>


   
<TABLE>
<CAPTION>
                                                        SHARES OF                  SHARES OF
                                                      COMMON STOCK                COMMON STOCK
                                                      BENEFICIALLY                BENEFICIALLY
                                                       OWNED PRIOR     SHARES     OWNED AFTER
                                                       TO OFFERING  BEING SOLD      OFFERING
                                                     -------------- ------------ -------------
<S>                                                  <C>            <C>          <C>
 Arcadia Bidco Corporation .........................      30,760         3,912       26,848
 Mark E. Schlussel .................................         390            34          356
 Donald B. Lifton ..................................         390            34          356
 Joel M. Shere .....................................         195            17          178
 Daniel D. Swanson .................................         195            17          178
 Carol Simon .......................................         390            34          356
 CoreStates Bank, N.A., as Escrow Agent(2) .........      78,568         6,791       71,777
PARAGON REHABILITIVE SERVICES, INC.(3)
 Philip Slive ......................................     345,032       345,032            0
 CoreStates Bank, N.A. as Escrow Agent(2) ..........      16,819        16,819            0
Blass & Driggs(4) ..................................      64,490        64,490            0
Calo Agostino(5) ...................................      10,428        10,428            0
Terry L. Cash(6) ...................................     435,886       435,886            0
Harbor Side Real Estate Consultants(7) .............       1,098         1,098            0
Maher & Kallas, P.C.(4) ............................       4,803         4,803            0
Panza, Maurer, Maynard & Neel, P.A.(4) .............       5,296         5,296            0
Pamela J. Reichart(8) ..............................      12,082        12,082            0
Uro-Tech, Ltd.(9) ..................................      19,700        19,700            0
Vinick & Docherty(4) ...............................      16,629        16,629            0
</TABLE>
    

   
- ----------
(1) The shares offered hereby represent  additional  shares of Common Stock (the
    "Additional Shares") received in exchange for the stock of Arcadia Services,
    Inc.  ("Arcadia") pursuant to the Agreement and Plan of Reorganization dated
    as of July 24,  1997  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 $18.7 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.  The column "Shares of Common Stock
    Beneficially  Owned Prior to Offering"  includes,  and the column "Shares of
    Common Stock  Beneficially  Owned After  Offering"  consists  of,  shares of
    Common Stock  received at the closing of the  acquisition.  Of the shares of
    Common Stock being  registered  hereunder,  6,791 shares are currently being
    held in  escrow,  together  with  shares  issued at the  closing,  to secure
    indemnification obligations, accounts receivable with respect to a litigated
    matter and merger  consideration  adjustments  pursuant to the Agreement and
    Plan of Reorganization.  Merger consideration  adjustments may be based on a
    review of the working capital and long-term liabilities of Arcadia as of the
    closing  date,  all on the  terms  set  forth in the  Agreement  and Plan of
    Reorganization.

(2) Does  not  include   shares  of  Common  Stock  held  in  escrow  for  other
    acquisitions.

(3) The shares offered hereby were received in exchange for the stock of Paragon
    Rehabilitative Services, Inc. ("Paragon") pursuant to the Agreement and Plan
    of Merger  dated as of January 9, 1998.  Of the shares of Common Stock being
    registered  hereunder,  16,819 shares are currently  being held in escrow to
    secure  indemnification  obligations  and  post-closing  adjustments  to the
    merger  consideration  based on the levels of Paragon's  working capital and
    long-term liabilities on the closing date.

(4) The shares  offered  hereby  were  received  in payment  for legal  services
    rendered to the Company.

(5) The shares  offered  hereby  were  received  in payment  for legal  services
    rendered to the Company.  Includes  shares owned and being offered by Harbor
    Side Real Estate  Consultants,  a wholly-owned  subsidiary of Calo Agostino.
    See Note 7 below.

(6) The shares  offered  hereby were  received in exchange  for the stock of The
    Magnolia  Group,  Inc.  ("Magnolia")  and  Medi-Serve,  Inc.  ("Medi-Serve")
    pursuant to an  Agreement  and Plan of Merger dated as of February 28, 1998.
    Of the 435,886 shares being  registered  hereunder,  14,416 shares are being
    held in  escrow  to  secure  indemnification  obligations  and  post-closing
    adjustments  to the merger  consideration  based on the levels of Magnolia's
    and  Medi-Serve's  working  capital  and  long-term  liabilities.  Under the
    agreement,  IHS is obligated to issue  additional  shares of Common Stock if
    the working capital  exceeds,  and/or  long-term  liabilities are less than,
    specified levels.

(7) The  shares  offered  hereby  were  received  in  payment  for  real  estate
    consulting  services  rendered to the Company.  This Selling  Stockholder is
    owned by Calo Agostino. See Note 5 above.

(8) The shares offered hereby were received in exchange for the assets of Jersey
    Shore Portable X-Ray, Inc. pursuant to an Asset Purchase  Agreement dated as
    of March 16, 1998.

(9) The shares offered  hereby were received in exchange for an 18%  partnership
    interest in  Southwest  Lithotripter  Partners,  Ltd.  pursuant to a Limited
    Partnership Interest Purchase Agreement dated as of February 28, 1998.
 
    


                                       16
<PAGE>

TRANSACTIONS INVOLVING SELLING STOCKHOLDERS

   
     On  August  29,  1997,  the  Company  acquired  through  merger  all of the
outstanding  stock of Arcadia  Services,  Inc.,  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. The Additional  Shares
are being offered hereby.

     On January 31, 1998, the Company acquired all the outstanding capital stock
of Paragon Rehabilitative Services, Inc., 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 (the  "Paragon
Shares"). The Paragon Shares are being offered hereby.

     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 (the  "Uro-Tech  Shares").  The Uro-Tech  Shares are
being offered hereby.

     On March 16,  1998,  the Company  acquired  all the assets of Jersey  Shore
Portable X-Ray,  Inc. 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 (the
"JSP Shares"). The JSP Shares are being offered hereby.

     On April 24, 1998, the Company  acquired all the  outstanding  stock of The
Magnolia  Group,  Inc.,  which  operates  13  skilled  nursing  facilities,  and
Medi-Serve,  Inc., which provides  pharmaceutical  and Medicare Part B services.
The merger consideration was $16.0 million,  which was paid through the issuance
of 435,886 shares of Common Stock (the "Magnolia  Shares").  The Magnolia Shares
are being offered hereby.
    


                                       17
<PAGE>

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

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

   
     The  Arcadia  Group has agreed  not to sell in excess of 100,000  shares of
Common Stock during any 30-day  period and to effect sales solely  through Smith
Barney Inc. The holder of the Paragon Shares has agreed not to sell in excess of
75,000  shares of Common  Stock  during  any 30-day  period and to effect  sales
solely through  Salomon Smith Barney Inc. The holder of the Magnolia  Shares has
agreed not to sell in excess of 130,000  shares in any 30-day  period during the
first 120 days after the date of this  Prospectus  and  thereafter not more than
100,000  shares in any 30-day  period,  and in each case to effect  sales solely
through  Salomon  Smith  Barney Inc.  The holder of the JSP Shares has agreed to
effect sales solely through Salomon Smith Barney Inc.
    

     Because the Selling Stockholders may be deemed to be "underwriters"  within
the meaning of Section  2(11) of the  Securities  Act, the Selling  Stockholders
will be subject to prospectus  delivery  requirements  under the Securities Act.
Furthermore,  in the  event of a  "distribution"  of the  Shares,  such  Selling
Stockholder, any selling broker or dealer and any "affiliated purchasers" may be
subject to Regulation M under the  Securities  Exchange Act of 1934, as amended,
which Regulation would prohibit,  with certain exceptions,  any such person from
bidding for or purchasing any security which is the subject of such distribution
until  his  participation  in  that  distribution  is  completed.  In  addition,
Regulation M under the  Exchange Act  prohibits,  with certain  exceptions,  any
"stabilizing bid" or "stabilizing  purchase" for the purpose of pegging,  fixing
or stabilizing the price of Common Stock in connection with this offering.

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


                                 LEGAL MATTERS

   
     Certain  legal  matters  with  respect to the  validity of the Common Stock
offered  hereby have been  passed  upon for the Company by  Fulbright & Jaworski
L.L.P., New York, New York. At April 30, 1998,  partners of Fulbright & Jaworski
L.L.P. owned an aggregate of 300 shares of Common Stock.
    


                                    EXPERTS

     The consolidated  financial statements of Integrated Health Services,  Inc.
and  subsidiaries  as of December 31, 1996 and 1997 and for each of the years in
the  three-year  period  ended  December  31,  1997  have been  incorporated  by
reference in this Prospectus and elsewhere in the Registration State-


                                       18
<PAGE>

ment in reliance upon the report of KPMG Peat Marwick LLP, independent certified
public accountants,  incorporated by reference herein, and upon the authority of
said firm as experts in accounting and auditing. The report of KPMG Peat Marwick
LLP refers to changes in  accounting  methods,  in 1995,  to adopt  Statement of
Financial  Accounting  Standards  No. 121 related to  impairment  of  long-lived
assets and, in 1996, from deferring and amortizing  pre-opening costs of Medical
Specialty Units to recording them as expenses when incurred.

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

     The consolidated financial statements of Community Care of America, Inc. as
of December 31, 1995 and 1996 and for each of the years in the three-year period
ended December 31, 1996 have been  incorporated  by reference in this Prospectus
and in the  Registration  Statement  from IHS' Current Report on Form 8-K (dated
September  25,  1997) in  reliance  upon the  report of KPMG Peat  Marwick  LLP,
independent certified public accountants,  incorporated by reference herein, and
upon the  authority  of said firm as experts in  accounting  and  auditing.  The
report of KPMG Peat Marwick LLP refers to the change in  accounting  method in 1
996 to adopt Statement of Financial Accounting Standards No. 121 relating to the
impairment of long-lived assets.
    

     The financial  statements of RoTech Medical Corporation as of July 31, 1996
an d 1997 and for each of the years in the three year period ended July 31, 1997
inc orporated in this Prospectus and in the Registration  Statement by reference
from IHS' Current  Report on Form 8-K (dated October 21, 1997) have been audited
by Deloitte & Touche LLP, independent auditors, as stated in their report, which
is incorporated  herein by reference,  and have been so incorporated in reliance
upon the report of such firm given upon their authority as experts in accounting
and auditing.

     The financial  statements of selected  facilities  operated by  Horizon/CMS
Healthcare Corporation to be sold to Integrated Health Services,  Inc. as of May
31, 1997 and 1996 and for each of the years in the three year  period  ended May
31, 1997  incorporated in this Prospectus and in the  Registration  Statement by
reference  from IHS' Current  Report on Form 8-K (dated  December 31, 1997) have
been audited by Arthur Andersen LLP,  independent  auditors,  as stated in their
report, which is incorporated herein by reference, and have been so incorporated
in reliance  upon the report of such firm given upon their  authority as experts
in accounting and auditing.


                                       19
<PAGE>

     
================================================================================
     NO PERSON IS AUTHORIZED IN CONNECTION WITH ANY OFFERING MADE HEREBY TO GIVE
ANY INFORMATION OR TO MAKE ANY  REPRESENTATION NOT CONTAINED IN THIS PROSPECTUS,
AND, IF GIVEN OR MADE,  SUCH  INFORMATION OR  REPRESENTATION  MUST NOT BE RELIED
UPON AS  HAVING  BEEN  AUTHORIZED  BY THE  COMPANY.  THIS  PROSPECTUS  DOES  NOT
CONSTITUTE  AN OFFER TO SELL OR A  SOLICITATION  OF AN OFFER TO BUY ANY SECURITY
OTHER THAN THE COMMON STOCK OFFERED  HEREBY,  NOR DOES IT CONSTITUTE AN OFFER TO
SELL OR A SOLICITATION  OF AN OFFER TO BUY ANY OF THE SECURITIES  OFFERED HEREBY
TO ANY PERSON IN ANY  JURISDICTION IN WHICH IT IS UNLAWFUL TO MAKE SUCH AN OFFER
OR  SOLICITATION.  NEITHER  THE  DELIVERY OF THIS  PROSPECTUS  NOR ANY SALE MADE
HEREUNDER  SHALL  UNDER  ANY  CIRCUMSTANCES  CREATE  ANY  IMPLICATION  THAT  THE
INFORMATION  CONTAINED  HEREIN IS CORRECT AS OF ANY DATE  SUBSEQUENT TO THE DATE
HEREOF.




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







   
<TABLE>
<CAPTION>
                                         PAGE
                                        -----
<S>                                     <C>
Available Information ...............    2
Incorporation of Certain Documents by
   Reference ........................    3
The Company .........................    4
Risk Factors ........................    6
Recent Developments .................   14
Use of Proceeds .....................   15
Selling Stockholders ................   15
Plan of Distribution ................   18
Legal Matters .......................   18
Experts .............................   18
</TABLE>
    

================================================================================
================================================================================
   
                                    981,421
                                    SHARES
    



                               [GRAPHIC OMITTED]



                                INTEGRATED HEALTH
                                 SERVICES, INC.







                                  COMMON STOCK







                       -----------------------------------
                                   PROSPECTUS
                       -----------------------------------
                                            , 1998





================================================================================
<PAGE>

                                    PART II

                    INFORMATION NOT REQUIRED IN PROSPECTUS


ITEM 14. OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION.

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

   
<TABLE>
<CAPTION>
                                 ITEM                                        AMOUNT
                                 ----                                        ------
<S>                                                                     <C>
     Registration Fee - Securities and Exchange Commission ..........    $  11,139.68
     Legal, accounting and printing fees and expenses ...............       35,000.00*
     Miscellaneous ..................................................        3,860.32*
                                                                         ------------
        Total .......................................................    $  50,000.00*
                                                                         ============
</TABLE>
    

- ----------
* Estimated.

ITEM 15. INDEMNIFICATION OF DIRECTORS AND OFFICERS.

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

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

     The agreements  pursuant to which the Arcadia Shares and the Paragon Shares
were issued (Exhibits 2.1 and 2.2,  respectively) provide for indemnification by
the sellers thereunder of the Company and its controlling persons, directors and
officers  for  certain  liabilities,  including  liabilities  arising  under the
Securities Act.

ITEM 16. EXHIBITS.
   
<TABLE>
<S>      <C>  <C>
2.1      --   Agreement and Plan of  Reorganization,  dated as of July 24, 1997,
              among  the  Company,  Integrated  AG  Acquisition,  Inc.,  Arcadia
              Services, Inc. and the other parties thereto.(1)

2.2      --   Agreement  and Plan of Merger  dated as of January 9, 1998,  among
              Integrated  Health Ser- vices,  Inc., IHS Acquisition  XXXIV, Inc.
              and Paragon Rehabilitative Services, Inc. and Phillip Slive.*
</TABLE>
    

                                      II-1
<PAGE>

   
<TABLE>
<S>       <C>  <C>
 2.3      --  Amended  and  Restated  Agreement  and Plan of Merger  dated as of
              February 27, 1998 among  Integrated  Health  Services,  Inc.,  IHS
              Acquisition  No. 35, Inc., IHS  Acquisition  No. 36, Inc., and The
              Magnolia Group, Inc. and Medi-Serve, Inc. and Terry L. Cash.

 2.4      --  Limited  Partnership  Interest  Purchase  Agreement  dated  as  of
              February 28, 1998, among Cambridge Health Services of Texas, Inc.,
              Integrated Health Services, Inc. and Uro-Tech, Ltd.+
 
2.5      --   Asset Purchase Agreement dated as of March 16, 1998 among Symphony
              Diagnostic  Services  No. 1, Inc.  and Pamela  Reichart and Jersey
              Shore Portable X-Ray, Inc.

 4.1      --  Third Restated Certificate of Incorporation, as amended. (2)

 4.2      --  Amendment  to the Third  Restated  Certificate  of  Incorporation,
              dated May 26, 1995. (3)

 4.3      --  Certificate  of  Designation  of  Series  A  Junior  Participating
              Cumulative Preferred Stock (4)

 4.4      --  By-laws, as amended. (5)

  5       --  Opinion of Fulbright & Jaworski L.L.P.

23.1      --  Consents of KPMG Peat Marwick LLP.+

23.2      --  Consent of Deloitte & Touche LLP.+

23.2      --  Consent of Arthur Andersen LLP+

23.4      --  Consent of Fulbright & Jaworski L.L.P. (included in Exhibit 5).

 24       --  Power of Attorney (included on signature page).*

 99       --  Certified Resolution.+
</TABLE>
    

   
- ----------
+ To be filed by Amendment
* Previously filed.
    

(1) Incorporated herein by reference to the Company's  Registration Statement on
Form S-3 (No. 333-41973).

(2)  Incorporated by reference to the Company's  Registration  Statement on Form
S-3, No. 33-77754, effective June 29, 1994.

(3)  Incorporated by reference to the Company's  Registration  Statement on Form
S-4, No. 33-94130, effective September 15, 1995.

(4) Incorporated by reference to the Company's  Current Report on Form 8-K dated
September 27, 1995.

(5)  Incorporated by reference the Company's  Annual Report on Form 10-K for the
year ended December 31, 1997.


ITEM 17. UNDERTAKINGS.

     (a) The undersigned registrant hereby undertakes:


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


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

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

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

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


                                      II-2
<PAGE>

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

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

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

     (c) Insofar as indemnification for liabilities arising under the Securities
Act of 1933 may be permitted to directors,  officers and controlling  persons of
the registrant  pursuant to the  provisions  described  under Item 15 above,  or
otherwise, the registrant has been advised that in the opinion of the Securities
and  Exchange  Commission  such  indemnification  is  against  public  policy as
expressed in the Act and is, therefore, unenforceable. In the event that a claim
for  indemnification  against  such  liabilities  (other than the payment by the
registrant of expenses  incurred or paid by a director,  officer or  controlling
person of the  registrant  in the  successful  defense  of any  action,  suit or
proceeding)  is  asserted by such  director,  officer or  controlling  person in
connection with the securities being registered,  the registrant will, unless in
the opinion of its counsel the matter has been settled by controlling precedent,
submit  to a  court  of  appropriate  jurisdiction  the  question  whether  such
indemnification  by it is against public policy as expressed in the Act and will
be governed by the final adjudication of such issue.


                                      II-3
<PAGE>

   
                                   SIGNATURES

     Pursuant to the requirements of the Securities Act of 1933, as amended, the
Registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-3 and has duly caused this Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized, in the City of Owings Mills, State of Maryland on May 8, 1998.


                                        INTEGRATED HEALTH SERVICES, INC.

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

   
                                POWER OF ATTORNEY
    

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


   
<TABLE>
<CAPTION>
           SIGNATURE                             TITLE                      DATE
           ---------                             -----                      ----

<S>                               <C>                                  <C>
   /s/ Robert N. Elkins*          Chairman of the Board, President     May  8, 1998
- -----------------------------     and Chief Executive Officer
    (Robert N. Elkins)            (Principal Executive Officer)
                                  
   /s/ Edwin M. Crawford*         Director                             May  8, 1998
- -----------------------------
   (Edwin M. Crawford )

  /s/ Kenneth M. Mazik*           Director                             May  8, 1998
- -----------------------------
    (Kenneth M. Mazik)

  /s/ Robert A. Mitchell*         Director                             May  8, 1998
- -----------------------------
    (Robert A. Mitchell)

  /s/ Charles W. Newhall, III*    Director                             May  8, 1998
- -----------------------------
 (Charles W. Newhall, III)

  /s/ Timothy F. Nicholson*      Director                             May  8, 1998
- -----------------------------
   (Timothy F. Nicholson)

 /s/ John L. Silverman*           Director                             May  8, 1998
- -----------------------------
    (John L. Silverman)

 /s/ George H. Strong*            Director                             May  8, 1998
- -----------------------------
    (George H. Strong)
</TABLE>
    

                                      II-4
<PAGE>


   
<TABLE>
<CAPTION>
           SIGNATURE                             TITLE                       DATE
           ---------                             -----                       ----
<S>                               <C>                                   <C>
   /s/ C. Taylor Pickett          Executive Vice President-             May  8, 1998
- -----------------------------      Chief Financial Officer (Principal 
      (C. Taylor Pickett)          Financial Officer)

  /s/ W. Bradley Bennett*         Executive Vice President-             May  8, 1998
- -----------------------------      Chief Accounting Officer
     (W. Bradley Bennett)          (Principal Accounting Officer)
</TABLE>
    

   
*By: /s/ C. Taylor Pickett
     -------------------------
    
     (C. Taylor Pickett)
   
     Attorney-in-Fact
    

                                      II-5
<PAGE>

                               INDEX TO EXHIBITS


   
<TABLE>
<CAPTION>
  EXHIBIT
    NO.                                            DESCRIPTION                                     PAGE NO.
    ---                                            -----------                                     --------
<S>        <C>  <C>                                                                               <C>
  2.1      --   Agreement and Plan of Reorganization, dated as of July 24, 1997,
                among the Company,  Integrated  AG  Acquisition,  Inc.,  Arcadia
                Services, Inc. and the other parties thereto.(1)

  2.2      --   Agreement and Plan of Merger dated as of January 9, 1998,  among
                Integrated  Health Services,  Inc., IHS Acquisition  XXXIV, Inc.
                and Paragon Rehabilitative Services, Inc. and Phillip Slive.*

  2.3      --   Amended and  Restated  Agreement  and Plan of Merger dated as of
                February 27, 1998 among Integrated  Health  Services,  Inc., IHS
                Acquisition  No. 35, Inc., IHS Acquisition No. 36, Inc., and The
                Magnolia Group, Inc. and Medi-Serve, Inc. and Terry L. Cash.

  2.4      --   Limited  Partnership  Interest  Purchase  Agreement  dated as of
                February 28, 1998,  among  Cambridge  Health  Services of Texas,
                Inc., Integrated Health Services, Inc. and Uro-Tech, Ltd.+

  2.5      --   Asset  Purchase  Agreement  dated as of  March  16,  1998  among
                Symphony Diag- nostic  Services No. 1, Inc. and Pamela  Reichart
                and Jersey Shore Portable X-Ray, Inc.

  4.1      --   Third Restated Certificate of Incorporation, as amended. (2)

  4.2      --   Amendment to the Third Restated  Certificate  of  Incorporation,
                dated May 26, 1995. (3)

  4.3      --   Certificate  of  Designation  of  Series A Junior  Participating
                Cumulative Preferred Stock (4)

  4.4      --   By-laws, as amended. (5)

   5       --   Opinion of Fulbright & Jaworski L.L.P.

 23.1      --   Consents of KPMG Peat Marwick LLP.+

 23.2      --   Consent of Deloitte & Touche LLP.+

 23.2      --   Consent of Arthur Andersen LLP+

 23.4      --   Consent of Fulbright & Jaworski L.L.P. (included in Exhibit 5).

  24       --   Power of Attorney (included on signature page).*

  99       --   Certified Resolution.+
</TABLE>
    

   
- ----------
 +  To be filed by Amendment.
 *  Previously filed.
    

(1) Incorporated herein by reference to the Company's  Registration Statement on
Form S-3 (No. 333-41973).

(2)  Incorporated by reference to the Company's  Registration  Statement on Form
S-3, No. 33-77754, effective June 29, 1994.

(3)  Incorporated by reference to the Company's  Registration  Statement on Form
S-4, No. 33-94130, effective September 15, 1995.

(4) Incorporated by reference to the Company's  Current Report on Form 8-K dated
September 27, 1995.

(5)  Incorporated by reference the Company's  Annual Report on Form 10-K for the
year ended December 31, 1997.


                                                                     EXHIBIT 2.3

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

                              AMENDED AND RESTATED

                          AGREEMENT AND PLAN OF MERGER

                          DATED AS OF FEBRUARY 27, 1998

                                      AMONG

                        INTEGRATED HEALTH SERVICES, INC.,

                          IHS ACQUISITION NO. 35, INC.,

                          IHS ACQUISITION NO. 36, INC.,

                                       AND

                            THE MAGNOLIA GROUP, INC.

                                       AND

                                MEDI-SERVE, INC.

                                       AND

                                  TERRY L. CASH


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



<PAGE>



                                TABLE OF CONTENTS
                                -----------------
<TABLE>
<CAPTION>
                                                                                   PAGE
<S>                                                                                 <C>
ARTICLE I:  MERGERS..................................................................2
     1.1    Mergers..................................................................2
     1.2    Merger Time..............................................................3
     1.3    Payment of Merger Consideration..........................................3
     1.4    Surviving Corporation....................................................3

ARTICLE II:  CONVERSION..............................................................4
     2.1    Consideration............................................................4
     2.2    Adjustments to the Purchase Price........................................6
     2.3    Assets and Liabilities...................................................8
     2.4    Designated Contracts....................................................10
     2.5    Escrow Indemnification..................................................10
     2.6    New Greenville Lease....................................................11
     2.7    Golden Age and Inman Health Care Facilities.............................11
     2.8    Taylor Litigation.......................................................11
     2.9    Employment Undertaking..................................................12
     2.10   Medi-Serve Dividend.....................................................12

ARTICLE III:  IHS STOCK.............................................................12
     3.1    IHS Stock...............................................................12
     4.1    Time and Place of Closing...............................................18

ARTICLE V:  REPRESENTATIONS AND WARRANTIES OF THE SHAREHOLDER,
     MEDI-SERVE  AND COMPANY........................................................18
     5.1    Organization and Standing of the Company and Medi-Serve;
            Subsidiaries............................................................18
     5.2    Authority...............................................................19
     5.3    Binding Effect..........................................................19
     5.4    Absence of Conflicting Agreements.......................................19
     5.5    Consents................................................................20
     5.6    Schedule of Assets and Properties.......................................20
     5.7    Contracts...............................................................22
     5.8    Financial Statements....................................................24
     5.9    Material Changes........................................................25
     5.10   Licenses; Permits; Certificates of Need.................................26
     5.11   The Magnolia Facilities and Medi-Serve Facilities.......................26
     5.12   Legal Proceedings.......................................................28
     5.13   Employees...............................................................28
     5.14   Collective Bargaining, Labor Contracts, Employment Practices, etc.......28
     5.15   ERISA...................................................................29
     5.16   Questionnaire...........................................................29
     5.17   Insurance and Surety Agreements.........................................29
     5.18   Relationships...........................................................30
     5.19   Assets Comprising the Business..........................................30
     5.20   Absence of Certain Events...............................................30
</TABLE>


                                       (i)


<PAGE>


<TABLE>
<CAPTION>
<S>  <C>                                                                           <C>
     5.21   Compliance with Laws....................................................31
     5.22   Taxes...................................................................32
     5.23   Encumbrances Created by this Agreement..................................33
     5.24   Questionable Payments...................................................33
     5.25   Reimbursement Matters...................................................33
     5.26   Capital Stock of the Company and Medi-Serve.............................34
     5.27   Finders.................................................................35
     5.28   Shareholder Untrue Statement............................................35

ARTICLE VI:  REPRESENTATIONS AND WARRANTIES OF BUYER, NEWCO 1
     AND NEWCO 2....................................................................35
     6.1    Organization and Standing...............................................35
     6.2    Power and Authority.....................................................35
     6.3    Binding Agreement.......................................................35
     6.4    SEC Documents...........................................................35
     6.5    Absence of Conflicting Agreements.......................................36
     6.6    Capital Stock...........................................................36
     6.7    Material Changes........................................................36
     6.8    Buyer Untrue Statement..................................................36

ARTICLE VII:  INFORMATION AND RECORDS CONCERNING THE COMPANY
     AND MEDI-SERVE.................................................................36
     7.1    Access to Information and Records before Closing........................36

ARTICLE VIII:  OBLIGATIONS OF THE PARTIES UNTIL CLOSING.............................37
     8.1    Conduct of Business Pending Closing.....................................37
     8.2    Negative Covenants of the Company and Medi-Serve........................38
     8.3    Affirmative Covenants...................................................38
     8.4    Pursuit of Consents and Approvals.......................................40
     8.5    Pursuit of Nondisturbance Agreements and Estoppel Certificates..........40
     8.6    Supplementary Financial Information.....................................40
     8.7    Exclusivity.............................................................40
     8.8    Surveys.................................................................41
     8.9    Zoning Report...........................................................41

ARTICLE IX:  CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS............................41
     9.1    Representations and Warranties..........................................41
     9.2    Performance of Covenants................................................41
     9.3    Delivery of Closing Certificate.........................................42
     9.4    Opinions of Counsel.....................................................42
     9.5    Legal Matters...........................................................42
     9.6    Authorization Documents.................................................42
     9.7    Material Change.........................................................42
     9.8    Required Approvals......................................................42
     9.9    Hart-Scott Rodino Act...................................................42
     9.10   Non-competition Agreement...............................................43
     9.11   Cost and Expenses.......................................................43
     9.12   Consents................................................................43
     9.13   Closing Date Balance Sheet..............................................43
</TABLE>


                                      (ii)


<PAGE>


<TABLE>
<CAPTION>
<S>  <C>                                                                           <C>
     9.14   Resignation of Company and Medi-Serve Boards of Directors and
            Officers................................................................43
     9.15   Estimated Closing Date Long Term Liabilities............................43
     9.16   INTENTIONALLY DELETED...................................................43
     9.17   Woodruff Facility.......................................................44
     9.18   Shareholder Settlements.................................................44
     9.19   Escrow Agreement........................................................44
     9.20   IHS Stock Price.........................................................44
     9.21   Section 338(h)(10) Election.............................................44
     9.22   Articles of Merger......................................................44
     9.23   Other Documents.........................................................44

ARTICLE X:  CONDITIONS PRECEDENT TO SHAREHOLDER'S
     OBLIGATIONS....................................................................44
     10.1   Representations and Warranties..........................................44
     10.2   Performance of Covenants................................................45
     10.3   Delivery of Closing Certificate.........................................45
     10.4   Opinion of Counsel......................................................45
     10.5   Legal Matters...........................................................45
     10.6   Authorization Documents.................................................45
     10.7   Hart-Scott Rodino Act...................................................45
     10.8   INTENTIONALLY DELETED...................................................45
     10.9   Escrow Agreement........................................................45
     10.10  IHS Stock Price.........................................................45
     10.11  Other Documents.........................................................45

ARTICLE XI:  SURVIVAL AND INDEMNIFICATION...........................................46
     11.1   Survival of Representations and Warranties..............................46
     11.2   Indemnification by Shareholder..........................................46
     11.3   Indemnification by Buyer................................................46
     11.4   Assertion of Claims.....................................................47
     11.5   Control of Defense of Indemnificable Claims.............................47
     11.6   Limitations on Indemnification Obligations..............................48
     11.7   WARN Act Liability......................................................49
     11.8   Certain Waivers.........................................................49

ARTICLE XII: TERMINATION............................................................49
     12.1   Termination.............................................................49
     12.2   Effect of Termination...................................................50

ARTICLE XIII: CASUALTY, RISK OF LOSS................................................50
     13.1   Casualty, Risk of Loss..................................................50

ARTICLE XIV:  MISCELLANEOUS.........................................................50
     14.1   Performance.............................................................50
     14.2   Benefit and Assignment..................................................50
     14.3   Effect and Construction of this Agreement...............................51
     14.4   Cooperation - Further Assistance........................................51
</TABLE>


                                      (iii)


<PAGE>


<TABLE>
<CAPTION>
<S>  <C>                                                                           <C>
     14.5   Notices.................................................................51
     14.6   Waiver, Discharge, Etc..................................................52
     14.7   Rights of Persons Not Parties...........................................52
     14.8   Governing Law...........................................................52
     14.9   Amendments, Supplements, Etc............................................52
     14.10  Severability............................................................52
     14.11  Joint and Several.......................................................53
     14.12  Records.................................................................53
     14.13  Certain Costs...........................................................53
</TABLE>



                                      (iv)


<PAGE>

                              SCHEDULES & EXHIBITS
                              --------------------
<TABLE>
<CAPTION>
<S>                      <C>
Schedule 2.4             -    Designated Contracts
Schedule 5.1(a)          -    Organization and Standing of the Company, Medi-Serve;
                              Subsidiaries

Schedule 5.1(b)          -    Organization and Standing of the Company, Medi-Serve;
                              Subsidiaries
Schedule 5.5             -    Consents
Schedule 5.6(a)-1

and 2                    -    Schedule of Assets and Properties
Schedule 5.6(a)(ii)      -    Proprietary Rights
Schedule 5.6(a)(iii)     -    Personal Effects
Schedule 5.6(b)          -    Liens
Schedule 5.6(c)          -    Permitted Liens
Schedule 5.6(d)          -    Personal Property Leases
Schedule 5.7(b)          -    Contracts
Schedule 5.8(a)-1        -    Magnolia Financial Statements
Schedule 5.8(a)-2        -    Medi-Serve Financial Statements
Schedule 5.8(b)          -    Balance Sheet Liabilities
Schedule 5.9             -    Material Changes
Schedule 5.10            -    Licenses, Permits, Certificates of Need
Schedule 5.11(a)         -    Magnolia Facilities; Medi-Serve Facilities
Schedule 5.11(c)         -    Facility Leases
Schedule 5.11(e)         -    Zoning, etc.
Schedule 5.11(f)         -    Engineering Reports
Schedule 5.12            -    Legal Proceedings
Schedule 5.13            -    Employee Information
Schedule 5.14            -    Collective Bargaining, Labor, Contracts, Employment
                              Practices, etc.
Schedule 5.15            -    ERISA
Schedule 5.17            -    Insurance and Surety Agreements
Schedule 5.18            -    Relationships
Schedule 5.20            -    Absence of Certain Events
Schedule 5.22            -    Taxes
Schedule 5.25            -    Reimbursement Matters
Schedule 5.26            -    Capital Stock
Schedule 6.7             -    Material Changes

Exhibit 2.1(f)-1         -    Cash Note
Exhibit 2.1(f)-2         -    Cash Stock Pledge Agreement
Exhibit 2.3(b)           -    Undertaking
Exhibit 2.5(a)           -    Escrow Agreement
Exhibit 5.11(f)          -    Engineering Reports
Exhibit 5.16             -    Questionnaire
Exhibit 5.21(b)          -    Environmental Reports
Exhibit 9.4              -    Shareholder's Opinion
Exhibit 9.10             -    Non-competition Agreement
Exhibit 10.4             -    Buyer's Opinion

</TABLE>


                                       (1)


<PAGE>


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

                          AGREEMENT AND PLAN OF MERGER

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


         This Agreement and Plan of Merger (this  "AGREEMENT") is made as of the
27th day of February,  1998, among INTEGRATED HEALTH SERVICES,  INC., a Delaware
corporation   ("BUYER"),   IHS  ACQUISITION  NO.  35,  INC.,  a  South  Carolina
corporation  ("NEWCO  1"),  IHS  ACQUISITION  NO.  36,  INC.,  a South  Carolina
corporation  ("NEWCO  2"),  and THE  MAGNOLIA  GROUP,  INC.,  a  South  Carolina
corporation ("MAGNOLIA", or the "COMPANY"), TERRY L. CASH, an individual with an
address at 630  Henderson  Road,  Chesnee,  SC 29323  ("SHAREHOLDER")  and MEDI-
SERVE, INC., a South Carolina corporation ("MEDI-SERVE").  The Shareholder,  the
Company and  Medi-Serve are sometimes  herein  referred to  collectively  as the
"GROUP", and each individually as a "GROUP PARTICIPANT" or "GROUP MEMBER".

                                    PREMISES
                                    --------

         WHEREAS,  the  Shareholder  is the  owner  of all  of  the  issued  and
outstanding  shares of capital  stock of Magnolia  (the  "MAGNOLIA  SHARES"),  a
corporation that[,  through its subsidiaries,] is the operator in South Carolina
of 12 skilled nursing  facilities (all of which are leased by it) (the "MAGNOLIA
FACILITIES"); and

         WHEREAS,  Shareholder  is  also  the  owner  of all of the  issued  and
outstanding shares of capital stock of Medi-Serve (the "MEDI-SERVE  SHARES", and
together with the Magnolia Shares, the "SUBJECT SHARES"),  a corporation that is
the operator in South Carolina of one (1) pharmacy (the "MEDI-SERVE FACILITIES")
which provides  pharmaceutical and Medicare Part B services,  and Shareholder is
unwilling to merge  Magnolia  with Buyer unless Buyer also effects a merger with
Medi-Serve; and

         WHEREAS,  concurrently herewith Buyer is entering into an Agreement and
Plan of Merger (the "PREMIERE MERGER  AGREEMENT") with the owners (the "PREMIERE
SHAREHOLDERS")  of all of the issued and outstanding  shares of capital stock of
Premiere  Associates,  Inc.,  a North  Carolina  corporation  ("PREMIERE")  that
through its subsidiaries,  is the owner in fee simple in the State of Florida of
1 skilled  nursing  facility,  the  operator  in Georgia  and Florida of skilled
nursing  facilities  (all of which are leased by it), and the manager of skilled
nursing  facilities  in the  States  of South  Carolina,  Georgia  and  Florida,
including all of the Magnolia Facilities; and

         WHEREAS,  the  Shareholder  also owns all of the issued and outstanding
shares of capital stock (the "CATHCART  SHARES") of Cathcart & Associates,  Inc.
("CATHCART"), which in turn owns an 88-bed skilled nursing facility known as the
"Woodruff  Skilled  Nursing  Facility" (the "WOODRUFF  FACILITY");  although the
Cathcart  Shares shall not be purchased by Buyer  pursuant to this  Agreement or
the Premiere Merger  Agreement,  it shall be a condition to Buyer's  obligations
hereunder that the Woodruff Facility shall be leased to a subsidiary of Magnolia
pursuant to a "triple-net"  lease with a term of at

                                       2


<PAGE>

least 25 years, with annual base rent (subject to due diligence) of $330,000 per
year (subject to annual 2% escalations), and otherwise with terms and conditions
satisfactory to Buyer; and

         WHEREAS, it is understood that Magnolia is a party to a lease (the "NEW
GREENVILLE  LEASE") with respect to a 120- bed skilled  nursing  facility  under
construction in Greenville, South Carolina (the "NEW GREENVILLE FACILITY"); and

         WHEREAS,  each of Newco 1 and  Newco 2 is an  indirectly  wholly  owned
subsidiary of Buyer;

         WHEREAS,  the Boards of Directors  of Buyer,  Newco 1, Newco 2, and the
Company deem it  advisable  to merge Newco 1 with and into  Magnolia and Newco 2
with and into Medi-Serve pursuant to this Agreement (the "MERGERS");

         WHEREAS,  pursuant to the  Mergers  each  outstanding  share of capital
stock of Magnolia  shall be  converted  into the right to receive  the  Magnolia
Merger  Consideration  (as hereinafter  defined) and each  outstanding  share of
capital  stock of  Medi-Serve  shall be converted  into the right to receive the
Medi-Serve Merger Consideration (as hereinafter defined); and

         WHEREAS, to effectuate the foregoing, the parties desire to adopt plans
of merger and reorganization; and

         WHEREAS, all of the holders of capital stock in Magnolia and Medi-Serve
have approved this  Agreement and the plans of merger  described  herein and the
transactions contemplated hereby in accordance with all applicable laws, and the
Certificates  of  Incorporation  and By-laws of each of Magnolia and Medi-Serve;
and

         NOW, THEREFORE, in consideration of the premises and for other good and
valuable  consideration,   the  receipt  and  sufficiency  of  which  is  hereby
acknowledged by the parties hereto, Shareholder,  Buyer, the Shareholder,  Newco
1, Newco 2, Buyer, Magnolia and Medi-Serve, intending to be legally bound, agree
as follows:

                               ARTICLE I: MERGERS
                               ------------------

         1.1 MERGERS.  Upon the terms and subject to the conditions set forth in
this Plan of Merger (as  defined  herein)  and in  accordance  with the  General
Corporation Law of the State of South Carolina (the "SCGCL"), at the Merger Time
(as defined herein),  Newco 1 shall be merged with and into Magnolia and Newco 2
shall be merged with and into  Medi-Serve in accordance  with the  provisions of
Section 33-11-101,  et al of the SCGCL. In furtherance  thereof,  on the Closing
Date Magnolia and Newco 1, on the one hand,  and  Medi-Serve and Newco 2, on the
other  hand,  shall  each  execute,  deliver,  and  cause to be  filed  with the
Secretary  of State of the State of South  Carolina,  the  Articles  and Plan of
Merger in the forms  respectively  of Exhibit  1.1-A and 1.1-B hereto  (each,  a
"PLAN OF MERGER" or "ARTICLES OF MERGER"). Following the applicable


                                       3

<PAGE>

Merger Time, the separate existence of Newco 1, on the one hand, and Newco 2, on
the other hand, shall cease, and Magnolia,  on the one hand, and Medi-Serve,  on
the other hand,  shall  continue as the  surviving  corporations  in the Mergers
(hereinafter  each  sometimes  referred to as the  "SURVIVING  CORPORATION")  as
business  corporations  incorporated  under  the  laws  of the  State  of  South
Carolina,  and shall  succeed to and assume  all the rights and  obligations  of
Magnolia and Newco 1, on the one hand,  and Medi-Serve and Newco 2, on the other
hand, in accordance with the SCGCL.

