INTEGRATED HEALTH SERVICES INC
S-3, 1998-07-24
SOCIAL SERVICES
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     AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON JULY 24, 1998
                                                       REGISTRATION NO. 333-
================================================================================
                      SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D.C. 20549
                                --------------
                                   FORM S-3
                            REGISTRATION STATEMENT
                                     UNDER
                          THE SECURITIES ACT OF 1933
                                --------------
                       INTEGRATED HEALTH SERVICES, INC.
            (Exact name of registrant as specified in its charter)

<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        Integrated Health Services, Inc. 
            666 Fifth Avenue                   10065 Red Run Boulevard             
         New York, New York 10103            Owings Mills, Maryland 21117          
              (212) 318-3000                        (410) 998-8400      
            (212) 752-5958(FAX)                   (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: [ ]

                                --------------
<TABLE>
<CAPTION>
                                                   CALCULATION OF REGISTRATION FEE
<S>                                      <C>                 <C>                          <C>

====================================================================================================================================


         TITLE OF EACH CLASS OF           AOUMNT OF SHARES   PROPOSED MAXIMUM OFFERING   PROPOSED MAXIMUM AGGREGATE      AMOUNT OF
       SECURITIES TO BE REGISTERED        TO BE REGISTERED     PRICE PER SHARE(1)           OFFERING PRICE(1)       REGISTRATION FEE
- ------------------------------------------------------------------------------------------------------------------------------------
Common Stock, $.001 par value per share
 (including the Preferred Stock Purchase
 Rights)(2) ............................     1,396,691           $ 34.28125                  $ 47,880,313.34           $ 12,927.69
   
====================================================================================================================================
</TABLE>

(1)  Estimated solely for the purpose of calculating the registration  fee. Such
     estimates  have been  calculated in  accordance  with Rule 457(c) under the
     Securities  Act of 1933 and are based upon the  average of the high and low
     prices  per share of the  Registrant's  Common  Stock on the New York Stock
     Exchange Composite Transaction Tape on July 23, 1998.

(2)  The Preferred  Stock Purchase  Rights,  which are attached to the shares of
     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 JULY 24, 1998

PROSPECTUS

                               1,396,691 SHARES

                                [GRAPHIC OMITTED]

                       INTEGRATED HEALTH SERVICES, INC.

                                 COMMON STOCK

                                --------------
     This Prospectus relates to 1,396,691 shares (the "Shares") of Common Stock,
par value $0.001 per share  (together with the Preferred  Stock Purchase  Rights
associated therewith,  the "Common Stock"), of Integrated Health Services,  Inc.
("IHS" or the  "Company")  which are being  offered for sale by certain  selling
stockholders  (the  "Selling  Stockholders").  See "Selling  Stockholders."  The
Company's  Common Stock is traded on the New York Stock Exchange  ("NYSE") under
the symbol "IHS." On July 23, 1998,  the closing  price of the Common Stock,  as
reported in the NYSE consolidated reporting system, was $32.875 per share.

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

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

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

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

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

                                --------------
                    The date of this Prospectus is    , 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  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 law 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, as amended by Form 10-K/A filed May 29, 1998;

       (b) The  Company's  Quarterly  Report on Form 10-Q for the quarter  ended
   March 31, 1998, as amended by Form 10-Q/A filed May 29, 1998;

       (c) 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;

       (d) 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 and Amendment
   No. 1 to Form 8-K/A filed May 29, 1998;

       (e) 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;

       (f) 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 and Amendment No. 1 to Form 8-K/A filed May 29, 1998;

       (g) 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;

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

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

     All documents filed by the Company 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 359 geriatric care  facilities (303 owned or leased
and 56 managed),  excluding 10 facilities acquired in the CCA Acquisition and 19
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,  and 79% and 71% of net revenues in the six months ended
June 30,  1997 and 1998,  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 and the six months ended June
30, 1998, approximately 35% and 31%, respectively, of IHS' revenues were derived
from home health and hospice care, approximately 44% and 41%, respectively, were
derived from subacute and other ancillary  services,  approximately 19% and 28%,
respectively,  were derived from  traditional  basic nursing home services,  and
approximately  2% and 1%,  respectively,  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 June 30, 1998,  IHS'
total  long-term debt,  including  current  portion,  accounted for 68.7% of its
total capitalization. IHS also has significant lease obligations with respect to
the  facilities   operated  pursuant  to  long-term  leases,   which  aggregated
approximately  $687.0  million at June 30, 1998. For the year ended December 31,
1997 and the six months  ended June 30,  1998 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) and $71.0 million,  respectively.  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  $117.3  million
(representing the present value thereof) has been recorded at June 30, 1998. 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 and the six months ended June
30, 1997 and 1998, home healthcare  accounted for  approximately  16.3%,  35.4%,
30.8% and 29.9%,  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. 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  operations.  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 and the six months ended June 30,
1997 and 1998,  the Company  derived  approximately  55%, 60%, 66%, 67% and 63%,
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.  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

                                       10

<PAGE>

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."

     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.  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.  The inability of IHS to provide home  healthcare  and/or skilled nursing
services at a cost below the  established  Medicare  fee  schedule  could have a
material  adverse effect on IHS' home  healthcare  operations,  post-acute  care
network and business generally.

     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.  The  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 rate.  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."

     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 ser-

                                       11

<PAGE>

vices,  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  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.  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,
and the Company  believes that it will be able to resolve all current reviews in
a manner  satisfactory  to the regulatory  agencies  without a material  adverse
effect on its business. However, there can be no assurance that IHS will be able
to satisfactorily resolve all current or future reviews.

     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  Acts,"
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

                                       12

<PAGE>

certain  business  relationships  between  physicians  and  other  providers  of
healthcare services.  Many states prohibit business corporations from providing,
or holding themselves out as a provider of, medical care. Possible sanctions for
violation of any of these restrictions or prohibitions include loss of licensure
or eligibility to participate in reimbursement  programs (including Medicare and
Medicaid),  asset forfeitures and civil and criminal penalties.  These laws vary
from state to state,  are often vague and have seldom  been  interpreted  by the
courts or  regulatory  agencies.  The Company  seeks to  structure  its business
arrangements  in compliance  with these laws and, from time to time, the Company
has sought guidance as to the interpretation of such laws; however, there can be
no  assurance  that  such  laws  ultimately  will  be  interpreted  in a  manner
consistent with the practices of the Company. In addition to these anti-kickback
and  self-referral  prohibitions,  there are  various  federal  and  state  laws
prohibiting  other types of fraud by healthcare  providers,  including  criminal
provisions  which  prohibit  filing false claims or making false  statements  to
receive payment or  certification  under Medicare or Medicaid.  The false claims
statutes  include the Federal False Claims Act, which allows any person to bring
a suit, known as a qui-tam  action, alleging  false or  fraudulent  Medicare and
Medicaid  claims or other  violations of the statute and to share in any amounts
paid by the entity to the  government  in fines or  settlement.  The federal and
state governments are devoting increasing  attention and resources to anti-fraud
initiatives against healthcare providers.

     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.

                                       13

<PAGE>

     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  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.

                                       14

<PAGE>

                              RECENT DEVELOPMENTS

     Set forth below is certain  unaudited  summary  information with respect to
the  Company's  operations  for the three and six months ended June 30, 1997 and
1998 and balance sheet data as of June 30, 1998.

<TABLE>
<CAPTION>
STATEMENT OF OPERATIONS:

                                                        THREE MONTHS ENDED               SIX MONTHS ENDED
                                                             JUNE 30,                        JUNE 30,

                                                   ============================   ==============================
                                                        1998           1997            1998             1997
                                                   -------------   ------------   --------------   -------------
                                                                         ($ IN THOUSANDS)

<S>                                                <C>             <C>            <C>              <C>

Net revenues

 Basic medical services ........................     $ 232,349       $ 88,055      $   467,248       $ 176,810
 Specialty medical services ....................       575,829        360,113        1,188,025         722,802
 Management services and other .................         8,680          9,722           16,735          19,402
                                                     ---------       --------      -----------       ---------
   Total revenues ..............................       816,858        457,890        1,672,008         919,014
                                                     ---------       --------      -----------       ---------
Costs and expenses

 Operating, general and administrative .........       607,739        356,871        1,257,876         727,299
 Depreciation and amortization .................        39,180         15,814           77,771          30,844
 Rent ..........................................        35,580         25,786           70,994          49,795
 Interest, net .................................        64,025         23,224          130,490          44,645
 Non-recurring charges(1) ......................            --         21,072               --          20,047
                                                     ---------       --------      -----------       ---------
   Total costs and expenses ....................       746,524        442,767        1,537,131         872,630
                                                     ---------       --------      -----------       ---------
   Earnings before income taxes and ex-

    traordinary items ..........................        70,334         15,123          134,877          46,384
Federal and state income taxes .................        28,837          5,898           55,300          18,090
                                                     ---------       --------      -----------       ---------
   Earnings before extraordinary items .........        41,497          9,225           79,577          28,294
Extraordinary items(2) .........................            --         18,168               --          18,168
                                                     ---------       --------      -----------       ---------
   Net earnings (loss) .........................     $  41,497       $ (8,943)     $    79,577       $  10,126
                                                     =========       ========      ===========       =========
Per Common Share -- (Basic)

   Earnings before extraordinary items .........     $    0.90       $   0.37      $      1.78       $    1.17
                                                     =========       ========      ===========       =========
   Net earnings (loss) .........................     $    0.90       $  (0.36)     $      1.78       $    0.42
                                                     =========       ========      ===========       =========
Per Common Share -- (Diluted)

   Earnings before extraordinary items .........     $    0.76       $   0.32      $      1.50       $    0.95
                                                     ---------       --------      -----------       ---------
   Net earnings (loss) .........................     $    0.76       $  (0.18)     $      1.50       $    0.43
                                                     =========       ========      ===========       =========
Weighted average shares (Basic) ................                                        44,770          24,273
                                                                                   ===========       =========
Weighted average shares (Diluted) ..............                                        56,081          34,951
                                                                                   ===========       =========
</TABLE>

- ----------
(1) Consists primarily of (i) a gain in the first quarter of $7,578,000 realized
    on the shares of Capstone Pharmacy  Services,  Inc. common stock received in
    the sale of the Company's pharmacy division, (ii) the write-off in the first
    quarter of $6,555,000 of  accounting,  legal and other costs  resulting from
    the  proposed  merger  transaction  with Coram and (iii) the  payment in the
    second quarter to Coram of $21,000,000 in connection with the termination of
    the proposed merger transaction with Coram.

(2) Extraordinary  items relate to  extinguishment of debt. During the three and
    six months ended June 30, 1997,  IHS  recorded a loss on  extinguishment  of
    debt of  $29,784,000,  representing  approximately  (i)  $23,554,000 of cash
    payments of premium and consent fees relating to the early extinguishment of
    $214,868,000  aggregate  principal amount of IHS' senior  subordinated notes
    and (ii) $6,230,000 of deferred  financing  costs  written-off in connection
    with the early  extinguishment  of such  debt.  Such  loss,  reduced  by the
    related income tax effect of  $11,616,000,  is presented in the statement of
    operations for three and six months ended June 30, 1997 as an  extraordinary
    loss of $18,168,000.

                                       15

<PAGE>
<TABLE>
<CAPTION>
BALANCE SHEET DATA:



                                                                     JUNE 30,
                                                                       1998

                                                                -----------------
                                                                 ($ IN THOUSANDS)

<S>                                                             <C>
          Cash and temporary investments ....................       $   88,669
          Working capital ...................................          231,552
          Total assets ......................................        5,392,875
          Long-term debt, including current portion .........        3,187,277
          Stockholders' equity ..............................        1,454,779

</TABLE>

     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).  IHS did not recognize a gain or loss
on the sale.

     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  12 skilled  nursing
facilities  for  approximately  $15.9  million.  In April 1998 the Company  also
purchased, for an aggregate of approximately $5.5 million, seven companies which
provide  respiratory  therapy services.  The sellers of two of these respiratory
businesses are Selling  Stockholders  hereunder.  See "Selling  Stockholders  --
Transactions Involving Selling Stockholders."

     In May 1998 the Company acquired eight companies which provide  respiratory
therapy services for an aggregate of approximately $17.1 million and one company
which provides mobile diagnostic  services for approximately  $2.8 million.  The
stockholders of the mobile diagnostic services company are Selling  Stockholders
hereunder.   See  "Selling   Stockholders  --  Transactions   Involving  Selling
Stockholders."

     In June 1998 the Company  purchased a skilled nursing facility which it had
previously leased for approximately $12.0 million, eight companies which provide
respiratory  therapy services for an aggregate of approximately  $9.5 million, a
company which operates 30 skilled  nursing  facilities for  approximately  $53.0
million  and a  lithotripsy  operation  for  approximately  $11.9  million.  The
stockholders of the owner of the skilled nursing  facility,  the stockholders of
the skilled nursing  facility  operator and the  stockholders of the lithotripsy
operation  are Selling  Stockholders  hereunder.  See "Selling  Stockholders  --
Transactions Involving Selling Stockholders."

     The Company has reached  agreements  in  principle  to purchase two skilled
nursing facilities for approximately $16.7 million, a lithotripsy  operation for
approximately $10.2 million and 19 respiratory

                                       16

<PAGE>

companies  for an  aggregate of  approximately  $33.4  million.  There can be no
assurance that any of these  acquisitions will be consummated on these terms, on
different terms or at all.

     In  July  1998  the  Company  acquired  a  69.03% partnership interest in a
general  partnership  which  provides  lithotripsy  services for $1,000,000. The
seller  of  the  partnership  interest  is  a Selling Stockholder hereunder. See
"Selling Stockholders -- Transactions Involving Selling Stockholders."

     On May 29, 1998,  the Company called for redemption on June 29, 1998 all of
its  outstanding  6%  Convertible  Subordinated  Debentures  due  2003  (the "6%
Debentures"). Of the $115,000,000 principal amount of 6% Debentures outstanding,
holders of $114,799,000 principal amount of the 6% Debentures converted their 6%
Debentures into an aggregate of 3,573,446 shares of Common Stock. Holders of the
remaining $201,000 principal amount of 6% Debentures  received a cash redemption
aggregating   $213,026   ($1,059.83  per  $1,000  principal  amount  of  the  6%
Debentures),  equal to approximately $34.05 per underlying share of Common Stock
in lieu of conversion.

                                       17

<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 June 25, 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>
AMERICAN MOBILE HEALTH SYSTEMS, INC.(1)
 Peter Hanson ...................................................      32,050        32,050         0
 Sol Lewin ......................................................      27,667        27,667
 CoreStates Bank, N.A., as escrow agent(2) ......................      12,982        12,982         0
FIRST COMMUNITY CARE, INC.(3) ...................................      59,376        59,376         0

REGIONAL MEDICAL SUPPLY, INC.(4)
Regional Medical Supply, Inc. ...................................      12,856        12,856         0
Crestar Bank, as escrow agent ...................................       1,895         1,895         0
MEDICARE CONVALESCENT AIDS OF PINELLAS, INC. D/B/A/ MEDAIDS(5)
 Arthur Tepper and Elizabeth Tepper, as Trustees FBO Arthur
   Tepper UTD 7/14/78, as amended ...............................      29,857        29,857         0
 Joseph D. Valenti, as Trustee FBO Joseph D. Valenti Revoca-
   ble Trust DTD 6/10/88 ........................................      28,573        28,573         0
 Samuel J. Jarczynski and Helen Leann Jarczynski JTWROS .........      10,901        10,901         0
 Thomas A. Valenti, as Trustee FBO Thomas A. Valenti, Trust

   DTD 5/22/96 ..................................................       2,785         2,785         0
 Steven G. Tepper ...............................................         557           557         0
 CoreStates Bank, N.A., as escrow agent(2) ......................      10,384        10,384         0
PRIME MEDICAL SERVICES, INC.(6)
 Lee T. McCarger ................................................      25,972        25,972         0
 Helen Leann Jarczynski .........................................       4,328         4,328         0
 Elizabeth Tepper ...............................................       2,597         2,597         0
 Bernice Brieley ................................................       1,731         1,731         0
 CoreStates Bank, N.A. as escrow(2) .............................       4,691         4,691         0
METROPOLITAN LITHOTRIPSY BUSINESS(7)
 Downstate Lithotripter LLC .....................................      89,253        89,253         0
 Lithotripter Corporation .......................................      32,993        32,993         0
 Long Island Lithotripter, LLC ..................................       9,941         9,941         0
 Metro/Litho L.P. ...............................................     155,475       155,475         0
</TABLE>

                                       18

<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>
PREMIERE ASSOCIATES, INC.(8)
 Angell Family Limited Partnership ..................       3,219         3,219         0
 Jewel Austin .......................................      17,358        17,358         0
 Bruce W. Covell, Jr. ...............................      17,358        17,358         0
 Troy L. Curry, Jr. .................................      17,358        17,358         0
 Laverne P. Herzog(9) ...............................     316,769       316,769         0
 M. Rebecca Muenchow ................................      17,358        17,358         0
 W. Stuart Swain(9) .................................     316,769       316,769         0
HIALEAH(10)
 Medical Associates IV, Limited Partnership .........      68,259        68,259         0

INCON DEVELOPMENT, INC.(11) .........................      39,012        39,012         0

CORAM HEALTHCARE CORPORATION(12) ....................      26,367        26,367         0
</TABLE>

- ----------
(1) The shares of Common  Stock  offered  hereby  represent  shares  received in
    connection with the Company's acquisition of American Mobile Health Systems,
    Inc. pursuant to an Agreement and Plan of Reorganization  dated as of May 7,
    1998.  Of the shares of Common  Stock  being  registered  hereunder,  12,982
    shares  are  currently  being  held  in  escrow  to  secure  indemnification
    obligations and  post-closing  adjustments  based on the  collectibility  of
    receivables.

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

(3) The shares of Common  Stock  offered  hereby  represent  shares  received in
    connection with the Company's acquisition of substantially all the assets of
    First Community Care, Inc. pursuant to an Agreement for Sale and Purchase of
    Assets and Restrictive Covenants dated as of April 29, 1998.

(4) The shares of Common  Stock  offered  hereby  represent  shares  received in
    connection with the Company's acquisition of substantially all the assets of
    Regional Medical Supply, Inc. pursuant to an Agreement for Sale and Purchase
    of Assets  and  Restrictive  Covenants  dated as of March 20,  1998.  Of the
    shares  of  Common  Stock  being  registered  hereunder,  1,895  shares  are
    currently  being held in escrow to secure  indemnification  obligations  and
    post-closing adjustments based on the collectibility of receivables.

(5) The shares of Common  Stock  offered  hereby  represent  shares  received in
    connection with the acquisition by the Company of Medicare Convalescent Aids
    of  Pinellas,  Inc.  d/b/a  Medaids  pursuant to the  Agreement  and Plan of
    Reorganization  dated as of February 10, 1998. Of the shares of Common Stock
    being registered hereunder, 10,384 shares are currently being held in escrow
    to secure indemnification  obligations and post-closing adjustments based on
    the collectibility of receivables.

(6) The shares of Common  Stock  offered  hereby  represent  shares  received in
    connection  with the  acquisition by the Company of Prime Medical  Services,
    Inc.  pursuant  to the  Agreement  and  Plan of  Reorganization  dated as of
    February 10, 1998. Of the shares of Common Stock being registered hereunder,
    4,691 shares are  currently  being held in escrow to secure  indemnification
    obligations and  post-closing  adjustments  based on the  collectibility  of
    receivables.

(7) The shares of Common Stock offered  hereby were received in connection  with
    the acquisition by the Company of substantially  all the assets of Downstate
    Lithotripter LLC, Lithotripter  Corporation,  Long Island Lithotripter,  LLC
    and Metro/Litho L.P. pursuant to the Membership Interest

    Purchase Agreement dated as of April 7, 1998.

(8) The shares of Common  Stock  offered  hereby  represent  shares  received in
    exchange for the stock of Premiere Associates, Inc. ("Premiere") pursuant to
    an Agreement  and Plan of Merger  dated as of February  27, 1998.  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.

(9) Of the 316,769  shares being  registered  hereunder on behalf of the Selling
    Stockholder,   23,087   shares   are   being   held  in   escrow  to  secure
    indemnification  obligations  and  post-closing  adjustments  to the  merger
    consideration  based  on  the  levels  of  Premiere's  working  capital  and
    long-term liabilities, 65,964 shares are pledged to Premiere to secure loans
    from  Premiere and 47,953  shares are pledged to a subsidiary of Premiere to
    secure  the  purchase  price of  certain  assets  purchased  by the  Selling
    Stockholder  from such  subsidiary.  The Selling  Stockholders  will use the
    proceeds from the sale of the pledged shares to repay such obligations.

(10) The shares of Common Stock  offered  hereby  represent  shares  received in
     connection with the acquisition by the Company of the Hialeah  Convalescent
     Home skilled nursing facility pursuant to the Property  Purchase  Agreement
     dated as of June 30, 1998.

(11) The shares of Common Stock  offered  hereby  represent  shares  received in
     settlement of certain litigation between the Company and Incon Development,
     Inc..

(12) The shares of Common Stock  offered  hereby  represent  shares  received in
     connection  with the  acquisition  by the  Company of a 69.03%  partnership
     interest in South Georgia  Lithotripsy  Partners  pursuant to a Partnership
     Interest Purchase Agreement dated as of June 1, 1998.

                                       19

<PAGE>

TRANSACTIONS INVOLVING SELLING STOCKHOLDERS

     On February  11,  1998,  the  Company  acquired  through  merger all of the
outstanding capital stock of Medicare Convalescent Aids of Pinellas,  Inc. d/b/a
Medaids,  which  operates  a home  respiratory  and  durable  medical  equipment
business in the State of Florida.  The merger consideration was $3.3 million, of
which $2,683,000 was paid through the issuance of 83,057 shares of the Company's
Common  Stock (the  "Medaids  Shares").  The  Medaids  Shares are being  offered
hereby.

     On February  11,  1998,  the  Company  acquired  through  merger all of the
outstanding capital stock of Prime Medical Services, Inc., which operates a home
respiratory and durable medical equipment business in the State of Florida.  The
merger  consideration was $1.4 million, of which $1,174,000 was paid through the
issuance of 39,319  shares of the  Company's  Common  Stock (the "Prime  Medical
Shares"). The Prime Medical Shares are being offered hereby.

     On April 8, 1998,  the  Company  acquired  substantially  all the assets of
Regional  Medical Supply,  Inc.,  which operates a home  respiratory and durable
medical  equipment  business in the State of New Mexico.  The purchase price for
the assets and  certain  restrictive  covenants  agreed to by the seller and its
shareholders  was $725,000,  of which  $575,000 was paid through the issuance of
14,751 shares of the Company's Common Stock (the "Regional Medical  Shares").The
Regional Medical Shares are being offered hereby.

     On April 30, 1998,  the Company  acquired  substantially  all the assets of
First  Community  Care,  Inc.,  which  operates a home  respiratory  and durable
medical equipment  business in the State of New York. The purchase price for the
assets  and  certain  restrictive  covenants  agreed  to by the  seller  and its
shareholders was $8.6 million, of which $2,282,000 was paid through the issuance
of 59,376  shares of the  Company's  Common  Stock (the "FCC  Shares").  The FCC
Shares are being offered hereby.

     On May 12, 1998, the Company  acquired  through merger all the  outstanding
capital stock of American  Mobile Health  Systems,  Inc.,  which provides mobile
x-ray, EKG, ultrasound,  holter monitor, vision and audiology services and other
fixed site examinations.  The merger  consideration was $2.8 million,  which was
paid through the issuance of 72,699  shares of the  Company's  Common Stock (the
"AMHS Shares"). The AMHS Shares are being offered hereby.

     On June  18,  1998,  the  Company  acquired  all the  assets  of  Downstate
Lithotripter  LLC, Metro/ Litho L.P. and Long Island  Lithotripter,  LLC and all
the  stock  of  Lithotripter  Corporation,   which  provide  office  facilities,
equipment and management services to Metropolitan Lithotripter Associates, PC, a
professional  corporation  composed of approximately 200 urologists that provide
renal lithotripsy and other services in the Greater New York metropolitan  area.
The purchase  price for the assets and stock was $11.9  million,  which was paid
through the issuance of 40% of the  membership  interests  of Allied  Urological
Services,  LLC, a subsidiary of the Company which acquired the assets and stock,
and 287,662 shares of the Company's Common Stock (the "Litho Shares"). The Litho
Shares are being offered hereby.

     On June  25,  1998,  the  Company  acquired  all the  outstanding  stock of
Premiere  Associates  Inc.,  which operates 30 skilled nursing  facilities.  The
merger  consideration was $53.0 million,  of which $26.2 million  represents net
assumed  liabilities  and $26.8 million was paid through the issuance of 706,189
shares of Common Stock (the "Premiere  Shares").  The Premiere  Shares are being
offered hereby.

     On June 30, 1998, the Company acquired the Hialeah Convalescent Home, a 276
bed  skilled-nursing  facility in Hialeah,  Florida.  The purchase price for the
facility was $12.0 million,  of which $2.5 million was paid through the issuance
of 68,259 shares of the  Company's  Common Stock (the  "Hialeah  Shares"),  $6.5
million  was paid in cash and $3.0  million  was paid  through  the  issuance of
promissory  notes due in five equal  annual  installments  beginning  January 1,
1999.  The Company may, at its  election,  pay such notes in cash or through the
issuance of shares of Common Stock. The Hialeah Shares are being offered hereby.

                                       20

<PAGE>

     On July 8, 1998, the Company  settled certain  litigation  brought by Incon
Development,  Inc.  ("Incon")  alleging breach of contract and other theories of
recovery  under an  agreement  between  the Company  and Incon.  The  settlement
payment was $1.5  million,  which was paid through the issuance of 39,012 shares
of the Company's Common Stock (the "Incon  Shares").  The Incon Shares are being
offered hereby.

     On July 9, 1998,  the  Company  acquired a 69.03%  partnership  interest in
South Georgia Lithotripsy Partners, a Georgia general partnership engaged in the
lithotripsy  services  business,  and certain related assets. The purchase price
for the partnership  interest and the related assets was  $1,000,000,  which was
paid through the issuance of 26,367  shares of the  Company's  Common Stock (the
"Coram Shares"). The Coram Shares are being offered hereby.

                                       21

<PAGE>

                             PLAN OF DISTRIBUTION

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

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

     The holders of the Medaids Shares, as a group, and the holders of the Prime
Medical  Shares,  as a group,  have each  agreed not to sell in excess of 30,000
shares of Common Stock during any 30-day period, the holders of the AMHS Shares,
as a group,  have agreed not to sell in excess of 50,000  shares of Common Stock
during any 30-day period,  the holders of the Premiere Shares,  as a group, have
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 the holders of the Litho Shares,  as a
group,  have agreed not to sell more than 35,000 shares per day during the first
15  trading  days  after the date of this  Prospectus  and not more than  75,000
shares in any 30-day period  thereafter.  Each Selling  Stockholder  (other than
Incon and the  holder of the Coram  Shares)  has agreed to effect  sales  solely
through Salomon Smith Barney.

     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 Marshall A. Elkins,
Esq.,  Executive  Vice  President and General Counsel of the Company. Mr. Elkins
is  the  brother of Robert N. Elkins, the Company's Chairman of the Board, Chief
Executive Officer  and  President. Mr. Elkins owns 17,299 shares of Common Stock
and options to purchase 336,535 shares of Common Stock.

                                       22

<PAGE>

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

     The  consolidated  financial  statements of First  American  Health Care of
Georgia,  Inc. as of December 31, 1994 and 1995 and for each of the years in the
three-year period ended December 31, 1995 have been incorporated by reference in
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
1996 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
and 1997 and for each of the years in the three year period  ended July 31, 1997
incorporated 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 two 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.

                                       23

<PAGE>
<TABLE>  
<CAPTION>
========================================================================             ===============================================
     
   NO PERSON IS AUTHORIZED IN CONNECTION WITH ANY OFFERING MADE HEREBY                              1,396,691 Shares       
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                              IHS LOGO OMMITTED]     
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                              INTEGRATED HEALTH      
ANY SALE MADE  HEREUNDER  SHALL  UNDER ANY  CIRCUMSTANCES  CREATE  ANY                                SERVICES, INC.       
IMPLICATION THAT THE INFORMATION CONTAINED HEREIN IS CORRECT AS OF ANY                              
DATE SUBSEQUENT TO THE DATE HEREOF.

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



                                         PAGE                                                          COMMON STOCK

                                        -----
<S>                                     <C>
Available Information ...............    2
Incorporation of Certain Documents by

   Reference ........................    3
The Company .........................    4                                                               -----------------
Risk Factors ........................    6                                                                  PROSPECTUS    
Recent Developments .................   15                                                               -----------------
Use of Proceeds .....................   18                                                               
Selling Stockholders ................   18                                                               
Plan of Distribution ................   22                                                               
Legal Matters .......................   22
Experts .............................   23                                                                 July     , 1998

===================================================================                  ===============================================
</TABLE>
<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 ..........    $ 12,927.69
     Legal, accounting and printing fees and expenses ...............      35,000.00*
     Miscellaneous ..................................................       2,072.31*
                                                                         -----------
        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 AMHS  Shares,  the FCC  Shares,  the
Regional Medical Shares, the Medaids Shares, the Prime Medical Shares, the Litho
Shares, the Premiere Shares, the Hialeah Shares and the Coram Shares were issued
(Exhibits 2.1, 2.2, 2.3, 2.4, 2.5, 2.6, 2.7, 2.8 and 2.10, 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.



 2.1     -- Agreement and Plan of  Reorganization  dated as of May 7, 1998 among
            Integrated  Health Services,  Inc., IHS Acquisition No. 37, Inc. and
            American Mobile Health Systems, Inc. and Peter Hanson and Sol Lewin.


                                      II-1

<PAGE>


2.2      -- Agreement for Sale and Purchase of Assets and Restrictive  Covenants
            made as of April 29, 1998 by and among First  Community  Care,  Inc.
            ("Seller") each of the holders of capital stock of Seller, Northeast
            Medical Equipment, Inc. and Integrated Health Services, Inc.
     
2.3      -- Agreement for Sale and Purchase of Assets and Restrictive  Covenants
            made as of March 20, 1998 by and among Regional Medical Supply, Inc.
            ("Seller"),  Keith Thomas and Laurie  Nuckols,  the  shareholders of
            Seller,  Integrated Health Services at Jefferson Hospital,  Inc. and
            Integrated Health Services, Inc.

2.4      -- Agreement  and Plan of Merger  dated as of  February  10, 1998 among
            Integrated  Health  Services,  Inc.  and  RoTech  Oxygen  &  Medical
            Equipment,  Inc. and Medicare  Convalescent  Aids of Pinellas,  Inc.
            d/b/a Medaids and the Shareholders of the Constituent Corporations.

2.5      -- Agreement  and Plan of Merger  dated as of  February  10, 1998 among
            Integrated  Health  Services,  Inc.  and  RoTech  Oxygen  &  Medical
            Equipment,   Inc.  and  Prime   Medical   Services,   Inc.  and  the
            Shareholders of the Constituent Corporations.

2.6      -- Membership Interest Purchase  Agreement,  dated as of April 7, 1998,
            among Integrated Health Services,  Inc., Downstate Lithotripter LLC,
            Metro/Litho  L.P., Long Island  Lithotripter,  LLC and  Lithotripter
            Corporation and Allied  Urological  Services,  LLC, as amended as of
            May 4, 1998.

2.7      -- Agreement  and Plan of Merger  dated as of  February  27, 1998 among
            Integrated  Health  Services,  Inc.,  Integrated  Health Services at
            Hawthorne Nursing Center, Inc. Inc., and Pre- miere Associates, Inc.
            and its shareholders.

2.8      -- Property  Purchase  Agreement  dated  as  of  June  30,  1998  among
            Integrated  Health  Services,  Inc.,  Integrated  Health Services of
            Florida at Hollywood  Hills,  Inc.,  Medical  Associates  IV Limited
            Partnership, Hillco PCS (Hialeah) Limited Partnership, Medical Asset
            Fund,  LLC, Todd P. Robinson,  Dr. John J. Sheehan,  Sr. and Hialeah
            Acquisition Fund, L.P.
   
2.9      -- Settlement  Agreement,  dated  as of July  8,  1998,  between  Incon
            Development, Inc. and Inte- grated Health Services, Inc.
     
2.10     -- Partnership  Interest Purchase Agreement,  dated as of June 1, 1998,
            among West Coast Cam-  bridge,  Inc.,  Integrated  Health  Services,
            Inc., T2 Medical, Inc. and Coram Healthcare Corporation.

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 Marshall A. Elkins, Esq.

23.1     -- Consents of KPMG Peat Marwick LLP.

23.2     -- Consent of Deloitte & Touche LLP.

23.3     -- 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.

- ----------
(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.

                                      II-2

<PAGE>

ITEM 17. UNDERTAKINGS.

     (a) The undersigned registrant hereby undertakes:

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

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

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

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

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

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

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

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

     (c) Insofar as indemnification for liabilities arising under the Securities
Act of 1933 may be permitted to directors,  officers and controlling  persons of
the registrant  pursuant to the  provisions  described  under Item 15 above,  or
otherwise, the registrant has been advised that in the opinion of the Securities
and  Exchange  Commission  such  indemnification  is  against  public  policy as
expressed in the Act and is, therefore, unenforceable. In the event that a claim
for  indemnification  against  such  liabilities  (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 July 23, 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

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

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

<TABLE>
<CAPTION>

           SIGNATURE                             TITLE                      DATE

- -------------------------------   ----------------------------------   --------------
<S>                               <C>                                  <C>
        /s/ ROBERT N. ELKINS      Chairman of the Board, President     July 23, 1998
- -----------------------------     and Chief Executive Officer
      (Robert N. Elkins)          (Principal Executive Officer)
                            

       /s/ EDWIN M. CRAWFORD      Director                             July 23, 1998
- -----------------------------
     (Edwin M. Crawford)

       /s/ KENNETH M. MAZIK       Director                             July 23, 1998
- -----------------------------
      (Kenneth M. Mazik)

      /s/ ROBERT A. MITCHELL      Director                             July 23, 1998
- -----------------------------
     (Robert A. Mitchell)

   /s/ CHARLES W. NEWHALL, III    Director                             July 23, 1998
- -----------------------------
    (Charles W. Newhall, III)

     /s/ TIMOTHY F. NICHOLSON     Director                             July 23, 1998
- -----------------------------
     (Timothy F. Nicholson)

</TABLE>

                                      II-4

<PAGE>

<TABLE>
<CAPTION>

           SIGNATURE                             TITLE                       DATE
- -------------------------------   -----------------------------------   --------------
<S>                               <C>                                   <C>
       /s/ JOHN L. SILVERMAN      Director                              July 23, 1998
- -----------------------------
      (John L. Silverman)

       /s/ GEORGE H. STRONG       Director                              July 23, 1998
- -----------------------------
      (George H. Strong)

       /s/ C. TAYLOR PICKETT      Executive Vice President-             July 23, 1998
- -----------------------------     Chief Financial Officer (Principal
      (C. Taylor Pickett)         Financial Officer)

      /s/ W. BRADLEY BENNETT      Executive Vice President-             July 23, 1998
- -----------------------------     Chief Accounting Officer
      (W. Bradley Bennett)        (Principal Accounting Officer)
     

</TABLE>

                                      II-5

<PAGE>

                               INDEX TO EXHIBITS

 EXHIBIT                                                                    PAGE
   NO.                          DESCRIPTION                                  NO.
   ---                          -----------                                  ---

 2.1  -- Agreement and Plan of  Reorganization  dated as of May 7, 1998 among
         Integrated  Health Services,  Inc., IHS Acquisition No. 37, Inc. and
         American Mobile Health Systems, Inc. and Peter Hanson and Sol Lewin.

2.2   -- Agreement for Sale and Purchase of Assets and Restrictive  Covenants
         made as of April 29, 1998 by and among First  Community  Care,  Inc.
         ("Seller") each of the holders of capital stock of Seller, Northeast
         Medical Equipment, Inc. and Integrated Health Services, Inc.
     
2.3   -- Agreement for Sale and Purchase of Assets and Restrictive  Covenants
         made as of March 20, 1998 by and among Regional Medical Supply, Inc.
         ("Seller"),  Keith Thomas and Laurie  Nuckols,  the  shareholders of
         Seller,  Integrated Health Services at Jefferson Hospital,  Inc. and
         Integrated Health Services, Inc.

2.4   -- Agreement  and Plan of Merger  dated as of  February  10, 1998 among
         Integrated  Health  Services,  Inc.  and  RoTech  Oxygen  &  Medical
         Equipment,  Inc. and Medicare  Convalescent  Aids of Pinellas,  Inc.
         d/b/a Medaids and the Shareholders of the Constituent Corporations.

2.5   -- Agreement  and Plan of Merger  dated as of  February  10, 1998 among
         Integrated  Health  Services,  Inc.  and  RoTech  Oxygen  &  Medical
         Equipment,   Inc.  and  Prime   Medical   Services,   Inc.  and  the
         Shareholders of the Constituent Corporations.

2.6   -- Membership Interest Purchase  Agreement,  dated as of April 7, 1998,
         among Integrated Health Services,  Inc., Downstate Lithotripter LLC,
         Metro/Litho  L.P., Long Island  Lithotripter,  LLC and  Lithotripter
         Corporation and Allied  Urological  Services,  LLC, as amended as of
         May 4, 1998.

2.7   -- Agreement  and Plan of Merger  dated as of  February  27, 1998 among
         Integrated  Health  Services,  Inc.,  Integrated  Health Services at
         Hawthorne Nursing Center, Inc. Inc., and Pre- miere Associates, Inc.
         and its shareholders.

2.8   -- Property  Purchase  Agreement  dated  as  of  June  30,  1998  among
         Integrated  Health  Services,  Inc.,  Integrated  Health Services of
         Florida at Hollywood  Hills,  Inc.,  Medical  Associates  IV Limited
         Partnership, Hillco PCS (Hialeah) Limited Partnership, Medical Asset
         Fund,  LLC, Todd P. Robinson,  Dr. John J. Sheehan,  Sr. and Hialeah
         Acquisition Fund, L.P.
   
2.9   -- Settlement  Agreement,  dated  as of July  8,  1998,  between  Incon
         Development, Inc. and Inte- grated Health Services, Inc.
     
2.10  -- Partnership  Interest Purchase Agreement,  dated as of June 1, 1998,
         among West Coast Cam-  bridge,  Inc.,  Integrated  Health  Services,
         Inc., T2 Medical, Inc. and Coram Healthcare Corporation.

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 Marshall A. Elkins, Esq.

23.1  -- Consents of KPMG Peat Marwick LLP.

23.2  -- Consent of Deloitte & Touche LLP.

23.3  -- 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.
- ----------
(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.
<PAGE>

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




                      AGREEMENT AND PLAN OF REORGANIZATION

                             DATED AS OF MAY 7, 1998

                                      AMONG

                        INTEGRATED HEALTH SERVICES, INC.,
                          IHS ACQUISITION NO. 37, INC.

                                       AND

                      AMERICAN MOBILE HEALTH SYSTEMS, INC.

                                       AND

                                  PETER HANSON

                                       AND

                                    SOL LEWIN

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




<PAGE>



                                TABLE OF CONTENTS
                                -----------------
<TABLE>
<CAPTION>

                                                                               PAGE

<S>                                                                             <C>
ARTICLE I: MERGER................................................................1
    1.1    Merger................................................................1
    1.2    Taking of Necessary Action............................................1

ARTICLE II: CONVERSION...........................................................2
    2.1    Conversion of Stock...................................................2
    2.2    Adjustments to the Merger Consideration...............................2
    2.3    Escrow................................................................4
    2.4    Assets................................................................5
    2.5    Liabilities...........................................................5
    2.6    Employees.............................................................7

ARTICLE III: IHS STOCK...........................................................7
    3.1    IHS Stock.............................................................7

ARTICLE IV: THE CLOSING.........................................................12
    4.1    Time and Place of Closing............................................12
    4.2    Filings at Closing...................................................12
    4.3    Effective Time.......................................................12

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



                                       (i)


<PAGE>


<TABLE>
<S>                                                                            <C>
    5.20   Finders..............................................................22
    5.21   Tax Returns..........................................................22
    5.22   Encumbrances Created by this Agreement...............................23
    5.23   Subsidiaries and Joint Ventures......................................23
    5.24   No Untrue Statement..................................................23
    5.25   Reimbursement Matters................................................23
    5.26   Medicare/Medicaid Participation......................................23
    5.27   Leasehold Interests..................................................23
    5.28   Power and Authority..................................................24
    5.29   Binding Effect.......................................................24
    5.30   Questionnaires.......................................................24
    5.31   Questionable Payments................................................24
    5.32   Customers............................................................24
    5.33   Fee Schedules and Reimbursement......................................24
    5.34   Complete Disclosure..................................................24
    5.35   Books of Account; Records............................................25

ARTICLE VI: REPRESENTATIONS AND WARRANTIES OF SELLERS ..........................25
    6.1    Authority............................................................25
    6.2    Binding Effect.......................................................25
    6.3    Absence of Conflicting Agreements....................................25
    6.4    Consents.............................................................25
    6.5    Ownership of Company Stock...........................................26

ARTICLE VII: REPRESENTATIONS AND WARRANTIES OF BUYER AND NEWCO .................26
    7.1    Organization and Standing............................................26
    7.2    Power and Authority..................................................26
    7.3    Binding Agreement....................................................26
    7.4    Absence of Conflicting Agreements....................................26
    7.5    Consents.............................................................27
    7.6    Securities and Exchange Commission Filings...........................27
    7.7    Capital Stock........................................................27

ARTICLE VIII:  INFORMATION AND RECORDS CONCERNING THE COMPANY AND
    ITS SUBSIDIARIES............................................................27
    8.1    Access to Information and Records before Closing.....................27

ARTICLE IX:  OBLIGATIONS OF THE PARTIES UNTIL CLOSING...........................28
    9.1    Conduct of Business Pending Closing..................................28
    9.2    Negative Covenants of the Company and its Subsidiaries...............28
    9.3    Affirmative Covenants................................................28
    9.4    Pursuit of Consents and Approvals....................................29
    9.5    Exclusivity..........................................................30
</TABLE>



                                      (ii)


<PAGE>



<TABLE>
<S>                                                                            <C>
ARTICLE X: CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS..........................30
    10.1   Representations and Warranties.......................................30
    10.2   Performance of Covenants.............................................30
    10.3   Delivery of Closing Certificate......................................30
    10.4   Opinion of Counsel...................................................30
    10.5   Legal Matters........................................................30
    10.6   Authorization Documents..............................................30
    10.7   Material Change......................................................31
    10.8   Approvals............................................................31
    10.9   Consents.............................................................31
    10.10  Undertaking..........................................................31
    10.11  Real Property Consents...............................................31
    10.12  Company's Subsidiaries and Options...................................31
    10.13  Board and Lender Approvals...........................................31
    10.14  Consulting Agreements................................................32
    10.15  Employment Agreement.................................................32
    10.16  Termination of Non-Retained Agreements...............................32
    10.17  Escrow Agreement.....................................................32
    10.18  Stock Certificates...................................................32
    10.19  Dissenter's Rights...................................................32
    10.20  Insurance............................................................32
    10.21  Certificate of Status................................................32
    10.22  Procedure and Customer Volume Summary................................32
    10.23  Other Documents......................................................32

ARTICLE XI: CONDITIONS PRECEDENT TO SELLERS' OBLIGATIONS........................33
    11.1   Representations and Warranties.......................................33
    11.2   Performance of Covenants.............................................33
    11.3   Delivery of Closing Certificate......................................33
    11.4   Opinion of Counsel...................................................33
    11.5   Legal Matters........................................................33
    11.6   Authorization Documents..............................................33
    11.7   Consulting Agreements................................................33
    11.8   Employment Agreement.................................................33
    11.9   Escrow Agreement.....................................................33
    11.10  Other Documents......................................................34

ARTICLE XII: SURVIVAL AND INDEMNIFICATION.......................................34
    12.1   Survival of Representations and Warranties...........................34
    12.2   Indemnification by Shareholders......................................34
    12.3   Indemnification by Buyer.............................................35
    12.4   Indemnity Cap........................................................35
    12.5   Control of Defense of Indemnifiable Claims...........................35
    12.6   Restrictions.........................................................36
    12.7   Records..............................................................37
</TABLE>



                                      (iii)


<PAGE>



<TABLE>
<S>                                                                            <C>
    12.8   Dissenters' Rights...................................................37
    12.9   Closing Date Balance Sheet...........................................37

ARTICLE XIII: TERMINATION.......................................................37
    13.1   Termination..........................................................37
    13.2   Effect of Termination................................................38

ARTICLE XIV: CASUALTY, RISK OF LOSS.............................................38
    14.1   Casualty, Risk of Loss...............................................38

ARTICLE XV: MISCELLANEOUS.......................................................38
    15.1   Costs and Expenses...................................................38
    15.2   Performance..........................................................39
    15.3   Benefit and Assignment...............................................39
    15.4   Effect and Construction of this Agreement............................39
    15.5   Cooperation - Further Assistance.....................................39
    15.6   Notices..............................................................39
    15.7   Waiver, Discharge, Etc...............................................40
    15.8   Rights of Persons Not Parties........................................40
    15.9   Governing Law........................................................41
    15.10  Amendments, Supplements, Etc.........................................41
    15.11  Severability.........................................................41
    15.12  Counterparts.........................................................41
    15.13  Arbitration..........................................................41
    15.14  Public Announcements.................................................41
</TABLE>



                                      (iv)


<PAGE>



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

Schedule 2.1(b)          -       Allocation among Shareholders
Schedule 2.5             -       Seller Liabilities
Schedule 5.3             -       Consent List of Sellers
Schedule 5.4             -       Company Stock
Schedule 5.5             -       Liens on Assets
Schedule 5.6             -       Trademarks
Schedule 5.7             -       Contracts
Schedule 5.8(a)          -       Unaudited Financial Statements
Schedule 5.8(b)          -       Interim Financial Statements
Schedule 5.8(c)          -       Material Liabilities
Schedule 5.9             -       Material Changes
Schedule 5.10            -       Licenses, Permits
Schedule 5.11(a)         -       Liens on Personal Property
Schedule 5.11(b)         -       Leases of Personal Property
Schedule 5.12            -       Legal Proceedings
Schedule 5.13            -       Employees
Schedule 5.14            -       Collective Bargaining, etc.
Schedule 5.15(b)         -       Employee Benefit Plans
Schedule 5.15(c)         -       Employees on Leave of Absence
Schedule 5.16            -       Insurance and Surety Agreements
Schedule 5.17            -       Relationships
Schedule 5.18            -       Absence of Certain Events
Schedule 5.19            -       Compliance with Laws
Schedule 5.21            -       Tax Returns
Schedule 5.23            -       Subsidiaries, Joint Ventures, etc.
Schedule 5.25            -       Reimbursement Matters
Schedule 5.27            -       Leasehold Interests
Schedule 5.32            -       Customers
Schedule 5.33            -       Fee Schedules and Reimbursement


                -       Plan of Merger
Exhibit 2.3              -       Escrow Agreement
Exhibit 5.30             -       Questionnaire
Exhibit 10.4             -       Opinion of Shareholders' Counsel
Exhibit 10.10            -       Undertaking
Exhibit 10.14            -       Consulting Agreements
Exhibit 10.15            -       Employment Agreement
Exhibit 11.4             -       Opinion of Buyer's Counsel




                                       (v)


<PAGE>



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

                      AGREEMENT AND PLAN OF REORGANIZATION

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


               This Agreement and Plan of  Reorganization  (the  "Agreement") is
made as of the 7th day of May, 1998, among INTEGRATED  HEALTH SERVICES,  INC., a
Delaware  corporation  ("Buyer"),  IHS  ACQUISITION  NO. 37,  INC.,  a Wisconsin
corporation ("Newco"),  PETER HANSON and SOL LEWIN (collectively,  the "Sellers"
or "Shareholders"  and individually,  a "Seller" or "Shareholder")  and AMERICAN
MOBILE HEALTH SYSTEMS, INC. a Wisconsin corporation ("Company").

               WHEREAS, Newco is a subsidiary of Buyer; and

               WHEREAS,  the  Company is in the  business  of  providing  mobile
x-ray, EKG, ultrasound,  holter monitor, vision and audiology services and other
fixed site examinations; and

               WHEREAS,  the  Sellers  are the  owners or  holders of all of the
issued and  outstanding  shares of the capital  stock of the  Company  ("Company
Stock"); and

               WHEREAS,  the  Shareholders and the Boards of Directors of Buyer,
Newco,  and the  Company  deem it  advisable  to merge  Newco  with and into the
Company (the "Merger")  pursuant to the Agreement and the Plan of Merger annexed
as Exhibit A hereto (the "Plan of Merger"); and

               WHEREAS, pursuant to the Merger, all shares of Company Stock will
be converted into the right to receive the Merger  Consideration  (as defined in
Section 2.1(a) of this Agreement).

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

                                ARTICLE I: MERGER

               1.1  MERGER.   Subject  to  the  terms  and  conditions  of  this
Agreement,  at the Effective  Time of Merger (as defined in Article IV,  below),
Newco shall be merged with and into the Company and the  separate  existence  of
Newco shall cease.

               1.2 TAKING OF NECESSARY ACTION.  Prior to and after the Effective
Time  of  Merger,  subject  to the  provisions  of this  Agreement,  each of the
Shareholders, Buyer, Newco, and the Company shall take all such action as may be
necessary  or  appropriate  in  order  to  effect  the  Merger  as  contemplated
hereunder.  In case at any time after the  Effective  Time of Merger any further
action is  necessary  to carry out the  purposes of this  Agreement  and to vest
Buyer  with  full  title to  Company  Stock,  the  parties  shall  take all such
necessary action.



               

<PAGE>



                             ARTICLE II: CONVERSION

               2.1 CONVERSION OF STOCK. At the Effective Time of Merger:

                   (A)  The  shares  of  Company  Stock  which  are  issued  and
outstanding immediately prior to the Effective Time of Merger shall, without any
action by the holder thereof, be converted into the right to receive that number
of  shares  of the  common  stock,  par  value  $.001,  of Buyer  ("IHS  Stock")
determined  as of the Closing Date in  accordance  with Section  3.1(a) as shall
have an aggregate value,  subject to adjustment  pursuant to Section 2.2 hereof,
of TWO MILLION EIGHT HUNDRED  THOUSAND AND 00/100  ($2,800,000.00)  DOLLARS (the
"Merger  Consideration").  Each of the  Shareholders  whose shares are converted
into  the  Merger   Consideration   shall   receive  a  portion  of  the  Merger
Consideration as shall be equal to the aggregate Merger Consideration multiplied
by a fraction,  the  numerator of which is the number of shares of Company Stock
owned by such Shareholder immediately prior to the Effective Time of Merger, and
the denominator of which is the total number of shares of Company Stock that are
issued and outstanding immediately prior to the Effective Time of Merger.

                   (B) Each share of Newco common stock outstanding  immediately
prior to the  Effective  Time of Merger,  shall be  converted  into one share of
common stock of the Company.

                   (C) At  the  Effective  Time  of  Merger,  each  holder  of a
certificate  theretofore  evidencing  outstanding  shares of Company Stock, upon
surrender of such certificate, shall be entitled to receive in exchange therefor
his  proportionate  share of the Merger  Consideration,  calculated  pursuant to
Section  2.1(a)  above,  represented  by  the  certificate  or  certificates  so
surrendered.  Until so surrendered,  each such  outstanding  certificate  which,
prior to the Effective Time of Merger, represented shares of Company Stock, will
be deemed to  evidence  the right to receive the  proportionate  share of Merger
Consideration  represented  by  such  certificate  or  certificates.   Upon  the
surrender of such certificates, they shall be duly canceled.

                   (D) Immediately after the Effective Time of Merger, Buyer, as
the sole shareholder of Newco, upon surrender of stock certificate(s) evidencing
outstanding shares of Newco, shall be entitled to receive in exchange therefor a
certificate representing the shares of Company Stock, calculated on a one-to-one
basis. Until so surrendered, each such certificate which, prior to the Effective
Time of Merger, represented the outstanding shares of Newco stock will be deemed
to  evidence  such  shares  of  Company  Stock.   Upon  the  surrender  of  such
certificate(s), they shall be duly canceled.

               2.2  ADJUSTMENTS TO THE MERGER CONSIDERATION.

                   (A) (I) For  purposes of this  Section  2.2,  the  "Threshold
Amount"  shall mean the amount of the  Advanced  Tech  Liability  (as defined in
Section 2.5,  below) plus the amount of the Vehicle Lease  Liability (as defined
in Section 2.5, below) plus $975,000,  and the "Closing Date Receivables"  shall
mean the amount of the Company's  outstanding accounts receivable on the Closing
Date.



                                        2


<PAGE>



                       (II) If the amount of the Closing Date  Receivables  that
is actually  collected on or prior to the first  anniversary of the Closing Date
shall  be less  than  the  Threshold  Amount,  then  the  amount  of the  Merger
Consideration shall be reduced by such deficiency and the Escrowee shall deliver
over to Buyer in cash or shares of IHS Stock valued in  accordance  with Section
3.1(a),  below,  or  in  any  combination  thereof,  an  amount  equal  to  such
deficiency,  subject to the dispute  resolution  mechanism  set forth in Section
2.2(c),  below.  In the event the deficiency  exceeds the Escrow Deposit held by
Escrowee,  the Shareholders shall refund to Buyer the amount of such deficiency,
in the  discretion  of  Shareholders,  in cash or shares of IHS Stock  valued in
accordance with Section 3.1(a), below, or in any combination thereof.

                  (B)  RELEASE  OF  ESCROW.   For   purposes   hereof,   "Excess
Receivables  Amount"  shall mean the amount by which the amount of Closing  Date
Receivables exceeds the amount of the Advanced Tech Liability plus the amount of
the Vehicle Lease  Liability.  During the twelve (12) month period following the
Closing Date,  the Escrow  Deposit  shall be reduced  according to the following
schedule:

                       (I) After the  collection  of twenty (20%) percent of the
Excess Receivables  Amount, a portion of the Escrow Deposit (whether in the form
of  unregistered  or registered  IHS Stock,  cash or Permitted  Investments  (as
defined in Section 2.3, below), or in any combination thereof, in the discretion
of  Shareholders)  in an  amount  equal to  $100,000  shall be  released  to the
Shareholders;

                       (II) After the  collection  of forty (40%) percent of the
Excess Receivables  Amount, a portion of the Escrow Deposit (whether in the form
of unregistered or registered IHS Stock,  cash or Permitted  Investments,  or in
any combination  thereof,  in the discretion of  Shareholders)  in an additional
amount equal to $100,000 shall be released to the Shareholders;

                       (III) After the  collection of sixty (60%) percent of the
Excess Receivables  Amount, a portion of the Escrow Deposit (whether in the form
of unregistered or registered IHS Stock,  cash or Permitted  Investments,  or in
any combination  thereof,  in the discretion of  Shareholders)  in an additional
amount equal to $100,000 shall be released to the Shareholders; and

                       (IV) After the  collection of eighty (80%) percent of the
Excess Receivables  Amount, a portion of the Escrow Deposit (whether in the form
of unregistered or registered IHS Stock,  cash or Permitted  Investments,  or in
any combination  thereof,  in the discretion of  Shareholders)  in an additional
amount equal to $100,000 shall be released to the Shareholders.

                  (C)  DISPUTE  RESOLUTION.   If  there  shall  be  any  dispute
regarding the calculation of the adjustments to the Merger  Consideration,  then
such dispute shall be submitted to an  independent  "big six" public  accounting
firm mutually agreeable to Buyer and Sellers, which public accounting firm shall
resolve  any and all  disputes  with  respect to the  adjustments  to the Merger
Consideration or prepaid expense calculation set forth in Schedule 2.4. If Buyer
and Sellers are unable to agree upon an independent "big six" public  accounting
firm to be selected to resolve the  dispute,  each party shall name one firm and
the two firms so named shall choose a third



                                        3


<PAGE>



independent  "big six" public  accounting  firm which shall resolve the dispute.
Such  determination  shall be made  within  sixty (60) days after the dispute is
submitted to the independent "big six" public accounting firm in accordance with
the terms of this  section and shall be final and binding upon Buyer and Sellers
in the absence of manifest error.  The party against whom the  independent  "big
six" public  accounting  firm shall rule shall pay the costs and expenses of the
independent "big six" public accounting firm in connection therewith.

              2.3 ESCROW.

                  (A) At the  Closing,  pursuant  to an Escrow  Agreement  to be
entered into by the parties  substantially  in the form and substance of Exhibit
2.3, a portion of the IHS Stock included in the Merger Consideration as shall be
equal in value to FIVE  HUNDRED  THOUSAND  ($500,000.00)  DOLLARS  (the  "Escrow
Deposit") based upon the valuation described in Section 3.1(a),  below, shall be
delivered by Buyer, on behalf of the  Shareholders,  to CoreStates Bank, N.A. as
escrow agent (the "Escrowee"). The Escrow Deposit shall be held and disbursed by
the Escrowee in accordance with the following:

                       (I) In the event that the  Shareholders  become obligated
to remit IHS Stock back to Buyer pursuant to the  post-Closing  adjustments  set
forth in Section 2.2, the  Escrowee  shall  release to Buyer that portion of the
Escrow  Deposit  as shall  have a value  equal to the amount by which the Merger
Consideration is so reduced.

                       (II) In the event  that the  Buyer  becomes  entitled  to
indemnification  pursuant to Section 12.2,  the Escrowee  shall release to Buyer
that  portion  of the  Escrow  Deposit  as  shall  be  equal  in  value  to such
indemnification.

                       (III)  If no  claim  for  indemnification  on the part of
Buyer remains  outstanding  upon the  expiration  of one (1) year  following the
Closing Date,  any remaining  Escrow Deposit (less any amounts offset for claims
pursuant  to  Section  2.3(a)(i)  and (ii) or any  amounts  previously  released
pursuant to Section 2.3(c)) shall be released to the Shareholders.

                       (IV) If any  claim  for  indemnification  on the  part of
Buyer does remain  outstanding upon the expiration of one (1) year following the
Closing  Date,  then any  Escrow  Deposit  (less any  amounts  offset for claims
pursuant  to  Section  2.3(a)(i)  and (ii) or any  amounts  previously  released
pursuant to Section 2.3(c))  (including all accrued interest thereon)  remaining
(after  resolution of the outstanding  claim and payment in respect thereof,  if
any is owing,  shall be made),  shall be released to the  Shareholders  no later
than thirty (30) business days after resolution of such claim.

                       (V) The value of any IHS Stock to be distributed to Buyer
from the Escrow Deposit shall be calculated  based upon the average closing NYSE
price  of such  stock  for its  thirty  (30)  business  day  period  immediately
preceding the date of such distribution.



                                        4


<PAGE>



                  (B)  The  terms  of the  Escrow  Agreement  shall  permit  the
escrowed  IHS  Stock  comprising  the  Escrow  Deposit  to be sold  (subject  to
applicable  securities  laws  and  Section  3.1(e),  below)  and  reinvested  in
investments to be approved by Buyer and Shareholders  from Buyer's  pre-approved
list of investments  (the  "Permitted  Investments")  as specified in the Escrow
Agreement.  The Shareholders shall be entitled to receive, if and when paid, any
cash dividends paid in respect of IHS Stock included in the Escrow Deposit.

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

             2.4  ASSETS.  As of  the Closing Date, the  consolidated  assets of
the Company (the  "Assets")  will include its ownership  interests in all of its
current  operating  subsidiaries,  as well as all of the tangible and intangible
assets  necessary to operate the business of the Company and its subsidiaries as
presently  constituted,  including,  without  limitation,  all contract  rights,
leasehold  interests,  fixed  and  moveable  equipment,  vehicles,  furnishings,
tangible  personal  property,  inventory  and  supplies  (other than  inventory,
supplies,  and other  assets  disposed of in the  ordinary  course of  business,
consistent with prior practice),  goodwill, trade names, trademarks, all patient
records, books and files, Medicare and Medicaid provider agreements and numbers,
IPL or IDTF  provider  numbers,  provider  agreements  with third party  payors,
telephone numbers, and to the extent permitted by law, all permits, licenses and
other governmental  approvals.  The Assets of the Company as of the Closing Date
shall also include accounts receivable,  and prepaid expenses.  Prepaid expenses
shall include,  but are not limited to, office rent and insurance  premiums will
be prorated and credited to the Sellers  within ninety (90) days after  Closing.
Notwithstanding the foregoing,  except as provided in Section 2.5(b), below, the
Assets shall not include,  and the Shareholders  shall be entitled to retain and
distribute from the Company, the Company's cash on or prior to Closing,  whether
on hand  or in  marketable  securities,  the two  personal  computers  currently
located at the homes of the Shareholders,  the two cellular telephones currently
used by the Shareholders, and the Canon video camera.

               2.5 LIABILITIES.

                  (A) As of the  Closing  Date,  the  Company  will not have any
liabilities  (including  the Marshall & Ilsley Bank note payable  which shall be
paid off  prior  to or at  Closing),  other  than the  Advanced  Tech  long-term
liability (the "Advanced Tech  Liability"),  the unpaid portion  attributable to
post-Closing  matters of items to be  prorated  as of the  Closing  Date,  post-
Closing liabilities arising under vehicle lease (the "Vehicle Lease Liability"),
and the post-Closing  liabilities which arise under those certain contracts (the
"Retained Contracts"), specifically retained by 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  (collectively,  the
"Retained  Liabilities").   Liabilities  and  obligations  under  such  Retained
Contracts that have accrued,  or the performance of which is due, on or prior to
the Closing,  all  liabilities  and  obligations  under all other  Contracts (as
defined  below) with  respect to any period on or prior to the  Closing  Date or
which are in payment or  consideration  for any excluded  assets,  and any other
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



                                        5


<PAGE>



certain,  whether for the payment of money or for the  performance or observance
of any  obligation  or  condition,  and  whether or not of a type which would be
reflected as a liability on a balance  sheet in  accordance  with GAAP,  in each
case, arising out of any acts, omissions,  facts,  circumstances or matters that
occur on or prior to the Closing Date ("Seller Liabilities"), including, without
limitation, (i) any state or federal income tax on income earned with respect to
any  matters  that occur on or prior to the  Closing;  (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 to the extent not covered by  insurance;  (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  Medicare  cost  report
adjustments or other payment adjustments  attributable to any period on or prior
to the  Closing  Date,  or any  other  form of  Medicare  or other  health  care
reimbursement recapture,  adjustment or overpayment whatsoever,  including fines
and  penalties,  with  respect  to any  period on or prior to the  Closing  Date
("Excess Reimbursement Liabilities"); (iv) any accounts payable or employment or
other  taxes,  with respect to any period on or prior to the Closing  Date;  (v)
accrued but unpaid compensation or other benefits to any of the Company's or its
subsidiaries'  employees,  agents,  consultants  or advisers with respect to any
period on or prior to the Closing Date, including accrued vacation; and (vi) and
any undisclosed  liability of the Company,  shall, in each case, remain the sole
responsibility  of the Sellers and shall be paid or performed on or prior to the
Closing  Date. To the best of Sellers'  knowledge,  after  diligent  inquiry the
Seller Liabilities are as set forth on Schedule 2.5.

                  (B) At the Closing,  any cash then held by the Company and not
distributed  to Sellers shall be used by the Company to pay  liabilities  of the
Company that  otherwise  would  constitute  Seller  Liabilities  (the  "Retained
Sellers' Liabilities"). The Company shall retain a minimum amount of $220,000 in
cash at Closing. Any of such cash retained at the Closing that is not so applied
to satisfy the Retained Sellers' Liabilities shall be paid to the Sellers on the
date that is one hundred eighty (180) days following the date hereof.

                  (C) Buyer shall be responsible  for any and all liabilities of
the Company,  including liabilities,  obligations or debts of any kind or nature
whatsoever,  whether  absolute,  accrued,  direct  or  indirect,  contingent  or
liquidated,  matured  or  unmatured,  joint or  several,  whether or not for sum
certain,  whether for the payment of money or the  performance or observation of
any obligation or condition, in each case, arising out of acts, omissions, facts
or  circumstances   attributable  to  services  provided  after  the  Closing  ,
including,  without limitation,  (i) any state or federal income taxes on income
earned with respect to services  provided after the Closing Date or by reason of
the change of  accounting  method of the Company or any other tax or  accounting
election,  strategy or actions of the Buyer after the Closing;  (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 attributable to
services provided after the Closing Date to the extent not covered by insurance;
(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 Medicare cost report
adjustments or other payment adjustments attributable to services provided after
the Closing Date, or any other form of Medicare or other



                                        6


<PAGE>



health care  reimbursement  recapture,  adjustment  or  overpayment  whatsoever,
including  fines and  penalties,  attributable  to services  provided  after the
Closing  Date;  and (iv) any  accounts  payable  or  employment  or other  taxes
attributable to any period after the Closing Date.

             2.6  EMPLOYEES.   Except  as  set  forth  below,  it  is  expressly
understood  and agreed that  Newco's  merger with and into the Company  does not
involve  any  undertaking  on the part of Buyer  or Newco to  retain  any of the
employees of the Company, including the Shareholders,  although Buyer shall have
the right to offer employment to any such employees, including the Shareholders.
Prior to the Closing Date,  the Company shall be obligated to pay any severance,
benefits,  costs or liabilities arising out of the termination by the Company of
any of its employees, including the Shareholders. Prior to the Closing Date, the
Company shall be obligated to pay any benefits,  costs, or liabilities  incurred
or accrued  prior to the Closing Date with respect to each  employee,  including
the Shareholders hired as consultants by IHS.

                             ARTICLE III: IHS STOCK

             3.1 IHS STOCK. The entire Merger Consideration equal to TWO MILLION
EIGHT HUNDRED THOUSAND  ($2,800,000.00) DOLLARS shall be payable by means of the
delivery to the  Shareholders  of newly issued shares of the Common  Stock,  par
value $.001, of Buyer in accordance with the following:

                  (A) SHARE VALUE. The number of shares of IHS Stock issuable at
Closing (the  "Closing Date Share  Count")  pursuant to Section  2.1(b) 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 one hundred  twenty (120) days
following  the Closing Date (the  "REQUIRED  EFFECTIVE  DATE"),  a  registration
statement for the registration under the Securities Act of 1933 (the "Securities
Act") of the IHS  Stock  issued  to  Shareholders  pursuant  to this  Agreement,
including  the  shares   issuable   under  Section  3.1(c)  in  respect  of  any
re-calculation of the Closing Date Share Count (the "MERGER SHARES"),  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 no Shareholder  shall own any of the IHS Stock issued pursuant
to this  Agreement,  whichever  shall  occur  first,  in each case except to the
extent that an exemption  from  registration  is available  and counsel to Buyer
provides a legal opinion to the Shareholders  indicating the specific  exemption
available (the "REGISTRATION PERIOD").

                  (C) SHARE  ADJUSTMENT.  Upon  registration of the IHS Stock as
provided  above,  the  number  of  shares  deliverable  as  part  of the  Merger
Consideration  under Section 2.1(a) hereof shall be re-calculated based upon the
average  closing  NYSE  price  of IHS  Stock  for the  30-  trading  day  period
immediately  preceding  the  Registration  Date.  If the  number  of  shares  as
recalculated  under this  subsection  (the "Adjusted  Share Count")  exceeds the
Closing Date Share



                                        7


<PAGE>



Count,  the Buyer promptly shall deliver over to the  Shareholders an additional
number of shares  of IHS Stock as shall be equal to the  amount of such  excess,
and such additional shares shall be included in the aforementioned  registration
statement by means of a post-effective  amendment  thereto.  If the Closing Date
Share Count exceeds the Adjusted  Share Count,  the  Shareholders  promptly will
return to the Buyer that number of shares of IHS Stock as shall be equal to such
excess.

                  (D)   REGISTRATION   EXPENSES.   Shareholders   shall  not  be
responsible for, and Buyer shall bear, all of the reasonable expenses related to
such  registration  including,  without  limitation,  the fees and  expenses  of
Buyer's  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 such  Shareholder's
(and any transfee's)  IHS Stock, or to pay any costs or expenses  arising out of
Shareholder's or any transferee's  failure to comply with its obligations  under
this Article III.

                  (E)  RESALE  LIMITATIONS.  All  resales  of IHS  Stock  issued
pursuant to this Agreement shall be effected solely through Salomon Smith Barney
Inc., as broker, and sales by the Shareholders and, if any, their transferees of
such shares,  shall not at any time,  in the  aggregate,  exceed Fifty  Thousand
(50,000) shares during any thirty (30) trading day period.

                  (F)  REGISTRATION  PROCEDURES,  ETC.  In  connection  with the
registration rights granted to the Shareholders 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 the entire
Registration Period. Buyer will immediately notify the Shareholders, at any time
when a prospectus relating to a registration statement under this Section 3.1 is
required to be delivered under the Securities Act, of the happening of any event
known to Buyer as a result of which the prospectus included in such registration
statement, as then in effect, includes an untrue statement of a material fact or
omits to state any material fact  required to be stated  therein or necessary to
make the statements  therein not misleading in light of the  circumstances  then
existing.

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



                                        8


<PAGE>



                       (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  Shareholders,  provided that Buyer
shall not be  obligated  to  qualify  as a foreign  corporation  or dealer to do
business under the laws of any such jurisdiction.

                       (IV)  The   information   included  or   incorporated  by
reference in the registration  statement filed pursuant to this Section 3.1 will
not, at the time any such registration statement becomes effective,  contain any
untrue statement of a material fact, or omit to state any material fact required
to be stated  therein as necessary in order to make the statements  therein,  in
light of the  circumstances  under  which  they were  made,  not  misleading  or
necessary to correct any  statement in any earlier  filing of such  registration
statement or any amendments thereto.  The registration  statement will comply in
all material  respects with the  provisions of the  Securities Act and the rules
and  regulations  thereunder.  Buyer shall prepare and file with the  Commission
such  amendments  (including  post-effective  amendments) and supplements to the
registration   statement  and  the  prospectus   used  in  connection  with  the
registration  statement as may be necessary to keep the  registration  statement
effective at all times during the  Registration  Period and, during such period,
shall comply with the  provisions of the Securities Act applicable to Buyer with
respect  to the  disposition  of  all  IHS  Stock  covered  by the  registration
statement  until  such  time  as all of  such  stock  has  been  disposed  of in
accordance  with the intended  methods of disposition by the Sellers  thereof as
set forth in the  registration  statement.  Buyer shall use its best  efforts to
prevent the issuance of any stop order or other  suspension of  effectiveness of
the registration  statement and, if such an order is issued,  shall use its best
efforts to obtain the withdrawal of such order at the earliest possible time and
to notify each  Shareholder  of the  issuance  of such order and the  resolution
thereof. Buyer shall indemnify the Shareholders of IHS Stock to be sold pursuant
to the registration statement, their successors and assigns, and each person, if
any,  who  controls  such  Shareholders  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,
or actions or  proceedings  whether  commenced or  threatened  arising out of or
based upon: (a) any untrue  statement or alleged untrue  statement of a material
fact contained in such registration  statement or amendments thereto 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;  (b) 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;  or (c) any violation or alleged violation by
Buyer of the  Securities  Act,  Exchange Act or any state  securities law or any
rule or regulation; unless and only to the extent such statement or omission was
made in reliance upon and in conformity  with written  information  furnished to
Buyer  by  any of the  Shareholders  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  Shareholders  or any  controlling
person of the  Shareholders  in respect of which indemnity may be sought against
Buyer  pursuant  to  this  subsection  3.1(f)(iv),   the  Shareholders  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



                                        9


<PAGE>



action  and Buyer  shall  assume  the  defense of such  actions,  including  the
employment and payment of fees and expenses of counsel (reasonably  satisfactory
to the  Shareholders  or such  controlling  person).  The  Shareholders  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 Shareholders 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
Shareholders  and/or  such  controlling  person  shall be borne by Buyer.  Buyer
agrees promptly to notify the Shareholders of the commencement of any litigation
or  proceedings  against Buyer or any of its officers,  directors or controlling
persons in connection  with the resale of IHS Stock or in  connection  with such
registration statement.

                       (V) The  Shareholders 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 solely from information  furnished by or on behalf of
such  Shareholders,  or their  successors  or assigns in  writing  for  specific
inclusion in such registration statement.

                  (G) NOTICE OF SALE. If the Shareholders desire to transfer all
 or any portion of IHS Stock,  the Shareholders  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 Shareholders will sell
the IHS Stock in compliance  with the method of distribution  disclosed  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(b) and to give
prompt  notice to the  Shareholders  when the  registration  statement has again
become  current.  If the  Shareholders  deliver  to Buyer an  opinion of counsel
reasonably  acceptable  to Buyer  and its  counsel  and to the  effect  that the
proposed  transfer  of IHS  Stock  may be made  without  registration  under the
Securities  Act,  the  Shareholders  will be entitled  to transfer  IHS Stock in
accordance with the terms of the notice and opinion of their counsel.

                  (H) 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  Shareholders  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 reasonably required to effect the



                                       10


<PAGE>



registration  of their IHS Stock.  In that  connection,  each  transferee of any
Shareholder  shall  be  required  to  represent  to  the  Buyer  that  all  such
information  which  is given  is both  complete  and  accurate  in all  material
respects.  Such  Shareholders  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  information  regarding the
transferee in 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.

                  (I) INVESTMENT REPRESENTATIONS.  All shares of IHS Stock to be
issued  hereunder  will be  newly  issued  shares  of  Buyer.  The  Shareholders
represent  and warrant to Buyer that the IHS Stock  being  issued  hereunder  is
being acquired,  and will be acquired,  by the  Shareholders  for investment for
their own  accounts  and not with a view to or for sale in  connection  with any
distribution  thereof within the meaning of the Securities Act or the applicable
state  securities  law except in compliance  with the provisions of this Article
III; the  Shareholders  acknowledge  that the IHS Stock  constitutes  restricted
securities  under  Rule  144  promulgated  by  the  Commission  pursuant  to the
Securities  Act, and accordingly the resale of the IHS Stock will be restricted,
and the Shareholders agree that no shares of IHS Stock may be sold, transferred,
assigned,  pledged or  otherwise  disposed of except  pursuant  to an  effective
registration  statement or an exemption from  registration  under the Securities
Act,  the rules and  regulations  thereunder,  and  under all  applicable  state
securities laws. The Shareholders have the knowledge and experience in financial
and  business  matters,  are capable of  evaluating  the merits and risks of the
investment,  and are  able to bear the  economic  risk of such  investment.  The
Shareholders  have had the  opportunity  to make  inquiries  of and obtain  from
representatives  and employees of Buyer such other information about Buyer as it
deems necessary in connection with such investment.

                  (J) 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  reasonable  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.



                                       11


<PAGE>



                  (K)  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 Shareholders under this
Article III.

                             ARTICLE IV: THE CLOSING

             4.1 TIME AND PLACE OF  CLOSING.  The Closing  under this  Agreement
(the  "Closing")  shall be held as  promptly as  practicable,  but not more than
seven (7) business days following the  satisfaction of all conditions  precedent
specified  in this  Agreement,  including  receipt of all  necessary  regulatory
approvals, unless duly waived by the party entitled to satisfaction thereof. The
Closing  shall  take  place by  facsimile,  or at such other time and place upon
which  the  parties  may  agree.  The  date  on  which  the  Closing  is held is
hereinafter  called the  "Closing  Date."  Subject to the  conditions  set forth
herein,  at the Closing (a) the Shareholders  shall deliver for cancellation one
or more  stock  certificates  representing  the  shares of  Company  Stock  duly
endorsed,  or  accompanied  by one or more stock powers duly  endorsed,  and (b)
Buyer, as agent for the Company, shall, subject to Sections 2.2 and 2.3, deliver
to the Shareholders the Merger Consideration pursuant to Section 2.1(a) hereof.

             4.2 FILINGS AT CLOSING.  At the Closing Date, Buyer and the Company
shall cause the Plan of Merger or such other certificate as required to be filed
in  accordance  with the  Wisconsin  Business  Corporation  Law, and each of the
Shareholders,  Buyer and Company shall take any and all lawful  actions to cause
the Merger to become effective.

             4.3 EFFECTIVE  TIME.  Subject to the terms and conditions set forth
herein, including receipt of all required regulatory approvals, the Merger shall
become  effective  at the time the Plan of Merger or such other  certificate  as
required by the Wisconsin  Secretary of State is made effective (the  "Effective
Time of Merger").

          ARTICLE V: REPRESENTATIONS AND WARRANTIES OF THE SELLERS AND
                                   THE COMPANY

             The Company and the Sellers hereby jointly and severally  represent
and warrant to Buyer and Newco as follows  (it being  understood  that,  for the
purposes of this Article V, "Company"  shall be deemed to refer  collectively to
the Company and any subsidiaries listed on Schedule 5.23):

             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 Wisconsin. 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
properties  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.



                                       12


<PAGE>



             5.2 ABSENCE OF  CONFLICTING  AGREEMENTS.  Neither the  execution or
delivery of this Agreement  including all Schedules and Exhibits hereto,  or any
of the other  instruments  and  documents  required or  contemplated  hereby and
thereby   ("Transaction   Documents")  by  Sellers  and  the  Company,  nor  the
performance by Sellers and the Company of the transactions  contemplated  hereby
and thereby,  conflicts  with, or constitutes a breach of or a default under (i)
the Articles of Incorporation or By-Laws of the Company;  or (ii) any applicable
law, rule, judgment,  order, writ, injunction, or decree of any court, currently
in effect,  provided  that the  consents  set forth in Schedule 5.3 are obtained
prior to the Closing;  or (iii) to the Shareholders'  knowledge,  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 any of the Sellers or the Company.

             5.4  COMPANY  STOCK.  Schedule  5.4 sets forth a complete  list and
description of the authorized capital stock of the Company, the number of shares
issued and  outstanding of each class or series of such capital  stock,  and the
identity of each  shareholder of the Company,  in each case indicating the class
and number of shares held.  No shares of Company  Stock are held in the treasury
of the Company.  The  Shareholders are the record owners of all of Company Stock
and all of such  stock  is duly  authorized,  validly  issued,  and,  except  as
provided in Chapter  180.0622(2)(b)  of the  Wisconsin  Statutes  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  consolidated  Assets of the
Company  will include all of the tangible  and  intangible  assets  necessary to
operate the business of the Company as presently constituted, including, without
limitation,  accounts  receivable;  provided,  however,  that  Assets  shall not
include  cash,  and  inventory,  supplies  and other  assets  disposed of in the
ordinary course of business, consistent with the prior practice of the Company's
business.  The  quantities  of  inventory  items  included  in  the  Assets  are
reasonable  in light of the  present  and  anticipated  volume of the  Company's
business and the  inventory is good,  usable,  merchantable,  and salable in the
ordinary  course of the Company's  business,  in each case, as determined by the
Company in good faith and consistent with past practice. The accounts receivable
of the Company have been billed or invoiced in the  ordinary  course of business
consistent  with past  practice.  The  Assets  are not  subject to any Liens (as
defined  in Section  5.11)  except for  Permitted  Liens (as  defined in Section
5.11).



                                       13


<PAGE>



             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 any of the  Sellers  and the
Company,  the Company is not infringing on the  intellectual  property rights of
any other person.

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

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

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

                  (C) each agreement or arrangement  for the purchase or sale of
any of the Company's assets, properties or rights outside the ordinary course of
business  (by purchase or sale of assets,  purchase or 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, affiliate, sales or
manufacturer's representative,  agency or other similar contract, arrangement or
commitment;

                  (H) each  contract  under  which the Company  performs  mobile
x-ray, EKG, ultrasound,  holter monitor, vision and audiology services and other
fixed site examinations;

                  (I) each lease of real property;


                                       14


<PAGE>



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

                  (K) any radiologist, cardiologist, optometrist, audiologist 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 5.21);

                  (M) each agreement with a PPO; or

                  (N) any other  agreement  not made in the  ordinary and normal
course of business which involves consideration of more than $10,000.

             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 amounts payable under the Contracts are,
or will at the  Closing  Date,  be on a  current  basis.  Except as set forth on
Schedule  5.7,  the change of control in the Company to Buyer will not be deemed
an assignment of, or require consent under, any Contract.

             5.8   FINANCIAL STATEMENTS.

                   (A)  The  unaudited  balance  sheet  of  the  Company,  on  a
consolidated  basis and by location,  for the fiscal years ended March 31, 1995,
March 31, 1996 and March 31, 1997, and the related  statements of operations for
the  years  then  ended,  annexed  hereto as  Schedule  5.8(a)  (the  "Unaudited
Financial  Statements"),  present fairly in all material  respects the financial
condition  and  results of  operations  of the  Company  at and for the  periods
therein specified.

                   (B)  The  unaudited  balance  sheets  of  the  Company,  on a
consolidated  basis and by location,  for the interim  period ended  January 31,
1998,  and the  related  statements  of  operations  for the period  then ended,
annexed hereto as Schedule  5.8(b)  ("Interim  Financial  Statements"),  present
fairly  in  all  material  respects  the  financial  condition  and  results  of
operations of the Company at and for the period therein specified.

                   (C) Except as set forth on  Schedule  5.8(c) or as  expressly
set forth on the  Interim  Financial  Statements,  the  Company  has no material
non-recurring  or  extraordinary  income or  expense  reduction  not  identified
therein or material  liabilities  or  obligations  (whether  absolute,  accrued,
contingent  or otherwise  and whether due or to become due,  including,  without
limitation,  any guarantees of any obligations of any other person or entity) of
any  kind or  nature  whether  or not  required  by GAAP  to be  reflected  in a
corporate balance sheet and/or the notes thereto.



                                       15


<PAGE>



             5.9  MATERIAL CHANGES. Except as noted on Schedule 5.9, between the
ending date of the 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  except with respect to this  transaction.  Sellers have  identified  and
communicated  to Buyer all  material  information  with  respect  to any fact or
condition  that is reasonably  likely to adversely  affect the future  prospects
(financial or otherwise) of the Company.

             5.10 LICENSES;  PERMITS.  Schedule 5.10 sets forth (a) all licenses
and other governmental or other regulatory permits,  authorizations or approvals
required for the  operation of the  Company's  business  that are now in effect,
including  all  certificates  of occupancy  issued with respect to the Company's
business and; (b) each other license,  permit,  or other  authorization  that is
necessary  for  the  operation  of  the  Company's  business  (a  "License"  and
collectively,  the "Licenses"). The Licenses constitute all of the governmental,
quasi-governmental and regulatory licenses, permits and authorizations necessary
to the operation of the businesses of the Company and its  subsidiaries  as they
are  operated on the date hereof.  The Company has  delivered to Buyer copies of
all of the Licenses.  The Company and its subsidiaries own, possess or otherwise
have the exclusive legal right to use the Licenses, free and clear of all liens,
pledges,  claims or other encumbrances of any nature whatsoever.  The Company is
not in  material  default  under  any  such  License,  and the  Company  and its
subsidiaries  have not received any notice of any material  default or any other
material  claim or proceeding  relating to any such License.  Each License is in
full force and effect,  and neither the Company nor any of its  subsidiaries has
received written notice of any proceeding to terminate or suspend any License or
of any condition or event which, if uncured,  would result in the termination or
suspension  of  any  License.   None  of  the  Licenses  are:  (a)  provisional,
probationary,  or  restricted  in any way except to the extent  qualified by any
outstanding deficiencies or citations,  particulars of which have been set forth
on Schedule 5.10; or (b) subject to any investigation, cancellation, impairment,
limitation,  order, complaint,  proceeding, or suspension nor is such threatened
or pending. No Seller,  director or officer,  employee or former employee of the
Company,  or any person,  firm or corporation other than the Company owns or has
any proprietary, financial or other interest, direct or indirect, in whole or in
part in any of the Licenses.

             5.11 TITLE, CONDITION OF PERSONAL PROPERTY.

                  (A) Except for the security  interests listed and described on
Schedule  5.11(a),  the Company has good and  marketable  title to, or valid and
subsisting  leasehold  interests in, all of the personal property located at its
places of business owned by the Company 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 (the "Liens") other
than  Permitted  Liens (as  defined  below).  Except  as set  forth on  Schedule
5.11(a),  no other person has any right to the use or  possession of any of such
property  which is owned  and,  except  as set  forth on  Schedule  5.11(a),  no
currently  effective  financing statement with respect to such personal property
has been



                                       16


<PAGE>



filed under the Uniform Commercial Code in any jurisdiction, and the Company has
not signed any such financing  statement or any security  agreement  authorizing
any secured party thereunder to file any such financing  statement.  All of such
personal  property  comprising  equipment,  improvements,  furniture  and  other
tangible personal property in use by the Company, whether owned or leased, is in
good  operating  condition and repair,  subject to normal wear and tear,  and is
sufficient to enable the Company to operate its business in a manner  consistent
with its operation during the immediately preceding twelve (12) months.

                  (B)  Except  as set forth on  Schedule  5.11(b),  no  tangible
personal  property used by the Company in  connection  with the operation of its
business is subject to a lease,  conditional sale,  security interest or similar
arrangement.  The Company has  delivered to Buyer a complete and correct copy of
each of the leases and other agreements listed on Schedule 5.11(b).  All of said
personal  property leases are valid,  binding and enforceable in accordance with
their respective  terms and are in full force and effect.  The Company is not in
material default under such leases and there has not been asserted, either by or
against the Company  under any of such  leases,  any written  notice of default,
set-off, or claim of default. To the best knowledge of Sellers and Company,  the
parties  to such  leases  other  than the  Company  are not in  default of their
respective  obligations under any of such leases, and there has not occurred any
event  which  with the  passage  of time or  giving of  notice  (or both)  would
constitute such a default or breach under any of such leases.

                  (C) "Permitted Liens" shall mean:

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

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

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

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

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



                                       17


<PAGE>



             5.13  EMPLOYEES.  Attached  hereto as Schedule  5.13 is the payroll
register of the Company dated March 31, 1998  indicating  the names,  positions,
current rates 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  or agent of the Company  that is not
reflected in any agreement or document  referred to in Schedule  5.7.  Except as
set forth on Schedule 5.13, all of such information is materially  correct as of
such date and there has been no material  change since then. To the knowledge of
Sellers and Company, none of the employees,  while in the employ of the Company,
has ever had his or her professional license or certification denied, suspended,
revoked,  terminated,  or voluntarily  relinquished under threat of disciplinary
action,  or has ever been restricted in any way from performing the duties he or
she is to  provide  for the  Company,  and there is no  proceeding  pending,  or
threatened,  pursuant to which any of the foregoing may occur. No such employee,
consultant  or agent has any vested or  unvested  retirement  benefits  or other
termination benefits, except as described on Schedule 5.13.

             5.14 COLLECTIVE BARGAINING, LABOR CONTRACTS,  EMPLOYMENT PRACTICES,
ETC. During the two years prior to the Closing Date,  there has been no material
adverse  change in the  relationship  between the Company and its  employees  or
affiliates  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.
Company's  employees or  affiliates  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 or affiliates. Except
as set forth on Schedule 5.7 or Schedule 5.15(b),  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.  Except as set forth on  Schedule  5.14,  the  Company is in material
compliance  with the  requirements  prescribed  by all Federal,  state and local
statutes,   orders  and   governmental   rules  and   regulations   ("Government
Requirements")  applicable to any of the employee benefit plans,  agreements and
arrangements identified on Schedule 5.7 and Schedule 5.15(b), 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  to  the  knowledge  of  the  Company  and
Shareholders,  there are no threatened claims related thereto,  and there are no
pending claims relating  thereto,  in each case. Except as set forth on Schedule
5.7(a), in the event of termination of employment of an employee of the Company,
the Company will not,  after the  Closing,  pursuant to any  agreement  with any
Shareholder  or the  Company  or by  reason of any  representation  made or plan
adopted by any 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  (excluding  liabilities  with  respect to
post-Closing   terminations  under  federal  and  state  discrimination   laws),
including,  without limitation,  post-employment healthcare (other than pursuant
to the  continuation  health care  provisions  of Section  4980B of the Internal
Revenue Code of 1986, as amended or Section 601 through 608 of ERISA  ("COBRA"))
or insurance  benefits,  and accrued  vacation and sick days or properly accrued
for on the Estimated Closing Date Balance Sheet in accordance with GAAP.



                                       18


<PAGE>



             5.15 ERISA.

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

                  (B) Schedule 5.15(b) sets forth each severance agreement,  and
each plan,  agreement,  arrangement or plan, bonus plan,  deferred  compensation
agreement,  employee pension, profit sharing,  savings or retirement plan, group
life, health, or accident  insurance or other employee benefit plan,  agreement,
arrangement or commitment, including, without limitation, any commitment arising
under severance,  holiday, vacation,  Christmas or other bonus plans (including,
but not limited to,  "employee  benefit  plans",  as defined in Section  3(3) of
ERISA  maintained  by 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 make or have an  obligation  to make  contributions  on  behalf  of
employees of the Company ("Plans").

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

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

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



                                       19


<PAGE>



             5.18  ABSENCE OF CERTAIN  EVENTS.  Except as set forth on  Schedule
5.18, since the ending date of the 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, other than 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 mobile x-ray, EKG,
ultrasound,  holter monitor,  vision and audiology  services,  Social  Security,
correctional  institutions,  psychiatric  facilities  or any  other  fixed  site
contracts or customers;

                  (D) sold or assigned,  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
affect  earnings or otherwise be material,  and the Sellers and Company have not
received  notice  (written or oral) and have no knowledge  that any Contract has
been terminated or will be terminated or modified or amended (as aforesaid);

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

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

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

                  (H) entered  into any  transaction  other than in the ordinary
course of business;

                  (I) dissolved, merged or entered into a share exchange with or
into any other entity;

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

                  (K)  made  any   change  to  its   by-laws  or   articles   of
incorporation;



                                       20


<PAGE>



                  (L) failed to maintain its business in substantially  the same
state of repair, order and condition as on the date hereof,  reasonable wear and
tear or loss by casualty excepted;

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

                  (N) failed to 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 5.16;

                  (O)   failed  to   preserve   intact  the   present   business
organizations  of the  Company;  failed to keep  available  the  services of the
Company's  present  employees,  affiliates  and agents  necessary  to the proper
functioning of the business of the Company; and failed to maintain the Company's
relations and goodwill with suppliers, employees, affiliates, affiliated medical
personnel and any others having business  relating to the Company and where such
relationships  are  necessary to the proper  functioning  of the business of the
Company;

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

                  (Q)  failed  to  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 has entered into in the ordinary course of business
since the Interim  Financial  Statements,  and failed to comply in all  respects
with the provisions of all material laws,  rules and  regulations  applicable to
the Company's business;

                  (R) failed to pay when due, all taxes, assessments and charges
or  levies  imposed  upon it or on any of its  properties  for which it has been
required to be withheld or paid over;

                  (S) failed to promptly  advise  Buyer in writing of any threat
known to the Shareholders, or the commencement against the Company 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

                  (T)  failed  to  notify  the  Buyer in  writing  of any  event
involving  the  Company  which has had or may be  reasonably  expected to have a
material adverse effect on the business or financial condition of the Company or
may involve the loss of contracts with any of the Company's customers.

             5.19 COMPLIANCE WITH LAWS.



                                       21


<PAGE>



                  (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  5.19,  the Company has not,
within the period of twenty-four  months  preceding the date of this  Agreement,
received any written notice that the Company or the Assets fail 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 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.

             5.20 FINDERS. Shareholders and Company have been represented solely
by  Geneva  Business  Services,  Inc.  ("Broker"),  and as a result a  brokerage
commission  payable to the Broker by the  Company  or  Shareholders  immediately
prior to the Closing in connection  with the  transactions  contemplated by this
Agreement is due,  and no other  broker or finder is entitled to any  additional
broker's or finder's fee or other commission in respect thereof based in any way
on agreements,  understandings  or  arrangements  with the  Shareholders  or the
Company.

             5.21 TAX RETURNS.

                  (A)  Except as set  forth in  Schedule  5.21,  (i) all Tax (as
defined below) returns, statements, reports and forms or extensions with respect
thereto  required  to  be  filed  with  any  Federal,   state,  local  or  other
governmental  department or court or other authority having jurisdiction over it
("Governmental  Authority") on or before the Closing Date by or on behalf of the
Company (collectively,  the "Tax Returns"), have been or will be timely filed on
or before the Closing Date in  accordance  in all  materials  respects  with all
applicable Governmental  Requirements;  and (ii) the Company has timely paid all
Taxes payable by it.



                                       22


<PAGE>



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

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

             5.23  SUBSIDIARIES  AND JOINT VENTURES.  Schedule 5.23 sets forth a
complete list of all subsidiaries,  joint ventures and partnerships in which the
Company is a record or  beneficial  owner.  All of the  issued  and  outstanding
capital  stock of the  subsidiaries  listed on Schedule  5.23 hereto is owned of
record or  beneficially  by the Company or by one of the listed  subsidiaries on
Schedule 5.23.

             5.24  NO  UNTRUE  STATEMENT.   None  of  the   representations  and
warranties  made  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.

             5.25 REIMBURSEMENT  MATTERS.  Except as disclosed on Schedule 5.25,
(i) the Company and Sellers have not received any notice of recoupment  from the
Medicare or Medicaid  programs,  or any other third party  reimbursement  source
(inclusive of facility billing to nursing homes or other health care facilities,
and managed care  organizations),  (ii) the Shareholders 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 Sellers have not received
notice  from  any  Medicare  or  Medicaid  program  or  any  other  third  party
reimbursement  source  (inclusive of facility  billing to nursing homes or other
health  care  facilities,  and  managed  care  organizations)  of any pending or
threatened  investigations or surveys,  and neither the Sellers, nor the Company
have any reason to believe  that any such  investigation  or survey is  pending,
threatened or imminent.

             5.26 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.

             5.27  LEASEHOLD  INTERESTS.  Schedule  5.27  hereto  sets  forth  a
complete and correct list of all leases  pursuant to which the Company or any of
its subsidiaries leases real property.  Each of the Company and its subsidiaries
has valid  leasehold  interests in all such real  property free and clear of all
liens,  claims,  charges and  encumbrances  of any kind  whatsoever,  except for
Permitted  Liens.  The Company has provided  access to the Buyer to complete and
correct copies of the leases identified in Schedule 5.27.



                                       23


<PAGE>



             5.28  POWER  AND  AUTHORITY.  The  Company  and  Sellers  have  all
requisite  power and authority to execute,  deliver and perform this  Agreement,
and as of the Closing, the Company and Sellers will have all requisite power and
authority  to execute  and  deliver  the  Transaction  Documents  required to be
delivered by each party to the Buyer at the Closing.

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

             5.30 QUESTIONNAIRES.  The health care law questionnaire  heretofore
delivered to the Company by Buyer (the  "Questionnaire") will be attached hereto
as Exhibit 5.30 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.

             5.31   QUESTIONABLE   PAYMENTS.   Neither   the   Company  nor  any
shareholder,  director, officer,  controlling person or employee of the Company,
and no affiliate of the Company, (a) has used any corporate funds of the Company
to  make  any   illegal  or   unlawful   payment  to  any   officer,   employee,
representative,  agent of any government,  or to any political party or official
thereof,  including,  without  limitation,  any of same that would  violate  the
Foreign  Corrupt  Practices Act of 1977, as amended;  or (b) to the knowledge of
the  Shareholders,  has made or received any 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.

             5.32  CUSTOMERS.  Schedule  5.32 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 x-ray,  EKG,  ultrasound,  holter monitor,
vision and audiology  patient  volume and  examinations  for each patient of the
Company,  on a consolidated  basis and by location,  for the calendar year ended
December 31, 1997 and the two (2) months ended February 28, 1998. As of the date
hereof,  the Company and Shareholders  have received no notice that any customer
or request a change of service.

             5.33 FEE SCHEDULES AND REIMBURSEMENT.  Schedule 5.33 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.

             5.34  COMPLETE  DISCLOSURE.  No  representation  or warranty by the
Company  or the  Shareholders  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  Shareholders
pursuant to this Agreement, when considered in conjunction with all other such



                                       24


<PAGE>



representations,  warranties,  schedules,  written  statements,  certificates or
other  writings  furnished  to  Buyer  by or on  behalf  of the  Company  or the
Shareholders  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
Shareholders' 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 Shareholders in connection with the transactions contemplated hereby.

             5.35 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.

              ARTICLE VI: REPRESENTATIONS AND WARRANTIES OF SELLERS

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

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

             6.2 BINDING EFFECT.  This Agreement and all  Transaction  Documents
executed by such Seller constitute the legal,  valid and binding  obligations of
such party,  enforceable against such 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 such Seller
nor the performance by such Seller of the transactions  contemplated  hereby and
thereby  conflicts  with, or  constitutes a breach of or a default under (i) any
law, rule, judgment,  order, writ, injunction,  or decree of any court currently
in effect  applicable  to such  Seller,  or (ii) any rule or  regulation  of any
administrative  agency  or other  governmental  authority  currently  in  effect
applicable  to such  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
such 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 such Seller.



                                       25


<PAGE>



             6.5 OWNERSHIP OF COMPANY STOCK.  Shareholders are the lawful record
and beneficial  owners of all of Company Stock shown as owned by Shareholders in
Schedule  5.4, with good and  marketable  title  thereto,  free and clear of all
liens and  encumbrances,  claims and other  charges  thereon  of any kind.  Such
Shareholders  have the full legal power to transfer  and  deliver  such  Company
Stock in accordance with this  Agreement,  and delivery of such Company Stock to
Buyer pursuant  hereto will convey good and marketable  title thereto,  free and
clear of all liens and  encumbrances,  claims and other  charges  thereon or any
kind.  The shares of Company  Stock  indicated on Schedule 5.4 as being owned by
the  Shareholders  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 AND NEWCO

             Buyer and Newco jointly and severally  represent and warrant to the
Company and the Sellers as follows:

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

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

             7.3 BINDING  AGREEMENT.  This  Agreement has been duly executed and
delivered by Buyer and Newco. This Agreement is, and when executed and delivered
by Buyer and Newco at the Closing each of the Transaction  Documents executed by
Buyer and Newco will be, the legal,  valid and binding  obligations of Buyer and
Newco,  enforceable  against Buyer and Newco 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 and
Newco  nor  the  performance  by  the  Buyer  and  Newco  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 and Newco,  or (ii) any
law, rule, judgment,  order, writ, injunction,  or decree of any court currently
in effect  applicable to Buyer and Newco, or (iii) any rule or regulation of any
administrative  agency  or other  governmental  authority  currently  in  effect
applicable to Buyer and Newco,  or (iv) any  agreement,  indenture,  contract or
instrument  to which  the  Buyer or Newco is now a party or by which  any of the
assets of the Buyer or Newco is bound.



                                       26


<PAGE>



             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 and Newco.

             7.6  SECURITIES  AND EXCHANGE  COMMISSION  FILINGS.  Buyer has made
available to the Sellers a correct and complete  copy of each report,  schedule,
registration  statement and definitive  proxy  statement filed by Buyer with the
Commission on or after January 1, 1997 (the "SEC Documents"),  which are all the
documents (other than preliminary material) that Buyer was required to file with
the SEC on or after January 1, 1997. As of their respective  dates,  none of the
SEC  Documents  (including  all exhibits  and  schedules  thereto and  documents
incorporated by reference  therein) contained any untrue statements or omissions
of a  material  fact  necessary  so as  not to  render  the  statements  therein
misleading,  in light of the  circumstances  under which they were made, and the
SEC  Documents  complied  when  filed  in all  material  respects  with the then
applicable  requirements  of the Securities Act or the Exchange Act, as the case
may be. The  financial  statements  of the Buyer  included in the SEC  Documents
complied  in  all  material   respects  with  the  then  applicable   accounting
requirements  and the published  rules and  regulations of the  Commission  with
respect  thereto,  were  prepared  in  accordance  with GAAP  during the periods
involved (except as may have been indicated in the notes thereto or, in the case
of the unaudited  statements,  as permitted by Form 10-Q promulgated by the SEC)
and fairly present (subject, in the case of the unaudited statements, to normal,
recurring audit  adjustments) the consolidated  financial  position of the Buyer
and its  consolidated  subsidiaries as at the dates thereof and the consolidated
results of their  operations and cash flows for the periods then ended.  IHS has
been notified that the most recent  registration  statement on Form S-3 filed by
it with the Commission is under review.

             7.7 CAPITAL STOCK. Buyer's Form 10-Q filed with the Commission with
respect to the fiscal quarter ended  September 30, 1997 (the "Form 10-Q"),  sets
forth a true and complete  description of the authorized and outstanding  shares
of capital stock of Buyer as of such date. All  outstanding  shares of IHS Stock
are validly issued,  fully paid and non-assessable and not subject to preemptive
rights.  Buyer has duly authorized and reserved for issuance the IHS Stock, and,
when issued in  accordance  with the terms of Article III, the IHS Stock will be
validly issued,  fully paid and  nonassessable  and free and clear of preemptive
rights, liens, encumbrances, claims and other charges thereon.

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

             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  5.23)  financial and legal  condition as Buyer
deems  necessary  or  advisable to  familiarize  itself with the Company  and/or
matters  relating to its history or  operations.  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



                                       27


<PAGE>



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 their  inception;  and the Company shall make, or cause to be made,
extracts thereof as Buyer or their representatives may request from time to time
to enable  Buyer and their  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.

              ARTICLE IX: OBLIGATIONS OF THE PARTIES UNTIL CLOSING

             9.1 CONDUCT OF BUSINESS  PENDING  CLOSING.  Except with  respect to
this  transaction,  between  the date of this  Agreement  and the  Closing,  the
Company and its  subsidiaries  shall maintain their  existence and shall conduct
their  businesses 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 5.18 (Absence of Certain Events) of this Agreement;

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

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

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

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

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

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



                                       28


<PAGE>



                  (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 5.16;

                  (D) utilize their  reasonable  efforts to: (i) preserve intact
the present business organization of the Company and its subsidiaries; (ii) keep
available the services of the Company's and its subsidiaries' present employees,
affiliates  and  agents;  and  maintain  the  Company's  and  its  subsidiaries'
relations and goodwill with suppliers, employees, affiliates, 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 respects with the
provisions  of all  material  laws,  rules  and  regulations  applicable  to the
Company's and its subsidiaries' businesses;

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

                  (H)  promptly  advise  Buyer in writing of any threat known to
the Sellers,  or the  commencement  against the Company or its  subsidiaries  or
affiliates  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 or its subsidiaries
or affiliates; and

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



                                       29


<PAGE>



             9.5 EXCLUSIVITY. Until the earlier of Closing or the termination of
this  Agreement   pursuant  to  Section  13.1,   neither  the  Company  nor  any
Shareholder,  nor any of  their  respective  affiliates,  shall  enter  into any
agreement,  commitment  or  understanding  with  respect  to,  or  engage in any
discussions or negotiations directly or indirectly with, or encourage or respond
to any  solicitations  from, any other party with respect to the sale,  lease or
management  of any 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  and  Newco's  obligations  to  consummate  the  Merger are
subject to the fulfillment, prior to or at the Closing, of each of the following
conditions, any one or more of which may be waived by Buyer or Newco in writing.
Upon failure of any of the following  conditions,  Buyer and Newco 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 Sellers 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.  Each of the Sellers and the Company
shall have performed or complied in all material  respects with their respective
agreements and covenants  required by this Agreement to be performed or complied
with by it prior to or at the Closing.

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

             10.4  OPINION OF COUNSEL.  Each  Seller and the Company  shall have
delivered  to Buyer  and Newco an  opinion,  dated the  Closing  Date,  of their
counsel, in substantially the form attached hereto as Exhibit 10.4.

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

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



                                       30


<PAGE>



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

             10.8 APPROVALS.

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

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

             10.9  CONSENTS.  Buyer shall have  received the written  consent to
assignment  for each of the Retained  Contracts set forth on Schedule 2.5, where
such  consent is  required by reason of the change of control of the Company and
its subsidiaries contemplated under this Agreement.

             10.10 UNDERTAKING. The Shareholders shall assume and undertake in a
writing in the form and  substance  of  Exhibit  10.10  (the  "Undertaking")  to
perform all Liabilities when and as the same become due in accordance with their
terms and  Shareholders  shall have executed and delivered  the  Undertaking  to
Buyer.

             10.11 REAL  PROPERTY  CONSENTS.  The Company and the Sellers  shall
have used their 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  in the event of a change of
control of the Company,  and the written  consent of such  landlords  shall have
been  received by the Buyer.  Alternatively,  the Company and Sellers 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 change of the
voting stock of the tenant. Buyer shall have received notice from the Sellers by
the Closing  Date,  identifying  any landlord  that has not given any  necessary
consent as of such date.

             10.12 COMPANY'S  SUBSIDIARIES AND OPTIONS. Each of the subsidiaries
of the Company as of the Closing Date will be one hundred  (100%)  percent owned
by the  Company and there shall not be  outstanding  as of the Closing  Date any
options, warrants or rights for the purchase of any capital stock of the Company
or its  subsidiaries or any obligations to grant or issue any options,  warrants
or  rights  for  the  purchase  of  any  capital  stock  of the  Company  or its
subsidiaries.

               10.13 BOARD AND LENDER  APPROVALS.  The Buyer will have  received
all necessary Board of Director approvals and all required lender approvals.



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<PAGE>



             10.14  CONSULTING  AGREEMENTS.  Each of the Shareholders shall have
executed and  delivered  his  consulting  agreement in the form of Exhibit 10.14
hereto (the "Consulting Agreements").

             10.15  EMPLOYMENT  AGREEMENT.  Norman A. Jensen shall have executed
and delivered his employment  agreement in the form of Exhibit 10.15 hereto (the
"Employment Agreement").

             10.16  TERMINATION OF NON-RETAINED AGREEMENTS. All Contracts, other
than the Retained Contracts,  shall have been terminated, as well as any ongoing
obligations thereunder.

             10.17  ESCROW  AGREEMENT.  The  Sellers  shall  have  executed  and
delivered the Escrow Agreements in the form of Exhibit 2.3.

             10.18  STOCK  CERTIFICATES.  Shareholders shall have  delivered  to
Buyer all stock  certificates  representing  the Company  Stock duly endorsed in
blank.

             10.19  DISSENTER'S RIGHTS.  Any  rights of  any holder of equity in
the Company  to seek appraisal or  to  dissent to the transactions  contemplated
hereby shall have been irrevocably waived.

             10.20 INSURANCE. If the Company's existing general and professional
liability  coverage is on a claim made basis,  then the Shareholders  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.  Shareholders  shall have also  provided  evidence  of full
payment of such policy satisfactory to Buyer.

             10.21  CERTIFICATE  OF STATUS.  The Company shall have delivered to
Buyer a certificate  of status  issued by the Wisconsin  Department of Financial
Institutions  with respect to the Company,  dated not more than thirty (30) days
prior to the Closing Date.

             10.22 PROCEDURE AND CUSTOMER  VOLUME SUMMARY.  Company has provided
Buyer with a true and  correct  summary of the x-ray,  EKG,  ultrasound,  holter
monitor,  vision and audiology  procedures for each of its customers,  including
Social  Security,  correctional  institutions and psychiatric  facilities,  on a
consolidated  basis and by location,  for the calendar  year ended  December 31,
1997 and the two (2) months ended February 28, 1998.

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



                                       32


<PAGE>



            ARTICLE XI: CONDITIONS PRECEDENT TO SELLERS' OBLIGATIONS

             Sellers'  obligation  to  consummate  the  Merger 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 Sellers in  writing.  Upon  failure of
any of the following  conditions,  Sellers may terminate this Agreement pursuant
to and in accordance with Article XIII herein:

             11.1  REPRESENTATIONS  AND  WARRANTIES.   The  representations  and
warranties of Buyer and Newco in 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.

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

             11.3  DELIVERY OF CLOSING  CERTIFICATE.  Buyer and Newco shall have
delivered to Sellers a certificate  of an executive or senior vice  president of
Buyer and Newco dated the Closing Date upon which  Sellers can rely,  certifying
that the conditions contemplated by Sections 11.1 and 11.2 applicable to it have
been satisfied.

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

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

             11.6  AUTHORIZATION  DOCUMENTS.   Sellers  shall  have  received  a
certificate  of the Secretary or other officer of Buyer and Newco  certifying as
of the  Closing  Date a copy  of  resolutions  of  their  respective  boards  of
directors  authorizing  their execution and full  performance of the Transaction
Documents and the incumbency of their officers.

             11.7 CONSULTING  AGREEMENTS.  Symphony  Diagnostic  Services No. 1,
Inc. ("Symphony"),  a wholly-owned  subsidiary of Buyer, shall have entered into
the Consulting Agreements with each of the Shareholders.

             11.8  EMPLOYMENT  AGREEMENT.  Symphony  shall have entered into the
Employment Agreement.

             11.9 ESCROW AGREEMENT.  Buyer shall have executed and delivered the
Escrow Agreement in the form of Exhibit 2.3.



                                       33


<PAGE>



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

                    ARTICLE XII: SURVIVAL AND INDEMNIFICATION

             12.1   SURVIVAL   OF    REPRESENTATIONS    AND   WARRANTIES.    All
representations  and warranties  made by each party in this Agreement and in any
Schedule and  Transaction  Document  delivered by any such party pursuant hereto
shall  survive  the  Closing  Date and for a period  of one (1) year  after  the
Closing,  notwithstanding  any investigation at any time made by or on behalf of
the other party,  provided that Excess Reimbursement  Liabilities referred to in
Section 2.5 and the  representations  and  warranties  contained in Section 5.31
(Questionable  Payments"),  Section 5.25 (Reimbursement  Matters),  Section 5.26
(Medicare/Medicaid Participation), and Section 5.21 (Tax Returns), shall survive
until thirty (30) days after the applicable  period of limitations for audits by
the applicable  Governmental Authority shall have expired,  including extensions
for any necessary  appeals.  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. 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 SHAREHOLDERS. The Shareholders,  severally,
shall  indemnify and defend Buyer and hold it harmless  against and with respect
to any and all damage, loss, liability, deficiency, cost and expense (including,
without  limitation,  reasonable  attorney's  fees  and  expenses)  (all  of the
foregoing hereinafter collectively referred to as "Loss") resulting from:

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

                  (B) the breach of any  covenant or  undertaking  by any of the
Sellers or the Company in this Agreement; or

                  (C)   subject   to  any   qualifications   contained   in  the
representations and warranties in this Agreement,  the ownership or operation of
the Company or its subsidiaries or their business or assets prior to the Closing
Date,  including,  without  limitation,  (i) any Seller  Liabilities,  including
without  limitation,  Excess  Reimbursement  Liabilities  (as defined in Section
2.5); (ii) 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; (iii) any Loss arising out of the  noncompliance of the Company with COBRA
or any like  statute;  (iv) 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,  worker's
compensation 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,  to the extent not covered by
any existing insurance policy; (v) any Loss arising from the matter set forth on
Schedule 5.19;



                                       34


<PAGE>



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.

             12.3  INDEMNIFICATION  BY BUYER.  Buyer shall  indemnify and defend
Shareholders and hold them harmless against and with respect to any and all Loss
resulting from:

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

                  (B) the breach of any covenant or undertaking by Buyer in this
Agreement; or

                  (C)  the   ownership  or  operation  of  the  Company  or  its
subsidiaries or their business or assets on or after the Closing Date.

             12.4 INDEMNITY CAP. The maximum aggregate liability  (excluding any
Loss arising from fraud, Tax liability, and Excess Reimbursement Liabilities) of
the Sellers for  indemnification  hereunder  shall not exceed an amount equal to
the Merger Consideration.

             12.5 CONTROL OF DEFENSE OF INDEMNIFIABLE CLAIMS.

                  (A) Each indemnified party (each, an "Indemnitee")  shall give
the indemnifying party (the "Indemnitor")  prompt notice of each claim for which
it seeks  indemnification.  Failure to give such prompt notice shall not relieve
any   Indemnitor  of  its   indemnification   obligation,   provided  that  such
indemnification  obligation  shall be  reduced  by any  damages  the  Indemnitor
demonstrates  it has  suffered  resulting  from a failure to give prompt  notice
hereunder.  The  Indemnitor  shall be entitled to  participate in the defense of
such claim. If at any time the Indemnitor acknowledges in writing that the claim
is fully  indemnifiable  by it under this  Agreement,  and, if  requested by the
Indemnitee, the Indemnitor shall have the right to assume control of the defense
(but not the settlement) of such claim at its own expense; unless (i) Indemnitee
shall have been  authorized  in writing by the  Indemnitor to defend such action
with counsel of its own choice in connection with the defense of such action, or
(ii) the  Indemnitor  shall  not have  employed  counsel  to have  charge of the
defense of such action  within  twenty (20) days after the date of notice of the
claim for which  indemnification  is sought is given to the  Indemnitor or (iii)
the Indemnitor shall have failed to undertake and reasonably  pursue the defense
of such action,  or (iv) the  Indemnitee  shall have  reasonably  concluded that
there may be material defenses  available to it or them which are different from
or additional to those  available to the  Indemnitor.  If any event described in
clauses (i) through (iv) above shall occur,  then the Indemnitor  shall not have
the right to direct the defense of such action on behalf of the Indemnitee  with
counsel  of its  own  choice,  and  the  reasonable  fees  and  expenses  of the
Indemnitee shall be borne by the Indemnitor, provided that such counsel shall be
reasonably  acceptable to the Indemnitor.  If the Indemnitor does assume control
of the defense of any such claim in accordance with the foregoing, then: (x) the
Indemnitor shall not defend the claim for which  indemnification is being sought
in any manner that would likely have a material adverse effect on the Indemnitee
or on any relationship that the Indemnitee may have with



                                       35


<PAGE>



any customers,  vendors,  suppliers or others,  and (y) the Indemnitee shall not
settle such claim without the written consent of the  Indemnitor,  which consent
shall not be unreasonably withheld, delayed or conditioned. Nothing contained in
this  Section  12.5 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.

                  (B) 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.

                  (C) In case  any  event  shall  occur  which  would  otherwise
entitle either party to assert a claim for  indemnification  hereunder,  no Loss
shall be deemed to have been  sustained by the  Indemnitee  to the extent of any
proceeds  received  by  Indemnitee  from any  insurance  policies  with  respect
thereof.

                  (D)  Except  for  claims  related  to  intentional  or knowing
breaches of the  representations  and warranties in this Agreement or for claims
related to fraud,  from and after the  Closing,  the  remedies  provided in this
Article XII shall be the sole and exclusive  remedies of Article XII Indemnitees
with  respect to Losses from which  indemnification  is provided in this Article
XII.

             12.6 RESTRICTIONS.

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

                  (B) After the Closing  Date,  none of the Sellers shall engage
or participate in any effort or act to induce any of the customers,  physicians,
suppliers, associates,  employees, affiliates, or independent contractors of the
Company and its  subsidiaries to cease doing business,  or their  association or
employment, with the Company and its subsidiaries.

                  (C) No Seller shall,  anywhere  within the States of Wisconsin
and the twenty-five  (25) mile radius of Zion,  Illinois,  for a period of three
(3) years  following  the  termination  or  expiration  of the initial term such
Seller's  Consulting  Agreement,  directly,  or indirectly,  for or on behalf of
himself or herself 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, any person,
enterprise, partnership, association, corporation, joint venture



                                       36


<PAGE>



or other  entity  which is directly  or  indirectly  in the  business of owning,
operating or managing any entity of any type,  licensed or unlicensed,  which is
engaged in or provides:  (i) mobile  x-ray,  (ii) EKG,  (iii)  ultrasound,  (iv)
holter  monitor,  (v) vision and audiology  services or (vi) any other  services
which the Company or either  Shareholder  is  currently  engaged in or otherwise
provides during the period commencing on the Closing Date and ending on the date
that is three (3) years  following the  termination or expiration of the initial
term of such Shareholder's  Consulting Agreement or in any way competes with the
Buyer or its subsidiaries.

                  (D) The Sellers acknowledge that the restrictions contained in
this  Section  12.6 are  reasonable  and  necessary  to protect  the  legitimate
business  interests of Buyer and that any violation thereof by any of them would
result in irreparable  harm to Buyer.  Accordingly,  Sellers agree that upon the
violation  by any of them of any of the  restrictions  contained in this Section
12.6, Buyer shall be entitled to obtain from any court of competent jurisdiction
a preliminary  and permanent  injunction as well as any other relief provided at
law or  equity,  under  this  Agreement  or  otherwise.  In the event any of the
foregoing  restrictions  are adjudged  unreasonable in any proceeding,  then the
parties  agree  that the  period of time or the scope of such  restrictions  (or
both)  shall be  adjusted  in such a manner  or for such a time (or  both) as is
adjudged to be reasonable.

             12.7 RECORDS.  On the Closing  Date,  Sellers and 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  and  its
subsidiaries.

             12.8  DISSENTERS'  RIGHTS.  In the event that any holder of Company
Stock asserts  dissenter's rights with respect to the Merger under the Wisconsin
Business Corporation Law, the Shareholders,  severally, shall indemnify and hold
harmless  Buyer from and against (i) any amount  which  becomes  payable to such
holder by the Company in  satisfaction of such dissenter  rights,  to the extent
that such amount exceeds the Merger  Consideration  that would have been payable
to such holder had such holder not exercised his or her dissenter's  rights, and
(ii) any costs or expenses, including reasonable attorneys fees, incurred by the
Company in  investigating  or  litigating  such  dissenters'  rights;  provided,
however,  that as a condition to the recovery of  attorneys  fees and  expenses,
Buyer shall provide  prompt notice to the Sellers of any exercise of dissenters'
rights and will  permit  Shareholders  a  reasonable  opportunity  to select and
direct counsel for the Company in respect of the investigation and litigation of
such rights.

             12.9  CLOSING  DATE BALANCE  SHEET.  Sellers and the Company  shall
deliver to Buyer the balance sheet of the Company on a consolidated  basis dated
as of the Closing Date, certified by the Company's Chief Financial Officer to be
his or her best good faith  estimate  thereof  within thirty (30) days following
the Closing Date.

                            ARTICLE XIII: TERMINATION

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




                                       37


<PAGE>



                  (A) Buyer or Newco,  if any condition  precedent to Buyer's or
Newco's obligations hereunder, including without limitation those conditions set
forth in  Article X  hereof,  have 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) Sellers,  if any condition precedent to the obligations of
any  Seller  or  the  Company  hereunder,  including  without  limitation  those
conditions  set forth in  Article  XI  hereof,  have not been  satisfied  by the
Closing Date; or

                  (C) the  mutual  consent  of Buyer,  Newco and  Sellers.  

             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 Sellers at Closing hereunder.

                       ARTICLE XIV: CASUALTY, RISK OF LOSS

             14.1 CASUALTY, RISK OF LOSS. The Company and Sellers shall bear the
risk of all loss or damage to any of the  Assets  from all  causes  which  occur
prior to the  Closing.  If at any time prior to the  Closing  any portion of the
Assets is damaged or  destroyed as a result of fire,  other  casualty or for any
reason whatsoever, the Company and Sellers shall immediately give notice thereof
to Buyer.  Buyer  shall have the  right,  in its sole and  absolute  discretion,
within ten (10) days of receipt of such notice, to (1) elect not to proceed with
the  Closing  and  terminate  this  Agreement,  or (2)  proceed to  Closing  and
consummate  the  transactions  contemplated  hereby  and  receive  any  and  all
insurance  proceeds  received  or  receivable  by any  Seller 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 any Seller 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, Newco and Sellers shall bear their own costs and expenses
in connection  with this  Agreement and the  transactions  contemplated  hereby;
provided,  however,  that no such pre- Closing costs and expenses of the Company
and its subsidiaries shall be paid by the Buyer or Newco.



                                       38


<PAGE>



             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 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 BENEFIT AND ASSIGNMENT. This Agreement binds and inures to the
benefit of each party  hereto and its  successors,  heirs,  and proper  assigns.
Buyer and Newco may not assign their interests under this Agreement to any other
person or entity  without  the  prior  written  consent  of  Sellers;  provided,
however,  that Buyer and Newco may assign their 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  guaranty  the
performance of its assignee hereunder.

             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:

If to the Company:                Mr. Peter Hanson
                                  Mr. Sol Lewin
                                  American Mobile Health Systems, Inc.
                                  2215 East North Avenue
                                  Milwaukee, WI 53202

If to the Sellers:                Mr. Peter Hanson
                                  1308 E. Wabash Avenue
                                  Waukesha, WI 53186



                                       39


<PAGE>



                                  Mr. Sol Lewin
                                  10704 N. Beechwood Drive
                                  Mequon, WI 53092

with a copy to:                   Daniel J. Brink, Esq.
                                  Reinhart Boerner Van Deuren
                                  Norris & Rieselbach
                                  1000 North Water Street
                                  Suite 2100
                                  Milwaukee, WI 53202

If to Newco:                      IHS Acquisition No. 37, Inc.
                                  10065 Red Run Boulevard
                                  Owings Mills, MD 21117
                                  Attn:  Brian K. Davidson
                                         Elizabeth B. Kelly
                                  cc:    Marshall A. Elkins, General Counsel

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

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

             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.



                                       40


<PAGE>



             15.9  GOVERNING  LAW.  This  Agreement  shall  be  governed  by and
construed in accordance  with the laws of the State of  Wisconsin,  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.

             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 12.6 shall be
determined to be overly broad in any respect,  then it should be  enforceable to
the  maximum  extent  permissible  under the law.  To the  extent  permitted  by
applicable law, the parties waive any provision of law which renders a provision
hereof prohibited or unenforceable in any respect.

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

             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.   Following  the  execution  of  this
Agreement,  any general  public  announcements  or similar media  publicity with
respect to this Agreement or the  transactions  contemplated  herein shall be at
such time and in such manner as Buyer 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.



                                       41


<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:                                    AMERICAN MOBILE HEALTH
                                            SYSTEMS, INC.

By: /s/ MICHAEL E. DELL                     By: /s/ PETER S. HANSON
   -------------------------                   --------------------------------
                                            Its: President


WITNESS:                                    SELLERS:

By: /s/ MICHAEL E. DELL                      /s/ PETER S. HANSON  
   -------------------------                -----------------------------------
                                            Peter Hanson

WITNESS:

By:/s/ MICHAEL E. DELL                      /s/ SOL LEWIN
   -------------------------                -----------------------------------
                                            Sol Lewin

                                            BUYER:
                                            INTEGRATED HEALTH SERVICES, INC.


                                            By:
                                               --------------------------------
                                            Executive Vice President
                                            Corporate Development

                                            NEWCO:
                                            IHS ACQUISITION NO. 37, INC.


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



                                       42

<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:                                    AMERICAN MOBILE HEALTH
                                            SYSTEMS, INC.

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


WITNESS:                                    SELLERS:

By:                                         
   -------------------------                -----------------------------------
                                            Peter Hanson

WITNESS:

By:
   -------------------------                -----------------------------------
                                            Sol Lewin

                                            BUYER:
                                            INTEGRATED HEALTH SERVICES, INC.


                                            By:   [SIG]
                                               --------------------------------
                                            Executive Vice President
                                            Corporate Development

                                            NEWCO:
                                            IHS ACQUISITION NO. 37, INC.


                                            By:   [SIG]
                                               --------------------------------
                                            Executive Vice President


                                       43

                    AGREEMENT FOR SALE AND PURCHASE OF ASSETS
                            AND RESTRICTIVE COVENANTS

          THIS  AGREEMENT  is made as of April  29,  1998,  by and  among  FIRST
COMMUNITY  CARE,  INC., a New York  corporation,  having its principal  place of
business  at 210 John  Glenn  Drive,  Suite 12,  Amherst,  New York  14228  (the
"SELLER" or the  "CORPORATION"),  each of the holders of capital stock of Seller
who  are  executing  this  Agreement  (the  "SHAREHOLDERS"),  NORTHEAST  MEDICAL
EQUIPMENT,  INC., a Florida  corporation  (the "BUYER"),  and INTEGRATED  HEALTH
SERVICES, INC., a Delaware corporation ("IHS").

                              W I T N E S S E T H :

         WHEREAS,  Seller operates a home  respiratory  care and durable medical
equipment business in the State of New York (the "BUSINESS"); and

         WHEREAS, Shareholders are the shareholders of the Seller; and

         WHEREAS,  Seller  wishes to sell,  and Buyer  desires to purchase  from
Seller,  substantially all of the assets of the Business; and Buyer also desires
to acquire  from Seller and  Shareholders,  and each of Seller and  Shareholders
desire  to grant to  Buyer,  covenants  not to  compete  and  other  restrictive
covenants as described in paragraph 17 hereof (the "RESTRICTIVE COVENANTS"); and

         WHEREAS, Buyer is an indirect subsidiary of IHS; and

         WHEREAS,  the  consent or approval  of all  persons  necessary  for the
consummation  of  the  transactions   contemplated  hereby  has  been  obtained,
including  without  limitation,  all approvals of  governmental  authorities and
parties to any contracts to be assigned to Buyer in connection herewith.

         NOW,  THEREFORE,  in  consideration  of the mutual  promises  contained
herein  and  for  other  good  and  valuable  consideration,   the  receipt  and
sufficiency of which is hereby acknowledged, it is hereby agreed as follows:

         1.  Sale of Assets and Restrictive Covenants.

             (a) The Assets.  On the Closing Date referred to below in paragraph
9, Seller shall sell, transfer,  convey and assign, free and clear of all liens,
claims, security interests,  pledges,  restrictions on transfer or use and other
encumbrances  of any kind or  nature  whatsoever  ("LIENS"),  other  than  Liens
granted after the date hereof with the concurrence of Buyer ("PERMITTED LIENS"),
all of Seller' rights, title and interest in, to or under:

                  (i) Accounts Receivable. All of the accounts receivable of the
         Business,  including,  without limitation,  all accounts receivable set
         forth on the Schedule of Accounts  Receivable  Data attached  hereto as
         Schedule 1(a)(i); and

                  (ii) Inventory;  Fixed Assets.  All inventory and fixed assets
         of the Business,  including,  without  limitation,  all of the same set
         forth on the Schedule of Inventory and Fixed Assets  attached hereto as
         Schedule 1(a)(ii); and



                                       -1-


<PAGE>



                  (iii) Motor  Vehicles.  All motor  vehicles  of the  Business,
         including without limitation, all of the same set forth on the Schedule
         of Motor Vehicles attached hereto as Schedule 1(a)(iii); and

                  (iv) Property Rights. All real property,  easements and rights
         of way permitting access to the Business; and

                  (v) Other  Assets.  All other assets of any kind,  tangible or
         intangible,  real, personal or mixed, owned and used or held for use by
         Seller in connection with the Business,  including, without limitation,
         all of the  following:  (A)  the  Patients'  List of the  Business,  as
         described in Schedule  1(a)(v)(A);  (B) the telephone numbers listed on
         the  Schedule of  Telephone  Numbers and  Licenses  attached  hereto as
         Schedule   1(a)(v)(B);   (C)  all  personal  property,   machinery  and
         equipment;   (D)  capital   stock  or   membership   interests  in  the
         Subsidiaries  (as  defined  in  paragraph  14(a)),  including,  without
         limitation,  all capital stock in First Community Care of Niagara, Inc.
         and  membership  interests in Tri-County  Home Care  Services,  LLC and
         First Community Care of Bassett,  LLC (the "JV INTERESTS");  (E) all of
         Seller's  prepaid  assets;  (F)  rights  under  contracts,  agreements,
         including,  without limitation,  franchise agreements, and instruments;
         (G) any Assets used in the operation of the Business,  but not owned by
         the  Seller;  (H) all  intangible  rights of  Seller of every  kind and
         description  used in, or held for use in connection with, the operation
         of the Business,  including, without limitation, all intangible assets,
         and to the extent  permitted by applicable  law, all licenses,  permits
         and  authorizations;  and (I) all rights of Seller to receive  payments
         under the Consulting Services Agreement (the "MOHAWK VALLEY AGREEMENT")
         dated  September 15, 1994,  among First Community  Care,  Inc.,  Mohawk
         Valley Home Care, LLC and Mohawk Valley Network,  Inc.;  provided Buyer
         shall not assume any obligations under the Mohawk Valley Agreement.

             (b) Excluded  Assets.  Notwithstanding  the  foregoing,  the Assets
shall not  include,  and Seller  shall not be deemed to have sold,  transferred,
conveyed or assigned the following assets to Buyer:  Seller's cash,  Certificate
of  Incorporation,  qualification to do business in any  jurisdiction,  taxpayer
identification  number, minute books, stock transfer records and other documents
related  specifically to Seller's  corporate  organization and maintenance,  and
Seller's  equity  interest  in Mohawk  Valley Home Care,  L.L.C.  (collectively,
"EXCLUDED ASSETS").

             (c) Restrictive Covenants. Pursuant to paragraph 17 hereof, each of
Seller and each Shareholder is granting to Buyer the Restrictive Covenants.

         2.  Purchase Price; Method of Payment.

             (a) Purchase Price.  The aggregate  "PURCHASE PRICE" for the Assets
and the  Restrictive  Covenants  shall  be Eight  Million  Six  Hundred  Dollars
($8,600,000).  The Purchase  Price shall be  allocated  among the Assets and the
Restrictive  Covenants  in the  manner  set  forth  on the  Allocation  Schedule
attached  hereto as Schedule 2(a), and the parties hereto  expressly  consent to
the allocation stated therein.


                                      -2-
<PAGE>

             (b)  Method  of  Payment.  Buyer  shall pay the  Purchase  Price as
follows:

                  (i) Six Hundred Eighty-Eight  Thousand Dollars ($688,000) (the
         "BROKER'S  FEE")  shall  be  paid,  on  behalf  of  Seller,  to Baker &
         Associates,  Inc. (the  "BROKER"),  in cash in satisfaction of all fees
         and  compensation due to the Broker in connection with the transactions
         contemplated by this Agreement. Seller represents and warrants to Buyer
         that the  Broker  has acted as  Seller's  representative  and broker in
         connection with the  transactions  contemplated by this Agreement,  and
         authorizes  and directs  Buyer to withhold  such sum from the  Purchase
         Price and disburse such sum directly to the Broker. In addition,  eight
         percent  (8%) of the  Remaining  Escrow  Funds (as defined in paragraph
         6(d)(ii))  and of the amount  payable  under the Notes (as  hereinafter
         defined) shall be disbursed to the Broker,  on behalf of Seller, at the
         end of the Escrow Period (as defined in paragraph  6(d)(i)) or when the
         Notes become due, as the case may be; and

                  (ii) Four Hundred Thirty Thousand Dollars  ($430,000)  thereof
         (the "ESCROWED  CASH") shall be paid and delivered to CoreStates  Bank,
         N.A.,  as escrow  agent  ("ESCROW  AGENT"),  to be held by Escrow Agent
         during the Escrow Period (as defined in paragraph 6(d), below, pursuant
         to the terms of an Escrow  Agreement,  in the form  attached  hereto as
         Exhibit 2(b)(ii) (the "ESCROW  AGREEMENT").  The Escrowed Cash shall be
         referred to as the "ESCROW FUND" shall be subject to the  provisions of
         paragraphs 6 and 18 hereof; and

                  (iii) Five Million Two Hundred Thousand  Dollars  ($5,200,000)
         in cash,  shall be paid and delivered to the "PAYING AGENT"  designated
         by  Seller  (and  reasonably  satisfactory  to  Buyer),  to be held and
         administered pursuant to the "PAYMENT ESCROW AGREEMENT" attached hereto
         as Exhibit 2(b)(iii), as provided in paragraph 20 hereof; and

                  (iv) Two  Million  Two  Hundred  Eighty-Two  Thousand  Dollars
         ($2,282,000)  shall be  payable  in newly  issued  shares of the common
         stock,  par value $.001,  of IHS (the "IHS  STOCK").  The parties agree
         that IHS will issue such IHS Stock to the Corporation.

             (c)  Receipt.  Upon  delivery  of the  Purchase  Price as set forth
above, Seller shall provide to Buyer a receipt confirming said delivery.

         3.  Further Payment; Reductions.

             (a) In addition to the Purchase Price, an aggregate amount equal to
One Million Five Hundred Thousand Dollars  ($1,500,000) (the "FURTHER  PAYMENT")
shall,  subject to offset as  hereinafter  provided,  be paid by wired  funds to
Peter Cummiskey  ("CUMMISKEY")  and David Verity  ("VERITY"),  collectively (the
"PRINCIPAL  SHAREHOLDERS"),  such  obligation to be evidenced by the  promissory
notes of the Buyer (the "PROMISSORY  NOTES") to be executed and delivered to the
Principal  Shareholders  in the form of Exhibit 3; provided such Further Payment
shall be  subject to the right of offset  set forth in this  paragraph  3 and in
paragraph 6, below; provided further the entire remaining Further Payment except
for  $500,000  shall be paid on July 31,  2000 and the  balance,  if any, of the
Further Payment shall be paid on July 31, 2001. The parties acknowledge that the
Purchase Price was determined  using a multiple of the expected Annual Operating
Profit (as  hereinafter  defined) of the Business  after the  Closing,  and such
expected  Annual  Operating  Profit was based upon the Seller's  best good faith
estimate thereof. Accordingly, if the average Annual Operating Profit during the
two-year  period  commencing  May  1,  1998  and  ending  April  30,  2000  (the
"APPLICABLE  PERIOD")  shall be less than One  Million  Eight  Hundred  Thousand
Dollars ($1,800,000), 


                                      -3-
<PAGE>

then, the Buyer shall be entitled to offset an amount from the Promissory  Notes
equal to five  times (5X) the amount of such  deficiency;  provided  that if the
amount of the offset exceeds the Further Payment,  the Promissory Notes shall be
cancelled  and neither the Buyer nor the Principal  Shareholders  shall have any
payment  obligations  under this  paragraph  3. For  purposes  hereof,  the term
"ANNUAL OPERATING PROFIT" shall be determined as set forth on Exhibit A attached
hereto.  Nothing  contained in this paragraph 3 shall be deemed to limit Buyer's
right to recover Damages (as hereinafter defined) arising out of any breaches of
representations, warranties or covenants not contained in this paragraph 3.

             (b) If the employment of Cummiskey or Verity is terminated prior to
the third  anniversary  of the date  hereof  other than by reason of a Permitted
Termination (as hereinafter  defined) then the Buyer shall be entitled to reduce
the Further  Payment  (by  offsetting  against the Notes) by an amount  equal to
$500,000,  but only if the First  Community  Care of Bassett,  LLC Joint Venture
(the "BASSETT JV") dissolves or is otherwise  terminated other than by reason of
the  purchase  or sale by either  party to the  Bassett JV of the other  party's
entire membership  interest in the Bassett JV within a period of three (3) years
following the date hereof . For purposes hereof, a "Permitted Termination" shall
mean the  termination  by  Cummiskey  or  Verity,  as the  case  may be,  of his
employment  under his respective  Employment  Agreement for cause as provided in
such  Employment  Agreement or the  termination  by Buyer of the  employment  of
Cummiskey  or  Verity,  as the  case may be,  under  his  respective  Employment
Agreement other than for cause as provided in such Employment Agreement.

         4.  Indemnity Against  Creditors  Claims; No Assumption of Liabilities.
Seller has  requested  that Buyer waive the  requirements  of the bulk sales and
transfer  laws of the State of New York.  Except  as set  forth on  Schedule  4,
Seller agrees to indemnify  Buyer and save and hold Buyer  harmless  against all
Damages  (as  defined in  paragraph  17(c))  arising  out of any claims  made by
creditors  (including,  without limitation,  any Federal,  state or local taxing
authority)  of Seller  that  relate to the  Business,  or that  arise out of the
failure to comply with any of such laws.

         5.  Closing Date Liabilities.

             (a) Seller and Shareholders represent and warrant that, to the best
of Seller's and Shareholders'  knowledge and belief after diligent inquiry,  all
of Seller's  liabilities,  as of the date  hereof are listed on the  Schedule of
Liabilities  attached hereto as Schedule 5(a) (the "LIMITED  LIABILITIES").  For
purposes  of this  Agreement  "LIABILITIES"  shall mean and  include all claims,
lawsuits,  liabilities,  obligations or debts 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,
malpractice or other tort claims,  claims for breach of contract,  any claims of
any kind asserted by patients, former patients, employees of Seller or any other
party that are based on acts or omissions  by Seller  occurring on or before the
date  hereof,  amounts  due or  that  may  become  due in  connection  with  the
participation of Seller in the Medicare or Medicaid programs or due to any other
health care reimbursement or payment intermediary,  or that may be due by Seller
to any other third party payor, accounts payable, notes payable, trade payables,
lease  obligations,  indebtedness  for borrowed  money,  accrued  interest,  and
contractual  obligations.  Seller and Shareholders acknowledge that the Purchase
Price for the Assets is based on the  accuracy  of  Seller's  and  Shareholders'
representations and warranties contained in this Agreement,  including,  but not
limited to, Seller's and Shareholders'  representations and warranties contained
in this paragraph 5(a).  Buyer will not assume any, and Seller and  Shareholders
shall remain liable for each,  liability of Seller existing on the Closing Date,
including, without limitation, any Limited 


                                      -4-
<PAGE>

Liabilities, and any liabilities that Seller may have by reason of its ownership
in any of the JVs (as defined in  paragraph  14(a),  below),  including  without
limitation,  Mohawk  Valley  Home Care,  L.L.C.  (the  "EXCLUDED  LIABILITIES");
provided,  however,  notwithstanding the foregoing, Buyer will assume at Closing
such  liabilities that are incurred between the date hereof and the Closing Date
(i) in the ordinary course of business consistent with past practice, or (ii) as
a direct result of Buyer's  actions  under the  Management  Agreement,  or (iii)
contractual obligations (under assumed contracts or contracts entered into after
the date hereof in compliance with this Agreement) (the "ASSUMED LIABILITIES").


             (b)  Without   limiting  the   generality  of  the   provisions  of
subparagraph  (a) above,  Buyer shall not assume the Contracts  (as  hereinafter
defined  in  paragraph  14(b)),  if any,  set  forth on  Schedule  5(b),  or any
liabilities  with  respect  thereto,  and shall  not,  in any case,  assume  any
liabilities  under any Contracts  (whether or not such  Contracts are assumed by
Buyer) to the extent such liabilities  arise out of facts or  circumstances,  or
obligations to be satisfied,  on or prior to the date hereof, all Taxes (as such
term  is  defined  in  paragraph  14(z))  that  arise  out of  the  transactions
contemplated  hereby or out of any income earned by the Seller or any Subsidiary
on or prior to the Closing  Date,  and the Broker's  Fee.  Without  limiting the
foregoing,  Buyer shall not assume any  obligations or liabilities  (whether now
outstanding  or hereafter  arising)  under the Merger  Agreement , between First
Community  Care,  Inc. and North Country  Medical  Supplies,  Inc.,  dated as of
November 1, 1997 and the Purchase Agreement,  between First Community Care, Inc.
and First Community Care, L.L.C., dated as of April 1, 1998.

         6.  Right of Offset Against the Escrow Fund.

             (a)  Event of Deficiency. If:

                  (i) Buyer pays for any Excluded  Liabilities,  then Seller and
         each Shareholder  shall jointly and severally  reimburse Buyer for such
         payment (a "LIABILITIES DEFICIENCY"); or

                  (ii) the aggregate value of the Seller's  collectible accounts
         receivable  as of the  date  hereof,  are  determined  to be less  than
         $1,700,000,  as  determined  by  actual  net cash  collections  of such
         receivables during the twelve (12) month period  immediately  following
         the  date  hereof,  then  Seller  and  each  Shareholder,  jointly  and
         severally,  shall pay to Buyer the amount of such deficiency (an "ASSET
         VALUE DEFICIENCY"); or

                  (iii)  Buyer  shall  be  entitled  to be  indemnified  for any
         Damages  pursuant  to this  Agreement  ("INDEMNIFICATION  CLAIMS",  and
         together   with  any   Liabilities   Deficiencies   or,   Asset   Value
         Deficiencies, collectively "CLAIMS" and each, a "CLAIM");

then, and in any of such events,  Buyer may provide  written notice to Seller of
the Claim,  in which case Buyer  shall be entitled to recover the amount of such
Claim in accordance with the following procedure.

         (b)  Procedure if Seller Fails to Pay. If Seller fails to pay any Claim
in full to Buyer  within ten (10)  business  days from the date of such  written
notice (said ten (10) business day period hereinafter referred to as the "NOTICE
PERIOD"),  Buyer shall have the right to make offset  against  either or both of
the Notes or against the Escrow Fund in accordance with the terms and conditions
of the Escrow  Agreement,  in  amounts  from time to time equal to the amount of
such Claim (subject, however, in the case



                                       -5-


<PAGE>



of a "DISPUTE",  to the provisions of paragraph 18 hereof  applicable  thereto),
and Seller agrees to any such offset. Buyer's right to proceed against the Notes
or the Escrow Fund shall not be exclusive  of any other rights or remedies  that
it may have under this Agreement,  law,  equity or otherwise.  In no event shall
Buyer be required to offset Claims against the Notes.

         (c) Escrow  Costs.  The costs,  fees and  expenses of the Escrow  Agent
shall be borne by the Buyer.

         (d) Escrow Periods.

             (i)  The  "ESCROW  PERIOD"  shall  terminate   twelve  (12)  months
         following the date hereof.

             (ii)  The  balance,  if any,  of the  Escrow  Fund  remaining  (the
         "REMAINING  ESCROW  FUNDS") at the close of business on the last day of
         the Escrow  Period,  shall be disbursed to Seller  within  fifteen (15)
         days after the last day of the Escrow Period.

             (iii)  Notwithstanding  anything to the contrary  contained in this
         subparagraph  (d), if any Claim made by Buyer is in dispute at the time
         that any amounts are  otherwise to be  disbursed to Seller,  then there
         shall be withheld  from such amount to be paid under the Notes or to be
         disbursed  from the  Escrow  Fund,  an amount  such that  there will be
         remaining due under the Notes and in the Escrow Fund at least twice the
         amount of the Claim  asserted  by Buyer until the final  settlement  of
         such Claim or Claims.

         7. IHS Stock.  A portion of the Purchase Price equal to TWO MILLION TWO
HUNDRED  EIGHTY-TWO  THOUSAND DOLLARS  ($2,282,000) shall be payable by means of
the  delivery of IHS Stock  issued to the  Corporation  in  accordance  with the
following:

             (a) Share Value.  The number of shares of IHS Stock  issuable  upon
execution  of this  Agreement  (the  "EXECUTION  DATE  SHARE  COUNT")  shall  be
calculated  based  upon a price per  share of such  stock  equal to the  average
closing New York Stock Exchange ("NYSE") price of such stock for the thirty (30)
trading day period immediately  preceding the date which is two (2) trading days
before the date hereof (the "TRADE PRICE").

             (b)  Registration  Rights.  IHS will prepare and use its reasonable
commercial efforts to cause to be filed within one-hundred and twenty (120) days
following the Closing Date,  and will use its reasonable  commercial  efforts to
have  declared  effective  by  the  Securities  and  Exchange   Commission  (the
"COMMISSION"),  a registration  statement for the  registration of the IHS Stock
issued to the Seller in connection with this transaction,  including the shares,
if any,  issuable under paragraph 7(c) in respect of any  re-calculation  of the
Execution  Date Share Count,  under the  Securities Act of 1933, as amended (the
"SECURITIES  ACT"),  and IHS  shall  maintain  the  effectiveness  of each  such
registration statement for a period of one (1) year following the date it became
effective (the "REGISTRATION DATE"), except to the extent that an exemption from
registration may be available.

             (c) Share Adjustment.  Promptly following the Share Adjustment Date
(as  hereinafter  defined),  the  number  of shares  deliverable  as part of the
Purchase  Price (and that have not  previously  been  transferred by the Seller)
shall be  re-calculated  to be the number of shares of IHS Stock that would have
been delivered in lieu of such retained  shares had the  Recalculated  Value (as
defined  below)  been used on the date  



                                      -6-
<PAGE>

hereof in lieu of the Trade Price with  respect to the  portion of the  Purchase
Price   represented  by  such  retained  shares.   For  purposes   hereof,   the
"RECALCULATED  VALUE" shall mean the sum of: (x) the average  closing NYSE price
for IHS Stock for the  30-trading  day period  immediately  preceding  the Share
Adjustment  Date,  plus (y)  $2.00.  Notwithstanding  anything  to the  contrary
contained herein,  such adjustment shall be made only if (i) the result shall be
an  increase  in the number of shares  issuable to the Seller and (ii) the Trade
Price exceeds the  Recalculated  Value. If the number of shares as re-calculated
under this  subparagraph  (c) (the "ADJUSTED SHARE COUNT") exceeds the Execution
Date Share Count,  IHS promptly  shall  deliver over to the Seller an additional
number  of  shares  of IHS  Stock as shall  be  equal to such  excess,  and such
additional shares shall be included in the aforementioned registration statement
by means of a  post-effective  amendment  thereto.  If the Execution  Date Share
Count  exceeds the  Adjusted  Share  Count,  no  adjustment  shall be made.  For
purposes hereof,  "SHARE ADJUSTMENT DATE" shall mean the day that is thirty (30)
days after the Registration Date.

         (d)  Registration  Expenses.  Sellers shall not be responsible for, and
Buyer  shall  bear,  all of the  reasonable  expenses  of IHS  related  to  such
registration including, without limitation, the fees and expenses of its counsel
and  accountants,  all of its other  costs,  fees and  expenses  incident to the
preparation,  printing,  registration and filing under the Securities Act of the
registration  statement and all amendments and supplements  thereto, the cost of
furnishing copies of each preliminary prospectus, each final prospectus and each
amendment or supplement thereto to underwriters, dealers and other purchasers of
IHS Stock and the costs and expenses  (including fees and  disbursements  of its
counsel)  incurred in connection with the  qualification  of IHS Stock under the
Blue Sky laws of various jurisdictions. Buyer, however, shall not be required to
pay underwriter's or brokerage discounts, commissions or expenses, or to pay any
costs or expenses arising out of Seller's or any transferee's  failure to comply
with its obligations under this Article 7.

                  (e) Resale Limitations.  All sales by Seller shall be effected
solely through Salomon Smith Barney, Inc.

                  (f)  Registration  Procedures,  etc.  In  connection  with the
registration  rights  granted to the  Sellers  with  respect to the IHS Stock as
provided in this Article 7, Buyer covenants and agrees as follows:

                  (i) At Buyer's  expense,  Buyer will keep the registration and
         qualification  under this Article 7 effective  (and in compliance  with
         the  Securities  Act) by such action as may be necessary or appropriate
         until the first  anniversary of the Closing Date,  except to the extent
         that an  exemption  from  registration  may be  available.  Buyer  will
         promptly notify the Seller, at any time when a prospectus relating to a
         registration statement under this Article 7 is required to be delivered
         under the Securities  Act, of the happening of any event known to Buyer
         as a result  of which  the  prospectus  included  in such  registration
         statement,  as  then in  effect,  includes  an  untrue  statement  of a
         material fact or omits to state any material fact required to be stated
         therein or necessary to make the  statements  therein not misleading in
         light of the circumstances then existing.

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

                                      -7-
<PAGE>

                  (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 Seller,
         provided  that  Buyer  shall not be  obligated  to qualify as a foreign
         corporation  or  dealer  to do  business  under  the  laws of any  such
         jurisdiction.

                  (iv) The information  included or incorporated by reference in
         the  registration  statement filed pursuant to this Article 7 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  Seller,   its
         successors  and  assigns,  and each person,  if any, who controls  such
         Seller within the meaning of ss.15 of the Securities Act or ss.20(a) of
         the  Securities  Exchange  Act of 1934,  as amended  ("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 Seller 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
         Seller or any  controlling  person of the  Seller in  respect  of which
         indemnity  may be sought  against Buyer  pursuant to this  subparagraph
         7(f)(iv),  the Seller 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 Seller or such controlling  person).  The Seller 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 Seller 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 (after notice to Buyer) 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 Seller and such  controlling
         persons  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  Seller  or such  controlling  person in
         investigating, preparing or defending any such action or claim.



                                       -8-


<PAGE>



                  (v)  The  Seller,  and  its  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
         Sellers,  or their successors or assigns for specific inclusion in such
         registration statement.

             (g) Notice of Sale.  If the Seller  desires to transfer  all or any
IHS  Stock,  it will  deliver  prior  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 Seller 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  paragraph  7(b) and to give prompt  notice to the Seller when the
registration statement has again become current.  Further, during such time that
the effectiveness of the registration statement relating to the IHS Stock is not
"current",  then such period of time will be added to the one-year  registration
period referred to in subparagraph  7(b), above. If the Seller 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 Seller will be entitled to transfer IHS Stock in
accordance with the terms of the notice and opinion of their counsel.

             (h) Furnish  Information.  It shall be a condition precedent to the
obligations  of Buyer to take any  action  pursuant  to this  Article 7 that the
Seller shall furnish to Buyer such  information  regarding  themselves,  the IHS
Stock held by it, and the intended  method of disposition of such  securities as
shall  be  required  to  effect  the  registration  of its  IHS  Stock.  In that
connection,  each  transferee  of Seller shall be required to represent to Buyer
that all such  information  which is given is both  complete and accurate in all
material respects. The Seller shall deliver to 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 Article 7 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.

             (i)  Investment  Representations.   All  IHS  Stock  to  be  issued
hereunder will be newly issued shares of IHS. The Seller represents and warrants
to Buyer that the IHS Stock being issued hereunder are being acquired,  and will
be  acquired,  by the Seller 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 Seller
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  Seller  agrees  that  no 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



                                       -9-


<PAGE>



the  Securities  Act,  the  rules  and  regulations  thereunder,  and  under all
applicable state securities laws. The Seller 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
Seller  has  had  the   opportunity   to  make  inquiries  of  and  obtain  from
representatives  and employees of Buyer such other information about IHS as they
deem necessary in connection with such investment.

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

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

             (k)  Certain   Transferees.   Prior  to  the   effective   date  of
registration of the IHS Stock, Seller shall not transfer any shares of IHS Stock
to any person or entity  except as  expressly  permitted by this  Agreement  and
unless  such  transferee  shall  have  agreed  in  writing  to be  bound  by the
provisions applicable to the Seller under this Article 7.

         8.  Employees.  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 of the Seller,  although  Buyer shall have the right
to offer employment to any such employees. Seller shall remain fully responsible
for any severance, benefits, costs or liabilities arising out of the termination
by Seller of any of its employees,  all of which  liabilities  shall  constitute
Excluded  Liabilities.  Seller  shall  also  remain  fully  responsible  for any
benefits, costs or liabilities incurred or accrued prior to the date hereof with
respect to each employee  retained by Buyer.  Without limiting the generality of
the foregoing,  except for the Employment  Agreements (as hereinafter  defined),
any employment  agreement,  arrangement,  commitment or  understanding  with any
Shareholder is being  terminated  concurrently  therewith,  and all  liabilities
arising in connection therewith shall constitute Excluded  Liabilities.  Without
limiting the foregoing,  at the Closing each of the Employment  Agreements shall
be assigned to and assumed by Buyer.

         9. Closing Date. The consummation of the  transactions  contemplated by
this Agreement is sometimes referred to as the "CLOSING",  and the date on which
such consummation  occurs,  is sometimes  referred to as the "CLOSING DATE". The
Closing with respect to the JV Interests shall take place concurrently herewith,
and with  respect to all of the other  Assets,  the Closing  shall take place on
such date as the Buyer shall select by notice to Seller,  which date shall be no
more than one week after Buyer receives  notification from the National Supplier
Clearinghouse that its supplier number is or will be issued.  Promptly following
the date hereof, Buyer shall use its best efforts to obtain the issuance of such
supplier number,  and Seller and Shareholders will cooperate with Buyer in their
efforts to obtain such supplier number. If,  notwithstanding its use of its best
efforts, the Buyer shall not have obtained such supplier number by the date that
is 18 months after the date hereof,  Buyer shall, in its sole discretion  either
(i) shall be entitled to terminate  this  Agreement,  in which case any Purchase
Price  previously paid to Seller or any  Shareholder  shall be returned to Buyer
(without interest);  provided,  however,  that Seller and the Shareholders shall
not be required to 



                                      -10-
<PAGE>

return any  portion of the  Purchase  Price that shall have been used to pay any
Limited  Liabilities  and Broker's Fee or (ii) in lieu of taking the Assets,  in
Buyer's sole discretion,  Buyer will have the option to require the Shareholders
to  deliver  all  issued  and  outstanding   shares  of  capital  stock  of  the
Corporation, free and clear of all Liens.

         10. Asset  Condition and Quality.  Seller and  Shareholders  represent,
warrant and covenant that, as of the date hereof,  all physical Assets of Seller
that are in use by  patients  of Seller are free of patent  defects  and in good
working  order,  condition and repair,  except for ordinary  wear and tear,  and
conform in all material  respects with all applicable  ordinances,  regulations,
zoning and other laws. Seller and Shareholders  represent,  warrant and covenant
that, as of the date hereof,  all physical  Assets of Seller that are not in use
by patients of Seller shall be taken by Buyer on an "as is" basis.

         11.  Instruments of Conveyance and Transfer.

              (a) Concurrently herewith Seller is delivering to Buyer's attorney
to be held in escrow  pending notice from Buyer that it has elected to close the
transactions contemplated hereby, all of the following:

                  (i)   Such   bills  of  sale,   assignments,   motor   vehicle
certificates of title,  and other good and sufficient  instruments of conveyance
and transfer in form  sufficient to sell,  assign and transfer the Assets (other
than the JV  Interests)  to Buyer as of the  Closing  Date,  such  documents  to
contain full warranties of title, and which documents shall be effective to vest
in Buyer good,  absolute,  and  marketable  title to the Assets of the  Business
being  transferred  to Buyer by Seller,  free and clear of all Liens (other than
Permitted  Liens).  Buyer or its attorneys are hereby  authorized to fill in the
dates  on  each  of  the  aforementioned  documents  as  of  the  Closing  Date.
Simultaneously  with such delivery out of escrow,  Seller will take all steps as
may be requisite to put Buyer in actual possession, operation and control of the
Assets to be transferred hereunder.

              (b)   Simultaneously   herewith,   Seller  and   Shareholders  are
delivering to Buyer all of the following:

                    (i)   Such  bills  of  sale,  assignments,   motor   vehicle
certificates of title,  and other good and sufficient  instruments of conveyance
and transfer in form sufficient to sell, assign and transfer the JV Interests to
Buyer as of the date hereof, such documents to contain full warranties of title,
and which  documents  shall be  effective to vest in Buyer good,  absolute,  and
marketable title to the JV Interests being transferred to Buyer by Seller,  free
and clear of all Liens.

                   (ii)   An opinion, dated as of the date  hereof, of  Seller's
counsel, in substantially the form attached hereto as Exhibit 11(b)(ii);

                  (iii)   A  certificate  of  its  Secretary  or  other  officer
certifying as of the date hereof a copy of resolutions of its board of directors
and, if applicable,  its stockholders,  authorizing the execution,  delivery and
full performance of this Agreement and the Transaction  Documents (as defined in
paragraph 14(a) below), and the incumbency of its officers;

                   (iv)  Peter   Cummiskey's   and  David  Verity's   Employment
Agreements,  substantially  in the form of Exhibit  11(b)(iv)  (the  "EMPLOYMENT
AGREEMENTS"); and

                                      -11-


<PAGE>

                   (v) All consents from the JVs (as defined in paragraph 14(a))
(other  than  Mohawk  Valley  Home Care,  L.L.C.)  related  to the  transactions
contemplated herein.

         12. Sales and Transfer  Taxes;  Fees. All applicable  sales,  transfer,
use,  filing and other  taxes and fees that may be due or payable as a result of
the conveyance,  assignment,  transfer or delivery of the Assets of the Business
to be conveyed and transferred as provided  herein,  whether levied on Seller or
Buyer,  shall  be  borne  by  Seller;  provided  however  that  Buyer  shall  be
responsible  for the 8% sales tax that is incurred on the amounts  allocated  to
furniture  and  capital  equipment  as set forth on  Schedule  2(a) and shall be
collected  by Seller  from  Buyer and;  provided  further  that  Buyer  shall be
responsible for payment of sales tax on any vehicles included in the Assets.

         13. Restrictions on Operations of Seller.

             (a) Seller and  Shareholders,  jointly  and  severally,  represent,
warrant and covenant that, except as expressly  disclosed on Schedule 13 hereto,
since the most recent  Financial  Statement Date referred to in paragraph  14(o)
below, through the date hereof, there has been no material adverse change in the
condition  (financial  or otherwise) or prospects of the Seller or the Business.
From the date  hereof  through the Closing  Date,  without the prior  consent of
Buyer, subject to the provisions of the Management  Agreement,  the Shareholders
and Seller shall cause Seller and  Subsidiaries  (as defined in paragraph  14(a)
below) not to:

                  (i) sell,  assign,  transfer  or dispose of any of its Assets,
except in the  ordinary  course of business  consistent  with past  practice and
replace 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;

                  (ii)  mortgage,  pledge or  subject  to any Lien of any nature
whatsoever any of the Assets;

                  (iii)  enter  into  any   contract,   agreement,   commitment,
understanding  or arrangement or  transaction  binding the Business,  or make or
suffer any termination of any contract, agreement, commitment,  understanding or
arrangement,  or make or suffer any  modification  or amendment of any contract,
agreement,  commitment,  understanding or arrangement  except for  terminations,
modifications  and  amendments  of  contracts  made in the  ordinary  course  of
business  consistent  with past practice and which would not affect  earnings or
otherwise be material;

                  (iv) incur any liabilities;

                  (v)  fail  to  collect,  withhold  and/or  pay to  any  proper
Governmental Authority, any Taxes required by applicable law to be so collected,
withheld and/or paid;

                  (vi)  pay  any   bonuses,   increase  the  salaries  or  other
compensation of any of its employees,  or make any increase in, or any additions
to, other benefits to which any of such employees may be entitled;

                                      -12-

<PAGE>

                  (vii)  discharge  or  satisfy  any  Lien  or  encumbrance,  or
satisfy,  pay or prepay any  material  liabilities,  or fail 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  Corporation or the Assets or
the Business;

                  (viii) fail to collect any accounts receivable in the ordinary
course of business, consistent with past practice;

                  (ix) change any of the accounting principles followed by it or
the methods of applying such principles;

                  (x) cancel, modify or waive any debts or claims held by it, or
waive any rights of substantial value;

                  (xi) issue any capital  stock,  or declare or pay or set aside
or reserve  any amounts for  payment of any  dividend or other  distribution  in
respect of any equity interest or other securities,  or redeem or repurchase any
of its  capital  stock or other  securities,  or make any  payment to any of its
affiliates;

                  (xii)  institute,  settle or agree to settle  any  litigation,
action or proceeding before any Governmental  Authority (as such term in defined
in paragraph  14(d) below) relating to it or its property or received any threat
thereof;

                  (xiii) enter into any material  transaction  other than in the
ordinary course of business, consistent with past practice;

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

                  (xv) enter into any  contract or  agreement  with any union or
other collective bargaining representative representing any employees;

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

                  (xvii)  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;

                  (xviii) take any action that would prevent any  Shareholder or
Seller from consummating the transactions contemplated by this Agreement; or

                  (xix) agree or  otherwise  commit to do anything  described in
any of subparagraphs (i) through and including (xviii) above.



                                      -13-
<PAGE>

             (b) Unless  consented to by Buyer,  between the date hereof and the
Closing, subject to the provisions of the Management Agreement, the Shareholders
and the Seller shall cause the Seller and Subsidiaries to:

                  (i) 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;

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

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

                  (iv) use their  reasonable  efforts  to  preserve  intact  the
present business organization of the Seller and the Subsidiaries; keep available
the  services  of the  present  employees  and  agents  of the  Seller  and  the
Subsidiaries;  and maintain the relations and goodwill with  suppliers,  Seller,
employees,  affiliated medical personnel and any others having business relating
to the Seller or any Subsidiary;

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

                  (vi) comply in all material  respects  with all  provisions of
the  Contracts  and with any other  material  agreements  that the Seller 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  Seller  or any
Subsidiary;

                  (vii) 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;

                  (viii)  promptly  advise  Buyer in  writing  of the  threat or
commencement  against the Seller 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 Seller or any Subsidiary;

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

                  (x) promptly  notify the Buyer in writing of any act, event or
occurrence  that  constitutes a breach by any  Shareholder  or the Seller of any
representation, warranty or covenant made pursuant to this Agreement; and

                  (xi)  promptly  notify  the  Buyer  in  writing  of any  event
involving  the  Company  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  Seller  or  any  Subsidiary  or  may  involve  the  loss  of
relationships with any of the customers of the Seller or any Subsidiary.



                                      -14-
<PAGE>

         14.  Representations  and Warranties by Seller and  Shareholders.  As a
material  inducement to Buyer to execute and perform its obligations  under this
Agreement, Seller and Shareholders hereby, jointly and severally,  represent and
warrant to Buyer as follows as of the date hereof (it being understood that, for
the purposes of this Article 14, "Seller" shall be deemed to refer  collectively
to the Seller and each of the Subsidiaries  listed on Schedule 14(a) and "to the
knowledge of the Seller" shall be deemed to refer collectively to the Seller and
the Shareholders):

             (a)  Organization of Seller; Enforceability.

                  (i) Seller is a corporation,  organized, and in good standing,
respectively,  in the State of New York,  and is qualified to do business and is
in good  standing in each other  State  where the nature of its  business or the
assets held by it requires such qualification, and has requisite corporate power
and authority to carry on its Business as presently  being  conducted,  to enter
into this  Agreement,  and to carry out and perform the terms and  provisions of
this  Agreement.  Each  of  this  Agreement  and  each  agreement,   instrument,
certificate and document executed by Seller in connection with this Agreement or
the transactions  contemplated hereby ("TRANSACTION  DOCUMENTS") constitutes the
legal,  valid and  binding  obligations  of  Seller,  enforceable  against it in
accordance with its respective terms.  Schedule 14(a) sets forth a complete list
of all subsidiaries,  joint ventures and partnerships in which the Seller is the
record  or  beneficial   owner  of  any  equity  interest   (collectively,   the
"SUBSIDIARIES"  and  individually,  a  "SUBSIDIARY").  All  of  the  issued  and
outstanding  capital stock or membership  equity of the  subsidiaries  listed on
Schedule 14(a) hereto is owned of record or beneficially by the Seller or by one
of the listed  subsidiaries  on Schedule  14(a).  Schedule  14(a) shall also set
forth all members, partners,  shareholders and each of their ownership interests
in each  joint  venture  and  partnership  (the "JV") in which the Seller is the
record or beneficial owner of any equity interest.

                  (ii) This  Agreement  and each  Transaction  Document to which
each Shareholder is a party constitutes the legal, valid and binding obligations
of such  Shareholder,  enforceable  against such  Shareholder in accordance with
their respective terms.

             (b)  Consents.   Except  as  set  forth  on  Schedule   14(b),   no
authorization,  consent, approval, license, exemption by, filing or registration
with any  Governmental  Authority  or of any party to any  contract,  agreement,
instrument,  commitment,  lease,  indenture or understanding  (written,  oral or
implied)  by which  Seller  or any  Shareholder  or any of the  Assets  is bound
("CONTRACTS")  is  necessary  in  connection  with the  execution,  delivery and
performance of this Agreement or any of the  Transaction  Documents by Seller or
any Shareholder.

             (c) Litigation. Except as set forth on Schedule 14(c), there are no
actions,  suits or proceedings  affecting  Seller or any of the Assets which are
pending or  threatened  against  Seller or affecting  any of its  properties  or
rights,  at  law  or  in  equity,  or  before  any  Governmental  Authority  (as
hereinafter  defined),  nor is  Seller  or any of  its  respective  officers  or
directors or any Shareholder aware of any facts which to them or their knowledge
might reasonably be expected to result in any such action, suit or proceeding.

             (d) Compliance with Laws and Contracts.  Seller is not in violation
of, or in default under:  any term or provision of its Articles of Incorporation
or By-Laws; or any judgment,  order, writ,  injunction,  decree,  statute,  law,
rule,  regulation,  directive,  mandate,  ordinance or guideline  ("GOVERNMENTAL

                                      -15-
<PAGE>

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");  or of any Contract. The execution and delivery by
Seller and  Shareholders  of, and the performance and compliance by each of them
with  this  Agreement,  and  the  Transaction  Documents  and  the  transactions
contemplated  hereby and thereby,  does not and will not result in the violation
of or conflict  with or constitute a default under any such term or provision or
result in the creation of any Lien on any of the  properties or assets of Seller
or Shareholders pursuant to any such term or provision.

             (e) Corporate Acts and  Proceedings.  The  execution,  delivery and
performance of this  Agreement and each of the  Transaction  Documents,  and the
transactions contemplated hereby and thereby, including the sale and transfer of
the Assets by Seller as provided for in this  Agreement,  have been approved and
consented  to by the Board of  Directors  of Seller and, if  applicable,  by the
requisite  number of holders of its  outstanding  capital stock,  and all action
required by any  applicable  Governmental  Requirement  by the  stockholders  of
Seller with regard thereto have been appropriately authorized and accomplished.

             (f) Title to Assets.  Seller has good and indefeasible title to all
of the Assets, free and clear of all Liens.

             (g) Contracts.  Set forth on Schedule 14(g) hereto is a list of all
material Contracts of Seller including, without limitation, each:

                  (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, or agent or group
of  employees,  or any  non-competition,  non-solicitation,  confidentiality  or
similar agreement with any such person or persons;

                  (ii) contract, agreement or arrangement for the acquisition or
disposition  of any assets,  property or rights  outside the ordinary  course of
business or requiring the consent of any party to the transfer and assignment of
any such assets,  property or rights (by purchase or sale of assets, purchase or
sale of stock, merger or otherwise),  that is executory or that was entered into
during the three (3) year period ending on the date hereof;

                  (iii)  contract,  agreement or commitment  which  contains any
provisions  requiring  the Seller or the  Business to  indemnify  or act for any
other  person or entity or to guaranty or act as surety for any other  person or
entity;

                  (iv) contract,  agreement or commitment restricting the Seller
or the  Business  from,  or in favor of either of the Seller or the Business 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;



                                      -16-
<PAGE>

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

                  (vii) contract,  agreement or arrangement granting a leasehold
or other interest in real property,  including  without  limitation,  subleases,
licenses and sublicenses (the "LEASES");

                  (viii) 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 Seller or the Business
not covered by clause (i) above;

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

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

                  (xi) agreement relating to the ownership,  transfer, voting or
exercise of other rights with respect to any equity in the Seller,  or any other
entity,  including without limitation,  registration  rights agreements,  voting
trust agreements and shareholder and proxy agreements;

                  (xii) contract, agreement or commitment to provide services or
products; or

                  (xiii) agreement not made in the ordinary and normal course of
business and consistent with past practice, or involving consideration in excess
of $25,000 in each case,  that is not set forth in subsections (i) through (xii)
above.

         To the best of Seller's and  Shareholders'  knowledge,  no party to any
Contract  other  than  Seller is in  default  under  any  Contract.  Seller  has
delivered  to Buyer true and  complete  copies of each  written  Contract  (or a
description of each oral Contract) requested by Buyer.

             (h)  Brokers. Seller has been represented solely by the Broker, and
as a result a  brokerage  commission  in the amount of  $688,000  payable to the
Broker at the Closing in connection with the  transactions  contemplated by this
Agreement  is due,  and no  broker  or finder is  entitled  to any  broker's  or
finder's  fee or  other  commission  in  respect  thereof  based  in any  way on
agreements,  understandings  or arrangements  with Seller.  An additional amount
equal to eight  percent  (8%) of the  Remaining  Escrow Funds and Notes shall be
paid to the Broker.

             (i)  Employment  Contracts;  Employees.  There are no  Contracts of
employment  between  Seller and any officer or other  employee of the  Business,
except as set forth on Schedule 14(g)(i) above. The name, position, current rate
of  compensation  and any vacation or holiday  pay,  sick pay,  personal  leave,
severance and any other  compensation  arrangements or fringe benefits,  of each
current  employee,  sales  representative,  consultant  and agent of the Seller,
contained on the Schedule of Personnel  Payrates and Advances attached hereto as
Schedule 14(i) is accurate and complete. No employee, consultant or agent of the
Seller has any  vested or  unvested  retirement  benefits  or other  termination
benefits,  except as described on Schedule 14(i). 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  Seller  and its  employees,  nor any strike or labor
disturbance  


                                      -17-
<PAGE>

by any of such employees  affecting the Business and there is no indication that
such a change, strike or labor disturbance is likely. No employees of the Seller
are  represented by any labor union or similar  organization  in connection with
their employment by or relationship  with,  Seller,  and to the knowledge of the
Seller  and  Shareholders,  there are no pending or  threatened  activities  the
purpose  of  which  is to  achieve  such  representation  of all or some of such
employees,  and there are no  threats  of  strikes,  work  stoppages  or pending
grievances  by any  such  employees.  Seller  is  not  party  to any  collective
bargaining or other labor contracts.

             (j) Employee Benefit Plans.  Except as set forth on Schedule 14(j),
Seller has no pension, bonus,  profit-sharing,  or retirement plans for officers
or employees of the Business,  nor is Seller  required to contribute to any such
plan. Without limiting the generality of the foregoing, Seller 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 the Employee  Retirement  Income  Security Act of 1974, as
amended  ("ERISA"),  or to any  multi-employer  plan subject to the terms of the
Multi-employer Pension Plan Amendment Act of 1980 (the "MULTI-EMPLOYER ACT").

             (k) Insurance. All inventories, buildings and fixed assets owned or
leased by the Seller are and will be adequately  insured  against fire and other
casualty through the Closing Date. The information  contained on the Schedule of
Insurance Policies, attached hereto as Schedule 14(k), is accurate and complete.
Schedule  14(k)  also sets  forth any  claims  made  under any of the  insurance
policies  referred to above or increases in premiums  therefore  during the past
two years. True and complete copies of all policies of fire, liability and other
forms of  insurance  held or owned  by the  Seller  or  otherwise  in force  and
providing  coverage  for the  Business or any of the Assets  (including  but not
limited  to  medical  malpractice  insurance,  and any state  sponsored  plan or
program for worker's  compensation)  have been delivered to Buyer. Such policies
are owned by and payable solely to the Seller,  and said policies or renewals or
replacements  thereof will be outstanding and duly in force at the Closing Date,
and all premiums due on or before the Closing Date in respect  thereof have been
paid.

             (l)  Disclosure.  No  representation  or  warranty by Seller or any
Shareholder  in this  Agreement  or in any  Transaction  Document,  contains any
untrue  statement of material fact or omits to state any material fact, of which
Shareholders  or Seller or any of its officers,  directors or  stockholders  has
knowledge or notice, required to make the statements herein or therein contained
not misleading.

             (m)  Officers,  Directors  and  Shareholders  of Seller.  As of the
Closing  Date,  the  Shareholders  are the sole  shareholders  of Seller and the
following individuals are all of the officers and directors of Seller:

<TABLE>
<CAPTION>
                  Name                            Office/Position
                  ----                            ---------------

               <S>                                <C>
                  David Verity                    President
                  Peter Cummiskey                 Vice President/Treasurer
                  John Young                      Vice President
                  Patricia Fox                    Secretary
</TABLE>

             (n) Inventory and Fixed Assets.  The  information  contained on the
Schedule of Inventory and Fixed Assets as of the most recent Financial Statement
Date, attached hereto as Schedule 1(a)(ii), is accurate and complete.

                                      -18-
<PAGE>

             (o)  Financial  Statements.  Seller  has  furnished  Buyer with its
financial statements (the "FINANCIAL STATEMENTS") for the periods ended December
31, 1996 and December 31, 1997, and the interim period ending  February 28, 1998
(the  "FINANCIAL  STATEMENT  DATES"),  copies  of which are  attached  hereto as
Schedule 14(o). The Financial  Statements:  (i) are in accordance with the books
and records of the Seller;  (ii) fairly  present the financial  condition of the
Seller at such date and the results of its operations for the periods specified;
(iii) were prepared in accordance  with GAAP applied on a basis  consistent with
prior  accounting  periods;  (iv) with  respect to all  Contracts of the Seller,
reflect  adequate  reserves for all reasonably  anticipated  losses and costs in
excess of  anticipated  income;  and (v) with  respect  to any  balance  sheets,
disclose all of the  liabilities of the Seller at the Financial  Statement Dates
and  include  the   appropriate   reserves  for  all  taxes  and  other  accrued
liabilities,  except that certain  contingent  liabilities,  if not disclosed on
such  balance  sheets,  shall be  considered  to be  disclosed  pursuant to this
subparagraph,  if  expressly  disclosed  on an Schedule to this  Agreement.  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,  consistent  with past
practice,  except as expressly specified therein,  and such Financial Statements
include  all  adjustments,  which  consist  only of normal  recurring  accruals,
necessary for such fair presentation.

             (p) Supplemental  Tax Information.  Seller has furnished Buyer with
its most recent (i) tax registration certificates, and (ii) tax returns required
of it by each state or other locality in which it conducts  business,  which tax
returns in all instances where applicable  include,  but shall not be limited to
franchise taxes,  state and local tangible  personal  property tax returns,  and
state and local  sales tax  returns,  which  registration  certificates  and tax
returns  are set  forth,  collectively,  on the  Schedule  of  Supplemental  Tax
Information, attached hereto as Schedule 14(p).

             (q) Adverse Business Developments.  Except as set forth on Schedule
14(q),  no notice has been received by Seller or any  Shareholder  of any new or
substantially  expanded  firm  or  individual  engaged  in a  business  directly
competitive  to Seller in its primary  service area within six (6) months before
the date hereof.  Except as set forth on Schedule 14(q),  neither Seller nor any
Shareholder has received, either orally or in writing, any notice specific to it
of pending or threatened adverse action with respect to any Medicare,  Medicaid,
private  insurance  or third  party  payor  reimbursement  method,  practice  or
allowance as to any business  activity  engaged in by Seller,  nor has Seller or
any Shareholder received, or been threatened with, any claim for refund specific
to it in  excess  of  $500.00  by a  Medicare  or  Medicaid  carrier,  except as
disclosed on Schedule 14(q).

             (r) Relationships.  Except as disclosed on Schedule 14(r),  neither
Seller, its officers, directors and employees, nor any Shareholder and no member
of any of their respective immediate families,  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. No Affiliate
of Seller or any Shareholder is guaranteeing any obligations of the Seller.

             (s)  Assets  Comprising  the  Business.  The  Assets are all of the
tangible  and  intangible  properties  (real,  personal  and mixed),  including,
without   limitation,   all  licenses,   intellectual   property,   permits  and
authorizations, and contracts that are necessary or material to the operation of
the Business as now  operated.  The  quantities  of  inventory  and supply items
included in the Assets are  reasonable  in light of the present and  anticipated
volume of the Business of the Seller in the  ordinary  course of the business of
the Seller,  consistent with past practice,  as determined by the Seller in good
faith and consistent with past



                                      -19-
<PAGE>


             (t)  Questionable Payments. Seller has not, and to the knowledge of
the Seller and Shareholders, none of their Affiliates or employees have offered,
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.

             (u)  Reimbursement  Matters.  Seller,  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.  Except as disclosed on
Schedule  14(u),  (i) Seller and  Shareholders  have not  received any notice of
denial or recoupment from the Medicare or Medicaid programs,  or any other third
party  reimbursement  source  (inclusive  of managed  care  organizations)  with
respect  to  products  or  services   provided  by  it,  (ii)  to  Seller's  and
Shareholders'  knowledge,  there is no basis for the assertion after the Closing
Date of any such denial or recoupment  claim,  and (iii) Seller and Shareholders
have 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 with respect to, or arising
out of,  products  or  services  provided  by  Seller or  otherwise,  and to the
knowledge  of  Seller  and  Shareholders,  no such  investigation  or  survey is
pending,  threatened or imminent. Seller shall not be considered to be in breach
of the foregoing unless and until recoupment  claims  attributable to operations
prior to Closing  exceed the sum of  $40,000.00.  Notwithstanding  the foregoing
Seller shall be liable for repayment of all recoupment  claims  attributable  to
Seller's operations prior to the Effective Date.

             (v)  Environmental  Compliance.  Except as  disclosed  on  Schedule
14(v), at all times during Seller's ownership of the Business,  the Business has
not been, and currently is not, in violation of any  environmental  Governmental
Requirement  and no notice has ever been served upon any  Shareholder or Seller,
its agents or representatives  or any prior owner of the Business,  claiming any
violation of any Governmental  Requirement  concerning the environmental  state,
condition  or quality of any real or  personal  property  in any  related to the
Business, or requiring or calling attention to the need for any work, repairs or
demolition on or in connection  with any of the real property in order to comply
with any  governmental  requirement  concerning the  environmental  or healthful
state, condition or quality of the real property.

             (w) Cash  Receipts.  The  information  contained on the Schedule of
Collections  for the period  commencing on the most recent  Financial  Statement
Date, and ending on the Effective  Date,  attached  hereto as Schedule 14(w), is
accurate and complete.

             (x) Accounts Receivable.  The information contained on the Schedule
of Accounts  Receivable  Data as of the most recent  Financial  Statement  Date,
attached hereto as Schedule 14(x), is accurate and complete.

             (y)  Shareholders.  Seller and  Shareholders  represent and warrant
that other than David Verity,  Peter Cummiskey,  Gregory Guay,  Patricia Connell
Fox, Maureen DaCosta Redmond,  and James Connell (the "MAJORITY  SHAREHOLDERS'),
all other  shareholders  of Seller  (the  "MINORITY  SHAREHOLDERS")  are passive
investors  in  the  Seller,  are  not  employees,   consultants  or  independent
contractors  of  Seller,  and have less  than a 10%  ownership  interest  in the
Seller.

                                      -20-
<PAGE>

             (z) Tax  Information.  Each of the Seller and each  Subsidiary  has
furnished Buyer with its (a) most recent tax registration certificates,  and (b)
tax returns for the  periods  ended  December  31,  1995 and  December  31, 1996
required of it by each state or other  locality  in which it conducts  business,
which tax returns in all instances where  applicable  include,  but shall not be
limited to, income,  franchise taxes, state and local tangible personal property
tax  returns,  and  state  and  local  sales  tax  returns,  which  registration
certificates and tax returns are set forth, collectively, on the Schedule of Tax
Information,  attached hereto as Schedule  14(z).  The balance sheet included in
the most recent  Financial  Statements  for the Seller and each  Subsidiary on a
consolidated  basis 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 or the
Subsidiary. All Taxes payable by the Seller or each 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 Seller or each  Subsidiary with respect to employee's  withholding  taxes
have been duly made.  Except as set forth on Schedule 14(z),  none of the Seller
or each Subsidiary has been delinquent in the payment of any Tax,  assessment or
governmental  charge or deposit and has no tax deficiency or claim  outstanding,
proposed or assessed  against it, and there is no basis for any such  deficiency
or claim.  The federal income tax returns of the Seller and each Subsidiary have
been filed with the Internal  Revenue Service for all of the fiscal years though
the year ended  December 31, 1996, and no objections  with respect  thereto have
been received by the Seller, the Subsidiaries, or any Shareholder.  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  Seller  or any
Subsidiary  or any waiver or agreement by the Seller or any  Subsidiary  for the
extension  of time  for  assessment  of any  Tax.  Neither  the  Seller  nor any
Subsidiary is a party to any pending action or proceeding, and, to the knowledge
of the Seller,  each Subsidiary,  and the Shareholders,  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  Seller or any  Subsidiary.  Neither  the  Seller nor any
Subsidiary is a party to any tax sharing  agreement or arrangement.  Neither the
Seller nor any Subsidiary has elected to be taxed in accordance  with Subchapter
S of the Internal Revenue Code of 1986, as amended.

             (aa) Recent Acquisitions.  As of the Closing Date, Seller shall own
100% of the membership  interests of First Community Care,  L.L.C.  ("FCC-LLC").
Prior to the date hereof,  North Country Medical Supply,  Inc. ("NORTH COUNTRY")
was merged with and into the Seller.  Both FCC-LCC and North Country are free of
all liens,  claims and  encumbrances and shall have been fully paid for prior to
the date hereof.

         15.  Representations and Warranties of Buyer and IHS. Each of Buyer and
IHS represent and warrant to Seller and Shareholders that:

             (a) Due Organization.  Buyer is a duly organized, valid corporation
under  the  laws  of the  State  of  Florida.  IHS is a  duly  organized,  valid
corporation under the laws of the State of Delaware.

                                      -21-
<PAGE>

             (b) Due  Authority.  Buyer and IHS are duly  authorized  by law and
corporate  policy  and  approval  to:  (i) enter  into this  Agreement  and each
Transaction Document; (ii) make all warranties and representations made by Buyer
and IHS herein; and (iii) deliver all consideration provided for under the terms
hereof.

             (c) Binding  Authority.  All  signatures  and agents  designated as
agents/officers  for Buyer and IHS for signing  purposes  have the  authority to
bind Buyer and IHS to the terms of this Agreement.

             (d) Cash Payment  Authority.  Buyer has the  authority to cause the
cash payment of the Purchase Price to be delivered in accordance  with the terms
of this Agreement.

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

             (f) IHS Stock.  IHS has duly  authorized  and reserved for issuance
the IHS  Stock  to be  issued  in  connection  herewith,  and,  when  issued  in
accordance  with the terms of Article 7, such IHS Stock will be validly  issued,
fully paid, and non-assessable and free of preemptive rights.

         16. Survival of Representations and Warranties. The representations and
warranties  of Seller,  Shareholders,  and Buyer  contained and made pursuant to
this Agreement  shall survive the execution of the Closing Date and for a period
of five (5) 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  paragraph  14(u)  (Reimbursement   Matters)  and
paragraph  14(z) (Tax  Information),  shall survive until thirty (30) days after
the applicable  period of limitations for audits by the applicable  Governmental
Authority shall have expired, including extensions for any necessary appeals.

         17. Restrictive Covenants.

             (a)  Non-Compete.

                  (i) Seller and  Shareholders  hereby agree that  commencing on
the date hereof  until the fifth  (5th)  anniversary  of the  Closing  Date (the
"RESTRICTED  PERIOD"),  it, he or she will not,  directly  or  indirectly,  own,
manage,  operate,  join, control or participate,  or have a proprietary interest
in, the ownership, management, operation or control, of or be connected with, in
any  manner,  any home  health  care  business  within  fifty  (50) miles of any
location  set forth on the  Schedule of  Locations  attached  hereto as Schedule
17(a).

                  (ii) Gregory Guay hereby  agrees that until the  expiration of
the  Restricted  Period,  he will only act in his  capacity  as chief  financial
officer in a home health care business.

              (b) Confidential Information. Certain confidential and proprietary
information is included within the Assets ("TRADE SECRETS"),  including, without
limitation,  with  respect  to  some  or  all  of the  following  categories  of
information: (i) financial information, including but not limited to information
relating to earnings,  assets, debts, prices,  pricing structure,  reimbursement
matters, volume of purchases or sales or other financial data whether related to
Seller or generally, or to particular products,  services,  geographic areas, or
time periods; (ii) supply and service information,  including but not limited to
information relating to goods and services, suppliers' names or addresses, terms
of supply  or  service  


                                      -22-
<PAGE>

contracts or of particular transactions,  or related information about potential
suppliers  to the extent that such  information  is not  generally  known to the
public,  and to  the  extent  that  the  combination  of  suppliers  or use of a
particular supplier,  though generally known or available,  may yield advantages
to the  Buyer,  details  of  which  are  not  generally  known;  (ii)  marketing
information,  including but not limited to information relating to details about
ongoing or  proposed  marketing  programs or  agreements  by or on behalf of the
Seller, sales forecasts, advertising formats and methods or results of marketing
efforts or information about impending transactions; (iv) personnel information,
including  but not limited to  information  relating to  employees'  personal or
medical histories, compensation or other terms of employment, actual or proposed
promotions, hirings, resignations, disciplinary actions, terminations or reasons
therefor,  training methods,  performance,  or other employee  information;  (v)
customer  and patient  information,  including  but not  limited to  information
relating to names,  addresses or  backgrounds  of past,  existing or prospective
clients,   customers,   payors,  referral  sources,  and  patients,  records  of
agreements and prices,  proposals or agreements  between any of them and Seller,
status of accounts or credit, patients' medical histories or related information
as well as customer lists;  and (vi) inventions and  technological  information,
including  but not limited to  information  related to  proprietary  technology,
trade secrets,  research and development  data,  processes,  formulae,  data and
know-how,  improvements,  inventions,  techniques, and information that has been
created, discovered or developed, or has otherwise become known to Seller or any
Shareholder,  and/or in which  property  rights have been  assigned or otherwise
conveyed to Seller,  which  information has commercial  value in the business in
which the  Seller is  engaged.  Seller  and  Shareholders  shall  hold all Trade
Secrets in confidence  and will not discuss,  communicate or transmit to others,
or make any unauthorized copy of or use any of the Trade Secrets;  and will take
all reasonable actions that Buyer deems reasonably necessary or appropriate,  to
prevent  unauthorized use or disclosure of or to protect the Buyer's interest in
the Trade Secrets.  The foregoing  does not apply to  information  that by means
other than deliberate or inadvertent disclosure, by Seller,  Shareholders or any
of their respective Affiliates,  becomes well known to the public; or disclosure
compelled by judicial or administrative proceedings after they diligently try to
avoid each disclosure and afford Buyer the opportunity to obtain  assurance that
compelled disclosures will receive confidential treatment.