         1.2 MERGER TIME.  Each Merger shall become  effective at such time (the
applicable "MERGER TIME") as the duly applicable  executed Articles of Merger is
filed with the Secretary of State of the State of South Carolina.

         1.3 PAYMENT OF MERGER  CONSIDERATION.  Buyer agrees that in  connection
with and as part of the Closing (as hereinafter  defined),  it will make payment
of the Magnolia Merger  Consideration and the Medi-Serve Merger Consideration to
the extent set forth in, and in accordance with the terms of, this Agreement.

         1.4 SURVIVING CORPORATION.

             (A) CERTIFICATE OF  INCORPORATION.  The respective  Certificates of
Incorporation  of  Newco 1 and  Newco 2 as in  effect  immediately  prior to the
applicable  Merger  Time  shall  be  the  Certificate  of  Incorporation  of the
respective Surviving Corporation until duly amended in accordance with the terms
thereof and of the SCGCL.

             (B) BY-LAWS.  The  respective  By-laws of Newco 1 and Newco 2 as in
effect  immediately  prior to the applicable Merger Time shall be the By-laws of
the respective Surviving Corporation until duly amended in accordance with their
terms and as provided by the  applicable  Certificate  of  Incorporation  of the
respective Surviving Corporation and the SCGCL.

             (C) DIRECTORS.  The respective  directors of Newco 1 and Newco 2 at
the applicable  Merger Time shall, from and after the applicable Merger Time, be
the directors of the respective  Surviving  Corporation  until their  respective
successors  have been duly  elected or  appointed  and  qualified or until their
earlier  death,  resignation,  or  removal  in  accordance  with the  respective
Surviving Corporation's Certificate of Incorporation and By-laws.

             (D) OFFICERS. The respective officers of Newco 1 and Newco 2 at the
applicable  Merger Time shall, from and after the applicable Merger Time, be the
officers  of  the  respective  Surviving   Corporation  until  their  respective
successors  have been duly  elected or  appointed  and  qualified or until their
earlier  death,  resignation,  or  removal  in  accordance  with the  respective
Surviving Corporation's Certificate of Incorporation and By-laws.

             (E)  FURTHER  ACTION.  If at any time after the  applicable  Merger
Time,  Buyer shall  consider that any further deeds,  assignments,  conveyances,


                                       4

<PAGE>

agreements, documents, instruments, or assurances in law or any other things are
necessary or desirable to vest, perfect,  confirm, or record in either Surviving
Corporation  the  title  to  any  property,  rights,  privileges,   powers,  and
franchises of Newco 1 and Magnolia,  on the one hand, or Newco 2 and Medi-Serve,
on the other hand,  by reason of, or as a result of,  either of the Mergers,  or
otherwise to carry out the  provisions of this Agreement and the Plan of Merger,
the  officers  of  Newco  1 and  Magnolia,  on the  one  hand,  or  Newco  2 and
Medi-Serve,  on the other hand, shall execute and deliver, upon Buyer's request,
any  instruments or assurances,  and do all other things  necessary or proper to
vest, perfect,  confirm, or record title to such property,  rights,  privileges,
powers, and franchises in the applicable Surviving Corporation, and otherwise to
carry out the provisions of this Agreement and the Plans of Merger.

             (F) APPROVAL. The Shareholder represents,  warrants and agrees that
he has reviewed the Plan of Merger for each Merger,  and he hereby approves each
Plan of Merger.

                             ARTICLE II: CONVERSION
                             ----------------------

         2.1 CONSIDERATION. For purposes of this Agreement the terms:

             (A) (I) "MERGER CONSIDERATION" shall mean $16,000,000.

                 (II) "MAGNOLIA BASE AMOUNT" shall mean $12,000,000.

                 (III) "MAGNOLIA MERGER  CONSIDERATION"  shall mean the Magnolia
     Base Amount,  as adjusted  pursuant to this  Agreement;  and the  "MAGNOLIA
     MERGER   CONSIDERATION   PER  SHARE"   shall  mean  the   Magnolia   Merger
     Consideration  divided by the number of issued  and  outstanding  shares of
     Magnolia Shares at the applicable Merger Time.

                 (IV) "MEDI-SERVE MERGER  CONSIDERATION"  shall mean $4,000,000;
     and  the  "MEDI-SERVE  MERGER  CONSIDERATION  PER  SHARE"  shall  mean  the
     Medi-Serve  Merger  Consideration  divided  by the  number  of  issued  and
     outstanding shares of Medi-Serve Shares at the applicable Merger Time.

             (B) CONVERSION OF SHARES. At the applicable Merger Time:

                 (I) each Magnolia Share which is issued and  outstanding at the
     applicable  Merger Time shall by reason of the applicable  Merger,  without
     any action by the holder  thereof,  be converted into the right to receive,
     in  accordance  with the  procedures  hereinafter  described,  the Magnolia
     Merger Consideration Per Share;

                 (II) each  Medi-Serve  Share which is issued and outstanding at
     the applicable Merger Time shall by reason of the applicable


                                       5

<PAGE>

     Merger,  without any action by the holder  thereof,  be converted  into the
     right to receive, in accordance with the procedures  hereinafter described,
     the Medi-Serve Merger Consideration Per Share; and

                 (III)  each  share of Newco 1 common  stock  and each  share of
     Newco 2 common stock outstanding immediately prior to the applicable Merger
     Time shall, by reason of the applicable  Merger,  without any action on the
     part of  Buyer,  be  converted  into  one  share  of  common  stock  of the
     applicable surviving corporation.

             (C) MANNER OF  EXCHANGE.  The  Magnolia  Merger  Consideration  and
Medi-Serve Merger Consideration shall be paid as follows:

                 (I) Buyer shall  deliver to the Escrowee (as defined in Section
     2.5,  below)  newly issued  shares of IHS Stock  having an aggregate  value
     (using the Closing Date as the date of  determination  in  accordance  with
     Section  3.1(a) below) equal to FIVE HUNDRED  THOUSAND  DOLLARS  ($500,000)
     (the "ESCROW  DEPOSIT") which payment will be credited against the Magnolia
     Merger Consideration payable to the Shareholder; and

                 (II) the balance of the Magnolia Merger Consideration and Medi-
     Serve  Merger  Consideration  shall be paid by the delivery by Buyer to the
     Shareholder of IHS Stock having a value  (determined using the Closing Date
     as the date of  determination  in accordance  with Section  3.1(a),  below)
     equal to the  amount of such  balance,  and  registered  in the name of the
     Shareholder.

             (D) MAGNOLIA OR MEDI-SERVE  TRANSMITTAL.  Upon delivery to Buyer of
stock certificates  representing any Magnolia or Medi-Serve Shares,  Buyer shall
promptly  deliver to the  Shareholder  certificates  representing  the number of
shares to which the Shareholder is entitled, as provided above. No interest will
be paid or accrued on any Merger Consideration payable upon the surrender of any
certificate  or  certificates  or  other   instruments.   Until  surrendered  in
accordance  with the  provisions  of this  subsection  (d), the  certificate  or
certificates or instruments  which  immediately  prior to the applicable  Merger
Time  represented  issued and  outstanding  Magnolia or Medi-Serve  Shares shall
represent  for all  purposes  the right only to receive  the  applicable  Merger
Consideration  set forth in this  Agreement.  After the applicable  Merger Time,
there shall be no further registration of transfers on the records of Medi-Serve
or Magnolia of any Medi-Serve or Magnolia Shares.

             (E) NO FRACTIONAL  SHARES.  No certificates  or scrip  representing
fractional  shares of IHS Stock shall be issued upon the  surrender for exchange
of  certificates  representing  any  Medi-Serve  or  Magnolia  Shares,  and such
fractional  share interests will not entitle the owner thereof to vote or to any
rights of a  stockholder  of IHS.  Notwithstanding  any other  provision of this
Agreement,  each holder of Medi-Serve or Magnolia Shares  exchanged  pursuant to
the applicable  Merger (after taking into account all certificates  representing
Magnolia or Medi-Serve  Shares delivered by such holder) shall receive,  in lieu
thereof, cash (without interest) in an amount equal to such fractional part of a
share  of IHS  Stock  multiplied  by the  value  of  such  share  determined  in
accordance with Section 3.1(a) below.


                                       6


<PAGE>




             (F) CASH LOAN.  Immediately  prior to the Closing,  the Shareholder
shall make a capital  contribution  to  Magnolia  in the amount of  $500,000  by
issuing his promissory  note in such amount to Magnolia.  Such  promissory  note
issued  by Cash  shall be in the form of  Exhibit  2.1(f)-1  hereto  (the  "CASH
NOTE"),  and shall be secured  pursuant to a Stock Pledge  Agreement  (the "CASH
STOCK  PLEDGE  AGREEMENT")  in the form of Exhibit  2.1(f)-2  hereto by Magnolia
Shares  that will be  converted  pursuant to the Merger into shares of IHS Stock
having a value  approximately equal to the amount of the Closing Loan (using the
Closing Date as the date of  determination  in  accordance  with Section  3.1(a)
below) (the "T. CASH SECURITY  SHARES").  The number of T. Cash Security  Shares
shall be subject to adjustment as hereinafter provided in Article III.

         2.2 ADJUSTMENTS TO THE PURCHASE PRICE.

             (A) WORKING CAPITAL; LONG-TERM LIABILITIES.

                 (I)  (A)  At the  Closing,  the  Shareholder  shall  deliver  a
certificate executed by the Shareholder  certifying his best good faith estimate
of the amount of the aggregate working capital (as defined in clause (vi) below)
of Magnolia, Medi-Serve and their respective subsidiaries as of the Closing Date
on a combined  basis (the  "ESTIMATED  CLOSING  DATE WORKING  CAPITAL").  If the
Estimated  Closing Date Working Capital is a negative amount,  the Magnolia Base
Amount, and the amount of the Magnolia Merger  Consideration  payable in respect
of the  Magnolia  Shares,  will be reduced by an amount  equal to such  negative
amount with such  reduction  to be made by reducing  the number of shares of IHS
Stock (valued using the Closing Date as the date of  determination in accordance
with Section 3.1(a) below) otherwise  deliverable to the Shareholder (as opposed
to the portion deliverable to the Escrowee) at the Closing.

                      (B) If the Estimated Closing Date Working Capital shall be
a positive  amount,  the Magnolia  Base  Amount,  and the amount of the Magnolia
Merger Consideration payable in respect of the Magnolia Shares will be increased
by an amount equal to such  positive  amount,  with such  increase to be made by
increasing  the number of shares of IHS Stock  (valued using the Closing Date as
the date of  determination  in accordance  with Section 3.1(a) below)  otherwise
deliverable  to the  Shareholder  (as opposed to the portion  deliverable to the
Escrowee) at the Closing.

                 (II)  Additionally,  at the Closing,  Magnolia  and  Medi-Serve
shall  deliver to Buyer the  balance  sheet of  Magnolia,  Medi-Serve  and their
respective subsidiaries on a combined basis as of the Closing Date, certified by
the  Shareholder  to be his best good faith  estimate  thereof  (the  "ESTIMATED
CLOSING DATE BALANCE  SHEET").  The Magnolia Base Amount,  and the amount of the
Magnolia Merger Consideration payable in respect of the Magnolia Shares, will be
reduced by an amount equal to the aggregate amount of the long-term  liabilities
of the Company, Medi-Serve and their respective subsidiaries on a combined basis
as determined in  accordance  with  generally  accepted  accounting  principles,
applied  consistently with past practices of the Company and Medi-Serve ("GAAP")
as set forth on the  Estimated  Closing Date  Balance  Sheet (and applied to the
Magnolia  Shares).  Such  reduction  shall be made by reducing the amount of the
number  of shares of IHS Stock  (valued  using the  Closing  Date as the date of
determination in accordance with Section 3.1(a) below) otherwise

                                        7


<PAGE>

deliverable  to the  Shareholder  (as opposed to the portion  deliverable to the
Escrowee) at the Closing.

                 (III)  Within  one  hundred  twenty  (120) days  following  the
Closing  Date,  Buyer shall use its best efforts to complete a review  ("BUYER'S
REVIEW") of the balance sheet of the Company,  Medi-Serve  and their  respective
subsidiaries  on a combined  basis as of the  Closing  Date (the  "CLOSING  DATE
BALANCE  SHEET").  If the  Magnolia  Base  Amount,  after  giving  effect to any
adjustments made at the Closing pursuant to Section  2.2(a)(i) and (ii),  above,
shall be subject to further  adjustment based upon the Buyer's Review indicating
that  the  aggregate  working  capital  of the  Company,  Medi-Serve  and  their
respective  subsidiaries on a combined basis as of the Closing Date (the "ACTUAL
WORKING CAPITAL") was different from the Estimated Closing Date Working Capital,
then the parties  shall make such  payments to each other as shall result in the
Magnolia  Base Amount (and  correspondingly  the amount of the  Magnolia  Merger
Consideration)  being the amount that it would have been had the Actual  Working
Capital  been used at  Closing in lieu of the  Estimated  Closing  Date  Working
Capital.  Any  increase to the  Magnolia  Base Amount (and  correspondingly  the
amount of the  Magnolia  Merger  Consideration)  shall be in IHS Stock  having a
value,  determined  in  accordance  with  Section  3.1(a),  below,  by  Buyer to
Shareholder,  and if the Magnolia Base Amount (and correspondingly the amount of
the Magnolia  Merger  Consideration)  is reduced,  then the Escrowee (as defined
below) shall deliver over to Buyer shares of IHS Stock having a value determined
in accordance with Section 3.1(a), below, equal to such deficiency. In the event
the  deficiency  exceeds the Escrow Deposit (as defined above) held by Escrowee,
the  Shareholder  shall be  obligated  to  refund  to Buyer  the  amount of such
deficiency  in IHS Stock  valued  in  accordance  with  Section  3.1(a),  below.
Furthermore,  if the Buyer's  Review  reveals that the  aggregate  amount of the
Company's, Medi-Serve's and their respective subsidiaries' long-term liabilities
(on  a  combined   basis)  as  of  the  Closing  Date  (the  "ACTUAL   LONG-TERM
LIABILITIES")  exceeded  the  amount of the  Company's,  Medi-Serve's  and their
subsidiaries'  long-term  liabilities  (on a combined basis) as indicated on the
Estimated   Closing  Date  Balance   Sheet,   the  Magnolia   Base  Amount  (and
correspondingly the amount of the Magnolia Merger Consideration) shall be deemed
to have been  reduced  by the  amount of such  excess,  and the  Escrowee  shall
deliver  over to Buyer IHS Stock  having a value  equal to such  excess.  In the
event the amount of such  excess is  greater  than the  Escrow  Deposit  held by
Escrowee,  the  Shareholder  shall be obligated to refund to Buyer the amount of
such excess in IHS Stock.  The value of any IHS Stock to be  distributed  to the
Buyer from the Escrowee will be as set forth in Section  3.1(a),  below.  If the
Buyer's review reveals that the aggregate amount of the Company's, Medi-Serve's,
and their respective  Subsidiaries'  Actual Long- term Liabilities was less than
the amount of the Company's,  Medi-Serve's,  and their  Subsidiaries'  long-term
liabilities  (on a combined  basis) as indicated on the  Estimated  Closing Date
Balance Sheet, the Magnolia Base Amount (and  correspondingly  the amount of the
Magnolia  Merger  Consideration)  shall be deemed to have been  increased by the
amount of such excess,  and the Buyer shall deliver over to the  Shareholder IHS
Stock having a value, determined in accordance with Section 3.1(a), below, equal
to the amount of such  excess.  Unless a Delay  Payment  Notice  (as  defined in
clause (iv) below) shall have been given, any such


                                        8

<PAGE>


payment  shall be made within two (2)  business  days after  demand by the party
entitled to the adjustment.

                 (IV) If the Shareholder  shall in good faith dispute the amount
of working capital or long-term liabilities of the Company, Medi-Serve and their
respective  subsidiaries on a combined basis as of the Closing Date as set forth
in Buyer's  Review,  he shall give  notice to Buyer (a "DELAY  PAYMENT  NOTICE")
within thirty (30) days after  delivery to him of Buyer's Review that all or any
portion of the payment  specified  should not then be made and setting  forth in
reasonable  detail his  objections  and the basis  therefor,  in which case, the
disputed portion of any payment otherwise required to be made pursuant to clause
(iii) above shall be delayed,  and Buyer and the  Shareholder  shall meet and in
good faith  attempt to resolve any  disagreements  within thirty (30) days after
delivery to Buyer of the Delay Payment Notice.  If the Shareholder shall fail to
timely  deliver a Delay  Payment  Notice,  the  working  capital  and  long-term
liabilities  amounts set forth in Buyer's Review shall be deemed accepted by the
Shareholder  and shall be conclusive and binding on all parties  hereto,  absent
fraud. If a Delay Payment Notice is timely  delivered and the parties are unable
to resolve such disagreements  within such time period, the disagreements  shall
be  referred  to a "Big 4"  accounting  firm  independent  of the  Buyer and the
Shareholder selected by agreement between the Buyer and the Shareholder,  or, if
the Buyer and the Shareholder  cannot so agree within the 30 day period referred
to above, by lot (the "ARBITRATING  ACCOUNTANTS"),  and the determination of the
Arbitrating  Accountants  shall be final,  conclusive and binding on the parties
hereto. The Arbitrating  Accountants shall be directed to use their best efforts
to reach a determination not more than thirty (30) days after such referral. The
costs and expenses of the services of the Arbitrating Accountants shall be borne
by the party  whose  proposal  is  further  (by dollar  amount)  from the amount
finally determined by the Arbitrating Accountants.  Within two (2) business days
after the final resolution of any matter covered by a Delay Payment Notice,  any
delayed  payment shall be made to the extent  determined to be due in accordance
with such resolution.

                 (V) If there shall be discovered any liability that should have
been included as a current liability or long-term  liability on the Closing Date
Balance Sheet but that was not so included,  then Buyer, in its sole discretion,
may elect to include such liability as a Permitted Liability, in which case such
liability shall be included as a current  liability or long-term  liability,  as
the case may be, in the  determination  of the Actual Working  Capital Amount or
long-term  liabilities,  as the  case  may  be,  or to  exclude  such  liability
therefrom,  in which case such  liability  shall be a Prohibited  Liability  and
shall not be included as a current  liability in the determination of the Actual
Working Capital Amount, or in the Actual Long-term Liabilities.

                 (VI) For the  purposes  hereof,  "WORKING  CAPITAL"  means  the
excess of current assets over current  liabilities,  as determined in accordance
with GAAP, applied consistently with the past application of GAAP by the Company
and Medi-Serve;  and "LONG-TERM LIABILITY" means any liability that would be set
forth as a  long-term  liability  on a balance  sheet in  accordance  with GAAP,
applied consistently


                                       9



<PAGE>


with the past  application  of GAAP by the  Company and  Medi-Serve,  except all
inter-company  assets and liabilities among the Company and Medi-Serve and among
their respective  subsidiaries shall be excluded. At or prior to Closing, either
or both of Magnolia  and  Medi-Serve  may assume the  obligation  to pay closing
costs of the Shareholder in an amount not to exceed $150,000, in which case such
assumed obligation shall constitute current liabilities for purposes hereof.

         2.3 ASSETS AND LIABILITIES.

             (A) As of the Closing Date,  the owned,  leased and managed  assets
(the "ASSETS") of the Company, Medi-Serve and their Subsidiaries (as hereinafter
defined in Section 5.1 (a)) will  include  all of the  tangible  and  intangible
assets which comprise or are utilized or are held for use in connection with the
business of the Company,  Medi-Serve or any of the Subsidiaries or are necessary
to the  operation  of the  business  of the  Company,  Medi-Serve  or any of the
Subsidiaries as presently constituted (collectively, the "BUSINESS"), including,
without  limitation,  all  property,  plant,  and  equipment,  contract  rights,
leasehold  interests,  fixed  and  moveable  equipment,  vehicles,  furnishings,
tangible personal property, inventory, supplies, cash, cash equivalents, prepaid
expenses and accounts receivable (other than accounts receivable collected, cash
expended and inventory,  supplies,  and other assets consumed,  used or disposed
of, in each case,  in the  ordinary  course of business,  consistent  with prior
practice and otherwise in conformance  with the requirements of this Agreement),
goodwill, tradenames, trademarks, all patient records and files, Certificates of
Need, Medicare and Medicaid provider agreements and numbers, provider agreements
with third party payors, telephone numbers,  capital stock in subsidiaries,  and
to the extent  permitted by law, all  permits,  licenses and other  governmental
approvals.  As of the Closing,  all of the Assets shall be free and clear of all
Liens  other than  Permitted  Liens (as such term is  defined in Section  5.6(c)
below).

             (B) As of the Closing,  there will not be  outstanding  against the
Company,  Medi-Serve or any of the Subsidiaries any claim,  lawsuit,  liability,
obligation or debt of any kind or nature  whatsoever  (regardless of whether the
same  would  constitute  a  liability  to be set  forth  on a  balance  sheet in
accordance  with GAAP),  whether  absolute,  accrued,  due,  direct or indirect,
contingent or liquidated, matured or unmatured, joint or several, whether or not
for a sum certain,  whether for the payment of money or for the  performance  or
observance of any obligation or condition ("PROHIBITED LIABILITIES"), other than
(w) such  liabilities  as are taken  into  account in the  determination  of the
Actual Working Capital Amount or the Actual Long-term  Liabilities under Section
2.2(a),(x)  liabilities covered by insurance to the extent of insurance proceeds
collected (or reasonably  expected to be collected)  with respect  thereto,  (y)
obligations arising out of services or products or other benefits to be provided
to the Company, Medi-Serve or the Subsidiaries after Closing under Contracts (as
hereinafter  defined  in  Section  5.7(a))  that  are  not to be  terminated  in
accordance with Section 2.4 below,  and (z) liabilities  listed in Schedule 5.12
to the extent that reserves  therefor are included in the  determination  of the
working  capital  as of the  Closing  Date of the  Company,  Medi-Serve  and the
Subsidiaries  on a combined  basis and to the extent that such  liabilities  are
covered by insurance proceeds collected (or reasonably expected to be collected)
by the Company, Medi-Serve or their Subsidiaries


                                       10

<PAGE>


("PERMITTED LIABILITIES").  It is expressly agreed that the Shareholder shall be
responsible for all Prohibited Liabilities of the Company,  Medi-Serve or any of
the  Subsidiaries,  including,  without  limitation,  all (i) liabilities of the
Company,  Medi-Serve or any of the Subsidiaries  arising out of participation in
the Medicare or Medicaid  programs,  or arrangements  with any other third party
payor,  or  arrangements  with any  person or entity  that  participates  in the
Medicare or Medicaid programs or any other third party payor program,  including
without  limitation,  with  respect  to  any  excess  reimbursement,  recapture,
adjustment or overpayment  whatsoever,  in each case, attributable to any period
on or prior to the Closing Date ("REIMBURSEMENT LIABILITIES"),  (ii) malpractice
claims asserted by patients or any other tort claims asserted, claims for breach
of contract,  or any claims of any kind asserted by patients,  former  patients,
employees or any other party that are based on acts or omissions occurring on or
before the Closing Date (except to the extent of  insurance  proceeds  collected
(or  reasonably  expected to be  collected)  with  respect  thereto),  (iii) any
accounts  payable  or  employment  or other  taxes  (except to the extent of the
amount  thereof,  if any,  included  in the  calculation  of the Actual  Working
Capital  Amount or Actual  Long-term  Liabilities),  and (iv) accrued but unpaid
compensation or other benefits to any of the employees,  agents,  consultants or
advisers  of the  Company,  Medi-Serve  or any  of the  Subsidiaries,  including
accrued vacation (except to the extent of the amount thereof,  if any,  included
in the  calculation  of the Actual Working  Capital  Amount or Actual  Long-term
Liabilities).  At Closing,  the  Shareholder  shall  assume and  undertake  in a
writing in the form and  substance  of Exhibit  2.3(b)  (the  "UNDERTAKING")  to
perform all Prohibited Liabilities when and as the same become due in accordance
with their terms. The Company,  Medi-Serve,  the Subsidiaries and Buyer will not
assume any liabilities of Shareholder or provide any guaranty therefor or obtain
any release of any of the same except as provided in Section 10.10, below.

         2.4 DESIGNATED CONTRACTS.  Within ten (10) business days after the date
hereof,  Buyer shall deliver to the Shareholder  Schedule 2.4 setting forth each
of the Contracts  identified on Schedule 5.7(b) that the Company,  Medi-Serve or
any of the  Subsidiaries  shall not retain as of the  Closing  (the  "DESIGNATED
CONTRACTS").  Within five (5) days after Buyer shall have delivered Schedule 2.4
to Shareholder,  the Shareholder may terminate this Agreement in accordance with
Section  12.1 by giving  notice  thereof  during such five (5) day period if any
Contracts  shall be listed on Schedule 2.4. If  Shareholder  shall not so notify
Buyer within such time period, then such right to terminate this Agreement shall
expire.  Prior to the Closing (unless the Shareholder shall have terminated this
Agreement as provided above), each Designated Contract set forth on Schedule 2.4
shall be  terminated  (or the Company,  Medi-Serve  and the  Subsidiaries  shall
otherwise be released from all liability with respect  thereto) at the sole cost
and expense of the Shareholder (or at the cost of the Company, Medi-Serve or the
Subsidiaries to the extent such cost is expressly included in the calculation of
the Actual Working Capital Amount or Actual Long-term Liabilities).  It shall be
a condition  precedent of Buyer to the Closing that all required  consents shall
have been obtained  from each party to each  Contract  (that is not a Designated
Contract)  with  respect  to which the change in  control  contemplated  by this
Agreement requires such consent ("CONSENT CONTRACTS"), except to the extent that
the failure to obtain such  consents  with  respect to Consent  Contracts is not
reasonably  likely to have a material adverse effect on the Company,  Medi-Serve
or the  operation  of the  Business.  If the


                                       11

<PAGE>

Company,  Medi-Serve or any of the Subsidiaries  shall enter into any agreement,
lease,  contract,  instrument or  commitment  after the date hereof and prior to
Closing that would be deemed to be "material" as defined in Section 5.7 below if
it were in  existence on the date  hereof,  or if there shall be  disclosed  any
agreement,  lease,  contract,  instrument  or  commitment  that should have been
disclosed on Schedule  5.7(b) hereto but that was not so  disclosed,  then Buyer
shall have five (5)  business  days from the date on which so disclosed to Buyer
to notify  the  Shareholder  as to  whether  such  agreement,  lease,  contract,
instrument or commitment  shall be a Designated  Contract.  If Buyer fails to so
notify the  Shareholder  then such  agreement,  lease,  contract,  instrument or
commitment shall not be deemed to be a Designated Contract.

         2.5 ESCROW INDEMNIFICATION.

             (A) At the Closing,  pursuant to an Escrow Agreement to be executed
by the parties in substantially the form and substance of Exhibit 2.5(a) hereto,
the Escrow  Deposit shall be deposited  with  CoreStates  Bank,  N.A. or another
escrow agent  acceptable to Buyer and Shareholder  (the "ESCROWEE") and shall be
held by the  Escrowee,  together  with all  interest or income,  if any,  earned
thereon in accordance with the Escrow  Agreement,  as a non-exclusive  source of
indemnification  from the Shareholder for any amount due to any Buyer Indemnitee
(as such term is  hereinafter  defined in Section 11.2) pursuant to Articles II,
XI, or otherwise. The Escrow Deposit (plus all interest or income earned thereon
in accordance with the Escrow  Agreement) less any claims made in good faith for
Losses (as such term is defined in Section  11.2) and any amounts  paid to Buyer
or the  Shareholder in accordance with Section 2.2(b) above shall be released to
Shareholder on the second  anniversary of the Closing Date (the "ESCROW  RELEASE
DATE").

             (B)  Subject  to the  limitations  set forth in  Article  III below
(including without  limitation,  with respect to the sale of shares of IHS Stock
issued pursuant to this Agreement),  if Shareholder shall so request, the shares
of IHS Stock constituting all or part of the Escrow Deposit,  shall be sold in a
bona fide third party transaction for the account of the Escrow Deposit,  if the
entire gross proceeds of such sale shall become part of the Escrow Deposit,  and
shall be deposited with the Escrowee and held pursuant to the Escrow  Agreement,
and Buyer shall have reasonably  determined that a satisfactory  procedure shall
have been  established so that at all times before,  during and after such sale,
the  escrowed  shares of IHS Stock to be sold and said  gross  proceeds  thereof
shall be subject to the sole possession and control of the Escrowee  pursuant to
the terms of the Escrow Agreement,  and shall be, free and clear of all Liens of
third parties (other than Liens in favor of the Escrowee to the extent,  if any,
provided in the Escrow Agreement).

             (C) If any shares of IHS Stock  constituting any part of the Escrow
Deposit shall be sold, the gross proceeds  thereof shall be held by the Escrowee
pursuant  to the  terms  of the  Escrow  Agreement,  and  shall be  invested  in
accordance  with the  instructions  of  Shareholder  (subject to the  reasonable
approval of Buyer) as provided in the Escrow  Agreement.  Any interest or income
or dividends paid on or in


                                       12

<PAGE>

respect  of all or any part of the Escrow  Deposit  ("ESCROW  INCOME")  shall be
added to, and shall thereafter constitute part of the Escrow Deposit.

             (D) The costs,  fees and  expenses of the  Escrowee  shall be borne
equally by Buyer, on the one hand, and Shareholder, on the other hand.

       2.6 NEW GREENVILLE LEASE. Upon the Commencement (as defined below)
of the New Greenville Lease, the Magnolia Base Amount (and correspondingly,  the
Magnolia Merger  Consideration,) shall be increased by $400,000, and Buyer shall
pay to the  Shareholder  such $400,000 amount by delivery of shares of IHS Stock
(valued using the Closing Date as the date of  determination  in accordance with
Section  3.1(a),  below).  "Commencement"  of the New Greenville  Lease shall be
deemed  to have  occurred  upon  the last to  occur  of the  following:  (x) the
completion of construction of the New Greenville Facility, (y) the granting of a
certificate  of  need by the  State  of  South  Carolina  to the New  Greenville
Facility,  and (z) the granting of all other  licensure  necessary to permit the
opening of the New Greenville Facility to patients.

         2.7  GOLDEN  AGE AND INMAN  HEALTH  CARE  FACILITIES.  The  Shareholder
represents and warrants that on January 30, 1998,  Magnolia  purchased the stock
of each of C.W. Johnson,  Inc. and Inman Nursing  Facilities,  Inc.,  lessors of
facilities  leased by Magnolia  subsidiaries,  Golden Age Inman,  Inc. and Inman
Healthcare, Inc., respectively pursuant to certain leases (the "GOLDEN AGE/INMAN
LEASES"),  copies  of which  have  been  delivered  to  Buyer.  The  Shareholder
represents  and warrants that Magnolia  incurred  long-term  liabilities  in the
amount of  $1,840,000  (the "GOLDEN  AGE/INMAN  DEBT") in  connection  with such
acquisition.  Buyer agrees that such Golden Age/Inman Debt shall not be included
as long-term liabilities for purposes of Section 2.2, above. In addition,  based
on  the   foregoing,   Buyer   agrees  that  the   Magnolia   Base  Amount  (and
correspondingly,  the Magnolia  Merger  Consideration)  shall be increased by an
amount equal to $150,000.

         2.8 TAYLOR  LITIGATION.  H. Thomas Taylor ("TAYLOR") is the landlord of
five  properties  that are  currently  leased by  Magnolia  from  Taylor  and so
identified  on Schedule  5.7(b)(ix),  below (the "TAYLOR  LEASES").  Each Taylor
Lease  contains a provision that rent will be equal to the cost of capital as of
the date thereof,  which is the subject of current litigation between Taylor and
Magnolia among other issues (the "TAYLOR  LITIGATION").  Consequently,  Magnolia
agrees to reserve  $1,100,613 on its Estimated  Closing Date Balance Sheet or to
resolve  the Taylor  Litigation  prior to  Closing.  Furthermore,  Magnolia  and
Shareholder  represent  and  warrant  that the base  rent for all of the  Taylor
Leases shall be not more than $1,333,155 commencing on April 1, 1998 (absent any
changes made pursuant to any settlement  agreement approved by Buyer).  Magnolia
and the  Shareholder  also  represent  and warrant that in  connection  with the
Taylor Litigation,  Taylor's counsel, Nelson Mullins Riley & Scarborough, L.L.P.
is holding  $383,785  and  Magnolia's  counsel,  Quinn,  Patterson  & Willard is
holding  $247,948  in escrow  of  Magnolia  (collectively.  the  "TAYLOR  ESCROW
AMOUNT"), which amounts shall be applied against amounts due to Taylor under the
Taylor Leases or returned to the Company.  Regardless of GAAP, the Taylor Escrow
Amount will be treated as current assets for working capital purposes.  Magnolia
and


                                       13

<PAGE>


Shareholder represent and warrant that, notwithstanding the Taylor Litigation or
any disclosure made pursuant to Section 5.7(a) below, the Taylor Litigation will
not result in the termination of any of the Taylor Leases.

         2.9 EMPLOYMENT UNDERTAKING.  Buyer hereby undertakes to interview Ralph
Wessinger,   Magnolia's  reimbursement  specialist,   and  to  give  good  faith
consideration  to the prospect of continuing  Mr.  Wessinger's  employment  with
Magnolia in such capacity.

         2.10 MEDI-SERVE DIVIDEND.  The parties acknowledge that, on or prior to
the Closing Date,  Medi-Serve may pay a cash dividend to the  Shareholder in the
amount not to exceed  $950,000.  In connection  therewith,  Medi-Serve  shall be
entitled  to  extend  its line of  credit,  on terms and  conditions  reasonably
satisfactory to Buyer, with  NationsBank,  N.A. to borrow sufficient cash to pay
such dividend. Any amounts so borrowed and outstanding on the Closing Date shall
constitute  current  liabilities  for purposes of Section 2.2(a) above,  and any
guaranty by  Shareholder  of the  repayment of such amounts  shall be subject to
Section 11.3(d) hereof.

                             ARTICLE III: IHS STOCK
                             ----------------------

         3.1 IHS STOCK. As set forth in this Agreement, the Merger Consideration
and various adjustments to the Merger Consideration shall be payable by means of
the delivery of shares of IHS Stock. Such deliveries shall be made in accordance
with the following:

             (A) SHARE VALUE. Notwithstanding anything to the contrary contained
in this  Agreement,  any  reference  in  this  Agreement  or in any  Transaction
Document to use of the Closing Date as the date of determination to value shares
of IHS Stock to be delivered in accordance  with this Agreement  shall be deemed
to mean that the number of shares of IHS Stock to be  delivered  shall be valued
by using the average closing New York Stock Exchange ("NYSE") price of IHS Stock
for the sixty (60) trading day period ending on (and including)  April 14, 1998.
In all other cases, whenever shares of IHS Stock are to be delivered pursuant to
this  Agreement,  the  number of  shares of IHS Stock  shall be valued as of the
Applicable  Valuation  Date  (defined  below) by using the average  closing NYSE
price of IHS  Stock  for the  sixty  (60)  trading  day  period  ending  on (and
including)  the  date  which is two (2)  trading  days  prior to the  Applicable
Valuation Date. Unless otherwise expressly provided elsewhere in this Agreement,
the applicable  valuation date (the "APPLICABLE  VALUATION DATE") shall mean the
date  on  which  the  dollar  amount  to  be  paid  (whether  by  reason  of  an
indemnification  claim or  Merger  Consideration  adjustment  or  otherwise)  is
finally determined.

             (B) REGISTRATION  RIGHTS.  Buyer will use its best efforts to cause
to be filed with the  Securities  and Exchange  Commission  (the  "COMMISSION"),
within forty-five (45) days following the Closing Date, a registration statement
(a "SHELF REGISTRATION  STATEMENT") for the registration of the IHS Stock issued
to  Shareholder,  under the Securities Act of 1933, as amended (the  "SECURITIES
ACT") and Buyer shall use its best efforts to cause such registration  statement
to be declared effective by the Commission within ninety (90) days following the
Closing Date, and Buyer shall


                                       14

<PAGE>


maintain the  effectiveness of such  registration  statement for a period of one
(1) year following the Closing Date, or until  Shareholder  shall not own any of
the shares of IHS Stock issued pursuant to this Agreement, whichever shall occur
first, in each case except to the extent that an exemption from registration may
be available.