             (c) Non-Solicitation and Non-Pirating.  Seller and each Shareholder
hereby agree that,  during the Restricted  Period it or he will not, directly or
indirectly, for itself or himself or on behalf of any other person, firm, entity
or other enterprise: (i) solicit or in any way divert or take away any person or
entity that, prior to the Closing Date, was a patient, client, customer,  payor,
referral source, facility or patient of the Seller; or (ii) hire, entice away or
in any  other  manner  persuade  any  person  who was an  employee,  consultant,
representative  or agent of the  Seller  prior to the  Closing  Date,  to alter,
modify or terminate their relationship with the Buyer.

             (d) Necessary Restrictions. Seller and each Shareholder acknowledge
that the  restrictions  contained in this Agreement are reasonable and necessary
to protect the legitimate business interests of the Buyer and that any violation
thereof by any of them would result in irreparable  harm to the Buyer,  and that
damages in the event of any such breach of this Agreement will be difficult,  if
not impossible, to ascertain. Accordingly, the Seller and each Shareholder agree
that upon the violation of any of the restrictions  contained in this Agreement,
the 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, equity, under this Agreement or otherwise, without the necessity of posting
any  bond or  other  security  whatsoever.  In the  event  any of the  foregoing
restrictions are adjudged unreasonable in any proceeding, then the parties agree
that the  period of time or the scope of such  restrictions  (or both)  shall be
adjusted  to such a manner  or for such a time (or  both) as is  adjudged  to be
reasonable.

                                      -23-
<PAGE>

             (e)   Remedies  For  Breach.   The  Seller  and  each   Shareholder
acknowledge  that the  covenants  contained in this  Article 17 are  independent
covenants  and that any  failure by the Buyer to perform its  obligations  under
this Agreement or any other  agreement  shall not be a defense to enforcement of
the  covenants  contained  in this  Agreement,  including  but not  limited to a
temporary or permanent injunction.

             (f) Exception.  Notwithstanding  anything to the contrary set forth
in this paragraph 17, until the Closing Date, the Buyer, Seller and Shareholders
acknowledge and agree that the Shareholders and the Seller shall continue to own
the Seller and the Assets, respectively.

         18. Indemnification; Remedies.

             (a) Indemnification by Seller and Majority Shareholders. Seller and
Majority Shareholders shall, jointly and severally,  indemnify and hold harmless
at all times Buyer and its stockholders,  directors, officers, employees, agents
and assigns,  from and against any Damages (as  hereinafter  defined)  resulting
from: (i) any inaccurate  representation  made by Seller or any  Shareholder in,
pursuant to or under this Agreement or any Transaction Document; (ii) any breach
of any warranty made by Seller or any  Shareholder in, pursuant to or under this
Agreement  or any  Transaction  Document;  (iii) any  breach or  default  in the
performance by Seller or any Shareholder of any of the covenants to be performed
by Seller or any Shareholder hereunder or in any Transaction Document;  (iv) any
Excluded  Liabilities;  and (v) any  liabilities  arising from the  ownership or
operation of any Subsidiary.

             (b)   Indemnification   by   Principal   Shareholders.    Principal
Shareholders  shall,  jointly and severally,  indemnify and hold harmless at all
times Buyer and its stockholders,  directors,  officers,  employees,  agents and
assigns,  from and against any Damages  resulting  from any amounts due to Buyer
pursuant to paragraph 3, above.

             (c)  Indemnification  by  Buyer.  Buyer  shall  indemnify  and hold
harmless  at all times  Seller or  Majority  Shareholders  from and  against any
Damages  resulting  from:  (i) any inaccurate  representation  made by Buyer in,
pursuant to or under this  Agreement;  (ii) any breach of any  warranty  made by
Buyer in, pursuant to or under this  Agreement;  and (iii) any breach or default
in the  performance  by Buyer of any of the  covenants  to be performed by Buyer
hereunder.

             (d) Definition of Damages.  The term "DAMAGES" as used herein shall
include any  demands,  claims,  actions,  deficiencies,  losses,  delinquencies,
defaults,   assessments,  fees,  costs,  taxes,  expenses,  debts,  liabilities,
obligations, settlements, penalties, and damages, including, without limitation,
counsel fees incurred in  investigating  or in attempting to avoid or oppose the
imposition thereof.  The term "Damages" shall include,  but shall not be limited
to,  any  Liabilities  Deficiency  or Asset  Value  Deficiency,  as  defined  in
paragraph 6 hereof.

             (e) Indemnity  Limitations.  The maximum aggregate liability of the
Seller and Majority Shareholders for indemnification  hereunder shall not exceed
an amount equal to  $10,100,000.  In no event shall each Majority  Shareholder's
indemnification  obligation under this paragraph 17 exceed 150% of the amount of
the Purchase Price payable to such Majority  Shareholder (in accordance with his
or her pro rata ownership interest in the Seller).

             (f) Remedies.

                                      -24-
<PAGE>

                  (i) Buyer's Remedies. If Buyer makes written request to Seller
         or the Majority  Shareholders  for the payment of Damages,  then Seller
         and/or Majority  Shareholders  shall pay to Buyer the amount of Damages
         requested  within ten (10) days from the date on which such  request is
         received (the "NOTICE PERIOD").

                  (ii)  Seller's  Remedies.  If Seller or Majority  Shareholders
         make  written  request to Buyer for the payment of Damages,  then Buyer
         shall pay to Seller or  Majority  Shareholders  the  amount of  Damages
         requested within the Notice Period.

                  (iii)  Notice  of  Dispute.   Notwithstanding   the  foregoing
         provisions of this subparagraph (d), if a party (the "DEMANDING PARTY")
         serves a  request  for  payment  on the  other  party  (the  "OBLIGATED
         PARTY"),  the Obligated  Party shall have the option to provide written
         notice to the Demanding Party (the "NOTE OF DISPUTE") within the Notice
         Period that the Obligated Party disputes,  in good faith,  the validity
         or amount of the Damages set out in the request for payment of Damages,
         and if the affected  parties  cannot agree on the validity or amount of
         such Damages  within ten (10) days  following  the Notice  Period,  the
         dispute as to the  validity or amount of such claim or  liability  (the
         "DISPUTE")  shall be settled as set forth in  subparagraph  (f) of this
         paragraph 18.

                  (iv) Arbitration.  If arbitration is required pursuant to this
         paragraph 18, Buyer and Seller or the Majority  Shareholders each shall
         select an arbitrator  within ten (10) business days after the Notice of
         Dispute is delivered;  those two  arbitrators  will then select a third
         arbitrator;  and the three  arbitrators  so chosen will  determine  the
         validity  of the  claim  for  Damages.  If  Seller  or Buyer  delays in
         appointing an arbitrator  when required,  and ten (10) days or more has
         elapsed,  the arbitrator  appointed by the other party shall  arbitrate
         the  dispute.  If the Seller  and the  Majority  Shareholders  shall be
         subject to a Dispute  with  Buyer,  they  shall,  unless  Buyer  elects
         otherwise in its sole and absolute discretion,  be required to act as a
         group with respect to any and all rights and  obligations  with respect
         to the resolutions of the Dispute as provided in this paragraph 18.

             (g)  Settlement of Disputes.

                  (i)  Disputes  Not  Involving  Third  Parties.  If  a  Dispute
         involves  claims not  involving  any third  party,  Buyer and Seller or
         Majority  Shareholders  shall settle the Dispute by submitting the same
         to binding arbitration.

                  (ii) Disputes  Involving  Claims Made by Third  Parties.  If a
         Dispute  involves  claims  made by one or more third  parties (a "THIRD
         PARTY CLAIM"),  the party  asserting its right to  indemnification  for
         such Third Party Claim shall give written  notice to the other party as
         soon as practical  after such asserting  party receives  notice of such
         Third Party  Claim;  provided,  however the failure to timely give such
         notice shall not affect such party's right to indemnification except to
         the extent the party to  receive  the notice is damaged by such  delay.
         Upon such notice to Seller or Majority  Shareholders,  Buyer and Seller
         and/or Majority  Shareholders  shall submit the Dispute to arbitration,
         and the following procedures shall apply:

                        (A)  Solely  for  purposes  of  determining   the  party
                  responsible   for  defending   the  Third  Party  Claim,   the
                  arbitrators  shall  deem such  Third  Party  Claim to be valid
                  (although such consideration  shall not be an admission by any
                  party as to any liability to any party).  The arbitrators then
                  shall  decide  which party shall be liable for the Third Party
                  Claim if it is successfully  prosecuted by such 



                                      -25-
<PAGE>

                  third party or parties,  and the decision of such  arbitrators
                  with respect to such  liability  shall be final and binding as
                  among the  parties.  (Such party  determined  to be liable for
                  such  claim  sometimes  shall be  referred  to  herein  as the
                  "RESPONSIBLE PARTY".)

                        (B) If the Responsible  Party refuses to settle (and pay
                  the settlement  amount of) the Third Party Claim  immediately,
                  then the Responsible Party immediately shall select one of the
                  following two options:

                        Option One: The  Responsible  Party,  at the Responsible
                     Party's  sole  expense and risk,  can assume the defense of
                     the Third Party Claim, provided the Responsible Party first
                     places in  escrow,  in favor of the other  party,  adequate
                     collateral   (as   determined   by   the   arbitrators   on
                     consideration  of all relevant facts  including the amounts
                     of any already held in the Escrow Agreement  (excluding the
                     Claw-back  Amount) and Payment Escrow  Agreement to protect
                     the other party from all Damages with respect to such Third
                     Party  Claim (in which  case the  other  party  immediately
                     shall be reimbursed by the Responsible Party for any amount
                     the other  party is  required  to pay with  respect to such
                     Third Party Claim; or

                        Option Two: The  Responsible  Party,  at the Responsible
                     Party's  expense and risk,  can  co-defend  the Third Party
                     Claim with the other party, with the Responsible Party also
                     responsible  for  paying  all costs  incurred  by the other
                     Party in connection with such defense,  including,  without
                     limitation,  the  legal  fees  and  expenses  of the  other
                     party's  counsel  for its  reasonable  involvement  in such
                     defense.  If the other  party is found to be liable for any
                     portion of such Third Party Claim,  the  Responsible  Party
                     immediately  shall reimburse the other party for any amount
                     required  to be  paid  by  the  other  party  with  respect
                     thereto;  provided,   however,  if  the  Responsible  Party
                     selects this option,  the  Responsible  Party shall attempt
                     diligently  to have the other  party  removed as a party to
                     any legal action involving the Third Party Claim (and, upon
                     such removal,  the involvement of the other party's counsel
                     shall cease unless  requested by the  Responsible  Party or
                     the Responsible Party's counsel); and

                        (C) No party may settle any Third  Party  Claim  without
                   the prior  consent  of the other  parties  hereto  unless the
                   settlement  will not have a  material  adverse  effect on the
                   other party hereto. The parties will resolve any Dispute with
                   respect to any such proposed  settlement  in accordance  with
                   this paragraph 18.

                        (D) Any party  responsible  for  defending a Third Party
                   Claim shall  proceed  with  diligence  and in good faith with
                   respect thereto.

         19. Use of Corporate  and  Fictitious  Names.  Seller and  Shareholders
agree to take all actions  necessary to assist Buyer in obtaining  the rights to
use the corporate  name and any  fictitious  names used in its conduct of any of
the Business,  including but not limited to the execution of any assignments and
consents  to use such name.  If Buyer  attempts to use such name,  Seller  shall
consent to Buyer's  use of such name if such  consent is  required by any state,
county or local governmental authority.

                                      -26-
<PAGE>

         20  Prepaid Items; Deposits; Etc. All prepaid insurance premiums,  rent
and utility  deposits,  and similar  items paid by or owing to the Seller by any
person,  shall be considered  to be part of the Assets being  purchased by Buyer
and, on consummation of the transactions  contemplated by this Agreement,  shall
be the property of Buyer.

         21. Post-Closing Requirements of Seller.

             (a) Payment  Escrow.  On the date hereof,  Buyer shall pay over and
deliver to or on behalf of Seller (and shall be credited, dollar-for-dollar,  as
partial  payment of the  Purchase  Price) to the Paying  Agent,  in escrow  (the
"PAYMENT  ESCROW"),  an amount equal to the Limited  Liabilities as specified in
paragraph 2(b)(iii), above, to be held by the Paying Agent subject to the terms,
conditions,  and  provisions of the Payment Escrow  Agreement.  The Paying Agent
shall be an attorney at law  authorized to practice law in the State of New York
or a trust  company or bank having  trust powers in the State which Paying Agent
has been selected by Seller and approved by Buyer.

                  (i) Seller  shall pay all costs and  expenses  of the  Payment
         Escrow,  including without limitation,  any fees or costs of the Paying
         Agent.

                  (ii) Seller  shall be  obligated  to see that the Paying Agent
         timely and properly pays all Limited  Liabilities,  and that the Paying
         Agent obtains and delivers to Buyer the "FINAL RELEASE"  referred to in
         the Payment Escrow Agreement,  or other reasonable  evidence of payment
         acceptable  to Buyer for all Limited  Liabilities  in excess of $5,000.
         Additionally,   Seller  shall  prepare  and  deliver  UCC   termination
         statements, if applicable.

                  (iii)  If  any  existing  obligation  has  not  been  paid  or
         performed and a Final Release or other  acceptable  evidence of payment
         therefor  delivered  or  performance  thereof to Buyer  within nine (9)
         months  following  the date  hereof,  then any  unpaid  portion of such
         liability shall constitute  "LIABILITIES"  subject to the provisions of
         paragraph 5, above.

             (b)  Final  Financial Information.  Not later than  forty-five (45)
days following Closing, Seller, at Seller's sole cost and expense, shall deliver
to Buyer "FINAL FINANCIAL INFORMATION", which shall include:

                  (i) a balance sheet of Seller as of the date hereof,  prepared
         in accordance with GAAP;

                  (ii) an income  statement of Seller for the period  commencing
         on the  date  succeeding  the last  day of the  most  recent  Financial
         Statement Date and ending on the Closing Date;

                  (iii) an inventory of fixed assets of Seller as of the Closing
         Date;

                  (iv) an  inventory  of  supplies  of Seller as of the  Closing
         Date;

                  (v) an aged  schedule of accounts  receivable  of Seller as of
         the Closing Date;

         and

                  (vi) a cash  settlement  of Seller,  in the form  provided  by
         Buyer.



                                      -27-
<PAGE>

                  (c)  Liabilities  Deficiency.  If  all  such  Final  Financial
Information  is not  delivered to Buyer within such  forty-five  (45) day period
following Closing, Seller and Shareholders shall be liable to Buyer in an amount
equal to $500.00 for each day after such  thirty (30) day period  until all such
Final  Financial  Information is delivered to Buyer,  and such  liability  shall
constitute a Liabilities Deficiency under the provisions of paragraph 5, above.

         22. Third Party Beneficiaries.  Nothing in this Agreement, expressed or
implied, is intended to confer on any person, other than the parties hereto, and
their  successors,  any rights or remedies  under or by reason of this Agreement
other the affiliates entitled to indemnification pursuant to paragraph 18.

         23. Expenses.  Except as otherwise  stated herein,  each of the parties
shall bear all expenses  incurred by them in connection  with this Agreement and
in consummation of the transactions contemplated hereby in preparation thereof.

         24. Notices.  All notices,  consents,  waivers and other communications
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:

             to Seller:           First Community Care, Inc.
                                  210 John Glenn Drive
                                  Suite 12
                                  Amherst, NY 14228
                                  Attn:    Peter Cummiskey
                                           and David Verity

             to Shareholders:     at the addresses set forth on Schedule 24
                                                                -----------

             with a copy to:      Williams, Stevens, McCarville & Frizzell, P.C.
                                  420 Main Street
                                  Buffalo, NY 14202-3687
                                  Attn: Michael B. Sexton, Esq.

             to Buyer:            c/o RoTech Medical Corporations
                                  4506 L.B. McLeod Road, Suite F
                                  Orlando, FL 32811
                                  Attn: Stephen P. Griggs

             with copies to:      Integrated Health Services, Inc.
                                  10065 Red Run Boulevard
                                  Owings Mills, MD 21117
                                  Attn: Marshall Elkins

                                          and



                                    -28-
<PAGE>

                                  Blass & Driggs
                                  461 Fifth Avenue
                                  New York, NY 10017
                                  Attn: Andrew S. Bogen

         25.  Choice  of Law.  The laws of the State of New York  applicable  to
contracts executed, delivered and to be fully performed in such State govern the
validity  of  this  Agreement,   the   construction   of  its  terms,   and  the
interpretation of the rights and duties of the parties.

         26. Sections and Other Headings. Section, paragraph, and other headings
contained in this Agreement are for reference purposes only and shall not affect
in any way the meaning or interpretation of this Agreement.

         27.  Counterpart  Execution.  This  Agreement may be executed in two or
more counterparts,  each of which shall be deemed an original, but all of which,
together,  shall  constitute  but one  instrument.  Facsimile  signatures may be
deemed binding for this Agreement,  or any modification or amendment  hereto, or
any leases or other documents  contemplated  hereby,  provided that originals of
same are delivered within a reasonable time.

         28. Gender.  All gender  employed in this  Agreement  shall include all
genders,  and the singular shall include the plural and the plural shall include
the singular whenever and as often as may be appropriate.

         29. Parties in Interest.  This Agreement  shall be binding on and shall
inure to the benefit of, and be enforceable by, Seller,  Shareholders  and Buyer
and their respective  successors and assigns.  Buyer shall be entitled to assign
its rights under this Agreement and the Transaction Documents after the Closing.
Seller and the Shareholders may not assign this Agreement or any of their rights
hereunder without the prior consent of Buyer.

         30.  Entire  Agreement.  This  Agreement  including  all  Schedules and
Exhibits hereto, and all Transaction  Documents  constitute the entire agreement
between the parties  hereto with respect to the subject  matter hereof and there
are no agreements, understandings,  restrictions, warranties, or representations
between the parties with respect to the subject  matter hereof other than as set
forth herein or as herein provided.

         31. Performance.  In the event of a breach by Seller or any Shareholder
of any of their  respective  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  Seller  and each
Shareholder  hereby  waives the defense that there may be an adequate  remedy at
law.

         32.  Waiver,   Discharge,  Etc.  This  Agreement  and  the  Transaction
Documents and the  obligations  hereunder and thereunder  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 or any  Transaction
Document 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  such  Transaction
Document,  as the case may be,  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 or any  Transaction  Document shall be held to be a waiver of any
other or subsequent breach.

                                      -29-
<PAGE>

         33.  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 or 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 purpose of this Agreement,  and to vest in
Buyer good title to, possession of and control of all the Assets.

         34.  Joint  and  Several.  Subject  to the  limitations  set  forth  in
paragraph 18(e) of this Agreement, Seller and the Majority Shareholders shall be
jointly  and  severally   liable  for  all   representations,   warranties   and
obligations,  including,  without limitation,  indemnification  obligations, and
covenants  made by any of them pursuant to this  Agreement,  including,  without
limitation,  any made pursuant to any Transaction Document.  For all purposes of
this Agreement,  any  representation or warranty that is qualified to be "to the
knowledge  of Seller"  or by a  requirement  that  Seller  shall  have  received
"notice" of any matter, or any similar  qualification shall be deemed to include
the knowledge of the  Shareholders or notices to the  Shareholders,  as the case
may be.

         35.  Independent Legal Counsel.  Seller and Shareholders  represent and
warrant  that  each  party  has  had  the  opportunity  to seek  the  advice  of
independent  legal counsel prior to signing this  Agreement,  and that the Buyer
has recommended to Seller and Shareholders that such party obtain legal counsel.


                                      -30-
<PAGE>

         IN WITNESS  WHEREOF,  the  parties  have caused  this  Agreement  to be
executed as of the date first stated above.

                                           BUYER:

                                           NORTHEAST MEDICAL
                                           EQUIPMENT, INC.

                                           By: /s/
                                              ----------------------------------
                                           Name:  Stephen P. Griggs
                                           Title: President


                                           IHS:

                                           INTEGRATED HEALTH SERVICES,
                                           INC.

                                           By: /s/
                                              ----------------------------------
                                           Name:
                                                --------------------------------
                                           Title:
                                                 -------------------------------


                                           FIRST COMMUNITY CARE, INC..


                                           By:/s/ DAVID M. VERITY
                                              ---------------------------------
                                           Name: David Verity
                                           Title: President

STATE OF NEW YORK
COUNTY OF ERIE

         The foregoing instrument was acknowledged before me by David Verity, as
President of First Community Care,  Inc., a New York  corporation,  on behalf of
the  corporation,  and  who is  personally  known  to me;  or  has  produced ___
_________________ as identification.


APRIL 29, 1998                              /s/ JAMES E. KELLY
- -------------------------------             ------------------------------------
Date                                        Notary Signature


                                            ------------------------------------
                                            Notary Name Printed
                                            My Commission Expires:


                                             JAMES E. KELLY
                                         NOTARY PUBLIC STATE OF NEW YORK
                                         QUALIFIED IN ERIE COUNTY
                                        MY COMMISSION EXPIRES 3-31-99
                                                              -------

                                      -31-


<PAGE>




                                          SHAREHOLDERS:

                                          /s/ PETER CUMMISKEY
                                          --------------------------------------
                                          Peter Cummiskey

STATE OF NEW YORK
COUNTY OF ERIE
         -----------

         The foregoing instrument was acknowledged before me by Peter Cummiskey,
a shareholder of First Community Care, Inc., a New York  corporation,  on behalf
of the  corporation,  and who is  personally  known to me;  or has  produced  as
identification.


APRIL 29, 1998                              /s/ JAMES E. KELLY
- --------------------------                 ------------------------------------
Date                                       Notary Signature

                              JAMES E. KELLY
                         NOTARY PUBLIC STATE OF NEW YORK
                            QUALIFIED IN ERIE COUNTY
                       MY COMMISSION EXPIRES 3-31-99
                                            ----------

                                           -------------------------------------
                                           Notary Name Printed
                                           My Commission Expires:


                                           /s/ DAVID M. VERITY
                                           -------------------------------------
                                           David Verity

STATE OF NEW YORK
COUNTY OF ERIE
         ----------

         The foregoing  instrument was acknowledged before me by David Verity, a
shareholder of First Community Care, Inc., a New York corporation,  on behalf of
the  corporation,  and  who is  personally  known  to me;  or  has  produced ___
________________ as identification.


April 29, 1998                             /s/ JAMES E. KELLY
- -----------------------------              -------------------------------------
Date                                       Notary Signature


                                           -------------------------------------
                                           Notary Name Printed
                                           My Commission Expires:

                              JAMES E. KELLY
                         NOTARY PUBLIC STATE OF NEW YORK
                            QUALIFIED IN ERIE COUNTY
                       MY COMMISSION EXPIRES 3-31-99
                                            ----------


                                      -32-


<PAGE>


                                           /s/ JOHN E. YOUNG
                                          -------------------------------------
                                          John Young

STATE OF NEW YORK
COUNTY OF ERIE
          ---------

         The foregoing  instrument was  acknowledged  before me by John Young, a
shareholder of First Community Care, Inc., a New York corporation,  on behalf of
the  corporation,  and  who is  personally  known  to me;  or  has  produced ___
_______________________ as identification.



APRIL 29, 1998                             /s/ JAMES E. KELLY
- ----------------------------               ------------------------------------
Date                                       Notary Signature

                              JAMES E. KELLY
                         NOTARY PUBLIC STATE OF NEW YORK
                            QUALIFIED IN ERIE COUNTY
                       MY COMMISSION EXPIRES 3-31-99
                                            ----------

                                           ------------------------------------
                                           Notary Name Printed
                                           My Commission Expires:


                                           /s/ GREGORY GUAY
                                           -------------------------------------
                                           Gregory Guay

STATE OF NEW YORK
COUNTY OF ERIE
         ----------

         The foregoing  instrument was acknowledged before me by Gregory Guay, a
shareholder of First Community Care, Inc.., a New York corporation, on behalf of
the  corporation,  and  who is  personally  known  to me;  or  has  produced ___
_________________  as identification.


APRIL 29, 1998                              /s/ JAMES E. KELLY
- -----------------------------              -------------------------------------
Date                                       Notary Signature

                                           -------------------------------------
                                           Notary Name Printed
                                           My Commission Expires:

                              JAMES E. KELLY
                         NOTARY PUBLIC STATE OF NEW YORK
                            QUALIFIED IN ERIE COUNTY
                       MY COMMISSION EXPIRES 3-31-99
                                            ----------


                                      -33-


<PAGE>


                                            /s/ PATRICIA CONNELL FOX
                                           -------------------------------------
                                           Patricia Connell Fox

STATE OF NEW YORK
COUNTY OF ERIE
         ----------

         The foregoing instrument was acknowledged before me by Patricia Connell
Fox, a shareholder of First Community  Care,  Inc., a New York  corporation,  on
behalf of the corporation, and who is personally known to me; or has produced __
_________________ as identification.

APRIL 29, 1998                             /s/ JAMES E. KELLY
- ----------------------------               -------------------------------------
Date                                       Notary Signature

                              JAMES E. KELLY
                         NOTARY PUBLIC STATE OF NEW YORK
                            QUALIFIED IN ERIE COUNTY
                       MY COMMISSION EXPIRES 3-31-99
                                            ----------

                                           -------------------------------------
                                           Notary Name Printed
                                           My Commission Expires:


                                           /s/ PATRICIA CONNELL FOX
                                           -------------------------------------
                                           Maureen Da Costa Redmond
                                           By: Patricia Connell Fox
                                           as Attorney-In-Fact

STATE OF NEW YORK
COUNTY OF ERIE
         ----------


         The foregoing instrument was acknowledged before me by Patricia Connell
Fox, as  Attorney-In-Fact  for Maureen Da Costa Redmond,  a shareholder of First
Community Care, Inc., a New York corporation, on behalf of the corporation,  and
who is personally known to me; or has produced _________________________________
as identification.


APRIL 29, 1998                              /s/ JAMES E. KELLY
- --------------------------------           -------------------------------------
Date                                       Notary Signature


                                           -------------------------------------
                                           Notary Name Printed
                                           My Commission Expires:

                              JAMES E. KELLY
                         NOTARY PUBLIC STATE OF NEW YORK
                            QUALIFIED IN ERIE COUNTY
                       MY COMMISSION EXPIRES 3-31-99
                                            ----------


                                      -34-


<PAGE>


                                             /s/ PATRICIA CONNELL FOX
                                            ------------------------------------
                                            James Connell
                                            By:  Patricia Connell Fox
                                            as Attorney-In-Fact

STATE OF NEW YORK
COUNTY OF ERIE
         -----------


         The foregoing instrument was acknowledged before me by Patricia Connell
Fox, as  Attorney-In-Fact  for James Connell,  a shareholder of First  Community
Care, Inc., a New York  corporation,  on behalf of the  corporation,  and who is
personally known to me; or has produced _____________________ as identification.

April 29, 1998                             /s/ JAMES E. KELLY
- -------------------------------            -------------------------------------
Date                                       Notary Signature


                                           -------------------------------------
                                           Notary Name Printed

                                               JAMES E. KELLY
                                        NOTARY PUBLIC STATE OF NEW YORK
                                           QUALIFIED IN ERIE COUNTY
                                         MY COMMISSION EXPIRES 3-31-99
                                                               ----------

                                           /s/ PATRICIA CONNELL FOX
                                           -------------------------------------
                                           Maurice Jack Connell
                                           By: Patricia Connell Fox
                                           as Attorney-In-Fact

STATE OF NEW YORK
COUNTY OF  ERIE
         ------------


         The foregoing instrument was acknowledged before me by Patricia Connell
Fox, as  Attorney-In-Fact  for Maurice  Jack  Connell,  a  shareholder  of First
Community Care, Inc., a New York corporation, on behalf of the corporation,  and
who is personally known to me; or has produced _______________________________as
identification.


APRIL 29, 1998                             /s/ JAMES E. KELLY
- ---------------------------------          -------------------------------------
Date                                       Notary Signature


                                           -------------------------------------
                                           Notary Name Printed
                                           My Commission Expires:

                                                       JAMES E. KELLY
                                             NOTARY PUBLIC STATE OF NEW YORK
                                                  QUALIFIED IN ERIE COUNTY
                                                MY COMMISSION EXPIRES 3-31-99
                                                      ----------



                                      -35-


<PAGE>



                             SCHEDULES AND EXHIBITS

Schedule 1(a)(i)           -        Accounts Receivable
Schedule 1(a)(ii)          -        Inventory; Fixed Assets
Schedule 1(a)(iii)         -        Automobiles
Schedule 1(a)(v)(A)        -        Other Assets
Schedule 1(a)(v)(B)        -        Telephone Numbers
Schedule 2(a)              -        Allocation of Purchase Price
Schedule 2(b)(v)           -        Wire Instructions
Schedule 4                 -        North Country Indebtedness
Schedule 5(a)              -        Existing Obligations
Schedule 5(b)              -        Unassumed Contracts
Schedule 13                -        Material Change
Schedule 14(a)             -        Subsidiaries, Joint Ventures, etc.
Schedule 14(b)             -        Consents
Schedule 14(c)             -        Litigation
Schedule 14(g)             -        Contracts
Schedule 14(i)             -        Personnel Payrates; Employee Benefits
Schedule 14(j)             -        Employee Benefit Plans
Schedule 14(k)             -        Insurance
Schedule 14(o)             -        Financial Statements
Schedule 14(p)             -        Supplemental Tax Information
Schedule 14(q)             -        Adverse Business Developments
Schedule 14(r)             -        Relationships
Schedule 14(u)             -        Reimbursement Matters
Schedule 14(v)             -        Environmental Compliance
Schedule 14(w)             -        Cash Receipts
Schedule 14(x)             -        Accounts Receivable
Schedule 14(z)             -        Tax Information
Schedule 17(a)             -        Locations
Schedule 24                -        Shareholders' Address

Exhibit A                  -        Annual Operating Profit
Exhibit 2(b)(ii)           -        Escrow Agreement
Exhibit 2(b)(iii)          -        Payment Escrow Agreement
Exhibit 3                  -        Promissory Notes
Exhibit 11(b)(ii)          -        Seller's Opinion
Exhibit 11(b)(iv)          -        Employment Agreements




                                      -36-


<PAGE>



                                   EXHIBIT "A"

                                OPERATING PROFIT

         1.       General Standards.

                  (a)  Performance.  Except  as  otherwise  expressly  agreed in
writing,  the parties  intend that the financial and economic  performance to be
determined  and measured  pursuant to this Exhibit "A" shall be determined  with
respect to Seller's Business during the period commencing on the date hereof and
ending on the  Closing  Date,  and  thereafter  until the end of the  Applicable
Period,  solely with respect to so much of the business  operations  of Buyer as
consists of the business  enterprise  previously  conducted  by the  Corporation
before  being  acquired  by Buyer  (collectively,  the  "ACQUIRED  ENTERPRISE").
Accordingly,  all  references  herein to  revenues,  expenses,  costs,  profits,
losses, and any other transaction or activity,  whether by reference to "Buyer",
or in any other manner, shall mean and refer only to so much thereof as pertains
directly to the Acquired Enterprise, unless such reference specifically provides
otherwise.  The  parties  expressly  intend all such  calculations  to provide a
determination of the profitability of the Acquired Enterprise,  determined as if
such Acquired Enterprise at all times operated as an autonomous entity.

                  (b) Determination of Operating Profit. The Operating Profit to
be  determined  hereunder  shall be  calculated on a pre-tax basis in accordance
with generally accepted accounting principles, consistently applied ("GAAP"), as
further defined, limited, or explained as set forth herein.

         2.       Income and Cost.

                  (a) Income and Revenue.  Income shall be accounted  for on the
accrual  method  consistent  with the prior  accounting  methods of the Acquired
Enterprise,  and shall  consist of all direct  revenues,  defined as all "RENTAL
REVENUE" and "SALES REVENUE",  plus or minus the net change in unbilled revenue,
plus or minus gain or loss from equipment sales, plus or minus sales credits and
allowances, plus investment income.

                  (b) Costs and Expenses. Costs shall include the following:

                      (1)  DIRECT  EXPENSES  incurred  as  kept  on the  accrual
method, including salary paid to any employee and related payroll taxes.

                      (2) BAD  DEBT  expenses  shall  be the  actual  bad  debts
written  off,  plus or minus the  change in  allowance  for bad  debts.  For the
purpose of this calculation,  the allowance for bad debts is considered equal to
the amount of all accounts receivable in excess of 120 days old.

                      (3)   REASONABLE   TRAVEL   EXPENSES   of   employees   or
representatives  of  ROTECH  MEDICAL  CORPORATION  ("ROTECH")  to and  from  its
corporate offices on behalf of Buyer's matters,  to be allocated on a reasonable
basis.



                                      -37-


<PAGE>


                      (4)  INTEREST on all or any net  intercorporate  borrowing
from Integrated Health Services,  Inc. ("IHS") at the cost of such funds to IHS;
provided that interest on any amounts borrowed by the Acquired  Enterprise after
the Closing by reason of a reduction in the Acquired Enterprise's cash resulting
from the Buyer's delay in obtaining a supplier number from Medicare shall not be
included as expenses for purposes of determining costs.

                      (5) GROUP OR CONSOLIDATED  PURCHASES for items benefitting
the Acquired Enterprise purchased by IHS, RoTech or by Buyer, to be allocated at
actual cost in accordance  with usage.  Costs to be allocated  include costs, if
any, of transportation, storage, etc.

                      (6)  DEPRECIATION  EXPENSES  will be  limited,  after  the
Closing, to an amount not to exceed $37,000 per month.

                      (7)  CORPORATION'S  OVERHEAD.  Prior to the  Closing,  the
general,   administrative   and   overhead   costs  of  Seller.   The   general,
administrative,  and overhead  costs of Buyer after the  Closing,  to the extent
allocable to the Acquired Enterprise on a reasonable basis.

                      (8) MANAGEMENT AGREEMENT FEES AND EXPENSES. Any management
fees that might be payable under any management agreement in effect with respect
to the  operation  of  Seller's  Business  after  the date  hereof  shall not be
deducted from revenue and shall not be treated as expenses.  Any  reimbursements
of expenses  payable to the Buyer under a management  agreement shall be treated
as  expenses  to the extent  same would be treated as  expenses if they had been
incurred by Buyer after the Closing Date.

                  (c)  Excluded  Items.  Costs  and  expenses  for  purposes  of
calculating operating profits shall not include the following:

                       (1) BRANCH  OFFICES.   All   start-up  costs,   operating
profits, and operating losses incurred by Buyer in the initial six (6) months on
the start-up,  opening, or operation of a branch office or location opened after
the date hereof shall be excluded  from  calculations  of Operating  Profits for
purposes of this Agreement.

                       (2) IHS/ROTECH OVERHEAD. Unless otherwise mutually agreed
by Buyer and the Seller,  IHS and RoTech corporate overhead or costs will not be
allocated to Buyer or considered in Operating Profits.

                       (3) COSTS  OF  ACQUIRING  THE  ACQUIRED  ENTERPRISE.  The
calculation of Operating Profits will not include costs or amortization of costs
incurred in the  acquisition  of the Acquired  Enterprise,  and any  liabilities
assumed by RoTech and  subsequently  paid off,  which  will be  included  in the
intercorporate borrowings in paragraph 2(b)(4), above.

                  (d)  Acquisition of  Enterprises.  Buyer may from time to time
offer to acquire  additional  enterprises,  in which case Buyer shall first seek
the  consent  thereto  from the  Seller.  If the  Seller  consents  thereto  the
calculation  of Operating  Profits shall be adjusted in a mutually  satisfactory
manner.  If Seller does not so consent Buyer shall not acquire such  enterprise.
Nothing contained herein shall be deemed to affect,  limit or restrict the right
of RoTech or IHS to make any acquisitions.



                                      -38-

                                                                     EXHIBIT 2.3


                    AGREEMENT FOR SALE AND PURCHASE OF ASSETS
                            AND RESTRICTIVE COVENANTS

         THIS  AGREEMENT  is made as of March 20,  1998,  by and among  REGIONAL
MEDICAL SUPPLY,  INC., a New Mexico  corporation,  having its principal place of
business at 1402 Indian Wells Road, Alamogordo,  New Mexico (the "SELLER" or the
"CORPORATION"), KEITH THOMAS AND LAURIE NUCKOLS, the shareholders of Seller (the
"SHAREHOLDERS"),  INTEGRATED  HEALTH  SERVICES AT  JEFFERSON  HOSPITAL,  INC., a
Delaware  corporation  (the "BUYER") and  INTEGRATED  HEALTH  SERVICES,  INC., a
Delaware corporation ("IHS").

                              W I T N E S S E T H :

         WHEREAS,  Seller operates a home  respiratory  care and durable medical
equipment business in the State of New Mexico (the "BUSINESS"); and

         WHEREAS, Shareholders are the sole shareholders of the Seller; and

         WHEREAS, Buyer is a wholly owned subsidiary of IHS;

         WHEREAS,  the Seller wishes to transfer its business and  substantially
all of its assets to the Buyer solely in exchange for voting  shares of IHS in a
transaction  intended  to qualify as a  "reorganization"  within the  meaning of
ss.368(a)(1)(c)  of the Internal  Revenue Code of 1986, as amended (the "CODE"),
it being  contemplated by the Seller and Buyer that the Seller will  thereafter,
as an  integral  part  of the  transaction,  distribute  the IHS  Shares  to the
Shareholders in complete liquidation of the Seller and dissolve;  and Buyer also
desires  to  acquire  from  Seller  and each  Shareholder,  and  Seller and each
Shareholder  desire  to grant to  Buyer,  covenants  not to  compete  and  other
restrictive  covenants as  described  in  paragraph 16 hereof (the  "RESTRICTIVE
COVENANTS"); and

         WHEREAS,  the  consent or approval  of all  persons  necessary  for the
consummation  of  the  transactions   contemplated  hereby  has  been  obtained,
including  without  limitation,  all approvals of  governmental  authorities and
parties to any contracts to be assigned to Buyer in connection herewith.

         NOW,  THEREFORE,  in  consideration  of the mutual  promises  contained
herein  and  for  other  good  and  valuable  consideration,   the  receipt  and
sufficiency of which is hereby acknowledged, it is hereby agreed as follows:

         1.       Sale of Assets, Restrictive Covenants and Other Obligations.

                  (a) The Assets.  As of the Effective Date referred to below in
paragraph  8, Seller  shall be deemed to have sold,  transferred,  conveyed  and
assigned,  free and clear of all liens,  claims,  security  interests,  pledges,
restrictions  on  transfer or use and other  encumbrances  of any kind or nature
whatsoever ("LIENS"), all of Seller' rights, title and interest in, to or under:

                      (i) Accounts Receivable. All of the accounts receivable of
         the Business including, without limitation, all accounts receivable set
         forth on the Schedule of Accounts  Receivable  Data attached  hereto as
         Schedule 1(a)(i); and



                                       -1-


<PAGE>



                      (ii)  Inventory;  Fixed  Assets.  All  inventory and fixed
         assets of the Business,  including, without limitation, all of the same
         set forth on the Schedule of Inventory and Fixed Assets attached hereto
         as Schedule 1(a)(ii); and

                      (iii) Motor Vehicles.  All motor vehicles of the Business,
         including without limitation, all of the same set forth on the Schedule
         of Motor Vehicles attached hereto as Schedule 1(a)(iii); and

                      (iv) Property  Rights.  All real  property,  easements and
         rights of way permitting access to the Business; and

                      (v) Other Assets.  All other assets of any kind,  tangible
         or intangible,  real, personal or mixed, owned and used or held for use
         by  Seller  in  connection  with  the  Business,   including,   without
         limitation,   all  of  the  following:  (A)  all  corporate  compliance
         materials;  (B) the  Patients'  List of the  Business,  as described in
         Schedule  1(a)(v)(B);  (C) the telephone numbers listed on the Schedule
         of  Telephone   Numbers  and  Licenses   attached  hereto  as  Schedule
         1(a)(v)(C); (D) all personal property, machinery and equipment; (E) all
         of Seller's prepaid assets; (F) rights under contracts, agreements, and
         instruments;  (G) any Assets used in the operation of the Business, but
         not owned by the  Seller;  and (H) all  intangible  rights of Seller of
         every kind and description used in, or held for use in connection with,
         the  operation of the  Business,  including,  without  limitation,  all
         intangible  assets,  and to the extent permitted by applicable law, all
         licenses, permits and authorizations.

                  (b) Additional Assets. The Seller agrees and acknowledges that
the Assets also shall include all of the assets  arising out of the operation of
the Business during the period  commencing on the Effective Date and terminating
on the Closing Date (the "INTERIM PERIOD"),  including without  limitation,  any
accounts receivable  generated (whether or not billed) during the Interim Period
(the  "INTERIM  PERIOD  RECEIVABLES"),  any cash  collected  in  respect  of any
accounts  receivable,  and any inventory or equipment  acquired by Seller during
such Interim Period in connection with the operation of the Business.

                  (c) Excluded Assets. Notwithstanding the foregoing, the Assets
shall not  include,  and Seller  shall not be deemed to have sold,  transferred,
conveyed or assigned the  following  assets to Buyer:  Seller's  Certificate  of
Incorporation,  qualification  to do  business  in  any  jurisdiction,  taxpayer
identification  number, minute books, stock transfer records and other documents
related  specifically to Seller's  corporate  organization and maintenance,  any
non-material tangible assets (such as inventory or supplies) used or disposed of
in the ordinary  course of business  consistent  with past  practice,  and those
assets  listed  on  Schedule  1(c)  attached  hereto  (collectively,   "EXCLUDED
ASSETS").

                  (d)  Restrictive  Covenants.  Pursuant to paragraph 16 hereof,
each of Seller and Shareholder is granting to Buyer the Restrictive Covenants.

                  (e) Other  Obligations.  From and after the Closing Date,  the
Seller will not engage in any business,  will promptly liquidate and dissolve as
a corporation, and will distribute the IHS Shares received pursuant to paragraph
2 below to the  Shareholders  in complete  cancellation  and redemption of their
shares of the Seller's capital stock.



                                       -2-


<PAGE>



         2.       Purchase Price; Method of Payment.

                  (a) Purchase  Price.  The aggregate  "PURCHASE  PRICE" for the
Assets and the Restrictive  Covenants shall be Six Hundred Seventy Five Thousand
Dollars ($675,000), Five Hundred Forty Five Thousand Dollars ($545,000) of which
shall be payable in newly issued  shares of voting common stock of IHS (the "IHS
SHARES")  valued as set forth in paragraph 7(a) below.  The Purchase Price shall
be allocated  among the Assets and the  Restrictive  Covenants in the manner set
forth on the  Allocation  Schedule  attached  hereto as Schedule  2(a),  and the
parties hereto expressly consent to the allocation stated therein.

                  (b) Method of Payment. At the Closing (as defined in paragraph
8), Buyer shall pay, disburse, and deliver the Purchase Price as follows:

                           (i) IHS  Shares  equal to  Seventy  Thousand  Dollars
         ($70,000)  thereof (having a value  determined as of the date hereof in
         accordance  with Section 7(a) below) (the "ESCROWED  SHARES" or "ESCROW
         FUND"), together with a copy of a fully executed stock pledge agreement
         in the form of Exhibit 2(b)(i)-A hereto (the "STOCK PLEDGE AGREEMENT"),
         shall be delivered to Crestar Bank, as escrow agent  ("ESCROW  AGENT"),
         to be held by Escrow  Agent  during  the Escrow  Period (as  defined in
         paragraph 5(d),  below),  pursuant to the terms of an Escrow Agreement,
         in  the  form  attached  hereto  as  Exhibit   2(b)(i)-B  (the  "ESCROW
         AGREEMENT"),  pursuant to which,  among other things,  the Escrow Agent
         shall  acknowledge  that it is holding the Escrowed Shares as the Agent
         of Buyer pursuant to the Stock Pledge Agreement. The entire Escrow Fund
         shall be subject to the provisions of paragraphs 5 and 17 hereof.

                           (ii) One Hundred Thousand Dollars ($100,000) thereof,
         in cash,  shall be paid and delivered to the "PAYING AGENT"  designated
         by  Seller  (and  reasonably  satisfactory  to  Buyer),  to be held and
         administered pursuant to the "PAYMENT ESCROW AGREEMENT" attached hereto
         as Exhibit 2(b)(ii); and

                           (iii) Thirty Thousand Dollars ($30,000) in cash shall
         be paid to Seller by wired  funds to  Seller's  account  numbers as set
         forth on the Schedule of Wire Instructions  attached hereto as Schedule
         2(b)(iii);

                           (iv) IHS Shares  equal to Four  Hundred  Seventy-Five
         Thousand Dollars  ($475,000)  (having a value determined as of the date
         hereof in  accordance  with  Section  7(a) below)  (the  balance of the
         Purchase  Price) shall be delivered  to the  Shareholders.  The parties
         agree  that the Buyer  shall  deliver  the IHS Stock  pursuant  to this
         Section  2(b)(v)  within a  reasonable  period  of time  following  the
         Closing,  and that IHS  will  certify  to each  Shareholder  that  such
         Shareholder is a shareholder of IHS upon Closing.

         3.       Indemnity   Against   Creditors   Claims;   No  Assumption  of
Liabilities.  Seller has requested that Buyer waive the requirements of the bulk
sales and transfer laws of the State of New Mexico. Seller and Shareholder agree
to  indemnify  Buyer and save and hold Buyer  harmless  against  all Damages (as
defined  in  paragraph  17(c))  arising  out of any  claims  made  by  creditors
(including, without limitation, any Federal, state or local taxing authority) of
Seller that relate to the  Business,  or that arise out of the failure to comply
with any of such laws.



                                       -3-


<PAGE>



         4.       Closing Date Liabilities.

                  (a) Seller and the Shareholders represent and warrant that, to
the best of Seller's  and  Shareholders'  knowledge  and belief  after  diligent
inquiry, all of Seller's  liabilities,  as of the Closing Date are listed on the
Schedule of Liabilities  attached  hereto as Schedule 4(a). For purposes of this
Agreement   "LIABILITIES"   shall  mean  and  include   all  claims,   lawsuits,
liabilities,  obligations  or debts 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,
malpractice or other tort claims,  claims for breach of contract,  any claims of
any kind asserted by patients,  former patients,  employees and former employees
of Seller  or any other  party  that are  based on acts or  omissions  by Seller
occurring on or before the Closing  Date,  amounts due or that may become due in
connection with the participation of Seller in the Medicare or Medicaid programs
or due to any other health care reimbursement or payment  intermediary,  or that
may be due by Seller to any other third party  payor,  accounts  payable,  notes
payable,  trade payables,  lease  obligations,  indebtedness for borrowed money,
accrued  interest,  and  contractual  obligations.  Seller and each  Shareholder
acknowledges  that the Purchase Price for the Assets is based on the accuracy of
Seller's and  Shareholders'  representations  and  warranties  contained in this
Agreement,   including,   but  not  limited  to,   Seller's  and   Shareholders'
representations  and  warranties  contained  in  this  paragraph  4(a).  Without
limiting the generality of the foregoing,  Buyer will not assume any, and Seller
shall  remain  liable for each,  liability  of Seller  arising out of any facts,
circumstances,  matter or  occurrences  existing on or prior to the Closing Date
(whether or not known or disclosed) ("CLOSING DATE LIABILITIES").

                  (b) Without  limiting  the  generality  of the  provisions  of
subparagraph  (a) above,  Buyer shall not assume the Contracts  (as  hereinafter
defined  in  paragraph  13(g)),  if any,  set  forth on  Schedule  4(b),  or any
liabilities  with  respect  thereto,  and shall  not,  in any case,  assume  any
liabilities  under any Contracts  (whether or not such  Contracts are assumed by
Buyer) to the extent such  liabilities  arise out of facts or  circumstances  in
existence, or obligations to be satisfied, on or prior to the Closing Date.

         5.       Right of Offset Against the Escrow Fund.

                  (a)      Event of Deficiency.  If:

                           (i) Buyer pays for any debts or liabilities of Seller
         then Seller  shall  reimburse  Buyer for such  payment (a  "LIABILITIES
         DEFICIENCY"); or

                           (ii)  the  aggregate   value  of  the   Corporation's
         collectible accounts receivable as of the Effective Date and determined
         to be less than $30,000,  as determined by actual net cash  collections
         of such  receivables  during the twelve (12) month  period  immediately
         following the Effective Date, then Seller shall pay to Buyer the amount
         of such deficiency (an "ASSET VALUE DEFICIENCY"); or

                           (iii) Buyer shall be entitled to be  indemnified  for
         any Damages pursuant to this Agreement  ("INDEMNIFICATION  CLAIMS", and
         together   with  any   Liabilities   Deficiencies   and   Asset   Value
         Deficiencies, collectively "CLAIMS" and each, a "CLAIM");

then, and in any of such events,  Buyer may provide  written notice to Seller of
the Claim,  in which case Buyer  shall be entitled to recover the amount of such
Claim in accordance with the following procedure.



                                       -4-


<PAGE>



                  (b)  Procedure  if Seller Fails to Pay. If Seller fails to pay
any Claim in full to Buyer  within  ten (10) days from the date of such  written
notice  (said  ten  (10)  day  period  hereinafter  referred  to as the  "NOTICE
PERIOD"),  Buyer shall have the right to make offset against the Escrow Fund, in
accordance  with the terms and  conditions of the Escrow  Agreement,  in amounts
from time to time equal to the amount of such Claim  (subject,  however,  in the
case of a  "DISPUTE",  to the  provisions  of  paragraph  17  hereof  applicable
thereto), and Seller agrees to any such offset. Buyer's right to proceed against
the Escrow Fund shall not be exclusive  of any other rights or remedies  that it
may have under this Agreement, law, equity or otherwise.

                  (c) Escrow Costs.  The fees of the Escrow Agent shall be borne
fifty percent (50%) by the Buyer and fifty percent (50%) by Seller.

                  (d)      Escrow Period.

                      (i) The "ESCROW PERIOD" shall terminate twelve (12) months
following the Closing Date.

                      (ii) The  balance,  if any, of the Escrow  Fund  remaining
(the  "REMAINING  ESCROW FUNDS") at the close of business on the last day of the
Escrow  Period,  shall be disbursed to Seller within fifteen (15) days after the
last day of the Escrow Period.

                      (iii)  Notwithstanding  anything to the contrary contained
in this  subparagraph  (d), if any Claim made by Buyer is in dispute at the time
that any amounts are  otherwise to be  disbursed to Seller,  then there shall be
withheld  from such  amount to be  disbursed  and there shall be retained in the
Escrow  Fund,  an amount such that there will be remaining in the Escrow Fund at
least twice the amount of the Claim asserted by Buyer until the final settlement
of such Claim or Claims.

         6.       Employees.  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 of the Seller,  although  Buyer shall have the right
to offer employment to any such employees. Seller shall remain fully responsible
for any severance, benefits, costs or liabilities arising out of the termination
by Seller of any of its employees,  all of which  liabilities  shall  constitute
Closing Date  Liabilities.  Seller and the Shareholders  shall also remain fully
responsible for any benefits,  costs or liabilities incurred or accrued prior to
Closing with respect to each employee retained by Buyer.

         7.       IHS Stock. The Purchase Price shall be payable by means of the
delivery of IHS Shares in accordance with the following:

                  (a) Share Value.  The number of IHS Shares issuable at Closing
(the "CLOSING DATE SHARE COUNT") or  deliverable to any claimant from the Escrow
Fund shall be calculated based upon a price per share of such stock equal to the
average  closing New York Stock  Exchange  ("NYSE")  price of such stock for the
thirty  (30)  trading day period  immediately  preceding  the Closing  Date (the
"TRADE PRICE").

                  (b)  Registration   Rights.  IHS  will  prepare  and  use  its
reasonable commercial efforts to cause to be filed within one-hundred and twenty
(120) days following the Closing Date,  and will use its  reasonable  commercial
efforts to have declared  effective by the  Securities  and Exchange  Commission
(the  "COMMISSION"),  a registration  statement for the  registration of the IHS
Shares issued to the Shareholders in connection with this transaction, under the
Securities  Act of 1933,  as  amended  (the  "SECURITIES  ACT"),  and IHS  shall
maintain the effectiveness of each such  registration  statement for a period of
one (1) year following the date it became effective (the  "REGISTRATION  DATE"),
except to the extent that an exemption from registration may be available.



                                       -5-


<PAGE>



                  (c) Registration  Expenses.  Seller and the Shareholders shall
not be responsible for, and Buyer shall bear, all of the reasonable  expenses of
IHS related to such registration  including,  without  limitation,  the fees and
expenses  of its  counsel  and  accountants,  all of its other  costs,  fees and
expenses  incident to the preparation,  printing,  registration and filing under
the  Securities  Act  of the  registration  statement  and  all  amendments  and
supplements   thereto,  the  cost  of  furnishing  copies  of  each  preliminary
prospectus,  each final  prospectus and each amendment or supplement  thereto to
underwriters,  dealers  and other  purchasers  of IHS  Shares  and the costs and
expenses   (including  fees  and  disbursements  of  its  counsel)  incurred  in
connection  with the  qualification  of IHS  Shares  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 or expenses arising out of Seller's or any transferee's  failure to comply
with its obligations under this Section 7.

                  (d) Resale Limitations.  The Shareholders hereby covenant with
Buyer that all sales by the Shareholders  shall be effected solely through Smith
Barney, Inc.

                  (e)  Registration  Procedures,  etc.  In  connection  with the
registration  rights granted to the Shareholders  with respect to the IHS Shares
as provided in this Section 7, Buyer covenants and agrees as follows:

                      (i) At Buyer's  expense,  Buyer will keep the registration
         and  qualification  under this Section 7 effective  (and in  compliance
         with  the  Securities  Act)  by  such  action  as may be  necessary  or
         appropriate  until the first  anniversary of the Closing Date except to
         the extent that an exemption from registration may be available.  Buyer
         will promptly  notify the  Shareholders,  at any time when a prospectus
         relating to a registration  statement  under this Section 7 is required
         to be delivered under the Securities Act, of the happening of any event
         known to Buyer as a result of which  the  prospectus  included  in such
         registration statement, as then in effect, includes an untrue statement
         of a material  fact or omits to state any material  fact required to be
         stated  therein  or  necessary  to  make  the  statements  therein  not
         misleading in light of the circumstances then existing.

                      (ii) Buyer shall furnish the Shareholders 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  Shares  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
         Shareholders,  provided that Buyer shall not be obligated to qualify as
         a foreign  corporation  or dealer to do business  under the laws of any
         such jurisdiction.

                      (iv) The information included or incorporated by reference
         in the  registration  statement  filed  pursuant to this Section 7 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 Shareholders,  their
         successors  and  assigns,  and each person,  if any, who controls  such
         Sellers  within the meaning of ss.15 of the  Securities Act or ss.20(a)
         of the Securities  Exchange Act of 1934, as amended  ("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



                                       -6-


<PAGE>



         in such registration  statement executed by Buyer or based upon written
         information  furnished by Buyer filed in any  jurisdiction  in order to
         qualify IHS Shares under the securities  laws thereof or filed with the
         Commission,  any state  securities  commission  or agency,  NYSE or any
         securities exchange; or the omission or alleged omission therefrom of a
         material  fact  required to be stated  therein or necessary to make the
         statements  contained therein not misleading,  unless such statement or
         omission  was made in  reliance  upon and in  conformity  with  written
         information furnished to Buyer by any of the Shareholders 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  Shareholders  in respect of which  indemnity may be sought
         against Buyer pursuant to this subsection  7(e)(iv),  such  Shareholder
         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 such Shareholder). The Shareholders shall have
         the right to employ  their own  counsel in any such case,  but the fees
         and  expenses  of  such  counsel   shall  be  at  the  expense  of  the
         Shareholders  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 (after notice to Buyer) 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
         Shareholders  and such  controlling  persons  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
         Shareholders or such controlling person in investigating,  preparing or
         defending any such action or claim.

                           (v)  The  Shareholders,   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  Shareholders,  or their successors or assigns for
         specific inclusion in such registration statement.

                  (f) Notice of Sale. If the Shareholders desire to transfer all
or any IHS Shares,  they will deliver prior 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 Sellers will sell the IHS Shares
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 7(b) and to give prompt notice to the Shareholders when the
registration  statement has again become current. If the Shareholders deliver to
Buyer an opinion of counsel  reasonably  acceptable to Buyer and its counsel and
to the effect  that the  proposed  transfer  of IHS  Shares may be made  without
registration  under the  Securities  Act, the  Shareholders  will be entitled to
transfer  IHS Shares in  accordance  with the terms of the notice and opinion of
their counsel.



                                       -7-


<PAGE>



                  (g) Furnish Information.  It shall be a condition precedent to
the  obligations of Buyer to take any action pursuant to this Section 7 that the
Shareholders shall furnish to Buyer such information regarding  themselves,  the
IHS  Shares  held by  them,  and the  intended  method  of  disposition  of such
securities as shall be required to effect the  registration of their IHS Shares.
In that  connection,  each  transferee of any  Shareholder  shall be required to
represent to Buyer that all such information which is given is both complete and
accurate in all material  respects.  Such Shareholders  shall deliver to 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 7 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 IHS Shares to be issued
hereunder will be newly issued shares of IHS. The Sellers  represent and warrant
to Buyer that the IHS Shares being issued hereunder are being acquired, and will
be acquired,  by the  Shareholders for investment for their own accounts and not
with a view to or for sale in connection  with any  distribution  thereof within
the meaning of the Securities Act or the applicable  state  securities  law; the
Shareholders  acknowledge that the IHS Shares constitute  restricted  securities
under Rule 144 promulgated by the Commission pursuant to the Securities Act, and
may have to be held indefinitely,  and the Shareholders agree that no IHS Shares
may be sold,  transferred,  assigned,  pledged or  otherwise  disposed of except
pursuant  to  an  effective   registration   statement  or  an  exemption   from
registration under the Securities Act, the rules and regulations thereunder, and
under all applicable state securities laws. The Shareholders  have the knowledge
and experience in financial and business matters,  are capable of evaluating the
merits and risks of the  investment,  and are able to bear the economic  risk of
such investment.  The Shareholders have had the opportunity to make inquiries of
and obtain from  representatives  and employees of Buyer such other  information
about IHS as they deem necessary in connection with such investment.

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

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

                  (j)  Certain  Transferees.  Prior  to the  effective  date  of
registration of the IHS Shares,  no Shareholder shall transfer any shares of IHS
Shares to any person or entity except as expressly  permitted by this  Agreement
and  unless  such  transferee  shall  have  agreed in writing to be bound by the
provisions applicable to the Shareholders under this Section 7.

         8.       Effective Date. The effective date (the "EFFECTIVE  DATE") for
the  transaction  contemplated  under this Agreement will be March 20, 1998. The
consummation  of the  transactions  contemplated  by this Agreement is sometimes
referred to as the "CLOSING",  and the date on which such  consummation  occurs,
including,  without limitation,  the execution and delivery of this Agreement by
each of the parties hereto, is sometimes referred to as the "CLOSING DATE".



                                       -8-


<PAGE>



         9.       Asset  Condition  and  Quality.  Seller and each  Shareholder,
jointly and severally,  represent,  warrant and covenant that, as of the Closing
Date,  all  physical  Assets of Seller are free of defects  and in good  working
order,  condition and repair,  except for ordinary wear and tear, and conform in
all material respects with all applicable  ordinances,  regulations,  zoning and
other laws.

         10.      Instruments of Conveyance and Transfer.  At the Closing:

                  (a)  Seller  will   deliver  to  Buyer  such  bills  of  sale,
assignments,  motor vehicle certificates of title, and other good and sufficient
instruments  of conveyance and transfer in form  sufficient to sell,  assign and
transfer the Assets to Buyer as of the Effective Date, such documents to contain
full  warranties  of title,  and which  documents  shall be effective to vest in
Buyer good,  absolute,  and marketable title to the Assets of the Business being
transferred to Buyer by Seller, free and clear of all Liens.

                  (b)  Simultaneously  with such delivery,  Seller will take all
steps as may be  requisite  to put Buyer in  actual  possession,  operation  and
control of the Assets to be transferred hereunder.

                  (c) Seller will deliver to Buyer an opinion, dated the Closing
Date, of its counsel,  in  substantially  the form  attached  hereto as Schedule
10(c).

                  (d) Seller will  deliver a  certificate  of its  Secretary  or
other  officer  certifying as of the Closing Date a copy of  resolutions  of its
board of  directors  and,  if  applicable,  its  stockholders,  authorizing  the
execution,  delivery and full  performance of this Agreement and the Transaction
Documents  (as defined in paragraph  13(a)  below),  and the  incumbency  of its
officers.

                  (e) Keith Thomas will  deliver to Buyer a mutually  acceptable
two year employment agreement between Buyer and Keith Thomas.

         11.      Sales  and  Transfer  Taxes;   Fees.  All  applicable   sales,
transfer,  use,  filing and other taxes and fees that may be due or payable as a
result of the conveyance,  assignment, transfer or delivery of the Assets of the
Business to be conveyed and  transferred as provided  herein,  whether levied on
Seller or Buyer, shall be borne by Seller.

         12.      Restrictions   on  Operations   of  Seller.   Seller  and  the
Shareholders,  jointly and  severally,  represent,  warrant and  covenant  that,
except as  expressly  disclosed  on  Schedules  hereto,  since  the most  recent
Financial  Statement  Date  referred to in paragraph  13(o)  below,  through the
Closing  Date,  there  has been no  material  adverse  change  in the  condition
(financial or otherwise) or prospects of the Seller or the Business,  and Seller
has not:

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

                  (ii) subjected any Assets to any Liens;

                  (iii)  entered  into any contract or  transaction  binding the
Business  other than  contracts  or  transactions  entered  into in the ordinary
course of business, consistent with past practice;

                  (iv) incurred any  liabilities or  indebtedness  other than in
the ordinary course of business, consistent with past practice;



                                       -9-


<PAGE>



                  (v) except in the ordinary course of business, consistent with
past practice, or otherwise to comply with any applicable minimum wage law, paid
any  bonuses,  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;

                  (vi)  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 Corporation or the Assets;

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

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

                  (ix) 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

                  (x) 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 of its
affiliates  except  for  payments  of  compensation  in the  ordinary  course of
business, consistent with past practice and disclosed to Buyer as such;

                  (xi)  instituted,  settled or agreed to settle any litigation,
action or proceeding before any Governmental  Authority (as such term in defined
in paragraph  13(d) below) relating to it or its property or received any threat
thereof; or

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

         13. Representations and Warranties by Seller and the Shareholders. As a
material  inducement to Buyer to execute and perform its obligations  under this
Agreement, Seller and the Shareholders hereby, jointly and severally,  represent
and warrant to Buyer as follows as of the Closing Date:

                  (a) Organization of Seller; Enforceability.

                      (i)  Seller  is a  corporation,  organized,  and  in  good
standing,  respectively,  in the State of New  Mexico,  and is  qualified  to do
business  and is in good  standing  in each other  State where the nature of its
business or the assets held by it requires such qualification, and has requisite
corporate  power and  authority  to carry on its  Business  as  presently  being
conducted, to enter into this Agreement,  and to carry out and perform the terms
and provisions of this  Agreement.  Each of this  Agreement and each  agreement,
instrument,  certificate and document executed by Seller in connection with this
Agreement or the  transactions  contemplated  hereby  ("TRANSACTION  DOCUMENTS")
constitutes  the legal,  valid and binding  obligations  of Seller,  enforceable
against it in accordance  with its  respective  terms.  Seller does not have any
subsidiaries.

                      (ii) This Agreement and each Transaction Document to which
each Shareholder is a party constitutes the legal, valid and binding obligations
of  Shareholder,  enforceable  against such  Shareholder in accordance  with its
terms.



                                      -10-


<PAGE>




                  (b) Consents. No authorization,  consent,  approval,  license,
exemption by, filing or registration  with any Governmental  Authority or of any
party to any contract,  agreement,  instrument,  commitment, lease, indenture or
understanding (written, oral or implied) by which Seller or any of the Assets is
bound  ("CONTRACTS") or by which any such Shareholder or any such  Shareholder's
assets is bound  ("SHAREHOLDER  CONTRACTS") is necessary in connection  with the
execution,  delivery and performance of this Agreement or any of the Transaction
Documents by Seller or any Shareholder.

                  (c) Litigation.  Except as set forth on Schedule 13(c),  there
are no actions, suits or proceedings affecting Seller or any of the Assets which
are pending or threatened  against  Seller or affecting any of its properties or
rights,  at  law  or  in  equity,  or  before  any  Governmental  Authority  (as
hereinafter  defined),  nor is  Seller  or any of  its  respective  officers  or
directors or any Shareholder aware of any facts which to them or their knowledge
might reasonably be expected to result in any such action, suit or proceeding.

                  (d)  Compliance  with  Laws and  Contracts.  Seller  is not in
violation  of, or in default  under:  any term or  provision  of its Articles of
Incorporation or By-Laws;  or any judgment,  order,  writ,  injunction,  decree,
statute,  law,  rule,  regulation,  directive,  mandate,  ordinance or guideline
("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");  or of any Contract. The execution and delivery by
Seller and the  Shareholders  of, and the  performance and compliance by each of
them with this  Agreement,  and the Transaction  Documents and the  transactions
contemplated  hereby and thereby,  does not and will not result in the violation
of or conflict  with or constitute a default under any such term or provision or
result in the creation of any Lien on any of the  properties or assets of Seller
or any  Shareholder  pursuant  to any  such  term or  provision  or any  term or
provision of any  Governmental  Requirement by which any Shareholder is bound or
of any Shareholder Contract.

                  (e) Corporate Acts and  Proceedings.  The execution,  delivery
and performance of this Agreement and each of the Transaction Documents, and the
transactions contemplated hereby and thereby, including the sale and transfer of
the Assets by Seller as provided for in this  Agreement,  have been approved and
consented  to by the Board of  Directors  of Seller and, if  applicable,  by the
requisite  number of holders of its  outstanding  capital stock,  and all action
required by any  applicable  Governmental  Requirement  by the  stockholders  of
Seller with regard thereto have been appropriately authorized and accomplished.

                  (f) Title to Assets. Seller has good and indefeasible title to
all of the Assets, free and clear of all Liens.

                  (g) Contracts. Set forth on Schedule 13(g) hereto is a list of
all material Contracts of Seller including, without limitation, each:

                      (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,  or agent or
group of employees, or any non-competition, non-solicitation, confidentiality or
similar agreement with any such person or persons;

                      (ii)   contract,   agreement   or   arrangement   for  the
acquisition  or  disposition  of any  assets,  property  or rights  outside  the
ordinary  course  of  business  or  requiring  the  consent  of any party to the
transfer and  assignment of any such assets,  property or rights (by purchase or
sale of  assets,  purchase  or sale of  stock,  merger  or  otherwise),  that is
executory  or that was entered  into during the three (3) year period  ending on
the date hereof;



                                      -11-


<PAGE>



                      (iii) contract, agreement or commitment which contains any
provisions  requiring  the Seller or the  Business to  indemnify  or act for any
other  person or entity or to guaranty or act as surety for any other  person or
entity;

                      (iv)  contract,  agreement or commitment  restricting  the
Seller or the Business from, or in favor of either of the Seller or the Business
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;

                      (vii)  contract,   agreement  or  arrangement  granting  a
leasehold or other  interest in real  property,  including  without  limitation,
subleases, licenses and sublicenses (the "LEASES");

                      (viii) 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 Seller or the Business
not covered by clause (i) above;

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

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

                      (xi) agreement relating to the ownership, transfer, voting
or exercise of other  rights  with  respect to any equity in the Seller,  or any
other entity,  including without  limitation,  registration  rights  agreements,
voting trust agreements and shareholder and proxy agreements;

                      (xii)   contract,   agreement  or  commitment  to  provide
services or products, or

                      (xiii)  agreement  not  made in the  ordinary  and  normal
course of business and consistent with past practice, or involving consideration
in excess of  $25,000  in each case,  that is not set forth in  subsections  (i)
through (xii) above.

         To the best of Seller's and  Shareholders'  knowledge,  no party to any
Contract  other  than  Seller is in  default  under  any  Contract.  Seller  has
delivered  to Buyer true and  complete  copies of each  written  Contract  (or a
description of each oral Contract) requested by Buyer.

                  (h) Brokers. Upon the receipt by Baker & Associates, Inc. (the
"BROKER") of $50,000 (the  "BROKERS  FEE") in connection  with the  transactions
contemplated  by this  Agreement,  no broker or finder  will be  entitled to any
additional broker's or finder's fee or other commission in respect thereof based
in any way on agreements, understandings or arrangements.



                                      -12-


<PAGE>



                  (i) Employment Contracts; Employees. There are no Contracts of
employment  between  Seller and any officer or other  employee of the  Business,
except as set forth on Schedule 13(g)(i) above. The name, position, current rate
of  compensation  and any vacation or holiday  pay,  sick pay,  personal  leave,
severance and any other  compensation  arrangements or fringe benefits,  of each
current  employee,  sales  representative,  consultant  and agent of the Seller,
contained on the Schedule of Personnel  Payrates and Advances attached hereto as
Schedule 13(i) is accurate and complete. No employee, consultant or agent of the
Seller has any  vested or  unvested  retirement  benefits  or other  termination
benefits,  except as described on Schedule 13(i). Since the date that is two (2)
years prior to the Closing Date,  there has been no material  adverse  change in
the relationship  between the Seller and its 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.  No
employees  of  the  Seller  are  represented  by  any  labor  union  or  similar
organization  in  connection  with their  employment  by or  relationship  with,
Seller,  and to the knowledge of the Seller and the  Shareholders,  there are no
pending  or  threatened  activities  the  purpose  of which is to  achieve  such
representation  of all or some of such  employees,  and there are no  threats of
strikes,  work stoppages or pending grievances by any such employees.  Seller is
not party to any collective bargaining or other labor contracts.

                  (j)  Employee  Benefit  Plans.  Seller has no pension,  bonus,
profit-sharing,  or retirement  plans for officers or employees of the Business,
nor is Seller  required to  contribute  to any such plan.  Without  limiting the
generality of the foregoing,  Seller 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 the
Employee Retirement Income Security Act of 1974, as amended ("ERISA"), or to any
multi-employer  plan  subject to the terms of the  Multi-employer  Pension  Plan
Amendment Act of 1980 (the "MULTI-EMPLOYER ACT").

                  (k)  Insurance.  All  inventories,  buildings and fixed assets
owned or leased by the Seller are and will be  adequately  insured  against fire
and other casualty  through the Closing Date. The  information  contained on the
Schedule of Insurance  Policies,  attached hereto as Schedule 13(k), is accurate
and  complete.  Schedule  13(k) also sets forth any claims made under any of the
insurance  policies referred to above or increases in premiums  therefore during
the past two years. True and complete copies of all policies of fire,  liability
and other forms of  insurance  held or owned by the Seller or otherwise in force
and providing  coverage for the Business or any of the Assets (including but not
limited  to  medical  malpractice  insurance,  and any state  sponsored  plan or
program for worker's  compensation)  have been delivered to Buyer. Such policies
are owned by and payable solely to the Seller,  and said policies or renewals or
replacements  thereof will be outstanding and duly in force at the Closing Date,
and all premiums due on or before the Closing Date in respect  thereof have been
paid. Seller purchased title insurance as set forth on Schedule 13(k).

                  (l) Disclosure. No representation or warranty by Seller or any
Shareholder  in this  Agreement  or in any  Transaction  Document,  contains any
untrue  statement of material fact or omits to state any material fact, of which
any Shareholder or Seller or any of its officers,  directors or stockholders has
knowledge or notice, required to make the statements herein or therein contained
not misleading.

                  (m) Officers,  Directors and Shareholders of Seller. As of the
Closing Date, the  Shareholders are the shareholders of Seller and the following
individuals are all of the officers and directors of Seller:



                                      -13-


<PAGE>


<TABLE>
<CAPTION>

                  Name                                                 Office/Position
                  ----                                                 ---------------

               <S>                                                    <C>
                  Keith Thomas                                         President
                  Laurie Nuckols                                       Vice President/Secretary/Treasurer
</TABLE>

                  (n) Inventory and Fixed Assets.  The information  contained on
the  Schedule of  Inventory  and Fixed  Assets as of the most  recent  Financial
Statement Date, attached hereto as Schedule 1(a)(ii), is accurate and complete.

                  (o) Tax Returns and Financial Statements. Seller has furnished
Buyer with its tax returns (the "TAX  RETURNS") for the periods  ended  December
31, 1995 and December  31,  1996,  and has  furnished  Buyer with its  financial
statements (the "FINANCIAL STATEMENTS") for the periods ended December 31, 1995,
December 31, 1996 and January 31, 1998 (the "FINANCIAL STATEMENT DATES"), copies
of which are attached hereto as Schedule 13(o).  The Financial  Statements:  (i)
are in accordance with the books and records of the Seller;  (ii) fairly present
the  financial  condition  of the  Seller  at such date and the  results  of its
operations  for the periods  specified;  (iii) were prepared in accordance  with
GAAP applied on a basis  consistent  with prior  accounting  periods;  (iv) with
respect to all  Contracts  of the  Seller,  reflect  adequate  reserves  for all
reasonably anticipated losses and costs in excess of anticipated income; and (v)
with  respect to any balance  sheets,  disclose  all of the  liabilities  of the
Seller at the Financial Statement Dates and include the appropriate reserves for
all  taxes  and  other  accrued  liabilities,  except  that  certain  contingent
liabilities,  if not disclosed on such balance sheets, shall be considered to be
disclosed pursuant to this subparagraph,  if expressly  disclosed on an Schedule
to this Agreement. 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,
consistent with past practice,  except as expressly specified therein,  and such
Financial  Statements  include all  adjustments,  which  consist  only of normal
recurring accruals, necessary for such fair presentation.

                  (p) Supplemental  Tax Information.  Seller has furnished Buyer
with its most  recent (i) tax  registration  certificates,  and (ii) tax returns
required of it by each state or other  locality  in which it conducts  business,
which tax returns in all instances where  applicable  include,  but shall not be
limited to  franchise  taxes,  state and local  tangible  personal  property tax
returns, and state and local sales tax returns, which registration  certificates
and tax returns are set forth, collectively, on the Schedule of Supplemental Tax
Information, attached hereto as Schedule 13(p).

                  (q) Adverse Business Developments. No notice has been received
by  Seller  or any  Shareholder  of any new or  substantially  expanded  firm or
individual  engaged in a business directly  competitive to Seller in its primary
service area within six (6) months  before the date hereof.  Neither  Seller nor
any Shareholder has received,  either orally or in writing,  any notice specific
to it of pending or  threatened  adverse  action with  respect to any  Medicare,
Medicaid,  private insurance or third party payor reimbursement method, practice
or allowance as to any business activity engaged in by Seller, nor has Seller or
any Shareholder received, or been threatened with, any claim for refund specific
to it in  excess  of  $500.00  by a  Medicare  or  Medicaid  carrier,  except as
disclosed in the Schedule of Proceedings attached hereto as Schedule 13(q).

                  (r)  Relationships.  Except as  disclosed  on Schedule  13(r),
neither Seller, its officers,  directors and employees,  nor any Shareholder and
no member of any of their respective immediate families, 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.  No
Affiliate of Seller or any  Shareholder is  guaranteeing  any obligations of the
Seller.



                                      -14-


<PAGE>



                  (s) Assets Comprising the Business.  The Assets are all of the
tangible  and  intangible  properties  (real,  personal  and mixed),  including,
without   limitation,   all  licenses,   intellectual   property,   permits  and
authorizations, and contracts that are necessary or material to the operation of
the Business as now  operated.  The  quantities  of  inventory  and supply items
included in the Assets are  reasonable  in light of the present and  anticipated
volume of the Business of the Seller in the  ordinary  course of the business of
the Seller,  consistent with past practice,  as determined by the Seller in good
faith and consistent with past practice.

                  (t)  Questionable  Payments.   Seller  has  not,  and  to  the
knowledge  of the  Seller  and the  Shareholders,  none of their  Affiliates  or
employees have offered, 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.

                  (u) Reimbursement Matters.  Seller, 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.  Except as disclosed on
Schedule  13(u),  (i) Seller and  Shareholder  have not  received  any notice of
denial or recoupment from the Medicare or Medicaid programs,  or any other third
party  reimbursement  source  (inclusive  of managed  care  organizations)  with
respect  to  products  or  services   provided  by  it,  (ii)  to  Seller's  and
Shareholder's  knowledge,  there is no basis for the assertion after the Closing
Date  of any  such  denial  or  recoupment  claim,  and  (iii)  Seller  and  the
Shareholders  have 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  with
respect  to, or arising  out of,  products  or  services  provided  by Seller or
otherwise,  and to the  knowledge  of  Seller  and  the  Shareholders,  no  such
investigation or survey is pending, threatened or imminent.

                  (v) Environmental Compliance.  Except as disclosed on Schedule
13(v), at all times during Seller's ownership of the Business,  the Business has
not been, and currently is not, in violation of any  environmental  Governmental
Requirement  and no notice has ever been served upon any  Shareholder or Seller,
their agents or representatives or any prior owner of the Business, claiming any
violation of any Governmental  Requirement  concerning the environmental  state,
condition  or quality of any real or  personal  property  in any  related to the
Business, or requiring or calling attention to the need for any work, repairs or
demolition on or in connection  with any of the real property in order to comply
with any  governmental  requirement  concerning the  environmental  or healthful
state, condition or quality of the real property.

         14.      Representations  and Warranties of Buyer. Buyer represents and
warrants to Seller and the Shareholders that:

                  (a)  Due  Organization.  Buyer  is  a  duly  organized,  valid
corporation under the laws of the State of New Mexico.

                  (b)  Due  Authority.  Buyer  is  duly  authorized  by law  and
corporate  policy  and  approval  to:  (i) enter  into this  Agreement  and each
Transaction Document; (ii) make all warranties and representations made by Buyer
herein; and (iii) deliver all consideration provided for under the terms hereof.

                  (c) Binding Authority. All signatures and agents designated as
agents/officers  for Buyer for signing purposes have the authority to bind Buyer
to the terms of this Agreement.



                                      -15-


<PAGE>



                  (d) Cash Payment  Authority.  Buyer has the authority to cause
the cash payment of the Purchase  Price to be delivered in  accordance  with the
terms of this Agreement.

                  (e) Brokers.  Upon receipt by the Broker of the Broker's  Fee,
no broker or finder will be entitled to any additional  broker's or finder's fee
or  other  commission  in  respect  thereof  based  in any  way  on  agreements,
understandings or arrangements.

                  (f) IHS  Stock.  IHS has  duly  authorized  and  reserved  for
issuance the IHS Shares to be issued in connection herewith, and, when issued in
accordance  with the terms of Section 7, such IHS Shares will be validly issued,
fully paid, and nonassessable and free of preemptive  rights.  IHS has complied,
or will  comply  in a  timely  manner,  and  will  act in  compliance,  with all
applicable  Governmental  Requirements  with  respect to the issuance of the IHS
Shares.

         15.      Survival    of    Representations    and    Warranties.    The
representations and warranties of Seller, each Shareholder,  and Buyer contained
and  made  pursuant  to this  Agreement  shall  survive  the  execution  of this
Agreement.

         16.      Restrictive Covenants.

                  (a) Non-Compete. Seller and each Shareholder hereby agree that
until the fifth (5th) anniversary of the Closing Date (the "RESTRICTED PERIOD"),
it, he or she will not,  directly or indirectly,  own,  manage,  operate,  join,
control or  participate,  or have a  proprietary  interest  in,  the  ownership,
management,  operation or control,  of or be connected with, in any manner,  any
home health care  business  within fifty (50) miles of any location set forth on
the Schedule of Locations attached hereto as Schedule 16(a).

                  (b)  Confidential   Information.   Certain   confidential  and
proprietary  information  is  included  within  the  Assets  ("TRADE  SECRETS"),
including,  without  limitation,  with  respect to some or all of the  following
categories of information: (i) financial information,  including but not limited
to information relating to earnings,  assets, debts, prices,  pricing structure,
reimbursement  matters,  volume of  purchases or sales or other  financial  data
whether  related to Seller or generally,  or to particular  products,  services,
geographic  areas,  or  time  periods;  (ii)  supply  and  service  information,
including  but not  limited  to  information  relating  to goods  and  services,
suppliers'  names or  addresses,  terms of supply  or  service  contracts  or of
particular transactions, or related information about potential suppliers to the
extent that such  information is not generally  known to the public,  and to the
extent that the combination of suppliers or use of a particular supplier, though
generally  known or available,  may yield  advantages  to the Buyer,  details of
which are not generally  known;  (ii) marketing  information,  including but not
limited to information  relating to details about ongoing or proposed  marketing
programs  or  agreements  by  or on  behalf  of  the  Seller,  sales  forecasts,
advertising  formats and methods or results of marketing  efforts or information
about  impending  transactions;  (iv) personnel  information,  including but not
limited to  information  relating to employees'  personal or medical  histories,
compensation  or other  terms of  employment,  actual  or  proposed  promotions,
hirings,  resignations,  disciplinary actions, terminations or reasons therefor,
training methods,  performance, or other employee information;  (v) customer and
patient information, including but not limited to information relating to names,
addresses or backgrounds of past,  existing or prospective  clients,  customers,
payors,  referral  sources,  and  patients,  records of  agreements  and prices,
proposals or  agreements  between any of them and Seller,  status of accounts or
credit,  patients' medical histories or related  information as well as customer
lists;  and (vi)  inventions and  technological  information,  including but not
limited  to  information  related  to  proprietary  technology,  trade  secrets,
research  and  development  data,  processes,   formulae,   data  and  know-how,
improvements,  inventions,  techniques,  and information  that has been created,
discovered  or  developed,  or has  otherwise  become  known  to  Seller  or any
Shareholder, and/or in which property rights



                                      -16-


<PAGE>



have been  assigned or  otherwise  conveyed  to Seller,  which  information  has
commercial value in the business in which the Seller is engaged.  Seller and any
Shareholder  shall hold all Trade  Secrets in  confidence  and will not discuss,
communicate or transmit to others,  or make any unauthorized  copy of or use any
of the Trade  Secrets;  and will take all  reasonable  actions  that Buyer deems
reasonably  necessary or appropriate,  to prevent unauthorized use or disclosure
of or to protect the Buyer's  interest in the Trade Secrets.  The foregoing does
not apply to  information  that by means other than  deliberate  or  inadvertent
disclosure by Seller,  any  Shareholder or any of their  respective  Affiliates,
becomes  well known to the  public;  or  disclosure  compelled  by  judicial  or
administrative  proceedings  after they  diligently try to avoid each disclosure
and afford Buyer the opportunity to obtain assurance that compelled  disclosures
will receive confidential treatment.

                  (c)  Non-Solicitation   and  Non-Pirating.   Seller  and  each
Shareholder  hereby agree that,  during the Restricted Period it, he or she will
not,  directly  or  indirectly,  for itself or himself or on behalf of any other
person,  firm, entity or other  enterprise:  (i) solicit or in any way divert or
take away any person or entity that,  prior to the Closing Date,  was a patient,
client, customer,  payor, referral source, facility or patient of the Seller; or
(ii) hire,  entice away or in any other  manner  persuade  any person who was an
employee, consultant, representative or agent of the Seller prior to the Closing
Date, to alter, modify or terminate their relationship with the Buyer.

                  (d)   Necessary   Restrictions.   Each  of  Seller   and  each
Shareholder  acknowledge that the  restrictions  contained in this Agreement are
reasonable  and necessary to protect the  legitimate  business  interests of the
Buyer and that any violation  thereof by any of them would result in irreparable
harm to the  Buyer,  and that  damages  in the event of any such  breach of this
Agreement will be difficult, if not impossible, to ascertain.  Accordingly,  the
Seller  and  each  Shareholder  agree  that  upon  the  violation  of any of the
restrictions contained in this Agreement,  the 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,  equity,  under this  Agreement or
otherwise,  without  the  necessity  of  posting  any  bond  or  other  security
whatsoever.  In the  event  any  of  the  foregoing  restrictions  are  adjudged
unreasonable in any  proceeding,  then the parties agree that the period of time
or the scope of such  restrictions  (or both) shall be adjusted to such a manner
or for such a time (or both) as is adjudged to be reasonable.

                  (e)   Remedies  For  Breach.   Seller  and  each   Shareholder
acknowledge  that the  covenants  contained in this  Agreement  are  independent
covenants  and that any  failure by the Buyer to perform its  obligations  under
this Agreement or any other  agreement  shall not be a defense to enforcement of
the  covenants  contained  in this  Agreement,  including  but not  limited to a
temporary or permanent injunction.

         17.      Indemnification; Remedies.

                  (a) Indemnification by Seller and the Shareholders. Seller and
the Shareholders  shall,  jointly and severally,  indemnify and hold harmless at
all times Buyer and its stockholders, directors, officers, employees, agents and
assigns,  from and against any Damages (as hereinafter  defined) resulting from:
(i) any inaccurate representation made by Seller or any Shareholder in, pursuant
to or under this Agreement or any Transaction  Document;  (ii) any breach of any
warranty  made by  Seller  or any  Shareholder  in,  pursuant  to or under  this
Agreement  or any  Transaction  Document;  (iii) any  breach or  default  in the
performance by Seller or any Shareholder of any of the covenants to be performed
by Seller or any Shareholder hereunder or in any Transaction Document;  and (iv)
any Closing Date Liabilities.



                                      -17-


<PAGE>



                  (b)  Indemnification  by Buyer. Buyer shall indemnify and hold
harmless at all times  Seller or the  Shareholders  from and against any Damages
resulting from: (i) any inaccurate  representation made by Buyer in, pursuant to
or under  this  Agreement;  (ii) any  breach of any  warranty  made by Buyer in,
pursuant  to or under  this  Agreement;  and (iii) any  breach or default in the
performance by Buyer of any of the covenants to be performed by Buyer hereunder.

                  (c)  Definition of Damages.  The term "DAMAGES" as used herein
shall include any demands, claims, actions, deficiencies, losses, delinquencies,
defaults,   assessments,  fees,  costs,  taxes,  expenses,  debts,  liabilities,
obligations, settlements, penalties, and damages, including, without limitation,
counsel fees incurred in  investigating  or in attempting to avoid or oppose the
imposition thereof.  The term "Damages" shall include,  but shall not be limited
to, any Liabilities Deficiency, as defined in paragraph 5 hereof.

                  (d) Remedies.

                           (i) Buyer's Remedies.  If Buyer makes written request
         to Seller or any  Shareholder  for the payment of Damages,  then Seller
         and/or  such  Shareholder  shall  pay to Buyer the  amount  of  Damages
         requested  within ten (10) days from the date on which such  request is
         received (the "NOTICE PERIOD").

                           (ii) Seller's Remedies.  If Seller or any Shareholder
         makes written  request to Buyer for the payment of Damages,  then Buyer
         shall pay to Seller or such Shareholder the amount of Damages requested
         within the Notice Period.

                           (iii)   Notice  of   Dispute.   Notwithstanding   the
         foregoing  provisions  of  this  subparagraph  (d),  if  a  party  (the
         "DEMANDING PARTY") serves a request for payment on the other party (the
         "OBLIGATED  PARTY"),  the  Obligated  Party  shall  have the  option to
         provide  written notice to the Demanding  Party (the "NOTE OF DISPUTE")
         within the Notice Period that the  Obligated  Party  disputes,  in good
         faith, the validity or amount of the Damages set out in the request for
         payment of Damages,  and if the  affected  parties  cannot agree on the
         validity or amount of such Damages  within ten (10) days  following the
         Notice  Period,  the dispute as to the validity or amount of such claim
         or  liability  (the  "DISPUTE")  shall  be  settled  as  set  forth  in
         subparagraph  (e) of this paragraph 17, with the  non-prevailing  party
         bearing the prevailing  party's costs of arbitration if such Dispute is
         resolved by arbitration.

                           (iv) Arbitration. If arbitration is required pursuant
         to this  paragraph 17, Buyer and Seller or the  applicable  Shareholder
         each shall select an arbitrator within ten (10) business days after the
         Notice of Dispute is delivered;  those two arbitrators will then select
         a third arbitrator;  and the three arbitrators so chosen will determine
         the  validity of the claim for  Damages.  If Seller or Buyer  delays in
         appointing an arbitrator  when required,  and ten (10) days or more has
         elapsed,  the arbitrator  appointed by the other party shall  arbitrate
         the  dispute.  If the Seller and the  applicable  Shareholder  shall be
         subject to a Dispute  with  Buyer,  they  shall,  unless  Buyer  elects
         otherwise in its sole and absolute discretion,  be required to act as a
         group with respect to any and all rights and  obligations  with respect
         to the resolutions of the Dispute as provided in this paragraph 17.

                  (e) Settlement of Disputes.

                           (i)  Disputes  Not  Involving  Third  Parties.  If  a
         Dispute involves claims not involving any third party, Buyer and Seller
         or the  applicable  Shareholder  shall settle the Dispute by submitting
         the same to binding arbitration.



                                      -18-


<PAGE>



                           (ii) Disputes Involving Claims Made by Third Parties.
         If a Dispute  involves  claims  made by one or more  third  parties  (a
         "THIRD PARTY CLAIM"),  the party asserting its right to indemnification
         for such Third Party Claim shall give written notice to the other party
         as soon as practical after such asserting party receives notice of such
         Third Party  Claim;  provided,  however the failure to timely give such
         notice shall not affect such party's right to indemnification except to
         the extent the party to  receive  the notice is damaged by such  delay.
         Upon such  notice to Seller or  Shareholder,  Buyer and  Seller  and/or
         Shareholder shall submit the Dispute to arbitration,  and the following
         procedures shall apply:

                                            (A)   Solely   for    purposes    of
                           determining  the party  responsible for defending the
                           Third Party Claim,  the  arbitrators  shall deem such
                           Third  Party  Claim  to  be  valid   (although   such
                           consideration  shall not be an admission by any party
                           as to any  liability to any party).  The  arbitrators
                           then shall decide which party shall be liable for the
                           Third Party Claim if it is successfully prosecuted by
                           such third party or parties, and the decision of such
                           arbitrators  with respect to such liability  shall be
                           final and binding as among the  parties.  (Such party
                           determined  to be  liable  for such  claim  sometimes
                           shall  be  referred  to  herein  as the  "RESPONSIBLE
                           PARTY".)

                                            (B) If the Responsible Party refuses
                           to  settle  (and pay the  settlement  amount  of) the
                           Third Party Claim  immediately,  then the Responsible
                           Party  immediately  shall select one of the following
                           two options:

                                            Option One: The  Responsible  Party,
                                    at the Responsible  Party's sole expense and
                                    risk,  can assume  the  defense of the Third
                                    Party Claim,  provided the Responsible Party
                                    first  places  in  escrow,  in  favor of the
                                    other   party,   adequate   collateral   (as
                                    determined    by    the    arbitrators    on
                                    consideration  of  all  relevant  facts)  to
                                    protect  the other  party  from all  Damages
                                    with  respect to such Third  Party Claim (in
                                    which case the other party immediately shall
                                    be reimbursed by the  Responsible  Party for
                                    any amount the other  party is  required  to
                                    pay with  respect to such Third Party Claim;
                                    or

                                            Option Two: The  Responsible  Party,
                                    at the Responsible Party's expense and risk,
                                    can co-defend the Third Party Claim with the
                                    other party, with the Responsible Party also
                                    responsible for paying all costs incurred by
                                    the  other  Party in  connection  with  such
                                    defense, including,  without limitation, the
                                    legal fees and expenses of the other party's
                                    counsel for its  reasonable  involvement  in
                                    such defense. If the other party is found to
                                    be  liable  for any  portion  of such  Third
                                    Party   Claim,    the   Responsible    Party
                                    immediately  shall reimburse the other party
                                    for any  amount  required  to be paid by the
                                    other party with respect thereto;  provided,
                                    however,  if the  Responsible  Party selects
                                    this  option,  the  Responsible  Party shall
                                    attempt  diligently  to have the other party
                                    removed  as a  party  to  any  legal  action
                                    involving  the Third Party Claim (and,  upon
                                    such removal,  the  involvement of the other
                                    party's counsel shall cease unless requested
                                    by the Responsible  Party or the Responsible
                                    Party's counsel); and



                                      -19-


<PAGE>



                                            (C) No party  may  settle  any Third
                           Party Claim  without  the prior  consent of the other
                           parties hereto unless the settlement  will not have a
                           material  adverse  effect on the other party  hereto.
                           The parties  will resolve any Dispute with respect to
                           any such proposed  settlement in accordance with this
                           paragraph 16.