             (C)  REGISTRATION  EXPENSES.  Shareholder  shall not be responsible
for, and Buyer shall bear, all of the  reasonable  expenses of the Buyer related
to such registration including, without limitation, the fees and expenses of its
counsel and accountants,  all of its other costs,  fees and expenses incident to
the preparation,  printing,  registration and filing under the Securities Act of
the Shelf Registration Statement and all amendments and supplements thereto, the
cost of furnishing copies of each preliminary prospectus,  each final prospectus
and each  amendment or  supplement  thereto to  underwriters,  dealers and other
purchasers of shares of IHS Stock and the costs and expenses (including fees and
disbursements of its counsel)  incurred in connection with the  qualification of
the shares of IHS Stock under the Blue Sky laws of various jurisdictions. Buyer,
however,  shall  not be  required  to pay or incur  underwriter's  or  brokerage
discounts,  commissions  or  expenses,  or to pay or incur any costs or expenses
arising out of Shareholder's  failure to comply with its obligations  under this
Article  III,  or to pay or incur  any  costs  or  expenses  arising  out of the
inclusion of any transferee of Shareholder in the Shelf Registration Statement.

             (D) RESALE LIMITATIONS. The Shareholder hereby covenants with Buyer
that all resales by the Shareholder  and, if any, his transferees of such shares
(other than  transferees  acquiring  shares  pursuant  to a sale  pursuant to an
effective  registration  statement  or  Rule  144  promulgated  pursuant  to the
Securities Act ("RULE 144") and in accordance  with subsection (d)) of shares of
IHS Stock issued  pursuant to this  Agreement  shall be effected  solely through
Salomon Smith Barney,  Inc., as broker,  and resales by the Shareholder  and, if
any, his  transferees of such shares (other than  transferees  acquiring  shares
pursuant to a sale pursuant to an effective  registration  statement or Rule 144
and in  accordance  with this  subsection  (d)),  shall not at any time,  in the
aggregate,  during the period commencing on the Closing Date and ending 120 days
after the  Effective  Date (as  defined in Section  3.1(l),  below),  exceed one
hundred and thirty thousand  (130,000)  shares (plus, if any shares of IHS Stock
are issued to the  Shareholder  pursuant to  subsection  (l) below,  twenty-five
percent  (25%) of the  number of such  additionally  issued  shares)  during any
thirty (30) day period,  or  thereafter  exceed One Hundred  Thousand  (100,000)
shares during any thirty (30) day period.  For purposes of this  subsection (d),
the term Shareholder shall include W. Stewart Swain and L.P. Herzog with respect
to any shares of IHS Stock  received  by them  pursuant to the  Premiere  Merger
Agreement. Notwithstanding the foregoing, Buyer agrees that the foregoing volume
restrictions  shall  not  apply  to  sales,  until  150  days  after  the  Shelf
Registration Statement is declared effective, of (i) shares of IHS Stock held in
escrow and made pursuant to Section 2.5(b) above to satisfy indemnification,  or
(ii) Merger Consideration reduction obligations of the Shareholder.

             (E)   REGISTRATION   PROCEDURES,   ETC.  In  connection   with  the
registration rights granted to the Shareholder with respect to the shares of IHS
Stock as provided in this Section 3.1,  after the Closing  Buyer  covenants  and
agrees as follows:


                                       15

<PAGE>


                 (I) Buyer will  promptly  notify the  Shareholder,  at any time
when a prospectus relating to the Shelf Registration Statement is required to be
delivered under the Securities Act, of the happening of any event known to Buyer
as a  result  of  which  the  prospectus  included  in  the  Shelf  Registration
Statement, as then in effect, includes an untrue statement of a material fact or
omits to state any material fact  required to be stated  therein or necessary to
make the statements  therein not misleading in light of the  circumstances  then
existing.

                 (II) Buyer shall  furnish the  Shareholder  with such number of
prospectuses as shall  reasonably be requested by Shareholder in connection with
any actual or contemplated resales.

                 (III) Subject to the ultimate sentence in Section 3.1(c) above,
Buyer shall take all  necessary  action which may be required in  qualifying  or
registering the shares of IHS Stock included in a Shelf  Registration  Statement
for offering and resale under the  securities or Blue Sky laws of such states as
reasonably  are requested by the  Shareholder,  provided that Buyer shall not be
obligated to qualify as a foreign corporation or dealer to do business under the
laws of any such jurisdiction.

                 (IV) The  information  included or incorporated by reference in
the Shelf  Registration  Statement will not, at the time such Shelf Registration
Statement becomes effective, contain any untrue statement of a material fact, or
omit to state any material  fact  required to be stated  therein as necessary in
order to make the statements  therein, in light of the circumstances under which
they were made,  not  misleading or as necessary to correct any statement in any
earlier filing of such Shelf Registration  Statement or any amendments  thereto.
The Shelf  Registration  Statement will comply in all material respects with the
provisions of the Securities Act and the rules and regulations thereunder. Buyer
shall  indemnify  the  Shareholder  and each person,  if any, who controls  such
Shareholder within the meaning of ss.15 of the Securities Act or ss.20(a) of the
Securities  Exchange Act of 1934, as amended (the "EXCHANGE  ACT"),  against all
loss, claim,  damage,  expense or liability  (including all expenses  reasonably
incurred in investigating,  preparing or defending against any claim whatsoever)
to which any of them may become subject under the  Securities  Act, the Exchange
Act or any other statute, common law or otherwise,  arising out of or based upon
any untrue statement or alleged untrue statement of a material fact contained in
such  Shelf  Registration  Statement  executed  by Buyer or based  upon  written
information  furnished  by Buyer filed in any  jurisdiction  in order to qualify
shares  of IHS  Stock  under  the  securities  laws  thereof  or filed  with the
Commission,  any state securities  commission or agency,  NYSE or any securities
exchange;  or the  omission or alleged  omission  therefrom  of a material  fact
required to be stated  therein or  necessary  to make the  statements  contained
therein not  misleading,  unless such statement or omission was made in reliance
upon  and in  conformity  with  written  information  furnished  to Buyer by the
Shareholder  specifically for use in such Shelf Registration Statement (it being
understood  that  Buyer  may  rely  on the  representations  and  warranties  of
Shareholder made pursuant to this Agreement in preparing the Shelf  Registration
Statement), any amendment or supplement thereto or any application,  as


                                       16



<PAGE>

the case may be.  If any  action  is  brought  against  the  Shareholder  or any
controlling  person of the  Shareholder  in  respect of which  indemnity  may be
sought against Buyer pursuant to this subsection  3.1(e)(iv),  such person shall
within  thirty  (30) days after the receipt  thereby of a summons or  complaint,
notify Buyer in writing of the institution of such action and Buyer shall assume
the defense of such action,  including the  employment and payment of reasonable
fees and expenses of counsel (reasonably satisfactory to the Shareholder or such
controlling person). Shareholder or such controlling person shall have the right
to employ her, his, its or their own counsel in any such case,  but the fees and
expenses of such counsel shall be at the expense of  Shareholder  or controlling
person unless (A) the  employment of such counsel shall have been  authorized in
writing by Buyer in  connection  with the defense of such  action,  or (B) Buyer
shall not have  employed  counsel to have  charge of the  defense of such action
within twenty (20) days of the request  therefor,  or (C) such indemnified party
or parties shall have reasonably  concluded and notified Buyer that there may be
defenses  available  to  her,  him,  it or  them  which  are  different  from or
additional to those available to Buyer (in which case,  Buyer shall not have the
right to direct the defense of such action on behalf of the indemnified party or
parties),  in any of which  events  the fees and  expenses  of not more than one
additional firm of attorneys for the Shareholder  and such  controlling  persons
shall be borne by Buyer.

                 (V) The  Shareholder,  and his  successors  and assigns,  shall
severally, and not jointly, indemnify Buyer, its officers and directors and each
person, if any, who controls Buyer within the meaning of ss.15 of the Securities
Act or ss.20(a) of the Exchange Act against all loss, claim, damage, expense and
liability   (including  all  expenses   reasonably  incurred  in  investigating,
preparing or defending  against any claim  whatsoever)  to which any of them may
become subject under the Securities  Act, the Exchange Act or any other statute,
common law or  otherwise  (Federal,  State,  local or  otherwise),  arising from
inaccuracies  in or  omissions  from  information  furnished in writing by or on
behalf of  Shareholder,  or any of his  successors or assigns  specifically  for
inclusion in the Shelf  Registration  Statement,  any Exchange Act filing or any
State Blue Sky Law filing.

             (F)  NOTICE  OF SALE.  Shareholder  shall not  resell or  otherwise
transfer any  interest in any of the shares of IHS Stock  issued to  Shareholder
pursuant  to this  Agreement  unless  Shareholder  shall  have  complied  in all
material respects, with all of his obligations under this Agreement,  and unless
Shareholder  shall have given prior notice to Buyer,  describing  in  reasonable
detail  Shareholder's  intention  to effect the  transfer  and the manner of the
proposed  transfer.  If the  transfer is to be pursuant  to an  effective  Shelf
Registration  Statement  as  provided  herein,  Shareholder  will resell only in
compliance  with the  disclosure  therein and  discontinue  any offers and sales
thereunder upon notice from Buyer to the Shareholder that the Shelf Registration
Statement relating to the shares of IHS Stock being transferred is not "current"
until Buyer gives further  notice that offers and sales may be  recommenced.  In
the event of any such notice from Buyer, Buyer agrees to file expeditiously such
amendments to such Shelf Registration  Statement as may be necessary to bring it
current  during the period  specified  in this  Section  3.1 and to give  prompt
notice to  Shareholder  when the Shelf  Registration  Statement has again become
current.  If the Shareholder  delivers to Buyer an opinion of counsel reasonably
acceptable to Buyer and its counsel in form and substance reasonably  acceptable
to them and to the effect that the proposed  transfer


                                       17



<PAGE>

of shares of IHS Stock may be made without registration under the Securities Act
and all applicable state securities laws,  Shareholder will,  subject to Section
3.1(d)  above,  be entitled to transfer  said shares of IHS Stock in  accordance
with the terms of the notice and opinion of his counsel.

             (G)  CONDITIONS.   It  shall  be  a  condition   precedent  to  the
obligations  of the Buyer to take any action  pursuant to this  Article III that
the  Shareholder   shall  furnish  to  the  Buyer  such  information   regarding
themselves,  the  shares  of IHS  Stock  held by them,  the  intended  method of
disposition of such securities,  and such other  information as shall reasonably
be requested  by Buyer to the extent  necessary  to effect the  registration  of
their shares of IHS Stock. In that connection,  Shareholder shall be required to
represent and warrant to the Buyer that all such  information  which is given is
both  complete  and  accurate  in all  material  respects.  It also  shall  be a
condition  precedent to the obligations of the Buyer to take any action pursuant
to this Article III that the Shareholder  shall deliver to the Buyer a statement
in writing that they bona fide intend to resell,  transfer or otherwise  dispose
of the shares of IHS Stock.  Shareholder will, severally,  promptly notify Buyer
at any  time  when a  prospectus  relating  to a  Shelf  Registration  Statement
covering Shareholder's shares under this Section 3.1 is required to be delivered
under the Securities  Act, of the happening of any event known to Shareholder as
a result of which the prospectus included in such Shelf Registration  Statement,
as then in effect,  includes an untrue  statement of a material fact or omits to
state any material fact  required to be stated  therein or necessary to make the
statements therein not misleading in light of the circumstances under which such
statements are made.

             (H)  INVESTMENT  REPRESENTATIONS.  All  shares  of IHS  Stock to be
issued  hereunder will be newly issued shares of Buyer.  Shareholder  represents
and  warrants to Buyer that the shares of IHS Stock being issued  hereunder  are
acquired,  and will be acquired,  by the  Shareholder for investment for his own
accounts and not with a view to or for sale in connection with any  distribution
thereof  within  the  meaning  of the  Securities  Act or any  applicable  state
securities  law other than  pursuant to an effective  registration  statement or
Rule 144; the  Shareholder  acknowledges  that the shares of IHS Stock issued to
them pursuant to this Agreement constitute restricted securities under Rule 144,
and may have to be held indefinitely,  and the Shareholder agrees that no shares
of IHS Stock issued to him pursuant to this Agreement may be sold,  transferred,
assigned,  pledged or  otherwise  disposed of except  pursuant  to an  effective
registration  statement or an exemption from  registration  under the Securities
Act,  the rules and  regulations  thereunder,  and  under all  applicable  state
securities  laws.  The  Shareholder  represents  and  warrants  that  he has the
knowledge  and  experience  in  financial  and business  matters,  is capable of
evaluating the merits and risks of the investment,  is able to bear the economic
risk of such  investment,  and is an accredited  investor  within the meaning of
Regulation  D  promulgated  pursuant  to the  Securities  Act.  The  Shareholder
represents and warrants that he has had the opportunity to make inquiries of and
obtain from  representatives and employees of Buyer such other information about
Buyer as he deems necessary in connection with such investment.

             (I) LEGEND. It is understood that, prior to resale of any shares of
IHS Stock  pursuant to an effective  Shelf  Registration  Statement  pursuant to
subsection (e) above, the certificates evidencing such shares of IHS Stock shall
bear the following  (or a similar)  legend (in addition to any legends which may
be reasonably


                                       18



<PAGE>

required in the opinion of Buyer's counsel by the applicable  securities laws of
any  state),  and upon  resale  of such  shares  pursuant  to such an  effective
registration,  new certificates shall be issued for the shares sold without such
legends except as otherwise required by law:

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

             (J) CERTAIN TRANSFEREES.  Except in the case of any transfer of any
shares of IHS Stock issued  pursuant to this  Agreement to a person  pursuant to
the laws of intestacy and succession upon the death of Shareholder or in an open
market  transaction  subsequent to the  effective  date of, and pursuant to, the
Shelf Registration  Statement covering such shares of IHS Stock or in accordance
with  Rule 144  promulgated  under the  Securities  Act,  Shareholder  shall not
transfer  any such  shares of IHS Stock to any  person  or  entity  unless  such
transferee shall have agreed in a writing, in form and substance satisfactory to
Buyer, to be bound by the provisions  applicable to the  Shareholder  under this
Article III and such transfer  shall be made in accordance  with all  applicable
Federal  and  state  securities  laws as set forth in  subsection  (g) above and
otherwise in accordance with this Article III.

             (K)  RULE  144  REPORTING.  With a view  to  making  available  the
benefits of the certain rules and regulations of the Commission which may permit
the resale of restricted  securities to the public  without  registration  under
certain  circumstances,  the Buyer agrees, so long as there shall be outstanding
in the hands of the  Shareholder  100,000 shares of IHS Stock issued pursuant to
this Agreement, to furnish to Shareholder who so reasonably requests in writing,
a  written  statement  by the  Buyer as to its  compliance  with  the  reporting
requirements  of Rule 144 and of the Securities Act and the Exchange Act, a copy
of the most  recent  annual or  quarterly  report of the  Buyer,  and such other
reports and documents with the Commission so filed as Shareholder may reasonably
request from time to time in availing  himself of any rule or  regulation of the
Commission allowing such holder to sell any such shares without registration.

             (L) If,  notwithstanding the use of its best efforts as provided in
subsection (b) above, Buyer does not cause the Shelf  Registration  Statement to
be declared  effective within one hundred and fifty (150) days after the Closing
Date,  then as of the date that such Shelf  Registration  Statement shall become
effective (the "EFFECTIVE  DATE"), the number of Additional Cash IHS Cash Shares
shall be adjusted so that the number of T. Cash  Security  Shares  issued to the
Shareholder pursuant to this Agreement shall have an aggregate fair market value
equal to the  original  principal  amount of the Closing Loan based upon a price
per share of such stock  equal to the


                                       19



<PAGE>

average  closing  NYSE price of such stock for the sixty (60) trading day period
ending on the date which is two (2) trading  days prior to such  effective  date
(the "ADJUSTED MARKET VALUE PER ADDITIONAL IHS SHARE"). Within five (5) business
days after such  effective  date Buyer shall  deliver  notice  (the  "ADJUSTMENT
NOTICE") to the  Shareholder  of the Adjusted  Market Value Per  Additional  IHS
Share and the number of shares to be delivered by Buyer to  Shareholder  (if the
Adjusted  Market Value Per  Additional  IHS Share shall be less than the average
market value per share used on the Closing Date (the  "INITIAL  MARKET VALUE PER
SHARE")  or by the  Shareholder  to Buyer  (if the  Adjusted  Market  Value  Per
Additional  IHS Share shall be greater than the Initial  Market Value Per Share)
so as to effect the adjustment  described in this subsection  3.l(l). The number
of shares to be delivered or issued,  as the case may be, shall be rounded up or
down so that no fractional shares need be issued.  Within five (5) business days
the parties  shall make the delivery of the shares of IHS Stock  required in the
Adjustment Notice.

                             ARTICLE IV: THE CLOSING
                             -----------------------

         4.1 TIME AND PLACE OF  CLOSING.  The  closing  (the  "CLOSING")  of the
transactions  contemplated  by this  Agreement  shall take place by mail through
escrow  arrangements  satisfactory  to the parties hereto on the day that is one
(1)  business day after  satisfaction  of all of the  conditions  to closing set
forth in this Agreement, shall have been tendered, made or expressly waived, but
in no event later than April 21, 1998, unless all necessary regulatory approvals
have not been  obtained.  In such event,  the  Closing  shall take place at such
other  time and place upon which the  parties  may agree.  The date on which the
Closing is held is referred to in this Agreement as the "CLOSING DATE".

                ARTICLE V: REPRESENTATIONS AND WARRANTIES OF THE
                ------------------------------------------------
                       SHAREHOLDER, MEDI-SERVE AND COMPANY
                       -----------------------------------

         The Company  (prior to the Closing only) and  Medi-Serve  (prior to the
Closing only) and Shareholder hereby jointly and severally represent and warrant
to Buyer as follows:

         5.1   ORGANIZATION   AND  STANDING  OF  THE  COMPANY  AND   MEDI-SERVE;
SUBSIDIARIES.

             (A) Except as set forth on Schedule 5.1(a), neither the Company nor
Medi- Serve has any equity  interest or investment,  directly or indirectly,  in
any other  corporation,  limited  liability  company or partnership,  limited or
general   partnership,   joint  venture,   or  other  entity,   organization  or
association.  Schedule 5.1(a) also sets forth the percentage equity interest and
percentage voting interest held directly or indirectly (in which case the nature
of such indirect interest also is set forth on Schedule 5.1(a)) in the entities,
if any,  listed on Schedule  5.1(a) and  whether or not such equity  interest or
voting interest is held beneficially and of record.  The parties agree that each
entity in which the Company or Medi-Serve  holds an equity  interest and that is
identified as a "Subsidiary" on Schedule 5.1(a) is sometimes referred to in


                                       20



<PAGE>

this Agreement as a "SUBSIDIARY".  Except as set forth on Schedule  5.1(a),  the
financial  results of each  Subsidiary are included in the Financial  Statements
(as such term is  hereinafter  defined  in Section  5.8) on a combined  basis in
accordance with GAAP.

             (B) Except as set forth on Schedule  5.1(b),  each of the  Company,
Medi-  Serve  and each  Subsidiary  is a  corporation  duly  organized,  validly
existing  and in good  standing  under the laws of its  state of  incorporation.
Copies  of  the  Articles  of  Incorporation  and  By-Laws  of the  Company  and
Medi-Serve  and copies of the  Articles  of  Incorporation  and By-Laws or other
governance  documents  of the  Subsidiaries  (such as  certificates  of  limited
partnerships  and  limited  partnership   agreements  in  the  case  of  limited
partnerships or articles of organization and operating agreements in the case of
limited liability companies) ("GOVERNING DOCUMENTS"), and all amendments thereof
to date, have been delivered to Buyer and are complete and correct.  Each of the
Company,  Medi-Serve and each  Subsidiary has the power and authority to own the
property and assets now owned by it and to conduct the business  presently being
conducted  by it and to enter into this  Agreement  and each of the  Transaction
Documents  (as  defined  below in  Section  5.2) to  which it is a party  and to
perform its  obligations  hereunder and thereunder.  Each of the Company,  Medi-
Serve and each  Subsidiary is qualified to do business as a foreign  corporation
in each state where the  ownership  of its assets or the conduct of its business
would make such qualification necessary.

         5.2 AUTHORITY. The Company and Medi-Serve have the full corporate power
and authority to make,  execute,  deliver and perform this Agreement  (including
all  Schedules  and Exhibits  hereto),  and all other  agreements,  instruments,
certificates   and  documents   required  or  contemplated   hereby  or  thereby
(collectively "TRANSACTION DOCUMENTS") to be executed or delivered by it, and to
consummate  all  of the  transactions  contemplated  hereby  and  thereby.  Such
execution,  delivery,  performance and consummation have been duly authorized by
all necessary  action,  corporate or  otherwise,  on the part of the Company and
Medi-Serve.  Any rights of appraisal or  dissenter's  rights with respect to the
transactions contemplated by this Agreement have been waived.

             (B)  Shareholder  has the full legal  power and  capacity  to make,
execute,  deliver  and perform  this  Agreement  (including  all  Schedules  and
Exhibits hereto),  and all Transaction  Documents to be executed or delivered by
him, and to consummate all of the transactions  contemplated hereby and thereby.
Such execution,  delivery,  performance and  consummation  have been made in the
exercise of Shareholder's free will and volition,  and any necessary consents of
holders of indebtedness of Shareholder to the transactions  contemplated by this
Agreement have been obtained.

         5.3 BINDING EFFECT. This Agreement  constitutes,  and when delivered at
or prior to the Closing,  each  Transaction  Document  executed by  Shareholder,
Medi-Serve  or the  Company  will  constitute,  the  legal,  valid  and  binding
obligations of such Shareholder,  Medi-Serve or the Company, as the case may be,
enforceable  against it or him or, as the case may be, in accordance  with their
respective terms.


                                       21



<PAGE>

         5.4  ABSENCE  OF  CONFLICTING  AGREEMENTS.  Neither  the  execution  or
delivery of this Agreement or any of the  Transaction  Documents by Shareholder,
Medi-Serve or the Company nor the performance by Shareholder,  Medi-Serve or the
Company of the transactions contemplated hereby and thereby,  conflicts with, or
constitutes a breach of or a default under or will cause the  termination of (A)
in the case of the Company,  Medi-Serve,  any Subsidiary or Shareholder  that is
not an individual  person,  its Certificate of  Incorporation or other Governing
Document; or (B) any judgment,  order, writ, injunction,  decree,  statute, law,
rule, regulation,  directive, mandate or ordinance ("GOVERNMENTAL REQUIREMENTS")
of any Federal, state, local or other governmental or quasi-governmental agency,
bureau,   board,  council,   administrator,   court,   arbitrator,   commission,
department,    instrumentality,   body   or   other   authority   ("GOVERNMENTAL
AUTHORITIES")  applicable  to it or him or the  operation of the Business or the
ownership of any of the Assets;  or (C) any  agreement,  indenture,  contract or
instrument  to  which  Shareholder  is now a party  or by which he or any of his
assets is bound.

         5.5 CONSENTS.  Except as set forth on Schedule  5.5, no  authorization,
consent, approval,  license, filing or registration by the Company,  Medi-Serve,
any Subsidiary,  Shareholder or, to the best knowledge of the Group,  the Buyer,
with any Governmental  Authority, is or will be necessary in connection with the
entry into, execution,  delivery and performance of this Agreement or any of the
Transaction  Documents by the Company,  Medi-Serve  or  Shareholder,  or for the
consummation of the transactions contemplated hereby and thereby.

         5.6 SCHEDULE OF ASSETS AND PROPERTIES; TITLE; CONDITION.

             (A) (I)  Set  forth  on  Schedule  5.6(a)(i)-1  is a  complete  and
accurate list,  arranged by Magnolia  Facility and Medi-Serve  Facility,  of all
material  items  of  machinery,  and all  material  items of  equipment,  office
equipment,  and furniture, and any other material items of personal property, in
each case that comprise or are utilized or are held for use in  connection  with
the  Company,  Medi-Serve  or any of the  Subsidiaries  or are  necessary to the
operation of the Business.  For purposes of the foregoing,  "material"  means an
item having a value in excess of $10,000. Set forth on Schedule 5.6(a)(i)-2 is a
complete  and  accurate  list,  arranged by  Magnolia  Facility  and  Medi-Serve
Facility (and  indicating  the interest held  therein),  of all vehicles used in
connection  with the Business or owned or leased by the Company,  Medi-Serve  or
any Subsidiary.  Said Schedules 5.6(a)(i)-1 and 5.6(a)(i)-2 also set forth which
of such assets are owned by the Company,  Medi-Serve or any of the  Subsidiaries
(the  "OWNED  ASSETS"),  leased  by  the  Company,  Medi-Serve  or  any  of  the
Subsidiaries  (the "LEASED ASSETS"),  or managed by the Company,  Medi- Serve or
any of the Subsidiaries (the "MANAGED ASSETS").

                 (II)  Set  forth  on  Schedule  5.6(a)(ii)  is a  complete  and
accurate  list  of  all  patents,  trademarks,  service  marks,  copyrights,  or
applications  for any of the  same,  franchises,  proprietary  rights  and other
authorizations  (other than Licenses as set forth on Schedule  5.10 hereof),  if
any, and any other items of intangible or intellectual  property that are owned,
possessed  or used by the  Company  or  Medi-


                                       22



<PAGE>


Serve (owned,  managed, leased or licensed) that comprise or are utilized or are
held  for  use  in  connection  with  the  Company,  Medi-Serve  or  any  of the
Subsidiaries or are necessary to the operation of the Business (the "PROPRIETARY
RIGHTS"). There is no basis for any claim of infringement or misappropriation by
or against the Company,  Medi-Serve or any Subsidiary with respect to any of the
Proprietary Rights.

                 (III)  Shareholder  represents  and warrants  that set forth on
Schedule 5.6(a)(iii) is a list of excluded items or personal effects, which will
be removed by him at or about the time of the Closing.  Based on the  foregoing,
Buyer agrees that such personal effects shall not constitute Assets.

             (B) Except as set forth on Schedule 5.6(b), the Company, Medi-Serve
or one of their  Subsidiaries  has good and marketable title to all of the Owned
Assets or a good and valid  leasehold  interest in all of the Leased Assets,  or
the  unrestricted  right to use all of the Managed Assets,  subject to no liens,
claims, security interests,  mortgages,  pledges, charges,  easements, rights of
set off, restraints on transfers,  restrictions on use, options, or encumbrances
of any kind or nature  whatsoever  ("LIENS"),  other  than  Permitted  Liens (as
defined below in subsection  (c)).  Except as set forth on Schedule  5.6(b),  no
person other than the Company,  Medi-Serve or one of their  Subsidiaries has any
right  to  the  use or  possession  of any of  such  property  and no  currently
effective  financing  statement  (other  than  financing  statements  granted by
lessors  of  any  Magnolia  Facilities  leased  to  the  Company  or  one of the
Subsidiaries)  with respect to any of such  personal  property has been filed in
any jurisdiction,  and none of the Company,  Medi-Serve and the Subsidiaries has
signed any such financing  statement or any security  agreement  authorizing any
secured party thereunder to file any such financing statement.  Since formation,
each of the Company,  Medi-Serve and each  Subsidiary has conducted its business
activities  only under the  corporate  and/or  trade names set forth in Schedule
5.6(b) hereto. All of such personal property comprising equipment, improvements,
furniture and other tangible personal property,  whether owned, leased,  managed
or licensed,  is in good  operating  condition and repair except for normal wear
and tear in the ordinary  course of business and except for items to be replaced
in the  ordinary  course  of  business  consistent  with past  practice,  and is
functioning  in the manner and for the purpose for which it was  intended and is
in  compliance  with  (and the  operation  thereof  is in  compliance  with) all
applicable Governmental Requirements,  and is sufficient and suitable to operate
the Business in a normal and efficient manner.

             (C) "PERMITTED LIENS" means:

                 (I) each lien, if any, described on Schedule 5.6(c) hereto;

                 (II)  carriers',   warehouseman's,   mechanics,  materialmen's,
repairmen's or other like liens arising in the ordinary course of business which
are not overdue for a period of more than 30 days,  that in the aggregate do not
exceed $50,000;

                 (III)  deposits  to  secure  the  performance  of  bids,  trade
contracts (other than for borrowed money), leases, statutory obligations, surety
and


                                       23



<PAGE>


appeal bonds, performance bonds and other obligations of like nature incurred in
the  ordinary  course of  business,  provided  that each such  deposit  shall be
included in the Assets and shall not exceed  $15,000 in any one case, or $75,000
in the aggregate;

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

                 (V)  (A)  liens  in  favor  of  Premiere  or its  wholly  owned
subsidiaries,  or (B) the rights of lessors  of Leased  Assets  under the leases
thereof,  or (C) Liens  created  by the  owners  of any  Leased  Facilities  (as
hereinafter  defined  in  Section  5.11(b))  to  the  extent  permitted  by  the
applicable Tenancy Leases (as hereinafter  defined in Section 5.11(b)) (but only
to the extent  that such Liens  will not have a material  adverse  effect on the
operation of the applicable Leased Facility); and

                 (VI)   easements,   rights-of-way,   restrictions   and   other
encumbrances which, in the aggregate, are not substantial in amount with respect
to any Magnolia  Facility or Medi- Serve Facility,  and which do not in any case
materially  interfere  with the ordinary  conduct of such  Magnolia  Facility or
Medi-Serve Facility.

             (D) Except as set forth on Schedule  5.6(d),  none of the  personal
property  referred to in subsection  (a) above is subject to a lease,  sublease,
license, sublicense,  conditional sale, or similar arrangement.  Schedule 5.6(d)
sets forth the annual rental and unexpired lease term of each such item, and all
the information set forth thereon is true, complete and correct.

             (E) The  accounts  receivable  of the Company,  Medi-Serve  and the
Subsidiaries  are  reflected  properly  on each of their  books and  records  in
accordance  with GAAP,  have been billed or invoiced in the  ordinary  course of
business consistent with past practice, are not in dispute, and are bona fide.

             (F) The  quantities  of inventory  and supply items  referred to in
subsection  (a) above are  reasonable  in light of the present  and  anticipated
volume of the business of the Company,  Medi-Serve and the  Subsidiaries and the
inventory  and  supplies  are good,  usable,  merchantable,  and  salable in the
ordinary course of the business of the Company, Medi-Serve and the Subsidiaries,
in each case,  as determined  by the Company in good faith and  consistent  with
past practice.

         5.7 CONTRACTS.

             (A) The  Shareholder  has made  available for review by Buyer true,
complete and correct copies of each agreement,  lease,  contract,  instrument or
commitment  relating to the Business or to which the Company,  Medi-Serve or any
Subsidiary is a party or by which the Company,  Medi-Serve or any  Subsidiary or
any of the  Assets are bound  ("CONTRACTS")  that is in  writing,  and a written
description of each material oral Contract.  Each material  Contract was entered
into and requires  performance in the ordinary course of business and is in full
force and effect.  Except as set forth on Schedule 5.7(b),  none of the Company,
Medi-Serve and the Subsidiaries


                                       24



<PAGE>

is in  default  under any  material  Contract  and there has not been  asserted,
either by or, to the knowledge of the Group, against the Company,  Medi-Serve or
any Subsidiary under any material  Contract,  any notice of default,  set-off or
claim of default.  Except as set forth on Schedule  5.7(b),  to the knowledge of
the  Group,  the  parties to the  material  Contracts,  other than the  Company,
Medi-Serve and the  Subsidiaries,  are not in default of any of their respective
obligations  under any of the  Contracts,  and there has not  occurred any event
which  with  the  passage  of time or the  giving  of  notice  (or  both)  would
constitute a default or breach under any material Contract.  Except as set forth
in  Schedule  5.7(b),  all  amounts  payable  or  receivable  under  each of the
Contracts  are, and will at the Closing Date, be on a current  basis.  Except as
set forth in Schedule 5.7(b),  the change of control in the Company,  Medi-Serve
or any  Subsidiary  to Buyer  will not be deemed an  assignment  of, or  require
consent  under any  material  Contract.  None of the  Company,  Medi-Serve,  the
Subsidiaries  and the  Shareholder  has received notice or has reason to believe
that any of the  material  Contracts  will be  terminated  by any party  thereto
within  90  days  after  the  date  hereof  pursuant  to any  provision  thereof
permitting  any such party to terminate  such material  Contract with or without
cause.  For  purposes of this  Agreement,  a Contract  shall not be deemed to be
"material" if: (i) it is not required to be disclosed pursuant to subsection (b)
below,  and (ii) (x) it is terminable  by the Company,  Medi-Serve or Subsidiary
within  ninety  (90)  days at a cost set  forth in the  contract  not to  exceed
$10,000 or (y) it involves  annualized  payments of less than  $50,000 and it is
terminable at no cost within ninety (90) days.

             (B)  Except as listed  on  Schedule  5.7(b),  neither  Company  nor
Medi-Serve or any Subsidiary has any continuing  rights or obligations under any
written or express, oral or implied:

                 (I)  contract,  agreement or commitment  for the  employment or
retention of, or collective bargaining, severance or termination of or with, any
director, officer, employee, consultant, sales representative, agent or group of
employees, or any non-competition,  non-solicitation, confidentiality or similar
agreement with any such person or persons (provided that the foregoing shall not
require the disclosure of immaterial oral agreements or oral commitments such as
"at will" contracts);

                 (II) contract,  agreement or arrangement for the acquisition or
disposition  of any  assets,  property  or  rights  having a value in  excess of
$10,000  or in excess  of  $25,000  in any  series of  related  transactions  or
requiring  the consent of any party to the transfer and  assignment  of any such
assets,  property or rights (by purchase or sale of assets,  purchase or sale of
stock, merger or otherwise), including without limitation, option agreements;

                 (III) contract,  agreement,  instrument or commitment involving
annual payments in excess of $10,000 which contains any provisions requiring the
Company,  Medi- Serve or any Subsidiary to indemnify or act for any other person
or entity or contract,  agreement,  instrument or commitment  which contains any
provisions  requiring the Company,  Medi-Serve or any  Subsidiary to guaranty or
act as surety for any other person or entity;


                                       25


<PAGE>


                 (IV) contract, agreement or commitment restricting the Company,
Medi-Serve or any Subsidiary from, or in favor of the Company, Medi-Serve or any
Subsidiary and restricting any other person or entity from,  conducting business
anywhere  in the  world  for  any  period  of  time  or  restricting  the use or
disclosure of any  confidential  or proprietary  information or prohibiting  the
solicitation of business or of employees, agents or others;

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

                 (VI)  licensing,   distributor,  dealer,  franchise,  sales  or
manufacturer's representative,  agency or other similar contract, arrangement or
commitment that involves annual payments in excess of $10,000;

                 (VII) contract,  agreement or arrangement  granting a leasehold
or other  interest  in  personal  property  to the  Company,  Medi-Serve  or any
Subsidiary,  including without limitation,  subleases,  licenses and sublicenses
that involves annual payments in excess of $10,000;

                 (VIII) contract,  agreement or arrangement granting a leasehold
or other  interest in real property by Company,  Medi-Serve  or any  Subsidiary,
including without limitation,  subleases,  licenses and sublicenses,  other than
ordinary  and  customary  rights  of  residents  and  patients  of the  Magnolia
Facilities;

                 (IX) contract, agreement or arrangement granting a leasehold or
other  interest  in real  property  to Company,  Medi-Serve  or any  Subsidiary,
including without limitation, Tenancy Leases (the "LEASES");

                 (X) management  agreement with respect to any Magnolia Facility
or Medi-Serve Facility (the "MANAGEMENT AGREEMENTS");

                 (XI)  profit  sharing,   thrift,  bonus,  incentive,   deferred
compensation,  stock option, stock purchase, severance pay, pension, retirement,
hospitalization,  insurance or other  similar  plan,  agreement  or  arrangement
applicable  to any employee,  consultant or agent of the Company,  Medi-Serve or
any Subsidiary not covered by clause (i) above;

                 (XII)  agreement,  consent order,  plea bargain,  settlement or
stipulation or similar arrangement with any Governmental Authority;

                 (XIII)   agreement  with  respect  to  the  settlement  of  any
litigation or other proceeding with any third person or entity;

                 (XIV) agreement relating to the ownership,  transfer, voting or
exercise of other rights with respect to any equity in the Company,  Medi-Serve,
any





<PAGE>

Subsidiary  or any other  entity,  including  without  limitation,  registration
rights agreements, voting trust agreements and shareholder and proxy agreements;
or

                 (XV) agreement not set forth in  subsections  (i) through (xiv)
above which (x) was not made in the ordinary  and normal  course of business and
consistent with past practice, or (y) not terminable by the Company,  Medi-Serve
or the  applicable  subsidiary  at any time within ninety (90) days at a cost of
not more  than  $10,000  or (z)  involves  annualized  payments  of in excess of
$50,000 and is not terminable within ninety (90) days.

         5.8 FINANCIAL STATEMENTS.

             (A)  Attached  hereto  as  Schedule   5.8(a)-1  are  the  unaudited
financial statements of the Company and its Subsidiaries on a consolidated basis
for the fiscal  quarters ended March 31, 1997,  June 30, 1997, and September 30,
1997,  and for the  three-month  period ended  December  31,  1997,  the audited
financial statements of the Company and its Subsidiaries on a consolidated basis
for the  fiscal  year  ended  September  30,  1997,  and the  audited  financial
statements of the Company,  and its Subsidiaries on a consolidated basis for the
fiscal year ended September 30, 1996. Also attached hereto as Schedule  5.8(a)-2
are the unaudited  financial  statements of Medi- Serve for the fiscal  quarters
ended March 31, 1997,  June 30, 1997,  September 30, 1997 and December 31, 1997,
the  audited  financial  statements  of  Medi-Serve  for the  fiscal  year ended
December 31, 1997, and the unaudited financial  statements of Medi-Serve for the
fiscal  year  ended  December  31,  1996.  The  foregoing   described  financial
statements  of the  Company,  Medi-Serve  and the  Subsidiaries  are referred to
hereinafter,   collectively,   as  the  "FINANCIAL  STATEMENTS".  The  Financial
Statements  (including  any related  notes  thereto) are true and correct in all
material  respects and present  fairly the  financial  condition  and results of
operations  of the Company  and  Medi-Serve  as, at and for the periods  therein
specified  and were  prepared in  accordance  with GAAP except as expressly  set
forth on Schedules 5.8(a)-1 and 5.8(a)-2.  Each of the Financial  Statements has
been accompanied by the written  certification of the Chief Financial Officer of
the  Company and Medi-  Serve,  the  Shareholder,  to be true and correct in all
material  respects,  to present  fairly the  financial  condition and results of
operations of the Company, Medi-Serve and the Subsidiaries,  as the case may be,
at and  for  the  periods  therein  specified,  and to  have  been  prepared  in
accordance  with GAAP except as expressly  set forth on  Schedules  5.8(a)-1 and
5.8(a)-2.  The books of account of the Company,  Medi-Serve and the Subsidiaries
from which the Financial  Statements were prepared accurately reflect all of the
items of income and expense,  assets,  liabilities  and accruals of the Company,
Medi-Serve and the Subsidiaries. The income statements included in the Financial
Statements do not contain any items of special or nonrecurring income or expense
or any other income not earned or expense not incurred in the ordinary course of
business except as expressly  specified therein,  and such financial  statements
include  all  adjustments,  which  consist  only of normal  recurring  accruals,
necessary for such fair presentation.

             (B) The audited  balance sheet of the Company and its  Subsidiaries
contained in the  Financial  Statements  as of September  30, 1997  reflects



                                       27



<PAGE>

all  liabilities  as of the  date  thereof,  and  none  of the  Company  and its
Subsidiaries has any liabilities that are not reflected thereon,  whether or not
in  accordance  with GAAP,  except  for such  current  liabilities  as have been
incurred since the date of such balance sheet in the ordinary course of business
consistent with past practice,  and liabilities for the items and in the amounts
listed on Schedule 5.8(b).  The unaudited balance sheet of Medi-Serve  contained
in the Financial Statements as of September 30, 1997 reflects all liabilities of
Medi-Serve as of the date thereof,  and Medi-Serve  has no liabilities  that are
not reflected  thereon,  whether or not in accordance with GAAP, except for such
current  liabilities  as have been incurred since the date of such balance sheet
in  the  ordinary  course  of  business  consistent  with  past  practice,   and
liabilities  for the items and in the amounts  listed on Schedule  5.8(b).  Such
balance  sheets of the  Company and its  Subsidiaries,  and of  Medi-Serve,  are
referred to herein,  collectively,  as the "BALANCE SHEET" and the dates of such
balance  sheets,  respectively,  are  referred to herein,  collectively,  as the
"BALANCE SHEET DATE".  Except to the extent set forth or reserved against on the
Balance  Sheet  there  is no  basis  for  the  assertion  against  the  Company,
Medi-Serve or any  Subsidiaries  of any liability of any nature or in any amount
(other than current or scheduled liabilities as aforesaid).

         5.9 MATERIAL CHANGES.  Except as specifically described on Schedule 5.9
hereto,  since the Balance Sheet Date,  there has not been any material  adverse
change in the condition or prospects  (financial or  otherwise),  of the assets,
properties or operations of the Company, Medi- Serve or any of the Subsidiaries,
and  each  of the  Company  and  Medi-Serve  and  each of the  Subsidiaries  has
conducted  its  business  only in the  ordinary  course,  consistent  with  past
practice.  The Company and Medi-Serve have identified and  communicated to Buyer
all material  information  that is peculiar or unique to the  Business  (but not
applicable  generally to all persons or entities in such  business) with respect
to any fact or condition  that, to the knowledge of the Group,  might  adversely
affect the future prospects (financial or otherwise) of any of the Business.

         5.10 LICENSES; PERMITS;  CERTIFICATES OF NEED. Schedule 5.10 sets forth
a description of each license,  approval,  permit, right or other authorization,
other  than  immaterial  local  business  licenses,  that is  necessary  for the
operation  of any  part of the  Business  (collectively,  the  "LICENSES").  The
Company and Medi-Serve have delivered to Buyer true, correct and complete copies
of all of the Licenses and the  applications  therefor.  Schedule 5.10 also sets
forth a description of each  accreditation of the Business,  copies of which the
Shareholder  has  delivered  to Buyer.  The  Company,  Medi-Serve  or one of the
Subsidiaries,  as applicable,  owns, possesses or has the legal right to use the
Licenses,  free and clear of all Liens. None of the Company,  Medi-Serve and the
Subsidiaries  is in default under,  and none of the Company,  Medi-Serve and the
Subsidiaries  has received any notice of any claim or default or any other claim
or  proceeding  relating to, any such  License.  Except as set forth on Schedule
5.10,  none of the Licenses  will expire prior to the first  anniversary  of the
Closing Date or which may not be renewed in the ordinary course of business. The
Business  is,  as  it is  currently  conducted,  licensed  by  all  Governmental
Authorities  from which  Licences  are  required  to carry on the  Business.  No
stockholder, director or officer, employee or


                                       28



<PAGE>

former  employee of the  Company,  Medi-Serve  or any  Subsidiary,  or any other
person, firm or entity owns or has any proprietary, financial or other interest,
direct or indirect, in whole or in part in any License, except for the licensors
to the  Company,  Medi-Serve  or each  Subsidiary,  and except for  licenses  of
employees described on Schedule 5.10 as such.

         5.11 THE MAGNOLIA FACILITIES AND MEDI-SERVE FACILITIES.

             (A) Schedule  5.11(a) is a list of all of the  Magnolia  Facilities
and  Medi-Serve  Facilities,  and sets  forth  for each  Magnolia  Facility  and
Medi-Serve Facility all of the following information:

                 (I) the name of such Magnolia Facility and Medi-Serve Facility;

                 (II)  the  owner  of the fee  simple  title  to  such  Magnolia
Facility  and  Medi-Serve  Facility,  the lessee of such  Magnolia  Facility (if
applicable)  and Medi-Serve  Facility (if  applicable),  and the manager of such
Magnolia Facility (if applicable) and Medi-Serve Facility (if applicable);

                 (III) (A) the number of  licensed  long-term  care beds at such
Magnolia  Facility,  (B) the current rates charged by such Magnolia  Facility to
its patients or residents,  (C) the number of beds or units  presently  occupied
in, and the occupancy  percentage at, such Magnolia Facility,  (D) the number of
patients or residents at such Magnolia Facility:  (x) who receive  reimbursement
from, or are  participants in, any federal or state Medicare or Medicaid program
or (y) for whom payment is not made by Medicare of Medicaid; and

                 (IV)  whether  said  Magnolia  Facility  is  subject to the New
Greenville  Lease,  any  Taylor  Lease  or the  lease  related  to the  Woodruff
Facility.

             (B) The  Company  or one or more of the  Subsidiaries  has good and
marketable  title to the Magnolia  Facility and  Medi-Serve  Facilities  that it
listed as owned by it on Schedule 5.11(a) (each an "OWNED FACILITY"),  and has a
good and valid leasehold interest for the term specified in the applicable lease
(each a "TENANCY LEASE") for each Magnolia Facility and Medi-Serve Facility that
it listed as leased by it on Schedule  5.11(a) (each a "LEASED  FACILITY"),  the
Company and Medi-Serve do not have knowledge that any person or entity listed as
the owner of any Leased Facility does not have good and marketable title to such
Leased Facility, in each case, subject to no Liens other than Permitted Liens;

             (C) Except as set forth on Schedule 5.11(c), there are no leases or
other agreements of the Company or Medi-Serve as lessor or operator, granting to
any third  party the right to use,  occupy or manage any  Magnolia  Facility  or
Medi-Serve  Facility  (except the ordinary and customary  rights of the patients
and residents of the


                                       29


<PAGE>


Magnolia  Facilities),  and no person has any  ownership  interest  or option or
right of first  refusal  to  acquire  any  ownership  interest  in any  Magnolia
Facility or Medi-Serve Facility or any building or improvements thereon;

             (D) No  written  notices of  violation  have been  received  by the
Company,  Medi-Serve or any Subsidiary,  or to the best knowledge of the Company
and  Medi-Serve  (but without  independent  investigation),  by any owner of any
Leased Facility,  from any  Governmental  Authority that remains in effect which
prohibits or restricts the existing use of the structures  presently  comprising
the Magnolia Facilities and Medi-Serve Facilities;

             (E) Except as set forth on Schedule 5.11(e),  to the best knowledge
of the  Company  and  Medi-Serve,  there is no  plan,  study  or  effort  by any
Governmental  Authority that would in any material way affect the present use or
zoning of any Magnolia Facility or Medi-Serve Facility or any part thereof,  and
to the best knowledge of the Company and Medi-Serve, there are no assessments or
proposed assessments and there is no existing,  proposed or contemplated plan to
widen,  modify or realign  any street or highway or any  existing,  proposed  or
contemplated  eminent domain  proceedings  that would in any material way affect
any Magnolia Facility or Medi-Serve Facility;

             (F)  Except as set forth on  Schedule  5.11(f),  and  except to the
extent set forth on the engineering  reports attached hereto as Exhibit 5.11(f),
the  buildings and other  improvements  comprising  each  Magnolia  Facility and
Medi-Serve Facility and all of their systems,  including without limitation, the
heating, ventilating and air conditioning systems, and the plumbing, electrical,
mechanical  and drainage  systems,  and roofs are in good  operating  condition,
repair and working order, normal wear and tear excepted;

             (G) No assessment for public improvements has been made against any
Magnolia  Facility or Medi-Serve  Facility that remains unpaid and for which the
Company,  Medi- Serve or any Subsidiary is liable,  and all public  improvements
ordered,  commenced  or  completed  with  respect to any  Magnolia  Facility  or
Medi-Serve  Facility  prior  to the date of this  Agreement  and for  which  the
Company,  Medi-Serve or any  Subsidiary is liable,  shall be paid for in full by
the Company or Medi-Serve prior to the Closing; and

             (H)  None of the  Company,  Medi-Serve,  and the  Subsidiaries  has
received  any written  notice of material  noncompliance  from any  Governmental
Authority regarding any of the improvements constructed at any Magnolia Facility
or Medi-Serve Facility or the use or occupancy thereof which remains uncured.

         5.12 LEGAL PROCEEDINGS. Other than as set forth on Schedule 5.12, there
are  no  disputes,  claims,  actions,  suits  or  proceedings,  arbitrations  or
investigations, either administrative or judicial, pending, or, to the knowledge
of the Company or Medi-Serve,  threatened or contemplated, nor, to the knowledge
of the Company or Medi-Serve, is there any basis therefor,  against or affecting
the Company, Medi-Serve, any



                                       30


<PAGE>


Subsidiary or any of the Assets, or the rights of the Company, Medi-Serve or any
Subsidiary  therein or the ability of Shareholder,  Medi-Serve or the Company to
consummate  the  transactions  contemplated  herein,  at  law  or in  equity  or
otherwise,  before  or  by  any  Governmental  Authority,   including,   without
limitation,  any of the foregoing  relating to the  infringement  of Proprietary
Rights.  None of the Company,  Medi-Serve and the  Subsidiaries has received any
requests for information  with respect to the transactions  contemplated  hereby
from any Governmental Authority.

         5.13 EMPLOYEES. With respect to any employee of the Company, Medi-Serve
or any  Subsidiary  receiving  an annual  salary of  $75,000  or more,  Schedule
5.7(b)(i),  Schedule  5.7(b)(xi)  and  Schedule  5.13  together  contain a true,
complete and correct list of the name,  position,  current rate of  compensation
(together with a description of any specific  arrangements or rights  concerning
such persons that are not reflected in any agreement or document  referred to in
Schedule  5.7).  Each of the  Company,  Medi-Serve  and  each  Subsidiary  is in
compliance with all Governmental  Requirements  applicable to any and all of the
employee  benefit  plans,  agreements and  arrangements  referred to on Schedule
5.7(b)(i) or 5.7(b)(xi),  including, without limitation, the Employee Retirement
Income Security Act of 1974, as amended ("ERISA"). No such employee,  consultant
or agent has any vested or unvested  retirement  benefits  or other  termination
benefits,  except as described on Schedule 5.7(b)(i) or 5.7(b)(xi).  The Balance
Sheet  contains an  adequate  reserve for  vacation  accruals  and paid time off
accruals.  There are no  severance  obligations  of Company,  Medi- Serve or any
Subsidiary.  Each employee,  agent and consultant of the Company,  Medi-Serve or
any Subsidiary has all licenses  necessary to carry on his or her obligations as
an employee of the Company, Medi-Serve or any Subsidiary and to the knowledge of
the Company or Medi-Serve  (but without  independent  investigation),  each such
licensee is in compliance with all of the terms of all such licenses held by him
or her. Except as set forth on Schedule 5.13,  none of the Company,  Medi- Serve
and the  Subsidiaries  has received notice that any senior  executive,  facility
administrator or director of nursing will terminate his or her employment within
180 days after the Closing  Date,  and none of the Company,  Medi-Serve  and the
Shareholder  has reason to believe that any such  termination  will be likely by
reason of any change of control in the Company or Medi-Serve (or any Subsidiary)
contemplated by this Agreement.

         5.14 COLLECTIVE BARGAINING, LABOR CONTRACTS, EMPLOYMENT PRACTICES, ETC.
Since the date that is two (2) years prior to the date hereof, there has been no
material adverse change in the relationship  between the Company,  Medi-Serve or
any Subsidiary and their employees nor any strike or labor disturbance by any of
such  employees  affecting the Business and there is no  indication  that such a
change,  strike or labor disturbance is likely.  Except as set forth on Schedule
5.14, no employees of the Company,  Medi-Serve or any Subsidiary are represented
by any labor union or similar  organization in connection with their  employment
by or relationship with, the Company,  Medi-Serve or any Subsidiary,  and to the
knowledge  of the  Company or  Medi-Serve,  there are no  pending or  threatened
activities the purpose of which is to achieve such representation of all or some
of such  employees.  Except as set forth on Schedule 5.14,  there are no pending
suits, actions or proceedings against the Company,  Medi-Serve or any Subsidiary
relating  to any of its past or present  employees,  and there



                                       31



<PAGE>


are no threats of strikes,  work  stoppages or pending  filed  grievances by any
such  employees.  Except as set forth on  Schedule  5.14,  none of the  Company,
Medi-Serve and the  Subsidiaries  has any  collective  bargaining or other labor
contracts.

         5.15 ERISA.  Except as set forth on Schedule 5.15, none of the Company,
Medi-Serve and the Subsidiaries  maintains or make  contributions to and none of
the  Company,  Medi-Serve  and the  Subsidiaries  has at any  time  in the  past
maintained or made  contributions  to any employee benefit plan which is subject
to the minimum funding standards of ERISA. Each plan identified on Schedule 5.15
is in compliance with ERISA and is fully funded. None of the Company, Medi-Serve
and the Subsidiaries  maintains or makes  contributions to and none of them has,
at any time in the past,  maintained or made contributions to any multi-employer
plan subject to the terms of the  Multi-employer  Pension Plan  Amendment Act of
1980 (the "MULTI-EMPLOYER ACT").

         5.16  QUESTIONNAIRE.   The  healthcare  law  questionnaire   heretofore
delivered  to the  Company and  Medi-Serve  by Buyer (the  "QUESTIONNAIRE")  and
attached hereto as Exhibit 5.16 has been fully and accurately completed and does
not contain  any  material  misstatement  of any fact and does not omit any fact
that  would  have to be  stated  in order not to  render  any  response  to such
Questionnaire materially misleading.

         5.17 INSURANCE AND SURETY AGREEMENTS. Schedule 5.17 contains a true and
correct  list  of:  (A) all  policies  of fire,  liability  and  other  forms of
insurance  held  or  owned  by the  Company,  Medi-Serve  or any  Subsidiary  or
otherwise  in  force  and  providing  coverage  for the  Business  or any of the
Magnolia  Facilities or Assets (including but not limited to medical malpractice
insurance,  and any state sponsored plan or program for worker's  compensation);
(B) all bonds,  indemnity agreements and other agreements of suretyship made for
or held by the Company or  Medi-Serve  or otherwise in force and relating to the
Business or any of the Magnolia Facilities and Medi-Serve  Facilities or Assets,
including a brief  description  of the character of the bond or  agreement,  the
name of the surety or the indemnifying party.  Schedule 5.17 sets forth for each
such insurance policy the name of the insurer, the amount of coverage,  the type
of insurance,  the policy number,  the annual premium and a brief description of
the nature of insurance  included  under each such policy and of any claims made
thereunder or increases in premiums  therefore  during the past two years.  Such
policies are owned by and payable  solely to the Company,  Medi-Serve  or one of
the Subsidiaries,  and said policies or renewals or replacements thereof will be
outstanding and duly in force at the Closing Date. All insurance policies listed
on Schedule 5.17 are in full force and effect, all premiums due on or before the
Closing  Date have been or will be paid on or before the Closing  Date,  none of
the  Company,  Medi-Serve  and the  Subsidiaries  has been advised by any of its
insurance  carriers of an intention to terminate or modify or  materially  raise
the premiums for any such  policies,  nor have any of them failed to comply with
any of the material conditions contained in any such policies.

         5.18  RELATIONSHIPS.  Except as disclosed on Schedule 5.18, no officer,
director  or employee  of the  Company,  Medi-Serve  or of any  Subsidiary,  and
neither Shareholder,  nor any member of Shareholder's immediate



                                       32


<PAGE>


family or of the immediate  family of any  principal or partner of  Shareholder,
and no person or entity which is  controlled  by, under common  control with, or
controlling any of them (each,  an  "AFFILIATE")  has, or at any time within the
last two (2) years has had,  a  material  ownership  interest  in any  business,
corporate  or  otherwise,  that is a party  to, or in any  property  that is the
subject of, business  relationships  or arrangements of any kind relating to the
operation of the Business.  Except as set forth on Schedule 5.18, no Shareholder
or Affiliate is guaranteeing  any  obligations of the Company,  Medi-Serve or of
any Subsidiary.

         5.19 ASSETS  COMPRISING  THE BUSINESS.  The Assets,  including  without
limitation,  all Owned  Assets,  Leased  Assets and  Managed  Assets  (including
without  limitation,  all  inventory  included  therein),  Magnolia  Facilities,
Medi-Serve Facilities,  Contracts, Proprietary Rights and Licenses listed on the
Schedules to this Agreement,  are all of the tangible and intangible  properties
(real,  personal  and  mixed),  including,  without  limitation,  all  licenses,
intellectual property, permits and authorizations,  contracts,  leases and other
agreements  that are  necessary or material to the  operation of the Business as
now operated.

         5.20 ABSENCE OF CERTAIN  EVENTS.  Except as set forth on Schedule 5.20,
since  the  Balance  Sheet  Date,  none  of  the  Company,  Medi-Serve  and  the
Subsidiaries has:

             (A) sold, assigned,  transferred or disposed of any Assets,  except
in the ordinary course of business consistent with past practice;

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

             (C) entered into any Contract,  or made or suffered any termination
of any  Contract,  or made or suffered  any  modification  or  amendment  of any
Contract except for terminations, modifications and amendments of Contracts made
in the ordinary course of business consistent with past practice and which would
not adversely affect earnings or otherwise be material, and none of the Company,
Medi-Serve and the  Subsidiaries  has received  notice or has knowledge that any
Contract has been  terminated  or will be  terminated or modified or amended (as
aforesaid);

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

             (E) discharged or satisfied any Lien or encumbrance,  or satisfied,
paid or prepaid any material  liabilities,  other than in the ordinary course of
business  consistent with past practice,  or failed to pay or discharge when due
any  liabilities,  the  failure to pay or  discharge  of which has caused or may
cause any  actual  damage or risk of loss to the  Company or  Medi-Serve  or any
Subsidiary or the Business or the Assets;


                                       33



<PAGE>


             (F) incurred any  liabilities,  other than trade payables and other
operating  liabilities  that would be reflected on the date  incurred as current
liabilities on a balance sheet of the Company,  Medi-Serve and the Subsidiaries,
on a combined  basis,  in accordance  with GAAP,  and in the ordinary  course of
business consistent with past practice;

             (G) failed to collect accounts receivable in the ordinary course of
business consistent with past practice;

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

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

             (J) issued any capital  stock,  or declared or paid or set aside or
reserved  any  amounts  for payment of any  dividend  or other  distribution  in
respect of any equity interest or other  securities,  or redeemed or repurchased
any of its  capital  stock  or other  securities,  or made  any  payment  to any
Affiliate except for payments of compensation in the ordinary course of business
consistent with past practice and disclosed to Buyer as such;

             (K)  failed  to  collect,   withhold   and/or  pay  to  any  proper
Governmental  Authority,  any Taxes (as  hereinafter  defined in  Section  5.22)
required by applicable  Governmental  Requirement  to be so collected,  withheld
and/or paid;

             (L) instituted,  settled or agreed to settle any litigation, action
or proceeding before any Governmental  Authority  relating to it or its property
or received any threat thereof,  except for settlements of cost report claims in
the ordinary course of business  consistent with past practice and that have not
had a material adverse effect on the Company, Medi-Serve or the Business;

             (M)  entered  into  any  material  transaction  other  than  in the
ordinary course of business consistent with past practice; or

             (N) agreed or otherwise  become committed to do any thing described
in any of subsections (a) through and including (m) above.

         5.21 COMPLIANCE WITH LAWS.

             (A) The Company,  Medi-Serve,  each  Subsidiary  and to the Group's
knowledge,  each of their respective  licensed  employees are in compliance with
all Governmental Requirements applicable to them, the Assets or the operation of
the Business. None of the Company,  Medi-Serve and the Subsidiaries has received
any claim or notice that any of the Magnolia Facilities,  Medi-Serve  Facilities
or Assets is not in compliance with any applicable Governmental Requirement. The
Company and  Medi-Serve  shall  report to Buyer,  within five (5) days after its
receipt thereof,  any written or oral claims or notices that any of the licensed
employees of either of them


                                       34


<PAGE>

or any Subsidiary,  any of the Magnolia Facilities or Medi-Serve Facilities,  or
any of the Assets is not in compliance with any of the foregoing.

             (B) Except as set forth on the  environmental  reports  relating to
the Magnolia  Facilities and  Medi-Serve  Facilities as identified on as Exhibit
5.21(b),  at all times,  each of the Company and Medi-Serve and each  Subsidiary
has  complied,  and is  complying  in all respects  with all  environmental  and
related Governmental  Requirements applicable to it, the Magnolia Facilities and
Medi-Serve  Facilities,  and its  Assets,  including,  but not  limited  to, the
Resource  Conservation and Recovery Act of 1976, as amended,  the  Comprehensive
Environmental  Response  Compensation and Liability Act of 1980, as amended, the
Federal  Water  Pollution  Control  Act, as amended by the Clean Water Act,  and
subsequent  amendments,  the Federal Toxic  Substances  Control Act, as amended,
with respect to the  environmental or healthful  state,  condition or quality of
any property (collectively  "ENVIRONMENTAL LAWS"). The foregoing  representation
and warranty applies to all aspects of the operation of the Business and the use
and ownership of the Assets  including,  but not limited to, the use,  handling,
treatment,  storage,  transportation  and  disposal of any  hazardous,  toxic or
infectious  waste,  material or  substance  (including  medical  waste),  and to
petroleum  products,  material or waste  whether  performed on any of the Leased
Properties,  at any Magnolia Facility and Medi-Serve  Facility,  or at any other
location. No uncured notice from any Governmental Authority has been served upon
the  Company,   Medi-Serve  or  any   Subsidiary,   or  any  of  its  agents  or
representatives claiming any violation of any Environmental Law, or requiring or
calling  attention to the need for any work,  repairs,  or demolition,  on or in
connection with any of such properties in order to comply with any Environmental
Law.

         5.22 TAXES.  Except for Taxes that have accrued in the ordinary  course
of  business  since the  Balance  Sheet Date,  the  Balance  Sheet  sufficiently
provides for all accrued,  deferred and unpaid federal, state, local and foreign
net or gross income, profits, property, sales, use, excise, license,  franchise,
severance,  stamp,  occupation,  premium,  windfall profits tax, alternative and
add-on minimum taxes,  customs duty, added value,  payroll,  employer's  income,
withholding and social  security taxes,  excise or other taxes ("TAXES") and any
penalties, interest,  governmental charges, assessments and deficiencies related
thereto, payable by the Company, Medi-Serve or any Subsidiary. All Taxes payable
by the Company,  Medi-Serve  or any  Subsidiary,  and all interest and penalties
thereon,  whether  disputed  or not,  have been  paid in full when due,  all tax
returns, declarations of estimated tax and other reports required to be filed in
connection therewith ("TAX RETURNS") have been accurately prepared and completed
on an  appropriate  basis  and duly and  timely  filed  in  accordance  with all
Governmental  Requirements,  all  computations  and taxable income correctly and
accurately made and reported in accordance with all Government Requirements, and
all withholdings and deposits  required by Governmental  Requirements to be made
by the  Company,  Medi-Serve  or  any  Subsidiary  with  respect  to  employee's
withholding  taxes have been duly made.  Except as set forth on  Schedule  5.22,
neither  the  Company,  Medi-Serve  nor  any of the  Subsidiaries  has  any  tax
deficiency or claim  outstanding,  proposed or assessed against it, and there is
no basis  for any  such  deficiency  or  claim.  There  is not now in force  any
extension of time with respect to the date on which any Tax Return was or is due
to be filed by or with respect to the Company,  Medi-Serve or any  Subsidiary or
any waiver or agreement by the Company,  Medi-Serve  or any  Subsidiary  for the
extension of time for assessment of any Tax. None of the Company, Medi-Serve and



                                       35



<PAGE>

the  Subsidiaries  is a party to any pending action or  proceeding,  and, to the
knowledge  of the  Company  or  Medi-Serve,  no  action or  proceeding  has been
threatened by any  Governmental  Authority  for  assessment or collection of any
Taxes,  nor has any claim for  assessment  or  collection of Taxes been asserted
against  the  Company,  Medi-Serve  or any  Subsidiary.  None  of  the  Company,
Medi-Serve  and the  Subsidiaries  is a party to any tax  sharing  agreement  or
arrangement.  True and  complete  copies of all Federal and State Tax Returns of
the Company,  Medi-Serve and the  Subsidiaries for the tax years ending December
31, 1996 and 1995 have been delivered to Buyer.

         5.23 ENCUMBRANCES CREATED BY THIS AGREEMENT.  Neither the execution and
delivery  of  this  Agreement  nor  the  execution  and  delivery  of any of the
Transaction Documents by the Company, Medi-Serve or the Shareholder creates, and
the  consummation of the  transactions  contemplated  hereby or thereby will not
create, any Liens on any of the Assets in favor of third parties.

         5.24   QUESTIONABLE   PAYMENTS.   None  of  the  Company,   Medi-Serve,
Subsidiaries  and  Shareholder  has,  and to the  knowledge  of the  Company  or
Medi-Serve, no director,  officer, agent or employee of the Company,  Medi-Serve
or any Subsidiary has made or received any illegal or unlawful  payment,  bribe,
kickback,  political  contribution or other similar questionable payment for any
referrals  or  otherwise in  connection  with the  ownership or operation of the
Business, including, without limitation, any of the same that would constitute a
violation of the Foreign Corrupt Practices Act of 1977, as amended.

         5.25 REIMBURSEMENT MATTERS.  Except as set forth on Schedule 5.25, each
of the Company,  Medi-Serve, each Subsidiary, to the extent necessary to conduct
its  business  in a manner  consistent  with past  practice,  is  qualified  for
participation in the Medicare and Medicaid programs,  and each other third party
reimbursement  source in which it participates.  Except as set forth on Schedule
5.25, none of the Company, Medi-Serve, and any Subsidiary has any liability with
respect to recoupment from the Medicare or Medicaid  programs or any other third
party reimbursement  source (inclusive of managed care organizations) that would
exceed the  reserves  or  allowances  made  therefor as set forth on the Balance
Sheet, and there is no basis for the assertion of any such recoupment claim, and
none of the Company,  Medi-Serve,  and any Subsidiary has received any notice of
any such  assertion,  including  without  limitation,  any  notice  of denial or
recoupment  from the  Medicare  or Medicaid  programs,  or any other third party
reimbursement  source that arose out of any transactions  completed prior to the
date  hereof,  and no Medicare or Medicaid  investigation,  survey,  or audit is
pending or, to the  knowledge  of the  Company or  Medi-Serve,  threatened  with
respect to the operation of the business of any  Facility.  None of the Company,
Medi-Serve,  and  any  Subsidiary  nor,  to  the  knowledge  of the  Company  or
Medi-Serve, any of their respective licensed employees has been convicted of, or
pled guilty or nolo  contendere to any criminal  offense related to any Medicare
or  Medicaid  program  while such person was an employee of any of them or after
the  termination  of such person's  employment by any of them for acts committed
while  employed  by  any of  them,  and,  to the  knowledge  of the  Company  or
Medi-Serve,  none of such employees has committed any offense which may serve as
the basis for suspension,  restriction, or exclusion of the Company, Medi-Serve,
or any Subsidiary  from the Medicare and Medicaid  programs,  or any other third
party  reimbursement  source.  Since  January  1,  1996,  none  of the  Company,
Medi-Serve  and any  Subsidiary  has  received  any notice from the  Medicare or
Medicaid  programs or any other third party  reimbursement  source to the effect
that



                                       36


<PAGE>


the basis on which it receives  reimbursement for its services is to be changed.
The Company and  Medi-Serve  have made  available  to Buyer true,  complete  and
correct copies of the most recent surveys and inspection reports from, and plans
of correction  provided by, the Company,  Medi-Serve,  or any Subsidiary to, any
governmental  health care  regulatory  agency,  intermediary or authority or any
other licensing organization and any and all correspondence between or on behalf
of  any  such  regulatory   agency,   intermediary  or  authority  or  licensing
organization concerning any and all deficiencies, inadequacies or non-compliance
with regulations or standards  applicable to any Magnolia Facility or Medi-Serve
Facility. Except as set forth on Schedule 5.25, there are no violations,  orders
or  deficiencies  issued  or  recommended  by any  such  Governmental  Authority
(including,  without  limitation,  licensing  organizations),  and except as set
forth on Schedule 5.25, there are (and within the past three (3) years there has
been) no inspections, license reviews, investigations or proceedings of any sort
pending by or before any such Governmental Authority that relate to any Magnolia
Facility or Medi-Serve Facility.  All such violations and deficiencies have been
fully remedied by the applicable Company, Medi-Serve, or Subsidiary or withdrawn
by  the  applicable  Governmental  Authority.  During  the  twelve-month  period
immediately  preceding  the date  hereof,  no Magnolia  Facility  or  Medi-Serve
Facility has been placed on "Vendor Hold" or similar status or become subject to
any other disciplinary or punitive action, or been cited for any violations that
are likely to lead to the Magnolia Facility or Medi-Serve  Facility being placed
on "Vendor  Hold" or similar  status or  subject  to any other  disciplinary  or
punitive  action.  Except as set forth on Schedule  5.25,  none of the  Company,
Medi-Serve,  and any  Subsidiary  has been  served  with any  notice  which  (x)
requires the performance of any work or alterations on any Magnolia  Facility or
Medi-Serve  Facility,  or in the  streets  bounding  thereon,  or (y) orders the
installation,  repair or alteration of any public  improvements  on or about any
Magnolia Facility or Medi-Serve  Facility or the streets bounding thereon.  Each
Magnolia  Facility and Medi-Serve  Facility is in material  compliance  with all
"Conditions  and  Standards  of  Participation"  in  the  Medicare  or  Medicaid
Programs. Each of the Company, Medi-Serve, and the Subsidiaries has timely filed
all  required  cost  reports  with  respect to Medicare  and  Medicaid,  and has
provided to Buyer its audited  and  unaudited  cost  reports  for  Medicare  and
Medicaid and all other rate compensation and reimbursement  reports,  audits and
schedules prepared or issued by, or filed with, any Governmental  Authority with
respect to the  operations of any Magnolia  Facility or Medi-Serve  Facility for
the last three (3) years,  and each such report is complete  and accurate in all
material respects.

         5.26 CAPITAL  STOCK OF THE COMPANY AND  MEDI-SERVE.  Schedule 5.26 sets
forth a complete list and description of all of the authorized  capital stock of
the Company and Medi-Serve,  the number of shares issued and outstanding of such
capital stock of each of them and the identity of each holder  thereof,  in each
case  indicating  the  number of shares  held.  No  shares of the  Company's  or
Medi-Serve's  capital  stock  are  held  in  the  treasury  of  the  Company  or
Medi-Serve, respectively. The Company and Medi-Serve each have only one class of
capital stock.  The Shareholder is the lawful record and beneficial owner of all
of the  Subject  Shares as  indicated  on Schedule  5.26,  free and clear of all
Liens, and all of such stock is duly authorized,  validly issued, and fully paid
and non-assessable. Shareholder has the full legal power to transfer and



                                       37



<PAGE>

deliver the Subject Shares listed as owned by him on Schedule 5.26 in accordance
with this  Agreement,  and  delivery of such  Subject  Shares to Buyer  pursuant
hereto will  convey good and  marketable  title  thereto,  free and clear of all
Liens. Except for the stock options granted as set forth on Schedule 5.26, there
are not  now any  and,  on the  Closing  Date  there  will be no,  subscription,
participation,  preemptive  or first  refusal  rights to purchase  or  otherwise
acquire shares of capital stock of the Company or Medi-Serve from the Company or
Medi-Serve  or  Shareholder  or any one else pursuant to any provision of law or
the  Articles of  Incorporation  or By-Laws of the Company or  Medi-Serve  or by
agreement  or  otherwise.  There are not now any and, on the Closing  Date there
shall not be any,  outstanding  warrants,  options, or other rights to subscribe
for or purchase  from the Company or  Medi-Serve  any shares of capital stock of
the Company or  Medi-Serve  or  Shareholder  or any one else,  nor are there and
there shall not be outstanding  on the Closing Date, any securities  convertible
into or exchangeable for any such shares.  Except as described on Schedule 5.26,
there are no voting agreements, arrangements, trusts or restrictions relating to
any of the Subject Shares.

         5.27  FINDERS.  No  broker or finder  has  acted for  Shareholder,  the
Company or Medi-Serve in connection with the  transactions  contemplated by this
Agreement other than Robinson-Humphrey  Company, Inc. (the "BROKER"),  and other
than the  Broker,  no other  broker or finder is  entitled  to any  broker's  or
finder's  fee or  other  commission  in  respect  thereof  based  in any  way on
agreements,  understandings or arrangements with Shareholder,  Medi-Serve or the
Company.

         5.28 SHAREHOLDER  UNTRUE  STATEMENT.  None of the  representations  and
warranties of the Company, Medi-Serve or Shareholder made in or pursuant to this
Agreement  contains any untrue  statement  of material  fact or omits to state a
material fact necessary,  in light of the circumstance  under which it was made,
in order to make any such representation not misleading in any material respect.

          ARTICLE VI: REPRESENTATIONS AND WARRANTIES OF BUYER, NEWCO 1
          ------------------------------------------------------------
                                   AND NEWCO 2
                                   -----------

         Buyer,  Newco 1, and Newco 2  represent  and  warrant  to the  Company,
Medi-Serve and the Shareholder as follows:

         6.1 ORGANIZATION  AND STANDING.  Buyer is a corporation duly organized,
validly  existing and in good standing  under the laws of the State of Delaware.
Newco 1 and Newco 2 are each corporations  duly organized,  validly existing and
in good standing under the laws of the State of South Carolina.

         6.2 POWER  AND  AUTHORITY.  Each of Buyer,  Newco 1 and Newco 2 has the
corporate  power and authority to execute,  deliver and perform this  Agreement,
and as of the  Closing,  each of  Buyer,  Newco  1 and  Newco  2 will  have  the
corporate power and authority to execute and deliver the  Transaction  Documents
required to be executed and delivered by it to the Shareholder at the Closing.

         6.3  BINDING  AGREEMENT.  This  Agreement  has been duly  executed  and
delivered by Buyer.  This Agreement is, and when executed and delivered by Buyer
at the Closing, each of the Transaction Documents executed by Buyer will be, the
legal,


                                       38



<PAGE>

valid and binding obligation of Buyer,  enforceable  against Buyer in accordance
with their respective terms.

         6.4 SEC DOCUMENTS. Buyer has furnished the Company,  Medi-Serve and the
Shareholder  with a correct and complete copy of its report on Form 10-K for its
fiscal years ended December 31, 1996, its proxy statement prepared in connection
with its annual meeting held on June 20, 1997,  and its special  meeting held on
October 21, 1997, and each press release or other schedule or report required by
it to be publicly disclosed or filed with the Securities and Exchange Commission
(the  "SEC")  pursuant  to the  Exchange  Act  since  January  1, 1997 (the "SEC
DOCUMENTS").  As of their respective dates, none of the SEC Documents  contained
any untrue  statements,  or omitted to make any disclosures,  which, in light of
the circumstances would render any of such documents materially misleading,  and
the SEC  Documents  complied  when filed in all material  respects with the then
applicable  requirements  of the  Exchange  Act,  and the rules and  regulations
promulgated by the Commission thereunder.  Buyer has been notified that the most
recent  registration  statement  on Form  S-3  filed by it with the SEC is under
review  and the SEC  anticipates  providing  preliminary  comments  to  Buyer by
approximately May 2, 1998.

         6.5  ABSENCE  OF  CONFLICTING  AGREEMENTS.  Neither  the  execution  or
delivery of this  Agreement  and,  as of the Closing  Date,  the  execution  and
delivery of the  Transaction  Documents,  by Buyer,  Newco 1 and Newco 2 nor the
performance  by  Buyer,  Newco 1 and  Newco 2 of the  transactions  contemplated
hereby and thereby conflicts with, or constitutes a breach of or a default under
(A) the Certificate of Incorporation or By-laws of Buyer, Newco 1 or Newco 2, or
(B) any law, rule,  judgment,  order, writ,  injunction,  or decree of any court
currently  in  effect  applicable  to  Buyer,  Newco  1 or  Newco  2, or (C) any
Governmental  Requirement  applicable  to Buyer,  Newco 1 or Newco 2, or (d) any
agreement,  indenture,  contract or instrument to which the Buyer is now a party
or by which any of the assets of Buyer, Newco 1 or Newco 2 is bound.

         6.6 CAPITAL STOCK.  Buyer has duly authorized and reserved for issuance
the shares of IHS Stock to be issued in connection herewith, and, when issued in
accordance  with the terms of  Article  III,  such  shares of IHS Stock  will be
validly issued, fully paid, and nonassessable and free of preemptive rights.

         6.7 MATERIAL CHANGES. Except as set forth in SEC Documents delivered to
the  Shareholder,  or as set forth on Schedule 6.7 hereto,  since  September 30,
1997,  there  has not been any  material  adverse  change  in the  condition  or
prospects (financial or otherwise),  of the assets,  properties or operations of
the  Buyer  and its  subsidiaries.  Each  Group  Member  acknowledges  that  the
information  set  forth  on  Schedule  6.7  is  not  public  information  and is
confidential. Accordingly, the Group Members jointly and severally agree to hold
such information confidential, and to refrain from making any purchases or sales
of any shares of IHS Stock  until such time as Buyer  notifies  the  Shareholder
that such information has become publicly available.