                                            (D)  Any   party   responsible   for
                           defending  a Third Party  Claim  shall  proceed  with
                           diligence and in good faith with respect thereto.

         18.       Use  of  Corporate   and  Fictitious  Names.  Seller  and the
Shareholders,  jointly and  severally,  agree to take all actions  necessary  to
assist  Buyer  in  obtaining  the  rights  to use  the  corporate  name  and any
fictitious  names used in its conduct of any of the Business,  including but not
limited to the  execution of any  assignments  and consents to use such name. If
Buyer  attempts to use such name,  Seller  shall  consent to Buyer's use of such
name if such  consent is  required  by any state,  county or local  governmental
authority.

         19.      Prepaid Items; Deposits;  Etc. All prepaid insurance premiums,
rent and utility  deposits,  and similar items paid by or owing to the Seller by
any person,  shall be  considered  to be part of the Assets  being  purchased by
Buyer and, on consummation of the  transactions  contemplated by this Agreement,
shall be the property of Buyer.

         20.      Post-Closing Requirements of Seller.

                  (a)  Payment  Escrow.  At  Closing,  Buyer  shall pay over and
deliver to or on behalf of Seller (and shall be credited, dollar-for-dollar,  as
partial  payment of the  Purchase  Price) to the Paying  Agent,  in escrow  (the
"PAYMENT ESCROW"),  an amount equal to the Closing Date Liabilities as specified
in  paragraph  2(b)(i),  to be held by the  Paying  Agent  subject to the terms,
conditions,  and  provisions of the Payment Escrow  Agreement.  The Paying Agent
shall be an  attorney  at law  authorized  to  practice  law in the state of New
Mexico or a trust  company or bank  having  trust  powers in such  State,  which
Paying Agent has been selected by Seller and approved by Buyer.

                      (i) Seller shall pay all costs and expenses of the Payment
         Escrow,  including without limitation,  any fees or costs of the Paying
         Agent.

                      (ii)  Seller  shall be  obligated  to see that the  Paying
         Agent timely and properly pays all Closing Date  Liabilities,  and that
         the Paying  Agent  obtains and  delivers  to Buyer the "Final  Release"
         referred  to in the  Payment  Escrow  Agreement,  or  other  reasonable
         evidence of payment acceptable to Buyer.

                      (iii) The existence of the Payment Escrow shall not affect
         the  obligations  of the  Seller  and the  Shareholder  to  hold  Buyer
         harmless  against any Closing Date Liabilities as provided in paragraph
         17(a).

                  (b) Final  Financial  Information.  Not later than thirty (30)
days following Closing, Seller, at Seller's sole cost and expense, shall deliver
to Buyer "FINAL FINANCIAL INFORMATION", which shall include:

                      (i) a  balance  sheet of  Seller  as of the  Closing  Date
         prepared in accordance with GAAP;



                                      -20-


<PAGE>



                      (ii)  an  income   statement  of  Seller  for  the  period
         commencing  on the date  succeeding  the  last  day of the most  recent
         Financial Statement Date and ending on the Closing Date;

                      (iii) an  inventory  of fixed  assets  of Seller as of the
         Closing Date;

                      (iv) an  inventory of supplies of Seller as of the Closing
         Date; and

                      (v) a  cash  settlement  statement  of  Seller  as of  the
         Closing Date.

                  (c)  Liabilities  Deficiency.  If  all  such  Final  Financial
Information  is not  delivered  to Buyer  within  such  thirty  (30) day  period
following  Closing,  Seller and the Shareholders  shall be liable to Buyer in an
amount equal to $500.00 for each day after such thirty (30) day period until all
such Final Financial Information is delivered to Buyer, and such liability shall
constitute a Liabilities Deficiency under the provisions of paragraph 5, above.

         20.     Third Party Beneficiaries. Nothing in this Agreement, expressed
or implied, is intended to confer on any person,  other than the parties hereto,
and  their  successors,  any  rights  or  remedies  under or by  reason  of this
Agreement other the affiliates entitled to indemnification pursuant to paragraph
16.

         21.      Expenses.  Except as  otherwise  stated herein,  each  of  the
parties  shall  bear all  expenses  incurred  by them in  connection  with  this
Agreement  and  in  consummation  of the  transactions  contemplated  hereby  in
preparation thereof.

         22.      Notices.   All   notices,    consents,   waivers   and   other
communications  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:

                  to Seller:                 Regional Medical Supply, Inc.
                                             1482 Indian Wells Road
                                             Alamogordo, N.M.  88310
                                             Attention: Keith Thomas, President

                  to the Shareholders:       Keith Thomas
                                             2504 Aspen Drive
                                             Alamogordo, NM 88310

                  with a copy to:            David A. Thomsen, Esq.
                                             2810 Sudderth Drive, Suite 206
                                             Ruidoso, N.M.  88345

                  to Buyer:                  Integrated Health Services, Inc.
                                             10065 Red Run Boulevard
                                             Owings Mills, MD 21117
                                             Attn:    Elizabeth B. Kelly
                                                      Marshall Elkins



                                      -21-


<PAGE>



                  with copies to:

                                             c/o RoTech Medical Corporation
                                             4506 L.B. McLeod Road, Suite F
                                             Orlando, FL 32811
                                             Attention: Stephen P. Griggs

                                                     and

                                             Blass & Driggs
                                             461 Fifth Avenue
                                             New York, NY 10017
                                             Attn: Andrew S. Bogen

         23.      Choice of Law. The laws of the State of New Mexico  applicable
to contracts executed,  delivered and to be fully performed in such State govern
the  validity  of  this  Agreement,  the  construction  of its  terms,  and  the
interpretation of the rights and duties of the parties.

         24.      Sections and Other  Headings.  Section,  paragraph,  and other
headings  contained in this Agreement are for reference  purposes only and shall
not affect in any way the meaning or interpretation of this Agreement.

         25.      Counterpart  Execution.  This Agreement may be executed in two
or more  counterparts,  each of which  shall be deemed an  original,  but all of
which, together, shall constitute but one instrument.

         26.      Gender.  All gender  employed in this Agreement  shall include
all  genders,  and the  singular  shall  include the plural and the plural shall
include the singular whenever and as often as may be appropriate.

         27.      Parties in Interest.  This  Agreement  shall be binding on and
shall inure to the benefit of, and be enforceable by, Seller,  the  Shareholders
and Buyer and their respective  successors and assigns.  Buyer shall be entitled
to assign its rights under this Agreement and the  Transaction  Documents  after
the Closing. Seller and the Shareholders may not assign this Agreement or any of
their rights hereunder without the prior consent of Buyer.

         28.      Entire Agreement.  This Agreement  including all Schedules and
Exhibits hereto, and all Transaction  Documents  constitute the entire agreement
between the parties  hereto with respect to the subject  matter hereof and there
are no agreements, understandings,  restrictions, warranties, or representations
between the parties with respect to the subject  matter hereof other than as set
forth herein or as herein provided.

         29.      Performance.  In  the  event  of a  breach  by  Seller  or any
Shareholder of any of their respective  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 Seller and each
Shareholder  hereby  waives the defense that there may be an adequate  remedy at
law.

         30.      Waiver,  Discharge,  Etc. This  Agreement and the  Transaction
Documents and the  obligations  hereunder and thereunder  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 or any  Transaction
Document 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  such  Transaction
Document,  as the case may be,  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 or any  Transaction  Document shall be held to be a waiver of any
other or subsequent breach.



                                      -22-


<PAGE>




         31.      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 or 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 purpose of this Agreement,  and to vest in
Buyer good title to, possession of and control of all the Assets.

         32.      Joint  and  Several.  Seller  and the  Shareholders  shall  be
jointly  and  severally   liable  for  all   representations,   warranties   and
obligations,  including,  without limitation,  indemnification  obligations, and
covenants  made by any of them pursuant to this  Agreement,  including,  without
limitation,  any made pursuant to any Transaction Document.  For all purposes of
this Agreement,  any  representation or warranty that is qualified to be "to the
knowledge  of Seller"  or by a  requirement  that  Seller  shall  have  received
"notice" of any matter, or any similar  qualification shall be deemed to include
the knowledge of any Shareholder or notices to any Shareholder,  as the case may
be.

         33.      Independent   Legal  Counsel.   Seller  and  each  Shareholder
represent and warrant that each party has had the opportunity to seek the advice
of independent legal counsel prior to signing this Agreement, and that the Buyer
has  recommended  to Seller and each  Shareholder  that such party  obtain legal
counsel.

                       [SIGNATURES ON THE FOLLOWING PAGE]



                                      -23-


<PAGE>




         IN WITNESS  WHEREOF,  the  parties  have caused  this  Agreement  to be
executed as of the date first stated above.

                                                BUYER:

                                                INTEGRATED HEALTH SERVICES
                                                AT JEFFERSON HOSPITAL, INC.

                                                By: /s/ Mark Kovinsky
                                                   ---------------------------
                                                Name: Mark Kovinsky
                                                Title:SVP Corporate Development

                                                INTEGRATED HEALTH
                                                SERVICES, INC.

                                                By:/s/ Mark Kovinsky
                                                   ---------------------------
                                                Name: Mark Kovinsky
                                                Title:SVP Corporate Development

                                                SELLER:

                                                REGIONAL MEDICAL SUPPLY, INC.

                                                By:/s/ Keith Thomas
                                                   ---------------------------
                                                Name: Keith Thomas
                                                Title: President

                                                SHAREHOLDERS:

                                                /s/ Keith Thomas
                                                ------------------------------
                                                Keith Thomas

                                                /s/ Laurie Nuckols
                                                ------------------------------
                                                Laurie Nuckols

STATE OF NEW MEXICO
COUNTY OF LINCOLN

          The foregoing  instrument was acknowledged before me by, Keith Thomas,
as President of Regional  Medical  Supply,  Inc., a New Mexico  corporation,  on
behalf of the  corporation,  and who is personally  known to me; or has produced
N/A as identification.

3/23/98                                           /s/ David Thomsen
- -------------------------                         -----------------------------
Date                                              Notary Signature

                             

                                                  David Thomsen
                                                  ------------------------------
                                                  Notary Name Printed
                                                  My Commission Expires: 3/23/02



                                      -24-


<PAGE>



STATE OF NEW MEXICO
COUNTY OF LINCOLN

         The foregoing  instrument was  acknowledged  before me by Keith Thomas,
and who is personally known to me; or has produced  N/A as identification.

3/23/98                                           /s/ DAVID THOMSEN
- -----------------------------                     -----------------------------
Date                                              Notary Signature
                                                  David Thomsen
                                                  Notary Name Printed
                                                  My Commission Expires: 3/23/02

STATE OF NEW MEXICO
COUNTY OF LINCOLN

         The foregoing  instrument was acknowledged before me by Laurie Nuckols,
and who is personally known to me; or has produced  N/A  as identification.


3/23/98                                           /s/ DAVID THOMSEN
- -----------------------------                     -----------------------------
Date                                              Notary Signature
                                                  David Thomsen
                                                  Notary Name Printed
                                                  My Commission Expires: 3/23/02


<PAGE>


                             SCHEDULES AND EXHIBITS

Schedule 1(a)(i)           -        Accounts Receivable
Schedule 1(a)(ii)          -        Inventory; Fixed Assets
Schedule 1(a)(iii)         -        Automobiles
Schedule 1(a)(v)(B)        -        Patients' List of the Business
Schedule 1(a)(v)(C)        -        Telephone Numbers
Schedule 2(a)              -        Allocation of Purchase Price
Schedule 2(b)(iii)         -        Wire Instructions
Schedule 4(a)              -        Closing Date Liabilities
Schedule 4(b)              -        Unassumed Contracts
Schedule 10(c)             -        Seller's Opinion
Schedule 13(c)             -        Litigation
Schedule 13(g)             -        Contracts
Schedule 13(i)             -        Employment Contracts; Employees
Schedule 13(k)             -        Insurance
Schedule 13(o)             -        Tax Returns and Financial Statements
Schedule 13(p)             -        Supplemental Tax Information
Schedule 13(q)             -        Adverse Business Developments
Schedule 13(r)             -        Relationships
Schedule 13(u)             -        Reimbursement Matters
Schedule 13(v)             -        Environmental Compliance
Schedule 16(a)             -        Locations

Exhibit 2(b)(i)-A          -        Stock Pledge Agreement
Exhibit 2(b)(i)            -        Escrow Agreement



                                      -26-


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

                          AGREEMENT AND PLAN OF MERGER

                          DATED AS OF FEBRUARY 10, 1998

                                      AMONG

                        INTEGRATED HEALTH SERVICES, INC.

                                       AND

                     ROTECH OXYGEN & MEDICAL EQUIPMENT, INC.

                                       AND

           MEDICARE CONVALESCENT AIDS OF PINELLAS, INC. D/B/A MEDAIDS

              AND THE SHAREHOLDERS OF THE CONSTITUENT CORPORATIONS




<PAGE>



                                TABLE OF CONTENTS
                                -----------------
<TABLE>
<CAPTION>

                                                                              PAGE

<S>                                                                             <C>
ARTICLE I:  MERGER...............................................................2
    1.1     Merger...............................................................2
    1.2     Merger Time..........................................................2
    1.3     Payment of Merger Consideration......................................2
    1.4     Surviving Corporation................................................3

ARTICLE II: CONVERSION...........................................................3
    2.1     Consideration........................................................3
    2.2     Conversion of Common Stock...........................................4
    2.3     Manner of Exchange...................................................5
    2.4     No Fractional Shares.................................................6
    2.5     Assets...............................................................6
    2.6     Closing Date Liabilities.............................................7
    2.7     Right of Offset Against the Escrow Fund..............................8

ARTICLE III: IHS STOCK...........................................................9
    3.1     IHS Stock............................................................9

ARTICLE IV: EMPLOYEES...........................................................14

ARTICLE V:  CLOSING.............................................................14
    5.1     Closing Date........................................................14
    5.2     Deliveries..........................................................14

ARTICLE VI: ASSET CONDITION.....................................................15

ARTICLE VII: SALES AND TRANSFER TAXES; FEES.....................................15

ARTICLE VIII: RESTRICTIONS ON OPERATIONS OF THE COMPANIES.......................15
    8.1     Negative Covenants..................................................15
    8.2     Conduct of Business Pending Closing.................................17

ARTICLE IX: REPRESENTATIONS AND WARRANTIES BY SHAREHOLDERS......................17
    9.1     Organization of Companies; Enforceability...........................17
    9.2     Consents............................................................17
    9.3     LITIGATION..........................................................18
    9.4     Compliance with Laws and Contracts..................................18
    9.5     Corporate Acts and Proceedings......................................18
    9.6     TITLE TO ASSETS.....................................................18
    9.7     Contracts...........................................................18
    9.8     Brokers.............................................................20
</TABLE>



                                       (i)


<PAGE>


<TABLE>
<S>                                                                             <C>
    9.9     Employment Contracts; Employees.....................................20
    9.10    Employee Benefit Plans..............................................21
    9.11    Insurance...........................................................21
    9.12    Disclosure..........................................................21
    9.13    Officers and Directors of Companies.................................21
    9.14    Inventory and Fixed Assets..........................................22
    9.15    Financial Statements................................................22
    9.16    Tax Information.....................................................22
    9.17    Adverse Business Developments.......................................23
    9.18    Relationships.......................................................23
    9.19    Assets Comprising the Business......................................23
    9.20    Questionable Payments...............................................24
    9.21    Reimbursement Matters...............................................24
    9.22    Environmental Compliance............................................24
    9.23    Capital Stock.......................................................24
    9.24    Accounts Receivable.................................................25

ARTICLE X: REPRESENTATIONS AND WARRANTIES OF IHS AND NEWCO......................25
    10.1    Due Organization....................................................25
    10.2    Due Authority.......................................................25
    10.3    Binding Authority...................................................25
    10.4    Cash Payment Authority..............................................25
    10.5    Brokers.............................................................25

ARTICLE XI: SURVIVAL OF REPRESENTATIONS AND WARRANTIES..........................26

ARTICLE XII: RESTRICTIVE COVENANTS..............................................26
    12.1    Non-Compete.........................................................26
    12.2    Confidential Information............................................26
    12.3    Non-Solicitation and Non-Pirating...................................27
    12.4    Necessary Restrictions..............................................27
    12.5    Remedies for Breach.................................................27

ARTICLE XIII: INDEMNIFICATION; REMEDIES.........................................27
    13.1    Indemnification by Guarantors and Shareholders......................27
    13.2    Indemnification by IHS..............................................28
    13.3    Definition of Damages...............................................28
    13.4    Remedies............................................................28
    13.5    Settlement of Disputes..............................................29

ARTICLE XIV: POST-CLOSING REQUIREMENTS OF SHAREHOLDERS..........................30
    14.1    Final Financial and Tax Information.................................30
</TABLE>



                                      (ii)


<PAGE>




<TABLE>
<S>                                                                            <C>
ARTICLE XV: MISCELLANEOUS.......................................................31
    15.1    Group's Representative..............................................31
    15.2    Third Party Beneficiaries...........................................32
    15.3    Expenses............................................................32
    15.4    Notices.............................................................32
    15.5    Choice of Law.......................................................33
    15.6    Sections and Other Headings.........................................33
    15.7    Counterpart Execution...............................................33
    15.8    Gender..............................................................33
    15.9    Parties in Interest.................................................33
    15.10   Entire Agreement....................................................33
    15.11   Performance.........................................................33
    15.12   Waiver, Discharge, Etc..............................................33
    15.13   Cooperation Further Assistance......................................34
    15.14   Joint and Several...................................................34
    15.15   Independent Legal Counsel...........................................34
</TABLE>



                                      (iii)


<PAGE>



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

                          AGREEMENT AND PLAN OF MERGER

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


         This Agreement and Plan of Merger (this  "AGREEMENT") is made as of the
day of , 1998, among INTEGRATED  HEALTH SERVICES,  INC., a Delaware  corporation
("IHS"),  ROTECH  OXYGEN  &  MEDICAL  EQUIPMENT,  INC.,  a  Florida  corporation
("NEWCO"),   MEDICARE   CONVALESCENT  AIDS  OF  PINELLAS,   INC.  D/B/A  MEDAIDS
("MEDAIDS",  or  the  "COMPANY"),   ARTHUR  TEPPER  ("TEPPER"),  JOSEPH  VALENTI
("VALENTI"),  LEANN  JARCZYNSKI  ("JARCZYNSKI",  together  with Tepper and,  the
"GUARANTORS"  and each a "GUARANTOR"),  Arthur Tepper and Elizabeth  Tepper,  as
Trustees F/B/O Arthur Tepper UTD 7/14/78 (the "TEPPER TRUST"), Thomas A. Valenti
as  Trustee  of the Thomas A.  Valenti  Trust  U/A/D  5/22/96  (the "T.  VALENTI
TRUST"),  Joseph D. Valenti, as trustee F/B/O Joseph D. Valenti Revocable Trust,
Dated 6/10/88 (the "J. VALENTI  TRUST"),  Samuel J. and Helen Leann  Jarczynski,
JTWROS ("JARCZYNSKI  JTWROS"), and Steven Tepper ("S. TEPPER", and together with
the Tepper Trust,  the T. Valenti  Trust,  the J. Valenti  Trust,  and Jarczynki
JTWROS, the "SHAREHOLDERS" and each a "SHAREHOLDER").

         WHEREAS,  RXSTAT,  Inc. (the "SUBSIDIARY") is a wholly owned subsidiary
of the Company; and

         WHEREAS,  the Company and the Subsidiary operate a home respiratory and
durable medical equipment business in the State of Florida (the "BUSINESS"); and

         WHEREAS,  the Shareholders own all of the issued and outstanding shares
of common stock of Medaids,  par value $1 per share ("MEDAIDS STOCK" or "COMPANY
SHARES"); and

         WHEREAS,  concurrently  herewith,  IHS and Newco are  entering  into an
Agreement and Plan of Merger (the "PRIME MERGER  AGREEMENT")  with Prime Medical
Services,  Inc.  ("PRIME") and its stockholders,  pursuant to which, among other
things,  Prime is being merged with and into Newco upon the terms and subject to
the conditions set forth therein; and

         WHEREAS, Newco is an indirectly wholly owned subsidiary of IHS;

         WHEREAS, the Boards of Directors of IHS, Newco, and the Company deem it
advisable  to merge the Company  and Prime with and into Newco  pursuant to this
Agreement and the Prime Merger Agreement (the "MERGER");

         WHEREAS, pursuant to the Merger each outstanding share of capital stock
of Medaids (each a "MEDAIDS  SHARE",  and  collectively,  the "MEDAIDS  SHARES")
shall be  converted  into the right to  receive  the  Merger  Consideration  (as
hereinafter defined); and

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



                                        


<PAGE>



         WHEREAS,  all of the  holders  of  capital  stock in the  Company  have
approved  this  Agreement  and  the  plan of  merger  described  herein  and the
transactions contemplated hereby in accordance with all applicable laws, and the
Company's Certificate of Incorporation and By-laws; and

         WHEREAS,  the Guarantors and Shareholders have obtained all consents of
Governmental  Authorities  (as such term is  hereinafter  defined) and all third
parties necessary to the consummation of the transactions  contemplated  hereby;
and

         WHEREAS,  each  of the  Guarantors  acknowledges  that  he or she  will
directly or indirectly receive good and valuable  consideration by reason of the
completion of the Merger;

         NOW, THEREFORE, each of the Guarantors,  Shareholders,  Newco, IHS, and
the Company, intending to be legally bound, agree as follows:

                                ARTICLE I: MERGER

         1.1 MERGER.  Upon the terms and subject to the  conditions set forth in
this Plan of Merger and in accordance  with the General  Corporation  Law of the
State of Florida  (the  "FBCA"),  at the Merger  Time (as defined  herein),  the
Company  and Prime shall be merged  with and into Newco in  accordance  with the
provisions of Section 607.1101,  et al of the FBCA. In furtherance  thereof,  on
the Closing Date the Company and Newco  (together  with Prime),  shall  execute,
deliver,  and  cause to be filed  with the  Secretary  of State of the  State of
Florida,  the Articles and Plan of Merger in the form of Exhibit 1.1 hereto (the
"PLAN OF MERGER" or  "ARTICLES  OF  MERGER").  Following  the Merger  Time,  the
separate  existence  of the  Company  and Prime  shall  cease,  and Newco  shall
continue  as the  surviving  corporation  in the Merger  (hereinafter  sometimes
referred  to  as  the  "SURVIVING   CORPORATION")  as  a  business   corporation
incorporated  under the laws of the  State of  Florida  under  the name  "ROTECH
OXYGEN & MEDICAL EQUIPMENT, INC. D/B/A MEDAIDS", and shall succeed to and assume
all the rights and  obligations  of the Company,  Prime and Newco in  accordance
with the FBCA.

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

         1.3  PAYMENT OF MERGER  CONSIDERATION.  IHS agrees that  following  the
Closing (as defined in Section 5.1,  below),  it will make payment of the Merger
Consideration  (as defined in Section 2.1(d)) to the extent set forth in, and in
accordance with the terms of, this Agreement.



                                        2


<PAGE>



         1.4 SURVIVING CORPORATION.

              (A) CERTIFICATE OF INCORPORATION. The Certificate of Incorporation
of Newco as in  effect  immediately  prior to the  Merger  Time (as such term is
defined  in  Section  2.2)  shall be the  Certificate  of  Incorporation  of the
Surviving  Corporation  until duly amended in accordance  with the terms thereof
and of the FBCA.

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

              (C)  DIRECTORS.  The  directors of Newco at the Merger Time shall,
from and after the Merger Time, be the  directors of the  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 Surviving Corporation's Certificate of Incorporation and By-laws.

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

              (E)  FURTHER  ACTION.  If at any time after the Merger  Time,  IHS
shall consider that any further  deeds,  assignments,  conveyances,  agreements,
documents,  instruments,  or assurances in law or any other things are necessary
or desirable to vest, perfect,  confirm, or record in the Surviving  Corporation
the title to any property, rights,  privileges,  powers, and franchises of Newco
by reason of, or as a result  of,  the  merger,  or  otherwise  to carry out the
provisions of this Agreement and the Plan of Merger, the officers of Newco shall
execute and deliver,  upon IHS'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 Surviving
Corporation, and otherwise to carry out the provisions of this Agreement and the
Plan of Merger.

              (F) The Plan of Merger  includes the merger of Prime with and into
Newco,  and the payment of merger  consideration  to the  shareholders of Prime.
Each  Shareholder and Guarantor  represents,  warrants and agrees that it, he or
she has reviewed the Plan of Merger, and it, he or she hereby approves such Plan
of Merger.

                             ARTICLE II: CONVERSION

         2.1   CONSIDERATION. For purposes of this Agreement the terms:

              (A) (I)  "MERGER  CONSIDERATION"  shall  mean  THREE  MILLION  ONE
     HUNDRED  THOUSAND  DOLLARS  ($3,100,000)  plus the  Additional  Amount  (as
     defined below).



                                        3


<PAGE>



                  (II) "MEDAIDS CASH MERGER  CONSIDERATION"  shall mean $620,000
     of the Merger Consideration, and shall be paid in cash.

                  (III) "MEDAIDS IHS STOCK MERGER  CONSIDERATION" shall mean the
     balance  of the  Merger  Consideration  ($2,480,000  plus  the  "Additional
     Amount"  remaining from cash and equivalents  after payment of Closing Date
     Liabilities),  and shall be paid by the delivery of shares of common stock,
     par value $.001,  of IHS ("IHS  SHARES")  having a value as  determined  in
     accordance with Section 3.1(a) below for the shares to be issued at Closing
     and as of the "Subsequent Delivery Date" as set forth in Section 2.3(d) for
     shares to be issued with respect to the "Additional Amount".

                  (IV)  "ADDITIONAL  AMOUNT"  shall mean the amount of cash plus
     cash equivalents included in the Assets less the amount of the Closing Date
     Liabilities (as herein after defined in Section  2.6(b)).  The Shareholders
     and Guarantors represent,  warrant and covenant that the amount of cash and
     cash  equivalents  included in the Assets is $425,532.77 (the "CLOSING CASH
     AMOUNT").  The  Additional  Amount  shall not  include  any tax refunds for
     Federal,  State or local  income  taxes  paid by the  Company  prior to the
     Closing  in  respect  of  income  prior  to the  Closing  ("TAX  REFUNDS");
     provided,  however, that the Surviving Corporation shall pay to the Group's
     Representative  (for  distribution  to the  Shareholders in accordance with
     their respective  Proportionate Amounts) an amount equal to any Tax Refunds
     actually collected by the Surviving Corporation after the Closing.

          2.2 CONVERSION OF COMMON STOCK.  At the Merger Time:

              (A) each  Medaids  Share  which is issued and  outstanding  at the
Merger  Time  shall by reason of the  Merger,  without  any action by the holder
thereof,  be  converted  into  the  right to  receive,  in  accordance  with the
procedures   hereinafter  described,  a  Proportionate  Amount  (as  hereinafter
defined) of the Medaids Cash Merger  Consideration  and of the Medaids IHS Stock
Merger Consideration;

              (B) each  share of  capital  stock of Prime  which is  issued  and
outstanding at the Merger Time shall by reason of the Merger, without any action
by the holder thereof, be converted into the right to receive cash and shares of
IHS Stock in the amounts, and in accordance with the procedures described in the
Plan of Merger, payable in cash plus shares of IHS Stock; and

              (C) each share of Newco common stock outstanding immediately prior
to the Merger Time shall be  unaffected  by the Merger and shall  continue to be
held by a direct or indirect wholly owned subsidiary of IHS.

         For purposes of this Agreement: the "PROPORTIONATE AMOUNT" to which any
Medaids  Share shall be entitled  shall be a fraction,  the  numerator  of which
shall be one, and the  denominator  of which shall be the total number of Medaid
Shares issued and  outstanding  at the Merger Time,  other than shares,  if any,
held in treasury.



                                        4


<PAGE>



          2.3   MANNER OF EXCHANGE.  The Merger  Consideration  shall be paid as
follows:

              (A) At Closing,  IHS Shares (the "ESCROWED  SHARES" or the "ESCROW
FUND") having an aggregate  value  (determined in accordance with Section 3.1(a)
hereof)  equal  to  Three  Hundred  Ten  Thousand  Dollars  ($310,000)  shall be
delivered to CoreStates Bank, N.A., as escrow agent ("ESCROW AGENT"), to be held
by Escrow Agent during the Escrow Period (as defined in Section 2.7(d),  below),
pursuant to the terms of an Escrow  Agreement,  in the form  attached  hereto as
Exhibit 2.3(a) (the "ESCROW AGREEMENT"). The Escrowed Shares shall be subject to
the  provisions of Section 2.7 hereof.  A  Proportionate  Amount of the Escrowed
Shares shall be delivered by each Shareholder.

              (B) The  balance of the  Medaids  Cash  Merger  Consideration  and
$2,170,000 of the Medaids IHS Stock Merger Consideration shall be payable to the
Shareholders  and shall be paid in accordance with the procedure set forth below
in Section 2.3(e).  Attached hereto as Schedule 2.3(c) are the wire instructions
for  delivery  of such cash and  shares of IHS Stock to the  Shareholders.  Each
Shareholder shall be entitled to a Proportionate  Amount of such cash and shares
of IHS Stock.

              (C) Two Hundred and Seventy (270) days after the Closing Date (the
"SUBSEQUENT  DELIVERY  DATE"),  IHS shall  cause the  balance of the Medaids IHS
Stock Merger  Consideration  to be delivered to the  Shareholders  in accordance
with their Proportionate Amounts. Such shares of IHS Stock shall be valued as of
the Subsequent  Delivery Date using a price per share of such stock equal to the
average  closing New York Stock  Exchange  ("NYSE")  price of such stock for the
twenty (20) trading day period  immediately  preceding the date which is two (2)
trading days before the Subsequent  Delivery Date. The parties  understand  that
the amount of such balance of the Medaids IHS Stock Merger  Consideration  shall
be determined by IHS in good faith by subtracting the amount of the Closing Date
Liabilities (as determined by IHS in good faith) from the Closing Cash Amount.

              (D) The Shareholders represent and warrant that in accordance with
the provisions of subsection (a) above, the Merger  Consideration is required to
be  distributed as set forth on Schedule  2.3(e).  Upon delivery to IHS of stock
certificates  representing  any Company Shares,  together with a fully completed
and executed  letter of  transmittal in the form of Exhibit 2.3(e) (a "LETTER OF
TRANSMITTAL"),  IHS shall promptly pay to, or on behalf of, each person entitled
thereto  the  amount of cash and shall  deliver  certificates  representing  the
number of shares to which such  person is  entitled,  as  provided  on  Schedule
2.3(e). No interest will be paid or accrued on any Merger Consideration  payable
upon the surrender of any certificate or certificates or other  instruments.  If
payment  is to be  made  to a  person  other  than  the one in  whose  name  the
certificate  or  other  instrument  surrendered  is  registered,  it  shall be a
condition of payment to such other person that the  certificate or instrument so
surrendered  shall be properly endorsed or otherwise in proper form for transfer
and that the person  requesting  such payment shall pay any  transfer,  stamp or
other  taxes  required  by  reason of the  payment  to a person  other  than the
registered  holder  of  the  certificate  or  other  instrument  surrendered  or
establish  to the  satisfaction  of IHS that  such  tax has been  paid or is not
applicable.  Until surrendered in accordance with the provisions of this Section
2.3(e),  the certificate or certificates or instruments  which immediately prior
to the Merger Time  represented  issued and  outstanding  Company  Shares  shall
represent  for all purposes  the right only to receive the Merger  Consideration
set forth in this  Agreement.  After the Merger Time,  there shall be no further
registration of transfers on the records of the Company of any Company Shares.



                                        5


<PAGE>



              (E) Subject to the terms and  conditions of this  Agreement,  each
party  hereto  approves  and  agrees  to the Plan of Merger  and shall  execute,
deliver and file, or shall cause to be executed,  delivered and filed,  all such
consents,  instruments,  covenants,  agreements,  certificates  and documents as
shall be  necessary  to  effectuate  the Merger on the Closing  Date,  including
without limitation, one or more Articles of Merger.

         2.4   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 Company 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 Company Shares  exchanged  pursuant to the Merger,  (after taking into
account all certificates  representing  Company 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.

         2.5   ASSETS.  As of January 30, 1998 (the "ECONOMIC CHANGE DATE"), the
assets  (collectively,  the "ASSETS") of each of the Company and the  Subsidiary
will include the following:

              (A) INVENTORY; FIXED ASSETS. All inventory and fixed assets of its
Business,  including,  without  limitation,  all of the  same  set  forth on the
Schedule of Inventory and Fixed Assets attached hereto as Schedule 2.5(a); and

              (B) ACCOUNTS  RECEIVABLE.  All of the accounts  receivable  of its
Business including, without limitation those described on Schedule 2.5(b); and

              (C) MOTOR VEHICLES. All motor vehicles of its Business,  including
without limitation,  all of the same set forth on the Schedule of Motor Vehicles
attached hereto as Schedule 2.5(c); and

              (D)  PROPERTY  RIGHTS.  All  Leases  (as  hereinafter  defined  in
paragraph  9.7(g)),  easements  and  rights  of  way  permitting  access  to its
Business; and

              (E) CASH AND CASH  EQUIVALENTS.  The  amount  of cash and the cash
equivalents  identified  on  Schedule  2.5(e)  hereto,  together  with  the bank
accounts related thereto.

              (F) OTHER  ASSETS.  All other  assets  of any  kind,  tangible  or
intangible,  real,  personal  or  mixed,  owned  and used or held for use by the
Company or the Subsidiary in connection  with its Business,  including,  without
limitation,  all of the following:  (i) the Patients'  List of the Business,  as
described  in  Schedule  2.5(f)(i);  (ii) the  telephone  numbers  listed on the
Schedule  of  Telephone   Numbers  and  Licenses  attached  hereto  as  Schedule
2.5(f)(ii);  (iii) all personal property,  machinery and equipment;  (iv) all of
the Company's or the  Subsidiary's  prepaid assets;  (v) all of the Company's or
the Subsidiary's rights under contracts,  agreements, and instruments;  (vi) any
assets of the Company or the  Subsidiary  used in the operation of the Business,
but not owned by the Company or the Subsidiary;  (viii) all intangible rights of
the Company or the Subsidiary of every kind and description used in, or held for
use in  connection  with,  the  operation of its  Business,  including,  without
limitation,  all intangible  assets,  and to the extent  permitted by applicable
law, all licenses, permits and authorizations; (ix) the security deposits listed
on Schedule 2.5(f)(ix), and (x)



                                        6


<PAGE>



each  of the  Company's  and  the  Subsidiary's  Certificate  of  Incorporation,
qualification  to do  business  in  any  jurisdiction,  taxpayer  identification
number,  minute  books,  stock  transfer  records  and other  documents  related
specifically  to  the  Company  or the  Subsidiary  corporate  organization  and
maintenance.

     2.6      CLOSING DATE LIABILITIES.

              (A)  The  Shareholders   and  Guarantors   jointly  and  severally
represent  and warrant  that,  to the best of their  knowledge  and belief after
diligent  inquiry,  all  liabilities  of the Company or the Subsidiary as of the
Economic  Change Date are listed on the Schedule of Liabilities  attached hereto
as Schedule 2.6 (a). For purposes of this Agreement "LIABILITIES" shall mean and
include all claims, lawsuits,  liabilities,  obligations or debts 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,  malpractice or other tort claims asserted against
the Company or the Subsidiary,  claims for breach of contract, any claims of any
kind asserted by patients, former patients, employees or former employees of the
Company or the Subsidiary or any other party that are based on acts or omissions
occurring on or before the Closing  Date,  amounts due or that may become due in
connection  with the  participation  of the  Company  or the  Subsidiary  in the
Medicare or Medicaid  programs or due to any other health care  reimbursement or
payment intermediary, or that may be due by the Company or the Subsidiary to any
other third party payor, accounts payable, notes payable, trade payables,  lease
obligations,  indebtedness for borrowed money, accrued interest, and contractual
obligations.  The Shareholders and Guarantors acknowledge that the amount of the
Merger  Consideration  for the  Company  Shares is based on the  accuracy of the
representations and warranties of the Shareholders and the Guarantors  contained
in this  Agreement,  including,  but not  limited  to, the  representations  and
warranties contained in this Section 2.6(a).

              (B) At the  Closing,  pursuant to an  assumption  agreement in the
form of Schedule 2.6(b) hereto (the  "ASSUMPTION  AGREEMENT"),  the Shareholders
and the Guarantors  will assume,  jointly and  severally,  each liability of the
Company and the Subsidiaries  arising out of facts or circumstances  existing as
of the Economic  Change Date,  whether or not  disclosed or known on the Closing
Date (the  "CLOSING  DATE  LIABILITIES"),  and will agree to satisfy  all of the
Closing Date Liabilities that are not satisfied pursuant to Section 14.1, below,
as the same  become  due.  Notwithstanding  the  foregoing,  Buyer shall pay all
Closing Date  Liabilities  that are payable in cash, to the extent,  but only to
the extent,  the  aggregate  amount  thereof  does not exceed the  Closing  Cash
Amount.

              (C)  Without   limiting  the   generality  of  the  provisions  of
subsection (b) above, the Closing Date Liabilities shall include all liabilities
under any  Contracts  (as  hereinafter  defined) to the extent such  liabilities
arise out of facts or  circumstances  or obligations to be satisfied on or prior
to the Economic Change Date, all Taxes (as such term is defined in Section 9.16)
that  arise out of the  transactions  contemplated  hereby or out of any  income
earned by the Company or the  Subsidiary on or prior to the Merger Time, and the
Broker's Fee.



                                        7


<PAGE>




              (D) Newco  and IHS agree  that the  obligations  (the  "CONTINUING
OBLIGATIONS")  arising  out of  services  or  products  or other  benefits to be
provided to the  Surviving  Corporation  or the  Subsidiary  after Closing under
Contracts  that  are  not  terminated  on or  prior  to  Closing  shall  be  the
responsibility of the Surviving  Corporation or the Subsidiary,  as the case may
be, after the Closing,  and shall not constitute  Closing Date Liabilities,  and
Newco and IHS shall indemnify and hold each Guarantor and  Shareholder  harmless
from and against any Damages (as  hereinafter  defined in Section  13.3) arising
out of any of such Continuing Obligations.

              (E) Additional Assets and Liabilities.  (i) The parties agree that
the Assets also shall include all of the assets  arising out of the operation of
the  Business  during the period  commencing  on the  Economic  Change  Date and
terminating  on the  Closing  Date (the  "INTERIM  PERIOD"),  including  without
limitation, any accounts receivable generated (whether or not billed) during the
Interim Period (the "INTERIM PERIOD RECEIVABLES"), any cash collected in respect
of any accounts  receivable,  and any  inventory  or  equipment  acquired by the
Company and the  Subsidiary  during such Interim  Period in connection  with the
operation of the Business.  Notwithstanding the foregoing,  the Assets shall not
include any non-material tangible assets (such as inventory or supplies) used or
disposed  of, or any cash  expended  for  liabilities  incurred (as set forth in
clause (ii) below) after the Economic  Change Date, in each case for the benefit
of the Business in the ordinary course of business consistent with past practice
during the Interim Period. Any cash collected in respect of accounts  receivable
of the Company and the  Subsidiary  that were in  existence  as of the  Economic
Change  Date  shall be  applied to reduce  the  Shareholders  obligations  under
Section 2.7(a)(ii) below.

              (II) The parties  further agree that the Closing Date  Liabilities
shall not include  any  accounts  payable,  payroll  expenses or other  expenses
incurred  by the Company and the  Subsidiary  during the Interim  Period for the
benefit of the Business in the ordinary course of business  consistent with past
practice.

          2.7 RIGHT OF OFFSET AGAINST THE ESCROW FUND.

              (A) EVENT OF DEFICIENCY. If:

                  (I) the Surviving Corporation,  the Subsidiary or IHS pays for
     any Closing Date Liabilities (a "LIABILITIES DEFICIENCY"); or

                  (II) the aggregate  value of all of the  collectible  accounts
     receivable of the Company and the Subsidiary as of the Economic Change Date
     is  determined  to be  less  than $ , as  determined  by  actual  net  cash
     collections  of such  receivables  during  the  twelve  (12)  month  period
     immediately  following the Closing Date (an "ASSET VALUE  DEFICIENCY")  (it
     being  understood  that  until  the  earlier  to  occur  of (x)  the  first
     anniversary  of the  Closing  Date;  and (y) the date on which  their is no
     longer an Asset Value  Deficiency,  the Surviving  Corporation will use the
     accounts  receivable  computer system currently used by the Company and the
     Subsidiary  for purposes of  recording,  resubmitting  and  collecting  the
     accounts  receivable included in the Assets, and upon reasonable request of
     the Group's  Representative,  the Surviving  Corporation  shall provide him
     with reasonable  information regarding the status of the collection of such
     accounts receivable, and will permit the Group's



                                        8


<PAGE>





     Representative  to pursue the  collection of such  receivables on behalf of
     the  Surviving  Corporation  or, in lieu thereof (in the  discretion of the
     Surviving  Corporation),  the Surviving  Corporation shall assign,  without
     recourse,  such receivables to the Group's  Representative in consideration
     for payment to the  Surviving  Corporation  of the face  amount  thereof in
     cash,  in each case,  unless the  Surviving  Corporation  shall  reasonably
     determine that the Group's  Representative's pursuit of such collection may
     have a material adverse effect on the Surviving Corporation); or

              (III) any IHS  Claimant  (as  defined  in Section  13.1)  shall be
     entitled  to be  indemnified  for any  Damages  (as such term is defined in
     Section 13.3) pursuant to this  Agreement  ("INDEMNIFICATION  CLAIMS",  and
     together   with  any   Liabilities   Deficiencies,   and  any  Asset  Value
     Deficiencies, collectively "CLAIMS" and each, a "CLAIM");

then, and in any of such events, the applicable IHS Claimant may provide written
notice  to the  Group's  Representative  of the  Claim,  in which  case such IHS
Claimant  shall be entitled  to recover  the amount of such Claim in  accordance
with the following procedure.

              (B) PROCEDURE IF  SHAREHOLDERS  OR GUARANTORS  FAIL TO PAY. If any
Shareholder  or Guarantor  fails to pay any Claim in full to any  applicable IHS
Claimant  within  twenty (20) days from the date of such  written  notice  (said
twenty (20) day period hereinafter referred to as the "NOTICE PERIOD"), such IHS
Claimant  shall have the right to offset  against the Escrow Fund, in accordance
with the terms and conditions of the Escrow  Agreement,  in amounts from time to
time  equal to the  amount of such  Claim  (subject,  however,  in the case of a
"DISPUTE",  to the provisions of Section 13.4 hereof  applicable  thereto),  and
each Guarantor and Shareholder  agrees to any such offset.  The right of the IHS
Claimants to proceed against the Escrow Fund shall not be exclusive of any other
rights or  remedies  that they may have under  this  Agreement,  law,  equity or
otherwise.

              (C) ESCROW  COSTS.  The fees of the Escrow Agent shall be borne by
the IHS.

              (D) ESCROW PERIOD.

                  (I)   The  "ESCROW   PERIOD"  shall  terminate  on  the  first
     anniversary of the Closing Date.

                  (II) The balance,  if any, of the Escrow Fund  remaining  (the
     "REMAINING  ESCROW  FUNDS") at the close of business on the last day of the
     Escrow  Period,  shall be delivered to Group's  Representative  for further
     distribution  to the  Shareholders  within fifteen (15) days after the last
     day of the Escrow Period.

                  (III)  Notwithstanding  anything to the contrary  contained in
     this subsection (d), if any Claim made by any IHS Claimant is in dispute at
     the  time  that  any  amounts  are   otherwise   to  be  delivered  to  the
     Shareholders' Representative, then there shall



                                        9


<PAGE>



     be withheld from such amount to be delivered and there shall be retained in
     the Escrow  Fund,  a number of IHS Shares such that there will be remaining
     in the Escrow  Fund a number of IHS Shares  having a value  (determined  in
     accordance  with Section  3.1(a) hereto) equal to at least twice the amount
     of the Claim  asserted by the IHS Claimant  until the final  settlement  of
     such Claim or Claims.

              (E) VALUE OF ESCROWED  SHARES.  For  purposes of  determining  the
number of IHS  Shares to be  delivered  to any IHS  Claimant  in  respect of any
Claim, the IHS Shares shall be valued in accordance with Section 3.1(a) hereof.

                             ARTICLE III: IHS STOCK

         3.1 IHS  STOCK.  A portion  of the  Merger  Consideration  equal to Two
Million Four Hundred Eighty Thousand  Dollars  ($2,480,000)  shall be payable by
means of the delivery of IHS Shares in accordance with the following:

              (A) SHARE VALUE. The number of IHS Shares issuable at Closing (the
"CLOSING DATE SHARE COUNT") or  deliverable  to any IHS Claimant from the Escrow
Fund shall be  calculated  based  upon a price per share of such stock  equal to
$29.859.

              (B) REGISTRATION  RIGHTS.  IHS will prepare and use its reasonable
commercial efforts to cause to be filed within one-hundred and twenty (120) days
following the Closing Date,  and will use its reasonable  commercial  efforts to
have  declared  effective  by  the  Securities  and  Exchange   Commission  (the
"COMMISSION"),  a registration  statement for the registration of the IHS Shares
issued to the  Shareholders in connection with this  transaction,  including the
shares, if any,  issuable under Section 3.1(c) in respect of any  re-calculation
of the Closing Date Share Count,  under the  Securities  Act of 1933, as amended
(the "SECURITIES  ACT"),  and IHS shall maintain the  effectiveness of each such
registration statement for a period of one (1) year following the date it became
effective (the "REGISTRATION DATE"), except to the extent that an exemption from
registration may be available.

              (C) SHARE ADJUSTMENT. Promptly following the Share Adjustment Date
(as hereinafter defined), the number of shares deliverable as part of the Merger
Consideration (and that have not previously been transferred by any Shareholder)
shall be re-calculated  based upon the average closing NYSE price for IHS Shares
for the 20-trading day period immediately preceding the first anniversary of the
Closing Date (the "RECALCULATED VALUE"),  provided that such adjustment shall be
made only if the result shall be an increase in the number of shares issuable to
the Shareholders. If the number of shares as re-calculated under this subsection
(c) (the  "ADJUSTED  SHARE  COUNT")  exceeds the Closing Date Share  Count,  IHS
promptly shall deliver over to the Group's  Representative  an additional number
of IHS Shares as shall have a value  equal to the amount of such  excess  (using
the  Recalculated  Value for  determining  the  number of such IHS  Shares to be
delivered),  and such additional shares shall be included in the  aforementioned
registration



                                       10


<PAGE>



statement by means of a post-effective  amendment thereto. In lieu of delivering
additional  shares  as  aforesaid,  IHS may,  in its sole  discretion,  elect to
deliver  cash  to  the  Group's   Representative   (for   distribution   to  the
Shareholders)  in the amount of such  excess.  If the  Closing  Date Share Count
exceeds the Adjusted  Share Count,  no  adjustment  shall be made.  For purposes
hereof,  "SHARE  ADJUSTMENT  DATE"  shall mean the  earlier to occur of: (x) the
first  anniversary  of the Closing  Date;  or (y) the day preceding the date, if
any,  on which all issued and  outstanding  shares of IHS Stock are to be split,
reverse split, exchanged, converted or otherwise recharacterized pursuant to any
plan of merger, consolidation, reorganization or other corporate restructuring.

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

              (E) RESALE  LIMITATIONS.  The  Shareholders  hereby  covenant with
Buyer that, until the second  anniversary of the Closing Date, sales by them and
the Shareholders of Prime of IHS Shares after the Closing Date shall not, in the
aggregate,  exceed  30,000  shares  during  any 30- day  period.  All  sales  by
Shareholders  during said period shall be effected  solely through Smith Barney,
Inc.

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

                  (I) At IHS's  expense,  IHS 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
         until the first  anniversary  of the Closing  Date except to the extent
         that an exemption from registration may be available. IHS will promptly
         notify the  Shareholders,  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  IHS  as  a  result  of  which  the  prospectus   included  in  such
         registration statement, as then in effect, includes an untrue statement
         of a material  fact or omits to state any material  fact required to be
         stated  therein  or  necessary  to  make  the  statements  therein  not
         misleading in light of the circumstances then existing.

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



                                       11


<PAGE>



                  (III)  IHS  shall  take  all  necessary  action  which  may be
         required  in  qualifying  or  registering  IHS  Shares  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
         Shareholders,  provided that IHS shall not be obligated to qualify as a
         foreign corporation or dealer to do business under the laws of any such
         jurisdiction.

                  (IV) The information  included or incorporated by reference in
         the registration statement filed pursuant to this Section 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.  IHS shall indemnify the  Shareholders,  their
         successors  and  assigns,  and each person,  if any, who controls  such
         Shareholders  within  the  meaning  of ss.15 of the  Securities  Act or
         ss.20(a) of the Securities  Exchange Act of 1934, as amended ("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 IHS or based upon
         written information furnished by IHS filed in any jurisdiction in order
         to qualify IHS Shares 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 IHS by any of the Shareholders  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 Shareholders or any controlling  person of the Shareholders
         in respect of which  indemnity  may be sought  against IHS  pursuant to
         this subsection 3.1(f)(iv), the Shareholders or such controlling person
         shall within thirty (30) days after the receipt thereby of a summons or
         complaint,  notify IHS in writing of the institution of such action and
         IHS shall assume the defense of such actions,  including the employment
         and payment of  reasonable  fees and  expenses  of counsel  (reasonably
         satisfactory to the  Shareholder's  Representative  or such controlling
         person).  The  Shareholders 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
         Shareholders  or such  controlling  person unless (A) the employment of
         such counsel shall have been authorized in writing by IHS in connection
         with the  defense of such  action,  or (B) IHS shall not have  employed
         counsel  to have  charge of the  defense  of such  action,  or (C) such
         indemnified  party or parties shall have  reasonably  concluded  (after
         notice to IHS) that there may be defenses available to it or them which
         are different  from or  additional to those  available to IHS (in which
         case, IHS shall not have the right to direct the defense of such action
         on behalf of the indemnified party or parties),  in any 




                                       12


<PAGE>


         of which events the fees and  expenses of not more than one  additional
         firm of attorneys for the  Shareholders  and such  controlling  persons
         shall be borne by IHS.  Except as  expressly  provided in the  previous
         sentence,  in the event that IHS shall not previously  have assumed the
         defenses  of any such  action or claim,  IHS  shall not  thereafter  be
         liable to the Shareholders or such controlling person in investigating,
         preparing or defending any such action or claim.

                  (V) The Shareholders,  and their successors and assigns, shall
         severally,  and not jointly,  indemnify IHS, its officers and directors
         and each  person,  if any, who controls IHS 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
         Shareholders,  or their successors or assigns for specific inclusion in
         such registration statement.

              (G) NOTICE OF SALE. If the Shareholders  desire to transfer all or
any IHS Shares,  they will deliver  prior written  notice to IHS,  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 Shareholders  will sell the IHS
Shares in compliance with the disclosure  therein and discontinue any offers and
sales thereunder upon notice from IHS that the registration  statement  relating
to the IHS Stock being  transferred  is not  "current"  until IHS gives  further
notice that offers and sales may be recommenced. In the event of any such notice
from IHS, IHS 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(b)  and  to  give  prompt  notice  to  the  Shareholders  when  the
registration  statement has again become current. If the Shareholders deliver to
IHS an opinion of counsel  reasonably  acceptable  to IHS and its counsel and to
the  effect  that  the  proposed  transfer  of IHS  Shares  may be made  without
registration  under the  Securities  Act, the  Shareholders  will be entitled to
transfer  IHS Shares in  accordance  with the terms of the notice and opinion of
their counsel.

              (H) FURNISH INFORMATION.  It shall be a condition precedent to the
obligations  of IHS to take any action  pursuant  to this  Article  III that the
Shareholders shall furnish to IHS such information regarding themselves, the IHS
Shares held by them, and the intended  method of disposition of such  securities
as shall be required  to effect the  registration  of their IHS Shares.  In that
connection, each transferee of any Shareholder shall be required to represent to
IHS that all such  information  which is given is both  complete and accurate in
all material  respects.  Such  Shareholders  shall deliver to IHS 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  IHS 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.


                                       13


<PAGE>

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

              (J) LEGEND. It is understood that the certificates  evidencing the
IHS Shares shall bear a legend substantially as follows:

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

              (K) CERTAIN   TRANSFEREES.   Prior   to  the  effective   date  of
registration of the IHS Shares,  no Shareholder shall transfer any shares of IHS
Shares to any person or entity except as expressly  permitted by this  Agreement
and  unless  such  transferee  shall  have  agreed in writing to be bound by the
provisions applicable to the Shareholders under this Article III.

                              ARTICLE IV: EMPLOYEES

         It is  expressly  understood  and agreed that  although  the  Surviving
Corporation intends to retain  substantially all of the employees of the Company
and the Subsidiary after the Closing,  it may notify the Group's  Representative
prior to the Closing that the  employment of a limited  number of such employees
is to be terminated,  in which case, the Company or the Subsidiary,  as the case
may be, shall cause such termination,  and all liabilities  resulting  therefrom
that  may be due to such  terminated  employee  shall  constitute  Closing  Date
Liabilities.  In any event,  any  benefits,  costs or  liabilities  incurred  or
accrued on or prior to Closing  with  respect to any  employee of the Company or
the Subsidiary shall constitute Closing Date Liabilities.

                                       14


<PAGE>
                               ARTICLE V: CLOSING

              5.1  CLOSING   DATE.   The   consummation   of  the   transactions
contemplated  by this Agreement is occurring on the date hereof and is sometimes
referred to as the "CLOSING",  and the date on which such  consummation  occurs,
including,  without limitation,  the execution and delivery of this Agreement by
each of the parties hereto, is sometimes referred to as the "CLOSING DATE".

              5.2  DELIVERIES. At the Closing:

                   (A)  The  Company  and  Newco  (together  with  Prime)  shall
execute,  deliver and cause to be filed with the  Secretary  of State of Florida
and any other appropriate  Governmental  Authorities (as such term is defined in
Section 9.4), the Certificate of Merger and such other instruments or documents,
if any, as shall be necessary to cause the Company  (together  with Prime) to be
merged with and into Newco as provided in Section 1.1 above.

                   (B) The  Shareholders  and Guarantors  will deliver to IHS an
opinion,  dated the Closing Date, of their counsel,  in  substantially  the form
attached hereto as Exhibit 5.2(b).

                   (C) The Company will deliver a  certificate  of its Secretary
or other officer  certifying as of the Closing Date a copy of resolutions of its
board of directors and its stockholders, authorizing the execution, delivery and
full performance of this Agreement and the Transaction  Documents (as defined in
Section 9.1(a) below), and the incumbency of its officers.

                   (D) Newco, as the Surviving  Corporation of the Merger,  will
enter into an employment  agreement with Jarczynski in the form and substance of
Exhibit 5.2(d).

                   (E) The Shareholders and Guarantors shall execute and deliver
the  Assumption  Agreement  and  Transmittal  Letters,  and  deliver  to IHS the
certificates representing all of the Company Shares.

                   (F)  Each  officer  and  director  of the  Company  or of the
Subsidiary shall resign from such position as of the Closing Date.

                           ARTICLE VI: ASSET CONDITION

         The  Shareholders  and  Guarantors,  jointly and severally,  represent,
warrant and covenant  that, as of the Closing Date,  all physical  Assets of the
Company and the  Subsidiary  are free of defects  except to the extent that such
failure  will  not  likely  have  a  material  adverse  effect  on  the  assets,
liabilities,  financial condition or prospects of the Company or the Subsidiary,
and in good working  order,  condition and repair,  except for ordinary wear and
tear,  and conform in all material  respects  with all  applicable  Governmental
Requirements (as defined in Section 9.4).





                                       15


<PAGE>

                   ARTICLE VII: SALES AND TRANSFER TAXES; FEES

          All  transfer  and other  taxes and fees,  if any,  that may be due or
payable as a result of the transactions contemplated by this Agreement,  whether
levied on the  Shareholders,  IHS,  Newco or the Company,  shall be borne by the
Shareholders and Guarantors.

            ARTICLE VIII: RESTRICTIONS ON OPERATIONS OF THE COMPANIES

              8.1 NEGATIVE COVENANTS. The Shareholders and Guarantors represent,
warrant and covenant that,  except as expressly  disclosed on Schedules  hereto,
since the most recent  Financial  Statement  Date  referred  to in Section  9.15
below,  there has been no material  adverse  change in the assets,  liabilities,
financial condition, or prospects of the Company or the Subsidiary,  and neither
the Company nor the Subsidiary has:

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

                   (B)  subjected  any  Assets to any  liens,  claims,  security
interests,  pledges,  mortgages,  restrictions  on  transfer  or use  and  other
encumbrances of any kind or nature whatsoever ("LIENS");

                   (C)  entered  into any  contract or  transaction  binding the
Company or the  Subsidiary  or  Business  other  than  immaterial  contracts  or
transactions  entered into in the ordinary  course of business,  consistent with
past practice;

                   (D) incurred any  liabilities or  indebtedness  other than in
the ordinary course of business, consistent with past practice;

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

                   (F)  discharged or satisfied any Lien, 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 the Subsidiaries or Business
or Assets;

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

                                       16
<PAGE>

                   (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;

                   (J)  instituted,  settled or agreed to settle any litigation,
action or proceeding before any Governmental Authority relating to them or their
property or received any threat thereof; or

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

              8.2  CONDUCT OF BUSINESS  PENDING CLOSING.  The  Shareholders  and
Guarantors represent,  warrant and covenant that since the most recent Financial
Statement  Date  referred to in Section 9.15 below,  each of the Company and the
Subsidiary  shall  maintain its existence and conduct its business in good faith
and in the  customary  and  ordinary  course of  business  consistent  with past
practice.

           ARTICLE IX: REPRESENTATIONS AND WARRANTIES BY SHAREHOLDERS

         As a material  inducement to IHS and Newco to execute and perform their
obligations  under this  Agreement,  the  Shareholders  and  Guarantors  hereby,
jointly and  severally,  represent and warrant to IHS and Newco as follows as of
the Closing Date:

              9.1  ORGANIZATION OF COMPANIES; ENFORCEABILITY.

                   (A) The  Company  is a  corporation,  organized,  and in good
standing in the State of Florida, and is qualified to do business and is in good
standing in each other State where the nature of its business or the assets held
by it  requires  such  qualification,  and has  requisite  corporate  power  and
authority to carry on its Business as presently being  conducted,  to enter into
this  Agreement,  and to carry out and perform the terms and  provisions of this
Agreement.  Each of this Agreement and each agreement,  instrument,  certificate
and document  ("TRANSACTION  DOCUMENTS")  executed by the Company in  connection
with this Agreement or the  transactions  contemplated  hereby  constitutes  the
legal, valid and binding  obligations of the Company,  enforceable against it in
accordance with its respective terms.

                   (B)  The   Company  has  no   subsidiaries   other  than  the
Subsidiary. The Company owns, legally and beneficially and free and clear of all
Liens,  all of the issued and outstanding  capital stock of the Subsidiary.  The
Subsidiary  is a  corporation,  organized,  and in good standing in the State of
Florida,  and is qualified to do business and is in good  standing in each other


                                       17
<PAGE>

State where the nature of its  business  or the assets held by it requires  such
qualification,  and has requisite  corporate power and authority to carry on its
Business as presently being conducted.

                   (C) Each  Shareholder  that is a trust was duly  created  and
exists in accordance with the law of the State of Florida, and has the requisite
trust  power  and  authority  to  carry on its  activities  as  presently  being
conducted, to enter into this Agreement,  and to carry out and perform the terms
and provisions of this  Agreement.  This  Agreement and each of the  Transaction
Documents  executed by any  Shareholder  (whether or not such  Shareholder  is a
trust) constitutes the legal, valid and binding obligations of such Shareholder,
enforceable against it, him or her in accordance with its respective terms.

              9.2  CONSENTS.  No  authorization,   consent,  approval,  license,
exemption by, filing or registration  with any Governmental  Authority or of any
party to any contract,  agreement,  instrument,  commitment, lease, indenture or
understanding  (written, oral or implied) by which the Company or the Subsidiary
or any of the  Assets  is bound  ("CONTRACTS")  or by which any  Shareholder  or
Guarantor   or   any    Shareholder's    or   Guarantor's    assets   is   bound
("SHAREHOLDER/GUARANTOR   CONTRACTS")  is  necessary  in  connection   with  the
execution,  delivery and performance of this Agreement or any of the Transaction
Documents  by any Company or  Shareholder  or  Guarantor.  Without  limiting the
generality of the foregoing,  all necessary consents to the execution,  delivery
and  performance  of  this  Agreement  and  the  Transaction  Documents  and the
transactions  contemplated  hereby and thereby of any  beneficiary or settlor of
any Shareholder that is a trust have been obtained.

              9.3 LITIGATION.  Except as set forth on Schedule 9.3, there are no
actions,  suits or proceedings affecting the Company or the Subsidiary or any of
the Assets which are pending or threatened against the Company or the Subsidiary
or affecting any of the Company's or the Subsidiary's  properties or rights,  at
law or in equity,  or before any Governmental  Authority,  nor is the Company or
the  Subsidiary  or  any  of  their  respective  officers  or  directors  or any
Shareholder  aware of any facts which to their  knowledge  might  reasonably  be
expected to result in any such action, suit or proceeding.

              9.4 COMPLIANCE  WITH LAWS AND  CONTRACTS.  Neither the Company nor
the Subsidiary is in violation of, or in default under: any term or provision of
its  Articles  of  Incorporation  or  By-Laws;  or any  judgment,  order,  writ,
injunction,   decree,  statute,  law,  rule,  regulation,   directive,  mandate,
ordinance  or guideline  ("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"); or of any
Contract.  The  execution and delivery by the Company and each  Shareholder  and
each Guarantor of, and the  performance and compliance by each of them with this
Agreement,  and the  Transaction  Documents  and the  transactions  contemplated
hereby and thereby, does not and will not result in the violation of or conflict
with or  constitute a default  under any such term or provision or result in the
creation  of any Lien on any of the  properties  or assets of the Company or the
Subsidiary  or any  Shareholder  or  Guarantor  pursuant  to any  such  term  or
provision or any term or provision of any Governmental  Requirement by which any
Shareholder or Guarantor is bound or of any Shareholder/Guarantor Contract.

                                       18
<PAGE>

              9.5 CORPORATE ACTS AND  PROCEEDINGS.  The execution,  delivery and
performance of this  Agreement and each of the  Transaction  Documents,  and the
transactions contemplated hereby and thereby,  including the consummation of the
Merger as provided for in this Agreement, have been approved and consented to by
the Board of Directors of the Company  and, all holders of  outstanding  capital
stock of the Company,  and all action  required by any  applicable  Governmental
Requirement  by the  stockholders  of the Company with regard  thereto have been
appropriately authorized and accomplished. Any rights of appraisal or to dissent
to the Merger have been waived.

              9.6 TITLE TO ASSETS.  Except for the Assets that are held  subject
to Leases (as hereinafter  defined) the Company and the Subsidiary have good and
indefeasible  title to all of the  Assets,  free and  clear  of all  Liens.  The
Company and the Subsidiary have good and valid leasehold  interests,  subject to
no Liens, in each of the Leases.

              9.7  CONTRACTS.  Set forth on Schedule 9.7 hereto is a list of all
material  Contracts  of the  Company  and  the  Subsidiary,  including,  without
limitation, each:

                   (A) 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, or agent or group
of employees,  or any  non-competition,  non-  solicitation,  confidentiality or
similar agreement with any such person or persons;

                   (B) contract, agreement or arrangement for the acquisition or
disposition  of any assets,  property or rights  outside the ordinary  course of
business or requiring the consent of any party to the transfer and assignment of
any such assets,  property or rights (by purchase or sale of assets, purchase or
sale of stock, merger or otherwise),  that is executory or that was entered into
during the three (3) year period ending on the date hereof;

                   (C)  contract,  agreement or  commitment  which  contains any
provisions  requiring the Company or the  Subsidiary or Business to indemnify or
act for any other person or entity or to guaranty or act as surety for any other
person or entity;

                   (D) contract, agreement or commitment restricting any Company
or Business  from, or in favor of the Company or the  Subsidiary or Business 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;

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

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

                                      19
<PAGE>

                   (G) contract,  agreement or arrangement  granting a leasehold
or other  interest  in real  property or personal  property,  including  without
limitation, subleases, licenses and sublicenses (the "LEASES");

                   (H)  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 or the Subsidiary
or Business not covered by subsection (a) above;

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

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

                   (K) agreement relating to the ownership,  transfer, voting or
exercise  of other  rights  with  respect  to any  equity in the  Company or the
Subsidiary,  or any other entity,  including  without  limitation,  registration
rights agreements, voting trust agreements and shareholder and proxy agreements;

                   (L) contract,  agreement or commitment to provide services or
products, or

                   (M)  agreement  not made in the ordinary and normal course of
business and consistent with past practice, or involving consideration in excess
of $25,000 in each case,  that is not set forth in  subsections  (a) through (l)
above.

     To the best knowledge of the Company,  the  Subsidiary,  and each Guarantor
and Shareholder,  no party to any Contract is in default under any Contract. The
Shareholders  and Guarantors  have delivered to IHS true and complete  copies of
each written Contract (or a description of each oral Contract) requested by IHS.

              9.8  BROKERS.   The   Shareholders   and  the  Company  have  been
represented solely by the Broker, and as a result the Broker's Fee in the amount
of  $123,300  is payable  by the  Shareholders  to the Broker at the  Closing in
connection with the transactions  contemplated by this Agreement,  and no broker
or finder is  entitled  to any  additional  broker's  or  finder's  fee or other
commission in respect thereof based in any way on agreements,  understandings or
arrangements with any Company or Shareholder.

              9.9  EMPLOYMENT  CONTRACTS;  EMPLOYEES.  There are no Contracts of
employment  between  the  Company or the  Subsidiary  and any of its  employees,
except as set forth on Schedule 9.7(a) above. The name,  position,  current rate
of  compensation  and any vacation or holiday  pay,  sick pay,  personal  leave,
severance and any other  compensation  arrangements or fringe benefits,  of each
current employee,  sales representative,  consultant and agent of the Company or
the  


                                       20
<PAGE>

Subsidiary,  contained  on the  Schedule  of  Personnel  Payrates  and  Advances
attached  hereto  as  Schedule  9.9  is  accurate  and  complete.  No  employee,
consultant or agent of the Company or the  Subsidiary has any vested or unvested
retirement  benefits  or other  termination  benefits,  except as  described  on
Schedule  9.9.  Since the date that is two (2) years prior to the Closing  Date,
there has been no  material  adverse  change  in the  relationship  between  the
Company or the Subsidiary and its 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.  No  employees  of the
Company  or the  Subsidiary  are  represented  by any  labor  union  or  similar
organization  in connection with their  employment by or relationship  with, the
Company or the Subsidiary,  and to the knowledge of the Company, the Subsidiary,
the Guarantors and Shareholders,  there are no pending or threatened  activities
the purpose of which is to achieve  such  representation  of all or some of such
employees,  and there are no  threats  of  strikes,  work  stoppages  or pending
grievances  by any such  employees.  Neither the Company nor the  Subsidiary  is
party to any collective bargaining or other labor contracts.

              9.10  EMPLOYEE   BENEFIT  PLANS.   Neither  the  Company  nor  the
Subsidiary  has any pension,  bonus,  profit-sharing,  or  retirement  plans for
directors, officers or employees of the Business, the Company or the Subsidiary,
nor is the Company or the  Subsidiary  required to  contribute to any such plan.
Without  limiting the generality of the  foregoing,  neither the Company nor the
Subsidiary  maintains or makes contributions to, and neither the Company nor the
Subsidiary 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 the
Employee Retirement Income Security Act of 1974, as amended ("ERISA"), or to any
multi-employer  plan  subject to the terms of the  Multi-employer  Pension  Plan
Amendment Act of 1980 (the "MULTI-EMPLOYER  ACT"). Prior to the date hereof, the
only  pension,  bonus,  profit-sharing,  or  retirement  plans that have been in
effect for  directors,  officers or  employees of the Business or the Company or
the Subsidiary are set forth on Schedule 9.10 hereto (the  "TERMINATED  PLANS").
Each of such  Terminated  Plans has been terminated in accordance with the terms
of such Terminated Plans and in accordance with all  Governmental  Requirements,
including without  limitation,  ERISA. At the time of termination,  each of such
Terminated  Plans  was  fully  funded  and in  compliance  with  all  applicable
Governmental  Requirements.  Neither  the  Company  nor the  Subsidiary  has any
liability with respect to any Terminated Plan.

              9.11 INSURANCE. All inventories,  buildings and fixed assets owned
or leased by the Company or the  Subsidiary  are and will be adequately  insured
against  fire and other  casualty  through the  Closing  Date.  The  information
contained  on the Schedule of Insurance  Policies,  attached  hereto as Schedule
9.11,  is accurate and  complete.  Schedule 9.11 also sets forth any claims made
under any of the insurance  policies  referred to above or increases in premiums
therefore during the past two years. True and complete copies of all policies of
fire, liability and other forms of insurance held or owned by the Company or the
Subsidiary or otherwise in force and providing  coverage for any Business or any
of the Assets (including but not limited to medical malpractice  insurance,  and
any  state  sponsored  plan or  program  for  worker's  compensation)  have been
delivered to IHS. Such  policies are owned by and payable  solely to the Company
or the Subsidiary, and said policies or renewals or replacements thereof will be
outstanding  and duly in force at the Closing  Date,  and all premiums due on or
before the Closing Date in respect  thereof have been paid.  The Company and the
Subsidiary have purchased title insurance as set forth on Schedule 9.11.

                                       21
<PAGE>

              9.12 DISCLOSURE. No representation or warranty by any Guarantor or
Shareholder  in this  Agreement  or in any  Transaction  Document,  contains any
untrue  statement of material fact or omits to state any material fact, of which
the  Company,  the  Subsidiary,  any  Guarantor or  Shareholder  or any of their
respective  officers,  directors,  trustees or  stockholders  has  knowledge  or
notice,  required  to make  the  statements  herein  or  therein  contained  not
misleading.

              9.13 OFFICERS AND DIRECTORS OF COMPANIES.  As of the Closing Date,
the following  individuals  are all of the officers and directors of the Company
and the Subsidiary:


<TABLE>
<CAPTION>
                  Name                       Office/Position
                  ----                       ---------------

<S>                                                        <C>
                  Arthur Tepper              Director, President, Secretary
                  Joseph Valenti             Director, Vice President, Treasurer
</TABLE>

              9.14 INVENTORY AND FIXED ASSETS. The information  contained on the
Schedule of Inventory and Fixed Assets,  attached  hereto as Schedule  2.5(a) is
accurate and complete in all material respects.

              9.15 FINANCIAL  STATEMENTS.  The  Shareholders and Guarantors have
furnished IHS with the financial statements of the Company and the Subsidiary on
a  consolidated  basis  (the  "FINANCIAL  STATEMENTS")  for  the  periods  ended
[_____________________ ],  [_____________________________] and December 31, 1997
(the  "FINANCIAL  STATEMENT  DATES"),  copies  of which are  attached  hereto as
Schedule 9.15. The Financial  Statements:  (a) are in accordance  with the books
and records of the Company and the Subsidiary;  (b) fairly present the financial
condition of the Company and the Subsidiary on a consolidated basis at such date
and the results of its operations for the periods  specified;  (c) were prepared
in accordance  with all rules,  guidelines,  regulations  and laws applicable to
reporting financial condition for Federal income tax purposes applied on a basis
consistent  with prior periods (the "TAX  PRINCIPLES");  (d) with respect to all
Contracts  of the  Company or  Subsidiary,  reflect  adequate  reserves  for all
reasonably anticipated losses and costs in excess of anticipated income; and (e)
with  respect to any balance  sheets,  disclose  all of the  liabilities  of the
Company and the  Subsidiary  at the  Financial  Statement  Dates and include the
appropriate  reserves for all taxes and other accrued  liabilities,  except that
certain contingent  liabilities,  if not disclosed on such balance sheets, shall
be  considered  to be  disclosed  pursuant to this  subparagraph,  if  expressly
disclosed on Schedule 9.15 to this Agreement.  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,  consistent with past practice, except as expressly
specified therein, and such Financial Statements include all adjustments,  which
consist only of normal recurring accruals, necessary for such fair presentation.

              9.16 TAX  INFORMATION.  Each of the Company and the Subsidiary has
furnished IHS with its (a) most recent tax  registration  certificates,  and (b)
tax  returns  for  the  periods  ________________________  ,_______________  and
__________________  required  of it by each state or other  locality in which it
conducts business,  which tax returns in all instances where applicable include,
but shall not be limited to, income,  franchise taxes,  state and local tangible
personal  property  tax returns,  and state and local sales tax  returns,  which
registration  certificates and tax returns are set forth,  collectively,  



                                       22
<PAGE>

on the  Schedule  of Tax  Information,  attached  hereto as Schedule  9.16.  The
Balance Sheet included in the most recent  Financial  Statements for the Company
and  the  Subsidiary  on a  consolidated  basis  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 or the  Subsidiary.  All Taxes  payable by the Company or
the 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  or the  Subsidiary  with
respect to employee's withholding taxes have been duly made. None of the Company
or the Subsidiary has been  delinquent in the payment of any Tax,  assessment or
governmental  charge or deposit and has no tax deficiency or claim  outstanding,
proposed or assessed  against it, and there is no basis for any such  deficiency
or claim.  The federal income tax returns of the Company and the Subsidiary have
been filed with the Internal  Revenue Service for all of the fiscal years though
the year ended , and no  objections  with respect  thereto have been received by
the Company, the Subsidiary,  any Guarantor or Shareholder.  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 or the Subsidiary or any
waiver or agreement by the Company or the  Subsidiary  for the extension of time
for assessment of any Tax.  Neither the Company nor the Subsidiary is a party to
any pending  action or  proceeding,  and, to the  knowledge of the Company,  the
Subsidiary,  the  Guarantors and the  Shareholders,  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 or the Subsidiary. Neither the Company nor the Subsidiary is
a party to any tax sharing agreement or arrangement. Neither the Company nor the
Subsidiary  has  elected  to be taxed in  accordance  with  Subchapter  S of the
Internal Revenue Code of 1986, as amended.

              9.17 ADVERSE BUSINESS DEVELOPMENTS. No notice has been received by
the  Company,  the  Subsidiary,  any  Guarantor  or  Shareholder  of any  new or
substantially  expanded  firm  or  individual  engaged  in a  business  directly
competitive to the Company or the Subsidiary in its primary  service area within
six (6) months  before the date hereof that the  Company,  the  Subsidiary,  any
Guarantor or Subsidiary  reasonably believes will have a material adverse effect
on the  Business.  None of the  Company,  the  Subsidiary,  the  Guarantors  and
Shareholders has received,  either orally or in writing,  any notice specific to
it of  pending or  threatened  adverse  action  with  respect  to any  Medicare,
Medicaid,  private insurance or third party payor reimbursement method, practice
or  allowance  as to any  business  activity  engaged  in by the  Company or the
Subsidiary,   nor  has  the  Company,  the  Subsidiary,  any  Guarantor  or  any
Shareholder  received, or been threatened with, any claim for refund specific to
it in excess of $750 by a Medicare or Medicaid  carrier,  except as disclosed in
the Schedule of Proceedings attached hereto as Schedule 9.17.



                                       23
<PAGE>

              9.18 RELATIONSHIPS.  Except as disclosed on Schedule 9.18, none of
the Company,  the Subsidiary,  the Shareholders and the Guarantors,  and none of
their respective  officers,  trustees,  directors,  employees,  immediate family
members,  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 of the Company and the  Subsidiary.  Except as set
forth on Schedule  9.18, no Affiliate is  guaranteeing  the  obligations  of the
Company or the Subsidiary.

              9.19 ASSETS  COMPRISING  THE  BUSINESS.  The Assets are all of the
tangible  and  intangible  properties  (real,  personal  and mixed),  including,
without   limitation,   all  licenses,   intellectual   property,   permits  and
authorizations, and contracts that are necessary or material to the operation of
the  Businesses  as now operated.  The  quantities of inventory and supply items
included in the Assets are  reasonable  in light of the present and  anticipated
volume of the  Businesses  of the Company  and the  Subsidiary  in the  ordinary
course of the business of the Company and the  Subsidiary,  consistent with past
practice,  as determined by the  Shareholders  and  Guarantors in good faith and
consistent with past practice.

              9.20 QUESTIONABLE PAYMENTS. Neither the Company nor the Subsidiary
has, and to the knowledge of the Company,  the  Subsidiary,  the  Guarantors and
Shareholders,  none of their  Affiliates  or employees  have,  offered,  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 any 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.

              9.21 REIMBURSEMENT MATTERS. Each of the Company and the 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.
Except as disclosed on Schedule 9.21, (i) none of the Company,  the  Subsidiary,
the  Guarantors  and the  Shareholders  has  received  any  notice  of denial or
recoupment  from the  Medicare  or Medicaid  programs,  or any other third party
reimbursement  source (inclusive of managed care  organizations) with respect to
products or services  provided  by the  Company or the  Subsidiary,  (ii) to the
knowledge of the Company,  the Subsidiary,  the Guarantors and each Shareholder,
there is no basis for the assertion after the Closing Date of any such denial or
recoupment claim, and (iii) none of the Company, the Subsidiary,  the Guarantors
and the  Shareholders  has received notice from any Medicare or Medicaid program
or any other  third  party  reimbursement  source  (inclusive  of  managed  care
organizations)  of any  pending or  threatened  investigations  or surveys  with
respect to, or arising out of,  products or services  provided by the Company or
the  Subsidiary  or  otherwise,  and  to  the  knowledge  of  the  Company,  the
Subsidiary, the Guarantors and the Shareholders, no such investigation or survey
is pending, threatened or imminent.

                  9.22 ENVIRONMENTAL COMPLIANCE. Except as disclosed on Schedule
9.22, at all times during the ownership by the Company and the Subsidiary of the
Business,  such  Business has not been,  and the  Business  currently is not, in
violation of any Governmental  Requirement relating 


                                       24
<PAGE>

to  environmental  matters and no notice has ever been served upon any Guarantor
or  Shareholder  or the  Subsidiary  or the  Company,  or any of their agents or
representatives  or any prior owner of any  Business,  claiming any violation of
any Governmental  Requirement  concerning the environmental state,  condition or
quality of any real or  personal  property in any  related to the  Business,  or
requiring or calling  attention to the need for any work,  repairs or demolition
on or in  connection  with any of the real  property in order to comply with any
governmental  requirement  concerning  the  environmental  or  healthful  state,
condition or quality of the real property.

              9.23 CAPITAL  STOCK.  Schedule 9.23 sets forth a complete list and
description  of all of the  authorized  capital  stock  of the  Company  and the
Subsidiary,  the number of shares issued and  outstanding  of such capital stock
and the identity of each holder  thereof,  in each case indicating the number of
shares held.  No shares of capital  stock of the Company or the  Subsidiary  are
held in the treasury or such corporation. Each of the Company and the Subsidiary
has only one class of capital stock.  The Shareholders are the lawful record and
beneficial  owners of all of the Company  Shares as indicated on Schedule  9.23,
free and clear of all Liens, and the Company is the lawful record and beneficial
owner of all of the  issued  and  outstanding  shares  of  capital  stock of the
Subsidiary,  free  and  clear  of all  Liens,  and  all of  such  stock  is duly
authorized, validly issued, and fully paid and non-assessable.  Each Shareholder
has the full legal power to transfer  and deliver the Company  Shares  listed as
owned by him,  her or it on  Schedule  9.23.  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 the  Subsidiary  from  the  Company,  the  Subsidiary  or  from  any
Shareholder  or from any other  person,  pursuant to any provision of law or the
Articles  of  Incorporation  or By-Laws of the Company or the  Subsidiary  or by
agreement  or  otherwise.  There are not now any and, on the Closing  Date there
shall not be,  outstanding any warrants,  options,  or other rights to subscribe
for or purchase from the Company or the  Subsidiary  any shares of capital stock
of the  Company  or the  Subsidiary,  nor  are  there  and  there  shall  not be
outstanding on the Closing Date, any securities convertible into or exchangeable
for any such shares.  There are no voting  agreements,  arrangements,  trusts or
restrictions  relating  to any of the  Company  Shares or any  shares of capital
stock of the Subsidiary.

              9.24  ACCOUNTS  RECEIVABLE.   The  information  contained  on  the
Schedule of Accounts  Receivable  Data,  attached  hereto as Schedule  9.24,  is
accurate and complete.  $ of the amount set forth  thereon is fully  collectible
(without further reserve) within twelve (12) months from the Closing Date.

           ARTICLE X: REPRESENTATIONS AND WARRANTIES OF IHS AND NEWCO

         IHS and Newco represent and warrant to the Shareholders that:

              10.1 DUE ORGANIZATION.  Each of IHS and Newco is a duly organized,
valid  corporation  under  the  laws  of the  State  of  Delaware  and  Florida,
respectively.

              10.2 DUE  AUTHORITY.  Each of IHS and Newco is duly  authorized by
law and corporate policy and approval to: (a) enter into this Agreement and each
Transaction  Document;  (b) 



                                       25
<PAGE>

make all warranties and representations made by them herein; and (c) deliver all
consideration provided for under the terms hereof.

              10.3 BINDING  AUTHORITY.  All signatories and agents designated as
agents/officers for IHS or Newco for signing purposes have the authority to bind
IHS or Newco, as the case may be, to the terms of this Agreement.

              10.4 CASH PAYMENT  AUTHORITY.  IHS has the  authority to cause the
Merger  Consideration  to be  delivered  in  accordance  with the  terms of this
Agreement.

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

             ARTICLE XI: SURVIVAL OF REPRESENTATIONS AND WARRANTIES

         The representations and warranties of IHS, Newco and each Guarantor and
each Shareholder  contained or made pursuant to this Agreement shall survive the
execution of this Agreement.

                       ARTICLE XII: RESTRICTIVE COVENANTS

              12.1  NON-COMPETE.  Each  Shareholder  and each  Guarantor  hereby
agrees  that  until  the  fifth  (5th)  anniversary  of the  Closing  Date  (the
"RESTRICTED  PERIOD"),  it, he or she will not,  directly  or  indirectly,  own,
manage,  operate,  join, control or participate,  or have a proprietary interest
in, the ownership, management, operation or control, of or be connected with, in
any  manner,  any home  health  care  business  within  fifty  (50) miles of any
location  set forth on the  Schedule of  Locations  attached  hereto as Schedule
12.1.

              12.2   CONFIDENTIAL   INFORMATION.    Certain   confidential   and
proprietary  information  is  included  within  the  Assets  ("TRADE  SECRETS"),
including,  without  limitation,  with  respect to some or all of the  following
categories of information: (a) financial information,  including but not limited
to information relating to earnings,  assets, debts, prices,  pricing structure,
reimbursement  matters,  volume of  purchases or sales or other  financial  data
whether related to the Company or the Subsidiary or generally,  or to particular
products,  services,  geographic areas, or time periods;  (b) supply and service
information,  including  but not  limited to  information  relating to goods and
services, suppliers' names or addresses, terms of supply or service contracts or
of particular transactions,  or related information about potential suppliers to
the extent that such  information is not generally  known to the public,  and to
the extent that the  combination  of suppliers or use of a particular  supplier,
though  generally  known  or  available,  may  yield  advantages  to  IHS or the
Surviving  Corporation,  details of which are not generally known; (c) marketing
information,  including but not limited to information relating to details about
ongoing or  proposed  marketing  programs or  agreements  by or on behalf of the
Company or the Subsidiary,  sales forecasts,  advertising formats and methods or
results of marketing  efforts or information about impending  transactions;  (d)
personnel  information,  including  but not limited to  information  relating to


                                       26
<PAGE>

employees'  personal  or  medical  histories,  compensation  or  other  terms of
employment, actual or proposed promotions,  hirings, resignations,  disciplinary
actions,  terminations or reasons therefor,  training methods,  performance,  or
other employee information; (e) customer and patient information,  including but
not limited to information relating to names,  addresses or backgrounds of past,
existing or  prospective  clients,  customers,  payors,  referral  sources,  and
patients,  records of agreements and prices, proposals or agreements between any
of them and the  Company  or the  Subsidiary,  status  of  accounts  or  credit,
patients'  medical  histories or related  information as well as customer lists;
and (f) inventions and technological  information,  including but not limited to
information  related to  proprietary  technology,  trade  secrets,  research and
development  data,  processes,   formulae,  data  and  know-how,   improvements,
inventions,  techniques,  and information  that has been created,  discovered or
developed,  or has  otherwise  become  known  to  the  applicable  Guarantor  or
Shareholder,  and/or in which  property  rights have been  assigned or otherwise
conveyed to the Company or the  Subsidiary,  which  information  has  commercial
value in the business in which the Company or the  Subsidiary  is engaged.  Each
Shareholder  and Guarantor  shall hold all Trade Secrets in confidence  and will
not discuss, communicate or transmit to others, or make any unauthorized copy of
or use any of the Trade Secrets;  and will take all reasonable  actions that IHS
deems  reasonably  necessary  or  appropriate,  to prevent  unauthorized  use or
disclosure  of or to protect the Surviving  Corporation's  interest in the Trade
Secrets.  The foregoing does not apply to  information  that by means other than
deliberate or  inadvertent  disclosure by any Guarantor or Shareholder or any of
their  respective  Affiliates,  becomes well known to the public;  or disclosure
compelled by judicial or  administrative  proceedings  after the  Guarantors and
Shareholders  diligently  try to  avoid  each  disclosure  and  afford  IHS  the
opportunity  to  obtain  assurance  that  compelled   disclosures  will  receive
confidential treatment.

              12.3   NON-SOLICITATION  AND  NON-PIRATING.   Each  Guarantor  and
Shareholder  hereby agrees that, during the Restricted Period it, he or she will
not,  directly or  indirectly,  for itself,  himself or herself on behalf of any
other person, firm, entity or other enterprise: (a) solicit or in any way divert
or take  away any  person or  entity  that,  prior to the  Closing  Date,  was a
patient,  client,  customer,  payor, referral source, facility or patient of the
Company,  Prime or the  Subsidiary;  or (b)  hire,  entice  away or in any other
manner persuade any person who was an employee,  consultant,  representative  or
agent of the Company,  Prime or the  Subsidiary  prior to the Closing  Date,  to
alter, modify or terminate their relationship with the Surviving Corporation.

              12.4  NECESSARY  RESTRICTIONS.   Each  Guarantor  and  Shareholder
acknowledges  that the  restrictions  contained in this Agreement are reasonable
and  necessary  to protect  the  legitimate  business  interests  of IHS and the
Surviving Corporation and that any violation thereof by any of them would result
in irreparable  harm to IHS and the Surviving  Corporation,  and that damages in
the  event  of any such  breach  of this  Agreement  will be  difficult,  if not
impossible, to ascertain.  Accordingly,  each of the Guarantors and Shareholders
agrees that upon the  violation  of any of the  restrictions  contained  in this
Agreement, IHS or the Surviving Corporation shall be entitled to obtain from any
court of competent  jurisdiction a preliminary and permanent  injunction as well
as any other relief provided at law, equity,  under this Agreement or otherwise.
In the event any of the foregoing  restrictions are adjudged unreasonable in any
proceeding,  then the parties agree that the period of time or the scope of such
restrictions (or both) shall be adjusted to such a manner or for such a time (or
both) as is adjudged to be reasonable.

                                       27
<PAGE>

              12.5  REMEDIES  FOR  BREACH.   Each   Guarantor  and   Shareholder
acknowledge  that the covenants  contained in this Article XII of this Agreement
are  independent  covenants of IHS and the  Surviving  Corporation  and that any
failure by IHS or the Surviving  Corporation  to perform its  obligations  under
this Agreement or any other  agreement  shall not be a defense to enforcement of
the  covenants  contained  in this  Agreement,  including  but not  limited to a
temporary or permanent injunction.

                     ARTICLE XIII: INDEMNIFICATION; REMEDIES

              13.1   INDEMNIFICATION   BY  GUARANTORS  AND   SHAREHOLDERS.   The
Guarantors and  Shareholders  shall,  jointly and severally,  indemnify and hold
harmless at all times IHS and the  Surviving  Corporation  and their  respective
stockholders,  directors, officers, employees, agents and assigns (collectively,
the "IHS CLAIMANTS" and each an "IHS CLAIMANT", from and against any Damages (as
hereinafter  defined) resulting from: (a) any inaccurate  representation made by
any  Shareholder  or Guarantor  in,  pursuant to or under this  Agreement or any
Transaction Document;  (b) any breach of any warranty made by any Shareholder or
Guarantor in, pursuant to or under this Agreement or any  Transaction  Document;
(c)  any  breach  or  default  in the  performance  by any of the  Company,  the
Guarantors or Shareholders of any of the covenants to be performed by any of the
Shareholders,  the  Guarantors  or the Company  hereunder or in any  Transaction
Document; (d) any Closing Date Liabilities;  (e) any Liabilities Deficiency; and
(f) any Asset Value Deficiency.

              13.2 INDEMNIFICATION BY IHS. IHS shall indemnify and hold harmless
at all times each  Shareholder  and  Guarantors  from and  against  any  Damages
resulting  from:  (a) any  inaccurate  representation  made by IHS or Newco  in,
pursuant to or under this Agreement;  (b) any breach of any warranty made by IHS
or Newco in, pursuant to or under this Agreement;  and (c) any breach or default
in the  performance  by IHS or Newco of any of the  covenants to be performed by
IHS or Newco hereunder.

              13.3  DEFINITION  OF DAMAGES.  The term  "DAMAGES"  as used herein
shall include any demands, claims, actions, deficiencies, losses, delinquencies,
defaults,   assessments,  fees,  costs,  taxes,  expenses,  debts,  liabilities,
obligations, settlements, penalties, and damages, including, without limitation,
reasonable  counsel  and  arbitration  fees  incurred  in  investigating  or  in
attempting to avoid or oppose the imposition thereof.

              13.4 REMEDIES.

                  (A)  REMEDIES  OF IHS  CLAIMANTS.  If any IHS  Claimant  makes
written request to any Guarantor or Shareholder for the payment of Damages, then
such  Guarantor  or  Shareholder  shall pay to such IHS  Claimant  the amount of
Damages  requested  within ten (10) days from the date on which such  request is
received (the "NOTICE PERIOD").

                  (B)  SHAREHOLDERS'  REMEDIES.  If any Guarantor or Shareholder
makes  written  request to IHS or the Surviving  Corporation  for the payment of
Damages,  then IHS or the 



                                       28
<PAGE>

Surviving  Corporation  shall pay to such Guarantor or Shareholder the amount of
Damages requested within the Notice Period.



                  (C)  NOTICE  OF   DISPUTE.   Notwithstanding   the   foregoing
provisions  of this Section 13.4, if a party (the  "DEMANDING  PARTY")  serves a
request for payment on the other party (the  "OBLIGATED  PARTY"),  the Obligated
Party shall have the option to provide  written  notice to the  Demanding  Party
(the  "NOTICE OF DISPUTE")  within the Notice  Period that the  Obligated  Party
disputes,  in good faith,  the  validity or amount of the Damages set out in the
request for payment of Damages,  and if the affected parties cannot agree on the
validity or amount of such  Damages  within ten (10) days  following  the Notice
Period, the dispute as to the validity or amount of such claim or liability (the
"DISPUTE")  shall be  settled  as set  forth in  Section  13.5  below,  with the
non-prevailing party bearing the prevailing party's costs of arbitration if such
Dispute is resolved by arbitration.

                  (D) ARBITRATION.  If arbitration is required  pursuant to this
Section  13.4,  IHS and the  Surviving  Corporation,  on the  one  hand  and the
Shareholders'   Representative   on  behalf  of  all  of  the  Shareholders  and
Guarantors,  on the other hand, each shall select an arbitrator  within ten (10)
business  days after the Notice of Dispute is delivered;  those two  arbitrators
will then select a third  arbitrator;  and the three  arbitrators so chosen will
determine  the  validity  of the claim for Damages  (unless a single  arbitrator
shall be  agreed  to by the  applicable  parties;  in  which  case  such  single
arbitrator shall make such  determination).  If either side delays in appointing
an  arbitrator  when  required,  and ten  (10)  days or more  has  elapsed,  the
arbitrator  appointed by the other party shall arbitrate the dispute.  If any of
the Shareholders or Guarantors shall be subject to a Dispute with IHS and/or the
Surviving  Corporation,  they  shall,  unless IHS or the  Surviving  Corporation
elects  otherwise in its sole and absolute  discretion,  be required to act as a
group with  respect to any and all rights and  obligations  with  respect to the
resolution  of the Dispute as provided in this Section  13.4.  The parties agree
that any arbitration pursuant hereto shall be held in Tampa, Florida.

              13.5 SETTLEMENT OF DISPUTES.

                  (A)  DISPUTES  NOT  INVOLVING  THIRD  PARTIES.  If  a  Dispute
involves   claims  not  involving  any  third  party,   IHS  and  the  Surviving
Corporation, on the one hand, and all of the Guarantors and Shareholders, on the
other  hand,  shall  settle  the  Dispute  by  submitting  the  same to  binding
arbitration.

                  (B)  DISPUTES  INVOLVING  CLAIMS MADE BY THIRD  PARTIES.  If a
Dispute  involves  claims  made by one or more  third  parties  (a "THIRD  PARTY
CLAIM"),  the party asserting its right to indemnification  for such Third Party
Claim shall give written  notice to the other party as soon as  practical  after
such  asserting  party  receives  notice of such Third  Party  Claim;  provided,
however the failure to timely  give such  notice  shall not affect such  party's
right to indemnification except to the extent the party to receive the notice is
damaged by such delay.  Upon such notice the parties shall submit the Dispute to
arbitration, and the following procedures shall apply:

                     (I)  Solely  for   purposes   of   determining   the  party
         responsible for defending the Third Party Claim, the arbitrators  shall
         deem such Third Party Claim to be valid  (although  such  consideration
         shall  not be an  admission  by any  party as to any  liability  to any
         party).  The arbitrators  then shall decide which party shall be liable
         for the Third  Party  Claim if it is  successfully  prosecuted  by such
         third  party or parties,  and the  decision  of such  



                                       29
<PAGE>

         arbitrators  with respect to such liability  shall be final and binding
         as among the  parties.  (Such  party  determined  to be liable for such
         claim  sometimes  shall  be  referred  to  herein  as the  "RESPONSIBLE
         PARTY".)


                     (II) If the  Responsible  Party  refuses to settle (and pay
         the settlement amount of) the Third Party Claim  immediately,  then the
         Responsible  Party  immediately  shall select one of the  following two
         options:

                         Option One: The  Responsible  Party, at the Responsible
                     Party's  sole  expense and risk,  can assume the defense of
                     the Third Party Claim, provided the Responsible Party first
                     places in  escrow,  in favor of the other  party,  adequate
                     collateral   (as   determined   by   the   arbitrators   on
                     consideration  of all relevant  facts) to protect the other
                     party from all  Damages  with  respect to such Third  Party
                     Claim (in which case the other party  immediately  shall be
                     reimbursed  by the  Responsible  Party for any  amount  the
                     other party is  required to pay with  respect to such Third
                     Party Claim); or

                         Option Two: The  Responsible  Party, at the Responsible
                     Party's  expense and risk,  can  co-defend  the Third Party
                     Claim with the other party, with the Responsible Party also
                     responsible  for advancing all costs  incurred by the other
                     Party in connection with such defense,  including,  without
                     limitation,  the  legal  fees  and  expenses  of the  other
                     party's  counsel  for its  reasonable  involvement  in such
                     defense.  If the other  party is found to be liable for any
                     portion of such Third Party Claim,  the  Responsible  Party
                     immediately  shall  advance  to the other  party any amount
                     required  to be  paid  by  the  other  party  with  respect
                     thereto;  provided,   however,  if  the  Responsible  Party
                     selects this option,  the  Responsible  Party shall attempt
                     diligently  to have the other  party  removed as a party to
                     any legal action involving the Third Party Claim (and, upon
                     such removal,  the involvement of the other party's counsel
                     shall cease unless  requested by the  Responsible  Party or
                     the Responsible Party's counsel); and

                    (III) No party may settle any Third Party Claim  without the
         prior consent of the other parties  hereto unless the  settlement  will
         not have a  material  adverse  effect on the other  party  hereto.  The
         parties  will  resolve any Dispute  with  respect to any such  proposed
         settlement in accordance with this Section 13.5.

                    (IV) Any party responsible for defending a Third Party Claim
         shall proceed with diligence and in good faith with respect thereto.

             ARTICLE XIV: POST-CLOSING REQUIREMENTS OF SHAREHOLDERS
                                       30
<PAGE>




              14.1 FINAL FINANCIAL AND TAX INFORMATION.

                  (A)   Not later than thirty (30) days following  Closing,  the
Shareholders  and Guarantors,  at their sole cost and expense,  shall deliver to
IHS "FINAL AND TAX FINANCIAL INFORMATION", which shall include:

                        (I) a balance sheet of the Company and the Subsidiary on
         a  consolidated  basis  as of the  Economic  Change  Date  prepared  in
         accordance with the Tax Principles;

                        (II) an income  statement,  prepared in accordance  with
         the Tax Principles, of the Company and the Subsidiary on a consolidated
         basis for the period  commencing on the date succeeding the last day of
         the most recent  Financial  Statement  Date and ending on the  Economic
         Change Date;

                        (III) an aged  schedule  of accounts  receivable  of the
         Company and the Subsidiary as of the Economic Change Date;

                        (IV) a Cash  Settlement  Summary of the  Company and the
         Subsidiary, in form provided by Buyer;

                        (V) an  inventory of fixed assets of the Company and the
         Subsidiary as of the Economic Change Date;

                        (VI) an  inventory  of  supplies  of the Company and the
         Subsidiary as of the Economic Change Date; and

                        (VII) a Federal and State tax return for the Company and
         the Subsidiary  for the Company's and  Subsidiary's  respective  fiscal
         period ending on the Economic  Change Date, or if such a return may not
         be filed in accordance with applicable Governmental Requirements, a tax
         return  fiscal  year end  Federal  and State  income tax return for the
         Company and the Subsidiary  prepared as if the Economic Change Date was
         the last day of the fiscal year of the Company and the Subsidiary.

                  (B)  LIABILITIES  DEFICIENCY.  If all such Final Financial and
Tax  Information  is not  delivered  to IHS within  such  thirty (30) day period
following the effective  date of the merger,  the  Guarantors  and  Shareholders
shall be liable to IHS in an amount  equal to  $500.00  for each day after  such
thirty (30) day period until all such Final  Financial  and Tax  Information  is
delivered to IHS, and such liability shall  constitute a Liabilities  Deficiency
under the provisions of Section 2.7(a), above.

                                       31


<PAGE>



                            ARTICLE XV: MISCELLANEOUS

              15.1 GROUP'S REPRESENTATIVE. Each Guarantor and Shareholder hereby
designates  Arthur Tepper,  and Arthur Tepper hereby accepts the  designation as
the   representative   of  the  Guarantor  and   Shareholders   (  the  "GROUP'S
REPRESENTATIVE")  to act for and on behalf of the Guarantors and Shareholders as
provided in this Agreement. Each Shareholder and Guarantor shall be bound by all
actions taken or omitted by Group's Representative on behalf of any Guarantor or
Shareholder as provided in this  Agreement,  and each Guarantor and  Shareholder
shall be deemed to have  received  any notice  deemed  given or payment  made to
Group's  Representative  in  accordance  with  the  notice  provisions  of  this
Agreement on the date deemed  given or the date paid to Group's  Representative,
and IHS and the Surviving  Corporation  shall be entitled to rely on all notices
and consents given, and all settlements  entered into on behalf of any Guarantor
or Shareholder to the extent authorized  pursuant to the terms of this Agreement
notwithstanding  any objections  made by any Guarantor or Shareholder  prior to,
concurrently  with or  subsequent to the giving of any such notice or consent or
the settlement of any such matter.  Group's  Representative may be replaced only
if and when all of the Guarantors and  Shareholders  shall notify IHS that a new
individual  person (named in such notice) has been unanimously  selected by them
to be the new  Group's  Representative,  in which  case  such new  person  shall
thereafter be the Group's Representative.

              15.2  THIRD  PARTY  BENEFICIARIES.   Nothing  in  this  Agreement,
expressed  or  implied,  is  intended  to confer on any  person,  other than the
parties hereto, and their successors,  any rights or remedies under or by reason
of this Agreement other the affiliates  entitled to indemnification  pursuant to
Sections 13.1 and 13.2.

              15.3  EXPENSES.  Except as otherwise  stated  herein,  each of the
parties  shall  bear all  expenses  incurred  by them in  connection  with  this
Agreement  and  in  consummation  of the  transactions  contemplated  hereby  in
preparation thereof.

              15.4   NOTICES.   All   notices,   consents,   waivers  and  other
communications  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:

              to any Guarantor
              or Shareholder:     Arthur Tepper
                                  12219 Brightwater Boulevard
                                  Tampa, Florida 33617

              with a copy to:     Michael D. LaBarbera, Esq.
                                  LaBarbera, Campbell and Leto
                                  West Kennedy Legal Center
                                  1907 West Kennedy Boulevard
                                  Tampa, Florida 33606

                                       32


<PAGE>



              to IHS:             Integrated Health Services, Inc.
                                  10065 Red Run Boulevard
                                  Owings Mills, MD 21117
                                  Attn:    Marshall Elkins, General Counsel, and
                                           Elizabeth B. Kelly, Executive Vice 
                                             President

                                           and

                                  Blass & Driggs
                                  461 Fifth Avenue
                                  New York, NY 10017
                                  Attn: Andrew S. Bogen

             with a copy to:      RoTech Medical Corporation
                                  4506 L.B. McLeod Road, Suite F
                                  Orlando, FL 32811
                                  Attention: Stephen P. Griggs

              15.5 CHOICE OF LAW. The laws of the State of Florida applicable to
contracts executed, delivered and to be fully performed in such State govern the
validity  of  this  Agreement,   the   construction   of  its  terms,   and  the
interpretation of the rights and duties of the parties.

              15.6 SECTIONS AND OTHER HEADINGS.  Section,  paragraph,  and other
headings  contained in this Agreement are for reference  purposes only and shall
not affect in any way the meaning or interpretation of this Agreement.

              15.7 COUNTERPART EXECUTION.  This Agreement may be executed in two
or more  counterparts,  each of which  shall be deemed an  original,  but all of
which, together,  shall constitute but one instrument.  Facsimile signatures may
be deemed binding for this Agreement,  or any modification or amendment  hereto,
or any Transaction Documents contemplated hereby.

              15.8 GENDER.  All gender  employed in this Agreement shall include
all  genders,  and the  singular  shall  include the plural and the plural shall
include the singular whenever and as often as may be appropriate.

              15.9 PARTIES IN INTEREST.  This Agreement  shall be binding on and
shall  inure to the  benefit  of, and be  enforceable  by,  IHS,  the  Surviving
Corporation,  the Guarantors,  Shareholders and their respective  successors and
assigns.  IHS and the  Surviving  Corporation  shall be entitled to assign their
rights under this Agreement and the Transaction  Documents after the Closing. No
Shareholder  or Guarantor may assign this  Agreement or any of his or her rights
hereunder without the prior consent of IHS.

              15.10 ENTIRE AGREEMENT. This Agreement including all Schedules and
Exhibits hereto, and all Transaction  Documents  constitute the entire agreement
between the parties  hereto with respect to the subject  matter hereof and there
are no agreements, understandings,  restrictions, warranties, or representations
between the parties with respect to the subject  matter hereof other than as set
forth herein or as herein provided.

                                       33

<PAGE>



              15.11 PERFORMANCE.  In the event of a breach by any Shareholder or
Guarantor of any of its, his or her respective obligations hereunder,  IHS 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 each of the
Guarantors  and  Shareholders  hereby  waives the  defense  that there may be an
adequate remedy at law.

              15.12 WAIVER,  DISCHARGE,  ETC. This Agreement and the Transaction
Documents and the  obligations  hereunder and thereunder  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 or any  Transaction
Document 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  such  Transaction
Document,  as the case may be,  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 or any  Transaction  Document shall be held to be a waiver of any
other or subsequent breach.

              15.13 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 or 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 purpose of this Agreement.

              15.14 JOINT AND SEVERAL.  The Shareholders and Guarantors shall be
jointly  and  severally   liable  for  all   representations,   warranties   and
obligations,  including,  without limitation,  indemnification  obligations, and
covenants  made by any of them pursuant to this  Agreement,  including,  without
limitation,  any made pursuant to any Transaction Document.  For all purposes of
this Agreement,  any  representation or warranty that is qualified to be "to the
knowledge of any  Shareholder or Company or Guarantor or the Subsidiary" or by a
requirement  that the Company,  the Subsidiary,  or any Guarantor or Shareholder
shall have received "notice" of any matter, or any similar  qualification  shall
be deemed to include  the  knowledge  of the  Company,  the  Subsidiary,  or any
Guarantor or  Shareholder  or notices to the  Company,  the  Subsidiary,  or any
Guarantor or Shareholder,  as the case may be. No Guarantor or Shareholder shall
have any right of  contribution  from,  or  indemnification  by,  the  Surviving
Corporation  (as the  successor  to the  Company  and  Prime)  by reason of such
Guarantor's or  Shareholder's  prior  association with the Company or Prime as a
shareholder, employee, officer or director.

              15.15  INDEPENDENT  LEGAL COUNSEL.  Each Guarantor and Shareholder
represents  and warrants that it, he or she has had the  opportunity to seek the
advice of independent  legal counsel prior to signing this  Agreement,  and that
IHS has  recommended  to such  Guarantor or  Shareholder  that such party obtain
legal counsel.



                                       34


<PAGE>



         IN WITNESS  WHEREOF,  the  parties  have caused  this  Agreement  to be
executed as of the date first stated above.


                                                    By:/s/ Elizabeth B. Kelly
                                                       -------------------------
                                                    Name: Elizabeth B. Kelly
                                                    Title: EVP, Corporate 
                                                            Development

                                                    ROTECH OXYGEN & MEDICAL
                                                    EQUIPMENT, INC.

                                                    By: /s/ STEPHEN P. GRIGGS
                                                       -------------------------
                                                    Name: Stephen P. Griggs
                                                    Title: President

STATE OF FLORIDA
         -----------------
COUNTY OF ORANGE
         -----------------

         The foregoing  instrument  was  acknowledged  before me by,  Stephen P.
Griggs,_______________________   as  President   of  Rotech   Oxygen  &  Medical
Equipment, Inc., a Florida corporation, on behalf of the corporation, and who is
personally known to me; or has produced ______________________________________as
identification.

                                                   /s/ ELIZABETH S. BROWN
- -----------------------------------                -----------------------------
Date                                               Notary Signature

          [SEAL] ELIZABETH S. BROWN
          MY COMMISSION #CC377695 EXPIRES
                 JUNE 25, 1998
        BONDED THRU TROY FARM INSURANCE, INC.
                                                   -----------------------------
                                                   Notary Name Printed
                                                   My Commission Expires:


STATE OF MARYLAND
         -----------------
COUNTY OF BALTIMORE
         -----------------

          The foregoing  instrument was acknowledged  before me by, Elizabeth B.
Kelly,   Executive   Vice   President   of   Integrated   Health   Services,   a
________corporation,  on behalf of the corporation,  and who is personally known
to me; or has produced a driver's license as identification.

 5/10/98                                            /s/ JOYCE WALKER DULEY
- -----------------------------------                -----------------------------
Date                                               Notary Signature

          [SEAL] JOYCE WALKER DULEY
        NOTARY PUBLIC STATE OF MARYLAND  
        MY COMMISSION EXPIRES DECEMBER 24, 2000
        
                                                   /s/ JOYCE WALKER DULEY
                                                   -----------------------------
                                                   Notary Name Printed
                                                   My Commission Expires:




                                       35


<PAGE>



                                             ARTHUR TEPPER AND ELIZABETH TEPPER,
                                             AS TRUSTEES F/B/O
                                             ARTHUR TEPPER UTD 7/14/78

                                             By: /s/ ARTHUR TEPPER
                                                --------------------------------
                                             Its: Trustee

STATE OF FLORIDA
         -----------------
COUNTY OF HILLSBOROUGH
          ----------------


         The    foregoing     agreement    was     acknowledged     before    me
by,_____________________  , who is  personally  known  to  me;  or has  produced
__________________________________ as identification.



2/8/98                                      /s/ MICHAEL D. LABARBERA
- -------------------------                  -------------------------------------
Date                                       Notary Signature

                                           MICHAEL D. LABARBERA
                                           -------------------------------------
                                           Notary Name Printed
                                           My Commission Expires:
          [SEAL] MICHAEL D. LABARBERA
        NOTARY PUBLIC STATE OF FLORIDA
           COMMISSION NO. CC539722  
   MY COMMISSION EXPIRES MARCH 22, 2000


                                           THOMAS A. VALENTI, AS TRUSTEE OF THE
                                           THOMAS A. VALENTI TRUST U/A/D
                                           5/22/96

                                           By: /s/ THOMAS A. VALENTI
                                              ----------------------------------
                                           Its: TRUSTEE

STATE OF FLORIDA
COUNTY OF HILLSBOROUGH

         The   foregoing    agreement   was    acknowledged    before   me   by,
Thomas A. Valenti, Trustee, who is  personally  known  to  me;  or has  produced
______________________________ as identification.



2/6/98                                            /s/ MICHAEL D. LABARBERA
- -------------------------                         ------------------------------
Date                                              Notary Signature

                                                  MICHAEL D. LABARBERA
        [SEAL] MICHAEL D. LABARBERA               ------------------------------
      NOTARY PUBLIC STATE OF FLORIDA              Notary Name Printed
         COMMISSION NO. CC539722                  My Commission Expires:
 MY COMMISSION EXPIRES MARCH 22, 2000 



                                       37


<PAGE>


                                               JOSEPH D. VALENTI, AS TRUSTEE FBO
                                               JOSEPH D. VALENTI REVOCABLE TRUST
                                               DATED 6/10/88

  
                                               By: /s/ JOSEPH D. VALENTI
                                                  ------------------------------
                                               Its: TRUSTEE

STATE OF FLORIDA
COUNTY OF HILLSBOROUGH

          The  foregoing  agreement  was  acknowledged  before  me by  Joseph D.
Valenti,   Trustee  ,  who  is   personally   known  to  me;  or  has   produced
______________________________ as identification.



2/6/98                                            /s/ MICHAEL D. LABARBERA
- -------------------------                         ------------------------------
Date                                              Notary Signature

                                                  MICHAEL D. LABARBERA
                                                  ------------------------------
            [SEAL] MICHAEL D. LABARBERA           Notary Name Printed
          NOTARY PUBLIC STATE OF FLORIDA          My Commission Expires:
             COMMISSION NO. CC539722      
     MY COMMISSION EXPIRES MARCH 22, 2000         Arthur Tepper
    

STATE OF FLORIDA
COUNTY OF HILLSBOROUGH

         The    foregoing     agreement    was     acknowledged     before    me
by, Arthur Tepper  , who  is  personally  known  to  me;  or has  produced
___________________________________ as identification.


2/6/98                                           /s/ MICHAEL D. LABARBERA
- -------------------------                        ------------------------------
Date                                             Notary Signature

        [SEAL] MICHAEL D. LABARBERA              MICHAEL D. LABARBERA
      NOTARY PUBLIC STATE OF FLORIDA             ------------------------------
         COMMISSION NO. CC539722                 Notary Name Printed
 MY COMMISSION EXPIRES MARCH 22, 2000            My Commission Expires:




 
                                       38


<PAGE>


                                                  /s/ Joseph Valenti
                                                 -------------------------
                                                  Joseph Valenti

STATE OF FLORIDA
COUNTY OF HILLSBOROUGH


         The foregoing agreement was acknowledged before me by, Joseph Valenti ,
who is personally known to me; or has produced  ____________________________  as
identification.




         2/6/98                                   /s/ Michael D. Labarbera
- -------------------------                         ------------------------------
Date                    [OFFICIAL NOTARY SEAL]    Notary Signature


                                                  ------------------------------
                                                  Notary Name Printed
                                                  My Commission Expires:

                                                   /S/  Leann Jarczynski
                                                  ------------------------------
                                                  Leann Jarczynski


STATE OF  FLORIDA      
        ----------------------
COUNTY OF HILLSBOROUGH
         ---------------------

         The    foregoing     agreement    was     acknowledged     before    me
by,______________________  , who is  personally  known  to me;  or has  produced
_____________________________ as identification.



         2/6/98                                   /s/ Michael D. Labarbera  
- -------------------------                         ------------------------------
Date                                              Notary Signature

                         [OFFICIAL NOTARY SEAL]
                                                  ------------------------------
                                                  Notary Name Printed
                                                  My Commission Expires:


                                       39


<PAGE>


                                                        /s/ Steven G. Tepper
                                                       -------------------------
                                                        Steven Tepper

STATE OF  CALIFORNIA
COUNTY OF LOS ANGELES

         The foregoing  agreement was acknowledged  before me by, Steven Tepper,
[who is  personally  known  to me];  or has  produced  CA  Drivers'  License  as
identification.

February 5, 1998                                  /s/ Carolyn Joncas
- -------------------------                        -----------------------------
Date                                              Notary Signature

                                                  Carolyn Joncas
                                                  ------------------------------
                                                  Notary Name Printed
                                                  My Commission Expires:
                                                  Dec. 7, 2000


                                       40


<PAGE>



                                               SCHEDULES AND EXHIBITS

Schedule 1(a)(i)           -        Accounts Receivable
Schedule 1(a)(ii)          -        Inventory; Fixed Assets
Schedule 1(a)(iii)         -        Automobiles
Schedule 1(a)(v)(B)        -        Other Assets
Schedule 1(a)(v)(C)        -        Telephone Numbers
Schedule 2(a)              -        Allocation of Purchase Price
Schedule 2(b)(iv)          -        Wire Instructions
Schedule 4(a)              -        Closing Date Liabilities
Schedule 4(b)              -        Unassumed Contracts
Schedule 9(c)              -        Seller's Opinion
Schedule 12(c)             -        Liabilities
Schedule 12(g)             -        Contracts
Schedule 12(i)             -        Personnel Payrates; Employee Benefits
Schedule 12(k)             -        Insurance
Schedule 12(o)             -        Tax Returns and Financial Statements
Schedule 12(p)             -        Supplemental Tax Information
Schedule 12(q)             -        Adverse Business Developments
Schedule 12(r)             -        Relationships
Schedule 12(u)             -        Reimbursement Matters
Schedule 12(v)             -        Environmental Compliance
Schedule 15(a)             -        Locations

Exhibit 2(b)(i)            -        Escrow Agreement
Exhibit 2(b)(ii)           -        Payment Escrow Agreement



                                       41





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

                          AGREEMENT AND PLAN OF MERGER

                          DATED AS OF FEBRUARY 10, 1998

                                      AMONG

                        INTEGRATED HEALTH SERVICES, INC.

                                       AND

                     ROTECH OXYGEN & MEDICAL EQUIPMENT, INC.

                                       AND

                          PRIME MEDICAL SERVICES, INC.

              AND THE SHAREHOLDERS OF THE CONSTITUENT CORPORATIONS



<PAGE>



                                TABLE OF CONTENTS

<TABLE>
<CAPTION>
                                                                              PAGE

<S>                                                                             <C>
ARTICLE I:  MERGER...............................................................2
    1.1      Merger..............................................................2
    1.2      Merger Time.........................................................2
    1.3      Payment of Merger Consideration.....................................2
    1.4      Surviving Corporation...............................................2

ARTICLE II:  CONVERSION..........................................................3
    2.1      Consideration.......................................................3
    2.2      Conversion of Common Stock..........................................4
    2.3      Manner of Exchange..................................................4
    2.4      No Fractional Shares................................................6
    2.5      Assets..............................................................6
    2.6      Closing Date Liabilities............................................7
    2.7      Right of Offset Against the Escrow Fund.............................8

ARTICLE III:  IHS STOCK..........................................................9
    3.1      IHS Stock...........................................................9

ARTICLE IV: EMPLOYEES...........................................................14

ARTICLE V:  CLOSING.............................................................14
    5.1      Closing Date.......................................................14
    5.2      Deliveries.........................................................14

ARTICLE VI: ASSET CONDITION.....................................................15

ARTICLE VII: SALES AND TRANSFER TAXES; FEES.....................................15

ARTICLE VIII: RESTRICTIONS ON OPERATIONS OF THE COMPANIES.......................15
    8.1      Negative Covenants.................................................15
    8.2      Conduct of Business Pending Closing................................16

ARTICLE IX: REPRESENTATIONS AND WARRANTIES BY SHAREHOLDERS......................16
    9.1      Organization of Companies; Enforceability..........................16
    9.2      Consents...........................................................17
    9.3      Litigation.........................................................17
    9.4      Compliance with Laws and Contracts.................................17
    9.5      Corporate Acts and Proceedings.....................................17
    9.6      Title to Assets....................................................18
    9.7      Contracts..........................................................18
    9.8      Brokers............................................................19
</TABLE>



                                       (i)


<PAGE>


<TABLE>

<S>                                                                             <C>
    9.9      Employment Contracts; Employees....................................19
    9.10     Employee Benefit Plans.............................................20
    9.11     Insurance..........................................................20
    9.12     Disclosure.........................................................20
    9.13     Officers and Directors of Companies................................20
    9.14     Inventory and Fixed Assets.........................................21
    9.15     Financial Statements...............................................21
    9.16     Tax Information....................................................21
    9.17     Adverse Business Developments......................................22
    9.18     Relationships......................................................22
    9.19     Assets Comprising the Business.....................................22
    9.20     Questionable Payments..............................................22
    9.21     Reimbursement Matters..............................................23
    9.22     Environmental Compliance...........................................23
    9.23     Capital Stock......................................................23
    9.24     Accounts Receivable................................................24

ARTICLE X: REPRESENTATIONS AND WARRANTIES OF IHS AND NEWCO......................24
    10.1     Due Organization...................................................24
    10.2     Due Authority......................................................24
    10.3     Binding Authority..................................................24
    10.4     Cash Payment Authority.............................................24
    10.5     Brokers............................................................24

ARTICLE XI: SURVIVAL OF REPRESENTATIONS AND WARRANTIES..........................24

ARTICLE XII: RESTRICTIVE COVENANTS..............................................24
    12.1     Non-Compete........................................................24
    12.2     Confidential Information...........................................25
    12.3     Non-Solicitation and Non-Pirating..................................25
    12.4     Necessary Restrictions.............................................26
    12.5     Remedies for Breach................................................26

ARTICLE XIII: INDEMNIFICATION; REMEDIES.........................................26
    13.1     Indemnification by Shareholders....................................26
    13.2     Indemnification by IHS.............................................26
    13.3     Definition of Damages..............................................26
    13.4     Remedies...........................................................27
    13.5     Settlement of Disputes.............................................27

ARTICLE XIV: POST-CLOSING REQUIREMENTS OF SHAREHOLDERS..........................29
    14.1     Payment Escrow.....................................................29
    14.2     Final Financial and Tax Information................................29

</TABLE>


                                      (ii)


<PAGE>


<TABLE>
<S>                                                                            <C>
ARTICLE XV: MISCELLANEOUS.......................................................30
    15.1    Group's Representative..............................................30
    15.2    Third Party Beneficiaries...........................................31
    15.3    Expenses............................................................31
    15.4    Notices.............................................................31
    15.5    Choice of Law.......................................................31
    15.6    Sections and Other Headings.........................................32
    15.7    Counterpart Execution...............................................32
    15.8    Gender..............................................................32
    15.9    Parties in Interest.................................................32
    15.10   Entire Agreement....................................................32
    15.11   Performance.........................................................32
    15.12   Waiver, Discharge, Etc..............................................32
    15.13   Cooperation Further Assistance......................................32
    15.14   Joint and Several...................................................33
    15.15   Independent Legal Counsel...........................................33
</TABLE>



                                      (iii)


<PAGE>



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

                          AGREEMENT AND PLAN OF MERGER

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


         This Agreement and Plan of Merger (this  "AGREEMENT") is made as of the
10th day of February,  1998, among INTEGRATED HEALTH SERVICES, INC., a
Delaware corporation ("IHS"), ROTECH OXYGEN & MEDICAL EQUIPMENT, INC., a Florida
corporation ("NEWCO"),  PRIME MEDICAL SERVICES, INC. (the "COMPANY"),  ELIZABETH
TEPPER ("TEPPER"), LEE T. MCCARGER ("MCCARGER"),  BERNICE BRIERLEY ("BRIERLEY"),
LEANN JARCZYNSKI  ("JARCZYNSKI",  together with Tepper,  McCarger, and Brierley,
the "SHAREHOLDERS" and each a "SHAREHOLDER").

         WHEREAS,  the Company  operates a home  respiratory and durable medical
equipment business in the State of Florida (the "BUSINESS"); and

         WHEREAS,  the Shareholders own all of the issued and outstanding shares
of  common  stock of the  Company,  par  value $1 per  share  ("PRIME  STOCK" or
"COMPANY SHARES"); and

         WHEREAS,  concurrently  herewith,  IHS and Newco are  entering  into an
Agreement  and Plan of Merger (the  "MEDAIDS  MERGER  AGREEMENT")  with Medicare
Convalescent  Aids  of  Pinellas,   Inc.,  d/b/a  Medaids  ("MEDAIDS")  and  its
stockholders,  pursuant to which,  among other  things,  Medaids is being merged
with and into  Newco  upon the terms and  subject  to the  conditions  set forth
therein; and

         WHEREAS, Newco is an indirectly wholly owned subsidiary of IHS;

         WHEREAS, the Boards of Directors of IHS, Newco, and the Company deem it
advisable to merge the Company and Medaids with and into Newco  pursuant to this
Agreement and the Medaids Merger Agreement (the "MERGER");

         WHEREAS, pursuant to the Merger each outstanding share of capital stock
of Prime (each a "PRIME SHARE",  and collectively,  the "PRIME SHARES") shall be
converted  into the right to receive the Merger  Consideration  (as  hereinafter
defined); and

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

         WHEREAS,  all of the  holders  of  capital  stock in the  Company  have
approved  this  Agreement  and  the  plan of  merger  described  herein  and the
transactions contemplated hereby in accordance with all applicable laws, and the
Company's Certificate of Incorporation and By-laws; and

         WHEREAS,  the  Shareholders  have obtained all consents of Governmental
Authorities  (as  such  term  is  hereinafter  defined)  and all  third  parties
necessary to the consummation of the transactions contemplated hereby; and




<PAGE>



         NOW, THEREFORE, each of the Shareholders,  Newco, IHS, and the Company,
intending to be legally bound, agree as follows:

                                ARTICLE I: MERGER

         1.1 MERGER.  Upon the terms and subject to the  conditions set forth in
this Plan of Merger and in accordance  with the General  Corporation  Law of the
State of Florida  (the  "FBCA"),  at the Merger  Time (as defined  herein),  the
Company and Medaids shall be merged with and into Newco in  accordance  with the
provisions of Section 607.1101,  et al of the FBCA. In furtherance  thereof,  on
the Closing Date the Company and Newco  (together with Medaids),  shall execute,
deliver,  and  cause to be filed  with the  Secretary  of State of the  State of
Florida,  the Articles and Plan of Merger in the form of Exhibit 1.1 hereto (the
"PLAN OF MERGER" or  "ARTICLES  OF  MERGER").  Following  the Merger  Time,  the
separate  existence  of the  Company and Medaids  shall  cease,  and Newco shall
continue  as the  surviving  corporation  in the Merger  (hereinafter  sometimes
referred  to  as  the  "SURVIVING   CORPORATION")  as  a  business   corporation
incorporated  under the laws of the  State of  Florida  under  the name  "ROTECH
OXYGEN & MEDICAL EQUIPMENT, INC. D/B/A MEDAIDS", and shall succeed to and assume
all the rights and  obligations of the Company,  Medaids and Newco in accordance
with the FBCA.

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

         1.3  PAYMENT OF MERGER  CONSIDERATION.  IHS agrees that  following  the
Closing (as defined in Section 5.1,  below),  it will make payment of the Merger
Consideration  (as defined in Section 2.1(d)) to the extent set forth in, and in
accordance with the terms of, this Agreement.

         1.4  SURVIVING CORPORATION.

              (A) CERTIFICATE OF INCORPORATION. The Certificate of Incorporation
of Newco as in  effect  immediately  prior to the  Merger  Time (as such term is
defined  in  Section  2.2)  shall be the  Certificate  of  Incorporation  of the
Surviving  Corporation  until duly amended in accordance  with the terms thereof
and of the FBCA.

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

              (C)  DIRECTORS.  The  directors of Newco at the Merger Time shall,
from and after the Merger Time, be the  directors of the  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 Surviving Corporation's Certificate of Incorporation and By-laws.



                                        2


<PAGE>



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

              (E)  FURTHER  ACTION.  If at any time after the Merger  Time,  IHS
shall consider that any further  deeds,  assignments,  conveyances,  agreements,
documents,  instruments,  or assurances in law or any other things are necessary
or desirable to vest, perfect,  confirm, or record in the Surviving  Corporation
the title to any property, rights,  privileges,  powers, and franchises of Newco
by reason of, or as a result  of,  the  merger,  or  otherwise  to carry out the
provisions of this Agreement and the Plan of Merger, the officers of Newco shall
execute and deliver,  upon IHS'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 Surviving
Corporation, and otherwise to carry out the provisions of this Agreement and the
Plan of Merger.

              (F) The Plan of Merger  includes  the merger of  Medaids  with and
into  Newco,  and the payment of merger  consideration  to the  shareholders  of
Medaids. Each Shareholder represents, warrants and agrees that it, he or she has
reviewed  the Plan of  Merger,  and it, he or she hereby  approves  such Plan of
Merger.

                             ARTICLE II: CONVERSION

         2.1 CONSIDERATION. For purposes of this Agreement the terms:

              (A) (I) "MERGER CONSIDERATION" shall mean ONE MILLION FOUR HUNDRED
     THOUSAND DOLLARS ($1,400,000) plus the Additional Amount(as defined below).

                  (II) "PRIME CASH MERGER  CONSIDERATION" shall mean $280,000 of
     the Merger Consideration, and shall be paid in cash.

                  (III)  "PRIME IHS STOCK MERGER  CONSIDERATION"  shall mean the
     balance of the Merger  Consideration,  and shall be paid by the delivery of
     shares of common stock,  par value $.001,  of IHS ("IHS  SHARES")  having a
     value equal to such amount as determined in accordance  with Section 3.1(a)
     below.

                  (IV)  "ADDITIONAL  AMOUNT"  shall mean the amount of cash plus
     cash  equivalents  included in the Assets as of the Economic Date Date. The
     Shareholders represent,  warrant and covenant that the Additional Amount is
     $54,000 (the "REPRESENTED  AMOUNT").  If the actual Additional Amount shall
     be less than the  Represented  Amount,  the  Shareholders  shall  cause the
     Paying  Agent  to  immediatley   pay  such   deficiency  to  the  Surviving
     Corporation.  The  Additional  Amount shall not include any tax refunds for
     Federal,  State or local  income  taxes  paid by the  Company  prior to the
     Closing  in  respect  of  income  prior  to the  Closing  ("TAX  REFUNDS");
     provided,  however, that the Surviving Corporation shall pay to the Group's
     Representative  (for  distribution  to the  Shareholders in accordance with
     their respective  Proportionate Amounts) an amount equal to any Tax Refunds
     actually collected by the Surviving Corporation after the Closing.



                                        3


<PAGE>




              2.2 CONVERSION OF COMMON STOCK. At the Merger Time:

                  (A) each Prime  Share which is issued and  outstanding  at the
Merger  Time  shall by reason of the  Merger,  without  any action by the holder
thereof,  be  converted  into  the  right to  receive,  in  accordance  with the
procedures   hereinafter  described,  a  Proportionate  Amount  (as  hereinafter
defined)  of the  Prime  Cash  Merger  Consideration  and of the Prime IHS Stock
Merger Consideration;

                  (B) each share of capital stock of Medaids which is issued and
outstanding at the Merger Time shall by reason of the Merger, without any action
by the holder thereof, be converted into the right to receive cash and shares of
IHS Stock in the amounts,  and in accordance with the  procedures,  described in
the Plan of Merger; and

                  (C) each share of Newco common stock  outstanding  immediately
prior to the Merger Time shall be unaffected by the Merger and shall continue to
be held by a direct or indirect wholly owned subsidiary of IHS.

         For purposes of this Agreement: the "PROPORTIONATE AMOUNT" to which any
Prime Share shall be entitled shall be a fraction,  the numerator of which shall
be one, and the  denominator  of which shall be the total number of Prime Shares
issued and  outstanding at the Merger Time,  other than shares,  if any, held in
treasury.

              2.3 MANNER OF EXCHANGE.  The Merger Consideration shall be paid as
follows:

                  (A) At  Closing,  IHS  Shares  (the  "ESCROWED  SHARES" or the
"ESCROW FUND") having an aggregate value  (determined in accordance with Section
3.1(a) hereof) equal to One Hundred Forty Thousand  Dollars  ($140,000) shall be
delivered to CoreStates Bank, N.A., as escrow agent ("ESCROW AGENT"), to be held
by Escrow Agent during the Escrow Period (as defined in Section 2.7(d),  below),
pursuant to the terms of an Escrow  Agreement,  in the form  attached  hereto as
Exhibit 2.3(a) (the "ESCROW AGREEMENT"). The Escrowed Shares shall be subject to
the  provisions of Section 2.7 hereof.  A  Proportionate  Amount of the Escrowed
Shares shall be delivered by each Shareholder.

                  (B) At  Closing,  one  hundred  thirty  seven  thousand  eight
hundred fourteen & no/00  ($137,814.00)  of the Prime Cash Merger  Consideration
shall be paid and  delivered  to the "PAYING  AGENT"  designated  by the Group's
Representative   (as  hereinafter   defined  in  Section  15.1)  and  reasonably
satisfactory to IHS, to be held and administered pursuant to the "PAYMENT ESCROW
AGREEMENT" attached hereto as Exhibit 2.3(b). Attached hereto as Schedule 2.3(b)
are the wire  instructions  for delivery of such cash to the Paying Agent.  Such
cash shall be subject to the provisions of Section 14.1 hereof.  A Proportionate
Amount of the amount payable to the Paying Agent shall be delivered on behalf of
each Shareholder.



                                        4


<PAGE>



                  (C) At Closing,  Sixty Nine Thousand  Seven Hundred  ($69,700)
Dollars  of the  Cash  Merger  Consideration  shall be paid,  on  behalf  of the
Shareholders,  to Steven Richards & Associates  Inc. (the "BROKER"),  in cash in
full  satisfaction of all fees and  compensation due to the Broker in connection
with the  transactions  contemplated  by this Agreement  (the  "BROKER'S  FEE").
Attached  hereto as Schedule  2.3(c) are the wire  instructions  for delivery of
such cash to the Broker. The Shareholders  represent and warrant to IHS that the
Broker has acted as the  Shareholders'  representative  and broker in connection
with the transactions contemplated by this Agreement, and authorizes and directs
IHS to withhold such sum from the Prime Cash Merger  Consideration  and disburse
such sum directly to the Broker.  A Proportionate  Amount of the cash payable to
the Broker shall be made on behalf of each Shareholder.

                  (D) The balance of the Prime Cash Merger Consideration and the
balance  of the Prime IHS Stock  Merger  Consideration  shall be  payable to the
Shareholders  and shall be paid in accordance with the procedure set forth below
in Section 2.3(e).  Attached hereto as Schedule 2.3(d) are the wire instructions
for  delivery  of such  cash to the  Shareholders.  Each  Shareholder  shall  be
entitled to a Proportionate Amount of such cash.

                  (E) The Shareholders  represent and warrant that in accordance
with the  provisions  of  subsection  (a)  above,  the Merger  Consideration  is
required to be distributed as set forth on Schedule 2.3(e). Upon delivery to IHS
of stock  certificates  representing  any Company Shares,  together with a fully
completed and executed  letter of  transmittal  in the form of Exhibit 2.3(e) (a
"LETTER OF  TRANSMITTAL"),  IHS shall  promptly  pay to, or on behalf  of,  each
person  entitled  thereto  the  amount  of cash and shall  deliver  certificates
representing the number of shares to which such person is entitled,  as provided
on  Schedule  2.3(e).  No  interest  will  be  paid  or  accrued  on any  Merger
Consideration  payable upon the surrender of any  certificate or certificates or
other  instruments.  If payment is to be made to a person  other than the one in
whose name the  certificate or other  instrument  surrendered is registered,  it
shall be a condition  of payment to such other  person that the  certificate  or
instrument so surrendered shall be properly endorsed or otherwise in proper form
for transfer and that the person requesting such payment shall pay any transfer,
stamp or other taxes  required  by reason of the payment to a person  other than
the  registered  holder of the  certificate or other  instrument  surrendered or
establish  to the  satisfaction  of IHS that  such  tax has been  paid or is not
applicable.  Until surrendered in accordance with the provisions of this Section
2.3(e),  the certificate or certificates or instruments  which immediately prior
to the Merger Time  represented  issued and  outstanding  Company  Shares  shall
represent  for all purposes  the right only to receive the Merger  Consideration
set forth in this  Agreement.  After the Merger Time,  there shall be no further
registration of transfers on the records of the Company of any Company Shares.

                  (F)  Subject to the terms and  conditions  of this  Agreement,
each party hereto  approves and agrees to the Plan of Merger and shall  execute,
deliver and file, or shall cause to be executed,  delivered and filed,  all such
consents,  instruments,  covenants,  agreements,  certificates  and documents as
shall be  necessary  to  effectuate  the Merger on the Closing  Date,  including
without limitation, one or more Articles of Merger.

                  2.4  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  Company  Shares,  and  such
fractional share interests will not entitle the owner thereof to vote or to



                                        5


<PAGE>



any rights of a stockholder of IHS.  Notwithstanding any other provision of this
Agreement,  each  holder of Company  Shares  exchanged  pursuant  to the Merger,
(after  taking  into  account  all  certificates   representing  Company  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.

                  2.5  ASSETS.  As of January  30,  1998 (the  "ECONOMIC  CHANGE
DATE"),  the assets  (collectively,  the  "ASSETS")  of each of the Company will
include the following:

                     (A) INVENTORY; FIXED ASSETS. All inventory and fixed assets
of its Business, including, without limitation, all of the same set forth on the
Schedule of Inventory and Fixed Assets attached hereto as Schedule 2.5(a); and

                     (B) ACCOUNTS RECEIVABLE.  All of the accounts receivable of
its Business  including,  without limitation those described on Schedule 2.5(b);
and

                     (C) MOTOR  VEHICLES.  All motor  vehicles of its  Business,
including without limitation, all of the same set forth on the Schedule of Motor
Vehicles attached hereto as Schedule 2.5(c); and

                     (D) PROPERTY RIGHTS. All Leases (as hereinafter  defined in
paragraph  9.7(g)),  easements  and  rights  of  way  permitting  access  to its
Business; and

                     (E) CASH AND CASH  EQUIVALENTS.  The amount of cash and the
cash  equivalents  identified on Schedule 2.5(e) hereto,  together with the bank
accounts related thereto.

                     (F) OTHER ASSETS. All other assets of any kind, tangible or
intangible,  real,  personal  or  mixed,  owned  and used or held for use by the
Company in connection with its Business,  including,  without limitation, all of
the following:  (i) the Patients' List of the Business, as described in Schedule
2.5(f)(i);  (ii) the  telephone  numbers  listed on the  Schedule  of  Telephone
Numbers and Licenses attached hereto as Schedule 2.5(f)(ii);  (iii) all personal
property, machinery and equipment; (iv) all of the Company's prepaid assets; (v)
all of the Company's rights under contracts,  agreements, and instruments;  (vi)
any assets of the Company used in the operation of the  Business,  but not owned
by the Company;  (viii) all  intangible  rights of the Company of every kind and
description  used in, or held for use in connection  with,  the operation of its
Business,  including,  without  limitation,  all intangible  assets,  and to the
extent  permitted by applicable law, all licenses,  permits and  authorizations;
(ix) the security  deposits listed on Schedule  2.5(f)(ix),  and (x) each of the
Company's  Certificate  of  Incorporation,  qualification  to do business in any
jurisdiction,  taxpayer  identification  number,  minute books,  stock  transfer
records and other  documents  related  specifically  to the Company's  corporate
organization  and  maintenance.  

             2.6  CLOSING DATE  LIABILITIES.  

                  (A) The  Shareholders  jointly  and  severally  represent  and
warrant that, to the best of their knowledge and belief after diligent  inquiry,
all liabilities of the Company as of the



                                        6
<PAGE>

Economic  Change Date are listed on the Schedule of Liabilities  attached hereto
as Schedule 2.6 (a). For purposes of this Agreement "LIABILITIES" shall mean and
include all claims, lawsuits,  liabilities,  obligations or debts 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,  the Company,  claims for breach of contract,  any
claims of any kind asserted by patients,  former  patients,  employees or former
employees  of the Company or any other party that are based on acts or omissions
occurring on or before the Closing  Date,  amounts due or that may become due in
connection  with the  participation  of the Company in the  Medicare or Medicaid
programs or due to any other health care reimbursement or payment  intermediary,
or that may be due by the  Company  to any other  third  party  payor,  accounts
payable,  notes payable,  trade payables,  lease  obligations,  indebtedness for
borrowed money, accrued interest, and contractual obligations.  The Shareholders
acknowledge that the amount of the Merger  Consideration  for the Company Shares
is  based  on  the  accuracy  of  the  representations  and  warranties  of  the
Shareholders  contained in this  Agreement,  including,  but not limited to, the
representations and warranties contained in this Section 2.6(a).

                  (B) At the Closing, pursuant to an assumption agreement in the
form of Schedule 2.6(b) hereto (the  "ASSUMPTION  AGREEMENT"),  the Shareholders
will assume, jointly and severally, each liability of the Company arising out of
facts or circumstances  existing as of the Economic Change Date,  whether or not
disclosed or known on the Closing Date (the  "CLOSING  DATE  LIABILITIES"),  and
will agree to satisfy all of the Closing Date Liabilities that are not satisfied
pursuant to Section 14.1, below, as the same become due.

                  (C) Without  limiting  the  generality  of the  provisions  of
subsection (b) above, the Closing Date Liabilities shall include all liabilities
under any  Contracts  (as  hereinafter  defined) to the extent such  liabilities
arise out of facts or  circumstances  or obligations to be satisfied on or prior
to the Economic Change Date, all Taxes (as such term is defined in Section 9.16)
that  arise out of the  transactions  contemplated  hereby or out of any  income
earned by the Company on or prior to the Merger Time, and the Broker's Fee.

                  (D) Newco and IHS agree that the obligations  (the "CONTINUING
OBLIGATIONS")  arising  out of  services  or  products  or other  benefits to be
provided to the Surviving Corporation after Closing under Contracts that are not
terminated on or prior to Closing shall be the  responsibility  of the Surviving
Corporation   after  the  Closing,   and  shall  not  constitute   Closing  Date
Liabilities,  and  Newco  and IHS  shall  indemnify  and hold  each  Shareholder
harmless from and against any Damages (as  hereinafter  defined in Section 13.3)
arising out of any of such Continuing Obligations.

                  (E) Additional  Assets and Liabilities.  (i) The parties agree
that  the  Assets  also  shall  include  all of the  assets  arising  out of the
operation of the Business  during the period  commencing on the Economic  Change
Date and  terminating  on the Closing  Date (the  "INTERIM  PERIOD"),  including
without limitation, any accounts receivable generated (whether or not billed)



                                        7


<PAGE>



during the Interim Period (the "INTERIM PERIOD RECEIVABLES"), any cash collected
in respect of any accounts  receivable,  and any inventory or equipment acquired
by the Company  during such Interim  Period in connection  with the operation of
the Business.  Notwithstanding  the foregoing,  the Assets shall not include any
non-material  tangible  assets (such as inventory or supplies)  used or disposed
of, or any cash  expended,  in each case for the benefit of the  Business in the
ordinary  course of business  consistent  with past practice  during the Interim
Period. Any cash collected in respect of accounts receivable of the Company that
were in existence as of the Economic  Change Date shall be applied to reduce the
Shareholders obligations under Section 2.7(a)(ii) below.

                  (ii)  The  parties   further   agree  that  the  Closing  Date
Liabilities  shall not include any accounts  payable,  payroll expenses or other
expenses  incurred by the Company  during the Interim  Period for the benefit of
the Business in the ordinary course of business consistent with past paractice.

          2.7     RIGHT OF OFFSET AGAINST THE ESCROW FUND.

                  (A) EVENT OF DEFICIENCY. If:

                      (I) the Surviving  Corporation or IHS pays for any Closing
         Date Liabilities (a "LIABILITIES DEFICIENCY"); or

                      (II)  the  aggregate  value  of  all  of  the  collectible
         accounts receivable of the Company as of the Closing Date is determined
         to be less than $1, as  determined  by actual net cash  collections  of
         such  receivables  during the  twelve  (12)  month  period  immediately
         following  the Closing  Date (an "ASSET  VALUE  DEFICIENCY")  (it being
         understood that until the earlier to occur of (x) the first anniversary
         of the  Closing  Date;  and (y) the date on which their is no longer an
         Asset Value Deficiency, the Surviving Corporation will use the accounts
         receivable  computer system  currently used by the Company for purposes
         of  recording,  resubmitting  and  collecting  the accounts  receivable
         included  in the  Assets,  and upon  reasonable  request of the Group's
         Representative,  the  Surviving  Corporation  shall  provide  him  with
         reasonable  information  regarding the status of the collection of such
         accounts  receivable,  and will  permit the Group's  Representative  to
         pursue the  collection of such  receivables  on behalf of the Surviving
         Corporation  or, in lieu thereof (in the  discretion  of the  Surviving
         Corporation), the Surviving Corporation shall assign, without recourse,
         such receivables to the Group's  Representative  in  consideration  for
         payment to the  Surviving  Corporation  of the face  amount  thereof in
         cash, in each case,  unless the Surviving  Corporation shall reasonably
         determine that the Group's  Representative's pursuit of such collection
         may have a material adverse effect on the Surviving Corporation); or

                      (III) any IHS Claimant (as defined in Section  13.1) shall
         be entitled to be indemnified  for any Damages (as such term is defined
         in Section 13.3) pursuant to this Agreement  ("INDEMNIFICATION CLAIMS",
         and together  with any  Liabilities  Deficiencies,  and any Asset Value
         Deficiencies, collectively "CLAIMS" and each, a "CLAIM");



                                        8


<PAGE>



         then,  and in any of such  events,  the  applicable  IHS  Claimant  may
         provide written notice to the Group's  Representative  of the Claim, in
         which case such IHS Claimant shall be entitled to recover the amount of
         such Claim in accordance with the following procedure.

                      (B)  PROCEDURE  IF  SHAREHOLDERS   FAIL  TO  PAY.  If  any
         Shareholder  fails  to pay any  Claim  in full  to any  applicable  IHS
         Claimant  within twenty (20) days from the date of such written  notice
         (said  twenty  (20) day period  hereinafter  referred to as the "NOTICE
         PERIOD"),  such IHS Claimant shall have the right to offset against the
         Escrow Fund, in accordance  with the terms and conditions of the Escrow
         Agreement,  in  amounts  from time to time  equal to the amount of such
         Claim (subject,  however, in the case of a "DISPUTE", to the provisions
         of Section 13.4 hereof applicable thereto), and each Shareholder agrees
         to any such offset.  The right of the IHS Claimants to proceed  against
         the Escrow Fund shall not be  exclusive of any other rights or remedies
         that they may have under this Agreement, law, equity or otherwise.

                     (C) ESCROW  COSTS.  The fees of the Escrow  Agent  shall be
         borne by the IHS.

                     (D) ESCROW PERIOD.

                         (I) The "ESCROW  PERIOD"  shall  terminate on the first
              anniversary of the Closing Date.

                         (II) The balance,  if any, of the Escrow Fund remaining
              (the  "REMAINING  ESCROW  FUNDS") at the close of  business on the
              last day of the  Escrow  Period,  shall be  delivered  to  Group's
              Representative for further distribution to the Shareholders within
              fifteen (15) days after the last day of the Escrow Period.

                         (III)   Notwithstanding   anything   to  the   contrary
              contained  in this  subsection  (d),  if any Claim made by any IHS
              Claimant is in dispute at the time that any amounts are  otherwise
              to be delivered to the  Shareholders'  Representative,  then there
              shall be withheld from such amount to be delivered and there shall
              be retained in the Escrow  Fund,  a number of IHS Shares such that
              there will be  remaining in the Escrow Fund a number of IHS Shares
              having a value  (determined  in  accordance  with  Section  3.1(a)
              hereto)  equal to at least twice the amount of the Claim  asserted
              by the IHS Claimant  until the final  settlement  of such Claim or
              Claims.

                     (E) VALUE OF ESCROWED  SHARES.  For purposes of determining
the number of IHS Shares to be  delivered  to any IHS Claimant in respect of any
Claim, the IHS Shares shall be valued in accordance with Section 3.1(a) hereof.

                             ARTICLE III: IHS STOCK

              3.1 IHS STOCK. A portion of the Merger  Consideration equal to ONE
MILLION ONE HUNDRED SEVENTY FOUR THOUSAND DOLLARS  ($1,174,000) shall be payable
by means of the delivery of IHS Shares in accordance with the following:



                                        9


<PAGE>



                     (A) SHARE  VALUE.  The  number of IHS  Shares  issuable  at
Closing (the "CLOSING DATE SHARE COUNT") or deliverable to any IHS Claimant from
the Escrow Fund shall be  calculated  based upon a price per share of such stock
equal to $29.859.

                     (B)  REGISTRATION  RIGHTS.  IHS  will  prepare  and use its
reasonable commercial efforts to cause to be filed within one-hundred and twenty
(120) days following the Closing Date,  and will use its  reasonable  commercial
efforts to have declared  effective by the  Securities  and Exchange  Commission
(the  "COMMISSION"),  a registration  statement for the  registration of the IHS
Shares issued to the Shareholders in connection with this transaction, including
the  shares,   if  any,   issuable  under  Section  3.1(c)  in  respect  of  any
re-calculation  of the Closing Date Share  Count,  under the  Securities  Act of
1933,  as  amended  (the   "SECURITIES   ACT"),   and  IHS  shall  maintain  the
effectiveness of each such  registration  statement for a period of one (1) year
following the date it became effective (the "REGISTRATION  DATE"), except to the
extent that an exemption from registration may be available.

                     (C)  SHARE   ADJUSTMENT.   Promptly   following  the  Share
Adjustment Date (as hereinafter  defined),  the number of shares  deliverable as
part of the Merger  Consideration (and that have not previously been transferred
by any Shareholder)  shall be re-calculated  based upon the average closing NYSE
price for IHS Shares for the  20-trading  day period  immediately  preceding the
first anniversary of the Closing Date (the "RECALCULATED VALUE"),  provided that
such  adjustment  shall be made only if the result  shall be an  increase in the
number  of  shares  issuable  to the  Shareholders.  If the  number of shares as
re-calculated under this subsection (c) (the "ADJUSTED SHARE COUNT") exceeds the
Closing  Date Share  Count,  IHS  promptly  shall  deliver  over to the  Group's
Representative an additional number of IHS Shares as shall have a value equal to
the amount of such excess  (using the  Recalculated  Value for  determining  the
number of such IHS Shares to be delivered),  and such additional shares shall be
included  in  the   aforementioned   registration   statement   by  means  of  a
post-effective  amendment  thereto.  In lieu of delivering  additional shares as
aforesaid, IHS may, in its sole discretion, elect to deliver cash to the Group's
Representative  (for  distribution  to the  Shareholders)  in the amount of such
excess.  If the Closing Date Share Count  exceeds the Adjusted  Share Count,  no
adjustment  shall be made. For purposes  hereof,  "SHARE  ADJUSTMENT DATE" shall
mean the earlier to occur of: (x) the first  anniversary of the Closing Date; or
(y) the day  preceding  the date,  if any,  on which all issued and  outstanding
shares of IHS Stock are to be split,  reverse  split,  exchanged,  converted  or
otherwise  recharacterized  pursuant  to  any  plan  of  merger,  consolidation,
reorganization or other corporate restructuring.

                     (D)  REGISTRATION  EXPENSES.   Shareholders  shall  not  be
responsible  for,  and IHS shall  bear,  all of the  reasonable  expenses of IHS
related  to such  registration  including,  without  limitation,  the  fees  and
expenses  of its  counsel  and  accountants,  all of its other  costs,  fees and
expenses  incident to the preparation,  printing,  registration and filing under
the  Securities  Act  of the  registration  statement  and  all  amendments  and
supplements   thereto,  the  cost  of  furnishing  copies  of  each  preliminary
prospectus,  each final  prospectus and each amendment or supplement  thereto to
underwriters,  dealers  and other  purchasers  of IHS  Shares  and the costs and
expenses   (including  fees  and  disbursements  of  its  counsel)  incurred  in
connection with the qualification of IHS Shares under



                                       10


<PAGE>



the Blue Sky laws of various jurisdictions.  IHS, however, shall not be required
to pay underwriter's or brokerage discounts,  commissions or expenses, or to pay
any costs or expenses arising out of  Shareholders' or any transferee's  failure
to comply with its obligations under this Article III.

                     (E) RESALE  LIMITATIONS.  The Shareholders  hereby covenant
with Buyer that, until the second anniversary of the Closing Date, sales by them
and the  Shareholders of Medaids of IHS Shares after the Closing Date shall not,
in the aggregate,  exceed 30,000 shares during any 30-day  period.  All sales by
Shareholders  during said period shall be effected  solely through Smith Barney,
Inc.

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

                          (I) At IHS's expense,  IHS 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  until the first  anniversary of the Closing Date except to
         the extent that an exemption from  registration  may be available.  IHS
         will promptly  notify the  Shareholders,  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 IHS as a result  of which  the  prospectus  included  in such
         registration statement, as then in effect, includes an untrue statement
         of a material  fact or omits to state any material  fact required to be
         stated  therein  or  necessary  to  make  the  statements  therein  not
         misleading in light of the circumstances then existing.

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

                          (III) IHS shall take all necessary action which may be
         required  in  qualifying  or  registering  IHS  Shares  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
         Shareholders,  provided that IHS shall not be obligated to qualify as a
         foreign corporation or dealer to do business under the laws of any such
         jurisdiction.

                          (IV)  The  information  included  or  incorporated  by
         reference in the registration  statement filed pursuant to this Section
         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. IHS shall indemnify the Shareholders,
         their  successors  and assigns,  and each person,  if any, who controls
         such Shareholders  within the meaning of ss.15 of the Securities Act or
         ss.20(a) of the Securities  Exchange Act of 1934, as amended ("EXCHANGE
         ACT"), against all loss, claim,



                                       11


<PAGE>



         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 IHS or based upon written  information  furnished
         by IHS filed in any  jurisdiction  in order to qualify IHS Shares 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
         IHS by any of the Shareholders  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  Shareholders or
         any  controlling  person  of  the  Shareholders  in  respect  of  which
         indemnity  may be  sought  against  IHS  pursuant  to  this  subsection
         3.1(f)(iv),  the Shareholders or such  controlling  person shall within
         thirty (30) days after the receipt  thereby of a summons or  complaint,
         notify IHS in writing of the  institution  of such action and IHS shall
         assume the  defense  of such  actions,  including  the  employment  and
         payment  of  reasonable  fees  and  expenses  of  counsel   (reasonably
         satisfactory to the  Shareholder's  Representative  or such controlling
         person).  The  Shareholders 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
         Shareholders  or such  controlling  person unless (A) the employment of
         such counsel shall have been authorized in writing by IHS in connection
         with the  defense of such  action,  or (B) IHS shall not have  employed
         counsel  to have  charge of the  defense  of such  action,  or (C) such
         indemnified  party or parties shall have  reasonably  concluded  (after
         notice to IHS) that there may be defenses available to it or them which
         are different  from or  additional to those  available to IHS (in which
         case, IHS shall not have the right to direct the defense of such action
         on behalf of the indemnified party or parties),  in any of which events
         the fees and expenses of not more than one additional firm of attorneys
         for the  Shareholders  and such  controlling  persons shall be borne by
         IHS.  Except as  expressly  provided in the previous  sentence,  in the
         event that IHS shall not  previously  have  assumed the defenses of any
         such  action  or  claim,  IHS  shall  not  thereafter  be liable to the
         Shareholders or such controlling person in investigating,  preparing or
         defending any such action or claim.

                          (V)  The   Shareholders,   and  their  successors  and
         assigns, shall severally, and not jointly,  indemnify IHS, its officers
         and  directors  and each  person,  if any,  who controls IHS 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  Shareholders,   or  their  successors  or  assigns  for  specific
         inclusion in such registration statement.



                                       12


<PAGE>



                  (G) NOTICE OF SALE. If the Shareholders desire to transfer all
or any IHS Shares,  they will deliver prior written notice to IHS, 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 Shareholders  will sell the IHS
Shares in compliance with the disclosure  therein and discontinue any offers and
sales thereunder upon notice from IHS that the registration  statement  relating
to the IHS Stock being  transferred  is not  "current"  until IHS gives  further
notice that offers and sales may be recommenced. In the event of any such notice
from IHS, IHS 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(b)  and  to  give  prompt  notice  to  the  Shareholders  when  the
registration  statement has again become current. If the Shareholders deliver to
IHS an opinion of counsel  reasonably  acceptable  to IHS and its counsel and to
the  effect  that  the  proposed  transfer  of IHS  Shares  may be made  without
registration  under the  Securities  Act, the  Shareholders  will be entitled to
transfer  IHS Shares in  accordance  with the terms of the notice and opinion of
their counsel.

                  (H) FURNISH INFORMATION.  It shall be a condition precedent to
the  obligations of IHS to take any action pursuant to this Article III that the
Shareholders shall furnish to IHS such information regarding themselves, the IHS
Shares held by them, and the intended  method of disposition of such  securities
as shall be required  to effect the  registration  of their IHS Shares.  In that
connection, each transferee of any Shareholder shall be required to represent to
IHS that all such  information  which is given is both  complete and accurate in
all material  respects.  Such  Shareholders  shall deliver to IHS 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  IHS 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.

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



                                       13


<PAGE>




                  (J) LEGEND. It is understood that the certificates  evidencing
the IHS Shares shall bear a legend substantially as follows:

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

                  (K)  CERTAIN  TRANSFEREES.  Prior  to the  effective  date  of
registration of the IHS Shares,  no Shareholder shall transfer any shares of IHS
Shares to any person or entity except as expressly  permitted by this  Agreement
and  unless  such  transferee  shall  have  agreed in writing to be bound by the
provisions applicable to the Shareholders under this Article III.

                              ARTICLE IV: EMPLOYEES

         It is  expressly  understood  and agreed that  although  the  Surviving
Corporation intends to retain  substantially all of the employees of the Company
after the Closing, it may notify the Group's Representative prior to the Closing
that the  employment of a limited  number of such employees is to be terminated,
in which case,  the Company,  as the case may be, shall cause such  termination,
and all  liabilities  resulting  therefrom  that  may be due to such  terminated
employee shall constitute Closing Date Liabilities.  In any event, any benefits,
costs or liabilities  incurred or accrued on or prior to Closing with respect to
any employee of the Company shall constitute Closing Date Liabilities.

                               ARTICLE V: CLOSING

              5.1  CLOSING   DATE.   The   consummation   of  the   transactions
contemplated  by this Agreement is occurring on the date hereof and is sometimes
referred to as the "CLOSING",  and the date on which such  consummation  occurs,
including,  without limitation,  the execution and delivery of this Agreement by
each of the parties hereto, is sometimes referred to as the "CLOSING DATE".

              5.2 DELIVERIES. At the Closing:

                  (A) The  Company  and  Newco  (together  with  Medaids)  shall
execute,  deliver and cause to be filed with the  Secretary  of State of Florida
and any other appropriate  Governmental  Authorities (as such term is defined in
Section 9.4), the Certificate of Merger and such other instruments or documents,
if any, as shall be necessary to cause the Company  (together  with Prime) to be
merged with and into Newco as provided in Section 1.1 above.



                                       14


<PAGE>




                  (B) The Shareholders will deliver to IHS an opinion, dated the
Closing Date, of their counsel,  in  substantially  the form attached  hereto as
Exhibit 5.2(b).

                  (C) The Company will deliver a certificate of its Secretary or
other  officer  certifying as of the Closing Date a copy of  resolutions  of its
board of directors and its stockholders, authorizing the execution, delivery and
full performance of this Agreement and the Transaction  Documents (as defined in
Section 9.1(a) below), and the incumbency of its officers.

                  (D) Newco,  as the Surviving  Corporation of the Merger,  will
enter into an  employment  agreement  with McCarger in the form and substance of
Exhibit 5.2(d).

                  (E) The Shareholders  shall execute and deliver the Assumption
Agreement  and  Transmittal   Letters,  and  deliver  to  IHS  the  certificates
representing all of the Company Shares.

                  (F) Each officer and director of the Company shall resign from
such position as of the Closing Date.

                           ARTICLE VI: ASSET CONDITION

         The  Shareholders,   jointly  and  severally,  represent,  warrant  and
covenant  that, as of the Closing Date,  all physical  Assets of the Company are
free of defects  except to the extent that such  failure  will not likely have a
material  adverse  effect on the assets,  liabilities,  financial  condition  or
prospects  of the  Company,  and in good working  order,  condition  and repair,
except for ordinary wear and tear, and conform in all material respects with all
applicable Governmental Requirements (as defined in Section 9.4).

                   ARTICLE VII: SALES AND TRANSFER TAXES; FEES

          All  transfer  and other  taxes and fees,  if any,  that may be due or
payable as a result of the transactions contemplated by this Agreement,  whether
levied on the  Shareholders,  IHS,  Newco or the Company,  shall be borne by the
Shareholders and Guarantors.

            ARTICLE VIII: RESTRICTIONS ON OPERATIONS OF THE COMPANIES

              8.1 NEGATIVE COVENANTS.  The Shareholders  represent,  warrant and
covenant that, except as expressly disclosed on Schedules hereto, since the most
recent  Financial  Statement  Date referred to in Section 9.15 below,  there has
been no material adverse change in the assets, liabilities, financial condition,
or prospects of the Company, and the Company has not:

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



                                       15


<PAGE>



                  (B)  subjected  any  Assets  to any  liens,  claims,  security
interests,  pledges,  mortgages,  restrictions  on  transfer  or use  and  other
encumbrances of any kind or nature whatsoever ("LIENS");

                  (C)  entered  into any  contract  or  transaction  binding the
Company or Business other than immaterial contracts or transactions entered into
in the ordinary course of business, consistent with past practice;

                  (D) incurred any liabilities or indebtedness other than in the
ordinary course of business, consistent with past practice;

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

                  (F)  discharged or satisfied  any Lien, 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 Business or Assets;

                  (G) failed to collect any 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;

                  (J)  instituted,  settled or agreed to settle any  litigation,
action or proceeding before any Governmental Authority relating to them or their
property or received any threat thereof; or

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

              8.2  CONDUCT  OF  BUSINESS  PENDING   CLOSING.   The  Shareholders
represent,  warrant and covenant that since the most recent Financial  Statement
Date referred to in Section 9.15 below, the Company shall maintain its existence
and conduct its business in good faith and in the customary and ordinary  course
of business consistent with past practice.



                                       16


<PAGE>



           ARTICLE IX: REPRESENTATIONS AND WARRANTIES BY SHAREHOLDERS

         As a material  inducement to IHS and Newco to execute and perform their
obligations  under  this  Agreement,   the  Shareholders  hereby,   jointly  and
severally,  represent  and warrant to IHS and Newco as follows as of the Closing
Date:

              9.1 ORGANIZATION OF COMPANIES; ENFORCEABILITY.

                  (A)  The  Company  is a  corporation,  organized,  and in good
standing in the State of Florida, and is qualified to do business and is in good
standing in each other State where the nature of its business or the assets held
by it  requires  such  qualification,  and has  requisite  corporate  power  and
authority to carry on its Business as presently being  conducted,  to enter into
this  Agreement,  and to carry out and perform the terms and  provisions of this
Agreement.  Each of this Agreement and each agreement,  instrument,  certificate
and document  ("TRANSACTION  DOCUMENTS")  executed by the Company in  connection
with this Agreement or the  transactions  contemplated  hereby  constitutes  the
legal, valid and binding  obligations of the Company,  enforceable against it in
accordance with its respective terms.

                  (B) The Company has no subsidiaries.

                  (C)  This  Agreement  and  each of the  Transaction  Documents
executed by any Shareholder constitutes the legal, valid and binding obligations
of such Shareholder,  enforceable  against it, him or her in accordance with its
respective terms.

              9.2  CONSENTS.  No  authorization,   consent,  approval,  license,
exemption by, filing or registration  with any Governmental  Authority or of any
party to any contract,  agreement,  instrument,  commitment, lease, indenture or
understanding  (written,  oral or  implied)  by which the  Company or any of the
Assets is bound  ("CONTRACTS") or by which any Shareholder or any  Shareholder's
assets is bound  ("SHAREHOLDER  CONTRACTS") is necessary in connection  with the
execution,  delivery and performance of this Agreement or any of the Transaction
Documents by Company or any Shareholder.

              9.3 LITIGATION.  Except as set forth on Schedule 9.3, there are no
actions,  suits or proceedings  affecting the Company or any of the Assets which
are pending or threatened  against the Company or affecting any of the Company's
properties or rights, at law or in equity, or before any Governmental Authority,
nor is the Company or any of its officers or directors or any Shareholder  aware
of any facts which to their knowledge might  reasonably be expected to result in
any such action, suit or proceeding.

              9.4  COMPLIANCE  WITH LAWS AND  CONTRACTS.  The  Company is not in
violation  of, or in default  under:  any term or  provision  of its Articles of
Incorporation or By-Laws;  or any judgment,  order,  writ,  injunction,  decree,
statute,  law,  rule,  regulation,  directive,  mandate,  ordinance or guideline
("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");  or of any Contract. The execution and delivery by
the Company and each Shareholder of, and the



                                       17


<PAGE>



performance  and  compliance  by each  of  them  with  this  Agreement,  and the
Transaction Documents and the transactions contemplated hereby and thereby, does
not and will not result in the  violation  of or conflict  with or  constitute a
default  under any such term or  provision or result in the creation of any Lien
on any of the properties or assets of the Company or any Shareholder pursuant to
any  such  term or  provision  or any  term  or  provision  of any  Governmental
Requirement by which any Shareholder is bound or of any Shareholder Contract.

              9.5 CORPORATE ACTS AND  PROCEEDINGS.  The execution,  delivery and
performance of this  Agreement and each of the  Transaction  Documents,  and the
transactions contemplated hereby and thereby,  including the consummation of the
Merger as provided for in this Agreement, have been approved and consented to by
the Board of Directors of the Company  and, all holders of  outstanding  capital
stock of the Company,  and all action  required by any  applicable  Governmental
Requirement  by the  stockholders  of the Company with regard  thereto have been
appropriately authorized and accomplished. Any rights of appraisal or to dissent
to the Merger have been waived.

              9.6 TITLE TO ASSETS.  Except for the Assets that are held  subject
to Leases (as hereinafter  defined) the Company has good and indefeasible  title
to all of the  Assets,  free and clear of all Liens.  The  Company  has good and
valid leasehold interests, subject to no Liens, in each of the Leases.

              9.7  CONTRACTS.  Set forth on Schedule 9.7 hereto is a list of all
material Contracts of the Company, including, without limitation, each:

                  (A) 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, or agent or group
of employees,  or any  non-competition,  non-  solicitation,  confidentiality or
similar agreement with any such person or persons;

                  (B) contract,  agreement or arrangement for the acquisition or
disposition  of any assets,  property or rights  outside the ordinary  course of
business or requiring the consent of any party to the transfer and assignment of
any such assets,  property or rights (by purchase or sale of assets, purchase or
sale of stock, merger or otherwise),  that is executory or that was entered into
during the three (3) year period ending on the date hereof;

                  (C)  contract,  agreement  or  commitment  which  contains any
provisions  requiring  the Company or Business to indemnify or act for any other
person or entity or to guaranty or act as surety for any other person or entity;

                  (D) contract,  agreement or commitment restricting any Company
or Business  from,  or in favor of the Company or Business 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;

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



                                       18


<PAGE>



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

                  (G) contract, agreement or arrangement granting a leasehold or
other  interest  in  real  property  or  personal  property,  including  without
limitation, subleases, licenses and sublicenses (the "LEASES");

                  (H)  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 or Business not
covered by subsection (a) above;

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

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

                  (K) agreement relating to the ownership,  transfer,  voting or
exercise of other rights with respect to any equity in the Company, or any other
entity,  including without limitation,  registration  rights agreements,  voting
trust agreements and shareholder and proxy agreements;

                  (L) contract,  agreement or commitment to provide  services or
products, or

                  (M)  agreement  not made in the ordinary and normal  course of
business and consistent with past practice, or involving consideration in excess
of $25,000 in each case,  that is not set forth in  subsections  (a) through (l)
above.

         To the best knowledge of the Company and each Shareholder,  no party to
any Contract is in default under any Contract.  The Shareholders  have delivered
to IHS true and complete  copies of each written  Contract (or a description  of
each oral Contract) requested by IHS.

              9.8  BROKERS.   The   Shareholders   and  the  Company  have  been
represented solely by the Broker, and as a result the Broker's Fee in the amount
of  $69,700  is payable  by the  Shareholders  to the  Broker at the  Closing in
connection with the transactions  contemplated by this Agreement,  and no broker
or finder is  entitled  to any  additional  broker's  or  finder's  fee or other
commission in respect thereof based in any way on agreements,  understandings or
arrangements with any Company or Shareholder.

              9.9  EMPLOYMENT  CONTRACTS;  EMPLOYEES.  There are no Contracts of
employment between the Company and any of its employees,  except as set forth on
Schedule 9.7(a) above. The name, position,  current rate of compensation and any
vacation or holiday  pay,  sick pay,  personal  leave,  severance  and any other
compensation arrangements or fringe benefits, of each



                                       19


<PAGE>



current  employee,  sales  representative,  consultant and agent of the Company,
contained on the Schedule of Personnel  Payrates and Advances attached hereto as
Schedule 9.9 is accurate and complete.  No employee,  consultant or agent of the
Company has any vested or  unvested  retirement  benefits  or other  termination
benefits,  except as described on Schedule  9.9.  Since the date that is two (2)
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 labor
disturbance  by any of such  employees  affecting  the  Business and there is no
indication  that  such a change,  strike  or labor  disturbance  is  likely.  No
employees  of  the  Company  are  represented  by any  labor  union  or  similar
organization  in connection with their  employment by or relationship  with, the
Company,  and to the knowledge of the Company,  and  Shareholders,  there are no
pending  or  threatened  activities  the  purpose  of which is to  achieve  such
representation  of all or some of such  employees,  and there are no  threats of
strikes, work stoppages or pending grievances by any such employees. The Company
is not party to any collective bargaining or other labor contracts.

              9.10  EMPLOYEE  BENEFIT  PLANS.  The  Company  does  not  have any
pension, bonus, profit-sharing,  or retirement plans for directors,  officers or
employees  of the  Business  or the  Company,  nor is the  Company  required  to
contribute to any such plan.  Without  limiting the generality of the foregoing,
the Company does not maintain or make  contributions to, and the Company 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 the Employee
Retirement  Income  Security  Act  of  1974,  as  amended  ("ERISA"),  or to any
multi-employer  plan  subject to the terms of the  Multi-employer  Pension  Plan
Amendment Act of 1980 (the "MULTI-EMPLOYER  ACT"). Prior to the date hereof, the
only  pension,  bonus,  profit-sharing,  or  retirement  plans that have been in
effect for  directors,  officers or employees of the Business or the Company are
set  forth on  Schedule  9.10  hereto  (the  "TERMINATED  PLANS").  Each of such
Terminated  Plans  has been  terminated  in  accordance  with the  terms of such
Terminated Plans and in accordance with all Governmental Requirements, including
without limitation,  ERISA. At the time of termination,  each of such Terminated
Plans  was fully  funded  and in  compliance  with all  applicable  Governmental
Requirements. The Company has no liability with respect to any Terminated Plan.

              9.11 INSURANCE. All inventories,  buildings and fixed assets owned
or leased by the Company are and will be  adequately  insured  against  fire and
other  casualty  through the Closing  Date.  The  information  contained  on the
Schedule of Insurance  Policies,  attached  hereto as Schedule 9.11, is accurate
and  complete.  Schedule  9.11 also sets forth any claims  made under any of the
insurance  policies referred to above or increases in premiums  therefore during
the past two years. True and complete copies of all policies of fire,  liability
and other forms of insurance  held or owned by the Company or otherwise in force
and providing  coverage for any Business or any of the Assets (including but not
limited  to  medical  malpractice  insurance,  and any state  sponsored  plan or
program for worker's compensation) have been delivered to IHS. 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,
and all premiums due on or before the Closing Date in respect  thereof have been
paid. The Company has purchased title insurance as set forth on Schedule 9.11.



                                       20


<PAGE>



              9.12 DISCLOSURE.  No representation or warranty by any Shareholder
in this Agreement or in any Transaction Document,  contains any untrue statement
of material fact or omits to state any material  fact, of which the Company,  or
any  Shareholder or any of their  respective  officers,  directors,  trustees or
stockholders has knowledge or notice,  required to make the statements herein or
therein contained not misleading.

              9.13 OFFICERS AND DIRECTORS OF COMPANIES.  As of the Closing Date,
the following individuals are all of the officers and directors of the Company:

<TABLE>
                  Name                                                 Office/Position
                  ----                                                 ---------------

<S>                                                                    <C>
                  Lee T. McCarger                                      Director, President
                  Leann Jarczynski                                     Director, Vice President
                  Samuel Jarczynski                                    Director, Treasurer
</TABLE>

              9.14 INVENTORY AND FIXED ASSETS. The information  contained on the
Schedule of Inventory and Fixed Assets,  attached  hereto as Schedule  2.5(a) is
accurate and complete in all material respects.

              9.15 FINANCIAL  STATEMENTS.  The  Shareholders  have furnished IHS
with the financial  statements of the Company (the "FINANCIAL  STATEMENTS")  for
the periods ended [9/30/96], [9/30/97] and December 31, 1997 (the "FINANCIAL
STATEMENT  DATES"),  copies of which are attached  hereto as Schedule  9.15. The
Financial  Statements:  (a) are in accordance  with the books and records of the
Company;  (b)  fairly  present  the  financial  condition  of the  Company  on a
consolidated  basis  at such  date and the  results  of its  operations  for the
periods specified;  (c) were prepared in accordance with all rules,  guidelines,
regulations  and laws  applicable to reporting  financial  condition for Federal
income tax purposes  applied on a basis  consistent with prior periods (the "TAX
PRINCIPLES"); (d) with respect to all Contracts of the Company, reflect adequate
reserves  for  all  reasonably   anticipated  losses  and  costs  in  excess  of
anticipated income; and (e) with respect to any balance sheets,  disclose all of
the liabilities of the Company at the Financial  Statement Dates and include the
appropriate  reserves for all taxes and other accrued  liabilities,  except that
certain contingent  liabilities,  if not disclosed on such balance sheets, shall
be  considered  to be  disclosed  pursuant to this  subparagraph,  if  expressly
disclosed on Schedule 9.15 to this Agreement.  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,  consistent with past practice, except as expressly
specified therein, and such Financial Statements include all adjustments,  which
consist only of normal recurring accruals, necessary for such fair presentation.

              9.16 TAX  INFORMATION.  The Company has furnished IHS with its (a)
most recent tax registration  certificates,  and (b) tax returns for the periods
9/30/96,  9/30/97 and required of it by each state or other locality in which it
conducts business,  which tax returns in all instances where applicable include,
but shall not be limited to, income,  franchise taxes,  state and local tangible
personal  property  tax returns,  and state and local sales tax  returns,  which
registration  certificates and tax returns are set forth,  collectively,  on the
Schedule of Tax Information, attached hereto as Schedule 9.16. The Balance Sheet
included in the most recent  Financial  Statements for the Company  sufficiently
provides for all accrued, deferred and unpaid



                                       21


<PAGE>



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. All Taxes
payable by the Company, 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 with respect to  employee's  withholding  taxes have been duly made.
The Company has not been  delinquent  in the payment of any Tax,  assessment  or
governmental  charge or deposit and has no tax deficiency or claim  outstanding,
proposed or assessed  against it, and there is no basis for any such  deficiency
or claim. The federal income tax returns of the Company have been filed with the
Internal  Revenue  Service  for all of the  fiscal  years  though the year ended
9/30/97,  and no  objections  with  respect  thereto  have been  received by the
Company or any Shareholder. 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 any waiver or agreement by the Company for the  extension
of time for  assessment  of any Tax.  The  Company is not a party to any pending
action or proceeding, and, to the knowledge of the Company and the Shareholders,
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.  The Company is not a
party to any tax sharing  agreement or arrangement.  The Company has not elected
to be taxed in  accordance  with  Subchapter S of the  Internal  Revenue Code of
1986, as amended.

              9.17 ADVERSE BUSINESS DEVELOPMENTS. No notice has been received by
the Company or any  Shareholder  of any new or  substantially  expanded  firm or
individual  engaged in a business  directly  competitive  to the  Company in its
primary  service  area  within six (6) months  before the date  hereof  that the
Company,  the Subsidiary,  any Guarantor or Subsidiary  reasonably believes will
have a  material  adverse  effect  on the  Business.  None  of the  Company  and
Shareholders has received,  either orally or in writing,  any notice specific to
it of  pending or  threatened  adverse  action  with  respect  to any  Medicare,
Medicaid,  private insurance or third party payor reimbursement method, practice
or allowance as to any business activity engaged in by the Company,  nor has the
Company or any  Shareholder  received,  or been  threatened  with, any claim for
refund  specific  to it in excess of $750 by a  Medicare  or  Medicaid  carrier,
except as disclosed in the Schedule of Proceedings  attached  hereto as Schedule
9.17.

              9.18 RELATIONSHIPS.  Except as disclosed on Schedule 9.18, none of
the  Company  and the  Shareholders,  and  none of  their  respective  officers,
trustees,  directors,  employees,  immediate  family  members,  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 of the Company.  Except as set forth on Schedule  9.18, no Affiliate is
guaranteeing the obligations of the Company.



                                       22


<PAGE>




              9.19 ASSETS  COMPRISING  THE  BUSINESS.  The Assets are all of the
tangible  and  intangible  properties  (real,  personal  and mixed),  including,
without   limitation,   all  licenses,   intellectual   property,   permits  and
authorizations, and contracts that are necessary or material to the operation of
the  Businesses  as now operated.  The  quantities of inventory and supply items
included in the Assets are  reasonable  in light of the present and  anticipated
volume of the  Businesses of the Company in the ordinary  course of the business
of the Company, consistent with past practice, as determined by the Shareholders
in good faith and consistent with past practice.

              9.20  QUESTIONABLE  PAYMENTS.  The  Company  has  not,  and to the
knowledge of the Company and Shareholders, none of their Affiliates or employees
have,  offered,  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 any 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.

              9.21 REIMBURSEMENT MATTERS. The Company 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.  Except as disclosed on
Schedule 9.21, (i) none of the Company,  and the  Shareholders  has received any
notice of denial or recoupment  from the Medicare or Medicaid  programs,  or any
other third party reimbursement source (inclusive of managed care organizations)
with  respect to  products  or services  provided  by the  Company,  (ii) to the
knowledge  of the  Company,  and each  Shareholder,  there  is no basis  for the
assertion  after the Closing Date of any such denial or  recoupment  claim,  and
(iii) none of the Company,  and the  Shareholders  has received  notice from any
Medicare or  Medicaid  program or any other  third  party  reimbursement  source
(inclusive  of  managed  care   organizations)  of  any  pending  or  threatened
investigations  or surveys  with  respect  to, or arising  out of,  products  or
services  provided  by the Company or  otherwise,  and to the  knowledge  of the
Company,  and the  Shareholders,  no such  investigation  or survey is  pending,
threatened or imminent.

              9.22  ENVIRONMENTAL  COMPLIANCE.  Except as  disclosed on Schedule
9.22,  at all times during the  ownership by the Company of the  Business,  such
Business has not been,  and the  Business  currently is not, in violation of any
Governmental  Requirement  relating to  environmental  matters and no notice has
ever been served upon any Shareholder or the Company,  or any of their agents or
representatives  or any prior owner of any  Business,  claiming any violation of
any Governmental  Requirement  concerning the environmental state,  condition or
quality of any real or  personal  property in any  related to the  Business,  or
requiring or calling  attention to the need for any work,  repairs or demolition
on or in  connection  with any of the real  property in order to comply with any
governmental  requirement  concerning  the  environmental  or  healthful  state,
condition or quality of the real property.

              9.23 CAPITAL  STOCK.  Schedule 9.23 sets forth a complete list and
description of all of the authorized capital stock of the Company, the number of
shares  issued and  outstanding  of such capital  stock and the identity of each
holder thereof,  in each case indicating the number of shares held. No shares of
capital stock of the Company are held in the treasury or such corporation. The



                                       23


<PAGE>



Company has only one class of capital  stock.  The  Shareholders  are the lawful
record  and  beneficial  owners of all of the  Company  Shares as  indicated  on
Schedule  9.23,  free and  clear  of all  Liens,  and all of such  stock is duly
authorized, validly issued, and fully paid and non-assessable.  Each Shareholder
has the full legal power to transfer  and deliver the Company  Shares  listed as
owned by him,  her or it on  Schedule  9.23.  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  from the Company,  or from any  Shareholder  or from any other  person,
pursuant to any provision of law or the Articles of  Incorporation or By-Laws of
the  Company or by  agreement  or  otherwise.  There are not now any and, 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 are there and there shall not be outstanding on the Closing
Date, any securities convertible into or exchangeable for any such shares. There
are no voting agreements,  arrangements,  trusts or restrictions relating to any
of the Company Shares.

              9.24  ACCOUNTS  RECEIVABLE.   The  information  contained  on  the
Schedule of Accounts  Receivable  Data,  attached  hereto as Schedule  9.24,  is
accurate and complete.  $ of the amount set forth  thereon is fully  collectible
(without further reserve) within twelve (12) months from the Closing Date.

           ARTICLE X: REPRESENTATIONS AND WARRANTIES OF IHS AND NEWCO

         IHS and Newco represent and warrant to the Shareholders that:

              10.1 DUE ORGANIZATION.  Each of IHS and Newco is a duly organized,
valid  corporation  under  the  laws  of the  State  of  Delaware  and  Florida,
respectively.

              10.2 DUE  AUTHORITY.  Each of IHS and Newco is duly  authorized by
law and corporate policy and approval to: (a) enter into this Agreement and each
Transaction  Document;  (b) make all warranties and representations made by them
herein; and (c) deliver all consideration provided for under the terms hereof.

              10.3 BINDING  AUTHORITY.  All signatories and agents designated as
agents/officers for IHS or Newco for signing purposes have the authority to bind
IHS or Newco, as the case may be, to the terms of this Agreement.

              10.4 CASH PAYMENT  AUTHORITY.  IHS has the  authority to cause the
Merger  Consideration  to be  delivered  in  accordance  with the  terms of this
Agreement.

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



                                       24


<PAGE>



             ARTICLE XI: SURVIVAL OF REPRESENTATIONS AND WARRANTIES

         The  representations  and warranties of IHS, Newco and each Shareholder
contained or made pursuant to this Agreement shall survive the execution of this
Agreement.

                       ARTICLE XII: RESTRICTIVE COVENANTS

              12.1  NON-COMPETE.  Each Shareholder  hereby agrees that until the
fifth (5th) anniversary of the Closing Date (the "RESTRICTED PERIOD"), it, he or
she will not, directly or indirectly,  own, manage,  operate,  join,  control or
participate,  or have a  proprietary  interest  in, the  ownership,  management,
operation or control,  of or be connected  with, in any manner,  any home health
care business  within fifty (50) miles of any location set forth on the Schedule
of Locations attached hereto as Schedule 12.1.

              12.2   CONFIDENTIAL   INFORMATION.    Certain   confidential   and
proprietary  information  is  included  within  the  Assets  ("TRADE  SECRETS"),
including,  without  limitation,  with  respect to some or all of the  following
categories of information: (a) financial information,  including but not limited
to information relating to earnings,  assets, debts, prices,  pricing structure,
reimbursement  matters,  volume of  purchases or sales or other  financial  data
whether  related  to  the  Company  or  generally,  or to  particular  products,
services, geographic areas, or time periods; (b) supply and service information,
including  but not  limited  to  information  relating  to goods  and  services,
suppliers'  names or  addresses,  terms of supply  or  service  contracts  or of
particular transactions, or related information about potential suppliers to the
extent that such  information is not generally  known to the public,  and to the
extent that the combination of suppliers or use of a particular supplier, though
generally  known or  available,  may yield  advantages  to IHS or the  Surviving
Corporation,   details  of  which  are  not  generally   known;   (c)  marketing
information,  including but not limited to information relating to details about
ongoing or  proposed  marketing  programs or  agreements  by or on behalf of the
Company,  sales  forecasts,  advertising  formats  and  methods  or  results  of
marketing  efforts or information  about impending  transactions;  (d) personnel
information,  including  but not limited to  information  relating to employees'
personal or medical histories, compensation or other terms of employment, actual
or   proposed   promotions,   hirings,   resignations,   disciplinary   actions,
terminations  or  reasons  therefor,  training  methods,  performance,  or other
employee  information;  (e) customer and patient information,  including but not
limited to  information  relating to names,  addresses or  backgrounds  of past,
existing or  prospective  clients,  customers,  payors,  referral  sources,  and
patients,  records of agreements and prices, proposals or agreements between any
of them and the  Company,  status  of  accounts  or  credit,  patients'  medical
histories or related  information as well as customer lists;  and (f) inventions
and technological information,  including but not limited to information related
to  proprietary  technology,  trade  secrets,  research  and  development  data,
processes, formulae, data and know-how,  improvements,  inventions,  techniques,
and information that has been created, discovered or developed, or has otherwise
become known to the applicable Shareholder, and/or in which property rights have
been  assigned or  otherwise  conveyed to the  Company,  which  information  has
commercial  value  in the  business  in  which  the  Company  is  engaged.  Each
Shareholder  shall hold all Trade  Secrets in  confidence  and will not discuss,
communicate or transmit to others,  or make any unauthorized  copy of or use any
of the  Trade  Secrets;  and will  take all  reasonable  actions  that IHS deems
reasonably  necessary or appropriate,  to prevent unauthorized use or disclosure
of or to protect



                                       25


<PAGE>



the Surviving  Corporation's  interest in the Trade Secrets.  The foregoing does
not apply to  information  that by means other than  deliberate  or  inadvertent
disclosure by any  Shareholder or any of their  respective  Affiliates,  becomes
well known to the public; or disclosure  compelled by judicial or administrative
proceedings  after the Shareholders  diligently try to avoid each disclosure and
afford IHS the opportunity to obtain  assurance that compelled  disclosures will
receive confidential treatment.

              12.3  NON-SOLICITATION  AND NON-PIRATING.  Each Shareholder hereby
agrees that,  during the Restricted  Period it, he or she will not,  directly or
indirectly,  for itself, himself or herself on behalf of any other person, firm,
entity or other  enterprise:  (a)  solicit or in any way divert or take away any
person or  entity  that,  prior to the  Closing  Date,  was a  patient,  client,
customer, payor, referral source, facility or patient of the Company or Medaids;
or (b) hire,  entice away or in any other manner  persuade any person who was an
employee, consultant, representative or agent of the Company or Medaids prior to
the Closing  Date, to alter,  modify or terminate  their  relationship  with the
Surviving Corporation.