                                       39



<PAGE>

         6.8 BUYER UNTRUE STATEMENT.  None of the representations and warranties
of the Buyer made in or pursuant to this Agreement contains any untrue statement
of material  fact or omits to state a material fact  necessary,  in light of the
circumstance  under which it was made, in order to make any such  representation
not misleading in any material respect.

           ARTICLE VII: INFORMATION AND RECORDS CONCERNING THE COMPANY
           -----------------------------------------------------------
                                 AND MEDI-SERVE
                                 --------------

              7.1 ACCESS TO INFORMATION AND RECORDS BEFORE CLOSING.

             (A) Prior to the Closing Date, Buyer may make, or cause to be made,
such  investigation  of the  financial  and  legal  condition  of  the  Company,
Medi-Serve, the Subsidiaries,  the Magnolia Facilities and Medi-Serve Facilities
as Buyer deems  necessary or advisable to familiarize  itself  therewith  and/or
with matters relating to their history or operation. The Company and Medi- Serve
shall permit Buyer and its authorized  representatives  (including legal counsel
and  accountants),  to have full access to the books and records of the Company,
Medi-Serve, the Subsidiaries,  the Magnolia Facilities and Medi-Serve Facilities
upon reasonable  notice and during normal  business  hours,  and the Company and
Medi-Serve will furnish,  or cause to be furnished,  to Buyer such financial and
operating data and other information and copies of documents with respect to the
products,  services,  operations  and assets of the Company,  Medi-Serve and the
Subsidiaries as Buyer shall from time to time reasonably request.  The documents
to which Buyer shall have access shall  include,  but not be limited to, the Tax
Returns and related work papers since  inception of the Company,  Medi-Serve and
the  Subsidiaries;  and the Company and  Medi-Serve  shall make,  or cause to be
made,  extracts thereof as Buyer or its representatives may request from time to
time to enable Buyer and its  representatives  to investigate the affairs of the
Company, Medi-Serve and the Subsidiaries and the accuracy of the representations
and warranties  made in this Agreement.  The Company and Medi-Serve  shall cause
its  accountants  to cooperate  with Buyer and to disclose the results of audits
relating to the  Company,  Medi-Serve  and the  Subsidiaries  and to produce the
working papers relating  thereto.  Without limiting any of the foregoing,  it is
agreed  that Buyer will have full access to any and all  agreements  between and
among the previous and current  Shareholder  regarding their ownership of shares
or the management or operation of the Company,  Medi-Serve and the Subsidiaries.
The Company and Medi-Serve will, subject to mutually  acceptable  conditions and
schedules,  permit Buyer (or its representatives) to meet with and interview the
employees and  representatives  of the Company,  Medi-Serve and the Subsidiaries
that are responsible for the responses to, or have  information with respect to,
the questions set forth on the  Questionnaire.  Notwithstanding  anything to the
contrary contained in this Section 7.1(a),  none of the Company,  Medi-Serve and
the Subsidiaries  shall be required to disclose or make available to Buyer prior
to Closing any  information if it reasonably  believes,  based on the opinion of
its legal counsel,  that the disclosure  thereof can not be made without waiving
the attorney/client privilege with respect thereto; provided,  however, that the
failure to disclose such information


                                       40



<PAGE>


by  reason  of this  sentence  shall  not be  deemed  to  limit  or  modify  any
representations  or warranties  of the Company,  Medi-Serve,  any  Subsidiary or
Shareholder.

             (B) In the event that this  Agreement is  terminated as provided in
Article XII. or otherwise, the Buyer shall return to the Shareholder any and all
copies of financial and operating data and other  information  and documents and
any and all other papers,  instruments  and things that have been provided by or
taken  from  the  Company,  Medi-Serve  and/or  any  of  the  Subsidiaries,  or,
alternatively, at the Shareholder's direction, such materials shall be destroyed
and the Buyer shall certify to the  Shareholder  that such  destruction has been
effected;  provided,  however,  Buyer  shall  be  entitled  to  retain  any such
information in connection  with any claims that have been asserted by or against
it in writing.

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

         8.1  CONDUCT OF  BUSINESS  PENDING  CLOSING.  Between  the date of this
Agreement and the Closing,  the Company and  Medi-Serve  shall,  and shall cause
each  Subsidiary to, maintain their existence and conduct their business in good
faith and in the customary and ordinary course of business  consistent with past
practice.

         8.2 NEGATIVE COVENANTS OF THE COMPANY AND MEDI-SERVE. Without the prior
written approval of Buyer, the Company and Medi-Serve shall not (and the Company
and Medi- Serve shall cause each Subsidiary not to), between the date hereof and
the Closing (or the earlier termination of this Agreement):

             (A)  cause or permit  to occur  any of the  events  or  occurrences
described in Section 5.20 (Absence of Certain Events) of this Agreement;

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

             (C) enter into any  contract or  agreement  with any union or other
collective bargaining  representative  representing any employees (provided that
the foregoing shall not prohibit the Company,  Medi-Serve or any Subsidiary from
negotiating  in good faith with any union to the extent  required by  applicable
Governmental  Requirements and Buyer shall not unreasonably withhold its consent
to any such contract or agreement);

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

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


                                       41


<PAGE>


             (F) perform,  take or fail to take any action or incur or permit to
exist any of the acts, transactions, events or occurrences of a type which would
have been  inconsistent with the  representations,  warranties and covenants set
forth in this Agreement had the same occurred prior to the date hereof; provided
however,  that the foregoing  shall not prohibit the Company,  Medi-Serve or any
Subsidiary  from acquiring or disposing of assets,  or incurring trade payables,
or entering  into  contracts  or taking any other action that is in the ordinary
course of  business  and  consistent  with past  practice  and all  Governmental
Requirements,  in each  case,  to the extent not  otherwise  prohibited  by this
Agreement;

             (G)  enter  into  any  agreement,  contract,  commitment,  lease or
instrument,  except for  agreements,  in each case which are entered into in the
ordinary  and  customary  course of business  with  unrelated  third  parties on
customary  terms and conditions and for customary  prices as disclosed to Buyer;
or

             (H) except as permitted pursuant to Section 12.1(b) below, take any
action that would prevent consummation of the transactions  contemplated by this
Agreement.

         8.3 AFFIRMATIVE COVENANTS. Between the date hereof and the Closing, the
Company and Medi-Serve shall (and shall cause each Subsidiary to):

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

             (B)  maintain in full force and effect all  Licenses  currently  in
effect with respect to its business;

             (C)  maintain in full force and effect the  insurance  policies and
binders currently in effect, or the replacements thereof;

             (D) use its  reasonable  efforts to  preserve  intact  the  present
business  organization  of the Company,  Medi-Serve and the  Subsidiaries;  keep
available  the  services of the  present  employees  and agents of the  Company,
Medi-Serve  and the  Subsidiaries;  and maintain the relations and goodwill with
suppliers, landlords, lessors, managed facility operators, employees, affiliated
medical  personnel  and any others  having  business  relating  to the  Company,
Medi-Serve or any Subsidiary;

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

             (F) comply in all  material  respects  with all  provisions  of the
Contracts and with any other material agreements that the Company, Medi-Serve or
any Subsidiary  enters into in the ordinary course of business after the date of
this Agreement,  and comply in all material  respects with the provisions of all
Governmental Requirements applicable to the business of the Company,  Medi-Serve
or any Subsidiary;


                                       42



<PAGE>


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

             (H) promptly  advise Buyer in writing of the threat or commencement
against the Company,  Medi-Serve or any Subsidiary of any claim, action, suit or
proceeding,   arbitration  or  investigation  or  any  other  event  that  could
materially adversely affect the operations,  properties,  assets or prospects of
the Company, Medi-Serve or any Subsidiary;

             (I) promptly  notify the Buyer in writing of the termination of any
material Contract; and

             (J)  promptly  notify  the Buyer in  writing  of any act,  event or
occurrence  that  constitutes,  or that will  constitute  on the Closing Date, a
breach by the  Company  or  Medi-Serve  of  Shareholder  of any  representation,
warranty or covenant made pursuant to this Agreement; and

             (K) promptly notify the Buyer in writing of any event involving the
Company,  Medi-Serve  or any  Subsidiary  which  has  had  or may be  reasonably
expected  to  have a  material  adverse  effect  on the  business  or  financial
condition of the Company,  Medi-Serve or any  Subsidiary or may involve the loss
of  relationships  with any of the customers of the Company,  Medi- Serve or any
Subsidiary.

         8.4 PURSUIT OF CONSENTS AND APPROVALS.

             (A) Prior to the  Closing,  the  Company and  Medi-Serve  shall use
their best  efforts to obtain all consents  and  approvals of all parties  other
than Governmental Authorities,  including without limitation,  any landlords and
mortgagees,   necessary  for  the  lawful   consummation  of  the   transactions
contemplated  hereby and the lawful use, occupancy and enjoyment of the business
of the Company,  Medi-Serve and the Subsidiaries by Buyer in accordance herewith
("REQUIRED NON-GOVERNMENTAL APPROVALS").  Buyer shall cooperate with and use its
commercially  reasonable  efforts to assist the  Company in  obtaining  all such
approvals.

             (B) Prior to the  Closing,  the Buyer shall use its best efforts to
obtain all consents and approvals of Governmental  Authorities necessary for the
lawful consummation of the transactions  contemplated hereby and the lawful use,
occupancy  and  enjoyment  of the business of the  Company,  Medi-Serve  and the
Subsidiaries by Buyer in accordance herewith ("REQUIRED GOVERNMENTAL APPROVALS",
and  together  with  the  Required  Non-Governmental  Approvals,  the  "REQUIRED
APPROVALS").  The Company,  Medi-Serve and Shareholder  shall cooperate with and
use its or his commercially  reasonable efforts to assist the Buyer in obtaining
all such approvals.

             (C) The Buyer,  on the one hand, and the Company on the other hand,
each shall bear fifty percent (50%) of the filing fees required  pursuant to the
H-S-R Act (as defined in Section 9.9).


                                       43


<PAGE>


             8.5 PURSUIT OF NONDISTURBANCE AGREEMENTS AND ESTOPPEL CERTIFICATES.
Prior to the Closing, the Company and Medi-Serve shall use their best efforts to
obtain nondisturbance agreements (the "NONDISTURBANCE AGREEMENTS") (on terms and
conditions reasonably satisfactory to Buyer) from all applicable mortgagees with
respect to all Leased  Facilities  that will be subject to  mortgages  after the
Closing, and to obtain estoppel certificates (the "ESTOPPEL  CERTIFICATES") from
all applicable  landlords,  and mortgagees with respect to all Leased Facilities
to the effect that there are no breaches of any  representations,  warranties or
covenants  under any of the Tenancy Leases,  Management  Agreements or mortgages
affecting  any of the Leased  Facilities.  Buyer shall  cooperate  to assist the
Company and Medi-Serve in obtaining all such approvals.

             8.6  SUPPLEMENTARY  FINANCIAL  INFORMATION.  Within forty-five (45)
days after the end of each calendar month between the date of this Agreement and
the Closing Date,  the Company and Medi-Serve  shall provide to Buyer  unaudited
financial  statements  (including at a minimum,  income statements and a balance
sheet for such month then ended  that shall  present  fairly the  results of the
operations of the Company, Medi-Serve and the Subsidiaries, on a combined basis,
at such date and for the period covered thereby, all in accordance with GAAP, in
each case, certified as true and correct by the Company's and Medi-Serve's chief
financial officers and the Shareholder.

             8.7  EXCLUSIVITY.  Until the  earlier  of the  Closing  Date or the
termination of this Agreement pursuant to Section 11.1, neither  Shareholder nor
the Company or Medi-Serve, nor any of their respective Affiliates, shall solicit
or entertain any offers or engage in any  discussions or  negotiations  or enter
into any  agreement or letter of intent  directly or  indirectly  with any other
party in respect of the sale of any capital stock of the Company,  Medi-Serve or
any Subsidiary or of substantially all of the assets of the Company,  Medi-Serve
or any Subsidiary,  or in respect of any merger,  consolidation or other sale of
the Company,  Medi-Serve (any of said transactions being referred to herein as a
"PROHIBITED TRANSACTION"). The Company or Medi-Serve shall promptly advise Buyer
of any offer or  solicitation  that it receives  for a  Prohibited  Transaction,
including,  without  limitation,  the name of the  person  making  such offer or
solicitation and the terms of such offer or solicitation.

             8.8 SURVEYS.  If Buyer shall have  received a standard  real estate
boundary and as built survey of any Magnolia  Facility or  Medi-Serve  Facility,
prepared  by a land  surveyor  licensed  in the  State  in which  such  Magnolia
Facility  or  Medi-Serve  Facility  is located  that  constitutes  a breach of a
representation  or  warranty,  then  such  breach  will  not be  subject  to the
indemnification  deductible  described in Section 11.6(b).  Nothing contained in
this  Section  8.8 will be  deemed  to limit  Buyer's  right to  terminate  this
Agreement for any reason including,  without limitation, the condition set forth
in Section 9.1 hereof.

             8.9 ZONING  REPORT.  If Buyer  shall  have  received  reports  from
qualified zoning inspectors  approved by Buyer with respect to the compliance of
any Medi-Serve Facility with all applicable zoning requirements that constitutes
a breach of a representation  or warranty,  then such breach will not be subject
to  the  indemnification


                                       44


<PAGE>

deductible described in Section 11.6(b).  Nothing contained in this Section 8.10
will be deemed to limit Buyer's right to terminate this Agreement for any reason
including, without limitation, the condition set forth in Section 9.1 hereof.

             ARTICLE IX: CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS
             -------------------------------------------------------

         Buyer's obligation to consummate the transactions  contemplated by this
Agreement is subject to the satisfaction, prior to or at the Closing, of each of
the following conditions,  any one or more of which may be waived by Buyer, with
any such waiver to be effective  only if in writing.  Upon failure of any of the
following  conditions,  Buyer may terminate  this  Agreement  pursuant to and in
accordance with Article XI herein.

         9.1 REPRESENTATIONS AND WARRANTIES.  The representations and warranties
of Company,  Medi-Serve and Shareholder made pursuant to this Agreement shall be
true and correct in all material  respects  (except  those  representations  and
warranties that are qualified by materiality, which shall be true and correct in
all respects) at and as of the Closing Date, as though such  representations and
warranties were made at and as of such time.

         9.2 PERFORMANCE OF COVENANTS.  Each of the Shareholder,  Medi-Serve and
the Company shall have performed or complied in all material respects with their
respective  agreements and covenants  required by this Agreement to be performed
or complied with by them prior to or at the Closing.

         9.3  DELIVERY  OF  CLOSING   CERTIFICATE.   Each  of  the  Shareholder,
Medi-Serve's  President  and the  Company's  President  shall have  executed and
delivered to Buyer a certificate  dated the Closing  Date,  upon which Buyer may
rely,  certifying  that the  conditions  contemplated  by  Sections  9.1 and 9.2
applicable to them have been satisfied.

         9.4 OPINIONS OF COUNSEL.  The Shareholder shall have delivered to Buyer
an opinion, dated the Closing Date, of its counsel, in the form and substance of
Exhibit 9.4. Said opinion shall be addressed to and may be relied upon by Buyer.

         9.5 LEGAL  MATTERS.  No  preliminary  or permanent  injunction or other
order (including a temporary  restraining  order) of any Governmental  Authority
which prohibits or prevents the consummation of the transactions contemplated by
this Agreement shall have been issued and remain in effect.

         9.6 AUTHORIZATION DOCUMENTS.  Buyer shall have received certificates of
the  Secretary or other officer of the Company and  Medi-Serve  certifying as of
the Closing  Date a copy of  resolutions  of each of their  Boards of  Directors
authorizing  the



                                       45



<PAGE>

execution and full  performance of this Agreement and the Transaction  Documents
and the incumbency of each of their officers.

         9.7 MATERIAL CHANGE.  Since the date hereof,  there shall not have been
any material  adverse  change in the  condition  (financial or otherwise) of the
assets, properties,  operations or prospects of the Company,  Medi-Serve and the
Subsidiaries, taken as a whole.

         9.8 REQUIRED APPROVALS.

             (A) Subject to Section 2.4 hereof,  all  Required  Approvals  shall
have been granted;

             (B) None of the foregoing consents or approvals (i) shall have been
conditioned upon the  modification,  cancellation or termination of any material
lease,  contract,  commitment,  agreement,  license,  easement,  right  or other
authorization  with  respect to the Business or any business of Buyer (or any of
its  subsidiaries  or  affiliates),  or  (ii)  shall  impose  on  Buyer  (or any
subsidiary  or  affiliate  of Buyer) any  material  condition  or  provision  or
requirement  with  respect  to the  Business  or any  business  of  Buyer or the
respective operation thereof that is more restrictive than or different from the
conditions imposed upon such operation prior to Closing.

         9.9  HART-SCOTT  RODINO ACT. All applicable  waiting  periods under the
Hart-  Scott-Rodino  Antitrust  Improvements Act of 1976 (the "H-S-R ACT") shall
have expired or been  terminated,  and no action shall have been taken or formal
protest made by the United  States  Department  of Justice or the Federal  Trade
Commission  or  any  other  person  or  entity  to  prohibit  the   transactions
contemplated by this Agreement by reason of a claimed violation of any antitrust
laws. Without limiting the foregoing, no obligation arising out of the H-S-R Act
shall have been imposed on Buyer to divest any material  portion of its business
or to  restrict  any of its  business  conduct  by  reason  of the  transactions
contemplated by this Agreement.

         9.10 NON-COMPETITION  AGREEMENT.  Shareholder shall have entered into a
Non-  competition  Agreement  in the form and  substance of Exhibit 9.10 (each a
"NON-COMPETITION AGREEMENT"), for no further consideration, with Buyer, pursuant
to which  Shareholder shall agree that after the Closing Date for the period set
forth  below (the  "NON-COMPETE  PERIOD"),  Shareholder  will not,  directly  or
indirectly, for himself, or on behalf of any other person, firm, entity or other
enterprise,  be  employed  by, be an  officer,  director or manager of, act as a
consultant  for, be a partner in, have a proprietary  interest in, or loan money
to any person, enterprise,  partnership, limited liability company, association,
corporation,  joint  venture or other entity which is directly or  indirectly in
the  business of owning,  operating  or managing  any skilled  nursing  facility
business  or  institutional  pharmacy  business  located  in the  State of South
Carolina;  provided,  the provisions of this Section 9.10 shall not apply to the
Woodruff Facility;  and provided further,  the Shareholder shall be permitted to
(i) be an officer, director,  committee member or member of Spartanburg Regional
Medical  Foundation  from which the  Shareholder  receives no pecuniary  benefit
(other than

                                       46



<PAGE>

reimbursement of expenses),  (ii) be an officer,  director,  committee member or
member of the South Carolina Health Care  Association from which the Shareholder
receives no pecuniary benefit (other than reimbursement of expenses),  and (iii)
be an officer, director,  committee member or member of the American Health Care
Association from which the Shareholder receives no pecuniary benefit (other than
reimbursement of expenses). The Non-Competition Agreement shall not prohibit the
ownership of less than 2% of the issued and outstanding stock of any competitive
business  whose stock is listed on a national  securities  exchange or traded on
the NASDAQ  national  market system.  The  Non-Competition  Agreement also shall
contain confidentiality and non-solicitation provisions reasonably acceptable to
Buyer. The Non-Compete Period for Shareholder shall commence on the Closing Date
and end five (5) years from the Closing Date.

         9.11 COST AND EXPENSES.  The  Shareholder,  the Company and  Medi-Serve
shall  have  paid  (or  assumed  the  liability  with  respect  to) all of their
respective costs, fees and expenses (including without limitation,  filing fees,
transfer taxes, stamp taxes, legal fees and broker, audit and appraisal fees) in
connection with the transactions contemplated by this Agreement.

         9.12  CONSENTS.  The condition set forth in Section 2.4 shall have been
satisfied.

         9.13  CLOSING DATE  BALANCE  SHEET.  The  Shareholder,  Medi-Serve  and
Company shall have  furnished the Estimated  Closing Date Balance Sheet to Buyer
certified as required by Section 2.2(a) hereof.

         9.14  RESIGNATION  OF COMPANY AND  MEDI-SERVE  BOARDS OF DIRECTORS  AND
OFFICERS.  Each  director  and  officer  of the  Company,  Medi-Serve  and  each
Subsidiary  shall have submitted his or her resignation to be effective no later
than the Closing Date.

         9.15  ESTIMATED  CLOSING  DATE LONG  TERM  LIABILITIES.  The  long-term
liabilities of the Company,  Medi-Serve and the Subsidiaries on a combined basis
as set forth on the  Estimated  Closing  Date  Balance  Sheet  shall not  exceed
$2,400,000.

         9.16 INTENTIONALLY DELETED.

         9.17  WOODRUFF  FACILITY.  The Woodruff  Facility  shall be leased to a
subsidiary of Magnolia pursuant to a "triple-net"  lease with a term of at least
25 years,  with  annual  base rent of  $330,000  per year  (subject to annual 2%
escalations), and otherwise with terms and conditions reasonably satisfactory to
Buyer.

         9.18 SHAREHOLDER SETTLEMENTS.  All accounts receivable or other amounts
due from,  and all  current  or other  liabilities  due to,  Shareholder  or any
Affiliate of Shareholder shall be settled immediately prior to Closing.


                                       47


<PAGE>


         9.19 ESCROW  AGREEMENT.  The Escrow  Agreement shall have been executed
and delivered by each party thereto other than the Buyer.

         9.20 IHS STOCK  PRICE.  The closing NYSE price of IHS Stock on the last
trading day prior to the Closing Date shall not be less than $10.

         9.21 SECTION 338(H)(10) ELECTION. All of the parties shall cooperate to
cause Medi- Serve to elect under Section 338(h)(10) of the Internal Revenue Code
of 1986 (as amended) (and any comparable  election under state or local tax law)
with respect to the Medi-Serve Merger.

         9.22 ARTICLES OF MERGER. Each of the Articles of Merger shall have been
filed under, and accepted by the South Carolina Secretary of State.

         9.23 OTHER DOCUMENTS.

             (A) The  Shareholder,  Medi-Serve  and Company shall have furnished
Buyer with all other documents,  certificates and other instruments  required to
be furnished to Buyer by the Shareholder, Medi-Serve and Company pursuant to the
terms hereof,  including,  without  limitation,  the  Undertaking  and all stock
certificates evidencing the Subject Shares.

             (B) The  Shareholder  shall also have  delivered to Buyer the stock
certificates  representing  all of the issued and outstanding  shares of capital
stock of each Subsidiary, which stock certificates need not be endorsed in blank
or accompanied by stock powers.

          ARTICLE X: CONDITIONS PRECEDENT TO SHAREHOLDER'S OBLIGATIONS
          ------------------------------------------------------------

         The  obligation  of the  Shareholder  to  consummate  the  transactions
contemplated  by this Agreement is subject to the  satisfaction,  prior to or at
the Closing, of each of the following  conditions,  any one or more of which may
be waived  by  Shareholder,  with any such  waiver  to be  effective  only if in
writing.  Upon  failure  of any of the  following  conditions,  Shareholder  may
terminate this Agreement pursuant to and in accordance with Article XII herein.

         10.1 REPRESENTATIONS AND WARRANTIES. The representations and warranties
of Buyer  made  pursuant  to this  Agreement  shall be true and  correct  in all
material  respects  (except  those   representations  and  warranties  that  are
qualified by  materiality,  which shall be true and correct in all  respects) at
and as of the Closing Date as though such  representations  and warranties  were
made at and as of such time.

         10.2  PERFORMANCE OF COVENANTS.  Buyer shall have performed or complied
in all material  respects with each of its agreements and covenants  required by
this  Agreement  to be  performed  or  complied  with by it  prior  to or at the
Closing.

         10.3  DELIVERY OF CLOSING  CERTIFICATE.  Buyer shall have  delivered to
Shareholder  a  certificate  of an officer of Buyer dated the Closing  Date upon
which



                                       48


<PAGE>


Shareholder  may rely,  certifying that the statements made in Sections 10.1 and
10.2 are true, correct and complete as of the Closing Date.

         10.4 OPINION OF COUNSEL.  Buyer shall have  delivered to Shareholder an
opinion,  dated the Closing Date,  of its counsel,  in the form and substance of
Exhibit 10.4.

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

         10.6  AUTHORIZATION  DOCUMENTS.   Shareholder  shall  have  received  a
certificate  of the  Secretary  or other  officer of Buyer  certifying a copy of
resolutions of the Board of Directors of Buyer,  Newco 1 and Newco 2 authorizing
Buyer's,  Newco  1's and  Newco  2's  execution  and  full  performance  of this
Agreement and the  Transaction  Documents and the  incumbency of the officers of
Buyer, Newco 1 and Newco 2.

         10.7 HART-SCOTT RODINO ACT. All applicable  periods under the H-S-R Act
shall have  expired or been  terminated,  and no action shall have been taken or
formal  protest made by the United  States  Department of Justice or the Federal
Trade  Commission  or any other  person or entity to prohibit  the  transactions
contemplated by this Agreement by reason of a claimed violation of any antitrust
laws.

         10.8 INTENTIONALLY DELETED.

         10.9 ESCROW  AGREEMENT.  The Escrow  Agreement shall have been executed
and delivered by each party thereto other than the Shareholder.

         10.10 IHS STOCK PRICE.  The closing NYSE price of IHS Stock on the last
trading day prior to the Closing Date shall not be less than $10.

         10.11 OTHER DOCUMENTS.  Buyer shall have furnished Shareholder with all
documents,  certificates  and other  instruments  required  to be  furnished  to
Shareholder by Buyer pursuant to the terms hereof.

                    ARTICLE XI: SURVIVAL AND INDEMNIFICATION
                    ----------------------------------------

         11.1 SURVIVAL OF REPRESENTATIONS  AND WARRANTIES.  All  representations
and  warranties  made by each party in this  Agreement  and in each Schedule and
Transaction  Document shall survive the Closing Date and for a period of two (2)
years after the Closing notwithstanding any investigation at any time made by or
on behalf of the other party,  provided that the  representations and warranties
contained in


                                       49



<PAGE>

Sections  5.22  (relating  to  Tax  matters),  5.24  (relating  to  Questionable
Payments),  and 5.25  (relating  to Medicare,  Medicaid and other  reimbursement
matters),  shall survive until thirty (30) days after the end of the  applicable
period of limitations for audits by the applicable  Governmental Authority shall
have expired,  the  representations  and  warranties  contained in Sections 5.26
(relating  to   capitalization)   shall  have  no  expiration   date,   and  the
representation  and  warranty  contained in Section 5.3 insofar as it relates to
the legality, validity, binding effect and enforceability of the Non-Competition
Agreement  shall  survive  for the term of the  Non-Competition  Agreement.  All
representations and warranties related to any claim asserted in writing prior to
the  expiration of the applicable  survival  period shall survive (but only with
respect to such claim) until such claim shall be resolved and payment in respect
thereof, if any is owing, shall be made.

         11.2  INDEMNIFICATION BY SHAREHOLDER.  The Shareholder,  Medi-Serve and
the  Company  (subject to the  limitations  set forth in Section  14.11  hereof)
jointly  and  severally,  shall  indemnify  and  defend  Buyer  and  each of its
officers,  directors,  agents,  employees  and  advisors,  and their  respective
successors  and assigns  ("BUYER  INDEMNITEES")  and hold each of them  harmless
against and with  respect to any and all damage,  loss,  liability,  deficiency,
cost and expense (including, without limitation,  reasonable attorney's fees and
expenses) (all of the foregoing hereinafter  collectively referred to as "LOSS")
resulting from or arising out of the following:

             (A) any inaccuracy in any representation, or breach of any warranty
or  certification,  made by Shareholder,  Medi-Serve or the Company  pursuant to
this Agreement;

             (B) the  breach of any  covenant  or  undertaking  by  Shareholder,
Medi-Serve or the Company made pursuant to this Agreement;

             (C) any Prohibited Liability,  including,  without limitation,  any
Reimbursement Liabilities;

             (D) the  termination  of any Taylor  Lease  pursuant  to the Taylor
Litigation;

             (E)  any  action,  suit,  proceeding,  demand,  claim,  assessment,
judgment,  settlement (to the extent approved by the Shareholder,  such approval
not to be unreasonably withheld, delayed or conditioned), cost or legal or other
expense incident to any of the foregoing.

         11.3  INDEMNIFICATION  BY  BUYER.  Buyer  shall  indemnify  and  defend
Shareholder  and, if there shall not be a Closing,  Company and Medi-Serve,  and
hold them and their  respective  advisors and their  respective  successors  and
assigns  harmless against and with respect to any and all Loss resulting from or
arising out of:

             (A) any inaccuracy in any representation, or breach of any warranty
or certification, made by Buyer pursuant to this Agreement;


                                       50



<PAGE>

             (B) the  breach  of any  covenant  or  undertaking  by  Buyer  made
pursuant to this Agreement;

             (C)  any  Loss  resulting  solely  from  Buyer's  operation  of the
Business  after  the  Closing  Date and not  arising  out of any  breach  of any
representation  or  warranty  or  covenant  of  Shareholder,  Medi-Serve  or the
Company;

             (D) any amount paid after the Closing or payable,  in each case, by
reason of any obligation of the Company,  Medi-Serve or any of the  Subsidiaries
that is guaranteed by the  Shareholder or for which the Shareholder is otherwise
responsible,  which guarantee or other obligation  causing the Shareholder to be
responsible has not been terminated at or prior to the Closing Date, but in each
case only to the  extent  such  amount  paid or  payable  constitutes  Permitted
Liabilities; and

             (E)  any  action,  suit,  proceeding,  demand,  claim,  assessment,
judgment,  settlement (to the extent approved by Buyer,  such approval not to be
unreasonably withheld, delayed or conditioned),  cost or legal or other expenses
incident to any of the foregoing.

         11.4 ASSERTION OF CLAIMS. Any claims for indemnification  under Section
11.2(a) or 11.3(a) must be asserted by written notice on or prior to the date on
which such representation or warranty expires.

         11.5 CONTROL OF DEFENSE OF INDEMNIFICABLE CLAIMS.

             (A) (I) Buyer shall give  Shareholder  prompt  notice of each claim
for which it seeks indemnification. Failure to give such prompt notice shall not
relieve the Shareholder of his  indemnification  obligation,  provided that such
indemnification   obligation  shall  be  reduced  by  any  damages   Shareholder
demonstrates  he has  suffered  resulting  from a failure to give prompt  notice
hereunder.  The  Shareholder  shall be entitled to participate in the defense of
such claim.  If at any time the  Shareholder  acknowledges  in writing  that the
claim is fully  indemnifiable by him under this Agreement,  and, if requested by
Buyer,  post adequate bond or security (as to the foregoing,  the Buyer shall be
entitled to make such request only if Buyer reasonably believes that Shareholder
will  not  have  funds  available  to pay any  such  claim,  after  taking  into
consideration  any amounts  held in  escrow),  he shall have the right to assume
control of the defense of such claim at his own expense. If the Shareholder does
assume control of the defense of any such claim,  the Buyer agrees not to settle
such claim without the written consent of the  Shareholder,  which consent shall
not be unreasonably withheld, delayed or conditioned.  Nothing contained in this
Section 11.5 shall  prevent  either party from  assuming  control of the defense
and/or  settling any claim  against it for which  indemnification  is not sought
under this Agreement.

                 (II)  Notwithstanding  the  foregoing  in clause  (i), if there
shall be any claim for any Reimbursement Liability or tax liability,  Buyer will
diligently


                                       51



<PAGE>


and in good faith  contest or appeal such claim using at least the same standard
of care as it would apply to contests or appeals with  respect to  reimbursement
liabilities or tax  liabilities in general.  Buyer may, in its sole and absolute
discretion,  at any time  discontinue  any such  contest or appeal  prior to the
final  determination  thereof after all  administrative  appeals shall have been
taken (a "FINAL  DETERMINATION");  provided,  however,  that if Buyer intends to
discontinue any such appeal or contest prior to Final Determination,  then Buyer
must provide Shareholder with reasonable prior written notice of such intent and
of the current status of the appeal or contest, and upon request of Shareholder,
Buyer shall assign to the  Shareholder  all of its right,  title and interest to
contest and appeal such  Reimbursement  Liability or tax  liability on behalf of
and in the name of Buyer; it being understood,  however,  that any recovery with
respect to any such  Reimbursement  Liability or tax  liability  shall belong to
Buyer.  Buyer  may,  in its sole  discretion,  elect not to so assign any of its
right, title and interest to contest and appeal any such Reimbursement Liability
or tax liability,  in which case,  Buyer shall not be entitled to be indemnified
by the  Shareholder  with respect to the  otherwise  appealable  or  contestable
portion thereof.

             (B) The Shareholder  shall give Buyer prompt written notice of each
claim for which Shareholder seeks  indemnification.  Failure to give such prompt
notice shall not relieve the Buyer of its indemnification  obligation,  provided
that such  indemnification  obligation  shall be  reduced by any  damages  Buyer
demonstrates  it has  suffered  resulting  from a failure to give prompt  notice
hereunder.  The Buyer shall be entitled  to  participate  in the defense of such
claim.  If at any time Buyer  acknowledges  in  writing  that the claim is fully
indemnifiable by it under this Agreement, and, if requested by Shareholder, post
adequate  bond of  security  (as to the  foregoing,  the  Shareholder  shall  be
entitled to make such request only if Shareholder reasonably believes that Buyer
will not have funds available to pay any such claim), it shall have the right to
assume  control of the  defense of such claim at its own  expense.  If the Buyer
assumes  control of the defense of any such  claim,  the  Shareholder  shall not
settle such claim without the written consent of the Buyer,  which consent shall
not be unreasonably withheld, delayed or conditioned.  Nothing contained in this
Section 11.5 shall  prevent  either  party from  assuming  total  control of the
defense and/or  settling any claim against it for which  indemnification  is not
sought under this Agreement.

         11.6 LIMITATIONS ON INDEMNIFICATION OBLIGATIONS.

             (A)  Notwithstanding  any other  provision of this  Agreement,  the
aggregate indemnification  obligations of the Shareholder,  on the one hand, and
Buyer, on the other hand, shall not exceed $16,000,000.

             (B)  Notwithstanding  any other provision of this Agreement,  after
the Closing,  the  Shareholder,  on the one hand, and Buyer,  on the other hand,
shall not have any obligation to indemnify the other party hereto for any Losses
incurred by it or them unless,  until and to the extent the aggregate  amount of
such Losses equals or exceeds $250,000;  provided,  however,  that the foregoing
shall not  apply  to:  (i) any  obligations  with  respect  to  payments  of, or
adjustments  to, the Magnolia  Base Amount (and,  correspondingly,  the Magnolia
Merger Consideration) under Article II above, (ii)


                                       52


<PAGE>


claims made by Buyer pursuant to Sections  11.2(b) or (c) above,  or claims made
by Shareholder under Section 11.3 (d), above, or (iii) claims arising out of any
breach of the representations and warranties  contained in Section 5.26, Section
5.11(f) or Section 5.21(b) or described in Sections 8.8 and 8.9.

             (C)  Upon  payment  in  full  by  an  indemnifying   party  of  any
indemnification  claim, whether such payment is effected by setoff or otherwise,
or upon  the  payment  in full by an  indemnifying  party of any  judgment  with
respect to a third-party  claim, the  indemnifying  party shall be subrogated to
the extent of such payment to the rights of the  indemnified  party  against any
insurance  carrier,   workmens'  compensation  fund,  title  insurance  carrier,
engineers, surveyors, environmental inspectors, and zoning experts.

         11.7  WARN  ACT  LIABILITY.  In  reliance  on the  representations  and
warranties of the Company,  Medi-Serve and the Shareholder made pursuant to this
Agreement,  Buyer  agrees to  assume  any  liability  arising  under the  Worker
Adjustment and Retraining  Notification  Act (the "WARN ACT") out of any failure
to give  any  required  notices  to  appropriate  persons  with  respect  to any
employment  loss that may arise as a result of the  termination  by Buyer of the
employment  of  any  employees  of  the  Company,   Medi-Serve  or  any  of  the
Subsidiaries  following  the  Closing  Date,  except  to  the  extent  that  any
notifications are required by reason of actions taken by the Company, Medi-Serve
or any Subsidiary prior to the Closing Date.

         11.8 CERTAIN WAIVERS.  Effective as of the Closing,  Shareholder hereby
knowingly  waives any claims  that he may have  against  Premiere  or any of its
subsidiaries on or prior to Closing arising out of the transactions contemplated
by this Agreement or the Premiere Stock Purchase Agreement.

                            ARTICLE XII: TERMINATION
                            ------------------------

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

             (A) Buyer,  if any condition  precedent to the obligations of Buyer
under this Agreement, including without limitation those conditions set forth in
Article IX hereof,  have not been  satisfied  by the Closing Date or pursuant to
Section 13.1, or otherwise as expressly provided in this Agreement;

             (B) Shareholder,  if any condition  precedent to the obligations of
the Shareholder  hereunder,  including  without  limitation those conditions set
forth in Article X hereof,  have not been  satisfied  by the  Closing  Date,  or
otherwise as expressly provided in this Agreement;

             (C) the mutual consent of Buyer and Shareholder;

             (D) Shareholder, as provided in Section 2.4, hereof.


                                       53



<PAGE>


         12.2  EFFECT  OF  TERMINATION.  If a party  terminates  this  Agreement
because  one of its  conditions  precedent  has not been  fulfilled,  or if this
Agreement is terminated by mutual consent,  this Agreement shall become null and
void without any liability of any party to the other; provided, however, that if
such  termination  is by  reason  of  the  breach  by  any  party  of any of its
representations, warranties or obligations under this Agreement, the other party
shall be  entitled  to be  indemnified  for any Losses  incurred by it by reason
thereof in accordance with Section 11.2 or 11.3, as the case may be, hereof (and
for such  purposes  such Section 11.2 or 11.3, as the case may be, shall survive
the termination of this  Agreement).  Furthermore,  nothing in this Section 12.2
shall affect  Buyer's right to specific  performance  of the  obligations of the
Shareholder at Closing hereunder.

                      ARTICLE XIII: CASUALTY, RISK OF LOSS
                      ------------------------------------

         13.1  CASUALTY,  RISK OF LOSS.  Shareholder  shall bear the risk of all
loss or damage to any of the Assets  from all causes  which  occur  prior to the
Closing.  If at any time prior to the  Closing  any of the Assets are damaged or
destroyed as a result of fire,  other casualty or for any reason  whatsoever and
such will likely have a material  adverse  effect on the  operation or financial
condition of the Company and  Medi-Serve,  taken as a whole,  Shareholder  shall
immediately  give notice  thereof to Buyer.  Buyer shall have the right,  in its
sole and absolute discretion, within ten (10) days of receipt of such notice, to
(1) elect not to proceed with the Closing and terminate this  Agreement,  or (2)
proceed to Closing  and  consummate  the  transactions  contemplated  hereby and
receive any and all  insurance  proceeds  received or receivable by the Company,
Medi-Serve,  any  Subsidiary or Shareholder on account of any such casualty (and
such insurance  proceeds shall not be included as current assets for purposes of
determining  Closing Date Working  Capital).  Nothing  contained in this Section
13.1  shall   limit  or   adversely   affect  the  right  of  Buyer  to  receive
indemnification  for any  Losses  incurred  by it by  reason  of any  breach  by
Shareholder,  Medi-Serve  or the  Company  of any  representation,  warranty  or
obligation  under this Agreement in accordance with Section 11.2 hereof (and for
such  purposes  such  Section  11.2  shall  survive  the   termination  of  this
Agreement).

                           ARTICLE XIV: MISCELLANEOUS
                           --------------------------

         14.1 PERFORMANCE.  In the event of a breach by Shareholder,  Medi-Serve
or the Company of its obligations hereunder,  the Buyer shall have the right, in
addition  to any other  remedies  which  may be  available,  to obtain  specific
performance  of the terms of this  Agreement,  and the  breaching  party  hereby
waives the defense that there may be an adequate remedy at law.

         14.2 BENEFIT AND  ASSIGNMENT.  This  Agreement  binds and inures to the
benefit of each party hereto and its  successors  and proper  assigns.  Prior to
Closing,  Shareholder,  the Company,  Medi-Serve  and Buyer may not assign their
respective


                                       54



<PAGE>

interests  under this  Agreement to any other person or entity without the prior
written consent of the other parties hereto;  provided,  however, that Buyer may
assign its rights,  duties and obligations hereunder to one or more subsidiaries
or  affiliates  of Buyer;  and  further  provided  that in the  instance of such
assignment  Buyer  shall  remain  responsible  for  consummating  the Closing as
provided  in this  Agreement  and shall  remain  liable as to any and all of its
duties and  obligations  under this Agreement (such  responsibility  to include,
without  limitation,  delivery  of IHS  Stock  (and not the  stock of any  other
entity) as provided herein).  Buyer shall be entitled to assign its rights under
this Agreement after the Closing.

         14.3 EFFECT AND CONSTRUCTION OF THIS AGREEMENT.  This Agreement and the
Exhibits and Schedules hereto embody the entire  agreement and  understanding of
the  parties  and  supersede  any and all  prior  agreements,  arrangements  and
understandings relating to matters provided for herein;  provided,  however that
any  confidentiality  agreements  among  the  parties  shall  survive  until the
Closing,  at which time they shall  terminate  except to the extent  provided in
this Agreement.  The captions used herein are for convenience only and shall not
control  or  affect  the  meaning  or  construction  of the  provisions  of this
Agreement.  This Agreement may be executed in one or more counterparts,  and all
such counterparts shall constitute one and the same agreement.

         14.4 COOPERATION - FURTHER  ASSISTANCE.  From time to time, as and when
reasonably  requested by any party hereto after the Closing,  the other  parties
will (at the expense of the requesting  party) execute and deliver,  or cause to
be executed and delivered, all such documents, instruments and consents and will
use reasonable efforts to take all such action as may be reasonably necessary to
carry out the intent and purposes of this Agreement.

         14.5 NOTICES.  All notices required or permitted  hereunder shall be in
writing and shall be deemed to be properly  given when  personally  delivered to
the party or parties  entitled to receive the notice or three (3) business  days
after sent by certified or registered mail, postage prepaid,  or on the business
day  after  sent by  nationally  recognized  overnight  courier,  in each  case,
properly  addressed  to the party or parties  entitled to receive such notice at
the address stated below:

If to the Company, Medi-Serve
or Shareholder at:               Terry L. Cash
                                 630 Henderson Road
                                 Chesnee, SC 29323

with a copy to:                  Jonathan Lowe, Esq.
                                 Alston & Bird LLP
                                 One Atlantic Center
                                 1201 West Peachtree Street
                                 Atlanta, GA 30309-3424

If to the Buyer, Newco 1


                                       55


<PAGE>



or Newco 2:                      Integrated Health Services, Inc.
                                 10065 Red Run Boulevard
                                 Owings Mills, MD  21117
                                 Attn:  Elizabeth B. Kelly,
                                        Executive Vice President

                                         and

with a copy to:                  Integrated Health Services, Inc.
                                 10065 Red Run Boulevard
                                 Owings Mills, MD 21117
                                 Attn: Marshall A. Elkins, General Counsel

                                         and

                                 Blass & Driggs, Esqs.
                                 461 Fifth Avenue, 19th Floor
                                 New York, NY  10017
                                 Attention: Andrew S. Bogen

         14.6 WAIVER,  DISCHARGE,  ETC.  This  Agreement  shall not be released,
discharged,  abandoned,  changed  or  modified  in  any  manner,  except  by  an
instrument in writing  executed by or on behalf of each of the parties hereto by
their duly  authorized  officer or  representative.  The failure of any party to
enforce at any time any of the provisions of this  Agreement  shall in no way be
construed  to be a waiver of any such  provision,  nor in any way to affect  the
validity  of this  Agreement  or any  part  hereof  or the  right  of any  party
thereafter to enforce each and every such provision.  No waiver of any breach of
this Agreement shall be held to be a waiver of any other or subsequent breach.

         14.7 RIGHTS OF PERSONS NOT PARTIES.  Except as expressly  provided with
respect to indemnification  rights, nothing contained in this Agreement shall be
deemed to create rights in persons not parties hereto, other than the successors
and proper assigns of the parties hereto.

         14.8 GOVERNING  LAW. This Agreement  shall be governed by and construed
in accordance  with the laws of the State of South  Carolina,  disregarding  any
contrary rules relating to the choice or conflict of laws.

         14.9  AMENDMENTS,  SUPPLEMENTS,  ETC.  At any time  before or after the
execution and delivery of this Agreement by the parties  hereto,  this Agreement
may  be  amended  or   supplemented  by  additional   agreements,   articles  or
certificates,  as may be mutually  determined  by the  parties to be  necessary,
appropriate or desirable to further the purposes of this  Agreement,  to clarify
the intention of the parties, or to add to or to modify the covenants,  terms or
conditions  hereof or thereof.  The  parties  hereto  shall make such  technical
changes to this Agreement,  not inconsistent with the purposes hereof, as may be
required to effect or facilitate any governmental approval or acceptance of this
Agreement or to effect or facilitate any filing or recording required


                                       56



<PAGE>

for the  consummation of any portion of the  transactions  contemplated  hereby.
This  Agreement may not be amended  except by an instrument in writing signed by
each of the parties.

         14.10 SEVERABILITY.  Any provision,  or distinguishable  portion of any
provision,   of  this   Agreement   which  is  determined  in  any  judicial  or
administrative  proceeding to be prohibited or unenforceable in any jurisdiction
shall,  as to such  jurisdiction  only,  be  ineffective  to the  extent of such
prohibition or unenforceability  without  invalidating the remaining  provisions
hereof, and any such prohibition or  unenforceability  in any jurisdiction shall
not invalidate or render unenforceable such provision in any other jurisdiction.
To the extent  permitted by  applicable  law, the parties waive any provision of
law which renders a provision hereof prohibited or unenforceable in any respect.

         14.11 JOINT AND SEVERAL. The Shareholder,  Medi-Serve and Company shall
be jointly and  severally  (unless  there shall be a Closing,  in which case the
Company and Medi-Serve shall have no liability under this Agreement)  liable for
all  representations,  warranties  and covenants made by any of them pursuant to
this  Agreement.  After  the  Closing,  Shareholder  shall not have any right of
contribution  or indemnity  from the Company or Medi-Serve or any Subsidiary and
no right of  subrogation  to proceed  against the Company or  Medi-Serve  or any
Subsidiary  with respect to any of the foregoing or otherwise.  For all purposes
of this Agreement, any reference to the "knowledge" of the Company or Medi-Serve
or to  Company  or  Medi-Serve  having  received  "notice"  of any matter or any
similar   qualification  shall  be  deemed  to  include  the  knowledge  of  the
Shareholder,  directors,  facility  administrators,  directors  of nursing,  the
director  of  legal  affairs,  pharmacists  and the  executive  officers  of the
Company, Medi-Serve or any Subsidiary or notices to any of them, as the case may
be.

         14.12 RECORDS. On the Closing Date, Shareholder shall deliver, or cause
to be delivered,  to Buyer all records and files not then in Buyer's  possession
relating to the  operations of the Company and  Medi-Serve;  provided,  however,
that the Shareholder's  accountants and attorneys may retain duplicate copies of
the same; provided, further that such retention shall not relieve Shareholder of
any of his obligations under the Non-Competition Agreement.

         14.13  CERTAIN  COSTS.  The parties agree that the Buyer shall bear any
corporate  (Medi-Serve)  level cost relating to or arising out of the 338(h)(10)
election.  The parties agree that the Medi-Serve Merger  Consideration  shall be
allocated to Medi-Serve's assets on the Closing Date Balance Sheet in accordance
with the  Federal  income  tax basis of such  assets,  and any  excess  shall be
allocated to goodwill.

                            [SIGNATURES ON NEXT PAGE]



                                       57


<PAGE>



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

                                     COMPANY:

                                     THE MAGNOLIA GROUP, INC.

                                     By:
                                        ----------------------------------------
                                     Its:
                                         ---------------------------------------

                                     SHAREHOLDER:



                                     -------------------------------------------
                                     Terry L. Cash

                                     MEDI-SERVE:

                                     MEDI-SERVE, INC.

                                     By:
                                        ----------------------------------------
                                     Its:
                                         ---------------------------------------

                                     BUYER:

                                     INTEGRATED HEALTH SERVICES, INC.



                                     By:
                                        ----------------------------------------
                                     ------------------------------------------,
                                     Executive Vice President

                                     IHS ACQUISITION NO. 35, INC.



                                     By:
                                        ----------------------------------------
                                     ------------------------------------------,
                                     Executive Vice President

                                     IHS ACQUISITION NO. 36, INC.



                                     By:
                                        ----------------------------------------
                                     ------------------------------------------,
                                     Executive Vice President



<PAGE>



                             INDEX OF DEFINED TERMS

<TABLE>
<CAPTION>

<S>                                                                  <C>
"ACTUAL LONG-TERM LIABILITIES" ..................................... shall have the meaning as set forth in Section 2.2(a)(iii).
"ACTUAL WORKING CAPITAL".............................................shall have the meaning as set forth in Section 2.2(a)(iii).
"ADJUSTED MARKET VALUE PER ADDITIONAL IHS SHARE".....................shall have the meaning as set forth in Section 3.1(l).
"ADJUSTED NOTICE" .................................................. shall have the meaning as set forth in Section 3.1(l).
"AFFILIATE"..........................................................shall have the meaning as set forth in Section 5.18.
"ANGELL".............................................................shall have the meaning as set forth in the Introduction hereto.
"AGREEMENT"..........................................................shall have the meaning as set forth in the Introduction hereto.
"ANGELL".............................................................shall have the meaning as set forth in the Introduction hereto.
"ANGELL GROUP".......................................................shall have the meaning as set forth in the Introduction hereto.
"ANGELL GROUP NOTES".................................................shall have the meaning as set forth in the Introduction hereto.
"ANGELL OPTIONS".....................................................shall have the meaning as set forth in the Introduction hereto.
"ANGELL SHARES"......................................................shall have the meaning as set forth in the Introduction hereto.
"ARBITRATING ACCOUNTANTS" .......................................... shall have the meaning as set forth in Section 2.2(iv).
"ARTICLES OF MERGER".................................................shall have the meaning as set forth in Section 1.1.
"ASSETS".............................................................shall have the meaning as set forth in Section 2.3(a).
"APPLICABLE VALUATION DATE" ........................................ shall have the meaning as set forth in Section 3.1(a).
"BALANCE SHEET" .................................................... shall have the meaning as set forth in Section 5.8(b).
"BALANCE SHEET DATE" ............................................... shall have the meaning as set forth in Section 5.8(b).
"BISHOP LEASES" .................................................... shall have the meaning as set forth in Section 2.2(c).
"BROKER" ........................................................... shall have the meaning as set forth in Section 5.27.
"BUSINESS" ......................................................... shall have the meaning as set forth in Section 2.3(a).
"BUYER"..............................................................shall have the meaning as set forth in the Introduction hereto.
"BUYER'S INDEMNITEES" .............................................. shall have the meaning as set forth in Section 11.2.
"BUYER'S REVIEW" ................................................... shall have the meaning as set forth in Section 2.2(a)(iii).
"CARR FACILITIES"....................................................shall have the meaning as set forth in the Section 2.2(b).
"CARR/FOSTER LEASE" ................................................ shall have the meaning as set forth in Section 2.2(b).
"CASH NOTE" ........................................................ shall have the meaning as set forth in Section 2.1(e).
"CASH STOCK PLEDGE AGREEMENT" ...................................... shall have the meaning as set forth in Section 2.1(e).
"CATHCART"...........................................................shall have the meaning as set forth in the Introduction hereto.
"CATHCART SHARES"....................................................shall have the meaning as set forth in the Introduction hereto.
"CLOSING"............................................................shall have the meaning as set forth in Section 4.1.
"CLOSING DATE".......................................................shall have the meaning as set forth in Section 4.1.
"CLOSING DATE BALANCE SHEET" ....................................... shall have the meaning as set forth in Section 2.2(iii).
"COMPANY"............................................................shall have the meaning as set forth in the Introduction hereto.
"COMMISSION".........................................................shall have the meaning as set forth in Section 3.1(b).
"CONSENT CONTRACTS" ................................................ shall have the meaning as set forth in Section 2.4.
"CONTRACTS" ........................................................ shall have the meaning as set forth in Section 5.7.
"DADE COUNTY FACILITIES".............................................shall have the meaning as set forth in Section 2.2(e).
"DELAY PAYMENT NOTICE" ............................................. shall have the meaning as set forth in Section 2.2(iv).
"DESIGNATED CONTRACTS" ............................................. shall have the meaning as set forth in Section 2.4.
"EFFECTIVE DATE" ................................................... shall have the meaning as set forth in Section 3.1(l).
"EMPLOYMENT AGREEMENTS" ............................................ shall have the meaning as set forth in Section 9.16.
"ENVIRONMENTAL LAWS".................................................shall have the meaning as set forth in Section 5.21(b).
"ERISA"..............................................................shall have the meaning as set forth in Section 5.13.
"ESCROW DEPOSIT" ................................................... shall have the meaning as set forth in Section 2.1(c)(i).
"ESCROW INCOME" .................................................... shall have the meaning as set forth in Section 2.5(c).
"ESCROW INCOME"......................................................shall have the meaning as set forth in Section 2.5(c).
</TABLE>



<PAGE>


<TABLE>
<CAPTION>

<S>                                                                  <C>
"ESCROWEE" ..........................................................shall have the meaning as set forth in Section 2.1(a).
"ESTIMATED CLOSING DATE BALANCE SHEET"...............................shall have the meaning as set forth in Section 2.2(a)(ii).
"ESTIMATED CLOSING DATE WORKING CAPITAL".............................shall have the meaning as set forth in Section 2.2(a)(i)(A).
"ESTOPPEL CERTIFICATES"..............................................shall have the meaning as set forth in Section 8.5.
"EXCHANGE ACT".......................................................shall have the meaning as set forth in Section 3.1(e)(iv).
"FACILITIES".........................................................shall have the meaning as set forth in the Introduction hereto.
"FINAL DETERMINATION"................................................shall have the meaning as set forth in Section 11.5(a)(ii).
"FINANCIAL STATEMENTS"...............................................shall have the meaning as set forth in Section 5.8(a).
"FOSTER FACILITIES"..................................................shall have the meaning as set forth in Section 2.2(b).
"GAAP" ............................................................. shall have the meaning as set forth in Section 2.2(a)(ii).
"GOLDEN AGE/INMAN LEASES"............................................shall have the meaning as set forth in Section 2.7.
"GOVERNMENTAL AUTHORITIES" ..........................................shall have the meaning as set forth in Section 5.4.
"GOVERNING DOCUMENTS" ...............................................shall have the meaning as set forth in Section 5.1(b).
"GOVERNMENTAL REQUIREMENTS" .........................................shall have the meaning as set forth in Section 5.4.
"GROUP"..............................................................shall have the meaning as set forth in the Introduction hereto.
"GROUP MEMBER".......................................................shall have the meaning as set forth in the Introduction hereto.
"GROUP PARTICIPANT"..................................................shall have the meaning as set forth in the Introduction hereto.
"H-S-R ACT" .........................................................shall have the meaning as set forth in Section 9.9.
"INITIAL MARKET VALUE PER SHARE" ....................................shall have the meaning as set forth in Section 3.1(l).
"LEASES".............................................................shall have the meaning as set forth in Section 5.7(b)(ix)
"LEASED ASSETS" .....................................................shall have the meaning as set forth in Section 5.6.
"LICENSES" ..........................................................shall have the meaning as set forth in Section 5.10.
"LIENS" .............................................................shall have the meaning as set forth in Section 5.6(b).
"LOSS" ..............................................................shall have the meaning as set forth in Section 11.2.
"MAGNOLIA BASE AMOUNT"...............................................shall have the meaning as set forth in Section 2.1(a)(i).
"MAGNOLIA MERGER CONSIDERATION"......................................shall have the meaning as set forth in Section 2.1(a)(ii).
"MAGNOLIA MERGER CONSIDERATION PER SHARE"............................shall have the meaning as set forth in Section 2.1(a)(ii).
"MAGNOLIA FACILITIES"................................................shall have the meaning as set forth in the Introduction hereto.
"MAGNOLIA FACILITIES"................................................shall have the meaning as set forth in the Introduction hereto.
"MAGNOLIA MERGER CONSIDERATION PER SHARE"............................shall have the meaning as set forth in Section 2.1(ii).
"MAGNOLIA SHARES"....................................................shall have the meaning as set forth in the Introduction hereto.
"MAGNOLIA SHAREHOLDER"...............................................shall have the meaning as set forth in the Introduction hereto.
"MAJORITY PREMIERE SHARES"...........................................shall have the meaning as set forth in the Introduction hereto.
"MANAGED ASSETS" ....................................................shall have the meaning as set forth in Section 5.6.
"MANAGEMENT AGREEMENTS" .............................................shall have the meaning as set forth in Section 5.7(x).
"MEDI-SERVE".........................................................shall have the meaning as set forth in the Introduction hereto.
"MEDI-SERVE MERGER CONSIDERATION"....................................shall have the meaning as set forth in Section 2.1(a)(iii).
"MEDI-SERVE MERGER CONSIDERATION PER SHARE"..........................shall have the meaning as set forth in Section 2.1(a)(iii).
"MEDI-SERVE FACILITIES"..............................................shall have the meaning as set forth in the Introduction hereto
"MEDI-SERVE SHARES"..................................................shall have the meaning as set forth in the Introduction hereto.
"MERGERS"............................................................shall have the meaning as set forth in the Introduction hereto.
"MERGER CONSIDERATION"...............................................shall have the meaning as set forth in Section 2.1(a)(i).
"MERGER TIME"........................................................shall have the meaning as set forth in Section 1.2.
"MINORITY SHAREHOLDER"...............................................shall have the meaning as set forth in the Introduction hereto.
"MULTI-EMPLOYER ACT" ................................................shall have the meaning as set forth in Section 5.15.
</TABLE>


                                                                    


<PAGE>



<TABLE>
<CAPTION>

<S>                                                                  <C>
"NEW CASH MAGNOLIA/MEDI-SERVE SHARES" ...............................shall have the meaning as set forth in Section 2.1(e).
"NEWCO 1"............................................................shall have the meaning as set forth in the Introduction hereto.
"NEWCO 2"............................................................shall have the meaning as set forth in the Introduction hereto.
"NEW GREENVILLE FACILITY"............................................shall have the meaning as set forth in the Introduction hereto.
"NEW GREENVILLE LEASE"...............................................shall have the meaning as set forth in the Introduction hereto.
"NON-COMPETITION AGREEMENT" .........................................shall have the meaning as set forth in Section 9.10.
"NON-COMPETE PERIOD" ................................................shall have the meaning as set forth in Section 9.10.
"NON-DISTURBANCE AGREEMENTS".........................................shall have the meaning as set forth in Section 8.5.
"NYSE"...............................................................shall have the meaning as set forth in Section 3.1(a).
"OPERATIONS TRANSFER AGREEMENT" .....................................shall have the meaning as set forth in Section 2.2(e).
"OWNED ASSETS" ......................................................shall have the meaning as set forth in Section 5.6.
"OWNED FACILITY".....................................................shall have the meaning as set forth in Section 5.11(b).
"PERMITTED LIABILITIES" .............................................shall have the meaning as set forth in Section 2.3(b).
"PLAN OF MERGER".....................................................shall have the meaning as set forth in Section 1.1.
"PLEDGED SHARES".....................................................shall have the meaning as set forth in the Introduction hereto.
"PREMIERE"...........................................................shall have the meaning as set forth in the Introduction hereto.
"PREMIERE MANAGED FACILITIES"........................................shall have the meaning as set forth in the Introduction hereto.
"PREMIERE OWNED FACILITY"............................................shall have the meaning as set forth in the Introduction hereto.
"PREMIERE OPERATED FACILITIES".......................................shall have the meaning as set forth in the Introduction hereto.
"PREMIERE SHARES"....................................................shall have the meaning as set forth in the Introduction hereto.
"PREMIERE SHAREHOLDERS"..............................................shall have the meaning as set forth in the Introduction hereto.
"PREMIERE MERGER AGREEMENT"..........................................shall have the meaning as set forth in the Introduction hereto.
"PRINCIPAL SHAREHOLDERS".............................................shall have the meaning as set forth in the Introduction hereto.
"PROHIBITED LIABILITIES" ............................................shall have the meaning as set forth in Section 2.3(b).
"PROHIBITED TRANSACTION" ............................................shall have the meaning as set forth in Section 8.7.
"PROPRIETARY RIGHTS" ................................................shall have the meaning as set forth in Section 5.6(a)(ii).
"PURCHASE PRICE" ....................................................shall have the meaning as set forth in Section 2.1(a).
"QUESTIONNAIRE" .....................................................shall have the meaning as set forth in Section 5.16.
"REIMBURSEMENT LIABILITIES" .........................................shall have the meaning as set forth in Section 2.3(b).
"REQUIRED APPROVALS".................................................shall have the meaning as set forth in Section 8.4(b).
"REQUIRED NON-GOVERNMENTAL APPROVALS"................................shall have the meaning as set forth in Section 8.4(a).
"REQUIRED GOVERNMENTAL APPROVALS"....................................shall have the meaning as set forth in Section 8.4(b).
"RULE 144"...........................................................shall have the meaning as set forth in Section 3.1(d).
"SCHM AGREEMENTS"....................................................shall have the meaning as set forth in Section 2.2(d).
"SEC" ...............................................................shall have the meaning as set forth in Section 6.4.
"SEC DOCUMENTS" .....................................................shall have the meaning as set forth in Section 6.4.
"SECURITIES ACT".....................................................shall have the meaning as set forth in Section 3.1(b).
"SHAREHOLDER"........................................................shall have the meaning as set forth in the Introduction hereto.
"SHAREHOLDER'S REPRESENTATIVE" ..................................... shall have the meaning as set forth in Section 2.2(g).
"SHELF REGISTRATION STATEMENT".......................................shall have the meaning as set forth in Section 3.1(b).
"SUBSIDIARY".........................................................shall have the meaning as set forth in Section 5.1(a).
"SUBJECT SHARES".....................................................shall have the meaning as set forth in the Introduction hereto.
"SURVIVING CORPORATION"..............................................shall have the meaning as set forth in Section 1.1.
"T. CASH SECURITY SHARES" ...........................................shall have the meaning as set forth in Section 2.2(e).
"TAXES" .............................................................shall have the meaning as set forth in Section 5.22.
"TAX RETURN".........................................................shall have the meaning as set forth in Section 5.22.
</TABLE>



<PAGE>


<TABLE>
<CAPTION>
<S>                                                                  <C>
"TAYLOR".............................................................shall have the meaning as set forth in Section 2.8.
"TAYLOR ESCROW AMOUNT"...............................................shall have the meaning as set forth in Section 2.8.
"TAYLOR LEASES"......................................................shall have the meaning as set forth in Section 2.8.
"TAYLOR LITIGATION"..................................................shall have the meaning as set forth in Section 2.8.
"TENANCY LEASES".....................................................shall have the meaning as set forth in Section 5.11(b).
"TITLE COMPANY"......................................................shall have the meaning as set forth in Section 8.11.
"TRANSACTION DOCUMENTS" .............................................shall have the meaning as set forth in Section 5.2.
"UNDERTAKING"........................................................shall have the meaning as set forth in Section 2.3(b).
"WARN ACT"...........................................................shall have the meaning as set forth in Section 11.7.
"WOODRUFF FACILITY"..................................................shall have the meaning as set forth in the Introduction hereto.
</TABLE>



<PAGE>



                                  



                                                                     EXHIBIT 2.5






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


                            ASSETS PURCHASE AGREEMENT

                           DATED AS OF MARCH 16, 1998

                                      AMONG

                     SYMPHONY DIAGNOSTIC SERVICES NO.1, INC.

                                       AND

                                 PAMELA REICHART

                                       AND

                        JERSEY SHORE PORTABLE X-RAY, INC.



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




<PAGE>



                                TABLE OF CONTENTS
<TABLE>
<CAPTION>
                                                                                PAGE
<S>                                                                              <C>
ARTICLE I:  SALE AND PURCHASE OF ASSETS...........................................1
     1.1     Sale and Purchase of Assets..........................................1
     1.2     Liabilities..........................................................2
     1.3     Designated Contracts.................................................2
     1.4     Accounts Receivable..................................................3
     1.5     Employees and Consultants............................................3

ARTICLE II:  PURCHASE PRICE.......................................................3
     2.1     Determination and Payment of Purchase Price..........................3
     2.2     Allocation...........................................................3

ARTICLE III: IHS STOCK............................................................4
     3.1     IHS Stock............................................................4

ARTICLE IV:  THE CLOSING..........................................................7
     4.1     Time and Place of Closing............................................7

ARTICLE V:  REPRESENTATIONS AND WARRANTIES OF THE COMPANY AND
     SHAREHOLDER..................................................................7
     5.1     Organization and Standing of the Company.............................7
     5.2     Absence of Conflicting Agreements....................................7
     5.3     Consents.............................................................8
     5.4     Capital Stock........................................................8
     5.5     Assets...............................................................8
     5.6     Trademarks...........................................................8
     5.7     Contracts............................................................8
     5.8     Customers...........................................................10
     5.9     Financial Statements................................................10
     5.10    Fee Schedules and Reimbursement.....................................10
     5.11    Material Changes....................................................10
     5.12    Licenses and Permits................................................10
     5.13    Title, Condition of Personal Property...............................11
     5.14    Legal Proceedings...................................................11
     5.15    Employees...........................................................11
     5.16    Collective Bargaining, Labor Contracts, Employment Practices, Etc...12
     5.17    ERISA...............................................................12
     5.18    Insurance and Surety Agreements.....................................13
     5.19    Relationships.......................................................13
     5.20    Absence of Certain Events...........................................13
     5.21    Compliance with Laws................................................14
     5.22    Finders.............................................................14
     5.23    Tax Returns.........................................................15
     5.24    Encumbrances Created by this Agreement..............................15
     5.25    Subsidiaries and Joint Ventures.....................................15
     5.26    Complete Disclosure.................................................15
     5.27    Books of Account; Records...........................................15
     5.28    Questionable Payments...............................................15
     5.29    Environmental Compliance............................................16
     5.30    Reimbursement Matters...............................................16
</TABLE>

                                       (i)


<PAGE>

<TABLE>
<CAPTION>
<S>                                                                              <C>
     5.31    Medicare/Medicaid Participation.....................................16
     5.32    Power and Authority.................................................16
     5.33    Capacity............................................................16
     5.34    Binding Effect......................................................16
     5.35    Questionnaires......................................................16

ARTICLE VI:  REPRESENTATIONS AND WARRANTIES OF SELLER............................17
     6.1     Authority...........................................................17
     6.2     Binding Effect......................................................17
     6.3     Absence of Conflicting Agreements...................................17
     6.4     Consents............................................................17
     6.5     Ownership of Company Stock..........................................17

ARTICLE VII:  REPRESENTATIONS AND WARRANTIES OF BUYER............................17
     7.1     Organization and Standing...........................................17
     7.2     Power and Authority.................................................17
     7.3     Binding Agreement...................................................18
     7.4     Absence of Conflicting Agreements...................................18
     7.5     Consents............................................................18
     7.6     Finders.............................................................18

ARTICLE VIII:  INFORMATION AND RECORDS CONCERNING THE COMPANY....................18
     8.1     Access to Information and Records before Closing....................18

ARTICLE IX:  OBLIGATIONS OF THE PARTIES UNTIL CLOSING............................19
     9.1     Conduct of Business Pending Closing.................................19
     9.2     Negative Covenants of the Company and its Subsidiaries..............19
     9.3     Affirmative Covenants...............................................19
     9.4     Pursuit of Consents and Approvals...................................20
     9.5     Exclusivity.........................................................20

ARTICLE X:  CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS..........................20
     10.1    Representations and Warranties......................................20
     10.2    Performance of Covenants............................................20
     10.3    Delivery of Closing Certificate.....................................20
     10.4    Opinion of Counsel..................................................21
     10.5    Legal Matters.......................................................21
     10.6    Authorization Documents.............................................21
     10.7    Material Change.....................................................21
     10.8    Approvals...........................................................21
     10.9    IRS Form 8594.......................................................21
     10.10   Insurance...........................................................21
     10.11   Good Standing Certificate...........................................21
     10.12   Bill of Sale and Assignment.........................................21
     10.13  Regulatory Matters...................................................21
     10.14  Title Matters........................................................22
     10.15  Leased Property......................................................22
     10.16  Sales Tax............................................................22
     10.17  Change of Name.......................................................22
     10.18  Consents.............................................................22
     10.19  Real Property Consents...............................................22
     10.20  Nursing Home Meetings................................................22
</TABLE>


                                      (ii)


<PAGE>

<TABLE>
<CAPTION>
<S>                                                                             <C>
      10.21  Patient Volume Summary..............................................22
      10.22  Board Approval......................................................22
      10.23  Other Documents.....................................................22

ARTICLE XI:  CONDITIONS PRECEDENT TO COMPANY'S OBLIGATIONS.......................22
      11.1   Representations and Warranties......................................23
      11.2   Performance of Covenants............................................23
      11.3   Delivery of Closing Certificate.....................................23
      11.4   Opinion of Counsel..................................................23
      11.5   Legal Matters.......................................................23
      11.6   Other Documents.....................................................23

ARTICLE XII:  OBLIGATIONS OF THE PARTIES AFTER CLOSING...........................23
      12.1   Survival of Representations and Warranties..........................23
      12.2   Indemnification by Shareholder and the Company......................23
      12.3   Indemnification by Buyer............................................24
      12.4   Control of Defense of Indemnifiable Claims..........................24
      12.5   Restrictions........................................................25
      12.6   Records.............................................................26
      12.7   Customer Transition.................................................26
      12.8   Exclusive Use.......................................................26

ARTICLE XIII:  TERMINATION.......................................................26
      13.1   Termination.........................................................26
      13.2   Effect of Termination...............................................26

ARTICLE XIV: CASUALTY, RISK OF LOSS..............................................27
      14.1   Casualty, Risk of Loss..............................................27

ARTICLE XV:  MISCELLANEOUS.......................................................27
      15.1   Costs and Expenses..................................................27
      15.2   Performance.........................................................27
      15.3   Binding Effect......................................................27
      15.4   Effect and Construction of this Agreement...........................27
      15.5   Cooperation - Further Assistance....................................27
      15.6   Notices.............................................................27
      15.7   Waiver, Discharge, Etc..............................................28
      15.8   Rights of Persons Not Parties.......................................28
      15.9   Governing Law.......................................................28
      15.10  Amendments, Supplements, Etc........................................28
      15.11  Severability........................................................29
      15.12  Counterparts........................................................29
      15.13  Arbitration.........................................................29
      15.14  Public Announcements................................................29
</TABLE>


                                      (iii)


<PAGE>



                              SCHEDULES & EXHIBITS
                              --------------------

Schedule 1.3               -      Designated Contracts
Schedule 5.3               -      Consent List of Company
Schedule 5.4               -      Capital Stock
Schedule 5.5               -      Fixed Assets
Schedule 5.6               -      Trademarks
Schedule 5.7               -      Contracts
Schedule 5.8               -      Customers
Schedule 5.9               -      Unaudited Financial Statements
Schedule 5.10              -      Fee Schedules
Schedule 5.11              -      Material Changes
Schedule 5.12              -      Licenses, Permits, Certificates of Need
Schedule 5.13(b)           -      Leases of Personal Property
Schedule 5.14              -      Legal Proceedings
Schedule 5.15              -      Employees
Schedule 5.17              -      Employment Benefit Plans; COBRA Benefits
Schedule 5.18              -      Insurance and Surety Agreements
Schedule 5.19              -      Relationships
Schedule 5.20              -      Absence of Certain Events
Schedule 5.21              -      Compliance with Laws
Schedule 5.23              -      Tax Returns
Schedule 5.25              -      Subsidiaries, Joint Ventures, etc.
Schedule 5.30              -      Reimbursement Matters
Schedule 6.5               -      Ownership of Company Stock

Exhibit 5.35               -      Questionnaire
Exhibit 10.3               -      Closing Certificate of Seller and the Company
Exhibit 10.4               -      Opinion of Seller's Counsel
Exhibit 10.12A             -      Bill of Sale
Exhibit 10.12B             -      Assignment and Assumption Agreement
Exhibit 11.3               -      Closing Certificate of Buyer
Exhibit 11.4               -      Opinion of Buyer's Counsel



                                      (iv)


<PAGE>



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

                            ASSETS PURCHASE AGREEMENT

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


         This Assets Purchase Agreement (the "Agreement") is made as of the 16th
day of March, 1998, among SYMPHONY  DIAGNOSTIC SERVICES NO.1, INC., a California
corporation  ("Buyer"),  PAMELA REICHART (the  "Shareholder"  or "Seller"),  and
JERSEY SHORE PORTABLE X-RAY, INC., a New Jersey corporation (the "Company").

         WHEREAS,  Buyer wishes to purchase certain of the Company's assets, and
the Company  wishes to sell such assets to Buyer,  in accordance  with the terms
and conditions hereinafter set forth.

         WHEREAS,  Shareholder  is the  sole  owner  of all  of the  issued  and
outstanding shares of the common stock of the Company and is willing to be bound
by  the  non-competition  provisions  of  this  Agreement  and  to  join  in the
representations and warranties of the Company hereunder; and

         NOW, THEREFORE,  for and in consideration of the foregoing premises and
the covenants and agreements  contained in this Agreement,  Shareholder,  Buyer,
and the Company, intending to be legally bound, agree as follows:

                     ARTICLE I: SALE AND PURCHASE OF ASSETS
                     --------------------------------------

         1.1 SALE AND PURCHASE OF ASSETS. Subject to the terms and conditions of
this  Agreement,  at the Closing (as hereinafter  defined),  Buyer shall acquire
from the Company,  and the Company  shall sell,  assign,  transfer and convey to
Buyer, free and clear of all liens,  claims and encumbrances,  all of the assets
of the Company,  including,  without limitation,  all contract rights, leasehold
interests,  fixed  and  moveable  equipment,   furnishings,   tangible  personal
property,  inventory and supplies,  goodwill,  trade names  (including  the name
"Jersey Shore Portable X-Ray" and any variations thereof),  trademarks,  patient
records and files, telephone numbers, all customer contracts between the Company
and any other  name  under  which the  business  of the  Company  is  conducted,
including  any  affiliate,  if  any,  and the  health  care  facilities  that it
services,  all of the Company's right, title and interest in and to the business
name "Jersey Shore  Portable  X-Ray" and any other name under which the business
of the Company is conducted,  and, to the extent  permitted by law, all permits,
licenses and other governmental approvals, as presently constituted and utilized
in the business of the Company (collectively,  the "Assets"),  but excluding (i)
all cash, whether on hand or in marketable  securities,  and accounts receivable
of the  Company  which  specifically  exist  prior  to the  Closing  Date,  (ii)
inventory and supplies  disposed of in the ordinary  course of business from the
date hereof  until  Closing,  and (iii) all  provider  agreements  and  provider
numbers with Medicare,  Medicaid, and third party payors. Buyer shall not accept
any  assignment  of the  Company's  or Seller's  provider  agreements,  provider
numbers or any assignment of any type or relationship with Medicare, Medicaid or
a third party payor.  Seller will change the Company's name to a name other than
Jersey Shore  Portable X-Ray and Seller will not change such name to a confusing
similar  name.  Notwithstanding  the  foregoing,  for a period  of up to six (6)
months following the Closing,  Seller shall be permitted to utilize the computer
included in the assets in connection with the billing and collection of Seller's
pre-Closing receivables.



<PAGE>


         1.2 LIABILITIES.

             (A) Buyer shall not assume any  liabilities  or  obligations of the
Company.  For purposes of this Agreement,  the term "Liability" means any claim,
lawsuit, liability, obligation or debt of any kind or nature whatsoever, whether
absolute, accrued, due, direct or indirect, contingent or liquidated, matured or
unmatured,  joint or several,  whether or not for a sum certain, whether for the
payment of money or for the  performance  or  observance  of any  obligation  or
condition,  and whether or not of a type which would be reflected as a liability
on a balance sheet  (including,  without  limitation,  federal,  state and local
taxes  of  any  nature)  in  accordance  with  generally   accepted   accounting
principles,  consistently applied ("GAAP"), including without limitation (i) the
full dollar amount of all of Company's  commitments and  contingencies  over the
remaining life of any leases, contracts or other obligations to which Company is
a party or subject as of the Closing Date; (ii)  malpractice  claims asserted by
patients or any other tort claims  asserted,  claims for breach of contract,  or
any claims of any kind  asserted by  patients,  former  patients,  employees  of
Company or any other party that are based on acts or  omissions  occurring on or
before the Closing Date; (iii) amounts due or that may become due to Medicare or
Medicaid or any other health care  reimbursement or payment  intermediary or any
carrier,  nursing home or other facility,  or other third party payor on account
of any health care reimbursement recapture, adjustment or overpayment whatsoever
with  respect  to  any  period  on  or  prior  to  the  Closing  Date   ("Excess
Reimbursement  Liabilities");  (iv) any accounts payable, or employment or other
taxes and any other obligation or liability of Company to pay money  whatsoever;
and  (v)  accrued  but  unpaid  compensation  or  other  benefits  to any of the
Company's  employees,   agents,  consultants  or  advisers,   including  accrued
vacation. Following the Closing Date, the Purchase Price (as defined below) will
be subject to  reduction  to any extent  that the Buyer  becomes  liable for the
payment of any Liability which arises from operation of the Company prior to the
Closing Date.