              12.4 NECESSARY  RESTRICTIONS.  Each Shareholder  acknowledges that
the  restrictions  contained in this  Agreement are  reasonable and necessary to
protect the legitimate  business interests of IHS and the Surviving  Corporation
and that any violation  thereof by any of them would result in irreparable  harm
to IHS and the Surviving Corporation,  and that damages in the event of any such
breach of this Agreement  will be difficult,  if not  impossible,  to ascertain.
Accordingly,  each of the Shareholders  agrees that upon the violation of any of
the restrictions  contained in this Agreement,  IHS or the Surviving Corporation
shall  be  entitled  to  obtain  from  any  court of  competent  jurisdiction  a
preliminary  and permanent  injunction  as well as any other relief  provided at
law,  equity,  under  this  Agreement  or  otherwise.  In the  event  any of the
foregoing  restrictions  are adjudged  unreasonable in any proceeding,  then the
parties  agree  that the  period of time or the scope of such  restrictions  (or
both)  shall be  adjusted  to such a manner  or for such a time (or  both) as is
adjudged to be reasonable.

              12.5 REMEDIES FOR BREACH.  Each Shareholder  acknowledges that the
covenants  contained  in this  Article  XII of this  Agreement  are  independent
covenants of IHS and the  Surviving  Corporation  and that any failure by IHS or
the Surviving Corporation to perform its obligations under this Agreement or any
other agreement shall not be a defense to enforcement of the covenants contained
in this  Agreement,  including  but not  limited  to a  temporary  or  permanent
injunction.

                     ARTICLE XIII: INDEMNIFICATION; REMEDIES

              13.1  INDEMNIFICATION  BY SHAREHOLDERS.  The  Shareholders  shall,
jointly  and  severally,  indemnify  and hold  harmless at all times IHS and the
Surviving Corporation and their respective  stockholders,  directors,  officers,
employees,  agents and assigns  (collectively,  the "IHS  CLAIMANTS" and each an
"IHS CLAIMANT",  from and against any Damages (as hereinafter defined) resulting
from: (a) any inaccurate  representation made by any Shareholder in, pursuant to
or under  this  Agreement  or any  Transaction  Document;  (b) any breach of any
warranty made by any  Shareholder in, pursuant to or under this Agreement or any
Transaction Document; (c) any breach or default in the performance by any of the
Company or  Shareholders  of any of the  covenants to be performed by any of the
Shareholders,  or the Company hereunder or in any Transaction Document;  (d) any
Closing Date  Liabilities;  (e) any  Liabilities  Deficiency;  and (f) any Asset
Value Deficiency.



                                       26


<PAGE>



              13.2 INDEMNIFICATION BY IHS. IHS shall indemnify and hold harmless
at all times each Shareholder  from and against any Damages  resulting from: (a)
any inaccurate representation made by IHS or Newco in, pursuant to or under this
Agreement;  (b) any breach of any warranty made by IHS or Newco in,  pursuant to
or under this Agreement; and (c) any breach or default in the performance by IHS
or Newco of any of the covenants to be performed by IHS or Newco hereunder.

              13.3  DEFINITION  OF DAMAGES.  The term  "DAMAGES"  as used herein
shall include any demands, claims, actions, deficiencies, losses, delinquencies,
defaults,   assessments,  fees,  costs,  taxes,  expenses,  debts,  liabilities,
obligations, settlements, penalties, and damages, including, without limitation,
reasonable  counsel  and  arbitration  fees  incurred  in  investigating  or  in
attempting to avoid or oppose the imposition thereof.

              13.4 REMEDIES.

                  (A)  REMEDIES  OF IHS  CLAIMANTS.  If any IHS  Claimant  makes
written  request  to any  Shareholder  for the  payment  of  Damages,  then such
Shareholder  shall pay to such IHS  Claimant  the  amount of  Damages  requested
within  ten (10) days  from the date on which  such  request  is  received  (the
"NOTICE PERIOD").

                  (B) SHAREHOLDERS'  REMEDIES.  If any Shareholder makes written
request to IHS or the Surviving Corporation for the payment of Damages, then IHS
or the Surviving Corporation shall pay to such Shareholder the amount of Damages
requested within the Notice Period.

                  (C)  NOTICE  OF   DISPUTE.   Notwithstanding   the   foregoing
provisions  of this Section 13.4, if a party (the  "DEMANDING  PARTY")  serves a
request for payment on the other party (the  "OBLIGATED  PARTY"),  the Obligated
Party shall have the option to provide  written  notice to the  Demanding  Party
(the  "NOTICE OF DISPUTE")  within the Notice  Period that the  Obligated  Party
disputes,  in good faith,  the  validity or amount of the Damages set out in the
request for payment of Damages,  and if the affected parties cannot agree on the
validity or amount of such  Damages  within ten (10) days  following  the Notice
Period, the dispute as to the validity or amount of such claim or liability (the
"DISPUTE")  shall be  settled  as set  forth in  Section  13.5  below,  with the
non-prevailing party bearing the prevailing party's costs of arbitration if such
Dispute is resolved by arbitration.

                  (D) ARBITRATION.  If arbitration is required  pursuant to this
Section 13.4, IHS and the Surviving Corporation, on the one hand and the Group's
Representative  on behalf of all of the  Shareholders,  on the other hand,  each
shall select an  arbitrator  within ten (10)  business  days after the Notice of
Dispute is delivered; those two arbitrators will then select a third arbitrator;
and the three arbitrators so chosen will determine the validity of the claim for
Damages  (unless  a single  arbitrator  shall  be  agreed  to by the  applicable
parties; in which case such single arbitrator shall make such determination). If
either side delays in appointing an arbitrator when required,  and ten (10) days
or more has elapsed, the arbitrator appointed by the other party shall arbitrate
the dispute.  If any of the Shareholders  shall be subject to a Dispute with IHS
and/or the  Surviving  Corporation,  they  shall,  unless  IHS or the  Surviving
Corporation elects otherwise in its sole and absolute discretion, be required to
act as a group with respect to any and all rights and  obligations  with respect
to the  resolution of the Dispute as provided in this Section 13.4.  The parties
agree that any arbitration pursuant hereto shall be held in Tampa, Florida.



                                       27


<PAGE>



              13.5 SETTLEMENT OF DISPUTES.

                  (A)  DISPUTES  NOT  INVOLVING  THIRD  PARTIES.  If  a  Dispute
involves   claims  not  involving  any  third  party,   IHS  and  the  Surviving
Corporation,  on the one hand, and all of the  Shareholders,  on the other hand,
shall settle the Dispute by submitting the same to binding arbitration.

                  (B)  DISPUTES  INVOLVING  CLAIMS MADE BY THIRD  PARTIES.  If a
Dispute  involves  claims  made by one or more  third  parties  (a "THIRD  PARTY
CLAIM"),  the party asserting its right to indemnification  for such Third Party
Claim shall give written  notice to the other party as soon as  practical  after
such  asserting  party  receives  notice of such Third  Party  Claim;  provided,
however the failure to timely  give such  notice  shall not affect such  party's
right to indemnification except to the extent the party to receive the notice is
damaged by such delay.  Upon such notice the parties shall submit the Dispute to
arbitration, and the following procedures shall apply:

                       (I)  Solely  for  purposes  of   determining   the  party
         responsible for defending the Third Party Claim, the arbitrators  shall
         deem such Third Party Claim to be valid  (although  such  consideration
         shall  not be an  admission  by any  party as to any  liability  to any
         party).  The arbitrators  then shall decide which party shall be liable
         for the Third  Party  Claim if it is  successfully  prosecuted  by such
         third  party or parties,  and the  decision  of such  arbitrators  with
         respect  to such  liability  shall be final  and  binding  as among the
         parties.  (Such party  determined to be liable for such claim sometimes
         shall be referred to herein as the "RESPONSIBLE PARTY".)

                       (II) If the Responsible  Party refuses to settle (and pay
         the settlement amount of) the Third Party Claim  immediately,  then the
         Responsible  Party  immediately  shall select one of the  following two
         options:

                            Option   One:   The   Responsible   Party,   at  the
                       Responsible Party's sole expense and risk, can assume the
                       defense  of  the  Third   Party   Claim,   provided   the
                       Responsible Party first places in escrow, in favor of the
                       other party,  adequate  collateral  (as determined by the
                       arbitrators on  consideration  of all relevant  facts) to
                       protect the other party from all Damages  with respect to
                       such Third  Party  Claim (in which  case the other  party
                       immediately  shall be reimbursed by the Responsible Party
                       for any amount the other  party is  required  to pay with
                       respect to such Third Party Claim); or

                            Option   Two:   The   Responsible   Party,   at  the
                       Responsible  Party's  expense and risk, can co-defend the
                       Third  Party  Claim  with  the  other  party,   with  the
                       Responsible  Party also  responsible  for  advancing  all
                       costs incurred by the other Party in connection with such
                       defense,  including,  without limitation,  the legal fees
                       and  expenses  of  the  other  party's  counsel  for  its
                       reasonable  involvement  in such  defense.  If the  other
                       party is found to be liable for any portion of such Third
                       Party Claim,  the  Responsible  Party  immediately  shall
                       advance to the other party any amount required to be paid
                       by the



                                       28


<PAGE>



                       other party with respect thereto;  provided,  however, if
                       the   Responsible   Party   selects  this   option,   the
                       Responsible  Party shall  attempt  diligently to have the
                       other  party  removed  as a  party  to any  legal  action
                       involving the Third Party Claim (and,  upon such removal,
                       the  involvement of the other party's counsel shall cease
                       unless   requested  by  the  Responsible   Party  or  the
                       Responsible Party's counsel); and

                       (III) No party may settle any Third Party  Claim  without
         the prior  consent of the other parties  hereto  unless the  settlement
         will not have a material adverse effect on the other party hereto.  The
         parties  will  resolve any Dispute  with  respect to any such  proposed
         settlement in accordance with this Section 13.5.

                       (IV) Any party  responsible  for  defending a Third Party
         Claim  shall  proceed  with  diligence  and in good faith with  respect
         thereto.

             ARTICLE XIV: POST-CLOSING REQUIREMENTS OF SHAREHOLDERS

                  14.1  PAYMENT  ESCROW.  At  Closing,  IHS  shall  pay over and
deliver   to  or  on   behalf   of   Shareholders   (and   shall  be   credited,
dollar-for-dollar, as partial payment of the Merger Consideration) to the Paying
Agent,  in escrow (the  "PAYMENT  ESCROW"),  an amount equal to the Closing Date
Liabilities  as  specified  in Section  2.3(b),  to be held by the Paying  Agent
subject  to  the  terms,  conditions,  and  provisions  of  the  Payment  Escrow
Agreement.  The Paying Agent shall be an attorney at law  authorized to practice
law in the State of Florida,  a trust  company or a bank having  trust powers in
such State,  which Paying Agent has been selected by the Group's  Representative
and approved by IHS.

                  (A) The  Shareholders  shall pay all costs and expenses of the
Payment Escrow,  including without  limitation,  any fees or costs of the Paying
Agent.

                  (B) The  Shareholders  shall be  obligated  to ensure that the
Paying Agent timely and properly pays all Closing Date Liabilities, and that the
Paying Agent obtains and delivers to IHS the "Final Release"  referred to in the
Payment Escrow Agreement,  or other reasonable evidence of payment acceptable to
IHS.

                  (C) The  existence of the Payment  Escrow shall not affect the
obligations of the  Shareholders to hold the IHS Claimants  harmless against any
Closing Date Liabilities as provided in Section 13.1.

              14.2 FINAL FINANCIAL AND TAX INFORMATION.

                  (A) Not later than thirty  (30) days  following  Closing,  the
Shareholders,  at their sole cost and expense,  shall  deliver to IHS "FINAL AND
TAX FINANCIAL INFORMATION", which shall include:



                                       29


<PAGE>



                       (I) a balance sheet of the Company and the  Subsidiary on
         a  consolidated  basis  as of the  Economic  Change  Date  prepared  in
         accordance with the Tax Principles;

                       (II) an income statement, prepared in accordance with the
         Tax  Principles,  of the Company and the  Subsidiary on a  consolidated
         basis for the period  commencing on the date succeeding the last day of
         the most recent  Financial  Statement  Date and ending on the  Economic
         Change Date;

                       (III) an aged  schedule  of  accounts  receivable  of the
         Company and the Subsidiary as of the Economic Change Date;

                       (IV) a Cash  Settlement  Summary of the  Company  and the
         Subsidiary, in form provided by Buyer;

                       (V) an  inventory  of fixed assets of the Company and the
         Subsidiary as of the Economic Change Date;

                       (VI) an  inventory  of  supplies  of the  Company and the
         Subsidiary as of the Economic Change Date; and

                       (VII) a Federal  and State tax return for the Company and
         the Subsidiary  for the Company's  fiscal period ending on the Economic
         Change Date,  or if such a return may not be filed in  accordance  with
         applicable  Governmental  Requirements,  a fiscal  year end Federal and
         State income tax return for the Company and the Subsidiary  prepared as
         if the Economic  Change Date was the last day of the fiscal year of the
         Company and the Subsidiary.

                  (B)  LIABILITIES  DEFICIENCY.  If all such Final Financial and
Tax  Information  is not  delivered  to IHS within  such  thirty (30) day period
following the effective  date of the merger,  the  Guarantors  and  Shareholders
shall be liable to IHS in an amount  equal to  $500.00  for each day after  such
thirty (30) day period until all such Final  Financial  and Tax  Information  is
delivered to IHS, and such liability shall  constitute a Liabilities  Deficiency
under the provisions of Section 2.7(a), above.

                            ARTICLE XV: MISCELLANEOUS

              15.1 GROUP'S  REPRESENTATIVE.  Each Shareholder  hereby designates
Lee T.  McCarger,  and Lee T. McCarger  hereby  accepts the  designation  as the
representative  of the Shareholders ( the "GROUP'S  REPRESENTATIVE")  to act for
and on behalf of the Guarantors and  Shareholders as provided in this Agreement.
Each  Shareholder  shall be bound by all  actions  taken or  omitted  by Group's
Representative  on behalf of any Shareholder as provided in this Agreement,  and
each  Shareholder  shall be deemed to have  received any notice  deemed given or
payment made to Group's  Representative in accordance with the notice provisions
of this  Agreement  on the  date  deemed  given  or the  date  paid  to  Group's
Representative,  and IHS and the Surviving Corporation shall be entitled to rely
on all notices and consents given, and all settlements entered into on behalf of
any Shareholder to the extent authorized pursuant to the terms of this Agreement
notwithstanding



                                       30


<PAGE>



any objections made by any Shareholder prior to, concurrently with or subsequent
to the  giving  of any such  notice or  consent  or the  settlement  of any such
matter.  Group's  Representative  may be  replaced  only if and  when all of the
Shareholders  shall  notify  IHS that a new  individual  person  (named  in such
notice)  has  been   unanimously   selected  by  them  to  be  the  new  Group's
Representative,  in which case such new person shall  thereafter  be the Group's
Representative.

              15.2  THIRD  PARTY  BENEFICIARIES.   Nothing  in  this  Agreement,
expressed  or  implied,  is  intended  to confer on any  person,  other than the
parties hereto, and their successors,  any rights or remedies under or by reason
of this Agreement other the affiliates  entitled to indemnification  pursuant to
Sections 13.1 and 13.2.

              15.3  EXPENSES.  Except as otherwise  stated  herein,  each of the
parties  shall  bear all  expenses  incurred  by them in  connection  with  this
Agreement  and  in  consummation  of the  transactions  contemplated  hereby  in
preparation thereof.

              15.4   NOTICES.   All   notices,   consents,   waivers  and  other
communications  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:

              to any Shareholder:    Lee T. McCargar
                                     17726 Grey Eagle Rd 
                                     Tampa, Fl 33647

              with a copy to:        Michael D. LaBarbera, Esq.
                                     LaBarbera, Campbell and Leto
                                     West Kennedy Legal Center
                                     1907 West Kennedy Boulevard
                                     Tampa, Florida 33606

              to IHS:                Integrated Health Services, Inc.
                                     10065 Red Run Boulevard
                                     Owings Mills, MD 21117
                                     Attn: Marshall Elkins, General Counsel, and
                                           Elizabeth B. Kelly, Executive Vice 
                                             President

                                           and

                                     Blass & Driggs
                                     461 Fifth Avenue
                                     New York, NY 10017
                                     Attn: Andrew S. Bogen



                                       31


<PAGE>



              with a copy to:        RoTech Medical Corporation
                                     4506 L.B. McLeod Road, Suite F
                                     Orlando, FL 32811
                                     Attention: Stephen P. Griggs

                  15.5  CHOICE  OF  LAW.  The  laws  of  the  State  of  Florida
applicable to contracts  executed,  delivered and to be fully  performed in such
State govern the validity of this Agreement,  the construction of its terms, and
the interpretation of the rights and duties of the parties.

                  15.6  SECTIONS AND OTHER  HEADINGS.  Section,  paragraph,  and
other headings  contained in this Agreement are for reference  purposes only and
shall not affect in any way the meaning or interpretation of this Agreement.

                  15.7 COUNTERPART EXECUTION.  This Agreement may be executed in
two or more counterparts,  each of which shall be deemed an original, but all of
which, together,  shall constitute but one instrument.  Facsimile signatures may
be deemed binding for this Agreement,  or any modification or amendment  hereto,
or any Transaction Documents contemplated hereby.

                  15.8  GENDER.  All gender  employed  in this  Agreement  shall
include all genders,  and the singular  shall  include the plural and the plural
shall include the singular whenever and as often as may be appropriate.

                  15.9 PARTIES IN INTEREST.  This Agreement  shall be binding on
and shall inure to the benefit of, and be  enforceable  by, IHS,  the  Surviving
Corporation,  Shareholders and their respective  successors and assigns. IHS and
the  Surviving  Corporation  shall be entitled to assign their rights under this
Agreement and the Transaction  Documents  after the Closing.  No Shareholder may
assign this  Agreement or any of his or her rights  hereunder  without the prior
consent of IHS.

                  15.10 ENTIRE AGREEMENT. This Agreement including all Schedules
and  Exhibits  hereto,  and all  Transaction  Documents  constitute  the  entire
agreement  between the parties  hereto with respect to the subject matter hereof
and  there  are no  agreements,  understandings,  restrictions,  warranties,  or
representations  between the parties with respect to the subject  matter  hereof
other than as set forth herein or as herein provided.

                  15.11 PERFORMANCE. In the event of a breach by any Shareholder
of any of its, his or her respective obligations  hereunder,  IHS 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  each  of  the
Shareholders  hereby waives the defense that there may be an adequate  remedy at
law.

                  15.12  WAIVER,   DISCHARGE,   ETC.  This   Agreement  and  the
Transaction  Documents and the obligations hereunder and thereunder 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 or any  Transaction
Document 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  such  Transaction
Document, as the case may be, or any part hereof or the right



                                       32


<PAGE>



of any party  thereafter to enforce each and every such provision.  No waiver of
any breach of this Agreement or any  Transaction  Document shall be held to be a
waiver of any other or subsequent breach.

                  15.13 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 or 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 purpose of this Agreement.

                  15.14 JOINT AND SEVERAL. The Shareholders shall be jointly and
severally liable for all representations, warranties and obligations, including,
without limitation,  indemnification  obligations,  and covenants made by any of
them  pursuant  to this  Agreement,  including,  without  limitation,  any  made
pursuant to any Transaction  Document.  For all purposes of this Agreement,  any
representation  or warranty  that is  qualified  to be "to the  knowledge of any
Shareholder or Company" or by a requirement  that the Company or any Shareholder
shall have received "notice" of any matter, or any similar  qualification  shall
be deemed to include the knowledge of the Company, or any Shareholder or notices
to the Company or any Shareholder, as the case may be. No Shareholder shall have
any right of contribution from, or indemnification by, the Surviving Corporation
(as the  successor to the Company and  Medaids) by reason of such  Shareholder's
prior  association  with the  Company  or Medaids  as a  shareholder,  employee,
officer or director.

                  15.15 INDEPENDENT LEGAL COUNSEL.  Each Shareholder  represents
and warrants  that it, he or she has had the  opportunity  to seek the advice of
independent  legal  counsel  prior to signing this  Agreement,  and that IHS has
recommended to such Shareholder that such party obtain legal counsel.

                       [SIGNATURES ON THE FOLLOWING PAGE]



                                       33


<PAGE>



         IN WITNESS  WHEREOF,  the  parties  have caused  this  Agreement  to be
executed as of the date first stated above.

                                               INTEGRATED HEALTH
                                               SERVICES, INC.

                                               By:
                                                  ------------------------------
                                               Name:
                                               Title:

                                               ROTECH OXYGEN & MEDICAL
                                               EQUIPMENT, INC.

                                               By: /s/ STEPHEN P. GRIGGS
                                                  ------------------------------
                                               Name: Stephen P. Griggs
                                               Title: President

STATE OF FLORIDA
         --------------
COUNTY OF ORANGE
         --------------

         The foregoing  instrument  was  acknowledged  before me by,  Stephen P.
Griggs,  as  __________________________  President  of  Rotech  Oxygen & Medical
Equipment,  Inc.,  a  corporation,  on  behalf  of the  corporation,  and who is
personally   known  to  me;  or  has  produced   __________________________   as
identification.


April 21, 1998                                 /s/ Elizabeth S. Brown
- -------------------------                      ---------------------------------
Date                                           Notary Signature


                                               ---------------------------------
                                               Notary Name Printed
                                               My Commission Expires:

                    [SEAL] ELIZABETH S. BROWN
                    MY COMMISSION # CC377695 EXPIRES
                          JUNE 25, 1998
                  BONDED THRU TROY FARM INSURANCE, INC.



                                       34


<PAGE>


         IN WITNESS  WHEREOF,  the  parties  have caused  this  Agreement  to be
executed as of the date first stated above.

                                               INTEGRATED HEALTH
                                               SERVICES, INC.

                                               By: /s/ ELIZABETH B. KELLY
                                                  ------------------------------
                                               Name: Elizabeth B. Kelly
                                               Title: EVP, Corporate Development

                                               ROTECH OXYGEN & MEDICAL
                                               EQUIPMENT, INC.

                                               By: 
                                                  ------------------------------
                                               Name:
                                               Title:

STATE OF MARYLAND
         --------------
COUNTY OF BALTIMORE
         --------------

         The foregoing  instrument was  acknowledged  before me by, Elizabeth B.
Kelly,   as  Executive   Vice   President   of   Integrated   Health   Services,
a_________________  corporation,  on  behalf  of  the  corporation,  and  who is
personally known to me; or has produced a drivers' license as identification.


2/10/98                                         /s/ Joyce Walker Duley
- -------------------------                      ---------------------------------
Date                                           Notary Signature

                                               /s/ Joyce Walker Duley
                                               ---------------------------------
                                               Notary Name Printed
                                               My Commission Expires:

                                                  JOYCE WALKER DULEY
                                             NOTARY PUBLIC STATE OF MARYLAND
                                        MY COMMISSION EXPIRES DECEMBER 24, 2001


                                       35

<PAGE>

                                               PRIME MEDICAL SERVICES, INC.


                                               By: /s/ LEE T. MCCARGER
                                                  -----------------------------
                                               Name: LEE T. MCCARGER
                                               Title: President

STATE OF FLORIDA
         ----------------
COUNTY OF HILLSBOROUGH
          ---------------

          The  foregoing  instrument  was  acknowledged  before  me  by,  Lee  T
McCarger,  as  ___________________   President  of  Prime  Medical  Services,  a
corporation, on behalf of the corporation, and who is personally known to me; or
has produced________________________ as identification.


2/6/98                                        /s/ MICHAEL D. LABARBERA
- ------------------------------                ----------------------------------
Date                                          Notary Signature


       OFFICIAL NOTARY SEAL                   MICHAEL D. LABARBERA
        MICHAEL D LABARBERA                   ----------------------------------
   NOTARY PUBLIC STATE OF FLORIDA             Notary Name Printed
     COMMISSION NO. CC539722                  My Commission Expires:
 MY COMMISSION EXP. MAR. 22, 2000
 

/s/ LEANN JARCYNSKI                           /s/ SAMUEL JARCZYNSKI
- --------------------------------              ----------------------------------
LEANN JARCZYNSKI                              Samuel Jarczynski

STATE OF FLORIDA
         ------------------
COUNTY OF HILLSBOROUGH
         -----------------


         The foregoing agreement was acknowledged before me by, Leann Jarcynski,
Samuel   Jarcynski   who  is   personally   known   to  me;   or  has   produced
_______________________ as identification.

2/6/98                                        /s/ MICHAEL D. LABARBERA
- ---------------------------                   ----------------------------------
Date                                          Notary Signature

                                              MICHAEL D. LABARBERA
      OFFICIAL NOTARY SEAL                    ----------------------------------
       MICHAEL D LABARBERA                    Notary Name Printed
  NOTARY PUBLIC STATE OF FLORIDA              My Commission Expires:
    COMMISSION NO. CC539722
MY COMMISSION EXP. MAR. 22, 2000

                                       36


<PAGE>


                                              /s/ ELIZABETH TEPPER
                                              ----------------------------------
                                              Elizabeth Tepper

STATE OF FLORIDA
         ----------------
COUNTY OF HILLSBOROUGH
          ---------------

         The foregoing agreement was acknowledged before me by, Elizabeth Tepper
who is personally known to me; or has produced  ____________________________  as
identification.

2/6/98                                         /s/ MICAHEL D. LABARBERA
- -------------------------------                ---------------------------------
Date                                           Notary Signature

      OFFICIAL NOTARY SEAL                     MICHAEL D. LABARBERA
       MICHAEL D LABARBERA                     ---------------------------------
  NOTARY PUBLIC STATE OF FLORIDA               Notary Name Printed   
    COMMISSION NO. CC539722                    My Commission Expires:
MY COMMISSION EXP. MAR. 22, 2000                                     
                                               /s/ BERNICE BRIERLEY by 
                                                   ARTHUR TEPPER POA
                                               ---------------------------------
                                               Bernice Brierley      
                                               
STATE OF FLORIDA
        -------------------
COUNTY OF HILLSBOROUGH
         ------------------

         The foregoing agreement was acknowledged before me by, Arthur Tepper as
attorney in fact for Bernice  Brierley,  who is  personally  known to me; or has
produced ______________________________ as identification.



2/6/98                                         /s/ MICAHEL D. LABARBERA
- -------------------------------                ---------------------------------
Date                                           Notary Signature

      OFFICIAL NOTARY SEAL                     MICHAEL D. LABARBERA
       MICHAEL D LABARBERA                     ---------------------------------
  NOTARY PUBLIC STATE OF FLORIDA               Notary Name Printed   
    COMMISSION NO. CC539722                    My Commission Expires:
MY COMMISSION EXP. MAR. 22, 2000                                     


                                       37
<PAGE>

                                               /s/ LEE T. MCCARGER
                                               ---------------------------------
                                               Lee T. McCarger

STATE OF FLORIDA
        ----------------------
COUNTY OF HILLSBOROUGH
         ---------------------


         The foregoing agreement was acknowledged before me by, Lee T. McCarger,
who is personally  known to me; or has  produced____________________________  as
identification.


2/6/98                                         /s/ MICAHEL D. LABARBERA
- -------------------------------                ---------------------------------
Date                                           Notary Signature

      OFFICIAL NOTARY SEAL                     MICHAEL D. LABARBERA
       MICHAEL D LABARBERA                     ---------------------------------
  NOTARY PUBLIC STATE OF FLORIDA               Notary Name Printed   
    COMMISSION NO. CC539722                    My Commission Expires:
MY COMMISSION EXP. MAR. 22, 2000                                     


                                       38
<PAGE>




                             SCHEDULES AND EXHIBITS

Schedule 1(a)(i)                 -       Accounts Receivable
Schedule 1(a)(ii)                -       Inventory; Fixed Assets
Schedule 1(a)(iii)               -       Automobiles
Schedule 1(a)(v)(B)              -       Other Assets
Schedule 1(a)(v)(C)              -       Telephone Numbers
Schedule 2(a)                    -       Allocation of Purchase Price
Schedule 2(b)(iv)                -       Wire Instructions
Schedule 4(a)                    -       Closing Date Liabilities
Schedule 4(b)                    -       Unassumed Contracts
Schedule 9(c)                    -       Seller's Opinion
Schedule 12(c)                   -       Liabilities
Schedule 12(g)                   -       Contracts
Schedule 12(i)                   -       Personnel Payrates; Employee Benefits
Schedule 12(k)                   -       Insurance
Schedule 12(o)                   -       Tax Returns and Financial Statements
Schedule 12(p)                   -       Supplemental Tax Information
Schedule 12(q)                   -       Adverse Business Developments
Schedule 12(r)                   -       Relationships
Schedule 12(u)                   -       Reimbursement Matters
Schedule 12(v)                   -       Environmental Compliance
Schedule 15(a)                   -       Locations


Exhibit 2(b)(i)                  -       Escrow Agreement
Exhibit 2(b)(ii)                 -       Payment Escrow Agreement



                                       39



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

                     MEMBERSHIP INTEREST PURCHASE AGREEMENT

                            DATED AS OF APRIL 7, 1998

                                      AMONG

                        INTEGRATED HEALTH SERVICES, INC.,
                           DOWNSTATE LITHOTRIPTER LLC,
                                METRO/LITHO L.P.,
                         LONG ISLAND LITHOTRIPTER, LLC,
                            LITHOTRIPTER CORPORATION

                                       AND

                         ALLIED UROLOGICAL SERVICES, LLC

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



<PAGE>

                                TABLE OF CONTENTS

<TABLE>
                                                                              PAGE

ARTICLE I: SALE AND PURCHASE OF COMPANY ASSETS; ALLOCATION......................2
<S> <C>                                                                        <C>
    1.1      Downstate..........................................................2
    1.2      Metro/Litho........................................................2
    1.3      Long Island........................................................3
    1.4      Litho Corp.........................................................3
    1.5      Assignment of Rights and Obligations...............................4
    1.6      Allocation of Purchase Price.......................................4

ARTICLE II:  COMPANY ASSETS AND LIABILITIES.....................................4
    2.1      Downstate..........................................................4
    2.2      Metro/Litho........................................................5
    2.3      Long Island........................................................6
    2.4      Litho Corp.........................................................8
    2.5      Lithotripsy Practice...............................................9

ARTICLE III: ADJUSTMENTS TO STOCK PORTION OF PURCHASE PRICE.....................10
    3.1      Adjustments to the Aggregate Stock Portion of Purchase Price.......10
    3.2      Definition of Working Capital......................................12
    3.3      Allocation among the Companies.....................................13

ARTICLE IV: ASSUMED CONTRACTS...................................................13
    4.1      Assumed Contracts..................................................13

ARTICLE V:  IHS STOCK...........................................................14
    5.1      IHS Stock..........................................................14
    5.2      Transfers of IHS Stock and Membership Interests....................18

ARTICLE VI:  THE CLOSING........................................................19
    6.1      Time and Place of Closing..........................................19

ARTICLE VII: REPRESENTATIONS AND WARRANTIES.....................................19
    7.1      Representations and Warranties of IHS..............................19
    7.2      Representations and Warranties of Downstate........................19
    7.3      Representations and Warranties of Metro/Litho......................19
    7.4      Representations and Warranties of Long Island......................19
    7.5      Representations and Warranties of Litho Corp.......................19
    7.6      Representations and Warranties Regarding Lithotripsy Practice......19

ARTICLE VIII:  INFORMATION AND RECORDS CONCERNING THE COMPANIES.................20
    8.1      Access to Information and Records before Closing...................20

ARTICLE IX:  OBLIGATIONS OF THE PARTIES UNTIL CLOSING...........................20
    9.1      Conduct of Business Pending Closing................................20
    9.2      Negative Covenants of the Companies................................20
    9.3      Affirmative Covenants..............................................22
    9.4      Pursuit of Consents and Approvals..................................23
</TABLE>



                                       (i)

<PAGE>
<TABLE>

<S>  <C>                                                                       <C>
<CAPTION>
     9.5      Supplementary Financial Information...............................23
     9.6      Exclusivity.......................................................23

ARTICLE X:  CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS.........................23
     10.1     Representations and Warranties....................................23
     10.2     Performance of Covenants..........................................24
     10.3     Delivery of Closing Certificate...................................24
     10.4     Opinions of Counsel...............................................24
     10.5     Legal Matters.....................................................24
     10.6     Authorization Documents...........................................24
     10.7     Material Change...................................................24
     10.8     Approvals.........................................................24
     10.9     [Intentionally Omitted]...........................................25
     10.10    Engineering Report................................................25
     10.11    Surveys...........................................................25
     10.12    Zoning Report.....................................................25
     10.13    Title Insurance...................................................25
     10.14    Operating Agreement...............................................25
     10.15    Management Agreement and Leases...................................25
     10.16    Liens on Lithotripsy Practice Assets..............................25
     10.17    Westchester Facility..............................................25
     10.18    Employment and Consulting Agreements..............................25
     10.19    Non-Compete Agreements............................................26
     10.20    Agreements with Certain Urologists, Radiology                     
               Technologists and Anesthesiologists..............................26
     10.21    Investor Representation and Indemnification Agreements............26
     10.22    Working Capital...................................................26
     10.23    Long-term Liabilities.............................................26
     10.24    Estimated Lithotripsy Practice Balance Sheet......................26
     10.25    Other Documents...................................................26

ARTICLE XI:  CONDITIONS PRECEDENT TO OBLIGATIONS OF THE COMPANIES...............26
     11.1     Representations and Warranties....................................27
     11.2     Performance of Covenants..........................................27
     11.3     Delivery of Closing Certificate...................................27
     11.4     Opinion of Counsel................................................27
     11.5     Legal Matters.....................................................27
     11.6     Authorization Documents...........................................27
     11.7     Employment Agreements.............................................27
     11.8     Release of Guaranties.............................................27
     11.9     Operating Agreement...............................................27
     11.10    Management Agreement and Leases...................................28
     11.11    IHS Non-compete/First Offer Agreement.............................28
     11.12    Consent of Existing Equity Holders................................28
     11.13    Other Documents...................................................28
     11.14    No Decline in Stock Price.........................................28

ARTICLE XII:  SURVIVAL AND INDEMNIFICATION; POST-CLOSING OBLIGATIONS............28
     12.1     Survival of Representations and Warranties........................28
     12.2     Indemnification by the Companies..................................28
     12.3     Indemnification by IHS............................................30
     12.4     Indemnification by Allied.........................................30

</TABLE>


                                      (ii)

<PAGE>
<TABLE>
<CAPTION>

<S>   <C>                                                                      <C>
      12.5     Limitations on Indemnification Obligations.......................30
      12.6     Control of Defense of Indemnifiable Claims.......................32
      12.7     Agreement Regarding Certain Urologists...........................33

ARTICLE XIII: TERMINATION.......................................................33
      13.1     Termination......................................................33
      13.2     Effect of Termination............................................34

ARTICLE XIV: CASUALTY, RISK OF LOSS.............................................34
      14.1     Casualty, Risk of Loss...........................................34

ARTICLE XV:  MISCELLANEOUS......................................................34
      15.1     Representatives..................................................34
      15.2     Performance......................................................36
      15.3     Benefit and Assignment...........................................36
      15.4     Effect and Construction of this Agreement........................37
      15.5     Cooperation - Further Assistance.................................37
      15.6     Notices..........................................................37
      15.7     Waiver, Discharge, Etc...........................................38
      15.8     Rights of Persons Not Parties....................................38
      15.9     Governing Law....................................................38
      15.10    Amendments, Supplements, Etc.....................................38
      15.11    Severability.....................................................39
      15.12    Costs and Expenses...............................................39
      15.13    Public Announcements.............................................39
      15.14    Arbitration......................................................39

ARTICLE XVI: CERTAIN DEFINITIONS................................................39
</TABLE>



                                      (iii)

<PAGE>

                              SCHEDULES & EXHIBITS

Schedule 1.6         -    Allocation
Schedule 3.3         -    Allocation Among Companies
Schedule 4.1-A       -    Designated Contracts
Schedule 4.1-B       -    Termination Contracts
Schedule 10.19       -    Urologists Entering into Non-Competes

Exhibit A            -    Operating Agreement
Exhibit 7.1          -    IHS Representations and Warranties
Exhibit 7.2          -    Downstate Representations and Warranties
Exhibit 7.3          -    Metro/Litho Representations and Warranties
Exhibit 7.4          -    Long Island Representations and Warranties
Exhibit 7.5          -    Litho Corp. Representations and Warranties
Exhibit 7.6          -    Lithotripsy Practice Representations and Warranties
Exhibit 10.15        -    Form of Management Agreement
Exhibit 10.18-1      -    McGowen Employment Agreement
Exhibit 10.18-2      -    Fruchtman Employment Agreement
Exhibit 10.19        -    Form of Non-Compete Agreement
Exhibit 10.21        -    Form of Representation and Indemnification Instrument
Exhibit 11.11        -    Form of Non-Compete/First Offer Agreement





                                      (iv)

<PAGE>

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

                     MEMBERSHIP INTEREST PURCHASE AGREEMENT

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


                  This Membership Interest Purchase Agreement (this "AGREEMENT")
is made as of the 7th day of April, 1998, among Allied Urological Services, LLC,
a  limited  liability  company  formed  under the laws of  Delaware  ("ALLIED"),
Integrated  Health Services,  Inc., a Delaware  corporation  ("IHS"),  Downstate
Lithotripter  LLC, a limited liability company formed under the laws of New York
("DOWNSTATE"),  Metro/Litho L.P., a limited partnership formed under the laws of
New York  ("METRO/LITHO"),  Long Island  Lithotripter,  LLC, a limited liability
company  formed  under the laws of New York  ("LONG  ISLAND")  and  Lithotripter
Corporation,  a New York corporation ("LITHO CORP", and together with Downstate,
Metro/Litho and Long Island, the "COMPANIES", and each a "COMPANY").

                                    RECITALS

         WHEREAS,  the Companies  currently  provide  equipment  and  management
services  to  Metropolitan   Lithotripter   Associates,   PC  (the  "LITHOTRIPSY
PRACTICE"),  a professional corporation composed of approximately 200 urologists
that provides renal  lithotripsy and other services  ("SERVICES") in the Greater
New York metropolitan area, including Manhattan and Long Island; and

         WHEREAS,  the equipment  and services  provided by the Companies to the
Lithotripsy  Practice (the  "EQUIPMENT  AND  MANAGEMENT  SERVICES")  include the
following:

         (A) Manhattan: Sublease to the Lithotripsy Practice by Metro/Litho of a
fixed site  lithotripter  facility (the  "MANHATTAN  FACILITY") and provision of
management  services to the  Lithotripsy  Practice  relating  to such  Manhattan
Facility (the "MANHATTAN MANAGEMENT SERVICES");

         (B) Long Island:  Lease to the  Lithotripsy  Practice by Downstate of a
mobile lithotripter (expected to be converted to a fixed site lithotripter) (the
"LONG  ISLAND  MOBILE  LITHOTRIPTER"),  lease to the  Lithotripsy  Practice of a
urology-specific  procedure  facility  in East  Meadow,  Long  Island  owned  by
Downstate (the "LONG ISLAND FACILITY"),  and provision of management services to
the Lithotripsy Practice relating to the Long Island Mobile Lithotripter and the
Long Island Facility by Long Island (the "LONG ISLAND MANAGEMENT SERVICES"); and

         (C) Westchester: Sublease to the Lithotripsy Practice by Downstate of a
fixed site lithotripter facility (the "NEW WESTCHESTER  FACILITY",  and together
with the Manhattan Facility and the Long Island Facility, the "FACILITIES",  and
each a FACILITY")  that is under  construction  and, upon  completion of the New
Westchester Facility,  the provision to the Lithotripsy Practice by Downstate of
management services relating to such New Westchester  Facility (the "WESTCHESTER
MANAGEMENT SERVICES"); and

         WHEREAS,  the Companies are owned by  approximately  90 urologists (the
"UROLOGIST  INVESTORS")  (of which  approximately  all are also investors in the
Lithotripsy  Practice),  Cabrini  Medical  Center  ("CABRINI"),  and five  other
non-urologist  investors (together with Cabrini, the "NON-UROLOGIST  INVESTORS",
and the Urologist  Investors and the  Non-Urologist  Investors are  collectively
referred to as the "EXISTING EQUITY HOLDERS"); and




<PAGE>

         WHEREAS,  the Companies  desire to combine their assets and businesses,
and IHS desires to invest in such combined business ("BUSINESS"); and

         WHEREAS,  Allied has been formed as a limited  liability  company under
the laws of the State of  Delaware  on behalf  of the  parties  hereto to be the
owner of the Business and, as of the date hereof, IHS owns the entire membership
interest in Allied (the "AGGREGATE MEMBERSHIP INTEREST"); and

         WHEREAS,  the parties  hereto desire and intend that at the Closing (as
such term is defined in Section 5.1), the Companies shall transfer the Aggregate
Assets to Allied,  as  assignee of IHS  pursuant to Section 1.5 hereof,  and, in
consideration  therefor,  IHS shall deliver to the Companies shares of IHS Stock
(as  hereinafter  defined) and Allied shall deliver to the Companies  membership
interests in Allied, in each case in such amounts as are determined  pursuant to
the terms hereof; and

         WHEREAS,  the parties hereto desire and intend that  immediately  after
the Closing,  the  Aggregate  Membership  Interest  shall be owned sixty percent
(60%) by IHS, and forty percent (40%) by the Companies in the aggregate; and

         WHEREAS, the Operating Agreement of Allied is as set forth on Exhibit A
hereto (the "OPERATING AGREEMENT").

         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,  each of the parties hereto  intending to be
legally bound, agree as follows:

           ARTICLE I: SALE AND PURCHASE OF COMPANY ASSETS; ALLOCATION

             1.1      DOWNSTATE.

                      (A) ACQUISITION OF DOWNSTATE ASSETS.  Subject to the terms
and  conditions  of this  Agreement,  at the  Closing,  IHS  will  acquire  from
Downstate,  and Downstate will sell, assign,  transfer and convey to IHS, all of
the Downstate  Assets (as such term is hereinafter  defined in Section  2.1(a)),
free and clear of all Liens (as such term is hereinafter defined in Article XV),
other than Permitted Liens (as such term is hereinafter defined in Article XV).

                      (B)  PURCHASE  PRICE  FOR  DOWNSTATE  ASSETS.  Subject  to
adjustment as provided  below,  the  aggregate  purchase  price (the  "DOWNSTATE
PURCHASE  PRICE")  for all of the  Downstate  Assets  shall  consist of: (i) the
issuance by IHS to  Downstate  of that  number of shares of the common  stock of
IHS, par value $.001 per share ("IHS STOCK"),  determined as of the Closing Date
in accordance  with Section  5.1(a)  hereof,  as shall have an aggregate  value,
subject  to  adjustment  pursuant  to  Section  3.1 below,  of  $3,381,951  (the
"DOWNSTATE  STOCK  PORTION");  and (ii) the  issuance by Allied to  Downstate of
12.8836% (the "DOWNSTATE  PERCENTAGE") of the Aggregate Membership Interest (the
"DOWNSTATE  MEMBERSHIP  INTEREST"),  free and clear of all Liens  other than the
restrictions set forth in the Operating Agreement.

             1.2      METRO/LITHO.

                      (A)  ACQUISITION  OF  METRO/LITHO  ASSETS.  Subject to the
terms and conditions of this  Agreement,  at the Closing,  IHS will acquire from
Metro/Litho,  and Metro/Litho will sell, assign, transfer and convey to IHS, all
of the  Metro/Litho  Assets  (as such term is  hereinafter  defined  in  Section
2.2(a)), free and clear of all Liens, other than Permitted Liens.



                                        2

<PAGE>

                      (B)  PURCHASE  PRICE FOR  METRO/LITHO  ASSETS.  Subject to
adjustment as provided  below,  the aggregate  purchase price (the  "METRO/LITHO
PURCHASE  PRICE") for all of the  Metro/Litho  Assets shall  consist of: (i) the
issuance by IHS to Metro/Litho of that number of shares of IHS Stock  determined
as of the Closing Date in accordance  with Section 5.1(a) hereof,  as shall have
an aggregate  value,  subject to  adjustment  pursuant to Section 3.1 below,  of
$5,891,198 (the "METRO/LITHO STOCK PORTION"), and (ii) the issuance by Allied to
Metro/Litho  of  22.4427%  (the  "METRO/LITHO   PERCENTAGE")  of  the  Aggregate
Membership Interest (the "METRO/LITHO  MEMBERSHIP INTEREST"),  free and clear of
all Liens other than the restrictions set forth in the Operating Agreement.

             1.3      LONG ISLAND.

                      (A)  ACQUISITION  OF LONG  ISLAND  ASSETS.  Subject to the
terms and conditions of this  Agreement,  at the Closing,  IHS will acquire from
Long Island, and Long Island will sell, assign,  transfer and convey to IHS, all
of the Long  Island  Assets  (as such term is  hereinafter  defined  in  Section
2.3(a)), free and clear of all Liens, other than Permitted Liens.

                      (B)  PURCHASE  PRICE FOR LONG  ISLAND  ASSETS.  Subject to
adjustment as provided  below,  the aggregate  purchase  price (the "LONG ISLAND
PURCHASE  PRICE") for all of the Long Island  Assets  shall  consist of: (i) the
issuance by IHS to Long Island of that number of shares of IHS Stock  determined
as of the Closing Date in accordance  with Section 5.1(a) hereof,  as shall have
an aggregate  value,  subject to  adjustment  pursuant to Section 3.1 below,  of
$376,668 (the "LONG ISLAND STOCK  PORTION");  and (ii) the issuance by Allied to
Long  Island  of  1.1036%  (the  "LONG  ISLAND  PERCENTAGE")  of  the  Aggregate
Membership Interest (the "LONG ISLAND MEMBERSHIP  INTEREST"),  free and clear of
all Liens other than the restrictions set forth in the Operating Agreement.

             1.4      LITHO CORP.

                      (A) ACQUISITION OF LITHO CORP ASSETS. Subject to the terms
and conditions of this  Agreement,  at the Closing,  IHS will acquire from Litho
Corp, and Litho Corp will sell,  assign,  transfer and convey to IHS, all of the
Assets (as such term is hereinafter  defined in Section 2.4(a)),  free and clear
of all Liens, other than Permitted Liens.

                      (B)  PURCHASE  PRICE FOR LITHO  CORP  ASSETS.  Subject  to
adjustment  as provided  below,  the aggregate  purchase  price (the "LITHO CORP
PURCHASE PRICE", and together with the Downstate Purchase Price, the Metro/Litho
Purchase  Price,  and the Long Island Purchase  Price,  the "AGGREGATE  PURCHASE
PRICE",  and each a "PURCHASE  PRICE")  for all of the Litho Corp  Assets  shall
consist  of: (i) the  issuance  by IHS to Litho Corp of that number of shares of
IHS Stock  determined as of the Closing Date in accordance  with Section  5.1(a)
hereof,  as shall have an aggregate  value,  subject to  adjustment  pursuant to
Section 3.1 below, of $1,250,183  (the "LITHO CORP STOCK PORTION",  and together
with the Downstate Stock Portion,  the Metro/Litho  Stock Portion,  and the Long
Island  Stock  Portion,  the  "AGGREGATE  STOCK  PORTION",  and  each  a  "STOCK
PORTION"); and (ii) the issuance by Allied to Litho Corp, of 3.5701% (the "LITHO
CORP PERCENTAGE",  and together with the Downstate  Percentage,  the Metro/Litho
Percentage, and the Long Island Percentage, the "AGGREGATE PERCENTAGE", and each
a "PERCENTAGE") of the Aggregate Membership Interest (the "LITHO CORP MEMBERSHIP
INTEREST",  and together with the Downstate Membership Interest, the Metro/Litho
Membership  Interest and the Long Island  Membership  Interest,  the  "AGGREGATE
COMPANY MEMBERSHIP INTEREST",  and each a "COMPANY MEMBERSHIP  INTEREST"),  free
and clear of all Liens other than the  restrictions  set forth in the  Operating
Agreement.



                                        3

<PAGE>

                  1.5 ASSIGNMENT OF RIGHTS AND OBLIGATIONS.  Notwithstanding any
contrary provisions contained herein, the parties hereto agree that prior to the
Closing IHS shall assign its rights and obligations under this Article I to take
title to the Aggregate  Assets to Allied,  and upon such assignment IHS shall be
relieved of said  obligations;  except that no such assignment shall relieve IHS
of its obligation to pay the Aggregate Purchase Price.

                  1.6 ALLOCATION OF PURCHASE PRICE. The Aggregate Purchase Price
shall be  allocated  among the  Aggregate  Assets as set forth in  Schedule  1.6
hereof,  and the parties shall adhere to such  allocations in filing all returns
to the  appropriate  taxing  authorities.  If the  Aggregate  Purchase  Price is
increased or reduced on account of any  adjustment  provided  for herein,  or if
payments  on  account  of  indemnification  obligations  are  made by IHS or the
Companies  hereunder,  then  the  parties  shall  in  good  faith  agree  upon a
reallocation of the Aggregate  Purchase Price to the extent necessary to correct
any  material   discrepancy  or  inconsistency  with  respect  to  the  original
allocation.

                   ARTICLE II: COMPANY ASSETS AND LIABILITIES

             2.1      DOWNSTATE.

                      (A) DOWNSTATE ASSETS. For purposes of this Agreement,  the
"DOWNSTATE  ASSETS" shall mean,  except as set forth in the following  sentence,
all of the tangible and intangible  assets,  real,  personal or mixed,  that are
owned  by  Downstate  or in  which  it has an  ownership  interest  and that are
utilized or are held for use in connection with or are necessary to the business
of  Downstate,  including,  without  limitation,  all  lithotripters  and  other
property,  plant, and equipment, real property leasehold rights, contract rights
(including,  without  limitation,  rights  under  leases  of  lithotripters  and
management   agreements  with  the  Lithotripsy   Practice  and  non-competition
agreements), telephone numbers, books and records, inventory and supplies, trade
names,   trademarks,   cash,  cash  equivalents,   bank  accounts  and  accounts
receivable,  and, to the extent  permitted by law, all  licenses,  permits,  and
authorizations.  Notwithstanding  the foregoing,  the Downstate Assets shall not
include  assets  disposed of from the date hereof until  Closing in the ordinary
course of business  consistent  with past  practice and  otherwise in conformity
with the obligations of Downstate under this Agreement,  Downstate's Certificate
of Formation and Operating  Agreement,  its  qualification to do business in any
jurisdiction,  taxpayer identification number, minute books, membership interest
transfer  records and other documents  related  specifically to such Downstate's
limited  liability  company  organization  and  maintenance  (collectively,  the
"DOWNSTATE EXCLUDED ASSETS").

                      (B) DOWNSTATE LIABILITIES.

                      (I)  Subject to the terms and  conditions  hereof,  at the
Closing,  Allied shall  assume and  thereafter  in due course fully  satisfy the
following liabilities of Downstate (the "DOWNSTATE ASSUMED LIABILITIES"):

                      (A) all  trade  payables,  operating  expenses  and  other
         current liabilities of Downstate that are taken into account as current
         liabilities   ("DOWNSTATE  CURRENT  LIABILITIES")  in  determining  the
         Proposed  Working  Capital  (as such  term is  hereinafter  defined  in
         Section 3.1(b)(i)(A));

                      (B) long-term liabilities of Downstate that are taken into
         account as long-term liabilities ("DOWNSTATE LONG-TERM LIABILITIES") in
         determining  the  Proposed  Long-term  Liabilities  (as  such  term  is
         hereinafter defined Section 3.1(b)(i)(C)); and



                                        4

<PAGE>

                      (C) those  obligations  that  arise  under  the  Downstate
         Assumed Contracts (as such term is hereinafter  defined in Section 4.1)
         assigned  by  Downstate  to  Allied,  with  respect to  services  to be
         rendered or goods to be supplied or benefits to be  conferred to Allied
         solely after the Closing Date. Liabilities under such Downstate Assumed
         Contracts that have accrued,  or the performance of which is due, on or
         prior to the Closing Date, or which are in payment or consideration for
         Downstate  Excluded  Assets,  shall remain the sole  responsibility  of
         Downstate  except  to the  extent  same  constitute  Downstate  Current
         Liabilities or Downstate Long-term Liabilities.

                      (II) Except for the Downstate Assumed Liabilities,  Allied
will not assume, and Downstate shall continue to be liable for and shall satisfy
as the same become due all Liabilities  (as such term is hereinafter  defined in
Article XV) that arise out of acts or omissions by it or circumstances for which
it is  responsible  attributable  to any period on or prior to the Closing  Date
("DOWNSTATE  EXCLUDED   LIABILITIES"),   including,   without  limitation,   (A)
liabilities arising out of arrangements  between it or the Lithotripsy  Practice
with any third  party  payor,  or  arrangements  with any person or entity  that
participates  in any third party payor program,  including  without  limitation,
with respect to any excess reimbursement,  recapture,  adjustment or overpayment
whatsoever  ("DOWNSTATE  REIMBURSEMENT  LIABILITIES"),  (B)  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,  (C) any accounts  payable or  employment or other
taxes  (except to the  extent of the amount  thereof,  if any,  that  constitute
Downstate  Current  Liabilities  or Downstate  Long-term  Liabilities),  and (D)
accrued  but unpaid  compensation  or other  benefits  to any of the  employees,
agents, consultants or advisers of Downstate, including accrued vacation (except
to the  extent  the  amount  thereof,  if  any,  constitutes  Downstate  Current
Liabilities).

                      (III) It is expressly  understood  that all Liabilities of
Downstate for amounts owing or payable to any  organizing  adviser of, or finder
for, Downstate,  incurred with respect to the transactions  contemplated by this
Agreement or with respect to any prior  transactions,  shall be deemed Downstate
Excluded  Liabilities  (regardless  of  whether  the  same  would  constitute  a
liability to be set forth on a balance sheet of Downstate),  and Allied will not
assume, and Downstate shall continue to be liable for and shall satisfy same.

                  2.2      METRO/LITHO.

                      (A)  METRO/LITHO  ASSETS.  For purposes of this Agreement,
the  "METRO/LITHO  ASSETS"  shall  mean,  except as set  forth in the  following
sentence,  all of the tangible and intangible assets,  real,  personal or mixed,
that are owned by Metro/Litho or in which it has an ownership  interest and that
are  utilized or are held for use in  connection  with or are  necessary  to the
business of Metro/Litho,  including,  without limitation,  the TUNA machine, all
lithotripters and other property,  plant, and equipment, real property leasehold
rights, contract rights (including,  without limitation,  rights under leases of
lithotripters  and  management  agreements  with the  Lithotripsy  Practice  and
non-competition agreements), telephone numbers, books and records, inventory and
supplies,  trade names,  trademarks,  cash, cash equivalents,  bank accounts and
accounts receivable, and, to the extent permitted by law, all licenses, permits,
and authorizations.  Notwithstanding the foregoing, the Metro/Litho Assets shall
not  include  assets  disposed  of from the date  hereof  until  Closing  in the
ordinary  course of business  consistent  with past  practice  and  otherwise in
conformity   with  the   obligations  of  Metro/Litho   under  this   Agreement,
Metro/Litho's Limited Partnership Certificate and Limited Partnership Agreement,
its  qualification to do business in any jurisdiction,  taxpayer  identification
number,  minute books,  partnership transfer records and other documents related
specifically  to  such  Metro/Litho's   limited  partnership   organization  and
maintenance,  and  its  membership  interest  in  Downstate  (collectively,  the
"METRO/LITHO EXCLUDED ASSETS").



                                        5

<PAGE>

              (B)      METRO/LITHO LIABILITIES.

                      (I)  Subject to the terms and  conditions  hereof,  at the
Closing,  Allied shall  assume and  thereafter  in due course fully  satisfy the
following liabilities of Metro/Litho (the "METRO/LITHO ASSUMED LIABILITIES"):

                      (A) all  trade  payables,  operating  expenses  and  other
         current  liabilities  of  Metro/Litho  that are taken  into  account as
         current liabilities  ("METRO/LITHO CURRENT LIABILITIES") in determining
         the Proposed Working Capital; and

                      (B) long-term  liabilities of  Metro/Litho  that are taken
         into  account  as   long-term   liabilities   ("METRO/LITHO   LONG-TERM
         LIABILITIES") in determining the Proposed Long-term Liabilities; and

                      (C) those  obligations  that arise  under the  Metro/Litho
         Assumed Contracts (as such term is hereinafter  defined in Section 4.1)
         and assigned by Metro/Litho  to Allied,  with respect to services to be
         rendered or goods to be supplied or benefits to be  conferred to Allied
         solely  after the  Closing  Date.  Liabilities  under such  Metro/Litho
         Assumed  Contracts  that have accrued,  or the  performance of which is
         due,  on or prior to the  Closing  Date,  or which  are in  payment  or
         consideration  for Metro/Litho  Excluded Assets,  shall remain the sole
         responsibility  of  Metro/Litho  except to the extent  same  constitute
         Metro/Litho Current Liabilities or Metro/Litho Long-term Liabilities.

                      (II)  Except  for  the  Metro/Litho  Assumed  Liabilities,
Allied  will not assume,  and  Metro/Litho  shall  continue to be liable for and
shall satisfy as the same become due all  Liabilities  that arise out of acts or
omissions by it or circumstances for which it is responsible attributable to any
period on or prior to the Closing  Date  ("METRO/LITHO  EXCLUDED  LIABILITIES"),
including,  without  limitation,  (A)  liabilities  arising out of  arrangements
between  it  or  the  Lithotripsy  Practice  with  any  third  party  payor,  or
arrangements  with any person or entity  that  participates  in any third  party
payor  program,  including  without  limitation,  with  respect  to  any  excess
reimbursement,  recapture,  adjustment or overpayment  whatsoever  ("METRO/LITHO
REIMBURSEMENT LIABILITIES"),  (B) 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, (C)
any accounts  payable or  employment or other taxes (except to the extent of the
amount  thereof,  if any, that  constitute  Metro/Litho  Current  Liabilities or
Metro/Litho Long-term  Liabilities),  and (D) accrued but unpaid compensation or
other  benefits  to any of the  employees,  agents,  consultants  or advisers of
Metro/Litho,  including  accrued  vacation  (except  to the  extent  the  amount
thereof, if any, constitutes Metro/Litho Current Liabilities).

                      (III) It is expressly  understood  that all Liabilities of
Metro/Litho for amounts owing or payable to any organizing adviser of, or finder
for, Metro/Litho, incurred with respect to the transactions contemplated by this
Agreement or with respect to any prior transactions, shall be deemed Metro/Litho
Excluded  Liabilities  (regardless  of  whether  the  same  would  constitute  a
liability to be set forth on a balance  sheet of  Metro/Litho),  and Allied will
not assume,  and  Metro/Litho  shall continue to be liable for and shall satisfy
same.

                  2.3      LONG ISLAND.

                      (A) LONG ISLAND  ASSETS.  For purposes of this  Agreement,
the "LONG  ISLAND  ASSETS"  shall  mean,  except  as set forth in the  following
sentence, all of the tangible and intangible assets,



                                        6

<PAGE>

real,  personal  or mixed,  that are owned by Long  Island or in which it has an
ownership  interest and that are utilized or are held for use in connection with
or are necessary to the business of Long Island, including,  without limitation,
all  lithotripters  and other  property,  plant,  and  equipment,  real property
leasehold rights, contract rights (including,  without limitation,  rights under
leases of lithotripters and management  agreements with the Lithotripsy Practice
and non-competition agreements), telephone numbers, books and records, inventory
and supplies, trade names, trademarks, cash, cash equivalents, bank accounts and
accounts receivable, and, to the extent permitted by law, all licenses, permits,
and authorizations.  Notwithstanding the foregoing, the Long Island Assets shall
not  include  assets  disposed  of from the date  hereof  until  Closing  in the
ordinary  course of business  consistent  with past  practice  and  otherwise in
conformity  with the  obligations  of Long  Island  under this  Agreement,  Long
Island's Certificate of Formation and Operating Agreement,  its qualification to
do business in any jurisdiction,  taxpayer  identification number, minute books,
membership interest transfer records and other documents related specifically to
such Long Island's limited liability company  organization and maintenance,  and
its membership  interest in Downstate  (collectively,  the "LONG ISLAND EXCLUDED
ASSETS").

             (B)      LONG ISLAND LIABILITIES.

                      (I)  Subject to the terms and  conditions  hereof,  at the
Closing,  Allied shall  assume and  thereafter  in due course fully  satisfy the
following liabilities of Long Island (the "LONG ISLAND ASSUMED LIABILITIES"):

                      (A) all  trade  payables,  operating  expenses  and  other
         current  liabilities  of Long  Island  that are taken  into  account as
         current liabilities ("LONG ISLAND CURRENT  LIABILITIES") in determining
         the Proposed Working Capital; and

                      (B)  long-term  liabilities  of Long Island that are taken
         into  account  as  long-term   liabilities   ("LONG  ISLAND   LONG-TERM
         LIABILITIES") in determining the Proposed Long-term Liabilities; and

                      (C) those  obligations  that arise  under the Long  Island
         Assumed Contracts (as such term is hereinafter  defined in Section 4.1)
         and  assigned by Long Island to Allied,  with respect to services to be
         rendered or goods to be supplied or benefits to be  conferred to Allied
         solely  after the  Closing  Date.  Liabilities  under such Long  Island
         Assumed  Contracts  that have accrued,  or the  performance of which is
         due,  on or prior to the  Closing  Date,  or which  are in  payment  or
         consideration  for Long Island Excluded  Assets,  shall remain the sole
         responsibility of Long Island except to the extent same constitute Long
         Island Current Liabilities or Long Island Long-term Liabilities.

                      (II)  Except  for the  Long  Island  Assumed  Liabilities,
Allied will not  assume,  and Long  Island  shall  continue to be liable for and
shall satisfy as the same become due all  Liabilities  that arise out of acts or
omissions by it or circumstances for which it is responsible attributable to any
period on or prior to the Closing  Date ("LONG  ISLAND  EXCLUDED  LIABILITIES"),
including,  without  limitation,  (A)  liabilities  arising out of  arrangements
between  it  or  the  Lithotripsy  Practice  with  any  third  party  payor,  or
arrangements  with any person or entity  that  participates  in any third  party
payor  program,  including  without  limitation,  with  respect  to  any  excess
reimbursement,  recapture,  adjustment or overpayment  whatsoever  ("LONG ISLAND
REIMBURSEMENT LIABILITIES"),  (B) 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, (C)
any accounts  payable or  employment or other taxes (except to the extent of the
amount thereof,  if any, that constitute Long Island Current Liabilities or Long
Island Long-term Liabilities),  and (D) accrued but unpaid compensation or other
benefits  to any of the  employees,  agents,  consultants  or  advisers  of Long
Island,  including accrued vacation (except to the extent of the amount thereof,
if any, that constitute Long Island Current Liabilities).



                                        7

<PAGE>

                      (III) It is expressly  understood  that all Liabilities of
Long Island for amounts owing or payable to any organizing adviser of, or finder
for, Long Island, incurred with respect to the transactions contemplated by this
Agreement or with respect to any prior transactions, shall be deemed Long Island
Excluded  Liabilities  (regardless  of  whether  the  same  would  constitute  a
liability to be set forth on a balance  sheet of Long  Island),  and Allied will
not assume,  and Long Island shall  continue to be liable for and shall  satisfy
same.

                  2.4      LITHO CORP.

                      (A) LITHO CORP ASSETS. For purposes of this Agreement, the
"LITHO CORP ASSETS" shall mean,  except as set forth in the following  sentence,
all of the tangible and intangible  assets,  real,  personal or mixed,  that are
owned  by  Litho  Corp or in which  it has an  ownership  interest  and that are
utilized or are held for use in connection with or are necessary to the business
of Litho  Corp,  including,  without  limitation,  all  lithotripters  and other
property,  plant, and equipment, real property leasehold rights, contract rights
(including,  without  limitation,  rights  under  leases  of  lithotripters  and
management   agreements  with  the  Lithotripsy   Practice  and  non-competition
agreements), telephone numbers, books and records, inventory and supplies, trade
names,  trademarks,   cash,  cash  equivalents,   bank  accounts,  and  accounts
receivable,  and, to the extent  permitted by law, all  licenses,  permits,  and
authorizations.  Notwithstanding the foregoing,  the Litho Corp Assets shall not
include  assets  disposed of from the date hereof until  Closing in the ordinary
course of business  consistent  with past  practice and  otherwise in conformity
with  the  obligations  of  Litho  Corp  under  this  Agreement,   Litho  Corp's
Certificate of Incorporation  and By-Laws,  its  qualification to do business in
any jurisdiction,  taxpayer  identification number, minute books, stock transfer
records and other documents related  specifically to such Litho Corp's corporate
organization  and maintenance,  and its partnership  interest in Metro/Litho and
its  membership  interest in Downstate  (collectively,  the "LITHO CORP EXCLUDED
ASSETS").

                      (B)      LITHO CORP LIABILITIES.

                      (I)  Subject to the terms and  conditions  hereof,  at the
Closing,  Allied shall  assume and  thereafter  in due course fully  satisfy the
following liabilities of Litho Corp (the "LITHO CORP ASSUMED LIABILITIES"):

                      (A) all  trade  payables,  operating  expenses  and  other
         current  liabilities  of Litho  Corp that are  taken  into  account  as
         current liabilities  ("LITHO CORP CURRENT  LIABILITIES") in determining
         the Proposed Working Capital;

                      (B)  long-term  liabilities  of Litho  Corp that are taken
         into  account  as   long-term   liabilities   ("LITHO  CORP   LONG-TERM
         LIABILITIES") in determining the Proposed Long-term Liabilities; and

                      (C) those  obligations  that  arise  under the Litho  Corp
         Assumed Contracts (as such term is hereinafter  defined in Section 4.1)
         and  assigned  by Litho Corp to Allied  with  respect to services to be
         rendered or goods to be supplied or benefits to be  conferred to Allied
         solely  after the  Closing  Date.  Liabilities  under  such  Litho Corp
         Assumed  Contracts  that have accrued,  or the  performance of which is
         due,  on or prior to the  Closing  Date,  or which  are in  payment  or
         consideration  for Litho Corp  Excluded  Assets,  shall remain the sole
         responsibility of Litho Corp except to the extent same constitute Litho
         Corp Current Liabilities or Litho Corp Long- term Liabilities.



                                        8

<PAGE>

                      (II) Except for the Litho Corp Assumed Liabilities, Allied
will not  assume,  and Litho  Corp  shall  continue  to be liable  for and shall
satisfy  as the  same  become  due all  Liabilities  that  arise  out of acts or
omissions by it or circumstances for which it is responsible attributable to any
period on or prior to the Closing  Date  ("LITHO  CORP  EXCLUDED  LIABILITIES"),
including,  without  limitation,  (A)  liabilities  arising out of  arrangements
between  it  or  the  Lithotripsy  Practice  with  any  third  party  payor,  or
arrangements  with any person or entity  that  participates  in any third  party
payor  program,  including  without  limitation,  with  respect  to  any  excess
reimbursement,  recapture,  adjustment or  overpayment  whatsoever  ("LITHO CORP
REIMBURSEMENT LIABILITIES"),  (B) 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, (C)
any accounts  payable or  employment or other taxes (except to the extent of the
amount thereof,  if any, that constitute Litho Corp Current Liabilities or Litho
Corp Long-term  Liabilities),  and (D) accrued but unpaid  compensation or other
benefits to any of the employees, agents, consultants or advisers of Litho Corp,
including accrued vacation (except to the extent of the amount thereof,  if any,
constitute Litho Corp Current Liabilities).

                      (III) It is expressly  understood  that all Liabilities of
Litho Corp for amounts owing or payable to any organizing  adviser of, or finder
for, Litho Corp, incurred with respect to the transactions  contemplated by this
Agreement or with respect to any prior transactions,  shall be deemed Litho Corp
Excluded  Liabilities  (regardless  of  whether  the  same  would  constitute  a
liability to be set forth on a balance sheet of Litho Corp), and Allied will not
assume, and Litho Corp shall continue to be liable for and shall satisfy same.

             2.5      LITHOTRIPSY PRACTICE.

                      (A) LITHOTRIPSY  PRACTICE ASSETS.  It shall be a condition
of IHS to Closing that, as of the Closing  Date,  the assets of the  Lithotripsy
Practice will include all of the Lithotripsy  Practice Assets,  and for purposes
of this  Agreement,  the  "LITHOTRIPSY  PRACTICE  ASSETS"  shall mean all of the
tangible  and  intangible  assets,  real,  personal or mixed,  that are owned by
Lithotripsy  Practice  or in which  it has an  ownership  interest  and that are
utilized or are held for use in connection with or are necessary to the business
of Lithotripsy Practice,  including,  without limitation,  all lithotripters and
other property,  plant, and equipment,  real property leasehold rights, contract
rights (including,  without limitation,  restrictive  covenants and rights under
contracts  with third  party  payors),  telephone  numbers,  books and  records,
inventory  and  supplies,  trade  names,  cash,  cash  equivalents  and accounts
receivable,  and, to the extent  permitted by law, all  licenses,  permits,  and
authorizations.  Notwithstanding the foregoing,  the Lithotripsy Practice Assets
shall not include  assets  disposed of from the date hereof until Closing in the
ordinary  course of business  consistent  with past  practice  and  otherwise in
conformity   with  the   obligations  of  the  Companies  under  this  Agreement
(collectively,  the "LITHOTRIPSY PRACTICE EXCLUDED ASSETS"). At the Closing, all
of the Lithotripsy  Practice Assets shall be free and clear of Liens, other than
Permitted Liens.

              (B)      LITHOTRIPSY PRACTICE LIABILITIES.

                      (I) As of the  Closing,  except for  Lithotripsy  Practice
Permitted Liabilities (as hereinafter defined in clause (ii)), there will not be
any Liabilities against Lithotripsy Practice that arise out of acts or omissions
by it or circumstances for which it is responsible attributable to any period on
or prior to the Closing Date ("LITHOTRIPSY  PRACTICE  PROHIBITED  LIABILITIES"),
including,  without  limitation,  (A)  liabilities  arising out of  arrangements
between it with any third party payor, or arrangements with any person or entity
that   participates  in  any  third  party  payor  program,   including  without
limitation, with respect to any excess reimbursement,  recapture,  adjustment or
overpayment whatsoever ("LITHOTRIPSY PRACTICE REIMBURSEMENT  LIABILITIES"),  (B)
malpractice claims asserted by patients or any other tort claims



                                        9

<PAGE>

asserted,  claims for breach of contract,  or any claims of any kind asserted by
patients,  former  patients,  employees  or any other  party,  (C) any  accounts
payable  or  employment  or other  taxes  (except  to the  extent of the  amount
thereof,  if  any,  constitute  Lithotripsy  Practice  Current  Liabilities  (as
hereinafter  defined in clause (ii)), and (D) accrued but unpaid compensation or
other  benefits  to any of the  employees,  agents,  consultants  or advisers of
Lithotripsy  Practice,  including  accrued vacation (except to the extent of the
amount thereof, if any, constitute Lithotripsy Practice Current Liabilities).

                      (II)  For  purposes  of  this  Agreement,   the  following
liabilities  of  Lithotripsy  Practice shall  constitute  "LITHOTRIPSY  PRACTICE
PERMITTED LIABILITIES":

                      (A) all  trade  payables,  operating  expenses  and  other
         current liabilities of Lithotripsy Practice that are taken into account
         as current liabilities  ("LITHOTRIPSY PRACTICE CURRENT LIABILITIES") in
         preparing the Estimated Lithotripsy Practice Closing Date Balance Sheet
         (as such term is hereinafter defined in Section 10.24);

                      (B)  those   obligations  that  arise  under   agreements,
         contracts, instruments and commitments of the Lithotripsy Practice with
         respect to  services to be rendered or goods to be supplied or benefits
         to be conferred to the  Lithotripsy  Practice  solely after the Closing
         Date.  Liabilities  under such agreements,  contracts,  instruments and
         commitments  that have accrued,  or the performance of which is due, on
         or prior to the  Closing  Date shall  constitute  Lithotripsy  Practice
         Prohibited  Liabilities (except to the extent of the amount thereof, if
         any, that constitute Lithotripsy Practice Current Liabilities); and

                      (C) such other liabilities of the Lithotripsy  Practice as
         are disclosed on Schedule 2.5 hereto.

           ARTICLE III: ADJUSTMENTS TO STOCK PORTION OF PURCHASE PRICE

         3.1      ADJUSTMENTS TO THE AGGREGATE STOCK PORTION OF PURCHASE PRICE.

                      (A) (I) At the Closing, the Representatives (as defined in
Article XIV hereof) shall deliver to Allied and IHS a certificate  certifying to
be their best good faith estimate of the aggregate amount of working capital (as
defined in Section 3.2 below) of the Companies on a combined  basis  immediately
prior to the Closing (the "ESTIMATED CLOSING DATE WORKING CAPITAL").

                      (A) If the Estimated  Closing Date Working Capital is less
         than $625,000  (the "MINIMUM  WORKING  CAPITAL"),  the Aggregate  Stock
         Portion,  and the amount  thereof  payable to the Companies at Closing,
         will be  reduced by an amount  equal to the amount of such  deficiency,
         with such  reduction to be made by reducing the number of shares of IHS
         Stock,  in the  proportions  set forth on Schedule  3.3 hereto  (valued
         using the Closing Date as the date of  determination in accordance with
         Section 5.1(a) below), otherwise deliverable to the Companies.

                      (B) If the  Estimated  Closing  Date  Working  Capital  is
         greater than the Minimum  Working  Capital,  then the  Aggregate  Stock
         Portion and the amount  thereof  payable to the  Companies  at Closing,
         will be increased by an amount equal to the amount of such excess,  and
         IHS shall deliver to the  Companies,  in the  proportions  set forth on
         Schedule 3.3 hereto,  shares of IHS Stock equal in value to such excess
         (with such IHS Stock being valued using the Closing Date as the date of
         determination in accordance with Section 5.1(a) below).



                                       10

<PAGE>

                      (II)  Additionally,  at the Closing,  the  Representatives
shall  deliver to Allied and IHS the combined  balance sheet of the Companies as
of the  point  in  time  immediately  prior  to the  Closing,  certified  by the
Representatives  to be their best good faith  estimate of the items thereon (the
"ESTIMATED CLOSING DATE BALANCE SHEET").

                      (A) If the Estimated  Closing Date Balance Sheet discloses
         that the aggregate amount of the long-term liabilities of the Companies
         on  a  combined  basis  (the  "ESTIMATED  LONG-TERM   LIABILITIES")  as
         determined in  accordance  with GAAP exceeds  $1,151,000  (the "MAXIMUM
         LONG-TERM  LIABILITIES"),  the Aggregate Stock Portion,  and the amount
         thereof  payable to the  Companies  at  Closing,  will be reduced by an
         amount  equal to the amount of such excess,  with such  reduction to be
         made by reducing the number of shares of IHS Stock,  in the proportions
         set forth on Schedule 3.3 hereto  (valued using the Closing Date as the
         date  of  determination  in  accordance  with  Section  5.1(a)  below),
         otherwise deliverable to the Companies.

                      (B) If the Estimated  Long-term  Liabilities  is less than
         the Maximum Long-term Liabilities, then the Aggregate Stock Portion and
         the  amount  thereof  payable  to the  Companies  at  Closing,  will be
         increased by an amount equal to the amount of such deficiency,  and IHS
         shall  deliver  to the  Companies,  in the  proportions  set  forth  on
         Schedule  3.3  hereto,  shares  of IHS  Stock  equal  in  value to such
         deficiency  (with such IHS Stock being valued using the Closing Date as
         the date of determination in accordance with Section 5.1(a) below).

                      (B) (I) Within  ninety  (90) days  following  the  Closing
Date,  IHS shall  complete a review (the "IHS  REVIEW") of the combined  balance
sheet of the Companies as of the point in time immediately  prior to the Closing
and shall deliver a proposed  closing date balance sheet (the "PROPOSED  CLOSING
DATE BALANCE SHEET") to the Representatives. If IHS shall fail to timely deliver
its Proposed  Closing Date Balance  Sheet,  the  Estimated  Closing Date Working
Capital and the Estimated Long-term Liabilities delivered by the Representatives
on the Closing Date shall be deemed  accepted by IHS and shall be conclusive and
binding on all parties hereto, absent fraud.

                      (A) If the  aggregate  amount of  working  capital  of the
         Companies  on a combined  basis as of the Closing  Date as shown on the
         Proposed  Closing Date Balance Sheet (the "PROPOSED  WORKING  CAPITAL")
         was less than the Estimated Closing Date Working Capital, then, subject
         to Section 3.1(c),  the Aggregate Stock Portion shall be deemed to have
         been  reduced  by the  amount of such  deficiency,  and within ten (10)
         business  days after  request from IHS, the  Companies  shall refund to
         IHS, in the proportions set forth on Schedule 3.3 hereto, the amount of
         such  deficiency  with such  payment  to be made in shares of IHS Stock
         (valued  using  the  Closing  Date  as the  date  of  determination  in
         accordance with Section 5.1(a)).

                      (B) If the IHS Review  reveals that the  Proposed  Working
         Capital was greater than the  Estimated  Closing Date Working  Capital,
         then the Aggregate Stock Portion shall be deemed to have been increased
         by the amount of such excess,  and within ten (10)  business days after
         delivery  of  the  Proposed   Closing   Date   Balance   Sheet  to  the
         Representatives,  IHS will deliver to the Companies, in the proportions
         set forth on Schedule 3.3 hereto, shares of IHS Stock equal in value to
         such excess (with such IHS Stock being valued using the Closing Date as
         the date of determination in accordance with Section 5.1(a) below).



                                       11

<PAGE>

                      (C) Furthermore,  if the aggregate amount of the long-term
         liabilities of the Companies on a combined basis as of the Closing Date
         as shown on the  Proposed  Closing Date  Balance  Sheet (the  "PROPOSED
         LONG-TERM  LIABILITIES") exceeded the Estimated Long- term Liabilities,
         then,  subject to Section  3.1(c) below,  the  Aggregate  Stock Portion
         shall be deemed to have been reduced by the amount of such excess,  and
         within ten (10)  business  days after  request from IHS, the  Companies
         shall  refund to IHS,  in the  proportions  set forth on  Schedule  3.3
         hereto,  the amount of such reduction,  with such payment to be made in
         shares  of IHS Stock  (valued  using  the  Closing  Date as the date of
         determination in accordance with Section 5.1(a)).

                      (D) If the IHS Review reveals that the Proposed Long-term
         Liabilities was less than the Estimated Long-term Liabilities, then the
         Aggregate  Stock Portion shall be deemed to have been  increased by the
         amount of such  deficiency,  and  within ten (10)  business  days after
         delivery  of  the  Proposed   Closing   Date   Balance   Sheet  to  the
         Representatives,  IHS will deliver to the Companies, in the proportions
         set forth on Schedule 3.3 hereto, shares of IHS Stock equal in value to
         the amount of such  deficiency  (with such IHS Stock being valued using
         the  Closing  Date as the  date of  determination  in  accordance  with
         Section 5.1(a) below).

                      (C)  If  at  least  seventy-five   percent  (75%)  of  the
Representatives  shall in good faith  dispute the  Proposed  Working  Capital or
Proposed  Long-term  Liabilities  of the Companies on a combined basis as of the
Closing Date as set forth on the Proposed Closing Date Balance Sheet, they shall
give  notice to IHS (a "DELAY  PAYMENT  NOTICE")  within  thirty (30) days after
delivery to them of the Proposed  Closing Date Balance  Sheet  setting  forth in
reasonable  detail their  objections and the basis therefor,  in which case, the
disputed  portion of any  payment  otherwise  required  to be made  pursuant  to
subsection  (a) or (b) above shall be delayed,  and IHS and the  Representatives
shall meet and in good faith attempt to resolve any disagreements  within thirty
(30)  days  after  delivery  to  IHS  of  the  Delay  Payment  Notice.   If  the
Representatives shall fail to timely deliver a Delay Payment Notice, the working
capital and long-term liabilities amounts set forth in the Proposed Closing Date
Balance Sheet shall be deemed  accepted by the Companies 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 Ernst & Young LLP (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 against
whom the Arbitrating  Accountants  shall rule;  provided that if the Arbitrating
Accountants shall not rule against any party, then such costs and expenses shall
be borne equally by the Companies,  on the one hand, and IHS, on the other hand.
On the third  business day following the final  resolution of any matter covered
by a Delay Payment Notice,  the Companies  shall, if applicable,  pay to IHS any
delayed  payment to the extent  determined to be due to IHS in  accordance  with
such  resolution,  with such  payment to be made in shares of IHS Stock,  in the
proportions  set forth on Schedule 3.3 hereto  (valued using the Closing Date as
the date of determination in accordance with Section 5.1(a)).

                  3.2  DEFINITION OF WORKING  CAPITAL.  For the purposes of this
Article III,  "WORKING  CAPITAL" means the excess of current assets over current
liabilities,  as determined in accordance with GAAP; provided, however, that all
inter-company  receivables  and payables among the Companies and the Lithotripsy
Practice, all investments by any of the Companies in any of the other Companies,
and all other  inter-company  assets and liabilities among the Companies and the
Lithotripsy  Practice  shall be excluded,  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. Notwithstanding anything to the contrary contained in this
Agreement, any Taxes (as such term is hereinafter defined in Article XV) arising
out of the  transactions  contemplated  by  this  Agreement,  including  without
limitation, any "built-in" gains Taxes, shall be paid by the Companies, shall be
Excluded  Liabilities,  and shall not be included as Current  Liabilities in the
computation of Proposed Working Capital.



                                       12

<PAGE>

                  3.3      ALLOCATION AMONG THE COMPANIES.

                      (A) The Companies may agree among themselves in a separate
agreement as to the  allocation  of any cash amounts that may be  receivable  by
them or any  shares  of IHS  Stock  that may be  deliverable  to them or by them
pursuant to Article V hereof, and IHS agrees to make any deliveries, pursuant to
this  Article  III or Article V, in  accordance  with the  written  instructions
executed by not less than seventy-five percent (75%) of the Representatives.  In
the absence of any such written instructions, IHS shall be permitted to rely for
all  purposes  on the  allocations  set forth in Schedule  3.3  hereto,  and any
written  instructions  delivered under this Section 3.3(a) shall expressly state
that  such  instructions   supersede  any  prior  written   instructions  as  to
allocations, including Schedule 3.3.

                      (B) With  respect to any refund of shares of IHS Stock due
to IHS  pursuant  to this  Article  III or  Article V hereof,  IHS shall use its
reasonable  efforts to collect said shares from the Companies in the proportions
set forth in Schedule 3.3, or otherwise in accordance with written  instructions
(expressly  stating that they  supersede  all prior written  instructions  as to
allocations,  including  Schedule  3.3)  executed by not less than  seventy-five
percent  (75%)  of the  Representatives;  provided  however,  that  if at  least
seventy-five  percent (75%) of the  Representatives do not notify IHS in writing
prior to the date such refund is due to IHS, or if after  receiving  such notice
IHS is unable to so collect such IHS Stock when same is due in  accordance  with
the instructions of at least seventy-five  percent (75%) of the Representatives,
or, if in the  absence of any such  notice,  IHS is unable to  collect  such IHS
Stock when same is due in accordance  with the allocations set forth on Schedule
3.3,  then IHS shall be  entitled  to  collect  the cash value of such IHS Stock
(valued in accordance  with the  provision  under which such IHS Stock was to be
returned)  from  the  Companies  (and the  Companies'  Existing  Equity  Holders
pursuant to their  Representation and  Indemnification  Agreements)  jointly and
severally;  provided further that any amount due to IHS pursuant to this Article
III or pursuant to Article V that is not paid when due shall accrue  interest at
the rate per anum equal to ten percent  (10%) and IHS shall be  indemnified  and
held harmless by the  Companies  (and the  Companies'  Existing  Equity  Holders
pursuant to their  Representation and  Indemnification  Agreements)  jointly and
severally from all costs and expenses of the collection of all amounts due to it
without  regard  to any  limitations  set  forth  in  Section  12.5(c)  below or
otherwise.

                          ARTICLE IV: ASSUMED CONTRACTS

         4.1 ASSUMED  CONTRACTS.  Set forth on Schedule  4.1A,  is a list of the
agreements,  contracts,  instruments  and  commitments,  if any,  of each of the
Companies,  that  Allied  shall  not  assume  as  of  the  Closing  ("DESIGNATED
CONTRACTS"). Each agreement, contract, instrument and commitment of each Company
that  is  disclosed  by  it  pursuant  to  Section   7.x.7  of  its   respective
Representation and Warranty Exhibit and that is not a Designated  Contract shall
be  deemed  to  be  a  "DOWNSTATE  ASSUMED  CONTRACT",  a  "METRO/LITHO  ASSUMED
CONTRACT", a "LONG ISLAND ASSUMED CONTRACT", or a "LITHO CORP ASSUMED CONTRACT",
as  the  case  may  be.  Collectively,  the  Downstate  Assumed  Contracts,  the
Metro/Litho Assumed Contracts,  the Long Island Assumed Contracts, and the Litho
Corp  Assumed  Contracts  are  referred to as the  "ASSUMED  CONTRACTS".  If any
Company shall enter into any agreement, contract, instrument or commitment after
the date  hereof  and  prior to  Closing,  or if there  shall be  disclosed  any
agreement, contract, instrument or commitment that should have been disclosed on
any Schedule 7.x.7 to any Representation and Warranty Exhibit,  but that was not
so  disclosed,  then  IHS  shall  have  five (5)  business  days to  notify  the
applicable Representative as to whether such agreement,  contract, instrument or
commitment  shall  be an  Assumed  Contract.  If IHS  fails  to so  notify  such
Representative, then such agreement, contract, instrument or commitment shall be
deemed to be a Designated Contract. It shall be a condition of IHS and Allied to
consummate the transactions  contemplated by this Agreement (the  "TRANSACTION")
that all consents required



                                       13

<PAGE>

to transfer the material  Assumed  Contracts  shall have been obtained.  It also
shall be a condition to the obligation of IHS to close the Transaction  that IHS
shall  be  reasonably   satisfied  that  no  material   agreements,   contracts,
instruments  and  commitments of the Lithotripsy  Practice  (including,  without
limitation,  contracts to provide  Services) will be terminated by reason of the
Transaction. It also shall be a condition of IHS to Closing that the agreements,
contracts,  instruments and commitments, if any, of the Lithotripsy Practice set
forth on Schedule 4.1-B shall have been terminated.

                              ARTICLE V: IHS STOCK

         5.1 IHS STOCK. The Aggregate Stock Portion shall be payable by means of
the delivery of IHS Stock in accordance with the following:

         (A) SHARE VALUE.  The number of shares of IHS Stock issuable at Closing
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 (the "CLOSING DATE PRICE PER SHARE").

         (B) REGISTRATION  RIGHTS.  IHS 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 (the "REGISTRATION STATEMENT") for the registration under
the Securities Act of 1933, as amended (the  "SECURITIES  ACT") of the IHS Stock
issued pursuant to this Agreement,  and IHS shall maintain the  effectiveness of
the  Registration  Statement for a period of one (1) year  following the date on
which such Registration  Statement becomes effective (the "REGISTRATION  DATE"),
or until the Companies (and their respective partners,  members or shareholders,
as  distributees  of such IHS Stock),  shall not own any of the IHS Stock issued
pursuant to this Agreement, whichever shall occur first.

         (C)  REGISTRATION  DATE SHARE  ADJUSTMENT.  If the average closing NYSE
price per share of IHS Stock for the 30-day trading period immediately preceding
the  Registration  Date (the  "REGISTRATION  DATE PRICE PER  SHARE") is above or
below the Closing  Date Price Per Share,  then the number of shares of IHS Stock
issued by IHS as the  Aggregate  Stock  Portion (as adjusted  under Section 3.1)
shall be recalculated  based upon the Registration Date Price Per Share, and the
following shall apply:

         (I) If the  number of shares of IHS Stock as  recalculated  under  this
Section 5.1 (c)  exceeds the number of shares of IHS Stock  issued by IHS as the
Aggregate Stock Portion (as adjusted under Section 3.1), then IHS promptly shall
deliver to the Companies (in the  proportions  set forth in Schedule 3.3 hereto)
an  additional  number of shares of IHS Stock as shall be equal to the amount of
such excess,  and such additional  shares shall be included in the  Registration
Statement by means of a post-effective amendment thereto.

         (II)  If the  number  of  shares  of  IHS  Stock  issued  by IHS as the
Aggregate  Stock  Portion (as adjusted  under Section 3.1) exceeds the number of
shares  of IHS  Stock  as  recalculated  under  this  Section  5.1(c),  then the
Companies  shall  promptly  return to IHS that  number of shares of IHS Stock as
shall be equal to one-half (1/2) of such excess.

         (D)  POST-REGISTRATION  DATE  SHARE  ADJUSTMENT.  If as of the close of
trading  on the  NYSE on the  date  which is the  fifteenth  (15th)  consecutive
trading day from (and including) the  Registration  Date (the "FINAL  ADJUSTMENT
DATE"),  the difference  between (i) the average sale price per share of all IHS
Stock  theretofore  issued pursuant to this Agreement and sold during the period
from the



                                       14

<PAGE>

Registration Date to the Final Adjustment Date under the Registration  Statement
in bona fide sales to third  parties that are not  affiliates  and  otherwise in
accordance  with the provisions of this Article V (such shares are the "DISPOSED
SHARES"),  and (ii) the average per share cost of the brokerage  commissions and
expenses  paid by them to the Broker  (defined  below) in  connection  with such
sales of the Disposed Shares (the difference  between (i) and (ii) is the "FINAL
ADJUSTMENT  DATE PRICE PER  SHARE") is below the lower of (x) the  Closing  Date
Price  Per  Share,  and (y) the  Registration  Date  Price Per  Share,  then IHS
promptly shall issue to the Companies (in the  proportions  set forth in writing
by at least  seventy-five  (75%)  percent  of the  Representatives  pursuant  to
Section 3.3 (b) hereof) an additional  number of shares of IHS Stock as shall be
equal in value to the product of (A) the difference between (1) the lower of (p)
the Closing Date Price Per Share, and (q) the Registration Date Price Per Share,
and (2) the Final Adjustment Date Price Per Share,  multiplied by (B) the number
of Disposed Shares, and such additional shares of IHS Stock shall be included in
the  Registration  Statement  by means of a  post-effective  amendment  thereto.
Shares  of IHS  Stock  issuable  pursuant  to  this  Section  5.1 (d)  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 Final Adjustment Date.

         (E) DELAYED REGISTRATION  ADJUSTMENT.  If the Registration Statement is
not filed and declared  effective by the Commission  within  one-hundred  twenty
(120) days following the Closing Date (the "REGISTRATION  DEADLINE DATE"),  then
interest  shall be deemed to accrue on the value of the Aggregate  Stock Portion
(as adjusted under Section 3.1) from the period  beginning with the Registration
Deadline Date and ending on the Registration Date (the "INTEREST PERIOD") at the
rate of ten  (10%)  percent  per annum  for the  first  thirty  (30) days of the
Interest Period,  eleven (11%) percent per annum for the second thirty (30) days
of the Interest  Period and twelve (12%)  percent per annum for the remainder of
the  Interest  Period,  and IHS  shall  pay to the  Companies  in  cash  (in the
proportions  set forth in Schedule 3.3 hereto),  not later than the fifth day of
each month  during the  Interest  Period,  the  aggregate  amount of accrued and
unpaid  interest  under  this  Section  5.1(e)  through  the  last  day  of  the
immediately preceding month of the Interest Period.

         (F)  REGISTRATION  EXPENSES.   The  Companies,   and  their  respective
partners,  members and  shareholders  ("PARTICIPANTS")  shall not be responsible
for,  and IHS shall  bear,  all of IHS's  expenses  related to the  registration
referred to herein, 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
the  Companies'  IHS  Stock  under the Blue Sky laws of  various  jurisdictions.
Except  to  the  extent  accounted  for  in  the  post-registration  date  share
adjustment  under  Section  5.1(d)  above,  IHS  shall  not  pay  any  brokerage
discounts, commissions or expenses, or pay any costs and expenses arising out of
the Companies' or any transferee's  failure to comply with its obligations under
this Article V.

         (G) RESALE  LIMITATIONS.  All resales of IHS Stock  issued  pursuant to
this Agreement  shall be effected  solely through Smith Barney Inc.  ("BROKER"),
and resales by the Companies and the Participants  shall not at any time, in the
aggregate,  exceed (i) Thirty-Five  Thousand (35,000) shares per day for each of
the fifteen (15) consecutive trading days commencing with the Registration Date,
and (ii) Seventy-Five Thousand (75,000) shares during any thirty (30) day period
thereafter.