             (B)  Notwithstanding  the provisions of the  immediately  preceding
paragraph,  on  the  Closing  Date,  contingent  upon  the  consummation  of the
transactions  contemplated  hereby, Buyer shall assume those obligations arising
under the Designated  Contracts  specified  pursuant to Section 1.3, below,  and
assigned  by Company  to Buyer,  with  respect  to,  and only with  respect  to,
services to be  rendered or goods to be supplied to or benefits to be  conferred
upon Buyer solely after the Closing Date. Liabilities and obligations under such
Designated  Contracts that have accrued,  or the performance of which is due, on
or prior to the Closing Date,  and all  liabilities  and  obligations  under all
other  Contracts  or which are in  payment  or  consideration  for any  excluded
assets,  shall  remain the sole  responsibility  of Company and shall be paid or
performed on or prior to the Closing Date.

         1.3 DESIGNATED CONTRACTS.

             (A) As soon as  practicable  after the date  hereof but in no event
later than the day immediately  preceding the Closing Date,  Buyer shall deliver
notice in  writing  to  Company  designating  which,  if any,  of the  Contracts
(defined  herein) set forth on  Schedule  5.7 will be assigned to and assumed by
Buyer (the "Designated Contracts"). Such notice of designation will be set forth
on Schedule 1.3 to be attached hereto. If within said period of time Buyer fails
to so deliver notice to Company, Buyer will be deemed to have designated none of
the  Contracts  and Company will remain fully liable  thereunder.  To the extent
Buyer makes any such  designation  and subject to the rights of third parties to
any  assignment,  Company  shall at  Closing be  obligated  to assign all of its
right,  title and interest  under such Contracts to Buyer and Buyer shall assume
the  obligations  accruing after Closing under such  Designated  Contracts.  The
Company shall bring  current,  as of the Closing Date, all amounts due under the
Designated Contracts.  At the Closing, the Purchase Price shall be reduced by an
amount  equal to the  aggregate  amount due as of the  Closing  under all of the
Designated  Contracts  which are assumed by Buyer,  and such aggregate  withheld
amount shall be divided among and paid directly to the such Designated  Contract
vendors in accordance with the amounts owed to each of them.


                                       2



<PAGE>



             (B)  Notwithstanding  anything to the  contrary  contained  herein,
Buyer is not  assuming  and  will  not be  responsible  for any  liabilities  or
obligations under the Designated  Contracts  incurred on or occurring before the
Closing  Date;  all such  liabilities  and  obligations  remaining  the sole and
exclusive  responsibility of Company pursuant to Section 1.2 herein and shall be
paid or performed on or prior to the Closing Date.

             (C)  Immediately  after notice of the  designation  by Buyer of the
Designated  Contracts  to be  assigned  by  Company,  Company  will use its best
efforts  and shall  diligently  proceed to obtain any  consents  of any  parties
necessary to permit the  assignment of the  Designated  Contracts.  In the event
that any of the Designated Contracts are not assignable,  or the parties to such
Designated Contract fail or refuse to consent to any assignment on or before the
Closing  Date,  Buyer  shall have no  liability  to assume  any such  Designated
Contracts.

         1.4 ACCOUNTS RECEIVABLE.  The Assets to be purchased by Buyer shall not
include any  accounts  receivable  of the Company as in existence on the Closing
Date (the  "Closing Date  Receivables").  The Company and the  Shareholder  will
retain full  responsibility and expense for the collection and administration of
the Closing Date Receivables. In the event that the Buyer should receive payment
of any Closing Date  Receivables,  the proceeds thereof will be paid over to the
Company  within fifteen (15) days after receipt of same by Buyer.  Likewise,  if
the Company or the Shareholder should receive payment of any accounts receivable
of Buyer which arise out of the  operation of the Assets after the Closing Date,
the proceeds  thereof will be paid over to Buyer within  fifteen (15) days after
receipt of same by the Company or the Shareholder.

         1.5 EMPLOYEES AND  CONSULTANTS.  It is expressly  understood and agreed
that Buyer's purchase of the Assets does not involve any undertaking on the part
of Buyer to retain any of the employees or consultants of the Company,  although
the Buyer shall have the right to offer  employment  or  engagement  to any such
employees or consultants.  The Company and Seller shall remain fully responsible
for any severance, benefits, costs or liabilities arising out of the termination
by the Company of any of its  employees or  consultants.  The Company and Seller
shall also remain  fully  responsible  for any  benefits,  costs or  liabilities
incurred or accrued prior to Closing with respect to each employee or consultant
retained by Buyer.

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

         2.1 DETERMINATION AND PAYMENT OF PURCHASE PRICE.  Subject to adjustment
pursuant to Section 2.2 hereof, the aggregate purchase price to be paid by Buyer
to the  Company  for the Assets (the  "Purchase  Price") and the  aforementioned
non-competition agreement of the Company and Shareholder,  shall be FOUR HUNDRED
THOUSAND AND 00/100 DOLLARS ($400,000.00), payable to the Company by delivery of
newly issued shares of the Common Stock,  par value $.001, of Integrated  Health
Services, Inc. ("IHS"), the parent company of Buyer (the "IHS Stock").

         2.2 ALLOCATION.  The Purchase Price shall be allocated among the Assets
and  non-competition  agreement  for  all  accounting,  reimbursement,  and  tax
reporting purposes as follows:

             (A) $363,000 - customer lists, contracts,  goodwill, trademarks and
tradenames;

             (B) $10,000 - non-competition covenants set forth in Article XII;

             (C) $23,000 - equipment, materials, furnishings, and inventory; and


                                       3



<PAGE>


             (D) $4,000 - motor vehicles.


                             ARTICLE III: IHS STOCK
                             ----------------------

         3.1 IHS STOCK.  The entire  Purchase Price shall be payable by means of
the delivery to the Company of IHS Stock in accordance with the following:

             (A) SHARE  VALUE.  The  number of shares of IHS Stock  issuable  at
Closing pursuant to Section 2.1 shall be calculated based upon a price per share
of such  stock  equal to the  average  closing  NYSE price of such stock for the
thirty (30) trading day period  immediately  preceding the date which is two (2)
trading days before the Closing Date.

             (B) REGISTRATION  RIGHTS.  Buyer will use its best efforts to cause
to be prepared,  filed and declared  effective  by the  Securities  and Exchange
Commission  (the  "Commission")  within  ninety (90) days  following the Closing
Date, a registration  statement for the registration under the Securities Act of
1933 (the "Securities  Act") of the IHS Stock issued to Company pursuant to this
Agreement,  and Buyer shall  maintain  the  effectiveness  of such  registration
statement  for a period of one (1) year  following  the date on which it becomes
effective (the  "Registration  Date"), or until Company shall not own any of the
IHS Stock issued  pursuant to this  Agreement,  whichever  shall occur first, in
each case  except to the  extent  that an  exemption  from  registration  may be
available.

             (C)  REGISTRATION  EXPENSES.  Company shall not be responsible for,
and Buyer shall bear,  all of the  reasonable  expenses of Buyer related to such
registration including, without limitation, the fees and expenses of its counsel
and  accountants,  all of its other  costs,  fees and  expenses  incident to the
preparation,  printing,  registration and filing under the Securities Act of the
registration  statement and all amendments and supplements  thereto, the cost of
furnishing copies of each preliminary prospectus, each final prospectus and each
amendment or supplement thereto to underwriters, dealers and other purchasers of
IHS Stock and the costs and expenses  (including fees and  disbursements  of its
counsel)  incurred in connection with the  qualification  of IHS Stock under the
Blue Sky laws of various jurisdictions. Buyer, however, shall not be required to
pay underwriter's or brokerage discounts, commissions or expenses, or to pay any
costs  and  expenses  in  excess  in the  aggregate  of  $20,000  for  Blue  Sky
qualifications  of the Company's (and any transferee's) IHS Stock, or to pay any
costs or expenses  arising out of the Company's or any  transferee's  failure to
comply with its obligations under this Article III.

             (D) RESALE LIMITATIONS. All resales of IHS Stock issued pursuant to
this Agreement shall be effected solely through Smith Barney Inc., as broker.

             (E)   REGISTRATION   PROCEDURES,   ETC.  In  connection   with  the
registration  rights  granted to the  Company  with  respect to the IHS Stock as
provided in this Section 3.1, Buyer covenants and agrees as follows:

                 (I) At Buyer's  expense,  Buyer will keep the  registration and
qualification  under this  Section 3.1  effective  (and in  compliance  with the
Securities  Act) by such action as may be necessary or appropriate  for a period
of one (1) year following the date on which the registration  becomes effective,
except to the extent that an exemption from registration may be available. Buyer
will immediately notify the Company, at any time when a prospectus relating to a
registration  statement under this Section 3.1 is required to be delivered under
the Securities  Act, of the happening of any event known to Buyer as a result of
which the prospectus included in such registration statement, as then in effect,
includes an untrue  statement of a material  fact or omits to state any material
fact required to be stated therein or necessary to make the  statements  therein
not misleading in light of the circumstances then existing.


                                       4



<PAGE>


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

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

                 (IV) The  information  included or incorporated by reference in
the the  registration  statement filed pursuant to this Section 3.1 will not, at
the time any such registration  statement becomes effective,  contain any untrue
statement of a material  fact, or omit to state any material fact required to be
stated therein as necessary in order to make the statements therein, in light of
the  circumstances  under which they were made,  not  misleading or necessary to
correct any statement in any earlier  filing of such  registration  statement or
any amendments thereto.  The registration  statement will comply in all material
respects with the provisions of the Securities Act and the rules and regulations
thereunder.  Buyer shall  indemnify the holders of IHS Stock to be sold pursuant
to the registration statement, their successors and assigns, and each person, if
any, who controls such holders within the meaning of ss.15 of the Securities Act
or ss.20(a) of the Securities Exchange Act of 1934 ("Exchange Act"), against all
loss,  claim,  damage expense or liability  (including  all expenses  reasonably
incurred in investigating,  preparing or defending against any claim whatsoever)
to which any of them may become subject under the  Securities  Act, the Exchange
Act or any other statute, common law or otherwise,  arising out of or based upon
any untrue statement or alleged untrue statement of a material fact contained in
such registration  statement executed by Buyer or based upon written information
furnished by Buyer filed in any jurisdiction in order to qualify IHS Stock under
the securities laws thereof or filed with the Commission,  any state  securities
commission  or agency,  NYSE or any  securities  exchange;  or the  omission  or
alleged  omission  therefrom of a material fact required to be stated therein or
necessary to make the statements  contained therein not misleading,  unless such
statement or omission was made in reliance upon and in  conformity  with written
information  furnished  to  Buyer  by the  Company  expressly  for  use in  such
registration statement,  any amendment or supplement thereto or any application,
as the  case may be.  If any  action  is  brought  against  the  Company  or any
controlling  person of the Company in respect of which  indemnity  may be sought
against  Buyer  pursuant  to this  subsection  3.1(e)(iv),  the  Company or such
controlling  person shall within thirty (30) days after the receipt thereby of a
summons or complaint,  notify Buyer in writing of the institution of such action
and Buyer shall assume the defense of such actions, including the employment and
payment of reasonable fees and expenses of counsel  (reasonably  satisfactory to
the Company or such controlling  person). The Company or such controlling person
shall  have the right to employ its or their own  counsel in any such case,  but
the fees and expenses of such counsel  shall be at the expense of the Company or
such  controlling  person  unless (A) the  employment of such counsel shall have
been  authorized  in writing  by Buyer in  connection  with the  defense of such
action,  or (B) Buyer  shall not have  employed  counsel  to have  charge of the
defense of such  action,  or (C) such  indemnified  party or parties  shall have
reasonably  concluded  that there may be defenses  available to it or them which
are different  from or  additional  to those  available to Buyer (in which case,
Buyer shall not have the right to direct the defense of such action on behalf of
the indemnified party or parties),  in any of which events the fees and expenses
of not more than one  additional  firm of attorneys for the Company  and/or such
controlling person shall be borne by Buyer.  Except as expressly provided in the
previous sentence, in the event that Buyer shall not previously have assumed the
defenses of any such action or claim,  Buyer shall not  thereafter  be liable to
the Company or such controlling person in investigating,  preparing or defending
any such  action or claim.  Buyer  agrees  promptly to notify the Company of the
commencement  of any  litigation  or  proceedings  against  Buyer  or any of its
officers,  directors or controlling persons in connection with the resale of IHS
Stock or in connection with such registration statement.


                                       5


<PAGE>



                 (V)  The  holders  of  IHS  Stock  to  be  sold  pursuant  to a
registration statement,  and their successors and assigns, shall severally,  and
not jointly,  indemnify  Buyer,  its officers and directors and each person,  if
any, who controls  Buyer  within the meaning of ss.15 of the  Securities  Act or
ss.20(a) of the  Exchange  Act against all loss,  claim,  damage,  or expense or
liability   (including  all  expenses   reasonably  incurred  in  investigating,
preparing or defending  against any claim  whatsoever)  to which they may become
subject under the Securities Act, the Exchange Act or any other statute,  common
law or  otherwise,  arising from  information  furnished by or on behalf of such
holder, or its successors or assigns for specific inclusion in such registration
statement.

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

             (G) FURNISH  INFORMATION.  It shall be a condition precedent to the
obligations  of the Buyer to take any action  pursuant to this  Article III that
the Company shall furnish to the Buyer such  information  regarding  themselves,
the IHS Stock  held by them,  and the  intended  method of  disposition  of such
securities as shall be required to effect the  registration  of their IHS Stock.
In that  connection,  each  transferee  of the  Company  shall  be  required  to
represent to the Buyer that all such information which is given is both complete
and accurate in all material respects.  The Company shall deliver to the Buyer a
statement in writing from the  beneficial  owners of such  securities  that they
bona fide intend to sell, transfer or otherwise dispose of such securities. Each
transferee will, severally,  promptly notify Buyer at any time when a prospectus
relating to a registration  statement  covering such  transferee's  shares under
this Section 3.1 is required to be delivered  under the  Securities  Act, of the
happening  of any  event  known  to such  transferee  as a result  of which  the
prospectus included in such registration  statement, as then in effect, includes
an untrue  statement  of a  material  fact or omits to state any  material  fact
required to be stated  therein or necessary to make the  statements  therein not
misleading in light of the statements as then existing.

             (H)  INVESTMENT  REPRESENTATIONS.  All  shares  of IHS  Stock to be
issued  hereunder will be newly issued shares of Buyer.  The Company  represents
and  warrants  to Buyer  that the IHS  Stock  being  issued  hereunder  is being
acquired,  and will be  acquired,  by the  Company  for  investment  for its own
account and not with a view to or for sale in connection  with any  distribution
thereof  within  the  meaning  of the  Securities  Act or the  applicable  state
securities  law;  the  Company  acknowledges  that  the  IHS  Stock  constitutes
restricted  securities under Rule 144 promulgated by the Commission  pursuant to
the Securities Act, and may have to be held indefinitely, and the Company agrees
that no  shares  of IHS Stock may be sold,  transferred,  assigned,  pledged  or
otherwise disposed of except pursuant to an effective  registration statement or
an  exemption  from  registration  under  the  Securities  Act,  the  rules  and
regulations  thereunder,  and under all applicable  state  securities  laws. The
Company has the knowledge and experience in financial and business  matters,  is
capable of  evaluating  the merits and risks of the  investment,  and is able to
bear the economic risk of such  investment.  The Company has had the opportunity
to make inquiries of and obtain from representatives and employees of Buyer such
other  information  about Buyer as they deem  necessary in connection  with such
investment.



                                       7



<PAGE>


             (I) LEGEND.  It is understood  that, prior to sale of any shares of
IHS Stock  pursuant to an  effective  registration  pursuant to  subsection  (b)
above,  the  certificates  evidencing  such  shares of IHS Stock  shall bear the
following  (or a  similar)  legend  (in  addition  to any  legends  which may be
required in the opinion of Buyer's counsel by the applicable  securities laws of
any  state),  and  upon  sale  of such  shares  pursuant  to  such an  effective
registration,  new certificates shall be issued for the shares sold without such
legends except as otherwise required by law:

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

             (J)  CERTAIN   TRANSFEREES.   Prior  to  the   effective   date  of
registration  of the IHS Stock,  no transferee  shall transfer any shares of IHS
Stock to any  person or entity  unless  such  transferee  shall  have  agreed in
writing  to be bound by the  provisions  applicable  to the  Company  under this
Article III.

                             ARTICLE IV: THE CLOSING
                             -----------------------

         4.1 TIME AND PLACE OF  CLOSING.  The  closing  (the  "Closing")  of the
transactions contemplated by this Agreement shall take place as of 12:00 a.m. on
March 16, 1998, at the offices of Seller's  counsel or by facsimile and mail, or
at such other time and place upon which the parties may agree. The date on which
the Closing is held is hereinafter called the "Closing Date."

          ARTICLE V: REPRESENTATIONS AND WARRANTIES OF THE COMPANY AND
          ------------------------------------------------------------
                                   SHAREHOLDER
                                   -----------

         The Company  and the  Shareholder  hereby  represent  and warrant  with
respect to the Company to Buyer as follows (it being  understood  that,  for the
purposes of this Article V, "Company"  shall be deemed to refer  collectively to
the Company and its  subsidiaries  listed on Schedule  5.25,  unless the context
requires otherwise):

         5.1  ORGANIZATION  AND  STANDING  OF  THE  COMPANY.  The  Company  is a
corporation duly organized, validly existing and in good standing under the laws
of the State of New Jersey.  Copies of the Company's  Articles of  Incorporation
and By-Laws,  and all amendments  thereof to date,  have been delivered to Buyer
and are complete and correct. The Company has the power and authority to own the
property and assets now owned by it and to conduct the business  presently being
conducted  by  it.  The  Company  is  qualified  to  do  business  as a  foreign
corporation  in each state where the  ownership  of its assets or the conduct of
its business makes such qualification necessary.

         5.2  ABSENCE OF  CONFLICTING  AGREEMENTS.  Neither  the  execution  nor
delivery of this Agreement  including all Schedules and Exhibits hereto,  or any
of the other  instruments  and  documents  required or  contemplated  hereby and
thereby  ("Transaction  Documents")  by  Shareholder  and  the  Company  nor the
performance  by  Shareholder  and the Company of the  transactions  contemplated
hereby and thereby,


                                       7


<PAGE>

conflicts  with, or  constitutes a breach of or a default under (i) the Articles
of  Incorporation  or By-Laws of the Company;  or (ii) any applicable law, rule,
judgment,  order, writ, injunction, or decree of any court, currently in effect,
provided  that the consents set forth in Schedule 5.3 are obtained  prior to the
Closing; or (iii) any applicable rule or regulation of any administrative agency
or other  governmental  authority  currently in effect;  or (iv) any  agreement,
indenture,  contract  or  instrument  to which the  Company is now a party or by
which any of the assets of the Company is bound.

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

         5.4  CAPITAL  STOCK.  Schedule  5.4  sets  forth a  complete  list  and
description  of the  authorized  capital  stock  of the  Company  (the  "Company
Stock"),  the number of shares issued and outstanding of each class or series of
such capital stock, and the identity of each shareholder of the Company, in each
case  indicating  the class and number of shares held.  No shares of the Company
Stock are held in the treasury of the  Company.  The  Shareholder  is the record
owner of all of the  Company  Stock  and all of such  stock is duly  authorized,
validly issued,  and fully paid and  non-assessable.  On the Closing Date, there
will be no preemptive or first refusal  rights to purchase or otherwise  acquire
shares of capital  stock of the Company  pursuant to any provision of law or the
Articles  of  Incorporation  or  By-Laws  of  the  Company  or by  agreement  or
otherwise.  On the Closing Date,  there shall not be  outstanding  any warrants,
options,  or other  rights to  subscribe  for or  purchase  from the Company any
shares of capital  stock of the  Company,  nor shall  there be  outstanding  any
securities convertible into or exchangeable for such shares.

         5.5 ASSETS.  As of the Closing,  the Assets of the Company will include
all  of  the  tangible  and  intangible  assets  of  the  Company  as  presently
constituted;  other than cash,  whether on hand or in any  deposit  accounts  or
certificates of deposit,  the Closing Date Receivables,  provider agreements and
provider numbers with Medicare,  Medicaid and third party payors, and inventory,
supplies  and other  assets  disposed  of in the  ordinary  course of  business,
consistent with the prior practice of the business of the Company.  Schedule 5.5
sets forth a complete list and  description  of all fixed assets of the Company,
including but not limited to furniture,  fixtures, equipment and motor vehicles.
The Assets  are not  subject to any  liens,  claims or  encumbrances,  except as
identified to and expressly accepted by Buyer hereto.

         5.6 TRADEMARKS. Schedule 5.6 sets forth a complete and accurate list of
all trademarks,  service marks, or applications for any of the same, copyrights,
and other items of  intellectual  property that are owned,  possessed or used by
the Company.  There are no claims or proceedings pending or, to the knowledge of
the Company,  overtly  threatened  against the Company asserting that the use of
any of the aforementioned properties or rights infringes the rights of any other
person,  and, to the knowledge of the Company,  the Company is not infringing on
the  intellectual  property  rights of any other person.  There is nothing which
would prohibit the transaction of business by Buyer or any company designated by
Buyer in the State of New Jersey  under the trade name  "Jersey  Shore  Portable
X-Ray".

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


                                       8



<PAGE>


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

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

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

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

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

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

             (G)  each  licensing,  distributor,  dealer,  franchise,  sales  or
manufacturer's representative,  agency or other similar contract, arrangement or
commitment which involves consideration of more than $5,000;

             (H) each contract  under which the Company  performs  radiological,
EKG or ultrasound services for any nursing home, healthcare or other facility;

             (I) each lease of real property;

             (J) each agreement with a nursing home, health care facility or any
other customer with special pricing arrangements;

             (K)  any  other  radiologist,  cardiologist  or  other  physician's
agreements;

             (L)  each   agreement,   consent   order,   settlement  or  similar
arrangement with any party,  including any Governmental Authority (as defined in
Section 5.23); or

             (M) any other  agreement not made in the ordinary and normal course
of business which involves consideration of more than $5,000.

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


                                       9


<PAGE>


amounts  payable under the  Contracts  are, or will at the Closing Date, be on a
current basis. Each Contract with respect to which consent is required by reason
of the  transactions  contemplated  by this  Agreement is identified on Schedule
5.7.  Neither the Company nor the  Shareholder has received notice or has reason
to believe that any of the  Contracts  will be  terminated  by any party thereto
after the date hereof.

         5.8 CUSTOMERS. Schedule 5.8 sets forth: (i) a complete and correct list
of the name and address of all current customers of the Company; (ii) a complete
and correct list of all contracts that the Company has with each  customer;  and
(iii) a summary of the patient volume and  examinations by customer by month for
the three (3) years ended December 31, 1997. As of the date hereof,  the Company
and Shareholder have received no notice that any customer will cancel a contract
or request a change of service.

         5.9 FINANCIAL  STATEMENTS.  The unaudited balance sheets of the Company
for the fiscal years ended  December  31, 1996 and  December  31, 1997,  and the
related statements of operations and stockholders' equity and statements of cash
flows for the years then ended (the "Unaudited Financial  Statements"),  annexed
hereto as Schedule 5.9,  present  fairly in all material  respects the financial
condition  and  results of  operations  of the  Company  at and for the  periods
therein specified.

         5.10 FEE  SCHEDULES AND  REIMBURSEMENT.  Schedule 5.10 sets forth (i) a
complete  and correct  list of the 1997 and 1998 fee  schedules  of the Company,
including  the amounts  charged and the Medicare and Medicaid  allowable  rates;
(ii) a complete and correct  list of any and all  Medicaid and Medicare  refunds
paid by the Company or pending  payment by the Company during the last three (3)
fiscal years; and (iii) a complete list of any customers having special rates or
fee  arrangements  with  the  Company,  together  with a list of such  rates  or
description of such arrangements.

         5.11 MATERIAL  CHANGES.  Except as noted on Schedule 5.11,  between the
date  of the  Unaudited  Interim  Financial  Statements  and  the  date  of this
Agreement,  there has not been any  material  adverse  change  in the  condition
(financial  or  otherwise)  of the  assets,  properties,  operations,  operating
results, Medicare and Medicaid reimbursement,  third party billing and/or direct
billing, customer and employee relations or business prospects of the Company or
any  damage  or  destruction  of any of the  Company's  Assets  or its  place of
business by fire or other  casualty,  whether or not covered by  insurance,  and
during such period of time the Company has  conducted  its business  only in the
ordinary and normal course. Shareholder has identified and communicated to Buyer
all  material  information  with  respect  to any  fact  or  condition  that  is
reasonably  likely to  adversely  affect  the  future  prospects  (financial  or
otherwise)  of the  Company,  other than  information  concerning  the  industry
generally in which the Company conducts its business.

         5.12 LICENSES AND PERMITS.  Schedule  5.12 sets forth a description  of
(a) all licenses and other governmental or other regulatory permits or approvals
required for the  operation of the  Company's  business  that are now in effect,
including  all  certificates  of occupancy  issued with respect to the Company's
business;  and (b) each other license,  permit, or other  authorization  that is
necessary  for  the  operation  of the  Company's  business  (collectively,  the
"Licenses").  Shareholder  has delivered to Buyer copies of all of the Licenses.
The Company owns, possesses or has the legal right to use the Licenses, free and
clear  of all  liens,  pledges,  claims  or  other  encumbrances  of any  nature
whatsoever. To the knowledge of the Company, the Company is not in default under
any such License,  and the Company has not received any notice of any default or
any other claim or  proceeding  relating to, any such License.  No  shareholder,
director or officer,  employee or former employee of the Company, or any person,
firm or  corporation  other  than  the  Company  owns  or has  any  proprietary,
financial or other interest,  direct or indirect,  in whole or in part in any of
the Licenses.


                                       10




<PAGE>


         5.13 TITLE, CONDITION OF PERSONAL PROPERTY.

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

             (B) Except as set forth on Schedule  5.13(b),  no tangible personal
property used by the Company in connection with the operation of its business is
subject to a lease,  conditional sale,  security interest or similar arrangement
except security interests to be paid before Closing.  The Company does not lease
any of the Assets.

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

                 (II)  deposits  to  secure  the  performance  of  bids,   trade
contracts (other than for borrowed money), leases, statutory obligations, surety
and  appeal  bonds,  performance  bonds and  other  obligations  of like  nature
incurred in the ordinary course of business;

                 (III)  rights of lessors  under  leases  set forth on  Schedule
5.13(b);

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

                 (V) liens for taxes not yet due and payable.

             5.14 LEGAL  PROCEEDINGS.  Other than as set forth on Schedule 5.14,
there are no claims,  actions,  suits or  proceedings  or  arbitrations,  either
administrative  or  judicial,  pending,  or, to the  knowledge  of the  Company,
overtly threatened against or affecting the Company, or the Company's ability to
consummate  the  transactions  contemplated  herein,  at  law  or in  equity  or
otherwise,  before or by any court or governmental  agency or body,  domestic or
foreign, or before an arbitrator of any kind.

             5.15 EMPLOYEES.  Schedule 5.15 contains a complete and correct list
of  the  name,  position,  and  current  rate  of  compensation  and  any  other
compensation arrangements or fringe benefits, and Federal W-2 Forms for the 1997
calendar  year, of (i) each employee of the Company,  and (ii) any consultant


                                       11


<PAGE>

or agent of the Company  that are not  reflected  in any  agreement  or document
referred to in Schedule 5.7.  Except as set forth on Schedule  5.15, the Company
currently does not have any pension,  profit  sharing,  or welfare  benefit plan
applicable to any of the employees of the Company. No such employee,  consultant
or agent has any vested or unvested  retirement  benefits  or other  termination
benefits, except as described on Schedule 5.15.

             5.16 COLLECTIVE BARGAINING, LABOR CONTRACTS,  EMPLOYMENT PRACTICES,
ETC. During the two years prior to the Closing Date,  there has been no material
adverse change in the relationship between the Company and its employees nor any
strike or material labor  disturbance by such employees  affecting the Company's
business and, to the knowledge of the Company,  there is no indication that such
a change, strike or labor disturbance is likely. The Company's employees are not
represented  by any labor union or similar  organization  and the Company has no
reason to believe  that there are  pending or  threatened  any  activities,  the
purpose  of  which  is to  achieve  such  representation,  of all or some of the
Company's  employees.  Except as set forth on Schedule 5.7 or Schedule 5.15, the
Company  has no  collective  bargaining  or other  labor  contracts,  employment
contracts,  pension,  profit-sharing,  retirement,  insurance,  bonus,  deferred
compensation or other employee  benefit plans,  agreements or arrangements  with
respect  to its  employees.  The  Company  is in  material  compliance  with the
requirements  prescribed by all Federal,  state and local  statutes,  orders and
governmental  rules and  regulations  applicable to any of the employee  benefit
plans, agreements and arrangements identified on Schedule 5.7 and Schedule 5.15,
including,  without  limitation,  the Employee Retirement Income Security Act of
1974, as amended  ("ERISA"),  the Immigration Reform and Control Act, the Worker
Adjustment  and  Retraining  Notification  Act  of  1988,  any  such  Government
Requirements respecting employment determination, equal opportunity, affirmative
action,   employee   privacy,   wrongful  or  unlawful   termination,   workers'
compensation,  occupational  safety and health  requirements,  labor  management
relations  and  unemployment  insurance,  or  related  matters  and there are no
threatened or pending  claims  relating  thereto,  in each case. In the event of
termination  of  employment  of an  employee  of the  Company,  Buyer  will not,
pursuant to any agreement  with the  Shareholder  or the Company or by reason of
any representation  made or plan adopted by the Shareholder or the Company prior
to  the  Closing,  be  liable  to any  employee  of the  Company  for  so-called
"severance pay",  parachute  payments or any other similar payments or benefits,
including, without limitation,  post-employment healthcare,  insurance benefits,
accrued vacation and sick days.

             5.17 ERISA.

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

             (B) Schedule  5.17 sets forth each  severance  agreement,  and each
plan,  agreement or arrangement,  bonus plan, deferred  compensation  agreement,
employee  pension,  profit  sharing,  savings or  retirement  plan,  group life,
health,  or  accident  insurance  or other  employee  benefit  plan,  agreement,
arrangement or commitment, including, without limitation, any commitment arising
under severance,  holiday, vacation,  Christmas or other bonus plans (including,
but not limited to,  "employee  benefit  plans",  as defined in Section  3(3) of
ERISA  maintained  by the  Company for any  employees  of the  Company,  or with
respect to which the Company has liability  with respect to any employees of the
Company,  or makes or has an  obligation  to make  contributions  on  behalf  of
employees of the Company ("Plans").



                                       12


<PAGE>


             (C) Schedule 5.17  identifies all employees of the Company on leave
of absence eligible to receive health benefits,  as required by the continuation
health care provisions of Section 4980B of the Internal Revenue Code of 1986, as
amended  or  Section  601  through  608  of  ERISA  ("COBRA").   Notice  of  the
availability of COBRA coverage has been provided to all employees of the Company
on leave of absence entitled thereto, and all persons electing such coverage are
being (or have been, if applicable) provided such coverage.

         5.18 INSURANCE AND SURETY AGREEMENTS. Schedule 5.18 contains a true and
correct  list  of:  (a) all  policies  of fire,  liability  and  other  forms of
insurance  held or owned by the  Company  (including  but not limited to medical
malpractice  insurance,  and any state  sponsored  plan or program for  worker's
compensation);  and (b) all bonds,  indemnity agreements and other agreements of
suretyship made for or held by the Company, including a brief description of the
character  of the bond or agreement  and the name of the surety or  indemnifying
party.  Schedule 5.18 sets forth for each such insurance  policy the name of the
insurer, the amount of coverage,  the type of insurance,  the policy number, the
annual premium and a brief description of the nature of insurance included under
each such  policy and of any claims made  thereunder  during the past two years.
Such policies are owned by and payable solely to the Company,  and said policies
or renewals or replacements thereof will be outstanding and duly in force at the
Closing Date. All insurance  policies  listed on Schedule 5.18 are in full force
and effect,  all premiums due on or before the Closing Date have been or will be
paid on or before the Closing  Date,  the Company has not been advised by any of
its insurance  carriers of an intention to terminate or modify any such policies
other than under circumstances where the Company has received a commitment for a
replacement  policy,  nor has the  Company  failed  to  comply  with  any of the
material conditions contained in any such policies.

         5.19  RELATIONSHIPS.  Except as  disclosed  on  Schedule  5.19  hereto,
neither  the Company  nor  Shareholder  nor any  principal,  officer,  director,
employee,  partner or  affiliate of the Company or any  controlling  shareholder
has, nor at any time within the last two (2) years has had, a material ownership
interest in any business,  corporate or otherwise, that is a party to, or in any
property that is the subject of, business  relationships  or arrangements of any
kind relating to the operation of the Company or its business.

         5.20 ABSENCE OF CERTAIN  EVENTS.  Except as set forth on Schedule 5.20,
since the date of the Unaudited  Interim  Financial  Statements  the Company has
not, and from the date of this  Agreement  through the Closing Date, the Company
will not have:

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

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

             (C) made or suffered any  termination  of any  radiological  or EKG
services contract other than in the ordinary course of business;

             (D) made or suffered  any  amendment  or  termination  of any other
contract,  commitment,   instrument  or  agreement  involving  consideration  or
liability in excess of $10,000, other than in the ordinary course of business;

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


                                       13


<PAGE>


             (F)  failed  to pay or  discharge  when  due any  liabilities,  the
failure to pay or discharge  which has caused or will cause any actual damage or
give rise to the risk of a loss to the Company in excess of $10,000;

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

             (H)  failed  to  collect,   withhold   and/or  pay  to  any  proper
Governmental  Authority,  any Taxes (as  defined in Section  5.23)  required  by
applicable law to be so collected, withheld and/or paid;

             (I) instituted,  settled or agreed to settle any litigation, action
or proceeding before any Governmental  Authority  relating to it or its property
or received any threat thereof; and

             (J) entered into any transaction  other than in the ordinary course
of business involving consideration in excess of $10,000.

         5.21 COMPLIANCE WITH LAWS.

             (A) The Company is in compliance with all Governmental Requirements
(as  defined  herein).  Except  for  notices of  non-compliance  as to which the
Company has taken corrective  action  acceptable to the applicable  governmental
agency,  and as set forth in Schedule  5.21,  the  Company  has not,  within the
period of twelve  months  preceding  the date of this  Agreement,  received  any
written  notice  that it  fails  to  comply  in any  material  respect  with any
applicable Federal, state, local, Medicare,  Medicaid or other governmental laws
or  ordinances,  or any  applicable  order,  rule or  regulation of any Federal,
state,   local,   Medicare,   Medicaid  or  other  governmental   agency  having
jurisdiction over its business ("Governmental Requirements").  The Company shall
report to Buyer,  within  five (5)  business  days after  receipt  thereof,  any
written  notices that the Company is not in compliance  in any material  respect
with any of the foregoing.

             (B) Without  limiting the generality of subsection  (a) above,  the
Company has at all times  complied,  and is complying in all respects,  with all
federal,  state and local environmental laws, rules or regulations applicable to
it,  its leased  properties,  and all other  real  properties  used by it in the
operation  of  its  business,  including,  but  not  limited  to,  the  Resource
Conservation   and  Recovery  Act  of  1976,  as  amended,   the   Comprehensive
Environmental  Response  Compensation and Liability Act of 1980, as amended, the
Federal  Water  Pollution  Control  Act, as amended by the Clean Water Act,  and
subsequent  amendments,  the Federal Toxic  Substances  Control Act, as amended,
with respect to the  environmental or healthful  state,  condition or quality of
any property (collectively  "Environmental Laws"). The foregoing  representation
and warranty applies to all aspects of the Company's  operations and the use and
ownership  of the Assets  including,  but not  limited  to,  the use,  handling,
treatment,  storage,  transportation  and  disposal of any  hazardous,  toxic or
infectious  waste,  material or  substance  (including  medical  waste),  and to
petroleum products, material or waste, at any other location. No notice from any
Governmental  Authority  has ever been  served  upon the  Company  claiming  any
violation of, or  addressing  any possible  non-compliance  with respect to, any
Environmental Law.

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


                                       14



<PAGE>


         5.23 TAX RETURNS.

             (A) Except as set forth in Schedule  5.23,  (i) all Tax (as defined
below) returns, statements, reports and forms or extensions with respect thereto
required  to be  filed  with any  Federal,  state,  local or other  governmental
department   or  court  or  other   authority   having   jurisdiction   over  it
("Governmental  Authority") on or before the Closing Date by or on behalf of the
Company,  have been or will be timely  filed on or before  the  Closing  Date in
accordance   in  all  material   respects  with  all   applicable   Governmental
Requirements; and (ii) the Company has timely paid all Taxes payable by it.

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

         5.24 ENCUMBRANCES CREATED BY THIS AGREEMENT. The execution and delivery
of this Agreement, or any of the Company's Transaction Documents,  does not, and
the  consummation of the transactions  contemplated  hereby or thereby will not,
create any liens or other  encumbrances on any of the Company's  assets in favor
of third parties.

         5.25  SUBSIDIARIES  AND JOINT  VENTURES.  Schedule  5.25  sets  forth a
complete list of all subsidiaries,  joint ventures and partnerships in which the
Company is the record or beneficial  owner of more than ten (10%) percent of the
equity  interest.  All  of the  issued  and  outstanding  capital  stock  of the
subsidiaries  listed on Schedule 5.25 hereto is owned of record or  beneficially
by the Company or by one of the listed subsidiaries except as listed on Schedule
5.25.