                                       15

<PAGE>

         (H) REGISTRATION  PROCEDURES,  ETC. In connection with the registration
rights  granted to the  Companies  with  respect to the IHS Stock as provided in
this Section 5.1, IHS covenants and agrees as follows:

                      (I) At IHS's expense,  IHS will keep the  registration and
qualification  under this  Section 5.1  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 Registration  Date, or until the Companies and the
Participants  shall  not  own  any of the  IHS  Stock  issued  pursuant  to this
Agreement,  whichever shall occur first.  IHS will promptly notify the Companies
and  the  Representatives,   at  any  time  when  a  prospectus  relating  to  a
registration  statement under this Section 5.1 is required to be delivered under
the  Securities  Act, of the  happening of any event known to IHS as a result of
which the prospectus included in such registration statement, as then in effect,
includes an untrue  statement of a material  fact or omits to state any material
fact required to be stated therein or necessary to make the  statements  therein
not misleading in light of the circumstances then existing.

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

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

                      (IV) The information included or incorporated by reference
in the  registration  statement  filed pursuant to this Section 5.1 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.  IHS 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 IHS or based upon written  information
furnished by IHS filed in any  jurisdiction  in order to qualify IHS Stock under
the securities laws thereof or filed with the Commission,  any state  securities
commission  or agency,  NYSE or any  securities  exchange;  or the  omission  or
alleged  omission  therefrom of a material fact required to be stated therein or
necessary to make the statements  contained therein not misleading,  unless such
statement or omission was made in reliance upon and in  conformity  with written
information  furnished  to IHS by the  Companies  for use in  such  registration
statement  (it being  understood  that IHS may rely on the  representations  and
warranties of the Companies  made pursuant to this  Agreement in preparing  such
Registration Statement), any amendment or supplement thereto or any application,
as the case may be. If any  action  is  brought  against  the  Companies  or any
controlling  person of the Companies in respect of which indemnity may be sought
against IHS  pursuant  to this  subsection  5.1(h)(iv),  the  Companies  or such
controlling  person shall within thirty (30) days after the receipt thereby of a
summons or complaint, notify



                                       16

<PAGE>

IHS in  writing  of the  institution  of such  action  and IHS shall  assume the
defense of such actions, including the employment and payment of reasonable fees
and  expenses  of counsel  (reasonably  satisfactory  to the  Companies  or such
controlling  person).  The Companies 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  Companies  or such
controlling  person  unless (A) the  employment  of such counsel shall have been
authorized in writing by IHS in connection  with the defense of such action,  or
(B) IHS shall not have  employed  counsel to have  charge of the defense of such
action, or (C) such indemnified party or parties shall have reasonably concluded
that there may be defenses  available to it or them which are different  from or
additional  to those  available  to IHS (in which  case,  IHS shall not have the
right to direct the defense of such action on behalf of the indemnified party or
parties),  in any of which  events  the fees and  expenses  of not more than one
additional firm of attorneys for the Companies  and/or such  controlling  person
shall be borne by IHS. Except as expressly provided in the previous sentence, in
the event that IHS shall not  previously  have  assumed the defenses of any such
action or claim,  IHS shall not  thereafter  be liable to the  Companies or such
controlling  person in investigating,  preparing or defending any such action or
claim.

                      (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 IHS, its officers and directors and each person, if any,
who controls IHS 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 in writing by or on behalf of such
holders,  or  their  successors  or  assigns,  for  specific  inclusion  in such
registration statement.

         (I)  NOTICE OF SALE.  If any  Company  desires to  transfer  all or any
portion  of the IHS  Stock,  such  party  shall  deliver  written  notice to IHS
describing  in  reasonable  detail its  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, such party shall sell the
IHS Stock in compliance  with the disclosure  therein and discontinue any offers
and  sales  thereunder  upon  notice  from IHS that the  registration  statement
relating to the IHS Stock being  transferred  is not  "current"  until IHS gives
further  notice  that offers and sales may be  recommenced.  In the event of any
such notice from IHS, IHS agrees to file  expeditiously  such  amendments to the
registration statement as may be necessary to bring it current during the period
specified in Section  5.1(b) and to give prompt  notice to the  Companies and to
the Representatives when the registration statement has again become current. If
any Company  desires to transfer any IHS Stock  without use of the  registration
statement,  it shall deliver to IHS an opinion of counsel reasonably  acceptable
to IHS and its counsel to the effect that the proposed transfer of IHS Stock may
be made without  registration under the Securities Act, and, in such event, such
party will be entitled to transfer IHS Stock in accordance with the terms of the
notice and opinion of his counsel.

         (J)  FURNISH  INFORMATION.  It shall be a  condition  precedent  to the
obligations  of IHS to take  any  action  pursuant  to this  Article  V that the
Companies shall furnish to IHS in writing such information  regarding themselves
and the IHS Stock held by them,  and the intended  method of disposition of such
securities as shall be required to effect the  registration of the IHS Stock. In
that  connection,  the Companies  shall be required to represent to IHS that all
such  information  which is given is both  complete and accurate in all material
respects.  The  Companies  shall  deliver to IHS a statement in writing from the
beneficial owner of such securities that they bona fide intend to sell, transfer
or otherwise dispose of such securities.  The Companies will promptly notify IHS
at any time when a  prospectus  relating to a  registration  statement  covering
their respective shares under this Section 5.1 is required to be delivered under
the  Securities  Act, or the happening of any event known to them as a result of
which the prospectus included



                                       17

<PAGE>

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.

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

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

                           THE SHARES  REPRESENTED BY THIS  CERTIFICATE HAVE NOT
                           BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933. THE
                           SHARES HAVE BEEN ACQUIRED FOR  INVESTMENT AND MAY NOT
                           BE SOLD, 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.

                      (M) CERTAIN  TRANSFEREES.  Prior to the effective  date of
registration  of the IHS Stock,  the Companies and shall not 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  Companies  under this
Article V.

                  5.2  TRANSFERS  OF IHS STOCK AND  MEMBERSHIP  INTERESTS.  Each
Company agrees that no portion of the IHS Stock or Company  Membership  Interest
issued to it  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.
Without  limiting the generality of the  foregoing,  no Company may transfer any
portion  of its IHS  Stock  or  Membership  Interest  to any of its  members  or
partners  unless IHS and its legal counsel shall be satisfied that such transfer
shall comply with all applicable  Federal and state securities laws,  including,
without  limitation,  the Securities Act of 1933, as amended,  and the rules and
regulations promulgated thereunder.



                                       18

<PAGE>

                             ARTICLE VI: THE CLOSING

             6.1      TIME AND PLACE OF CLOSING.

                      (A) The closing (the "CLOSING") of the  Transaction  shall
take place at the office of IHS's  counsel at 10:00 A.M.  on the day that is one
(1)  business  day  after all of the  conditions  to  closing  set forth in this
Agreement  shall have been tendered,  satisfied or expressly  waived,  but in no
event  later than May 31,  1998,  or 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".

                      (B) If prior to or on the date  scheduled  for the Closing
any of any party's conditions precedent to Closing shall not have been satisfied
(and the  other  party  shall not be  prepared  to  tender  satisfaction  of all
unsatisfied  conditions at such time), then such party whose conditions have not
been satisfied shall be entitled, but shall not be obligated, to extend the date
scheduled  for the  Closing,  from time to time,  until such time as all of such
party's  conditions  precedent  are  satisfied;  provided that no party shall be
entitled to extend the Closing to a date that is later than June 30, 1998, or if
the failure of such  condition to occur is the result of any bad faith action or
failure to act of such party seeking to extend the Closing.

                   ARTICLE VII: REPRESENTATIONS AND WARRANTIES

                      7.1  REPRESENTATIONS  AND  WARRANTIES  OF IHS.  IHS hereby
represents  and  warrants to each of the  Companies  as set forth on Exhibit 7.1
(the  "IHS  REPRESENTATION  AND  WARRANTY  EXHIBIT"),  which  exhibit  is hereby
incorporated herein by reference and made an integral part of this Agreement.

                      7.2 REPRESENTATIONS AND WARRANTIES OF DOWNSTATE. Downstate
hereby  represents  and  warrants  to IHS and Allied as set forth on Exhibit 7.2
(the "DOWNSTATE  REPRESENTATION AND WARRANTY EXHIBIT"),  which exhibit is hereby
incorporated herein by reference and made an integral part of this Agreement.

                      7.3   REPRESENTATIONS   AND  WARRANTIES  OF   METRO/LITHO.
Metro/Litho  hereby  represents  and  warrants to IHS and Allied as set forth on
Exhibit 7.3 (the  "METRO/LITHO  REPRESENTATION  AND  WARRANTY  EXHIBIT"),  which
exhibit is hereby  incorporated herein by reference and made an integral part of
this Agreement.

                      7.4  REPRESENTATIONS  AND WARRANTIES OF LONG ISLAND.  Long
Island hereby  represents and warrants to IHS and Allied as set forth on Exhibit
7.4 (the "LONG ISLAND  REPRESENTATION AND WARRANTY  EXHIBIT"),  which exhibit is
hereby  incorporated  herein  by  reference  and made an  integral  part of this
Agreement.

                      7.5  REPRESENTATIONS  AND WARRANTIES OF LITHO CORP.  Litho
Corp,  hereby  represents and warrants to IHS and Allied as set forth on Exhibit
7.5 (the "LITHO CORP REPRESENTATION AND WARRANTY EXHIBIT").

                      7.6 REPRESENTATIONS AND WARRANTIES  REGARDING  LITHOTRIPSY
PRACTICE.  Each of the  Companies  hereby  jointly and  severally  represent and
warrant to IHS and Allied with respect to the Lithotripsy  Practice as set forth
on Exhibit 7.6 (the "LITHOTRIPSY PRACTICE  REPRESENTATION AND WARRANTY EXHIBIT",
and  together  with the  Downstate  Representation  and  Warranty  Exhibit,  the
Metro/Litho  Representation and Warranty Exhibit, the Long Island Representation
and Warranty Exhibit,  and the Litho Corp  Representation  and Warranty Exhibit,
the  "REPRESENTATION  AND WARRANTY  EXHIBITS",  and each a  "REPRESENTATION  AND
WARRANTY EXHIBIT"), which exhibit is hereby incorporated herein by reference and
made an integral part of this Agreement.



                                       19

<PAGE>

         ARTICLE VIII: INFORMATION AND RECORDS CONCERNING THE COMPANIES

                      8.1 ACCESS TO INFORMATION AND RECORDS BEFORE CLOSING.

                      Prior to the Closing  Date,  IHS may make,  or cause to be
made, such  investigation  of the financial and legal condition of the Companies
and the  Lithotripsy  Practice as it deems necessary or advisable to familiarize
itself with the Companies and the Lithotripsy  Practice and/or matters  relating
to their history or operation.  The Companies shall permit,  and shall cause the
Lithotripsy Practice to permit IHS and its authorized representatives (including
legal counsel and accountants),  to have full access to the books and records of
the Companies and the  Lithotripsy  Practice upon  reasonable  notice and during
normal business hours, and the Companies will furnish, or cause to be furnished,
to IHS such  financial and operating  data and other  information  and copies of
documents with respect to the products,  services,  operations and assets of the
Companies and the Lithotripsy Practice as IHS shall from time to time reasonably
request.  The documents to which IHS shall have access shall include, but not be
limited  to, the tax returns and related  work  papers  since  inception  of the
Companies and the Lithotripsy  Practice;  and the Companies shall make, or cause
to be made,  extracts  thereof as IHS and its  representatives  may request from
time to time to enable IHS and its representatives to investigate the affairs of
the Companies and the accuracy of the  representations  and  warranties  made in
this Agreement.  The Companies  shall cause their  accountants to cooperate with
IHS and to disclose  the results of audits  relating  to the  Companies  and the
Lithotripsy  Practice to produce the working papers  relating  thereto.  Without
limiting  any of the  foregoing,  it is agreed that IHS will have full access to
any and all agreements between and among the previous and current equity holders
regarding  their  ownership  of equity or the  management  or  operation  of the
Companies and the Lithotripsy Practice.  The Companies will, subject to mutually
acceptable conditions and schedules, permit IHS (or its representatives) to meet
with and interview the  employees and  representatives  of the Companies and the
Lithotripsy  Practice  that  are  responsible  for  the  responses  to,  or have
information  with  respect  to, the  questions  set forth on the  Questionnaires
referred to in the Representation and Warranty Exhibits.

              ARTICLE IX: OBLIGATIONS OF THE PARTIES UNTIL CLOSING

                      9.1 CONDUCT OF BUSINESS PENDING CLOSING.  Between the date
of this Agreement and the Closing, each Company shall, and each of the Companies
shall use its  respective  best  efforts to cause the  Lithotripsy  Practice to,
maintain its respective  existence and conduct its business in good faith and in
the customary and ordinary course of business consistent with past practice.

                      9.2 NEGATIVE COVENANTS OF THE COMPANIES. Without the prior
written  approval  of IHS,  no  Company  shall (and each  Company  shall use its
respective  best efforts to cause the  Lithotripsy  Practice not to) between the
date hereof and the Closing (or the earlier termination of this Agreement):

                      (A) (I) sell,  assign,  transfer  or dispose of any of its
assets,  except in the ordinary course of business consistent with past practice
and which does not result in a material depletion of assets;

                      (II) mortgage, pledge or subject to any Lien of any nature
whatsoever any of its assets, other than Permitted Liens;

                      (III) enter into any  contract,  agreement,  instrument or
commitment  or  make or  suffer  any  termination  of any  contract,  agreement,
instrument or commitment, or make or suffer any modification or amendment of any
contract,  agreement,  instrument  or  commitment  except,  in each case, in the
ordinary  course of business  consistent  with past  practice and which will not
materially adversely affect its earnings or otherwise be material;



                                       20

<PAGE>

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

                      (V)  discharge  or  satisfy  any Lien or  encumbrance,  or
satisfy,  pay or prepay any  material  liabilities,  other than in the  ordinary
course of business  consistent  with past practice,  or fail to pay or discharge
when due any liabilities,  the failure to pay or discharge of which would likely
cause any actual damage or risk of loss to it or its business or its assets;

                      (VI) incur any liabilities,  other than trade payables and
other  operating  liabilities  that would be reflected  on the date  incurred as
current  liabilities  on its balance sheet in accordance  with GAAP,  and in the
ordinary course of business consistent with past practice;

                      (VII)  fail to use  its  commercially  reasonable  efforts
collect any accounts  receivable in the ordinary  course of business  consistent
with past practice;

                      (VIII) change any of the accounting principles followed by
it or the methods of applying such principles;

                      (IX)  cancel,  modify or waive any debts or claims held by
it, other than in the ordinary course of business consistent with past practice,
or waive any rights of substantial value,  whether or not in the ordinary course
of business; or

                      (X) issue any  capital  stock,  or  declare  or pay or set
aside or reserve any amounts for payment of any  dividend or other  distribution
in respect of any equity interest or other  securities,  or redeem or repurchase
any of its  capital  stock  or other  securities,  or make  any  payment  to any
Affiliate (as such term is defined in the  Representation and Warranty Exhibits)
except for  payments of ordinary  dividends  and tax  distributions  to Existing
Equity Holders and fees and compensation to Affiliates in the ordinary course of
business  consistent with past practice and disclosed to IHS as such;  provided,
however,  that  IHS will not  withhold  its  consent  to any  payment  otherwise
prohibited  hereby so long as it reasonably  believes that such payment will not
result in a Stock Portion  reduction at Closing in  accordance  with Article III
above;

                      (XI) fail to  collect,  withhold  and/or pay to any proper
Governmental  Authority  (as such  term is  defined  in the  Representation  and
Warranty Exhibits), any Taxes (as such term is defined in the Representation and
Warranty  Exhibits)  required by  applicable  law to be so  collected,  withheld
and/or paid,  except to the extent such Taxes are being  contested in good faith
by appropriate  proceedings  and a proper reserve  therefor has been made and is
disclosed on the relevant Balance Sheet;

                      (XII) institute, settle or agree to settle any litigation,
action or proceeding before any Governmental  Authority (as such term is defined
in the Representation and Warranty Exhibits) relating to it or its property;

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

                      (XIV) agree or otherwise  become committed to do any thing
described in any of clauses (i) through and including (xiii) above;



                                       21

<PAGE>

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

                      (C) make any change to its  Governing  Documents  (as such
term is defined in the Representation and Warranty Exhibits);

                      (D)  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 be inconsistent with the  representations,  warranties and covenants
made by it pursuant to this  Agreement had the same  occurred  prior to the date
hereof;  provided  however,  that  the  foregoing  shall  not  prohibit  it from
acquiring or disposing of assets, or incurring trade payables,  or entering into
contracts,  in  each  case,  to the  extent  not  otherwise  prohibited  by this
Agreement;

                      (E)  take  any   action   that   would   prevent  it  from
consummating the transactions contemplated by this Agreement.

                  9.3  AFFIRMATIVE  COVENANTS.  Between  the date hereof and the
Closing,  each  Company  shall  (and  each  Company  shall  use  its  respective
reasonable best efforts to cause the Lithotripsy Practice to):

                      (A)  maintain  its  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  (as
such term is defined in the Representation  and Warranty Exhibits)  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)  preserve  intact its present  business  organization;
keep  available the services of its present  employees and agents;  and maintain
the  relations  and  goodwill  with  suppliers,  employees,  affiliated  medical
personnel and any others having business relating to it;

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

                      (F) comply in all material respects with all provisions of
contracts,  agreements,  instruments and commitments to which it is a party, and
comply  in all  material  respects  with  the  provisions  of  all  Governmental
Requirements applicable to its business;

                      (G) cause to be paid when due, all Taxes,  imposed upon it
or on any of its  properties  or which it is required to withhold  and pay over,
except to the extent such Taxes are being contested in good faith by appropriate
proceedings and a proper reserve therefore has been made and is disclosed on the
relevant Balance Sheet;

                      (H)  promptly  notify  IHS in  writing  of the  threat  or
commencement against it of any claim, action, suit or proceeding, arbitration or
investigation;

                      (I)  promptly  notify IHS in writing of any act,  event or
occurrence  that  constitutes,  or that will  constitute  on the Closing Date, a
breach by it of any  representation,  warranty or covenant made pursuant to this
Agreement; and



                                       22

<PAGE>

                      (J) promptly  notify IHS in writing of any event involving
it which has had or may be reasonably expected to have a material adverse effect
on its  business or  financial  condition  or may involve the  material  loss of
relationships with any of its customers.

                  9.4 PURSUIT OF CONSENTS AND  APPROVALS.  Prior to the Closing,
the parties  shall  cooperate  and use their  respective  reasonable  efforts to
obtain all consents  and  approvals of  Governmental  Authorities  and all other
parties necessary for the lawful  consummation of the transactions  contemplated
hereby and the lawful  use,  occupancy  and  enjoyment  of the  business  of the
Companies by Allied in accordance herewith ("REQUIRED APPROVALS").

                  9.5 SUPPLEMENTARY  FINANCIAL INFORMATION.  Within fifteen (15)
days after the end of each calendar month between the date of this Agreement and
the  Closing  Date,  each  Company  shall  provide  to IHS  unaudited  financial
statements  (including at a minimum,  income  statements,  a balance sheet and a
statement of cash flows,  and an accounts  receivable aging list) for such month
then ended that  shall  present  fairly  the  results of the  operations  of the
Companies, on a combined basis, at such date and for the period covered thereby,
all in  accordance  with GAAP  (except as  otherwise  specifically  disclosed in
schedules annexed thereto),  in each case,  certified as true and correct in all
material respects by each of the Representatives.

                  9.6 EXCLUSIVITY.  Until the earlier of the Closing Date or the
termination of this Agreement pursuant to Section 13.1, neither the Company, nor
any of their respective  Affiliates,  shall, directly or indirectly (through any
brokers, finders or otherwise), 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 equity
in any  Company  or of  substantially  all of the assets of any  Company,  or in
respect of any merger,  consolidation or other sale of any Company or, except as
contemplated  by  this  Agreement,   with  respect  to  the  management  of  the
Lithotripsy  Practice  or any  lease to the  Lithotripsy  Practice  (any of said
transactions  being  referred  to herein  as a  "PROHIBITED  TRANSACTION").  Any
Company shall promptly advise IHS of any offer or  solicitation  that he, she or
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.

             ARTICLE X: CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS

                  The obligation of IHS to consummate the Transaction 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 IHS, with any such waiver
to be  effective  only  if in  writing.  Upon  failure  of any of the  following
conditions,  IHS may terminate this Agreement pursuant to and in accordance with
Article XII herein.

                  10.1     REPRESENTATIONS AND WARRANTIES.

                      (A) The  representations  and  warranties  of each Company
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,  as though such  representations  and warranties were made at and as of
such time.

                      (B) The  representations  and  warranties of each Existing
Equity   Holder  made   pursuant  to  its,   his  or  her   Representation   and
Indemnification  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,  as
though such representations and warranties were made at and as of such time.



                                       23

<PAGE>

                  10.2     PERFORMANCE OF COVENANTS.

                      (A) Each of the Companies 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.

                      (B) Each Existing  Equity  Holder shall have  performed or
complied in all material  respects with such party's  respective  agreements and
covenants  required by this  Agreement to be performed or complied  with by such
party prior to or at the Closing.

                  10.3 DELIVERY OF CLOSING  CERTIFICATE.  An authorized officer,
manager or general  partner of each Company shall have executed and delivered to
IHS a certificate  dated the Closing Date,  upon which IHS may rely,  certifying
that the conditions  contemplated  by Sections 10.1 and 10.2  applicable to them
have been satisfied.

                  10.4     OPINIONS OF COUNSEL.

                      (A) The Companies  shall have delivered to IHS an opinion,
dated the Closing Date, of their  counsel,  in form and substance to be mutually
agreed.

                      (B) In  addition,  IHS  shall  have  received  an  opinion
acceptable  to it from  legal  counsel  in New  York on the  present  ownership,
referral and reimbursement  structure of the lithotripsy  business  conducted by
each of the  Companies,  and on such  other  matters,  as IHS  shall  reasonably
request. The cost of such regulatory opinion shall be borne by IHS.

                  10.5 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.

                  10.6  AUTHORIZATION  DOCUMENTS.  IHS  shall  have  received  a
certificate of an authorized officer, manager or general partner of each Company
certifying  as of the Closing Date a copy of  resolutions  of its  shareholders,
members or partners  authorizing  the  execution  and full  performance  of this
Agreement and the  Transaction  Documents and the  incumbency of its  authorized
representatives.

                  10.7  MATERIAL  CHANGE.  Since the date of the  Balance  Sheet
there  shall  not  have  been  any  material  adverse  change  in the  condition
(financial or otherwise) of the assets,  properties or operations of any Company
or the Lithotripsy Practice, taken as a whole.

                  10.8     APPROVALS.

                      (A) The Required Approvals shall have been granted;

                      (B) None of the  Required  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 of any Company or Allied or IHS (or
any of its  subsidiaries or  affiliates),  or (ii) shall impose upon any of them
any material  condition or provision or requirement with respect to its business
or the respective operation thereof that is more restrictive than the conditions
imposed upon such operation prior to Closing.



                                       24

<PAGE>

                  10.9     [INTENTIONALLY OMITTED].

                  10.10 ENGINEERING REPORT. IHS shall have received a copy of an
engineering survey and report in form and substance  reasonably  satisfactory to
it from a qualified  engineering  or other firm of its choice  concerning a full
and complete inspection of the Long Island Facility.  If such report states that
a material problem exists, IHS may terminate this Agreement.

                  10.11 SURVEYS.  IHS shall have received a standard real estate
boundary  and as built  survey of the Long Island  Facility,  prepared by a land
surveyor licensed in New York and approved by IHS that confirms the condition of
the property  without Liens or exceptions  other than Permitted  Liens.  If such
report states that a material problem exists, IHS may terminate this Agreement.

                  10.12  ZONING  REPORT.  IHS shall have  received  reports from
qualified zoning inspectors approved by it with respect to the compliance of the
Long Island  Facility with all applicable  zoning  requirements.  If such report
states that a material problem exists, IHS may terminate this Agreement.

                  10.13  TITLE  INSURANCE.  IHS  shall  have  obtained,  at  its
expense,  at normal rates, a title  commitment  from a reputable title insurance
company  selected by IHS (the "TITLE  COMPANY") for a title policy (owner's ALTA
Policy  Form B, as amended  10/17/70),  insuring  that title to the Long  Island
Facility  shall be good and marketable and free and clear of all Liens and other
title  objections  (including  any lien or future claim from  materials or labor
supplied for improvement of such  property),  except for Permitted Liens and the
standard  exceptions  normally  contained  in the ALTA Form B Title  Policy  and
schedules thereto; provided,  however, that at the request of IHS the applicable
Company,  shall provide such  affidavits to the Title Company or take such other
reasonable  actions (at no expense to IHS or Allied) that would enable the Title
Company  to remove any of such  standard  exceptions.  If such title  commitment
shall indicate that any Liens or other  exceptions  exist that are not permitted
as aforesaid, IHS may terminate this Agreement.

                      10.14 OPERATING  AGREEMENT.  The Operating Agreement shall
be in the form and substance of Exhibit A.

                      10.15  MANAGEMENT  AGREEMENT AND LEASES.  The  Lithotripsy
Practice  shall  have  entered  into a  Management  Agreement  (the  "MANAGEMENT
AGREEMENT")  with Allied in the form and substance of Exhibit  10.15,  and shall
have  entered  into  equipment  and  facility  leases  with  Allied on terms and
conditions  no less  favorable  to Allied than those  presently  governing  with
respect  to the leases of  equipment  and  facilities  by the  Companies  to the
Lithotripsy   Practice,   and  otherwise  on  terms  and  conditions  reasonably
satisfactory to the parties hereto, provided, however, that the aggregate amount
of rent payable by the  Lithotripsy  Practice for equipment  and facility  space
attributable  to the  Manhattan  Facility,  the  Long  Island  Facility  and the
Westchester Facility shall in no event be less than $3,750,000.

                      10.16 LIENS ON LITHOTRIPSY  PRACTICE ASSETS.  All security
interests  held by any of the  Comapnies  with  respect to any of the assets and
property,   including  receivables,   of  the  Lithotripsy  Practice,  shall  be
terminated.

                      10.17 WESTCHESTER FACILITY. The Westchester Facility shall
be operational.

                      10.18 EMPLOYMENT AND CONSULTING  AGREEMENTS.  Allied shall
have  entered  into  Employment  Agreements  with  Dr.  McGowan  in the form and
substance of Exhibit 10.18-1 (the "MCGOWAN  EMPLOYMENT  AGREEMENT") and with Dr.
Fruchtman  in  the  form  and  substance  of  Exhibit  10.18-2  (the  "FRUCHTMAN
EMPLOYMENT AGREEMENT", and collectively, the "EMPLOYMENT AGREEMENTS").



                                       25

<PAGE>

                      10.19 NON-COMPETE  AGREEMENTS.  At least eighty-five (85%)
percent of the urologists that hold equity  interests in any of the Companies on
the date  hereof,  and the  Lithotripsy  Practice and each  Company,  shall have
entered into non-competition agreements with Allied in the form and substance of
Exhibit 10.19 (the  "NON-COMPETE  AGREEMENTS").  Without limiting the foregoing,
each of the  urologists  set forth on  Schedule  10.19 shall have  entered  into
Non-Compete Agreements.

                      10.20  AGREEMENTS  WITH  CERTAIN   UROLOGISTS,   RADIOLOGY
TECHNOLOGISTS  AND  ANESTHESIOLOGISTS.  The Companies shall use their respective
reasonable   best   efforts   to   cause   each   radiology   technologist   and
anaesthesiologist  that performs services for the Lithotripsy  Practice, to have
entered  into an agreement  with  respect to their  provision of services to the
Lithotripsy Practice on terms and conditions reasonably satisfactory to IHS.

                      10.21   INVESTOR    REPRESENTATION   AND   INDEMNIFICATION
AGREEMENTS.  Each  Existing  Equity  Holder shall have  executed and delivered a
Representation and  Indemnification  Agreement in the form of Exhibit 10.21 (the
"REPRESENTATION  AND INDEMNIFICATION  AGREEMENTS"),  pursuant to which it, he or
she shall make certain representations, warranties and covenants with respect to
its,  his or her equity  interest in the  applicable  Company,  its,  his or her
proposed  investment in Allied,  and with respect to certain other matters,  and
pursuant to which it, he or she shall agree to indemnify Allied and IHS, subject
to the terms and conditions set forth in such Representation and Indemnification
Agreements,  with  respect  to  breaches  of  representations,   warranties  and
covenants of the Companies in which it, he or she is an equity holder.

                      10.22 WORKING  CAPITAL.  The aggregate  Estimated  Closing
Date Working Capital of the Companies shall be at least $525,000.

                      10.23  LONG-TERM  LIABILITIES.   The  aggregate  Estimated
Long-term Liabilities of the Companies shall not be greater than $1,300,000.

                      10.24 ESTIMATED  LITHOTRIPSY  PRACTICE  BALANCE SHEET. The
Companies   shall  have   delivered  to  IHS  a   certificate   signed  by  each
Representative  certifying  his or her best good faith  estimate  of the balance
sheet  of the  Lithotripsy  Practice  as of the  Closing  Date  (the  "ESTIMATED
LITHOTRIPSY PRACTICE CLOSING DATE BALANCE SHEET"). If the working capital of the
Lithotripsy Practice as set forth on the Estimated  Lithotripsy Practice Balance
Sheet shall be less than $3,000,000 (the "MINIMUM  LITHOTRIPSY  PRACTICE WORKING
CAPITAL"), or if there shall be any long-term liabilities set forth thereon, IHS
shall not be required to close the transactions contemplated hereby. Any working
capital in excess of the Minimum  Lithotripsy  Practice  Working  Capital may be
distributed to the Companies prior to Closing.

                      10.25 OTHER DOCUMENTS.  The Companies shall have furnished
IHS or  Allied  with all other  documents,  certificates  and other  instruments
required to be furnished by them pursuant to the terms hereof.

        ARTICLE XI: CONDITIONS PRECEDENT TO OBLIGATIONS OF THE COMPANIES

                      The   obligation  of  the  Companies  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 the applicable Representative, with any such waiver to
be  effective  only  if in  writing.  Upon  failure  of  any  of  the  following
conditions,  the applicable Representative may terminate this Agreement pursuant
to and in accordance with Article XIII herein.



                                       26

<PAGE>

                      11.1  REPRESENTATIONS AND WARRANTIES.  The representations
and warranties of IHS 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 as though such representations and warranties were made at
and as of such time.

                      11.2 PERFORMANCE OF COVENANTS. IHS 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.  IHS shall have delivered to
the  Representatives  a certificate  of an officer of IHS dated the Closing Date
upon  which the  Companies  may 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.

                      (A) IHS shall have  delivered  to the  Representatives  an
opinion,  dated the Closing  Date,  of its counsel,  in form and substance to be
mutually agreed.

                      (B) In addition,  the Representatives  shall have received
an  opinion  acceptable  to them from legal  counsel in New York on the  present
ownership,  referral and  reimbursement  structure of the  lithotripsy  business
conducted  by  each  of  the  Companies,  and  on  such  other  matters,  as the
Representatives shall reasonably request.

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

              11.6  AUTHORIZATION  DOCUMENTS.  The  Representatives  shall  have
received a certificate  of the  Secretary or other  officer of IHS  certifying a
copy of resolutions of the Board of Directors of IHS authorizing IHS's execution
and full  performance  of this Agreement and the  Transaction  Documents and the
incumbency of the officers of IHS.

              11.7  EMPLOYMENT  AGREEMENTS.  Each of the  Employment  Agreements
shall have been executed and delivered.

              11.8 RELEASE OF GUARANTIES. Each Existing Equity Holder shall have
been released from any guaranties of the Assumed Liabilities.  The parties shall
use their respective  commercially  reasonable  efforts to obtain such releases.
Notwithstanding the foregoing, if any of such releases are not obtained, IHS, in
its sole and absolute discretion, may cause the condition set forth herein to be
satisfied by electing that Allied  indemnify and hold any Existing Equity Holder
harmless from and against one-hundred (100%) percent of any Losses (as such term
is  hereinafter  defined in Section  12.2)  arising out of any  guaranty by such
Existing Equity Holder of any Assumed Liability.

              11.9 OPERATING AGREEMENT.  The Operating Agreement shall be in the
form and substance of Exhibit A.



                                       27

<PAGE>

              11.10 MANAGEMENT  AGREEMENT AND LEASES.  The Lithotripsy  Practice
shall have entered  into the  Management  Agreement  with Allied in the form and
substance of Exhibit  10.15,  and shall have entered into equipment and facility
leases  with Allied on terms and  conditions  no less  favorable  to Allied than
those presently governing with respect to the leases of equipment and facilities
by the  Companies  to the  Lithotripsy  Practice,  and  otherwise  on terms  and
conditions  reasonably  satisfactory to the parties hereto,  provided,  however,
that the  aggregate  amount of rent  payable  by the  Lithotripsy  Practice  for
equipment and facility space  attributable to the Manhattan  Facility,  the Long
Island  Facility  and the  Westchester  Facility  shall in no event be less than
$3,750,000.

              11.11  IHS  NON-COMPETE/FIRST  OFFER  AGREEMENT.  IHS  shall  have
entered into a Non-  compete/First  Offer  Agreement with Allied in the form and
substance of Exhibit 11.11.

              11.12 CONSENT OF EXISTING EQUITY  HOLDERS.  To the extent required
by each of their respective organizational agreements and charters, or otherwise
pursuant to  applicable  law, each Company shall have obtained the approval from
its  shareholders,  partners  or members,  as  applicable,  of the  transactions
contemplated hereby.

              11.13 OTHER DOCUMENTS. IHS shall have furnished the Companies with
all documents,  certificates and other  instruments  required to be furnished to
them by IHS pursuant to the terms hereof.

              11.14 NO DECLINE IN STOCK PRICE.  The closing NYSE price per share
of IHS Stock as of the close of trading on the most recent  trading day prior to
the Closing  shall not be more than  thirty-three  (33%)  percent below the NYSE
price  per share of IHS  Stock as of the  close of  trading  on the date of this
Agreement  (or, if the date hereof is not a trading  date,  then the most recent
trading day prior to the date of this Agreement).

       ARTICLE XII: SURVIVAL AND INDEMNIFICATION; POST-CLOSING OBLIGATIONS

              12.1   SURVIVAL   OF   REPRESENTATIONS    AND   WARRANTIES.    All
representations  and warranties made by each party in this Agreement and in each
Schedule and Transaction Document shall survive the Closing Date notwithstanding
any investigation at any time made by or on behalf of the other party.

              12.2 INDEMNIFICATION BY THE COMPANIES.

              (A)  DOWNSTATE.  Subject to the  limitations  set forth in Section
12.5  below,  Downstate  shall  indemnify  and defend IHS and Allied and each of
their respective shareholders,  members, managers,  officers,  directors, agents
and  employees,   and  their  respective  successors  and  assigns  ("IHS/ALLIED
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:

              (I) any  inaccuracy  in, or any breach of, any  representation  or
warranty  made  or  certification   delivered  by  Downstate  pursuant  to  this
Agreement;

              (II) the breach of any covenant or  agreement  by  Downstate  made
pursuant to this Agreement;



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<PAGE>

               (III) any Downstate Excluded Liability;

              (IV) any Lithotripsy Practice Prohibited Liability; or

              (V) any action, suit, proceeding,  demand,  assessment,  judgment,
settlement, cost or legal or other expense incident to any of the foregoing.

              (B)  METRO/LITHO.  Subject to the limitations set forth in Section
12.5 below,  Metro/Litho  shall indemnify and defend the IHS/Allied  Indemnitees
and hold each of them  harmless  against  and with  respect  to any and all Loss
resulting from or arising out of:

              (I) any  inaccuracy  in, or any breach of, any  representation  or
warranty  made  or  certification  delivered  by  Metro/Litho  pursuant  to this
Agreement;

              (II) the breach of any covenant or agreement by  Metro/Litho  made
 pursuant to this Agreement;

              (III) any  Metro/Litho  Excluded  Liability;  

              (IV) any Lithotripsy Practice Prohibited Liability; or

              (V) any action, suit, proceeding, demand, assessment, judgment,
settlement, cost or legal or other expense incident to any of the foregoing.

              (C) LONG ISLAND.  Subject to the  limitations set forth in Section
12.5 below,  Long Island shall  indemnify and defend the IHS/Allied  Indemnitees
and hold each of them  harmless  against  and with  respect  to any and all Loss
resulting from or arising out of:

              (I) any  inaccuracy  in, or any breach of, any  representation  or
warranty  made or  certification  delivered  by  Long  Island  pursuant  to this
Agreement;

              (II) the breach of any  covenant or  agreement by Long Island made
pursuant to this Agreement;

              (III) any Long Island Excluded Liability;

              (IV) any Lithotripsy Practice Prohibited Liability; or

              (V) any action, suit, proceeding,  demand,  assessment,  judgment,
settlement, cost or legal or other expense incident to any of the foregoing.

              (D) LITHO CORP.  Subject to the  limitations  set forth in Section
12.5 below, Litho Corp shall indemnify and defend the IHS/Allied Indemnitees and
hold  each of  them  harmless  against  and  with  respect  to any and all  Loss
resulting from or arising out of:

              (I) any  inaccuracy  in, or any breach of, any  representation  or
warranty  made  or  certification  delivered  by  Litho  Corp  pursuant  to this
Agreement;

              (II) the breach of any  covenant or  agreement  by Litho Corp made
pursuant to this Agreement;



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<PAGE>

              (III) any Litho Corp Excluded Liability;

              (IV) any Lithotripsy Practice Prohibited Liability; or

              (V) any action, suit, proceeding,  demand,  assessment,  judgment,
settlement, cost or legal or other expense incident to any of the foregoing.

              12.3  INDEMNIFICATION  BY IHS. IHS shall indemnify and defend each
Company  and hold them and their  respective  members,  partners,  shareholders,
directors,  officers and managers 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,  or  breach  of,  any  representation  or
warranty made or certification delivered by IHS pursuant to this Agreement;

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

              (C) any action, suit, proceeding,  demand,  assessment,  judgment,
settlement, cost or legal or other expenses incident to any of the foregoing.

              12.4 INDEMNIFICATION BY ALLIED.  Allied shall indemnify and defend
each Company and hold them and their respective members, partners, shareholders,
directors,  officers and managers and their  respective  successors  and assigns
harmless  against and with respect to any and all Loss resulting from or arising
out of the ownership and operation of the Aggregate  Assets,  and the assumption
and satisfaction of Aggregate Assumed Liabilities, after the Closing Date.

              12.5 LIMITATIONS ON INDEMNIFICATION OBLIGATIONS.

              (A)  EXCEPTIONS  TO  SEVERAL  LIABILITY.   Except  as  hereinafter
provided  or as  otherwise  expressly  provided in this  Agreement,  each of the
parties (and each of the Existing Equity Holders,  pursuant to their  respective
Representation  and  Indemnification  Agreements)  shall  be  severally  and not
jointly liable for any  indemnification  obligations arising out of this Article
XII.

              (I)  Downstate  shall be jointly  and  severally  liable  with the
Downstate  Existing Equity Holders (pursuant to their respective  Representation
and  Indemnification  Agreements)  for  all of its  indemnification  obligations
hereunder  and  their   indemnification   obligations   under  their  respective
Representation and Indemnification Agreements.

              (II)  Metro/Litho  shall be jointly and severally  liable with the
Metro/Litho Existing Equity Holders (pursuant to their respective Representation
and  Indemnification  Agreements)  for  all of its  indemnification  obligations
hereunder  and  their   indemnification   obligations   under  their  respective
Representation and Indemnification Agreements.

              (III) Long Island shall be jointly and  severally  liable with the
Long Island Existing Equity Holders (pursuant to their respective Representation
and  Indemnification  Agreements)  for  all of its  indemnification  obligations
hereunder  and  their   indemnification   obligations   under  their  respective
Representation and Indemnification Agreements.



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<PAGE>

              (IV) Litho Corp shall be jointly  and  severally  liable  with the
Litho Existing Equity Holders (pursuant to their respective  Representation  and
Indemnification Agreements) for all of its indemnification obligations hereunder
and their indemnification  obligations under their respective Representation and
Indemnification Agreements.

              (V)  Downstate,  Metro/Litho,  Long  Island,  Litho Corp and their
respective Existing Equity Holders (pursuant to their respective  Representation
and Indemnification  Agreements),  shall be jointly and severally liable for all
indemnification  obligations  relating to  representations  and warranties  made
pursuant to the Lithotripsy Practice Representation and Warranty Exhibit.

              (B)   ASSERTION   OF   INDEMNIFICATION   CLAIMS  FOR  BREACHES  OF
REPRESENTATIONS  AND  WARRANTIES.  Any  claim for  indemnification  for any Loss
arising  out  of  any  breach  of  any   representation   or  warranty  made  or
certification  delivered  pursuant to this Agreement must be asserted by written
notice by no later than the fifteen (15) month  anniversary of the Closing Date,
except that any claim by any IHS/Allied  Indemnitee for indemnification  arising
out of a breach of any representation or warranty with respect to any Tax matter
may be  asserted  any time  prior to  expiration  of the  applicable  statute of
limitations  for the  assertion  of the  related  tax  claim  by the  applicable
Governmental Authority, including extensions for any necessary appeals.

              (C)  MAXIMUM  LIABILITY.  Subject to  subsection  (d)  below,  the
maximum  aggregate  liability  of each of: (i) the  Companies  and the  Existing
Equity Holders (pursuant to their Representation and Indemnification Agreements)
(considered  together),  or (ii)  Allied,  or  (iii)  IHS,  for  indemnification
pursuant to this Agreement, shall not exceed $5,000,000. Each Representation and
Indemnification  Agreement  provides that, subject to subsection (d) below, each
Existing  Equity  Holder  shall not be  liable  for more  than  forty-seven  and
six-tenths  percent  (47.6%) of his or her allocable share (based on the portion
of such Company that is owned by him or her) of any  indemnification  obligation
to any  IHS/Allied  Indemnitee  for any Losses for which said Company is jointly
and severally liable in accordance with subsection (a) above.

              (D) EXCEPTIONS TO MAXIMUM LIABILITY.  Notwithstanding  anything to
the contrary  contained in subsection (c) above or elsewhere in this  Agreement,
there shall be no limit on the liability for indemnification  obligations of any
of the parties  hereto or any of the Existing  Equity  Holders  pursuant to this
Agreement or pursuant to their  respective  Representation  and  Indemnification
Agreements with respect to any obligation to make any payment or refund pursuant
to Article III or Article V hereof. Furthermore, notwithstanding anything to the
contrary  contained in subsection (c) above or elsewhere in this Agreement,  the
Companies,  and the  Existing  Equity  Holders  (pursuant  to  their  respective
Representation  and  Indemnification  Agreements)  shall,  without limitation on
amount,  indemnify and hold the IHS/Allied Indemnitees harmless from and against
any Loss  incurred by any of them by reason of any claim of any Company,  or any
Existing Equity Holder against any IHS/Allied  Indemnitee,  or against any other
Company  or  Existing   Equity   Holder   arising  out  of  any  breach  of  any
representation,  warranty, or covenant made, or certification  delivered, by any
Company, or any Existing Equity Holder to any IHS/Allied Indemnitee,  or to each
other in connection with the transactions contemplated by this Agreement, except
to the  extent  that any such Loss  shall have been  caused by IHS  (whether  by
action or by  omission  to act when a duty to act  existed  and  including  as a
result of a breach of any  representation,  warranty or  covenant  made by IHS).
Furthermore,  the limitations  contained in subsection (c) above shall not apply
to any cost or expense, including without limitation,  reasonable legal fees and
expenses,  incurred in connection  with the  enforcement of the  indemnification
obligations.



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<PAGE>

              (E) BASKET.  None of (i) the  Companies,  and the Existing  Equity
Holders  (considered  together),  (ii) IHS, or (iii)  Allied shall be liable for
indemnification obligations pursuant to this Agreement or the Representation and
Indemnification  Agreements  unless  and  until  the  aggregate  amount  of  the
indemnification  liabilities  against  them,  Allied or IHS, as the case may be,
shall  exceed  $10,000,  in which case they,  Allied or IHS, as the case may be,
shall be liable for the entire amount of such indemnification liabilities.

              (F) RIGHT AND  OBLIGATION  TO PROCEED  AGAINST  AMOUNTS DUE TO THE
COMPANIES,  AND  THE  EXISTING  EQUITY  HOLDERS.  Each of the  Companies  hereby
irrevocably  grants, and each of the Existing Equity Holders shall,  pursuant to
their respective  Representation and Indemnity Agreements,  irrevocably grant to
each  IHS/Allied  Indemnitee the right to collect any amounts that it, he or she
may owe to such IHS/Allied Indemnitee by reason of indemnification  rights under
this  Agreement  or any  Representation  and  Indemnity  Agreement  by taking an
assignment of any amount that shall then or thereafter  become due to it, him or
her by Allied.  In furtherance of the  foregoing,  each of the Companies  hereby
irrevocably  authorizes and instructs  Allied,  and each of the Existing  Equity
Holders  shall,  pursuant  to  their  respective  Representation  and  Indemnity
Agreements,  irrevocably  authorize  and  instruct  Allied,  to pay  (out of any
amounts  that  shall  then be due by Allied to such  indemnifying  party) to any
IHS/Allied  Indemnitee,  upon receipt of a written  demand from such  IHS/Allied
Indemnitee  (with copies thereof  delivered to the  Representatives)  any amount
that  such  IHS/Allied   Indemnitee  claims  pursuant  to  the   indemnification
provisions of this  Agreement or any  Representation  and  Indemnity  Agreement.
Allied shall be required to make such payment to such IHS/Allied  Indemnitee (to
the extent of any amounts that shall then be due to such  indemnifying  party by
Allied),  provided,  however, that if the indemnifying party so requests, Allied
shall  deposit  (out of any  amounts  that  shall  then be due by Allied to such
indemnifying party) in an escrow account with Crestar Bank (to be held in escrow
pending joint written delivery  instructions from the indemnifying party and the
applicable  IHS/Allied  Indemnitee,   or  an  order  of  a  court  of  competent
jurisdiction) any amount that such IHS/Allied  Indemnitee claims pursuant to the
indemnification   provisions  of  this  Agreement  or  any   Representation  and
Indemnification  Agreement.  If  there  shall  be  a  Closing,  each  IHS/Allied
Indemnitee  shall be required  to proceed to collect any amounts  that it claims
pursuant to its, his or her  indemnification  rights under this Agreement or any
Representation  and Indemnity  Agreement to the extent of any amounts that shall
then be due by Allied to the applicable  indemnifying  party prior to proceeding
directly against such indemnifying party.

     12.6     CONTROL OF DEFENSE OF INDEMNIFIABLE CLAIMS.

              (A) IHS/ALLIED INDEMNITEE CLAIMS. IHS shall be entitled to control
any  indemnification  claims and rights of Allied. IHS shall give the applicable
Representative  (or, in case of a claim involving the Lithotripsy  Practice,  to
all of the  Representatives)  prompt  written notice of each claim for which any
IHS/Allied Indemnitee seeks indemnification. Failure to give such prompt written
notice shall not relieve any party of its, his or her respective indemnification
obligation (each, an "INDEMNIFYING  PARTY"),  provided that such indemnification
obligations  shall be reduced by any damages  that the  applicable  Indemnifying
Party  demonstrates that it, he or she has suffered  resulting from a failure to
give  prompt  notice  hereunder.  Any  Indemnifying  Party  shall be entitled to
participate  in the  defense  of  such  claim;  however,  unless  an  applicable
Indemnifying Party acknowledges in writing that the claim is fully indemnifiable
by it,  him,  or her under  this  Agreement  (without  any  limitations  imposed
pursuant to Section 12.5 (c) above),  and, if requested by IHS,  posts  adequate
bond or security,  IHS shall be entitled to control the defense of such claim at
the cost and expense of the Indemnifying Parties. If any Indemnifying Party does
acknowledge in writing that the claim is fully  indemnifiable by it, him, or her
under this  Agreement  (without  any  limitations  imposed  pursuant  to Section
12.5(c) above), and, if requested by IHS, posts adequate bond or security,  then
such Indemnifying  Party (together with any other  Indemnifying Party that is so
qualified) may assume



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<PAGE>

control of the  defense of any such  claim,  and IHS shall not settle such claim
without the consent of the  Representative  for such Indemnifying  Party,  which
consent shall not be  unreasonably  withheld,  delayed or  conditioned.  Nothing
contained in this Section 12.6 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.

              (B) COMPANY CLAIMS. Any Company seeking  indemnification  from IHS
pursuant to this  Agreement  shall give IHS prompt  written notice of each claim
for which such  indemnification  is sought.  Failure to give such prompt written
notice shall not relieve IHS of its  indemnification  obligation,  provided that
such  indemnification  obligation  shall  be  reduced  by any  damages  that IHS
demonstrates  it has  suffered  resulting  from a failure to give prompt  notice
hereunder.  IHS shall be  entitled  to  participate  in the  defense of any such
claim;  however,  unless IHS  acknowledges  in  writing  that the claim is fully
indemnifiable  by it under  this  Agreement  (without  any  limitations  imposed
pursuant to Section 12.5(c) above), and, if requested by such indemnified party,
posts  adequate bond or security,  such  indemnified  party shall be entitled to
control  the  defense of such claim at the cost and  expense of IHS. If IHS does
acknowledge  in writing that the claim is fully  indemnifiable  by it under this
Agreement  (without any limitations  imposed pursuant to Section 12.5(c) above),
and, if requested by the  indemnified  party,  posts  adequate bond or security,
then  IHS  may  assume  control  of the  defense  of any  such  claim,  and  the
indemnified  party shall not settle such claim without the consent of IHS, which
consent shall not be  unreasonably  withheld,  delayed or  conditioned.  Nothing
contained in this Section 12.6 shall prevent  either party from  assuming  total
control  of  the  defense  and/or  settling  any  claim  against  it  for  which
indemnification is not sought under this Agreement.

                  12.7  AGREEMENT  REGARDING  CERTAIN   UROLOGISTS.   After  the
Closing,  the Companies shall in good faith use their reasonable best efforts to
cause  Drs.  Lui,  Peng,  Salant,  Lowe and Gluck to become  members  of Allied,
pursuant to the terms of the Operating Agreement.

                            ARTICLE XIII: TERMINATION

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

              (A) IHS, if any  condition  precedent  to the  obligations  of IHS
under this Agreement,  including without limitation,  those conditions set forth
in Section 2.5(a),  Section 4.1 or Article X hereof,  have not been satisfied by
the date  scheduled  for the  Closing,  as the same may be extended  pursuant to
Section  6.1(b),  or pursuant  to Section  14.1 if any  material  portion of the
Downstate Assets,  the Long Island Assets,  the Metro/Litho  Assets or the Litho
Corp Assets is damaged or destroyed as a result of fire,  other casualty or from
any reason whatsoever, or otherwise as expressly provided in this Agreement;

              (B)  any  Representative,   if  any  condition  precedent  to  the
obligations of any party for whom it is acting as the Representative  hereunder,
including  without  limitation  those conditions set forth in Article XI hereof,
have not been satisfied by the date  scheduled for the Closing,  as the same may
be extended  pursuant to Section 6.1(b),  or otherwise as expressly  provided in
this Agreement;

              (C) the mutual consent of IHS and each Representative.



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<PAGE>

              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,  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 12.2 or 12.3, as the case may be, hereof (and
for such  purposes  such Section 12.2 or 12.3, as the case may be, shall survive
the termination of this  Agreement).  Notwithstanding  the foregoing,  if at any
time on or prior to the Closing,  (i) IHS shall  determine that the  certificate
contemplated  in Section 11.3 hereof as it relates to the condition set forth at
Section 11.1 hereof  cannot be delivered at Closing,  or (ii) any Company  shall
determine that the certificate contemplated in Section 10.3 hereof as it relates
to the  condition  set forth at Section  10.1(a)  hereof  cannot be delivered at
Closing,  in either  case as the  result of events  occurring  or  circumstances
arising after the date hereof,  which events or circumstances  have not occurred
or  arisen as a result  of any act or  omission  in  violation  of such  party's
obligations  hereunder,  then the party whose  condition has not been  fulfilled
shall have the right to waive such  condition  and  proceed  with the Closing or
terminate  this  Agreement,  without  any  liability  of any party to the other.
Nothing  in this  Section  13.2  shall  affect  the  right of any  party to seek
specific  performance  of  the  obligations  of any  other  parties  at  Closing
hereunder.

              ARTICLE XIV: CASUALTY, RISK OF LOSS

              14.1 CASUALTY,  RISK OF LOSS. The Companies shall bear the risk of
all loss or damage to any of the  Aggregate  Assets from all causes  which occur
prior to the Closing.  If at any time prior to the Closing any material  portion
of the  Aggregate  Assets is damaged  or  destroyed  as a result of fire,  other
casualty  or for any reason  whatsoever,  the  applicable  Representative  shall
immediately  give notice  thereof to IHS. IHS 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 applicable
Company on account of any such casualty (and such  insurance  proceeds shall not
be included as current assets for purposes of determining  Proposed Closing Date
Working Capital).

                            ARTICLE XV: MISCELLANEOUS

              15.1 REPRESENTATIVES.

              (A) DOWNSTATE  REPRESENTATIVE.  Downstate hereby  designates,  and
each Downstate  Existing Equity Holder shall designate  (pursuant to its, his or
her Representation  and  Indemnification  Agreement)  Stephen Hirsch,  M.D., and
Stephen Hirsch,  M.D. hereby accepts the  designation as the  representative  of
Downstate  and  each   Downstate   Existing   Equity   Holder  (the   "DOWNSTATE
REPRESENTATIVE")  to act for and on  behalf  of  Downstate  and  each  Downstate
Existing  Equity  Holder  as  provided  in this  Agreement  and each  applicable
Representation  and  Indemnification  Agreement.  Downstate  and each  Downstate
Existing  Equity  Holder  shall be bound by all actions  taken or omitted by the
Downstate  Representative on behalf of any of them as provided in this Agreement
and each applicable Representation and Indemnification  Agreement, and Downstate
and each Downstate  Existing  Equity Holder shall be deemed to have received any
notice given or payment made to the Downstate  Representative in accordance with
the notice  provisions  of this  Agreement  on the date deemed given or the date
paid to the Downstate  Representative,  and IHS shall be entitled to rely on all
notices  and  consents  given,  and all  settlements  entered  into on behalf of
Downstate  or any  Downstate  Existing  Equity  Holder to the extent  authorized
pursuant to the terms of this Agreement  notwithstanding  any objections made by
any Downstate  Existing Equity Holder prior to,  concurrently with or subsequent
to the  giving  of any such  notice or  consent  or the  settlement  of any such
matter. The Downstate  Representative may be replaced only if and when Downstate
and each



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<PAGE>

Downstate  Existing Equity Holder shall notify IHS that a new individual  person
(named in such  notice) has been  selected by a majority of  Downstate  Existing
Equity  Holders to be the new Downstate  Representative,  in which case such new
person  shall  thereafter  be  the  Downstate   Representative.   The  Downstate
Representative shall not be liable to Downstate or any Downstate Existing Equity
Holder for any costs, losses, liabilities,  damages, expenses and claims imposed
upon or  asserted  against  the  Downstate  Representative  (including  fees and
disbursements  of counsel) on account of any action taken or omitted to be taken
in  connection  with  his  acceptance  of  or  performance  of  his  duties  and
obligations under this Agreement, other than any act or omission involving gross
negligence or willful misconduct.

              (B) METRO/LITHO REPRESENTATIVE. Metro/Litho hereby designates, and
each Metro/Litho Existing Equity Holder shall designate (pursuant to its, his or
her Representation and Indemnification  Agreement) Bernard Fruchtman,  M.D., and
Bernard Fruchtman,  M.D. hereby accepts the designation as the representative of
Metro/Litho  and each  Metro/Litho  Existing  Equity  Holder  (the  "METRO/LITHO
REPRESENTATIVE")  to act for and on behalf of Metro/Litho  and each  Metro/Litho
Existing  Equity  Holder  as  provided  in this  Agreement  and each  applicable
Representation and Indemnification  Agreement.  Metro/Litho and each Metro/Litho
Existing  Equity  Holder  shall be bound by all actions  taken or omitted by the
Metro/Litho  Representative  on  behalf  of any of  them  as  provided  in  this
Agreement and each applicable Representation and Indemnification  Agreement, and
Metro/Litho and each Metro/Litho  Existing Equity Holder shall be deemed to have
received any notice given or payment made to the Metro/Litho  Representative  in
accordance with the notice provisions of this Agreement on the date deemed given
or the date paid to the Metro/Litho Representative, and IHS shall be entitled to
rely on all notices and  consents  given,  and all  settlements  entered into on
behalf of Metro/Litho or any  Metro/Litho  Existing  Equity Holder to the extent
authorized  pursuant  to  the  terms  of  this  Agreement   notwithstanding  any
objections made by any Metro/Litho Existing Equity Holder prior to, concurrently
with or subsequent to the giving of any such notice or consent or the settlement
of any such matter.  The Metro/Litho  Representative may be replaced only if and
when  Metro/Litho and each  Metro/Litho  Existing Equity Holder shall notify IHS
that a new  individual  person  (named in such  notice)  has been  selected by a
majority  of the  Metro-Litho  Existing  Equity  Holders be the new  Metro/Litho
Representative,   in  which  case  such  new  person  shall  thereafter  be  the
Metro/Litho  Representative.  The Metro/Litho Representative shall not be liable
to Metro/Litho or any Metro/Litho  Existing Equity Holder for any costs, losses,
liabilities,  damages,  expenses and claims imposed upon or asserted against the
Metro/Litho  Representative  (including  fees and  disbursements  of counsel) on
account  of any  action  taken or  omitted  to be taken in  connection  with his
acceptance of or performance of his duties and obligations under this Agreement,
other than any act or omission involving gross negligence or willful misconduct.

              (C) LONG ISLAND REPRESENTATIVE. Long Island hereby designates, and
each Long Island Existing Equity Holder shall designate (pursuant to its, his or
her Representation and Indemnification Agreement) Barry Shepard, M.D., and Barry
Shepard,  M.D.  hereby  accepts the  designation as the  representative  of Long
Island  and  each  Long  Island   Existing   Equity  Holder  (the  "LONG  ISLAND
REPRESENTATIVE")  to act for and on behalf of Long  Island and each Long  Island
Existing  Equity  Holder  as  provided  in this  Agreement  and each  applicable
Representation and Indemnification  Agreement.  Long Island and each Long Island
Existing  Equity  Holder  shall be bound by all actions  taken or omitted by the
Long  Island  Representative  on  behalf  of any of  them  as  provided  in this
Agreement and each applicable Representation and Indemnification  Agreement, and
Long Island and each Long Island  Existing Equity Holder shall be deemed to have
received any notice given or payment made to the Long Island  Representative  in
accordance with the notice provisions of this Agreement on the date deemed given
or the date paid to the Long Island Representative, and IHS shall be entitled to
rely on all notices and  consents  given,  and all  settlements  entered into on
behalf of Long Island or any Long Island  Existing  Equity  Holder to the extent
authorized  pursuant  to  the  terms  of  this  Agreement   notwithstanding  any
objections made by any



                                       35

<PAGE>

Long Island Existing Equity Holder prior to,  concurrently with or subsequent to
the giving of any such notice or consent or the  settlement  of any such matter.
The Long Island  Representative may be replaced only if and when Long Island and
each Long Island  Existing  Equity Holder shall notify IHS that a new individual
person (named in such notice) has been selected by a majority of the Long Island
Existing Equity Holders to be the new Long Island Representative,  in which case
such new person shall  thereafter  be the Long Island  Representative.  The Long
Island  Representative  shall not be liable  to Long  Island or any Long  Island
Existing Equity Holder for any costs, losses, liabilities, damages, expenses and
claims  imposed  upon  or  asserted  against  the  Long  Island   Representative
(including fees and  disbursements of counsel) on account of any action taken or
omitted to be taken in connection  with his  acceptance of or performance of his
duties and  obligations  under this  Agreement,  other than any act or  omission
involving gross negligence or willful misconduct.

              (D) LITHO CORP REPRESENTATIVE.  Litho Corp hereby designates,  and
each  Litho  Corp  Existing  Equity  Holder  shall  designate  (pursuant  to his
Representation and Indemnification  Agreement) Andrew McGowan,  M.D., and Andrew
McGowan,  M.D.,  hereby accepts the designation as the  representative  of Litho
Corp  and  each  Litho  Corp   Existing   Equity   Holder   (the   "LITHO   CORP
REPRESENTATIVE", and together with the Downstate Representative, the Metro/Litho
Representative, and the Long Island Representative,  the "REPRESENTATIVES",  and
each a  "REPRESENTATIVE")  to act for and on behalf of Litho Corp and each Litho
Corp Existing Equity Holder (as provided in this Agreement.  Litho Corp and each
Litho Corp Existing Equity Holder shall be bound by all actions taken or omitted
by the Litho Corp  Representative  on behalf of any of them as  provided in this
Agreement,  and Litho Corp and each Litho Corp  Existing  Equity Holder shall be
deemed to have  received  any  notice  given or  payment  made to the Litho Corp
Representative in accordance with the notice provisions of this Agreement on the
date  deemed  given or the date paid to the Litho Corp  Representative,  and IHS
shall be entitled to rely on all notices and consents given, and all settlements
entered into on behalf of Litho Corp or any Litho Corp Existing Equity Holder to
the extent  authorized  pursuant to the terms of this Agreement  notwithstanding
any  objections  made  by any  Litho  Corp  Existing  Equity  Holder  prior  to,
concurrently  with or  subsequent to the giving of any such notice or consent or
the settlement of any such matter. The Litho Corp Representative may be replaced
only if and when Litho Corp and each Litho Corp  Existing  Equity  Holder  shall
notify IHS that a new individual person (named in such notice) has been selected
by a majority of the Litho Corp Existing  Equity Holder to be the new Litho Corp
Representative, in which case such new person shall thereafter be the Litho Corp
Representative.  The Litho Corp Representative shall not be liable to Litho Corp
or any Litho Corp  Existing  Equity Holder for any costs,  losses,  liabilities,
damages,  expenses and claims  imposed  upon or asserted  against the Litho Corp
Representative  (including fees and  disbursements of counsel) on account of any
action  taken or omitted to be taken in  connection  with his  acceptance  of or
performance of his duties and obligations  under this Agreement,  other than any
act or omission involving gross negligence or willful misconduct

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

                  15.3 BENEFIT AND  ASSIGNMENT.  This Agreement binds and inures
to the benefit of each party hereto and its successors and permitted assigns. No
party may assign its, his or her  respective  interests  under this Agreement to
any other  person or entity  without  the  prior  written  consent  of the other
parties hereto; provided, however, that IHS may assign its rights, duties and/or
obligations  hereunder to one or more  subsidiaries  or affiliates of IHS if IHS
shall remain  responsible  for its  obligations  hereunder,  except as otherwise
provided in this Agreement.



                                       36

<PAGE>

              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;  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.

              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
necessary to carry out the intent and purposes of this Agreement.

              15.6 NOTICES. All notices required or permitted hereunder shall be
in writing and shall be deemed to be properly given when personally delivered to
the party or parties  entitled to receive the notice or 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,  or on the same day
when faxed and a confirmation  of fax  transmission  is received,  in each case,
properly  addressed  to the party or parties  entitled to receive such notice at
the address stated below:
<TABLE>
<S>                                         <C>
If to Downstate or any Downstate
Existing Equity Holder,
to the Downstate Representative at:          Stephen Hirsch, M.D.
                                             176 North Village Avenue
                                             Rockville Centre, NY 11570

with a copy to:                              Nixon, Hargrave, Devans & Doyle LLP
                                             Clinton Square
                                             Rochester, New York 14603
                                             Attn: Lori B. Green, Esq.
                                             Fax: (716) 263-1600

If to Metro/Litho or any Metro/Litho
Existing Equity Holder,
to the Metro/Litho Representative at:        Bernard Fruchtman, M.D.
                                             Metro/Litho L.P.
                                             160 East 32nd Street, Suite 101
                                             New York, NY 10016

with a copy to:                              Nixon, Hargrave, Devans & Doyle LLP
                                             Clinton Square
                                             Rochester, New York 14603
                                             Attn: Lori B. Green, Esq.
                                             Fax: (716) 263-1600

If to Long Island or any Long Island
Existing Equity Holder, to the Long
Island Representative at:                    Barry Shepard, M.D.
                                             601 Franklin Avenue
                                             Garden City, NY 11530
</TABLE>



                                       37

<PAGE>

<TABLE>
<S>                                     <C>
with a copy to:                          Nixon, Hargrave, Devans & Doyle LLP
                                         Clinton Square
                                         Rochester, New York 14603
                                         Attn: Lori B. Green, Esq.
                                         Fax: (716) 263-1600

If to Litho Corp or any Litho Corp
Existing Equity Holder,
to the Litho Corp Representative at:     Andrew McGowan, M.D.
                                         Metropolitan Lithotripter Associates, P.C.
                                         160 East 32nd Street, Suite 101
                                         New York, NY 10016

with a copy to:                          Nixon, Hargrave, Devans & Doyle LLP
                                         Clinton Square
                                         Rochester, New York 14603
                                         Attn: Lori B. Green, Esq.
                                         Fax: (716) 263-1600

If to IHS:                               Integrated Health Services, Inc.
                                         10065 Red Run Boulevard
                                         Owings Mills, MD 21117
                                         Attn: Anthony Masso, Executive 
                                                   Vice-President

                                         Attn: Elizabeth B. Kelly, Executive
                                                    Vice-President
                                         cc: Marshall A. Elkins, General Counsel

with a copy to:                          Blass & Driggs, Esqs.
                                         461 Fifth Avenue, 19th Floor
                                         New York, NY  10017
                                         Attention: Andrew S. Bogen
</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.  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 permitted 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 York, disregarding any
contrary rules relating to the choice or conflict of laws.

              15.10  AMENDMENTS,  SUPPLEMENTS,  ETC.  This  Agreement may not be
amended except by an instrument in writing signed by each of the parties.



                                       38

<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  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.

              15.12 COSTS AND EXPENSES.  Except as expressly  otherwise provided
in this  Agreement,  each party  hereto shall bear its own costs and expenses in
connection with this Agreement and the  transactions  contemplated  hereby.  The
Companies shall pay all sales, transfer, recording, stamp and like taxes payable
in connection with any of the transactions  contemplated by this Agreement,  and
shall timely and truthfully  complete and file any filings or returns  necessary
in  connection  therewith.  The  transaction  costs and expenses of Allied,  the
Companies and the Existing Equity Holders (including,  without  limitation,  the
costs of preparation and  implementation of (but not the costs of review thereof
by, or input from, IHS's counsel) the  proxy/information  statement  relating to
the  Transaction)  shall not be reflected on the Estimated  Closing Date Balance
Sheet, and shall constitute Excluded Liabilities. Notwithstanding the foregoing,
IHS shall  reimburse  the  Existing  Equity  Holders  (other than the Litho Corp
Existing  Equity  Holders)  for  up  to  $50,000  of  any  legal  or  accounting
transaction costs and expenses above those otherwise  expected to be incurred in
connection  with the transaction  contemplated  hereby that such Existing Equity
Holders  reasonably  demonstrate they have incurred by reason of structuring the
transaction as an asset purchase rather than as a stock purchase.

              15.13 PUBLIC  ANNOUNCEMENTS.  Any general public  announcements or
similar  media  publicity  with respect to this  Agreement  or the  transactions
contemplated  herein  shall be at such time and in such  manner  as the  parties
shall  mutually  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.

              15.14 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 in New York, New York. 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.

                        ARTICLE XVI: CERTAIN DEFINITIONS

              For purposes of this Agreement the following  terms shall have the
following meanings:

"ARBITRATING ACCOUNTANTS" shall have the meaning as set forth in Section 3.1(c).
"AGGREGATE ASSETS" shall mean the Downstate Assets, the Metro/Litho  Assets, the
Long Island Assets, and the Litho Corp Assets.  
"AGGREGATE ASSUMED  LIABILITIES"  shall mean the Downstate Assumed  Liabilities,
the Metro/Litho Assumed Liabilities,  the Long Island Assumed  Liabilities,  and
the Litho Corp Assumed Liabilities.
"AGGREGATE PERCENTAGE" shall have the meaning as set forth in Section 1.4(b)
"AGGREGATE PURCHASE PRICE" shall have the meaning as set forth in Section 1.4(b)
"AGGREGATE STOCK PORTION" shall have the meaning as set forth in Section 1.4(b)
"AGGREGATE COMPANY  MEMBERSHIP  INTEREST" shall have the meaning as set forth in
Section 1.4(b)
"AGREEMENT" shall have the meaning as set forth in the Introduction hereto.



                                       39

<PAGE>


"ALLIED" shall have the meaning as set forth in the Introduction hereto.
"BALANCE SHEET" shall mean each of the Downstate  Balance Sheet, the Metro-Litho
Balance Sheet, the Long Island Balance Sheet,  the Litho-Corp  Balance Sheet and
the Lithotripsy Practice Balance Sheet, as the context shall require.
"BROKER"shall have the meaning as set forth in Section 5.1(g).
"BUSINESS" shall have the meaning as set forth in the Introduction hereto.
"CABRINI" shall have the meaning as set forth in the Introduction hereto.
"CLOSING" shall have the meaning as set forth in Section 6.1.
"CLOSING DATE" shall have the meaning as set forth in Section 6.1.
"CLOSING  DATE PRICE PER SHARE"  shall have the  meaning as set forth in Section
5.1(a).
"COMMISSION" shall have the meaning as ser forth in Section 5.1(b).
"COMPANY" shall have the meaning as set forth in the Introduction hereto.
"COMPANIES" shall have the meaning as set forth in the Introduction hereto.
"COMPANY  MEMBERSHIP  INTEREST"  shall have the  meaning as set forth in Section
1.4(b)
"CONTRACT"  shall  have  the  meaning  as set  forth  in  Section  7.x.7 of each
Representation and Warranty Exhibit.
"DESIGNATED CONTRACTS" shall have the meaning as set forth in Section 4.1.
"DISPOSED SHARES" shall have the meaning as ser forth in Section 5.1(d).
"DOWNSTATE  ASSUMED  LIABILITIES" shall have the meaning as set forth in Section
2.1(b)(i)
"DOWNSTATE  CURRENT  LIABILITIES" shall have the meaning as set forth in Section
2.1(b)(i)(A)
"DOWNSTATE LONG-TERM LIABILITIES" shall have the meaning as set forth in Section
2.1(b)(i)(B)
"DOWNSTATE  MEMBERSHIP  INTEREST" shall have the meaning as set forth in Section
1.1(b)
"DOWNSTATE PERCENTAGE" shall have the meaning as set forth in Section 1.1(b)
"DOWNSTATE" shall have the meaning as set forth in the Introduction hereto.
"DOWNSTATE ASSETS" shall have the meaning as set forth in Section 2.1.
"DOWNSTATE  PURCHASE  PRICE"  shall  have the  meaning  as set forth in  Section
1.2(b).
"DOWNSTATE EXCLUDED ASSETS" shall have the meaning as set forth in Section 2.1.
"DOWNSTATE  STOCK  PORTION"  shall  have the  meaning  as set  forth in  Section
1.1(b)."
"DOWNSTATE REPRESENTATIVE" shall have the meaning as set forth in Section 15.1.
"DOWNSTATE  CLOSING DATE  BALANCE  SHEET" shall have the meaning as set forth in
Section 2.5(b)(i)
"DOWNSTATE EXCLUDED  LIABILITIES" shall have the meaning as set forth in Section
2.1(ii).
"DOWNSTATE  REIMBURSEMENT  LIABILITIES"  shall have the  meaning as set forth in
Section 2.1(ii).
"DOWNSTATE  REPRESENTATION  AND WARRANTY  EXHIBIT" shall have the meaning as set
forth in Section 7.2.
"EMPLOYMENT AGREEMENT" shall have the meaning as set forth in Section 10.18.
"EQUIPMENT AND MANAGEMENT  SERVICES"  shall have the meaning as set forth in the
Introduction hereto.
"ESTIMATED  CLOSING DATE  BALANCE  SHEET" shall have the meaning as set forth in
Section 3.1(ii).
"ESTIMATED  CLOSING DATE WORKING CAPITAL" shall have the meaning as set forth in
Section 3.1(a)(i).
"ESTIMATED  LONG ISLAND CLOSING DATE WORKING  CAPITAL" shall have the meaning as
set forth in Section 3.3(a)(i).
"ESTIMATED LONG-TERM LIABILITIES" shall have the meaning as set forth in Section
3.1(ii)(A).
"ESTIMATED LONG ISLAND CLOSING DATE BALANCE SHEET" shall have the meaning as set
forth in Section 3.3(ii).
"ESTIMATED  LITHOTRIPSY  PRACTICE  CLOSING  DATE  BALANCE  SHEET" shall have the
meaning as set forth in Section 10.24.
"EXCHANGE ACT" shall have the meaning as set forth in Section 5.1(h)(iv).
"EXISTING   EQUITY  HOLDERS"  shall  have  the  meaning  as  set  forth  in  the
Introduction hereto.
"EXECUTIVE DIRECTOR EMPLOYMENT AGREEMENT" shall have the meaning as set forth in
Section 10.18.
"FACILITY" shall have the meaning as set forth in the Introduction hereto.
"FACILITIES" shall have the meaning as set forth in the Introduction hereto.
"FINAL ADJUSTMENT DATE" shall have the meaning as set forth in Section 5.1(d).
"FINAL  ADJUSTMENT  DATE PRICE PER SHARE" shall have the meaning as set forth in
Section 5.1(d).


                                       40

<PAGE>


"FRUCHTMAN  EMPLOYMENT AGREEMENT" shall have the meaning as set forth in Section
10.18.
"GAAP"  shall  mean  generally  accepted  accounting  principles,   consistently
applied.
"IHS" shall have the meaning as set forth in the Introduction hereto.
"IHS/ALLIED INDEMNITEES" shall have the meaning as set forth in Section 12.2.
"IHS REPRESENTATION AND WARRANTY EXHIBIT" shall have the meaning as set forth in
Section 7.1.
"IHS REVIEW" shall have the meaning as set forth in Section 3.2(b)(i).
"IHS STOCK" shall have the meaning as set forth in Section 1.1(b).
"INDEMNIFYING PARTY" shall have the meaning as set forth in Section 12.6(a).
"IDENTIFIED UROLOGISTS" shall have the meaning as set forth in Section 9.7.
"INTEREST PERIOD" shall have the meaning as set forth in Section 5.1(e).
"LIABILITY(IES)" shall mean any claims,  lawsuits,  liabilities,  obligations or
debts 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 (as such term is defined in this Section XVI)  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.
"LIEN(S)" shall mean any liens, claims, security interests,  mortgages, pledges,
charges, easements,  rights of set off, restraints on transfer,  restrictions on
use, options, or encumbrances of any kind or nature whatsoever.
"LITHO CORP" shall have the meaning as set forth in the Introduction hereto.
"LITHO CORP ASSETS" shall have the meaning as set forth in Section 2.4(a).
"LITHO CORP ASSUMED  LIABILITIES" shall have the meaning as set forth in Section
2.4(b)(i).
"LITHO CORP CURRENT  LIABILITIES" shall have the meaning as ser forth in Section
2.4(A).
"LITHO  CORP  EXCLUDED  ASSETS"  shall have the  meaning as set forth in Section
2.4(a).
"LITHO  CORP  LONG-TERM  LIABILITIES"  shall  have the  meaning  as set forth in
Section 2.4(B).
"LITHO CORP EXCLUDED LIABILITIES" shall have the meaning as set forth in Section
2.4(b)(ii).
"LITHO  CORP  PURCHASE  PRICE"  shall  have the  meaning as set forth in Section
1.4(b).
"LITHO  CORP  STOCK  PORTION"  shall  have the  meaning  as set forth in Section
1.4(b).
"LITHO CORP MEMBERSHIP  INTEREST" shall have the meaning as set forth in Section
1.4(b).
"LITHO CORP PERCENTAGE" shall have the meaning as set forth in Section 1.4(b).
"LITHO CORP PERCENTAGE" shall have the meaning as set forth in Section 1.4(b).
"LITHO CORP  REIMBURSEMENT  LIABILITIES"  shall have the meaning as set forth in
Section 2.4(a)(i).
"LITHO  CORP  REPRESENTATIVE"  shall  have the  meaning  as set forth in Section
15.1(d).
"LITHO CORP  REPRESENTATION  AND WARRANTY EXHIBIT" shall have the meaning as set
forth in Section 7.5
"LITHO CORP ASSETS" shall have the meaning as set forth in Section 2.4(a).
"LITHOTRIPSY  PRACTICE  ASSETS"  shall have the  meaning as set forth in Section
2.5(i).
"LITHOTRIPSY  PRACTICE  EXCLUDED  ASSETS" shall have the meaning as set forth in
Section 2.5(a).
"LITHOTRIPSY  PRACTICE" shall have the meaning as set forth in the  Introduction
hereto.
"LITHOTRIPSY PRACTICE  REIMBURSEMENT  LIABILITIES" shall have the meaning as set
forth in Section 2.4(i).
"LITHOTRIPSY  PRACTICE  REPRESENTATION  AND  WARRANTY  EXHIBIT"  shall  have the
meaning as set forth in Section 7.6.
"LITHOTRIPSY PRACTICE PERMITTED LIABILITIES" shall have the meaning as set forth
in Section 2.5(ii).
"LITHOTRIPSY  PRACTICE CURRENT  LIABILITIES" shall have the meaning as set forth
in Section 2.5(A).
"LONG ISLAND" shall have the meaning as set forth in the Introduction hereto.
"LONG  ISLAND  LONG-TERM  LIABILITIES"  shall  have the  meaning as set forth in
Section 2.3(B).
"LONG  ISLAND  REPRESENTATIVE"  shall  have the  meaning as set forth in Section
15.1(c).
"LONG ISLAND  REPRESENTATION AND WARRANTY EXHIBIT" shall have the meaning as set
forth in Section 7.4
"LONG ISLAND ASSETS" shall have the meaning as set forth in Section 2.3(a).
"LONG ISLAND ASSUMED LIABILITIES" shall have the meaning as set forth in Section
2.3(i).
"LONG ISLAND CURRENT LIABILITIES" shall have the meaning as set forth in Section
2.3(A).
"LONG  ISLAND  EXCLUDED  ASSETS"  shall have the meaning as set forth in Section
2.3(a).
"LONG  ISLAND  EXCLUDED  LIABILITIES"  shall  have the  meaning  as set forth in
Section 2.3(ii).
"LONG ISLAND  FACILITY" shall have the meaning as set forth in the  Introduction
hereto.
"LONG  ISLAND  MANAGEMENT  SERVICES"  shall have the meaning as set forth in the
Introduction hereto.


                                       41

<PAGE>


"LONG ISLAND MEMBERSHIP INTEREST" shall have the meaning as set forth in Section
1.3(b).
"LONG  ISLAND  MOBILE  LITHOTRIPTER"  shall have the meaning as set forth in the
Introduction hereto.
"LONG ISLAND PERCENTAGE" shall have the meaning as set forth in Section 1.3(b).
"LONG  ISLAND  PURCHASE  PRICE"  shall have the  meaning as set forth in Section
1.3(b).
"LONG ISLAND  REIMBURSEMENT  LIABILITIES" shall have the meaning as set forth in
Section 2.3(ii).
"LONG  ISLAND  STOCK  PORTION"  shall  have the  meaning as set forth in Section
1.3(b).
"LOSS" shall have the meaning as set forth in Section 12.2(a).
"MANHATTAN  FACILITY"  shall have the  meaning as set forth in the  Introduction
hereto.
"MANHATTAN  MANAGEMENT  SERVICES"  shall  have the  meaning  as set forth in the
Introduction hereto.
"MANAGEMENT AGREEMENT" shall have the meaning as set forth in Section 10.15.
"MAXIMUM  LONG-TERM  LIABILITIES" shall have the meaning as set forth in Section
3.1(ii)(A).
"MCGOWAN  EMPLOYMENT  AGREEMENT"  shall have the meaning as set forth in Section
10.18.
"METRO/LITHO" shall have the meaning as set forth in the Introduction hereto.
"METRO/LITHO ASSETS" shall have the meaning as set forth in Section 2.2.
"METRO/LITHO ASSUMED LIABILITIES" shall have the meaning as set forth in Section
2.2(i).
"METRO/LITHO CURRENT LIABILITIES" shall have the meaning as set forth in Section
2.2(b)(i)(A).
"METRO/LITHO  EXCLUDED  ASSETS"  shall have the  meaning as set forth in Section
2.2(a).
"METRO/LITHO  EXCLUDED  LIABILITIES"  shall  have the  meaning  as set  forth in
Section 2.2(ii).
"METRO/LITHO  LONG-TERM  LIABILITIES"  shall  have the  meaning  as set forth in
Section 2.2(b)(i)(B)
"METRO/LITHO  REPRESENTATION AND WARRANTY EXHIBIT" shall have the meaning as set
forth in Section 7.3
"METRO/LITHO  REPRESENTATIVE"  shall  have the  meaning  as set forth in Section
15.1(b).
"METRO/LITHO  REIMBURSEMENT  LIABILITIES" shall have the meaning as set forth in
Section 2.2(ii).
"METRO/LITHO  STOCK  PORTION"  shall  have the  meaning  as set forth in Section
1.2(b).
"MINIMUM  DOWNSTATE  WORKING  CAPITAL"  shall  have the  meaning as set forth in
Section 3.1(A).
"MINIMUM  LITHOTRIPSY  PRACTICE  WORKING  CAPITAL" shall have the meaning as set
forth in Section 10.24.
"MINIMUM  WORKING  CAPITAL"  shall  have the  meaning  as set  forth in  Section
3.1(i)(A).
"NEW  WESTCHESTER  FACILITY"  shall  have  the  meaning  as  set  forth  in  the
Introduction hereto.
"NON-COMPETE AGREEMENTS" shall have the meaning as set forth in Section 10.19.
"NON-UROLOGIST   INVESTORS"   shall  have  the  meaning  as  set  forth  in  the
Introduction hereto.
"OPERATING  AGREEMENT"  shall have the meaning as set forth in the  Introduction
hereto.
"PARTICIPANTS" shall have the meaning as set forth in Section 5.1(f).
"PERCENTAGE" shall have the meaning as set forth in Section 1.4(b).
"PERMITTED  LIEN(S)"  shall mean with respect to any Company or the  Lithotripsy
Practice, as the case may be:

                  (A) each lien, if any,  described on Schedule  6.x.6(c) to the
Representation and Warranty Exhibit of such Company or the Lithotripsy Practice,
as the case may be;

                  (B)  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 $25,000;

                  (C)  deposits  to  secure  the  performance  of  bids,   trade
contracts (other than for borrowed money), leases, statutory obligations, surety
and  appeal  bonds,  performance  bonds and  other  obligations  of like  nature
incurred in the  ordinary  course of business,  provided  that each such deposit
shall be included in the Assets of such Company or the Lithotripsy  Practice, as
the case may be, and shall not exceed $15,000 in any one case, or $75,000 in the
aggregate; and

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

"PROHIBITED TRANSACTION" shall have the meaning as set forth in Section 9.6.
"PROPOSED WORKING CAPITAL" shall have the meaning as set forth in Section 3.1(b)
(i)(A).



                                       42

<PAGE>


"PROPOSED  CLOSING  DATE  BALANCE  SHEET" shall have the meaning as set forth in
Section 3.1(b)(i).
"PROPOSED LONG-TERM  LIABILITIES" shall have the meaning as set forth in Section
3.1(c).
"PURCHASE PRICE" shall have the meaning as set forth in Section 1.4(b).
"REGISTRATION  DATE  PRICE PER  SHARE"  shall  have the  meaning as set forth in
Section 5.1(c).
"REGISTRATION  DEADLINE  DATE"  shall  have the  meaning as set forth in Section
5.1(e).
"REGISTRATION STATEMENT" shall have the meaning as set forth in Section 5.1(b).
"REPRESENTATION  AND  WARRANTY  EXHIBIT"  shall have the meaning as set forth in
Section 7.6.
"REPRESENTATION  AN  WARRANTY  EXHIBITS"  shall have the meaning as set forth in
Section 7.6.
"REPRESENTATION  AND  INDEMNIFICATION  AGREEMENTS" shall have the meaning as set
forth in Section 10.21.
"REQUIRED APPROVALS" shall have the meaning as set forth in Section 9.4.
"SECURITIES ACT" shall have the meaning as set forth in Section 5.1(b).
"SERVICES" shall have the meaning as set forth in the Introduction hereto.
"TARGET AMOUNT" shall have the meaning as set forth in Section 3.1(a)(iii).
"TAXES"  shall mean any and all 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,  and any  penalties,  interest,
governmental charges, assessments and deficiencies related thereto.
"TITLE COMPANY" shall have the meaning as set forth in Section 10.13. 
"UROLOGIST  INVESTORS"  shall have the meaning as set forth in the  Introduction
hereto.
"WESTCHESTER  MANAGEMENT  SERVICES"  shall have the  meaning as set forth in the
Introduction hereto.

                       [SIGNATURES ON THE FOLLOWING PAGE]



                                       43

<PAGE>
                               AMENDMENT AGREEMENT

         AMENDMENT AGREEMENT made this 4th day of May, 1998, by and among Allied
Urological  Services,  LLC, a limited liability company formed under the laws of
Delaware  ("Allied"),  Integrated Health Services,  Inc., a Delaware corporation
("IHS"),  Downstate  Lithotripter  LLC, a limited liability company formed under
the laws of New York  ("Downstate"),  Metro/Litho  L.P.,  a limited  partnership
formed  under the laws of New York  ("Metro/Litho"),  Long Island  Lithotripter,
LLC,  a limited  liability  company  formed  under  the laws of New York  ("Long
Island") and Lithotripter Corporation, a New York corporation ("Litho Corp", and
together with Downstate, Metro/Litho and Long Island, the "Companies").

         WHEREAS,  Allied,  IHS and the Companies have entered into a Membership
Interest  Purchase  Agreement,   dated  as  of  April  7,  1998  (the  "Purchase
Agreement") and desire to amend Section 5.1(d) thereof.

         WHEREAS,  capitalized  terms used in this  Amendment  Agreement and not
otherwise  defined herein shall have the meanings  ascribed to such terms in the
Purchase Agreement.

         NOW, THEREFORE, it is agreed:

         1. Section  5.1(d) of the Purchase  Agreement is hereby  amended in its
entirety to read as follows:

         "(D)  POST-REGISTRATION  DATE SHARE  ADJUSTMENT.  If as of the close of
         trading  on the  NYSE  on  the  date  which  is  the  fifteenth  (15th)
         consecutive trading day from (and including) the Registration Date (the
         "FINAL ADJUSTMENT  DATE"),  the difference between (i) the average sale
         price per share of all IHS Stock  theretofore  issued  pursuant to this
         Agreement and sold during the period from the Registration  Date to the
         Final  Adjustment  Date under the  Registration  Statement in bona fide
         sales to  third  parties  that  are not  affiliates  and  otherwise  in
         accordance  with the  provisions of this Article V (such shares are the
         "DISPOSED  SHARES"),  and  (ii)  the  average  per  share  cost  of the
         brokerage  commissions and expenses paid by them to the Broker (defined
         below)  in  connection  with such  sales of the  Disposed  Shares  (the
         difference between (i) and (ii) is the "FINAL ADJUSTMENT DATE PRICE PER
         SHARE") is below the lower of (x) the Closing Date Price Per Share, and
         (y) the  Registration  Date Price Per Share,  then IHS  promptly  shall
         issue to the Companies (in the  proportions  set forth in writing by at
         least  seventy-five  (75%) percent of the  Representatives  pursuant to
         Section 3.3 (b) hereof) an additional  number of shares of IHS Stock as
         shall be equal in value to the  product of (A) the  difference  between
         (1) the lower of (p) the  Closing  Date  Price Per  Share,  and (q) the
         Registration  Date Price Per Share,  and (2) the Final  Adjustment Date
         Price Per Share, multiplied by (B) the number of Disposed Shares



<PAGE>



         (such  product  of (A)  multiplied  by (B)  is  the  "FINAL  ADJUSTMENT
         AMOUNT") . IHS will use its best efforts to cause to be prepared, filed
         and  declared  effective  by the  Commission  within  sixty  (60)  days
         following the Final Adjustment  Date, a registration  statement for the
         registration  under the Securities Act of the IHS Stock issued pursuant
         to this Section  5.1(d),  and IHS shall maintain the  effectiveness  of
         such registration  statement for a period of one (1) year following the
         date on  which  such  registration  statement  becomes  effective  (the
         "SECOND  EFFECTIVE DATE"), or until the Companies (and their respective
         partners, members or shareholders,  as distributees of such IHS Stock),
         shall  not own any of the IHS Stock  issued  pursuant  to this  Section
         5.1(d),  whichever shall occur first. The number of shares of IHS Stock
         issuable pursuant to this Section 5.1(d) 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 Final Adjustment Date; provided, however, that (x) if the
         number of shares of IHS Stock issued pursuant to this Section 5.1(d) is
         less  than the  number of shares  of IHS  Stock  that  would  have been
         issuable had such IHS stock been valued 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 trading days before the Second Effective Date, then IHS promptly
         shall deliver to the Companies (in the proportions set forth in writing
         by at least seventy-five (75%) percent of the Representatives  pursuant
         to Section 3.3 (b) hereof) an additional  number of shares of IHS Stock
         as shall be equal to the amount of such difference, and such additional
         shares shall be included in the aforementioned  registration  statement
         by means of a pre-effective amendment thereto, and (y) if the number of
         shares of IHS Stock issued  pursuant to this Section 5.1(d) exceeds the
         number of shares of IHS Stock that would  have been  issuable  had such
         IHS stock been valued  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 trading
         days before the Second  Effective  Date,  then the  Companies  promptly
         shall  return  to IHS that  number  of  shares of IHS Stock as shall be
         equal to such  excess.  Notwithstanding  anything to the  contrary  set
         forth in this Section 5.1(d), IHS shall have the right,  exercisable in
         its sole  discretion,  to pay to the Companies (in the  proportions set
         forth  in  writing  by at  least  seventy-five  (75%)  percent  of  the
         Representatives  pursuant  to Section 3.3 (b)  hereof),  in lieu of IHS
         Stock  otherwise  issuable  pursuant to this  Section  5.1(d),  cash in
         amount equal to the Final Adjustment Amount."

         2. Except as expressly amended hereby,  all of the terms and conditions
of the Purchase Agreement shall remain in full force and effect.

         3. This Amendment  Agreement may be executed in  counterparts,  each of
which being deemed an original  and both of which,  when taken  together,  being
deemed one and the same instrument.

                      [SIGNATURES APPEAR ON FOLLOWING PAGE]



                                       -2-

<PAGE>


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

                                                INTEGRATED HEALTH SERVICES, INC.

                                                By: 
                                                   -----------------------------
                                                Title: 
                                                      --------------------------

LONG ISLAND LITHOTRIPTER, LLC                   ALLIED UROLOGICAL SERVICES, LLC

By:                                             By: 
   --------------------------------                -----------------------------
Title:                                          Title: 
     ------------------------------                   --------------------------

LITHOTRIPTER CORPORATION

By:  [SIG]
   --------------------------------
Title:
      -----------------------------

DOWNSTATE LITHOTRIPTER LLC

By:  [SIG]
   --------------------------------
Title:
      -----------------------------

METRO/LITHO L.P.

By:    [SIG]
   --------------------------------
Title:
      -----------------------------


                                        3

<PAGE>


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

                                                INTEGRATED HEALTH SERVICES, INC.

                                                By: 
                                                   -----------------------------
                                                Title: 
                                                      --------------------------

LONG ISLAND LITHOTRIPTER, LLC                   ALLIED UROLOGICAL SERVICES, LLC

By:                                             By: 
   --------------------------------                -----------------------------
Title:                                          Title: 
     ------------------------------                   --------------------------

LITHOTRIPTER CORPORATION

By:  [SIG]
   --------------------------------
Title:
      -----------------------------

DOWNSTATE LITHOTRIPTER LLC

By:  [SIG]
   --------------------------------
Title:
      -----------------------------

METRO/LITHO L.P.

By:    [SIG]
   --------------------------------
Title:
      -----------------------------


                                        4
<PAGE>

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

                                            INTEGRATED HEALTH SERVICES, INC.

                                            By: /s/ ELIZABETH B. KELLY
                                               ---------------------------------
                                            Title: EVP

LONG ISLAND LITHOTRIPTER, LLC

By:                                                              
   ----------------------------------       ALLIED UROLOGICAL SERVICES, LLC
Title:
      -------------------------------
                                            By: /s/ ELIZABETH B. KELLY
                                               ---------------------------------
                                            Title: EVP

LITHOTRIPTER CORPORATION

By: 
   ----------------------------------                 
Title:
      -------------------------------


DOWNSTATE LITHOTRIPTER LLC

By:
   ----------------------------------                 
Title:
      -------------------------------


METRO/LITHO L.P.