         5.26 COMPLETE DISCLOSURE.  No representation or warranty by the Company
or the  Shareholder  in this  Agreement  or any Exhibit or Schedule  referred to
herein and no written  statement,  certificate or other writing furnished to the
Buyer  by or on  behalf  of the  Company  or the  Shareholder  pursuant  to this
Agreement,  when considered in conjunction with all other such  representations,
warranties,  schedules,  written  statements,  certificates  or  other  writings
furnished to Buyer by or on behalf of the Company or the Shareholder pursuant to
this  Agreement,  contains any untrue  statement  of a material  fact or omits a
material fact necessary to make the statements  contained  herein or therein not
misleading. To the best of the Company's and the Shareholder's knowledge,  there
is no  fact  which  materially  and  adversely  affects  or may  materially  and
adversely affect the business,  operations,  affairs,  condition,  properties or
assets of the  Company  which has not been set  forth in this  Agreement  or the
Schedules  or other  documents  delivered by the Company or the  Shareholder  in
connection with the transactions contemplated hereby.

         5.27 BOOKS OF ACCOUNT;  RECORDS.  The Company's general ledgers,  stock
record books,  minute books and other material  records  relating to the assets,
properties,  contracts and outstanding  legal obligations of the Company are, in
all  material  respects,  complete  and  correct,  and have been  maintained  in
accordance with good business  practices.  All documents furnished to Buyer will
be correct and complete copies.

         5.28 QUESTIONABLE PAYMENTS. Neither the Shareholder nor the Company, or
any director,  officer,  controlling  person or employee of the Company,  and no
affiliate of Company,  (a) has used any  corporate  funds of the Company to make
any payment to any officer, employee,  representative,  agent of any government,
or to any political party or official thereof,  where such payment either (i) is
unlawful  under laws  applicable  thereto;  or (ii) would be unlawful  under the
Foreign Corrupt  Practices Act of 1977, as amended;  or (b) has made or received
an illegal payment,  bribe,  kickback,  political  contribution or other similar
questionable  payment for any  referrals  or  recommendations  or  otherwise  in
connection with the operation of the Company's business.



                                       15


<PAGE>


         5.29 ENVIRONMENTAL  COMPLIANCE.  The Company is in material  compliance
with all applicable  environmental and related laws, ordinances and governmental
rules and  regulations  applicable  to it,  including,  but not  limited to, the
Resource  Conservation and Recovery Act of 1976, as amended,  the  Comprehensive
Environmental  Response  Compensation and Liability Act of 1980, as amended, the
Federal  Water  Pollution  Control  Act, as amended by the Clean Water Act,  the
Federal Toxic Substances Control Act, as amended,  and all other Federal,  state
and local laws, regulations and ordinances with respect to the protection of the
environment. The foregoing representation and warranty applies to all aspects of
the operation of the Company's business including,  but not limited to, the use,
handling,  treatment,  storage,  transportation  and disposal of any  hazardous,
toxic or infectious waste, material or substance.

         5.30 REIMBURSEMENT  MATTERS.  Except as disclosed on Schedule 5.30, (i)
the Company  and Seller  have not  received  any notice of  recoupment  from the
Medicare or Medicaid  programs,  or any other third party  reimbursement  source
(inclusive of managed care organizations),  (ii) the Shareholder and the Company
are not aware of any basis for the assertion  after the Closing Date of any such
recoupment  claim  against the  Company,  and (iii) the Seller has not  received
notice  from  any  Medicare  or  Medicaid  program  or  any  other  third  party
reimbursement source (inclusive of managed care organizations) of any pending or
threatened  investigations or surveys,  and neither the Seller,  nor the Company
have any reason to believe  that any such  investigation  or survey is  pending,
threatened or imminent.

         5.31  MEDICARE/MEDICAID  PARTICIPATION.  All  services  provided by the
Company are  certified  for  participation  or  enrollment  in all  Medicare and
Medicaid programs,  have a current and valid provider contract with the Medicare
and Medicaid  programs or other third party  reimbursement  source (inclusive of
managed  care   organizations),   are  in  compliance  with  the  conditions  of
participation   of  such   programs,   and  have   received  all   approvals  or
qualifications necessary for capital reimbursement.

         5.32 POWER AND AUTHORITY. The Company has all requisite corporate power
and  authority  to execute,  deliver and perform this  Agreement,  and as of the
Closing,  the Company will have all requisite  corporate  power and authority to
execute,  deliver and perform the Transaction Documents required to be delivered
by it to the Buyer at the Closing.  All action required by Company's Articles of
Incorporation,  By-Laws or otherwise,  to authorize the execution,  delivery and
performance of this Agreement and the Transaction Documents has been taken.

         5.33 CAPACITY.  As of the Closing,  the  Shareholder has the full legal
power and capacity to make, execute,  deliver and perform this Agreement and the
Transaction  Documents required or contemplated hereby or thereby to be executed
or delivered by them at the Closing. Such execution,  delivery,  performance and
consummation  have  been made in the  exercise  of  Shareholder's  free will and
volition.

         5.34 BINDING  EFFECT.  This  Agreement  and all  Transaction  Documents
executed by the Company and Shareholder  constitute the legal, valid and binding
obligations  of each such party,  enforceable  against such party in  accordance
with their respective terms.

         5.35  QUESTIONNAIRES.   The  healthcare  law  questionnaire  heretofore
delivered to the Company by Buyer (the  "Questionnaire") will be attached hereto
as Exhibit 5.35 and will as of the Closing  Date have been fully and  accurately
completed  and will not contain any material  misstatement  of any fact and will
not omit any fact that  would  have to be  stated  in order  not to  render  any
response to such questionnaire materially misleading.


                                       16



<PAGE>


              ARTICLE VI: REPRESENTATIONS AND WARRANTIES OF SELLER
              ----------------------------------------------------

         The Seller hereby represents and warrants to Buyer as follows:

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

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

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

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

         6.5  OWNERSHIP  OF COMPANY  STOCK.  Except as disclosed on Schedule 6.5
hereto,  Seller is the lawful record and beneficial  owner of all of the Company
Stock shown as owned by Seller in Schedule 5.4, with good and  marketable  title
thereto, free and clear of all liens and encumbrances,  claims and other charges
thereon of any kind.  The shares of Company  Stock  indicated on Schedule 5.4 as
being owned by the Seller constitute all of the issued and outstanding shares of
the  capital  stock of the  Company.  On the  Closing  Date,  there shall not be
outstanding any warrants,  options, or other rights to subscribe for or purchase
from the Company any shares of capital stock of the Company,  nor shall there be
outstanding any securities convertible into or exchangeable for such shares.

              ARTICLE VII: REPRESENTATIONS AND WARRANTIES OF BUYER
              ----------------------------------------------------

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

         7.1 ORGANIZATION  AND STANDING.  Buyer is a corporation duly organized,
validly existing and in good standing under the laws of the State of California.

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


                                       17


<PAGE>


         7.3  BINDING  AGREEMENT.  This  Agreement  has been duly  executed  and
delivered by Buyer.  This Agreement is, and when executed and delivered by Buyer
at the Closing each of the Transaction  Documents executed by Buyer will be, the
legal,  valid and binding  obligations  of Buyer,  enforceable  against Buyer in
accordance with their respective terms.

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

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

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

          ARTICLE VIII: INFORMATION AND RECORDS CONCERNING THE COMPANY
          ------------------------------------------------------------

         8.1 ACCESS TO  INFORMATION  AND RECORDS  BEFORE  CLOSING.  Prior to the
Closing Date,  Buyer may make, or cause to be made,  such  investigation  of the
Company's  (it being  understood  that,  for the purpose of this  Article  VIII,
"Company"  shall  be  deemed  to  refer  collectively  to the  Company  and  its
subsidiaries  listed on Schedule  5.25)  financial and legal  condition as Buyer
deems  necessary  or advisable  to  familiarize  itself with the Company and the
Assets and/or matters relating to their history or operation.  The Company shall
permit Buyer and its  authorized  representatives  (including  legal counsel and
accountants),  to have full  access to the  Company's  books  and  records  upon
reasonable  notice  and during  normal  business  hours,  and the  Company  will
furnish,  or cause to be furnished,  to Buyer such  financial and operating data
and other  information  and copies of documents  with  respect to the  Company's
products,  services,  operations  and  assets as Buyer  shall  from time to time
reasonably  request.  The  documents  to which  Buyer  shall have  access  shall
include,  but not be limited to, the  Company's  tax  returns  and related  work
papers since its  inception;  and the Company  shall make,  or cause to be made,
such extracts thereof as Buyer or its  representatives  may request from time to
time to enable Buyer and its  representatives  to investigate the affairs of the
Company and the  accuracy of the  representations  and  warranties  made in this
Agreement.  The Company shall cause its  accountants to cooperate with Buyer and
to  disclose  the  results of audits  relating to the Company and to produce the
working papers relating  thereto.  Without limiting any of the foregoing,  it is
agreed  that Buyer will have full access to any and all  agreements  between and
among the previous and current shareholders  regarding their ownership of shares
or the management or operation of the Company.



                                       18



<PAGE>


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

         9.1  CONDUCT OF  BUSINESS  PENDING  CLOSING.  Between  the date of this
Agreement and the Closing, the Company and its subsidiaries shall maintain their
existence and shall conduct their business in the customary and ordinary  course
of business consistent with past practice.

         9.2 NEGATIVE COVENANTS OF THE COMPANY AND ITS SUBSIDIARIES. Without the
prior written approval of Buyer, neither the Company nor any of its subsidiaries
shall, between the date hereof and the Closing:

             (A)  cause or permit  to occur  any of the  events  or  occurrences
described in Section 5.20 (Absence of Certain Events) of this Agreement;

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

             (C) enter into any  contract or  agreement  with any union or other
collective  bargaining  representative  representing  any employees  without the
prior written consent of Buyer;

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

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

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

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

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

             (C)  maintain in full force and effect the  insurance  policies and
binders  currently in effect,  or the replacements  thereof,  including  without
limitation those listed on Schedule 5.18;

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

             (E) maintain all of the books and records in accordance  with their
past practices;

             (F) comply in all  material  respects  with all  provisions  of the
Contracts listed in Schedule 5.7 and with any other material agreements that the
Company  and its  subsidiaries  have  entered  into in the  ordinary  course  of
business since the date of this Agreement,  and comply in all material  respects
with the provisions of all material laws,  rules and  regulations  applicable to
the Company's and its subsidiaries' businesses;


                                       19



<PAGE>


             (G) cause to be paid when due, all taxes,  assessments  and charges
or levies  imposed  upon them or on any of their  properties  or which  they are
required to withhold and pay over;

             (H) promptly  advise Buyer in writing of the threat or commencement
against  the  Company  and  its  subsidiaries  of any  claim,  action,  suit  or
proceeding,   arbitration  or  investigation  or  any  other  event  that  would
materially adversely affect the operations,  properties,  assets or prospects of
the Company and its subsidiaries,  including,  but not limited to the threatened
cancellation of any contract to provide radiological or EKG services; and

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

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

         9.5  EXCLUSIVITY.  Until the earlier of Closing or the  termination  of
this Agreement  pursuant to Section 13.1,  neither the Company nor  Shareholder,
nor  any of  their  respective  affiliates,  shall  enter  into  any  agreement,
commitment or  understanding  with respect to, or engage in any  discussions  or
negotiations  directly  or  indirectly  with,  or  encourage  or  respond to any
solicitations  from, any other party with respect to the sale of the Assets,  or
in respect of the sale of any shares of capital stock in the Company.

             ARTICLE X: CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS
             ------------------------------------------------------

         Buyer's obligations to consummate the purchase of the Assets is subject
to the  fulfillment,  prior  to or at the  Closing,  of  each  of the  following
conditions,  any one or more of which may be waived  by Buyer in  writing.  Upon
failure of any of the following  conditions,  Buyer may terminate this Agreement
pursuant to and in accordance with Article XIII herein.

         10.1 REPRESENTATIONS AND WARRANTIES. The representations and warranties
of the Company and the  Shareholder  made pursuant to this  Agreement,  shall be
true and correct in all  material  respects at and as of the  Closing  Date,  as
though such  representations  and  warranties  were made at and as of such time,
except to the extent affected by the transactions herein contemplated.

         10.2  PERFORMANCE OF COVENANTS.  The  Shareholder and the Company shall
have  performed  or  complied in all  material  respects  with their  respective
agreements and covenants  required by this Agreement to be performed or complied
with by it prior to or at the Closing.

         10.3 DELIVERY OF CLOSING  CERTIFICATE.  The Shareholder and the Company
shall have executed and delivered to Buyer a certificate of its president, dated
the Closing  Date,  upon which Buyer may rely,  certifying  that the  conditions
contemplated by Sections 10.1 and 10.2 applicable to it have been satisfied.


                                       20



<PAGE>


         10.4 OPINION OF COUNSEL.  The Company shall have  delivered to Buyer an
opinion,  dated the Closing  Date,  of its counsel,  in  substantially  the form
attached  hereto as Exhibit 10.4.  Said opinion shall be addressed to and may be
relied upon by Buyer and its counsel.

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

         10.6 AUTHORIZATION  DOCUMENTS.  Buyer shall have received a certificate
of the  Secretary or other  officer of the Company  certifying as of the Closing
Date a copy of Resolutions of the Company's  Board of Directors  authorizing its
execution and full  performance of the Transaction  Documents and the incumbency
of its respective officers.

         10.7 MATERIAL CHANGE. Since the date of the Unaudited Interim Financial
Statements,  there  shall  not have been any  material  adverse  changes  in the
condition  (financial  or  otherwise)  of the  assets,  properties,  operations,
operating  results,  Medicare and Medicaid  reimbursement,  third party  billing
and/or direct billing,  customer and employee relations or business prospects of
the Company.

         10.8 APPROVALS.

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

             (B) None of the foregoing consents or approvals (i) shall have been
conditioned upon the  modification,  cancellation or termination of any material
lease,  contract,  commitment,  agreement,  license,  easement,  right  or other
authorization with respect to the Company's business, other than as disclosed or
approved hereunder,  or (ii) shall impose on the Buyer any material condition or
provision or requirement with respect to the Company's business or its operation
that is more restrictive than or different from the conditions imposed upon such
operation prior to Closing.

         10.9 IRS FORM 8594.  The Company  shall have  executed and delivered to
Buyer  IRS  Form  8594  reflecting  the  allocation  of the  Purchase  Price  in
accordance with Section 2.2.

         10.10 INSURANCE.  If the Company's  existing general liability coverage
is not on an  "occurrence"  basis,  then the  Company  shall  have  paid for and
delivered to Buyer a tail policy with respect to  liability  insurance  coverage
satisfactory to Buyer, which policy shall name Buyer as an additional insured.

         10.11 GOOD STANDING  CERTIFICATE.  The Company shall have  delivered to
Buyer a good standing  certificate  issued by the New Jersey  Secretary of State
with respect to the  Company,  dated not more than thirty (30) days prior to the
Closing Date.

         10.12 BILL OF SALE AND ASSIGNMENT.  The Company shall have executed and
delivered to Buyer the Bill of Sale and the Assignment and Assumption  Agreement
substantially in the form of Exhibit 10.12A and 10.12B, respectively.

         10.13  REGULATORY  MATTERS.  Company  shall have  provided to Buyer all
licenses,  permits,  and other regulatory  materials pertaining to the Company's
operations as shall have been reasonably requested by Buyer.


                                       21



<PAGE>


         10.14  TITLE  MATTERS.  Company  and Seller  shall have  furnished  all
recorded title documents, mortgages, liens, and other matters affecting title to
the Assets.  vehicles  previously  leased by the Company in connection  with the
Company's business.

         10.16  SALES  TAX.  Seller  shall  have  paid all  sales  tax for motor
vehicles and equipment, if applicable.

         10.17  CHANGE OF NAME.  The  Company  shall have taken such  reasonable
steps as Buyer shall have  requested to change its name so as not to include any
trade names or service names included in the Assets.

         10.18  CONSENTS.  Buyer  shall have  received  the  written  consent to
assignment  from each of those  nursing  homes,  retirement  facilities or other
healthcare   facilities  with  whom  the  Company  or  its  subsidiaries  has  a
radiological or EKG services  contract as listed on Schedule 5.7(h),  where such
consent is required.

         10.19 REAL  PROPERTY  CONSENTS.  The  Company  shall have used its best
efforts to obtain the written  consent to  assignment of each landlord with whom
the Company or any of its  subsidiaries  has a lease of real property  which, by
its terms,  requires  consent,  and the written  consent of such landlords shall
have been received by the Buyer. Alternatively, the Company shall have delivered
a waiver  from each such  landlord  of any  provision  contained  in any of such
leases which would  require the  landlord's  consent upon any  assignment of the
lease.  Buyer shall have  received  notice from the Company by the Closing Date,
identifying  any landlord  that has not given any  necessary  consent as of such
date.

         10.20 NURSING HOME MEETINGS. The Buyer shall have had personal meetings
with  the  respective   Administrators   and  Directors  of  Nurses  of  Bayview
Convalescent  Center,  Country  Manor  and John L.  Montgomery,  accompanied  by
Shareholder,  at which meetings the said  Administrators and Directors of Nurses
shall have confirmed their intention to utilize the Buyer's mobile x-ray and EKG
services as their exclusive mobile x-ray and EKG provider following Closing.

         10.21 PATIENT VOLUME SUMMARY.  Company shall have provided Buyer a true
and correct  summary of the x-ray and EKG patient  volume and  examinations  for
each of its customers by month for the three years ended December 31, 1997.

         10.22 BOARD  APPROVAL.  Buyer will have received all necessary Board of
Director approvals.

         10.23 OTHER DOCUMENTS. Shareholder and the Company shall have furnished
Buyer with all other documents,  certificates and other instruments  required to
be  furnished  to Buyer by  Shareholder  and the  Company  pursuant to the terms
hereof.

            ARTICLE XI: CONDITIONS PRECEDENT TO COMPANY'S OBLIGATIONS
            ---------------------------------------------------------

         The  Company's  obligation  to  consummate  the sale of the  Assets  is
subject to the fulfillment, prior to or at the Closing, of each of the following
conditions,  any one or more of which may be waived by Seller in  writing.  Upon
failure of any of the following conditions,  Seller may terminate this Agreement
pursuant to and in accordance with Article XIII herein.


                                       22



<PAGE>


         11.1 REPRESENTATIONS AND WARRANTIES. The representations and warranties
of Buyer made pursuant to this Agreement, shall be true in all material respects
at and as of the Closing Date,  as though such  representations  and  warranties
were  made  at  and as of  such  time,  except  to the  extent  affected  by the
transactions herein contemplated.

         11.2  PERFORMANCE OF COVENANTS.  Buyer shall have performed or complied
in all material  respects with each of its agreements and covenants  required by
this  Agreement  to be  performed  or  complied  with by it  prior  to or at the
Closing.

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

         11.4 OPINION OF COUNSEL.  Buyer shall have  delivered to the Company an
opinion, dated the Closing Date, of Blass & Driggs, Esqs., counsel for Buyer, in
the form attached as Exhibit 11.4.

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

         11.6 OTHER  DOCUMENTS.  Buyer shall have furnished the Company with all
documents,  certificates and other  instruments  required to be furnished to the
Company by Buyer pursuant to the terms hereof.

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

         12.1 SURVIVAL OF REPRESENTATIONS  AND WARRANTIES.  The  representations
and warranties of the Company and  Shareholder set forth in this Agreement or in
any Schedule, certificate, document or list delivered by any such party pursuant
hereto shall survive the Closing.  Notwithstanding  any investigation  conducted
before or after the  Closing  or the  decision  of any party to  consummate  the
Closing,  each party hereto shall be entitled to rely and is hereby  declared to
have  reasonably  relied upon the  representations  and  warranties of the other
party.

         12.2  INDEMNIFICATION  BY SHAREHOLDER AND THE COMPANY.  The Shareholder
and the Company shall indemnify  jointly and severally and defend Buyer and hold
it harmless  against and with  respect to any and all damage,  loss,  liability,
deficiency,  cost  and  expense  (including,   without  limitation,   reasonable
attorney's  fees and expenses)  (all of the foregoing  hereinafter  collectively
referred to as "Loss") resulting from:

             (A) any  inaccuracy  in any  representation  or  certification,  or
breach of any warranty, made by the Shareholder or the Company in this Agreement
or any Transaction Document;

             (B) the breach of any covenant or undertaking by the Shareholder or
the Company  contained in this  Agreement  which survives the Closing and is not
waived by Buyer at or prior to the Closing;


                                       23



<PAGE>


             (C) ownership or operation of the Company or its business or assets
prior  to the  Closing  Date,  including,  without  limitation,  (i) any  Excess
Reimbursement Liabilities (as defined in Section 1.2); (ii) any Loss arising out
of any bulk transfer act (whether relating to liabilities in general or taxes or
otherwise;  (iii) any Taxes  resulting from the operation of the business of the
Company or ownership of any of the Assets for any period ending on or before the
Closing Date; (iv) any Loss arising out of the noncompliance of the Company with
COBRA or any like statute;  (v) any claim of the type that would be covered by a
standard liability insurance policy, including, without limitation, professional
liability,   malpractice,  general  liability,  automobile  liability,  workers'
compensation and/or employer's liability insurance, arising out of the operation
of the Company's  business prior to the Closing Date,  including payments of any
deductibles  applicable to the aforesaid policies; and (vi) any and all actions,
suits, proceedings, demands, assessments,  judgments, settlements (to the extent
approved by the Company, such approval not to be unreasonably withheld,  delayed
or conditioned), costs and legal expenses incident to any of the foregoing.

         Without  limiting the  foregoing,  the Company and  Shareholder  hereby
represent  and  warrant to Buyer that they have  complied  with any and all bulk
transfer  act  or  similar  procedures  applicable  to the  transactions  herein
contemplated.

         12.3  INDEMNIFICATION  BY  BUYER.  Buyer  shall  indemnify  and  defend
Shareholder  and the Company and hold them harmless  against and with respect to
any and all Loss occurring or suffered resulting from:

             (A) any  inaccuracy  in any  representation  or  certification,  or
breach of any warranty,  made by the Buyer in this Agreement or any  Transaction
Document;

             (B) the  breach  of any  covenant  or  undertaking  by Buyer  which
survives the Closing and is not waived by Shareholder or the Company at or prior
to the Closing;

             (C) operation of the business of the Company or Assets on and after
the Closing Date.

         12.4 CONTROL OF DEFENSE OF INDEMNIFIABLE CLAIMS.

             (A) Buyer shall give Shareholder prompt written notice of the claim
for which it seeks  indemnification.  Failure  of the Buyer to give such  prompt
notice  shall not relieve the  Shareholder  of her  indemnification  obligation,
provided that such  indemnification  obligation  shall be reduced by any damages
suffered  by  Shareholder  resulting  from  a  failure  to  give  prompt  notice
hereunder.  The  Shareholder  shall be entitled to participate in the defense of
such claim.  If at any time the Buyer  acknowledges in writing that the claim is
fully  indemnifiable  under  this  Agreement,  it shall have the right to assume
total  control  of the  defense  of  such  claim  at  its  own  expense.  If the
Shareholder  does not assume total control of the defense of any such claim, the
Buyer  agrees  not to settle  such  claim  without  the  written  consent of the
Shareholder, which consent shall not be unreasonably withheld. Nothing contained
in this Section 12.4 shall prevent  either party from assuming  total control of
the defense and/or  settling any claim against it for which  indemnification  is
not sought under this Agreement.

             (B) The Shareholder and the Company shall give Buyer prompt written
notice  of the  claim  for  which  they  seek  indemnification.  Failure  of the
Shareholder  and the  Company to give such prompt  notice  shall not relieve the
Buyer of its  indemnification  obligation,  provided  that such  indemnification
obligation  shall be reduced by any damages  suffered by Buyer  resulting from a
failure to


                                       24



<PAGE>

give prompt notice hereunder.  The Buyer shall be entitled to participate in the
defense  of  such  claim.  If at  any  time  the  Shareholder  and  the  Company
acknowledge  in  writing  that  the  claim  is fully  indemnifiable  under  this
Agreement,  they shall have the right to assume total  control of the defense of
such claim at their own expense.  If the Buyer does not assume total  control of
the  defense of any such claim,  the  Shareholder  and the Company  agree not to
settle such claim without the written consent of the Buyer,  which consent shall
not be  unreasonably  withheld.  Nothing  contained  in this  Section 12.4 shall
prevent either party from assuming total control of the defense and/or  settling
any  claim  against  it for  which  indemnification  is not  sought  under  this
Agreement.

             (C)  Notwithstanding  anything to the  contrary  contained  in this
Agreement, if there shall be any claim for Excess Reimbursement Liabilities with
respect to which  Buyer  shall be seeking  indemnification,  Buyer will have the
sole right to contest or appeal such claim,  using at least the same standard of
care as it would  apply to  contests or appeals  with  respect to  reimbursement
liabilities in general.  Buyer may, in its sole and absolute discretion,  at any
time  discontinue  any such  contest or appeal or enter into a  settlement  with
respect   thereto   prior  to  the  final   determination   thereof   (a  "Final
Determination");  provided, however, that if it intends to discontinue or settle
any such appeal or contest  prior to Final  Determination,  then it must provide
the Shareholder  with reasonable  prior written notice of such intent and of the
current status of the appeal or contest or proposed settlement, and upon request
of the Shareholder,  Buyer shall permit the Company and the Shareholder,  as the
indemnifying  parties,  to thereafter  control  (without the right to settle the
same unless Buyer shall  consent to such  settlement,  which  consent  shall not
unreasonably  be withheld)  the contest and appeal of such Excess  Reimbursement
Liabilities  claim on behalf of Buyer; it being  understood,  however,  that the
Company and the  Shareholder  shall continue to be obligated to indemnify  Buyer
for any Excess  Reimbursement  Liabilities  unless the Buyer shall,  in its sole
discretion,  elect not to permit the Company and the  Shareholder to control the
contest and appeal of any such Excess  Reimbursement  Liabilities  for which the
Shareholder has requested control in accordance with the foregoing.

         12.5 RESTRICTIONS.

             (A) From and after the  Closing  Date,  neither the Company nor the
Shareholder  shall  disclose,  directly or indirectly,  to any person outside of
Buyer's  employ  without the  express  authorization  of the Buyer,  any patient
lists, customer lists, pricing strategies,  customer files, or patient files and
records of the  Company,  any  proprietary  data or trade  secrets  owned by the
Company or any financial or other  information about the Company not then in the
public domain;  provided,  however,  that Shareholder shall be permitted to make
such  disclosures  as may be  required  by law  or by a  court  or  governmental
authority.

             (B) After the Closing Date, neither the Company nor the Shareholder
shall engage or participate in any effort or act to induce any of the customers,
physicians,  suppliers,  associates, employees or independent contractors of the
Company to cease doing business,  or their  association or employment,  with the
Company.

             (C) For a period of three (3) years  following  the  Closing  Date,
neither the Company nor the Shareholder shall, directly or indirectly for, or on
behalf of themselves or any other person,  firm, entity or other enterprise,  be
employed by, be a director or manager of, act as a consultant  for, be a partner
in, have a  proprietary  interest in, give advice to, loan money to or otherwise
associate with, any person, enterprise, partnership,  association,  corporation,
joint  venture or other  entity of any type,  licensed or  unlicensed,  which is
engaged in or provides  mobile  radiological,  EKG or mobile medical  diagnostic
services or in any way competes with the Buyer or its subsidiaries or IHS or its
subsidiaries in the State of New Jersey.


                                       25



<PAGE>



             (D)  The   Shareholder  and  the  Company   acknowledge   that  the
restrictions  contained  in this Section 12.5 are  reasonable  and  necessary to
protect  the  legitimate  business  interests  of Buyer  and that any  violation
thereof by any of them would result in irreparable  harm to Buyer.  Accordingly,
Shareholder  agrees  that  upon  the  violation  by  any of  them  of any of the
restrictions  contained in this Section 12.5,  Buyer shall be entitled to obtain
from any court of competent  jurisdiction a preliminary and permanent injunction
as well as any other relief  provided at law or equity,  under this Agreement or
otherwise.  In  the  event  any  of  the  foregoing  restrictions  are  adjudged
unreasonable in any  proceeding,  then the parties agree that the period of time
or the scope of such  restrictions  (or both) shall be adjusted in such a manner
or for such a time (or both) as is adjudged to be reasonable.

         12.6 RECORDS.  On the Closing Date, the Company shall deliver, or cause
to be delivered,  to Buyer all records and files not then in Buyer's  possession
relating to the operations of the Company,  including  without  limitation x-ray
films,  EKG  tracings,  radiology  and  cardiology  reports,  physician  orders,
customer marketing and advertising information and personnel records.

         12.7 CUSTOMER TRANSITION. Upon Closing, the Company and the Shareholder
will join in signing a letter to the Company's customers announcing the transfer
of the Company's  business to the Buyer,  the form of such letter to be mutually
satisfactory to the  Shareholder,  the Company,  and the Buyer.  The Shareholder
shall be  available  to  accompany  representatives  of the Buyer in visiting or
otherwise contacting customers of the Company to discuss the transition of their
existing service  agreements to the Buyer. In addition,  the Shareholder will be
available  for a period of six (6) months  following  the Closing Date to answer
questions regarding such transaction.

         12.8 EXCLUSIVE USE. Following  Closing,  Bayview  Convalescent  Center,
Country Manor and John L. Montgomery  shall utilize the Buyer's mobile x-ray and
EKG services as their exclusive mobile x-ray and EKG provider.

                            ARTICLE XIII: TERMINATION
                            -------------------------

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

             (A)  Buyer,  if any  condition  precedent  to  Buyer's  obligations
hereunder  set forth in Article X hereof has not been  satisfied  by the Closing
Date or  pursuant  to  Section  14.1 if any  portion of the Assets is damaged or
destroyed as a result of fire, other casualty or for any reason whatsoever;

             (B)  the  Company,   if  any   condition   precedent  to  Company's
obligations  hereunder set forth in Article XI hereof has not been  satisfied by
the Closing Date; or

             (C) the mutual consent of Buyer and the Company.

         13.2  EFFECT  OF  TERMINATION.  If a party  terminates  this  Agreement
because  one of its  conditions  precedent  has not been  fulfilled,  or if this
Agreement is terminated by mutual  consent,  or if it is terminated  pursuant to
Section 14.1, this Agreement shall become null and void without any liability of
any party to the other; provided, however, that if such termination is by reason
of the  breach  by any  party  of any  of  its  representations,  warranties  or
obligations  under this  Agreement,  the other  party  shall be  entitled  to be
indemnified  for any Losses  incurred by it by reason thereof in accordance with
Article XII hereof (and for such  purposes  such  Article XII shall  survive the
termination  of this  Agreement).  Further,  nothing in this  Section 13.2 shall
affect Buyer's right to specific  performance of the  obligations of the Company
and Shareholder at Closing hereunder.


                                       26


<PAGE>


                       ARTICLE XIV: CASUALTY, RISK OF LOSS
                       -----------------------------------

         14.1 CASUALTY, RISK OF LOSS. The Company and Shareholder shall bear the
risk of all loss or damage to any of the  Assets  from all  causes  which  occur
prior to the  Closing.  If at any time prior to the  Closing  any portion of the
Assets is damaged or  destroyed as a result of fire,  other  casualty or for any
reason  whatsoever,  the Company and Shareholder  shall  immediately give notice
thereof  to  Buyer.  Buyer  shall  have the  right,  in its  sole  and  absolute
discretion,  within ten (10) days of receipt of such notice, to (1) elect not to
proceed with the Closing and terminate this Agreement, or (2) proceed to Closing
and  consummate  the  transactions  contemplated  hereby and receive any and all
insurance  proceeds  received or  receivable  by  Shareholder  or the Company on
account of any such casualty. Nothing contained in this Section 14.1 shall limit
or adversely affect the right of Buyer to receive indemnification for any Losses
incurred by either of them by reason of any breach by Shareholder or the Company
of any representation, warranty or obligation under this Agreement in accordance
with Section 12.2 hereof (and for such  purposes such Section 12.2 shall survive
the termination of this Agreement).

                            ARTICLE XV: MISCELLANEOUS
                            -------------------------

         15.1 COSTS AND EXPENSES. Except as expressly otherwise provided in this
Agreement,  Buyer,  Shareholder  and the Company  shall bear their own costs and
expenses in connection  with this  Agreement and the  transactions  contemplated
hereby;  provided,  however,  no such costs and expenses shall be charged to the
Assets.

         15.2  PERFORMANCE.  In  the  event  of a  breach  by any  party  of its
obligations hereunder,  the other party shall have the right, in addition to any
other remedies  which may be available,  to obtain  specific  performance of the
terms of this  Agreement,  and,  to the  extent  allowed  or not  prohibited  by
applicable  law, the breaching party hereby waives the defense that there may be
an adequate remedy at law. Should any party default in its performance, or other
remedy,  the  prevailing  party shall be entitled to its  reasonable  attorneys'
fees.

         15.3 BINDING EFFECT.  This Agreement binds and inures to the benefit of
each party hereto and its successors and proper assigns.

         15.4 EFFECT AND CONSTRUCTION OF THIS AGREEMENT.  This Agreement and the
Exhibits and Schedules hereto embody the entire  agreement and  understanding of
the  parties  and  supersede  any and all  prior  agreements,  arrangements  and
understandings relating to matters provided for herein. The captions used herein
are for  convenience  only and  shall  not  control  or affect  the  meaning  or
construction of the provisions of this Agreement. This Agreement may be executed
in one or more counterparts,  and all such counterparts shall constitute one and
the same instrument.

         15.5 COOPERATION - FURTHER  ASSISTANCE.  From time to time, as and when
reasonably  requested by any party hereto after the Closing,  the other  parties
will (at the expense of the requesting  party) execute and deliver,  or cause to
be executed and delivered, all such documents, instruments and consents and will
use reasonable efforts to take all such action as may be reasonably requested or
necessary to carry out the intent and purposes of this Agreement, and to vest in
Buyer good title to, possession of and control of all of the Assets.

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


                                       27


<PAGE>

<TABLE>
<CAPTION>
<S>                                     <C>
If to the Company or the Shareholder:   Mrs. Pamela Reichart
                                        Jersey Shore Portable X-Ray, Inc.
                                        957 Vaughn Avenue
                                        Toms River, NJ 08753

with a copy to:                         Robert Santangelo, Esq.
                                        1144 Hooper Avenue
                                        Suite 212
                                        Toms River Corporate Center
                                        Toms River, NJ 08753

If to the Buyer:                        Symphony Diagnostic Services No.1, Inc.
                                        8181 W. Broward Blvd., Suite 370
                                        Plantation, FL 33324

                                        Attn:  Martin Ardman, Senior Vice President

with a copy to:                         Integrated Health Services, Inc.
                                        10065 Red Run Boulevard
                                        Owings Mills, MD  21117
                                        Attn:  Marshall A. Elkins, Esq.

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

         15.7 WAIVER,  DISCHARGE,  ETC.  This  Agreement  shall not be released,
discharged,  abandoned,  changed  or  modified  in  any  manner,  except  by  an
instrument in writing  executed by or on behalf of each of the parties hereto by
their duly  authorized  officer or  representative.  The failure of any party to
enforce at any time any of the provisions of this  Agreement  shall in no way be
construed  to be a waiver of any such  provision,  nor in any way to affect  the
validity  of this  Agreement  or any  part  hereof  or the  right  of any  party
thereafter to enforce each and every such provision.  No waiver of any breach of
this Agreement shall be held to be a waiver of any other or subsequent breach.

         15.8 RIGHTS OF PERSONS NOT PARTIES. Nothing contained in this Agreement
shall be deemed to create rights in persons not parties  hereto,  other than the
successors and proper assigns of the parties hereto.

         15.9 GOVERNING  LAW. This Agreement  shall be governed by and construed
in accordance with the laws of the State of New Jersey,  disregarding  any rules
relating to the choice or conflict of laws.

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


                                       28



<PAGE>


         15.11 SEVERABILITY.  Any provision,  or distinguishable  portion of any
provision,   of  this   Agreement   which  is  determined  in  any  judicial  or
administrative  proceeding to be prohibited or unenforceable in any jurisdiction
shall, as to such jurisdiction, be ineffective to the extent of such prohibition
or unenforceability  without  invalidating the remaining  provisions hereof, and
any  such  prohibition  or   unenforceability  in  any  jurisdiction  shall  not
invalidate or render unenforceable such provision in any other jurisdiction.  It
is the  intention of the parties that if any  provision of Section 12.5 shall be
determined to be overly broad in any respect,  then it should be  enforceable to
the  maximum  extent  permissible  under the law.  To the  extent  permitted  by
applicable law, the parties waive any provision of law which renders a provision
hereof prohibited or unenforceable in any respect.

         15.12  COUNTERPARTS.  This  Agreement  may be  executed  in one or more
counterparts,  each of which shall be deemed to be an original, but all of which
together shall constitute one and the same instrument.

         15.13  ARBITRATION.  Any  dispute  or  controversy  between  any of the
parties hereto pertaining to the performance or interpretation of this Agreement
shall be settled by binding  arbitration  pursuant to the rules of the  American
Arbitration Association.  The cost of such proceeding shall be shared equally by
all parties thereto,  and each such party shall bear its own costs incurred as a
result of its participation in any such arbitration.

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

                       [SIGNATURES ON THE FOLLOWING PAGE]



                                       29

<PAGE>


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

                                            COMPANY:

WITNESS:                                    JERSEY SHORE PORTABLE X-RAY, INC.



By:                                         By:
   --------------------------                   --------------------------------
                                            Name: Pamela Reichart
                                            Title:  President

WITNESS:                                    SHAREHOLDER:

By:
    -------------------------               ------------------------------------
                                            Pamela Reichart

                                            BUYER:

                                            SYMPHONY DIAGNOSTIC SERVICES
                                            NO.1, INC.

                                            By:
                                               ---------------------------------
                                               Martin Ardman
                                               Senior Vice President




                                                                       EXHIBIT 5

                  [LETTERHEAD OF FULBRIGHT & JAWORSKI L.L.P.]



   
                                                                    May  8, 1998
    

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


Dear Sirs:

   
     We  refer to the  Registration  Statement  on Form  S-3 (the  "Registration
Statement"),  to be filed by Integrated Health Services, Inc. (the "Company") on
behalf of certain selling  stockholders  (the "Selling  Stockholders")  with the
Securities and Exchange Commission under the Securities Act of 1933, as amended,
relating to 981,421 shares of Common Stock,  $.001 par value (the "Shares"),  to
be sold by the Selling Stockholders named therein.
    

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

     We consent to the filing of this opinion as an exhibit to the  Registration
Statement  and the reference to this firm under the caption  "Legal  Matters" in
the prospectus contained therein and elsewhere in the Registration Statement and
prospectus.  This consent is not to be  construed as an admission  that we are a
party  whose  consent is required  to be filed with the  Registration  Statement
under the provisions of the Securities Act of 1933, as amended.

                                        Very truly yours,



                                        Fulbright & Jaworski L.L.P.


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