By: 
   ----------------------------------
Title:
      -------------------------------




                                        5
<PAGE>

                                  AMENDMENT TO

                   AGREEMENT FOR SALE AND PURCHASE OF ASSETS
                           AND RESTRICTIVE COVENANTS


          AGREEMENT,  made this 29th day of April,  1998, among Regional Medical
Supply, Inc.  ("Seller"),  Keith Thomas and Laurie Nuckols (each a "Shareholder"
and  collectively,   the  "Shareholders")  and  Integrated  Health  Services  at
Jefferson Hospital, Inc. ("Buyer").

          WHEREAS,  Buyer, Seller and the Shareholders entered into that certain
Agreement for Sale and Purchase of Assets and Restrictive Covenants, dated as of
March 20, 1998 (the "Purchase Agreement"); and

          WHEREAS,  the  parties  wish to amend  certain  terms of the  Purchase
Agreement.

          NOW, THEREFORE,  in consideration of the mutual promises and covenants
herein  contained,  and  intending  to be legally  bound,  the parties  agree as
follows:

          1.  Section 8 of the  Purchase  Agreement  is amended to read that the
Effective Date for the  transactions  consummated  under the Purchase  Agreement
shall be April 8, 1998.

          2.  Except  as  expressly  modified  hereby,  all  of  the  terms  and
conditions of the Purchase Agreement shall remain in full force and effect.


                   [SIGNATURES APPEAR ON THE FOLLOWING PAGE]

<PAGE>

          IN WITNESS WHEREOF, the parties have executed this Agreement as of the
date first above written.


                                                  SELLER:
     

                                                  REGIONAL MEDICAL
                                                  SUPPLY, INC.


                                                  By: Keith Thomas
                                                     ---------------------------
                                                  Name: Keith Thomas
                                                  Its:  President


                                                  SHAREHOLDERS:
     
                                                  Keith Thomas
                                                  ------------------------------
                                                  Keith Thomas



                                                  Laurie Nuckols
                                                  ------------------------------
                                                  Laurie Nuckols



                                                  BUYER:

                                                  INTEGRATED HEALTH
                                                  SERVICES AT JEFFERSON
                                                  HOSPITAL, INC.


                                                  By: Mark A. Kovinsky
                                                     ---------------------------
                                                  Name: Mark A. Kovinsky
                                                  Its: SVP-Corporate Development

<PAGE>

          IN WITNESS WHEREOF, the parties have executed this Agreement as of the
date first above written.


                                                  SELLER:
     

                                                  REGIONAL MEDICAL
                                                  SUPPLY, INC.


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


                                                  SHAREHOLDERS:
     
                                                  
                                                  ------------------------------
                                                  Keith Thomas


                                                  ------------------------------
                                                  Laurie Nuckols

                              

                                                  BUYER:


                                                  INTEGRATED HEALTH
                                                  SERVICES AT JEFFERSON
                                                  HOSPITAL, INC.


                                                  By: Mark A. Kovinsky
                                                     ---------------------------
                                                  Name: Mark A. Kovinsky
                                                  Its: SVP-Corporate Development




                                                                     EXHIBIT 2.7


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

                          AGREEMENT AND PLAN OF MERGER

                          DATED AS OF FEBRUARY 27, 1998

                                      AMONG

                        INTEGRATED HEALTH SERVICES, INC.,

                 INTEGRATED HEALTH SERVICES AT HAWTHORNE NURSING
                                  CENTER, INC.

                                       AND

                            PREMIERE ASSOCIATES, INC.

                                     AND ITS

                                  SHAREHOLDERS

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



<PAGE>

                                TABLE OF CONTENTS
<TABLE>
<CAPTION>

                                                                               PAGE

<S>                                                                             <C>
ARTICLE I:  MERGER...............................................................3
    1.1     Merger...............................................................3
    1.2     Merger Time..........................................................3
    1.3     Payment of Merger Consideration......................................4
    1.4     Surviving Corporation................................................4

ARTICLE II: CONVERSION...........................................................5
    2.1     Consideration........................................................5
    2.2     Certain Adjustments to the Base Amount...............................8
    2.3     Assets and Liabilities..............................................17
    2.4     Designated Contracts................................................18
    2.5     Escrow Indemnification..............................................19

ARTICLE III: IHS STOCK..........................................................21
    3.1      IHS Stock..........................................................21

ARTICLE IV:  THE CLOSING........................................................27
    4.1      Time and Place of Closing..........................................27

ARTICLE V:  REPRESENTATIONS AND WARRANTIES OF THE PRINCIPAL
    SHAREHOLDERS  AND COMPANY...................................................27
    5.1      Organization and Standing of the Company; Subsidiaries.............27
    5.2      Authority..........................................................28
    5.3      Binding Effect.....................................................28
    5.4      Absence of Conflicting Agreements..................................28
    5.5      Consents...........................................................28
    5.6      Schedule of Assets and Properties..................................29
    5.7      Contracts..........................................................31
    5.8      Financial Statements...............................................33
    5.9      Material Changes...................................................34
    5.10     Licenses; Permits; Certificates of Need............................34
    5.11     The Facilities.....................................................35
    5.12     Legal Proceedings..................................................37
    5.13     Employees..........................................................37
    5.14     Collective Bargaining, Labor Contracts, Employment Practices, etc..38
    5.15     ERISA..............................................................38
    5.16     Questionnaire......................................................38
    5.17     Insurance and Surety Agreements....................................38
    5.18     Relationships......................................................39
    5.19     Assets Comprising the Business.....................................39
    5.20     Absence of Certain Events..........................................39
    5.21     Compliance with Laws...............................................40
</TABLE>



                                       (i)

<PAGE>
<TABLE>
<S>                                                                            <C>
    
    
    
    
    5.22     Taxes..............................................................41
    5.23     Encumbrances Created by this Agreement.............................42
    5.24     Questionable Payments..............................................42
    5.25     Reimbursement Matters..............................................42
    5.26     Capital Stock......................................................43
    5.27     Finders............................................................44
    5.28     Shareholder Untrue Statement.......................................44

ARTICLE VI:  REPRESENTATIONS AND WARRANTIES OF THE MINORITY
         SHAREHOLDERS ..........................................................44
    6.1      Authority..........................................................44
    6.2      Binding Effect.....................................................44
    6.3      Absence of Conflicting Agreements..................................45
    6.4      Consents...........................................................45
    6.5      Capital Stock......................................................45
    6.6      Untrue Statements..................................................45
ARTICLE VII:  REPRESENTATIONS AND WARRANTIES OF BUYER...........................45
    7.1      Organization and Standing..........................................45
    7.2      Power and Authority................................................46
    7.3      Binding Agreement..................................................46
    7.4      SEC Documents......................................................46
    7.5      Absence of Conflicting Agreements..................................46
    7.6      Capital Stock......................................................46
    7.7      Material Changes...................................................46
    7.8      No Untrue Statements...............................................47

ARTICLE VIII:  INFORMATION AND RECORDS CONCERNING THE COMPANY...................47
    8.1      Access to Information and Records before Closing...................47

ARTICLE IX:  OBLIGATIONS OF THE PARTIES UNTIL CLOSING...........................47
    9.1      Conduct of Business Pending Closing................................47
    9.2      Negative Covenants of the Company..................................48
    9.3      Affirmative Covenants..............................................49
    9.4      Pursuit of Consents and Approvals..................................50
    9.5      Pursuit of Nondisturbance Agreements and Estoppel Certificates.....50
    9.6      Supplementary Financial Information................................50
    9.7      Exclusivity........................................................51
    9.8      Spin-offs..........................................................51
    9.9      Certain Bonuses....................................................51
    9.10    Special Counsel.....................................................51
    9.11    Acquisition of Christopher Manor of St. Petersburg, Inc.............52
    9.12    Updating............................................................52


</TABLE>



                                      (ii)

<PAGE>

<TABLE>
<S>                                                                            <C>

ARTICLE X:  CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS.........................52
   10.1     Representations and Warranties......................................52
   10.2     Performance of Covenants............................................52
   10.3     Delivery of Closing Certificate.....................................52
   10.4     Opinions of Counsel.................................................52
   10.5     Legal Matters.......................................................53
   10.6     Authorization Documents.............................................53
   10.7     Material Change.....................................................53
   10.8     Required Approvals..................................................53
   10.9     Hart-Scott Rodino Act...............................................53
   10.10    Surveys.............................................................53
   10.11    Termite Inspections.................................................54
   10.12    Zoning Report.......................................................54
   10.14    Non-competition Agreements..........................................55
   10.15    Cost and Expenses...................................................55
   10.16    Consents............................................................55
   10.17    Closing Date Balance Sheet..........................................55
   10.18    Resignation of Company Boards of Directors and Officers.............55
   10.19    Estimated Closing Date Long Term Liabilities; 
               Negative Working Capital.........................................55
   10.20    Termination of Angell Options.......................................56
   10.21    Closing of Magnolia/Medi-Serve Merger Agreement.....................56
   10.22    Woodruff Facility...................................................56
   10.23    Shareholder Settlements.............................................56
   10.24    Spin-offs...........................................................56
   10.25    Escrow Agreements...................................................56
   10.26    IHS Stock Price.....................................................56
   10.27    Principal Shareholders' Loans.......................................56
   10.28    Opinion of Special Counsel..........................................56
   10.29    Termination of Relationship with Manatee............................56
   10.30    Christopher of St. Petersburg, Inc..................................57
   10.31    Articles of Merger..................................................57
   10.32    Other Documents.....................................................57

ARTICLE XI:  CONDITIONS PRECEDENT TO SHAREHOLDERS' OBLIGATIONS..................57
   11.1     Representations and Warranties......................................58
   11.2     Performance of Covenants............................................58
   11.3     Delivery of Closing Certificate.....................................58
   11.4     Opinion of Counsel..................................................58
   11.5     Legal Matters.......................................................58
   11.6     Authorization Documents.............................................58
   11.7     Hart-Scott Rodino Act...............................................58
   11.8     Closing of Magnolia/Medi-Serve Stock Purchase Agreement.............58
   11.9     Escrow Agreements...................................................58
   11.10    Termination of Guaranties...........................................58
   11.11    IHS Stock Price.....................................................59
   11.12    Other Documents.....................................................59



                                      (iii)

<PAGE>


ARTICLE XII:  SURVIVAL AND INDEMNIFICATION......................................59
   12.1     Survival of Representations and Warranties..........................59
   12.2     Indemnification by Shareholders.....................................59
   12.3     Indemnification by Buyer............................................60
   12.4     Assertion of Claims.................................................60
   12.5     Control of Defense of Indemnificable Claims.........................61
   12.7     WARN ACT LIABILITY..................................................62
   12.8     CERTAIN WAIVERS.....................................................63
   12.9     CERTAIN ASSISTANCE..................................................63

ARTICLE XIII: TERMINATION.......................................................63
   13.1     Termination.........................................................63
   13.2     Effect of Termination...............................................64

ARTICLE XIV: CASUALTY, RISK OF LOSS.............................................64
   14.1     Casualty, Risk of Loss..............................................64

ARTICLE XV:  MISCELLANEOUS......................................................64
   15.1     Performance.........................................................64
   15.2     Benefit and Assignment..............................................64
   15.3     Effect and Construction of this Agreement...........................65
   15.4     Cooperation - Further Assistance....................................65
   15.5     Notices.............................................................65
   15.6     Waiver, Discharge, Etc..............................................66
   15.7     Rights of Persons Not Parties.......................................66
   15.8     Governing Law.......................................................66
   15.9     Amendments, Supplements, Etc........................................66
   15.10    Severability........................................................66
   15.11    Joint and Several...................................................67
   15.12    Records.............................................................67
   15.13    Late Delivery of Exhibit 2.2(a)(vi)(E)..............................67
</TABLE>



                                      (iv)

<PAGE>

                              SCHEDULES & EXHIBITS
                              --------------------
<TABLE>
<S>                     <C>     <C>                             
Schedule 2.1(c)(i)       -       Consideration
Schedule 5.1(a)          -       Organization and Standing of the Company; Subsidiaries
Schedule 5.1(b)          -       Organization and Standing of the Company; Subsidiaries
Schedule 5.5             -       Consents
Schedule 5.6             -       Schedule of Assets and Properties
Schedule 5.7(b)          -       Contracts
Schedule 5.7(b)(i)       -       Contracts
Schedule 5.7(c)          -       Contracts
Schedule 5.8(a)(i)       -       Financial Statements
Schedule 5.9             -       Material Changes
Schedule 5.10            -       Licenses, Permits, Certificates of Need
Schedule 5.11(b)         -       Title, Condition to Personal Property
Schedule 5.11(c)         -       Title, Condition to Personal Property
Schedule 5.12            -       Legal Proceedings
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 5.21            -       Compliance with Laws
Schedule 5.22            -       Taxes
Schedule 5.25            -       Reimbursement Matters
Schedule 5.26            -       Capital Stock
Schedule 6.4             -       Consents
Schedule 7.7             -       Material Changes

Exhibit 1.1              -       Merger
Exhibit 2.2(e)           -       Working Capital
Exhibit 2.5(a)(i)        -       Escrow Agreement
Exhibit 2.5(a)(ii)       -       Manatee Escrow Agreement
Exhibit 5.16             -       Questionnaire
Exhibit 10.4             -       Opinions of Counsel
Exhibit 10.14-A          -       Non-competition Agreements
Exhibit 10.14-B          -       Non-Solicitation Agreements
Exhibit 10.28            -       Opinion of Special Counsel
Exhibit 11.4             -       Opinion of Counsel
</TABLE>



                                       (v)

<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"),  INTEGRATED HEALTH SERVICES AT HAWTHORNE NURSING CENTER,
INC., a North Carolina corporation ("NEWCO"),  and PREMIERE ASSOCIATES,  INC., a
North Carolina corporation ("PREMIERE",  or the "COMPANY"), W. STEWART SWAIN, an
individual with an address at 115 Fieldwood Drive, Advance, North Carolina 27006
("SWAIN") and L.P.  HERZOG , an individual with an address at 1949 Dupont Court,
Deltona,  Florida  32723  ("HERZOG",  and together  with Swain,  the  "PRINCIPAL
SHAREHOLDERS"), and Jewell Austin, an individual with an address at 2928 Winding
Way, Lilbum, Georgia 30247 ("AUSTIN"), Troy Curry, an individual with an address
at 1045 Wilderness Run Drive, Yadkinville,  NC 27055 ("CURRY"), Bruce W. Covell,
Jr., ("COVELL") an individual with an address at 66 55 S.W. 7th Street, Margate,
FL 33068 ("COVELL"),  and M. Rebecca Muenchow,  an individual with an address at
656 Lantern Ridge Drive, Winston-Salem, NC 27104 ("MUENCHOW"), and together with
Austin,  Curry and Covell the  "MINORITY  SHAREHOLDERS",  and together  with the
Principal Shareholders, the "SHAREHOLDERS". The Shareholders and the Company are
sometimes herein referred to collectively as the "GROUP",  and each individually
as a "GROUP PARTICIPANT" or "GROUP MEMBER".

                                    PREMISES

         WHEREAS,  the Principal  Shareholders  are the owners of all the issued
and outstanding  shares of Voting Common Stock (the "SERIES A PREMIERE  SHARES")
of Premiere, a corporation that, through its subsidiaries (the  "SUBSIDIARIES"),
is the owner in fee simple in the State of Florida of 1 skilled nursing facility
(the  "PREMIERE  OWNED  FACILITY"),  the  operator  in Georgia and Florida of 27
skilled  nursing  facilities  (all of which  are  leased  by it) (the  "PREMIERE
OPERATED  FACILITIES")  and the manager of 18 skilled nursing  facilities in the
States of South Carolina,  Georgia,  and Florida,  including all of the Magnolia
Facilities (as  hereinafter  defined) (the "PREMIERE  MANAGED  FACILITIES",  and
together with the Premiere Owned Facility,  and the Premiere Operated Facilities
the "FACILITIES"); and

         WHEREAS,  the Minority  Shareholders  are employees of Premiere and the
owners of all the issued and  outstanding  shares of Non-Voting  Common Stock of
Premiere  (the  "SERIES B  PREMIERE  SHARES",  and  together  with the  Series A
Premiere Shares,  the Series C Premiere Shares (as hereinafter  defined) and the
Series D Premiere Shares (as hereinafter defined),  the "PREMIERE SHARES" or the
"SUBJECT SHARES"); and





<PAGE>

WHEREAS,  concurrently herewith, Buyer is entering into an Agreement and Plan of
Merger (the  "MAGNOLIA/MEDI-SERVE  MERGER  AGREEMENT")  with The Magnolia Group,
Inc. ("MAGNOLIA"),  a South Carolina 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"),  Medi-Serve,  Inc.,  a South
Carolina  corporation that provides  pharmaceutical and Medicare Part B services
("MEDI-SERVE"),  and Terry Cash (the "MAGNOLIA SHAREHOLDER"), an individual with
an address at 620 Henderson Road, Chesnee, SC 29323, and the owner of all of the
issued and  outstanding  shares of  capital  stock (the  "MAGNOLIA  SHARES")  of
Magnolia and of Medi-serve,  Inc. (the  "MEDI-SERVE  SHARES"),  and the Magnolia
Shareholder is unwilling to sell the Magnolia  Shares to Buyer unless Buyer also
purchases the Medi-Serve Shares; and

         WHEREAS,  the  Magnolia  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 Magnolia/Medi-Serve  Stock Purchase Agreement,
it shall be a  condition  to Buyer's  obligations  hereunder  that the  Woodruff
Facility  shall be leased to Magnolia  pursuant to a  "triple-net"  lease with a
term of at 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, Don G. Angell ("ANGELL") and his affiliates, including without
limitation,  Angell Group  Incorporated,  D. Gray Angell,  Jr. and Don R. House,
co-trustees  under the Don G. Angell  Irrevocable Trust dated July 24, 1992, and
the Bermuda Village  Retirement Center Limited  Partnership  (collectively  with
Angell and the Angell Family Limited Partnership, the "ANGELL GROUP" and each an
"ANGELL GROUP MEMBER") holds promissory  notes in the original  principal amount
of $13,399,161 (the "ANGELL GROUP NOTES") and Angell Family Limited  Partnership
holds an option to purchase  from  Premiere  up to  approximately  nineteen  and
one-half  percent  (19.5%) of the issued and  outstanding  shares of the capital
stock of  Premiere  at an  aggregate  exercise  price  of  $1,000  (the  "ANGELL
OPTIONS"); and

         WHEREAS, at or prior to Closing,  pursuant to a separate agreement (the
"ANGELL  AGREEMENT"),  the Angell Family Limited  Partnership shall exercise the
Angell  Options up to an amount such that the Angell Group will hold shares of a
series of  Non-Voting  Series C Common  Stock of  Premiere  ("SERIES  C PREMIERE
SHARES")  entitling  the Angell Group to receive up to  $1,000,000 of the Merger
Consideration (as such term is hereinafter defined); and

         WHEREAS,  pursuant to the Angell Agreement, at or prior to Closing, all
of the Angell  Options  shall be  exercised as  aforesaid,  and the Angell Group
shall irrevocably consent to and approve the merger contemplated hereby; and



                                        2

<PAGE>

         WHEREAS,  pursuant  to the Angell  Agreement,  at or prior to  Closing,
Buyer  shall   guaranty  the   repayment  of  the  Angell  Group  Notes  and  in
consideration  therefore  and in  consideration  for amending  such Angell Group
Notes to provide  that they shall not be prepaid  during the  three-year  period
following the Closing Date, the Premiere  Shares and the shares of capital stock
of the Subsidiaries  (as such term is hereinafter  defined)  (collectively,  the
"PLEDGED  SHARES")  pledged to secure the  repayment  of the Angell  Group Notes
shall be released from such pledge; and

         WHEREAS,  the Boards of Directors of Buyer, Newco, and the Company deem
it advisable to merge the Company with and into Newco pursuant to this Agreement
(the "MERGER");

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

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

         WHEREAS,  all of the  holders  of  capital  stock in the  Company  have
approved  this  Agreement  and  the  plan of  merger  described  herein  and the
transactions contemplated hereby in accordance with all applicable laws, and the
Company's Certificate of Incorporation and By-laws;

         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, each of the Shareholders,  Newco, Buyer, and
the Company, intending to be legally bound, agree as follows:

                                ARTICLE I: MERGER

                  1.1 MERGER.  Upon the terms and subject to the  conditions set
forth in this Plan of Merger and in accordance with the General  Corporation Law
of the State of North  Carolina  (the  "NCGCL"),  at the Merger Time (as defined
herein),  the Company shall be merged with and into Newco in accordance with the
provisions of Section 55-11-01,  et al of the NCGCL. In furtherance  thereof, on
the Closing Date the Company and Newco shall execute,  deliver,  and cause to be
filed with the Secretary of State of the State of North  Carolina,  the Articles
and Plan of Merger in the form of Exhibit  1.1  hereto  (the "PLAN OF MERGER" or
"ARTICLES OF MERGER").  Following  the Merger  Time,  the separate  existence of
Newco and the Company  shall cease,  and Newco shall  continue as the  surviving
corporation in the Merger  (hereinafter  sometimes referred to as the "SURVIVING
CORPORATION") as a business corporation incorporated under the laws of the State
of  North  Carolina,  and  shall  succeed  to and  assume  all  the  rights  and
obligations of the Company and Newco in accordance with the NCGCL.

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



                                        3

<PAGE>

                  1.3  PAYMENT  OF  MERGER  CONSIDERATION.   Buyer  agrees  that
following  the Closing (as  hereinafter  defined),  it will make  payment of the
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  Certificate of
Incorporation of Newco as in effect  immediately  prior to the Merger Time shall
be the  Certificate of  Incorporation  of the Surviving  Corporation  until duly
amended in accordance with the terms thereof and of the NCGCL.

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

                       (C) DIRECTORS.  The directors of Newco at the Merger Time
shall,  from and  after the  Merger  Time,  be the  directors  of the  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 Surviving  Corporation's  Certificate of  Incorporation  and
By-laws.

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

                       (E) FURTHER ACTION. If at any time after the Merger Time,
Buyer  shall  consider  that  any  further  deeds,   assignments,   conveyances,
agreements, documents, instruments, or assurances in law or any other things are
necessary or desirable to vest,  perfect,  confirm,  or record in the  Surviving
Corporation  the  title  to  any  property,  rights,  privileges,   powers,  and
franchises  of Newco or the Company by reason of, or as a result of, the Merger,
or  otherwise  to carry out the  provisions  of this  Agreement  and the Plan of
Merger,  the officers of Newco and the Company 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 Surviving  Corporation,  and
otherwise to carry out the provisions of this Agreement and the Plan of Merger.

                       (F) APPROVAL. Each Shareholder  represents,  warrants and
agrees  that he or she has  reviewed  the Plan of  Merger,  and he or she hereby
approves such Plan of Merger.



                                        4

<PAGE>

                             ARTICLE II: CONVERSION

                  2.1  CONSIDERATION. For purposes of this Agreement the terms:

                       (A) (I) "MERGER  CONSIDERATION"  shall mean the aggregate
of the Series A Merger  Consideration,  the Series B Merger  Consideration,  the
Series C Merger Consideration and the Series D Merger  Consideration,  and shall
be equal to  $56,000,000  (the "BASE  AMOUNT"),  as  adjusted  pursuant  to this
Agreement.

                           (II) "SERIES A MERGER  CONSIDERATION"  shall mean the
Base Amount,  as adjusted  pursuant to this Agreement,  less the sum of: (x) the
Series B Merger Consideration,  (y) the Series C Merger  Consideration,  and (z)
the Series D Merger  Consideration;  and the "SERIES A MERGER  CONSIDERATION PER
SHARE"  shall  mean the Series A Merger  Consideration  divided by the number of
issued and outstanding shares of Series A Premiere Shares at the Merger Time.

                           (III) "SERIES B MERGER  CONSIDERATION" shall mean (A)
$400,000  plus (B) ten  percent  (10%) of the sum of: (u)  $56,000,000  (plus or
minus,  as the case may be, any  adjustments to the Base Amount made pursuant to
Section  2.2(a)(i),  Section  2.2(a)(ii),  Section  2.4 or Article  X); plus (v)
$1,150,000;  plus (w) $1,500,000;  plus (x) $1,000,000; and the "SERIES B MERGER
CONSIDERATION PER SHARE" shall mean the Series B Merger Consideration divided by
the number of issued and  outstanding  shares of Series B Premiere Shares at the
Merger Time.

                           (IV)  "SERIES  C  MERGER  CONSIDERATION"  shall  mean
$1,000,000;  and the "SERIES C MERGER  CONSIDERATION  PER SHARE"  shall mean the
Series C Merger  Consideration  divided by the number of issued and  outstanding
shares of Series C Premiere Shares at the Merger Time.

                           (V)  "SERIES D MERGER  CONSIDERATION"  shall mean the
amount of the Closing Loans; and the "SERIES D MERGER  CONSIDERATION  PER SHARE"
shall mean the Series D Merger Consideration divided by the number of issued and
outstanding shares of Series D Premiere Shares at the Merger Time.

                           (VI) "PROPORTIONATE SHARE" shall mean with respect to
the holder of any series of  Premiere  Shares  the  fraction  that the number of
shares of such  series  held by such  holder as at the Merger  Time bears to the
aggregate  number  of issued  and  outstanding  shares of such  series as at the
Merger Time.

                  (B)      CONVERSION OF COMMON STOCK. At the Merger Time:

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



                                        5

<PAGE>

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

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

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

                           (V)  each  share of Newco  common  stock  outstanding
immediately prior to the Merger Time shall be unaffected by the Merger and shall
continue to be held by a direct or indirect wholly owned subsidiary of Buyer.

                  (C)      MANNER OF EXCHANGE. The Merger Consideration shall be
paid as follows:

                          (I) Buyer shall  deliver  newly  issued  shares of the
Common Stock, par value $.001, of Integrated Health Services, Inc. ("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  the  Series  B  Merger
Consideration  to the  Shareholders'  Representative  for  distribution  to, and
registered in the names of, the Minority  Shareholders  as set forth on Schedule
2.1(c)(i).

                          (II)  Buyer  shall  deliver  newly  issued  IHS Shares
having an aggregate  value (using the Closing Date as the date of  determination
in  accordance  with  Section  3.1(a)  below)  equal  to  the  Series  C  Merger
Consideration to the Angell Family Limited  Partnership for distribution to, and
registered in the name of, the holders of the Series C Merger Consideration.

                          (III)  Buyer  shall  deliver  newly  issued IHS Shares
having an aggregate  value (using the Closing Date as the date of  determination
in  accordance  with  Section  3.1(a)  below)  equal  to  the  Series  D  Merger
Consideration  to the  Principal  Shareholders  registered  in the  names of the
Principal Shareholders in accordance with their respective  Proportionate Shares
of the Series D Merger Consideration.

                          (IV) (A)  Buyer  shall  deliver  to the  Escrowee  (as
defined in Section 2.5 below) newly issued IHS Shares  having a value (using the
Closing Date as the date of  determination  in  accordance  with Section  3.1(a)
below) equal to ONE MILLION  FIVE HUNDRED  THOUSAND  DOLLARS  ($1,500,000)  (the
"PRIMARY ESCROW  DEPOSIT")  which payment will be credited  against a portion of
the Series A Merger  Consideration  payable to the  Principal  Shareholders  (in
accordance with their respective Proportionate Shares of the Series A Merger



                                        6

<PAGE>

Consideration),   plus,  if  applicable  in  accordance   with  this  Agreement,
additional  shares of IHS Stock  having a value  (using the Closing  Date as the
date of determination  in accordance with Section 3.1(a),  below) equal to up to
FIVE MILLION DOLLARS  ($5,000,000) (the  "SUPPLEMENTAL  ESCROW DEPOSIT"),  which
payment shall be credited against a portion of the Series A Merger Consideration
payable to the  Principal  Shareholders  (in  accordance  with their  respective
Proportionate  Shares of the  Series A Merger  Consideration),  with all of such
shares to be held by the Escrowee  pursuant to the Escrow  Agreement (as defined
in Section 2.5(a), below) (collectively,  the "ESCROW DEPOSIT"), plus additional
shares  of IHS  Stock  having a value  (using  the  Closing  Date as the date of
determination  in accordance  with Section  3.1(a),  below) equal to ONE MILLION
DOLLARS  ($1,000,000)  (the  "MANATEE  ESCROW  DEPOSIT"),  which payment will be
credited against a portion of the Series A Merger  Consideration  payable to the
Principal Shareholders (in accordance with their respective Proportionate Shares
of the Series A Merger Consideration), with all of such shares to be held by the
Escrowee  pursuant to the Manatee  Escrow  Agreement  (as  described  in Section
2.5(a)(ii), below); and

                  (B) the balance of the Series A Merger  Consideration shall be
paid by the delivery by Buyer of shares of IHS Stock having a value equal to the
amount of such balance (using the Closing Date as the date of  determination  in
accordance with Section 3.1(a) below) to the Principal  Shareholders  registered
in the names of the Principal  Shareholders in accordance with their  respective
Proportionate Shares of the Series A Merger Consideration.

                  (D) TRANSMITTAL.  Upon delivery to Buyer of stock certificates
representing any Premiere Shares,  Buyer shall promptly pay to, or on behalf of,
each person entitled thereto the amount of cash (in respect of fractional shares
as described  below) and shall deliver  certificates  representing the number of
shares to which such person 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  Merger  Time
represented  issued and  outstanding  Premiere  Shares shall  represent  for all
purposes  the right only to receive the Merger  Consideration  set forth in this
Agreement.  After the Merger  Time,  there shall be no further  registration  of
transfers on the records of the Company of any Premiere 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  Company  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  Premiere  Shares  exchanged  pursuant to the Merger
(after  taking  into  account  all  certificates  representing  Premiere  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.



                                        7

<PAGE>

                  (F) (I) Immediately  prior to the Closing,  Buyer shall make a
loan (the CLOSING SWAIN LOAN") to Swain in an amount equal to the lesser of: (x)
fifty percent (50%) of the amount of the negative  working capital and long-term
liabilities  included in the Estimated  Closing Date Balance Sheet (prior to the
purchase of shares contemplated by this subsection (f)); and (y) $4,000,000,  by
depositing (by wire transfer) such amount in an account of the Company, and such
deposit  shall be deemed  to be full  consideration  for the  purchase  by,  and
issuance  to,  Swain of fully  paid and  nonassessable  shares  (the "NEW  SWAIN
PREMIERE  SHARES") of the Company's  Non-Voting Series D Common Stock ("SERIES D
PREMIERE  SHARES").  The Closing  Swain Loan shall bear  interest at the rate of
eight and one-half  percent (8 1/2) per anum  commencing  ninety (90) days after
the Effective Date (as  hereinafter  in Section  3.1(k)) and shall be payable in
four (4) equal  installments  coming due at the end of each  consecutive  thirty
(30)  successive  day period  commencing  on the  Effective  Date,  and shall be
evidenced  by a  promissory  note  issued by Swain to IHS in the form of Exhibit
2.1(f)(i)-1  hereto (the "SWAIN NOTE"), and shall be secured pursuant to a Stock
Pledge  Agreement  (the "SWAIN STOCK PLEDGE  AGREEMENT")  in the form of Exhibit
2.1(c)(i)-2  hereto by all of the  shares of IHS Stock  into which the New Swain
Premiere Shares are converted  pursuant to the Merger (the "ADDITIONAL SWAIN IHS
SHARES").

                       (II) Immediately prior to the Closing, Buyer shall make a
loan (the "CLOSING  HERZOG LOAN",  and together with the Closing Swain Loan, the
"CLOSING  LOANS")  to Herzog  in an amount  equal to the  lesser  of:  (x) fifty
percent  (50%) of the  amount of the  negative  working  capital  and  long-term
liabilities  included in the Estimated  Closing Date Balance Sheet (prior to the
purchase of shares contemplated by this subsection (f)); and (y) $4,000,000,  by
depositing (by wire transfer) such amount in an account of the Company, and such
deposit  shall be deemed  to be full  consideration  for the  purchase  by,  and
issuance to,  Herzog of fully paid and  nonassessable  Series D Premiere  Shares
(the "NEW HERZOG  PREMIERE  SHARES",  and together  with the New Swain  Premiere
Shares, the "NEW PREMIERE SHARES").  The Closing Herzog Loan shall bear interest
at the rate of eight and one-half  percent (8 1/2%) per anum  commencing  ninety
(90) days  after the  Effective  Date,  and shall be  payable  in four (4) equal
installments  coming due at the end of each  consecutive  thirty (30) successive
day  period  commencing  on the  Effective  Date,  and shall be  evidenced  by a
promissory  note  issued by Herzog  to IHS in the form of  Exhibit  2.1(f)(ii)-1
hereto (the "HERZOG  NOTE",  and together  with the Swain Note,  the  "PRINCIPAL
SHAREHOLDERS' NOTES"), and shall be secured pursuant to a Stock Pledge Agreement
(the "HERZOG STOCK PLEDGE  AGREEMENT",  and together with the Swain Stock Pledge
Agreement, the "PRINCIPAL SHAREHOLDERS' STOCK PLEDGE AGREEMENTS") in the form of
Exhibit 2.1(f)(ii)-2 hereto by all of the Additional Herzog IHS Shares.

                  2.2      CERTAIN ADJUSTMENTS TO THE BASE AMOUNT.

                           (A)      WORKING CAPITAL; LONG-TERM LIABILITIES.

                       (I) (A) At the Closing, the Principal  Shareholders shall
deliver a  certificate  certifying  to be their best good faith  estimate of the
amount of the aggregate working capital (as defined in clause (vi) below) of the
Company and its subsidiaries as of the Closing Date on a consolidated basis (the
"ESTIMATED CLOSING DATE WORKING CAPITAL"). If the Estimated Closing Date Working
Capital is a negative amount, the Base Amount (and correspondingly, the Series A
Merger  Consideration and the Series B Merger  Consideration) will be reduced by
an amount equal to such negative amount.



                                        8

<PAGE>

                       (B) If the Estimated  Closing Date Working  Capital shall
be a positive amount, the Base Amount (and correspondingly,  the Series A Merger
Consideration  and the Series B Merger  Consideration)  will be  increased by an
amount equal to such positive amount.

                       (II)  Additionally,  at the  Closing,  the Company  shall
deliver to Buyer the  balance  sheet of the Company  and its  subsidiaries  on a
consolidated  basis  as  of  the  Closing  Date,   certified  by  the  Principal
Shareholders  to be their  best good  faith  estimate  thereof  (the  "ESTIMATED
CLOSING DATE BALANCE SHEET"). The Base Amount (and correspondingly, the Series A
Merger  Consideration and the Series B Merger  Consideration) will be reduced by
an amount equal to the amount of the  long-term  liabilities  of the Company and
its  subsidiaries  on a  consolidated  basis as determined  in  accordance  with
generally accepted accounting principles,  consistently applied ("GAAP") (except
as  otherwise  provided  in Section  2.2(a)(vi))  as set forth on the  Estimated
Closing Date Balance Sheet.

                       (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  Companies  and its  subsidiaries  on a
consolidated basis as of the Closing Date (the "CLOSING DATE BALANCE SHEET"). If
the 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 and the  Subsidiaries  on a consolidated  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 Base Amount  (and,  correspondingly,  the Series A
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 Series A Merger  Consideration  resulting
therefrom  shall be made by delivery by Buyer to the Principal  Shareholders  of
shares of IHS Stock  having an  aggregate  value equal to such  increase  valued
based on the Applicable Valuation Date, and if the Series A Merger Consideration
resulting  therefrom  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 Principal Shareholders shall be jointly and severally 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 the aggregate
amount  of  the  Company's  and  the  Subsidiaries'  (on a  consolidated  basis)
long-term   liabilities   as  of  the  Closing  Date  (the   "ACTUAL   LONG-TERM
LIABILITIES")   exceeded  the  amount  of  Company's  and  Subsidiaries'  (on  a
consolidated basis) long-term  liabilities as indicated on the Estimated Closing
Date Balance Sheet, the Base Amount (and,  correspondingly,  the Series A 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 Principal Shareholders shall be jointly and
severally  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.  Unless a Delay  Payment  Notice (as
defined in clause (iv) below) shall have been given,  or a Delay Payment  Notice
is under good faith



                                        9

<PAGE>

consideration  (prior to the last date on which such a Delay Payment  Notice may
be given),  any such payment  shall be made within two (2)  business  days after
demand by the party entitled to the adjustment.

                       (IV) If the  Principal  Shareholders  shall in good faith
dispute the amount of working capital or long-term  liabilities of the Companies
and its subsidiaries on a consolidated basis as of the Closing Date as set forth
in Buyer's  Review,  they shall give notice to Buyer (a "DELAY PAYMENT  NOTICE")
within thirty (30) days after delivery to them of Buyer's Review that all or any
portion of the payment  specified  should not then be made and setting  forth in
reasonable  detail their  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 Principal  Shareholders'  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  Principal
Shareholders  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 Group 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 Sellers selected by agreement  between the Buyer and the Shareholders'
Representative,  or, if the Buyer and the Shareholders' Representative 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 (including, without limitation
all closing costs and expenses to the extent  included on the Estimated  Closing
Date Balance Sheet), as determined in accordance with GAAP, applied consistently
with the past  application  of GAAP by the Company;  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  with the past
application of GAAP by the Company, with the following exceptions:



                                       10

<PAGE>

                       (A) all  inter-company  assets and liabilities  among the
Company and among its subsidiaries shall be excluded;

                       (B) all  utility  deposits  in an  amount  not to  exceed
$130,000, and all cash reserves provided by the Company or any Subsidiary to any
landlord,  lessor,  public  utility or mortgagee to the extent the  inclusion of
such cash  reserves is  consistent  with the  accounting  treatment  used in the
preparation of the Balance Sheet, and the debt services reserves for the Crystal
Springs  Facility  (in an amount not to exceed  $350,000)  shall be  included as
current  assets of the Company or such  Subsidiary,  except to the extent of any
reasonable reserve taken for claims against such amounts by the holders thereof;

                       (C) working  capital and long-term  liabilities  shall be
determined as if the amount,  if any, of the purchase  price paid by the Company
or its  Subsidiaries  pursuant to the  closings  under the SHCM  Agreements  (as
hereinafter defined in Section 2.2(d)), as finally adjusted and paid pursuant to
such SHCM Agreements (including,  without limitation, any earnest money deposits
credited against the purchase price) (the "AGGREGATE SCHM PURCHASE PRICE"),  had
not been  paid  (regardless  of  whether  such  purchase  price is paid from the
Company's cash or by incurring loans or by some combination thereof);

                       (D) any loan made by Buyer or its  affiliates to Premiere
pursuant to Section  2.2(d)(iii)  below shall not be included as  liabilities in
the calculation of working capital or long-term liabilities for purposes hereof;
and the assets and the liabilities of SHCM Holdings,  Inc. and its  subsidiaries
shall not be  included  in the  calculation  of  working  capital  or  long-term
liabilities  for purposes  hereof to the extent that such assets and liabilities
are included in the  calculation of any purchase price  adjustment paid pursuant
to Section 8.3 of the SHCM Stock Purchase  Agreement (as hereinafter  defined in
Section 2.2(d));  provided that it is understood that any liability  arising out
of  the  termination  of  any  Contract  (including,   without  limitation,  any
employment agreement) of SCHM Holdings, Inc. or any of its subsidiaries pursuant
to Section 2.4 below) shall  constitute  liabilities of the Company for purposes
of the determination of working capital and long-term liabilities; and

                       (E)  based  on the  representation  and  warranty  of the
Company  and  the  Principal  Shareholders  that  all  of  the  factual  matters
incorporated into the calculations  attached hereto as Exhibit 2.2(a)(vi)(E) are
true and correct, there shall be only an accrual of $310,000 included in working
capital with  respect to accrued  sick pay days for  employees of the Company or
any  Subsidiary  who are  not  members  of any  union,  and  there  shall  be an
additional  accrual for accrued sick pay days of employees of the Company or any
Subsidiary who are members of a union in the amount of $90,000; and

                       (F) the amount of the Series D Merger Consideration shall
be deducted from the working capital.



                                       11

<PAGE>

                       (VII) Notwithstanding  anything to the contrary contained
in this Agreement, no liabilities of Manatee (as such term is defined in Section
12.2(d)  below) or any of its  direct or  indirect  wholly  owned  subsidiaries,
including  without  limitation any Manatee Liability (as such term is defined in
Section  12.2(d)  below)  shall be included as a current  liability or long-term
liability of the Company or any Subsidiary for purposes of this Section  2.2(a),
and no current  assets of Manatee or any of its direct or indirect  wholly owned
subsidiaries  shall  be  included  as a  current  asset  for such  purpose.  All
liabilities  of  Manatee  or  any  of  its  direct  or  indirect   wholly  owned
subsidiaries,   including  without  limitation,  any  Manatee  Liability,  shall
constitute Prohibited Liabilities (as defined in Section 2.3(b)).

                       (VIII) Notwithstanding anything to the contrary contained
in this Agreement, no liabilities of HCPIII Kansas, Inc. or any of its direct or
indirect wholly owned subsidiaries (the "KANSAS SUBSIDIARIES") or Angell Care of
Cahokia,  Inc.,  Angell  Care of  Caseyville,  Inc.,  or  Caseyville  Healthcare
Association,  Inc. or any of their  respective  direct or indirect  wholly owned
subsidiaries  (the  "ILLINOIS  SUBSIDIARIES"),  shall be  included  as a current
liability or long-term  liability of the Company or any  Subsidiary for purposes
of this Section  2.2(a),  and none of their  respective  current assets shall be
included as a current  asset for such  purpose.  All  liabilities  of the Kansas
Subsidiaries  and  the  Illinois   Subsidiaries   shall  constitute   Prohibited
Liabilities.

                       (B) EXTENSION OF SHORT LEASES. If any lease identified as
a "SHORT  LEASE" on  Schedule  5.11(a) is not amended on or prior to the Closing
Date to extend the term  thereof (or to provide the tenant  thereunder  with the
irrevocable  (assuming  no  default)  (and to the  extent  such  Short  Lease is
otherwise  assignable,  the assignable) right to extend such term for no further
consideration  (excluding  nominal payments such as reasonable  attorney fees or
which restate existing obligations) other than predetermined  increases of rent)
until the year 2013 on terms and conditions approved by Buyer, such approval not
to be  unreasonably  withheld,  then shares of IHS Stock having a value  (valued
using the Closing Date as the date of  determination  in accordance with Section
3.1(a)  below)  equal  to the  portion  of the  Series  A  Merger  Consideration
allocable to such Short Lease as set forth on Schedule  2.2(b) (the "SHORT LEASE
EXTENSION  ALLOCATION")  shall,  in lieu of  being  delivered  to the  Principal
Shareholders,  be deposited  with the Escrowee,  shall  constitute  Supplemental
Escrow  Deposit,  and shall be added to the Primary  Escrow  Deposit.  After the
Closing, the Company,  Principal Shareholders and Buyer shall cooperate to cause
such Short  Leases to be so amended at no cost or expense to Buyer  (other  than
its reasonable  legal fees and expenses).  At such time as any Short Lease shall
be amended as provided  above,  shares  having a value (valued using the Closing
Date as the date of determination in accordance with Section 3.1(a) below) equal
to the Short Lease  Extension  Allocation  amount  applicable  thereto  shall be
delivered  to  the  Principal  Shareholders  (as  payment  of  Series  A  Merger
Consideration)  by the  Escrowee  from  the  Escrow  Deposit,  or if  there  are
insufficient  shares in the Escrow  Deposit,  Buyer shall deliver  shares valued
using  the  Closing  Date as the date of  determination  or cash,  at  Principal
Shareholders' election, to the extent necessary to cover any such deficiency. If
any Short Lease  relating to the Facilities  known as "Old  Capital",  "Heritage
Inn" or "Hart  Care"  (the  "CARR  FACILITIES")  or to the  Facilities  known as
"Oceanside" or "Savannah Beach" (the "FOSTER  FACILITIES")  (each a "CARR/FOSTER
LEASE") is not so amended by the fifth  anniversary  of the Closing  Date, or if
any other Short Lease is not so amended by the second anniversary of the Closing
Date,  then the Base  Amount  (and the Series A Merger  Consideration)  shall be
deemed reduced by the amount of the Short Lease Extension Allocation  applicable
to such Short Lease (and the Shareholders shall have no further right to recoup



                                       12

<PAGE>

such  reduction  (whether  or not the term of such  Short  Lease  is  thereafter
extended)), and shares having a value (valued using the Closing Date as the date
of  determination  in accordance  with Section  3.1(a) below) equal to the Short
Lease Extension Allocation amount applicable thereto shall be delivered to Buyer
by the Escrowee from the Escrow Deposit,  or if there are insufficient shares in
the Escrow Deposit, the Principal Shareholders shall deliver shares valued using
the  Closing  Date as the  date  of  determination  or  cash,  at  Shareholders'
Representative's election, to the extent necessary to cover any such deficiency.
The Company and  Principal  Shareholders  represent  and warrant  that they have
delivered to Buyer true and complete copies of certain extension agreements, and
based on the  foregoing,  Buyer  acknowledges  that, as of the date hereof,  the
Short  Leases  with  respect  to the  Heart of  Georgia  Facility  and the Macon
Facility have been  extended as required  pursuant to this  subsection  (b), and
accordingly,  $2,100,000 of the $5,000,000  shall not be deposited in the Escrow
Deposit  and shall be included  in the Base  Amount  (and  correspondingly,  the
Series A Merger Consideration).

                  (C)  AMENDMENTS  TO BISHOP  LEASES.  If all (but not less than
all) of the leases covering the Facilities  identified as being leased from Gene
Bishop,  as landlord (the "BISHOP  LEASES") on Schedule 2.2(c) are amended on or
prior to the  Closing  Date to extend  the term  thereof  until the year 2022 on
substantially  the same terms and  conditions  as are in  existence  on the date
hereof  (subject to base rent  escalations of up to 2% per year),  then the Base
Amount  (and,  correspondingly,  the  Series  A Merger  Consideration)  shall be
increased by $1,150,000 and shares of IHS Stock having a value (valued using the
Applicable  Valuation  Date  (as  defined  in  Section  3.1(a))  as the  date of
determination  in accordance with Section 3.1(a) below) equal to such $1,150,000
shall  be paid to the  Principal  Shareholders  as  additional  Series  A Merger
Consideration.  If any such amount shall become payable after the Closing,  then
such payment shall be made by delivery to the Principal  Shareholders  of shares
of IHS  Stock  (valued  using  the  Applicable  Valuation  Date  as the  date of
determination  in accordance  with Section  3.1(a)  below).  The Company and the
Principal  Shareholders  represent and warrant that they have delivered to Buyer
true and complete  copies of certain  amendments to the Bishop Leases.  Based on
the foregoing, Buyer acknowledges that, as of the date hereof, the Bishop Leases
have been amended  (effective as of the Closing  Date) in  accordance  with this
subsection  (c) and that upon  receipt of the  consent to such  amendments  from
Pacific Life Insurance Company,  the amounts payable pursuant to this subsection
(c) shall be  included in the Base  Amount  (and  correspondingly,  the Series A
Merger Consideration).

                       (D) LEASE OR ACQUISITION OF SOUTHEASTERN FACILITIES.  (I)
Buyer acknowledges that the Company has entered into that certain Stock Purchase
Agreement  (the "SHCM STOCK  PURCHASE  AGREEMENT")  dated  December 6, 1997 with
Steven D. Johnson,  Trustee under the Steven D. Johnson Revocable Trust, John W.
Trost,  Trustee under the John W. Trost  Revocable  Trust,  and Brenda J. Trost,
Trustee under the Brenda J. Trost  Revocable  Trust,  with respect to all of the
issued  and  outstanding  shares  of  capital  stock  of  SHCM  Holdings,   Inc.
Furthermore, Buyer acknowledges that HCPIII Jesup, Inc., one of the Subsidiaries
has entered into those two (2) certain  Agreements of Purchase and Sale (each, a
"SCHM ASSET  PURCHASE  AGREEMENT",  and  together  with the SHCM Stock  Purchase
Agreement,  the "SHCM  AGREEMENTS"),  each dated December 6, 1997,  respectively
with SHCM East Point  Properties,  Inc.  and SHCM  Atlanta  Properties,  Inc. to
acquire  the fee simple  interest  in the  property  upon which are  located the
Facilities known as the "Bonterra Nursing Home" and "Parkview Nursing Home" (the



                                       13

<PAGE>

"SOUTHEASTERN   FACILITIES").   The  parties  agree  that  the  SCHM  Agreements
constitute  Contracts  (as defined in Section  5.7 below).  If all (but not less
than  all)  of  the  transactions   contemplated  by  the  SCHM  Agreements  are
consummated  on or prior to the first  anniversary  of the Closing (and Premiere
shall not have waived any of its  conditions  to closing  thereunder),  then the
Base Amount (and,  correspondingly,  the Series A Merger Consideration) shall be
increased by One Million Five Hundred Thousand Dollars ($1,500,000),  and shares
of IHS Stock, having a value (valued using the Applicable  Valuation Date on the
date of determination in accordance with Section 3.1(a) below) equal to such One
Million  Five  Hundred  Thousand  Dollars  ($1,500,000)  shall  be  paid  to the
Shareholders'  Representative for distribution to the Principal Shareholders (in
accordance with their  respective  Proportionate  Shares as additional  Series A
Merger Consideration.

                      (II) The Company (prior to the Closing) and each Principal
Shareholder hereby jointly and severally  represent and warrant to Buyer that if
each of the Southeastern  Facilities was owned by HCPIII Jesup, Inc. on the date
hereof,  and the  transactions  contemplated by the SCHM Agreements all had been
consummated prior to the date hereof, none of the representations and warranties
made by them pursuant to this Agreement  would, by reason  thereof,  be rendered
false or inaccurate;  it being understood that,  without limiting the foregoing,
all agreements,  leases, contracts,  instruments and commitments relating to the
business of any Southeastern Facility or to which SCHM Holdings,  Inc. or any of
its   subsidiaries   (collectively   with  SCHM   Holdings,   Inc.,   the  "SCHM
SUBSIDIARIES")  is a party or by which any SCHM  Subsidiary or any of the assets
of any SCHM Subsidiary or any of the assets  acquired  pursuant to either of the
SCHM Asset Purchase Agreements are bound shall, for these purposes, be deemed to
be  Contracts,  the  employees,  directors,  officers  and  agents  of each SCHM
Subsidiaries  shall, for these purposes,  be deemed to be employees,  directors,
officers and agents of a Subsidiary of the Company, the SCHM Subsidiaries shall,
for these purposes, be deemed to be Subsidiaries, the assets and the liabilities
of the SCHM Subsidiaries  shall, for these purposes,  be deemed to be assets and
liabilities of Subsidiaries  (subject to Section  2.2(a)(vi)(C)  and (D) above),
the assets acquired and liabilities assumed by the Subsidiaries  pursuant to the
SCHM Asset Purchase  Agreements  would be deemed to be assets and liabilities of
Subsidiaries  (subject  to Section  2.2(a)(vi)(C)  and (D)  above),  and all tax
returns, declarations of estimated tax and other reports required to be filed by
any of the SCHM  Subsidiaries  shall be deemed to be Tax Returns (as hereinafter
defined in Section 5.22). In furtherance of the foregoing, all of the disclosure
schedules of the Company and the Principal Shareholders to this Agreement (other
than the Financial Statements) have been prepared as if each of the Southeastern
Facilities  was  owned  by  HCPIII  Jesup,  Inc.  on the  date  hereof,  and the
transactions  contemplated by the SCHM Agreements all had been consummated prior
to the date hereof;  provided that each of such disclosure  schedules  indicates
which  disclosures  relate  to the SCHM  Facilities  and the SCHM  Subsidiaries.
Notwithstanding  anything to the contrary  contained in Section 2.4 or any other
provision  of  this   Agreement,   except  for   liabilities   included  in  the
determination  of the Aggregate SCHM Purchase Price, or in the  determination of
working capital or long-term  liabilities of the Company on a consolidated basis
in accordance with Section 2.2(a)(vi)(D), all liabilities of any SCHM Subsidiary
or arising under or out of any SCHM  Agreement  shall be Prohibited  Liabilities
(as hereinafter defined in Section 2.3(b)) (the "SCHM PROHIBITED  LIABILITIES").
Without limiting the generality of the foregoing,  any liability with respect to
any wage and salary dispute including any employees of any SCHM Subsidiary shall
be a Prohibited Liability except to the extent taken into account in determining
the  Aggregate  SCHM  Purchase  Price  or  the  working   capital  or  long-term
liabilities as aforesaid.



                                       14

<PAGE>

                      (III) No more than  five (5)  business  days  prior to the
scheduled  closing date under the SCHM Agreements,  and provided that all of the
conditions to purchaser's  obligations to close under the SCHM Agreements  shall
have been  satisfied  (and not waived  without  Buyer's prior written  consent),
Buyer  or one of its  affiliates  shall  provide  financing  to the  Company  to
complete  the  transactions  contemplated  by the SCHM  Agreements  on terms and
conditions  no less  favorable  to the  Company  than the terms  and  conditions
offered to the Company by Omega Healthcare  Corporation as set forth in the term
sheet  heretofore  delivered by the Company to Buyer;  provided,  however,  that
Buyer or its affiliate  shall be granted an option to purchase the assets and/or
the issued and  outstanding  capital stock covered by the SCHM  Agreements for a
price equal to the sum of (x) the amount of the financing  provided as set forth
above,  plus (y)  $1,500,000,  which  purchase  price may be paid by  offsetting
amounts due to Buyer or such affiliate, by cash, or by delivery of shares of IHS
Stock (valued as of the date of exercise in accordance  with Section 3.1 below);
provided,  however, that Buyer in its sole discretion may elect, upon payment to
Premiere of the amount of the earnest  money  deposit paid to the sellers  under
the SCHM Asset  Purchase  Agreements by the Company prior to the date hereof and
applied against the purchase  price, to have the SCHM Asset Purchase  Agreements
assigned to it or its  affiliates in lieu of providing the financing to complete
the transactions  contemplated  thereby, in which case the option price referred
to above  shall be reduced by the amount of the  financing  that would have been
provided  therefor.  The parties to such  transactions  shall be entitled to the
same  conditions,   representations,   warranties,  covenants,  indemnifications
(subject  to   similar,   but   proportionately   reduced,   "deductibles"   and
"indemnification   caps"),   restrictive   covenants  and  other   benefits  and
protections to which such parties would have been entitled had the  transactions
contemplated by the SCHM  Agreements  been closed by the Company's  Subsidiaries
prior to the Closing Date.

                  (E) LEASE OF DADE COUNTY  FACILITIES.  (I) If the commencement
of both (but not just one) of those two (2) certain Leases (the "SKYLER LEASES")
dated December 31, 1997,  each by and between Skyler Miami,  Inc., as lessor and
HCPIII South Florida,  Inc., as lessee,  with respect to the Facilities known as
the "NORTH  MIAMI  NURSING  AND  REHABILITATION  CENTER"  and the  "FOUNTAINHEAD
NURSING CENTER" (collectively,  the "DADE COUNTY FACILITIES") has occurred prior
to the Closing,  or the Company or any  Subsidiary,  or the Buyer, or any of its
subsidiaries,  leases or  manages  both  (but not just  one) of the Dade  County
Facilities on terms and conditions reasonably satisfactory to Buyer prior to the
first  anniversary of the Closing,  then the Base Amount (and,  correspondingly,
the Series A Merger Consideration) shall be increased by $1,000,000,  and shares
of IHS Stock having a value (using the Applicable  Valuation Date as the date of
determination  in  accordance  with Section  3.1(a)  below) equal to One Million
Dollars  ($1,000,000)  shall  be paid to the  Shareholders'  Representative  for
distribution to the Principal  Shareholders (in accordance with their respective
Proportionate  Shares of the  Series A  Premiere  Shares) as payment of Series A
Merger  Consideration.  Notwithstanding  anything to the  contrary  contained in
Section  2.4 or  any  other  provision  this  Agreement,  all  liabilities  (the
"SV/SOUTH  FLORIDA  LIABILITIES")  arising under or out of the Agreement between
Premiere Associates  Management  Company,  Inc. and SV\South Florida Operations,
Inc.  ("SV/SOUTH  FLORIDA")  relating to the  termination of certain  management
agreements (the "SV/SOUTH  FLORIDA  TERMINATION  AGREEMENT"),  or the Operations
Transfer Agreement between HCPIII South Florida, Inc. and SV/South Florida dated
as of December 31, 1997 (the "OPERATIONS TRANSFER AGREEMENT",  and together with
the SV/South Florida Termination  Agreement,  the "SV/SOUTH FLORIDA AGREEMENTS")
shall be Prohibited Liabilities



                                       15

<PAGE>

except  to  the  extent  such   liabilities   are  taken  into  account  in  the
determination  of the Actual  Working  Capital  Amount or the  Actual  Long-term
Liabilities  under  Section  2.2(a).  The  Company  and  Principal  Shareholders
represent and warrant that each of said Skyler  Leases  commenced on February 1,
1998, and that the  Management  Agreements  referred to in the SV/South  Florida
Termination  Agreement have been terminated;  and based on the foregoing,  Buyer
acknowledges  that the additional Series A Merger  Consideration  referred to in
this clause (i) is payable.  Notwithstanding  anything to the contrary set forth
in this subsection (e), if termination of any Management  Agreement covering any
Dade  County  Facility,  or if the  entering  into  of any  Skyler  Lease  shall
constitute a breach of any union contract,  then the increase in the Base Amount
(and,  correspondingly,  the Series A Merger Consideration) contemplated by this
subsection  (e)  shall  be  postponed  until  such  breach  is  resolved  to the
satisfaction of Buyer, and the Principal Shareholders shall indemnify Buyer from
and against any Losses (as hereinafter defined) arising out of any such breach.

                      (II) The Company (prior to the Closing) and each Principal
Shareholder hereby jointly and severally  represent and warrant to Buyer that if
each of the Dade  County  Facilities  was  leased  by a  Subsidiary  on the date
hereof, and the transactions contemplated by the SV/South Florida Agreements all
had been consummated prior to the date hereof,  none of the  representations and
warranties made by them pursuant to this Agreement would, by reason thereof,  be
rendered false or inaccurate;  it being  understood  that,  without limiting the
foregoing,  all  agreements,  leases,  contracts,  instruments  and  commitments
relating to the business of any Dade County Facility shall,  for these purposes,
be deemed to be Contracts, the employees, directors, officers and agents of each
Dade County  Facility  shall,  for these  purposes,  be deemed to be  employees,
directors,  officers  and  agents  of a  Subsidiary  of  the  Company,  and  any
liabilities arising under the Skyler Leases shall, for these purposes, be deemed
to be liabilities of Subsidiaries.  In furtherance of the foregoing,  all of the
disclosure  schedules  (other than the Financial  Statements) of the Company and
the Principal  Shareholders  to this  Agreement have been prepared as if each of
the Dade County Facilities was leased by a Subsidiary of the Company on the date
hereof, and the transactions contemplated by the SV/South Florida Agreements all
had been  consummated  prior  to the date  hereof;  provided  that  each of such
disclosure schedules indicates which disclosures relate to the Dade County.

                  (F) SHAREHOLDERS' REPRESENTATIVE.  Notwithstanding anything to
the contrary  contained  in this  Section 2.2,  Buyer shall make any payments of
Purchase Price  adjustments to the  Shareholders as instructed by  Shareholders'
Representative  (as hereinafter  defined).  Each Shareholder  hereby  designates
Swain,  and Swain  hereby  accepts  the  designation  as the  representative  of
Shareholders ( the "SHAREHOLDERS'  REPRESENTATIVE")  to act for and on behalf of
the Shareholders as provided in this Agreement.  Each Shareholder shall be bound
by all actions taken or omitted by Shareholders' Representative on behalf of any
Shareholder as provided in this Agreement,  and each Shareholder shall be deemed
to have  received  any  notice  deemed  given or payment  made to  Shareholders'
Representative in accordance with the notice provisions of this Agreement on the
date deemed given or the date paid to  Shareholders'  Representative,  and Buyer
shall be entitled to rely on all notices and consents given, and all settlements
entered into on behalf of any Shareholder to the extent  authorized  pursuant to
the  terms  of  this  Agreement  notwithstanding  any  objections  made  by  any
Shareholder prior to,  concurrently with or subsequent to the giving of any such
notice or



                                       16

<PAGE>

consent or the settlement of any such matter.  Shareholders'  Representative may
be replaced only if and when all of the  Shareholders  shall notify Buyer that a
new individual  person (named in such notice) has been  unanimously  selected by
them to be the new Shareholders'  Representative,  in which case such new person
shall thereafter be the Shareholders' Representative.

                  2.3 ASSETS AND LIABILITIES.

                      (A) As of the Closing Date, the owned,  leased and managed
assets  (the  "ASSETS")  of the  Company and its  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
Company or any of the  Subsidiaries  or are  necessary  to the  operation of the
business of the Company  and the  Subsidiaries  as  presently  constituted  (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.  Notwithstanding anything to
the contrary  contained  herein,  the Assets shall not include any capital stock
in,  or  assets,  of  Manatee  or  any  of its  subsidiaries,  or of any  Kansas
Subsidiary or of any Illinois  Subsidiary.  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 or any of its  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
(x) 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), (y) liabilities covered by insurance to the extent of insurance proceeds
collected (or reasonably expected to be collected) with respect thereto, and (z)
obligations arising out of services or products or other benefits to be provided
to the Company or its 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  ("PERMITTED  LIABILITIES").  It is expressly  agreed that the
Principal  Shareholders  shall be responsible for all Prohibited  Liabilities of
the  Company or any of its  subsidiaries,  including,  without  limitation,  (i)
liabilities  of  the  Company  or  any  of  its  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



                                       17

<PAGE>

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 or any of its  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).  As set
forth in Section  2.2(a)(vii)  above,  all  liabilities of Manatee or any of its
direct or indirect  subsidiaries,  shall be Prohibited  Liabilities,  including,
without limitation,  any Manatee Liability, as set forth in Section 2.2(a)(viii)
above, all liabilities of the Kansas Subsidiaries and the Illinois  Subsidiaries
shall  constitute  Prohibited  Liabilities,  as set forth in Section  2.2(d)(ii)
above, the SCHM Prohibited Liabilities shall constitute Prohibited  Liabilities,
and as set forth in Section 2.2(c) above the SV/South Florida  Liabilities shall
be Prohibited  Liabilities.  At Closing, the Principal Shareholders shall assume
and undertake in a writing  satisfactory to Buyer (the "UNDERTAKING") to perform
all Prohibited  Liabilities  when and as the same become due in accordance  with
their  terms.  The  Company,  its  subsidiaries  and Buyer  will not  assume any
liabilities of any  Shareholder  or provide any guaranty  therefor or obtain any
release of any of the same.

                  2.4 DESIGNATED CONTRACTS.  Within ten (10) business days after
the  date  hereof,  Buyer  shall  deliver  to the  Shareholders'  Representative
Schedule 2.4 setting forth each of the Contracts  identified on Schedule  5.7(b)
that the Company or any of its  subsidiaries  shall not retain as of the Closing
(the "DESIGNATED  CONTRACTS");  provided that no Management Agreement or Tenancy
Lease shall be included on Schedule 2.4.  Within five (5) days after Buyer shall
have delivered Schedule 2.4 to Shareholders'  Representative,  the Shareholders'
Representative  may terminate this Agreement in accordance  with Section 13.1 by
giving notice thereof during such five (5) day period if any Contracts  shall be
listed on Schedule  2.4.  If  Shareholders'  Representative  shall not so notify
Buyer within such time period, then such right to terminate this Agreement shall
expire. Prior to the Closing,  each Contract described on Schedule 5.26 and each
other  Designated   Contract  shall  be  terminated  (or  the  Company  and  its
subsidiaries  shall  otherwise  be  released  from all  liability  with  respect
thereto) at the sole cost and expense of the Principal  Shareholders  (or at the
cost of the Company or its  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 that do not constitute  Lease-Related Contracts (as
hereinafter  defined) is not reasonably likely to have a material adverse effect
on the Company or the  operation  of the  Business.  The  Company  (prior to the
Closing  only) and each  Principal  Shareholder  hereby  jointly  and  severally
represent and warrant to Buyer that Schedule  5.7(b)  correctly  identifies each
Consent Contract that is necessary for the Company or any Subsidiary to continue
as the  lessee  under any Lease  other than the  Georgia  billing  office  Lease
identified as item 9 (ee) on Schedule 5.7(b) (each, a "LEASE-RELATED CONTRACT").
If the Company and Shareholders  comply with their obligations under Section 9.4
below and any required consent



                                       18

<PAGE>

is not  obtained  on or prior  to  Closing  with  respect  to any  Lease-Related
Contract,  then Buyer shall not be permitted to terminate its obligations  under
this Agreement by reason thereof, but the Base Amount (and, correspondingly, the
Series A Merger Consideration and the Series B Merger  Consideration),  shall be
reduced by the amount  allocated  to the  Facility  to which such  Lease-Related
Contract relates as set forth on Annex A to Schedule 5.7(b); provided,  however,
that if the  aggregate  amount  of such  reduction  to be made by reason of this
Section 2.4 shall be equal to or exceed $7,000,000, then Buyer shall be entitled
to terminate its obligations under this Agreement.  If the Company or any of its
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  Shareholders'
Representative  as to whether such  agreement,  lease,  contract,  instrument or
commitment  shall be a  Designated  Contract.  If Buyer  fails to so notify  the
Shareholders' Representative then such agreement, lease, contract, instrument or
commitment shall not be deemed to be a Designated Contract. Without limiting the
generality of the  foregoing,  all of the employment  agreements  referred to in
Schedule  6.6A to the SCHM Stock  Purchase  Agreement  other  than the  one-year
employment  agreements with Brenda Canada,  Sharon Leuzinger,  Pamela Stripling,
Tama Douglas,  and Paul Stickland  substantially in the form heretofore provided
by Buyer to the  Principal  Shareholders,  shall be  terminated  (or all amounts
payable  under  such  employment  agreements  at any time shall be  included  as
current  liabilities in the working capital of the Company and its  subsidiaries
on a  consolidated  basis  as of the  Closing  Date  regardless  of  whether  in
accordance  with GAAP);  provided  further,  that in the case of the  employment
agreement with Timothy Johnson, such employment agreement need not be terminated
on the condition that any payments that may become due to such employee upon the
subsequent  termination  of his employment  after the second  anniversary of the
Closing Date (without  releasing him from any restrictive  covenants),  shall be
Prohibited Liabilities (and shall not be subject to Section 12.6(b) below).

         2.5      ESCROW INDEMNIFICATION.

                  (A) (I) 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)(i)  hereto,  the Escrow Deposit shall be deposited with CoreStates  Bank,
N.A.  or  another   escrow   agent   acceptable   to  Buyer  and   Shareholders'
Representative (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  Principal
Shareholders  for any  amount  due to any  Buyer  Indemnitee  (as  such  term is
hereinafter defined in Section 12.2) pursuant to Articles II, XII, or otherwise.
The Escrow  Deposit  (plus all interest or income  earned  thereon in accordance
with the  Escrow  Agreement)  less any  claims  made for Losses (as such term is
defined  in  Section  12.2)  and any  amounts  paid to  Buyer  or the  Principal
Shareholders  in  accordance  with  Section  2.2(b)  above  shall be released to
Shareholders' Representative (for distribution to the Principal Shareholders) on
the second  anniversary of the Closing Date (the "ESCROW RELEASE  DATE").  If on
the  Escrow  Release  Date,  all  amounts  that  may be  due  to  the  Principal
Shareholders  with respect to the extension of the  Carr/Foster  Leases have not
been paid to the Principal Shareholders, then such unpaid amounts shall



                                       19

<PAGE>

be delivered  to Buyer in shares of IHS Stock,  valued using the Closing Date as
the date of determination or cash, at Principal Shareholders' election; provided
however,  that such delivery to Buyer shall not relieve Buyer of its obligations
with respect thereto under Section 2.2(b), above.

                      (II)  At  the  Closing,  pursuant  to the  Manatee  Escrow
Agreement to be executed by the parties in substantially  the form and substance
of Exhibit 2.5(a)(ii) hereto, the Manatee Escrow Deposit shall be deposited with
the Escrowee and shall be held by the  Escrowee,  together  with all interest or
income,  if any, earned thereon in accordance with the Manatee Escrow Agreement,
as a non-exclusive source of indemnification from the Principal Shareholders for
any amount due to any Buyer Indemnitee  pursuant to Section 12.2(d),  below. The
Manatee Escrow Deposit (plus all interest or income earned thereon in accordance
with the Manatee Escrow  Agreement)  less any claims made for Losses pursuant to
Section 12.2(d),  below,  shall be released to the Shareholders'  Representative
(for distribution to the Principal Shareholders) on the earlier to occur of: (x)
the third  anniversary  of the  Closing  Date and (y) such  date as  Buyer,  the
Company and their  respective  subsidiaries  are fully released from the Manatee
Liability in writing  satisfactory  in form and substance to Buyer (the "MANATEE
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 Shareholders'  Representative  shall so
request,  the shares of IHS Stock constituting all or part of the Escrow Deposit
or  Manatee  Escrow  Deposit,  as the case may be,  shall be sold in a bona fide
third  party  transaction  if the  entire  proceeds  (net of  broker's  fees and
commissions)  of such sale shall  become  part of the Escrow  Deposit or Manatee
Escrow Deposit, as the case may be, and shall be deposited with the Escrowee and
held pursuant to the Escrow Agreement or Manatee Escrow  Agreement,  as the case
may be, 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  proceeds  (net of
broker's fees and  commissions)  thereof shall be subject to the sole possession
and control of the  Escrowee  pursuant to the terms of the Escrow  Agreement  or
Manatee Escrow Agreement, as the case may be 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 or Manatee Escrow  Agreement,  as the
case may be ).

                       (C) If any shares of IHS Stock  constituting  any part of
the Escrow Deposit or Manatee Escrow Deposit,  as the case may be shall be sold,
the gross proceeds  thereof shall be held by the Escrowee  pursuant to the terms
of the Escrow  Agreement or Manatee  Escrow  Agreement,  as the case may be, and
shall  be  invested  in  accordance  with  the   instructions  of  Shareholders'
Representative  (subject to the reasonable approval of Buyer) as provided in the
Escrow Agreement or Manatee Escrow  Agreement,  as the case may be. Any interest
or income or  dividends  paid on or in  respect of all or any part of the Escrow
Deposit or Manatee Escrow Deposit ("ESCROW INCOME") shall be added to, and shall
thereafter  constitute part of the Escrow Deposit or Manatee Escrow Deposit,  as
the case may be,  and  shall be paid pro rata  with any  payment  of the  Escrow
Deposit or Manatee Escrow Deposit,  as the case may be not  constituting  Escrow
Income.

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



                                       20

<PAGE>

         2.6       ANGELL TRANSACTIONS.

                  (A) ANGELL  OPTIONS.  On or prior to  Closing,  the  Principal
Shareholders  and the  Company  shall  cause  all of the  Angell  Options  to be
exercised.  The Angell Family Limited Partnership shall be permitted to exercise
the Angell  Options to purchase up to an amount such that the Angell  Group will
hold  Series C Common  Shares  entitling  the  Angell  Group  to  receive  up to
$1,000,000 of IHS Shares if, but only if, each holder of the Angell Shares shall
have  entered  into the Angell  Agreement.  The Merger  Consideration  otherwise
allocated to the Series A Common Shares hereunder shall be reduced by the amount
of Merger  Consideration  payable to the holders of the Angell  Shares under the
Angell Agreement.

                  (B) ANGELL  GROUP  NOTES.  Buyer agrees that at the Closing it
shall guaranty the repayment of the Angell Group Notes and that the Angell Group
Notes may be  amended  to  provide  that they  shall not be  prepaid  during the
three-year  period  following the Closing  Date, if the Pledged  Shares shall be
released from any Liens held by any or all members of the Angell Group.

                             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.  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 New York Stock  Exchange  ("NYSE") price of IHS Stock for the sixty (60)
trading day period ending on the date which is two (2) trading days prior to the
applicable date of determination.  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 Base Amount  adjustment or otherwise) is
finally determined.

                  (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 (a "SHELF  REGISTRATION  STATEMENT") for
the registration of the IHS Stock issued to  Shareholders,  under the Securities
Act of 1933, as amended (the  "SECURITIES  ACT"),  and Buyer shall  maintain the
effectiveness  of such  registration  statement  for a  period  of one (1)  year
following the Closing Date, or until no Shareholder  shall 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.



                                       21

<PAGE>

                  (C)   REGISTRATION   EXPENSES.   Shareholders   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 any  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 any Shareholder in
the Shelf Registration Statement.

                  (D) RESALE  LIMITATIONS.  The  Principal  Shareholders  hereby
covenant with Buyer that all resales by the Principal  Shareholders and, if any,
their  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 Principal  Shareholders and, if any, their 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,  exceed one hundred
and  thirty  thousand  (130,000)  shares  (plus,  if any shares of IHS Stock are
issued  to  the  Principal   Shareholders  pursuant  to  subsection  (k)  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  Principal  Shareholder  shall  include the  Magnolia
Shareholder,  but shall  exclude  the  Angell  Group  members,  if any,  and the
Minority  Shareholders  with respect to any shares of IHS Stock received by them
by reason of the Merger.  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 shares of IHS Stock
held  in  escrow  and  made   pursuant  to  Section   2.5(b)  above  to  satisfy
indemnification   or  Merger   Consideration   reduction   obligations   of  the
Shareholders.

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

                      (I)  Buyer  will   promptly   notify   the   Shareholders'
Representative, 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.



                                       22

<PAGE>

                      (II) Buyer shall furnish the Shareholders'  Representative
with  such  number  of  prospectuses   as  shall   reasonably  be  requested  by
Shareholders'  Representative  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 Shareholders' Representative, 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 Shareholders and each person,
if any,  who  controls  such  Shareholders  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 any of the Shareholders specifically for use in such Shelf
Registration  Statement  (it  being  understood  that  Buyer  may  rely  on  the
representations and warranties of any Shareholder  (relating to such Shareholder
only) made  pursuant  to this  Agreement  in  preparing  the Shelf  Registration
Statement), any amendment or supplement thereto or any application,  as the case
may  be.  If any  action  is  brought  against  any of the  Shareholders  or any
controlling  person of any of the Shareholders 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
applicable  Shareholder or such  controlling  person).  Such 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 such  Shareholder  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



                                       23

<PAGE>

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 Shareholders  and such controlling  persons
shall be borne by Buyer.

                       (V) The  Shareholders,  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,
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 any of such  Shareholders,  or any of their  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. No  Shareholder  shall resell or otherwise
transfer  any  interest  in any of  the  shares  of IHS  Stock  issued  to  such
Shareholder  pursuant  to this  Agreement  unless  such  Shareholder  shall have
complied in all material respects, with all of his, her or its obligations under
this  Agreement,  and unless such  Shareholder  shall have given prior notice to
Buyer,  describing in reasonable detail such  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,  such
Shareholder  will  resell only in  compliance  with the  disclosure  therein and
discontinue  any  offers  and sales  thereunder  upon  notice  from Buyer to the
Shareholders'  Representative 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
Shareholders'  Representative  when the Shelf  Registration  Statement has again
become  current.  If any of the  Shareholders  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 of
shares of IHS Stock may be made without  registration  under the  Securities Act
and all applicable  state securities  laws, such  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 their 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  Shareholders'  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,  each  Shareholder  shall be
required represent and warrant to the Buyer that all such



                                       24

<PAGE>

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  Shareholders  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.  Each
Shareholder will, severally, promptly notify Buyer at any time when a prospectus
relating to a Shelf Registration  Statement  covering such 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 such  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.  Shareholders  represent
and warrant to Buyer that the IHS Stock being issued hereunder are acquired, and
will be acquired,  by the Shareholders for investment for their own accounts and
not  with a view to or for sale in  connection  with  any  distribution  thereof
within the meaning of the Securities Act or any applicable  state securities law
other than  pursuant to an  effective  registration  statement  or Rule 144; the
Shareholders acknowledge 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  Shareholders  agree that no shares of IHS Stock
issued to them 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
Shareholders represent and warrant that each 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 Shareholders represent and warrant that each has had the
opportunity to make inquiries of and obtain from  representatives  and employees
of Buyer such other  information about Buyer as he, she or it 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  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.



                                       25

<PAGE>

                  (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 a 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, no Shareholder
shall  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 Shareholders  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)  If,  notwithstanding  the  use of  its  best  efforts  as
provided in subsection  (b) above,  Buyer does not cause the Shelf  Registration
Statement to be prepared,  filed and 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  IHS Shares shall be adjusted so that the number of Additional IHS
Shares issued to the Principal  Shareholders  pursuant to this  Agreement  shall
have an aggregate  fair market value equal to the original  principal  amount of
the  Closing  Loans  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
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  Principal  Shareholders  of the  Adjusted  Market  Value  Per
Additional  IHS Share and the  number  of  shares  to be  delivered  by Buyer to
Principal  Shareholders  (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 Principal Shareholders 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(k).  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.

                  (L) 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 Shareholders  100,000 shares of IHS Stock issued pursuant to
this Agreement,  to furnish to each  Shareholder  who so reasonably  requests in
writing from time to time, 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 so filed with the  Commission  and that are
publicly  available as such Shareholder may reasonably request from time to time
in  availing  himself,  herself  or  itself  of any  rule or  regulation  of the
Commission allowing such holder to sell any such shares without registration.



                                       26

<PAGE>

                             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 March 31, 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 PRINCIPAL
                            SHAREHOLDERS AND COMPANY

                      The  Company  (prior to the  Closing)  and each  Principal
Shareholder  hereby  jointly  and  severally  represent  and warrant to Buyer as
follows:

         5.1      ORGANIZATION AND STANDING OF THE COMPANY; SUBSIDIARIES.

                      (A) Except as set forth on  Schedule  5.1(a),  the Company
has no 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  holds an equity  interest  and that is  identified  as a
"Subsidiary" on Schedule 5.1(a) is sometimes  referred to in 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 consolidated  basis in accordance with
GAAP.

                      (B) Except as set forth on  Schedule  5.1(b),  each of the
Company 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 copies of the Articles
of Incorporation and By-Laws or other governance documents (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  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 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.



                                       27

<PAGE>

         5.2    AUTHORITY.  The  Company  has 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.  Any
rights of any holder of equity in the Company to seek appraisal or to dissent to
the transactions contemplated hereby have been irrevocably waived.

                  (B) Each  Principal  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,  her,  or it,  and  to  consummate  all of the  transactions
contemplated  hereby and thereby.  Such  execution,  delivery,  performance  and
consummation have been made in the exercise of each such Principal Shareholder's
free will and volition, and any necessary consents of holders of indebtedness of
such Principal  Shareholders to the transactions  contemplated by this Agreement
have been  obtained.  In the case of any  Principal  Shareholder  that is not an
individual person,  such execution,  delivery,  performance and consummation has
been duly authorized by all necessary action,  corporate,  limited  partnership,
limited  liability  company  or  otherwise,   on  the  part  of  such  Principal
Shareholder and its equity holders.

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

         5.4      ABSENCE OF  CONFLICTING  AGREEMENTS.  Neither the execution or
delivery of this Agreement or any of the Transaction  Documents by any Principal
Shareholder or the Company nor the  performance by any Principal  Shareholder 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, any Subsidiary or any Principal 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,  ordinance or guideline  ("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, him or her or the operation of
the  Business  or the  ownership  of any of the  Assets;  or (C) any  agreement,
indenture,  contract or instrument to which any Principal  Shareholder  is now a
party or by which any of them or any of their respective 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, any Subsidiary, any 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 or any  Principal
Shareholder, or for the consummation of the transactions contemplated hereby and
thereby.



                                       28

<PAGE>

         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 Facility, of all material items of machinery, and all
material items of equipment,  office  equipment,  and  furniture,  and any other
items of personal  property,  in each case that  comprise or are utilized or are
held for use in connection  with the Company 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 Facility (and
indicating the interest held therein),  of all vehicles used in connection  with
the Business or owned or leased by the Company 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 or any of the Subsidiaries  (the "OWNED ASSETS"),  leased by the Company
or any of the Subsidiaries (the "LEASED  ASSETS"),  or managed by the Company 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  (owned,  managed,  leased or  licensed)  that
comprise or are utilized or are held for use in  connection  with the Company 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 or any Subsidiary with respect to any
of the Proprietary Rights.

                  (B) Except as set forth on Schedule 5.6(b), the Company or one
of its  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 or one of its  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 Facilities
leased  to  the  Company  or  one of the  Subsidiaries  or by  operators  of any
Facilities managed by any of the Company or Subsidiaries) with respect to any of
such  personal  property  has been  filed in any  jurisdiction,  and none of the
Company 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 and each Subsidiary
has conducted  its business  activities  only under the  corporate  and/or trade
names  set  forth  in  Section  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.



                                       29

<PAGE>

                  (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  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  Magnolia  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), or (D) the rights of the owners of
Managed Assets under the applicable Management Agreements,  or (E) Liens created
by the owners of Managed Facilities (as hereinafter  defined in Section 5.11(b))
to the extent permitted by the applicable  Management Agreement (but only to the
extent that such Liens will not have a material  adverse effect on the operation
of the applicable Managed Facility); and

                      (VI)  easements,  rights-of-way,  restrictions  and  other
encumbrances which, in the aggregate, are not substantial in amount with respect
to any  Facility,  and which do not in any case  materially  interfere  with the
ordinary conduct of such 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  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 and the Subsidiaries and the inventory and
supplies are good, usable,  merchantable,  and salable in the ordinary course of
the business of the Company and the Subsidiaries, in each case, as determined by
the Company in good faith and consistent with past practice.



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<PAGE>

         5.7      CONTRACTS.

                  (A) The Principal  Shareholders have 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 or any
Subsidiary  is a party or by which the Company or any  Subsidiary  or any of the
Assets are bound ("CONTRACTS") that is in writing,  and a written description of
each material  oral  Contract.  Without  limiting the  foregoing,  the Principal
Shareholders  have delivered to Buyer true,  complete and correct copies of each
material written Contract.  Each material Contract was entered into and requires
performance in the ordinary  course of business and is in full force and effect.
None of the  Company  and the  Subsidiaries  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 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 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 or any
Subsidiary  to Buyer will not be deemed an  assignment  of, or  require  consent
under any material  Contract.  None of the  Company,  the  Subsidiaries  and the
Principal  Shareholders 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 or  Subsidiary at a cost not to exceed  $10,000 or
(y) it involves annualized payments of less than $50,000 and it is terminable at
no cost within thirty (30) days. Attached hereto as Exhibit 5.7(a) is a standard
form of therapy contract to which the Company or its Subsidiaries is a party. No
therapy or rehabilitation or respiratory  services contract with Communi-Care of
America,  Inc. or with any other third party  deviates in any  material  respect
from such standard contract, except as set forth on Schedule 5.7(b).

                  (B)  Except  as listed  on  Schedule  5.7(b),  no  Company  or
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,  or 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;



                                       31

<PAGE>

                      (III) contract, agreement,  instrument or commitment which
contains any provisions  requiring the Company or any Subsidiary to indemnify or
act for any other person or entity or to guaranty or act as surety for any other
person or entity;

                      (IV)  contract,  agreement or commitment  restricting  the
Company or any Subsidiary from, or in favor of the Company 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  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 any  Company or  Subsidiary,
including without limitation,  subleases,  licenses and sublicenses,  other than
ordinary and customary rights of residents and patients of the Facilities;

                      (IX)  contract,   agreement  or  arrangement   granting  a
leasehold  or other  interest in real  property  to any  Company or  Subsidiary,
including without limitation, all Tenancy Leases (as defined in Section 5.11(b))
and Managed Leases (as defined in Section 5.11(c));

                      (X) management agreement with respect to any 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 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;



                                       32

<PAGE>

                      (XIV)  agreement  relating  to  the  ownership,  transfer,
voting or exercise of other  rights with  respect to any equity in the  Company,
any Subsidiary or any other entity,  including without limitation,  registration
rights agreements, voting trust agreements and shareholder and proxy agreements;
or

                      (XV)  agreement not made in the ordinary and normal course
of business and consistent with past practice,  or that is not terminable by the
Company or the  applicable  subsidiary  at any time within thirty (30) days at a
cost of not more than $10,000 or that involves  annualized payments of in excess
of $50,000 that is not set forth in subsections (i) through (xiv) above.

         5.8          FINANCIAL STATEMENTS.

                      (A) Attached  hereto as Schedule  5.8(a) are the unaudited
financial statements of the Company and the Subsidiaries on a consolidated basis
for the fiscal  quarters ended March 31, 1997,  June 30, 1997, and September 30,
1997,  and for the eleven (11) month period ended November 30, 1997, the audited
financial statements of the Company and the Subsidiaries on a consolidated basis
for  the  fiscal  year  ended  December  31,  1995,  and the  audited  financial
statements of the Company and the  Subsidiaries on a consolidated  basis for the
fiscal year ended December 31, 1996 (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 as, at and for the periods therein  specified and were
prepared  in  accordance  with GAAP  except as  expressly  set forth on Schedule
5.8(a).  Each of the Financial  Statements  has been  accompanied by the written
certification  of the Chief  Financial  Officer of the Company and the Principal
Shareholders' to be true and correct in all material respects, to present fairly
the  financial  condition  and  results of  operations  of the  Company  and the
Subsidiaries  on a  consolidated  basis  as,  at and  for  the  periods  therein
specified, and to have been prepared in accordance with GAAP except as expressly
set forth on  Schedule  5.8(a).  The books of  account  of the  Company  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  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  unaudited  balance  sheet (the  "BALANCE  SHEET")
contained in the  Financial  Statements  as of September  30, 1997 (the "BALANCE
SHEET DATE")  reflects all  liabilities as of the date thereof,  and none of the
Company and the Subsidiaries has any liabilities that are not reflected thereon,
except for such current  liabilities as have been incurred since the date of the
Balance Sheet in the ordinary course of business  consistent with past practice,
and  liabilities  for the items and in the amounts  listed on  Schedule  5.8(b).
Except to the extent set forth or reserved against on the Balance Sheet there is
no basis for the  assertion  against  the  Company  or any  Subsidiaries  of any
liability  of any  nature or in any amount  (other  than  current  or  scheduled
liabilities as aforesaid).



                                       33

<PAGE>

                      (C) Attached  hereto as Schedule  5.8(c) are the unaudited
financial  statements of the SCHM  Subsidiaries on a consolidated  basis for the
fiscal year ended June 30, 1997 and the five (5) month period ended November 30,
1997 (the "SCHM  SUBSIDIARY  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 SCHM  Subsidiaries  as, at and for the periods  therein  specified  and were
prepared in accordance with GAAP. The books of account of the SCHM  Subsidiaries
from which the SCHM Subsidiary  Financial  Statements  were prepared  accurately
reflect all of the items of income and expense, assets, liabilities and accruals
of the SCHM Subsidiaries.  The income statements included in the SCHM Subsidiary
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.

                      (D) Attached as Schedule  5.8(d) are the unaudited  income
statements of the Dade County  Facilities on a  consolidated  basis for the nine
(9)  month  period  ended  September  30,  1997  (the  "DADE  COUNTY   FINANCIAL
STATEMENTS").  The Dade County 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 Dade County Facilities for
the periods  therein  specified and were prepared in accordance  with GAAP.  The
books of  account  of the Dade  County  Facilities  from  which the Dade  County
Financial Statements were prepared accurately reflect all of the items of income
and expense, assets, liabilities and accruals of the Dade County Facilities. The
Dade  County  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.

          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  or  any  of  its
Subsidiaries, and each of the Company and each of the Subsidiaries has conducted
its business only in the ordinary  course,  consistent  with past practice.  The
Company has 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 has 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 Principal
Shareholders have delivered to Buyer. The Company 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 and the Subsidiaries is in default



                                       34

<PAGE>

under,  and none of the Company 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  Licenses are
required to carry on the Business. No stockholder, director or officer, employee
or former employee of the Company 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 or  Subsidiary,  and except  for  licenses  of  employees  described  on
Schedule 5.10 as such.

        5.11      THE FACILITIES.

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

                      (I) the name of such Facility;

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

                      (III) (A) the number of  licensed  long-term  care beds at
the  Facility,  (B) the current rates charged by the Facility to its patients or
residents,  (C) the  number  of beds or units  presently  occupied  in,  and the
occupancy  percentage at, the Facility,  (D) the number of patients or residents
at the 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  Facility  is subject to a Short Lease
(and if so,  the Short  Lease  Extension  Allocation  applicable  to such  Short
Lease), a Bishop Lease, or the New Greenville Lease, or is a Southeast  Facility
or a Salem Facility.

                  (B)  The  Company  or one of its  Subsidiaries  has  good  and
marketable  title to the  Facility  that it  listed  as owned by it on  Schedule
5.11(a)(ii) (the "OWNED FACILITY"),  and has a good and valid leasehold interest
for the term specified in the applicable lease (each a "TENANCY LEASE") for each
Facility that it listed as leased by it on Schedule  5.11(a)(ii) (each a "LEASED
FACILITY"), the Company does not have knowledge that any person or entity listed
as the owner of any Leased Facility or of any Facility that is listed as managed
by the  Company  or one of its  Subsidiaries  on  Schedule  5.11(a)(ii)  (each a
"MANAGED  FACILITY")  does not have good and marketable  title to such Leased or
Managed  Facility,  and the Company does not have  knowledge  that any person or
entity  listed as the tenant of any  Managed  Facility  does not have a good and
valid leasehold  interest for a term that is at least as long as the term of the
applicable  Management Contract for such Managed Facility, in each case, subject
to no Liens other than Permitted Liens;



                                       35

<PAGE>

                  (C)  To  the  best  knowledge  of  the  Company  (but  without
independent  investigation),  with  respect  to each  Managed  Facility  that is
managed  by the  Company or any of its  Subsidiaries  pursuant  to a  Management
Agreement  on behalf of an  operator  (each,  a  "LESSEE/OPERATOR")  that leases
(rather than owns) such Managed  Facility (each, a "MANAGED  LEASED  FACILITY"),
neither said Lessee/Operator nor the applicable landlord is in default of any of
its obligations  under the lease (each, a "MANAGED  LEASE") with respect to such
Managed  Leased  Facility,  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 by either of them under said Managed Lease;  and a true and complete copy
of each Managed Lease has been  delivered to Buyer,  and each such Managed Lease
is,  to  the  best   knowledge   of  the  Company   (but   without   independent
investigation), in full force and effect; and

                  (D)  Except as set  forth on  Schedule  5.11(d),  there are no
leases or other agreements of the Company as lessor or operator, granting to any
third party the right to use, occupy or manage any Facility (except the ordinary
and customary  rights of the patients and residents of the  Facilities),  and no
person has any ownership interest or option or right of first refusal to acquire
any ownership interest in any Facility or any building or improvements thereon.

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

                  (F)  Except  as set  forth on  Schedule  5.11(f),  to the best
knowledge of the Company,  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
Facility or any part thereof,  and to the best  knowledge of the Company,  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 Facility;

                  (G) Except to the extent set forth on the engineering  reports
attached  hereto as  Schedule  5.11(g),  the  buildings  and other  improvements
comprising each 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;

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



                                       36

<PAGE>

                  (I) None of the Company and the  Subsidiaries has received any
written  notice  of  material  noncompliance  from  any  Governmental  Authority
regarding  any of the  improvements  constructed  at any  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,  threatened  or  contemplated,  nor,  to the  knowledge  of the
Company,  is there any basis  therefor,  against or affecting  the Company,  any
Subsidiary or any of the Assets,  or the rights of the Company or any Subsidiary
therein or the  ability of any  Shareholder  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 and the
Subsidiaries  has  received any  requests  for  information  with respect to the
transactions  contemplated  hereby  from  any  Governmental  Authority.  Without
limiting the generality of the foregoing, the investigation by the Office of the
Inspector  General  of the  United  States  of the  Facility  known  as the "St.
Petersburg Healthcare Center" does not, to the best knowledge of the Company and
each Shareholder, involve any alleged violations of Governmental Requirements by
the Company, any Subsidiaries or any Shareholder.

         5.13      EMPLOYEES.  With respect to any employee of the Company or
any  Subsidiary  receiving  an  annual  salary  of  $75,000  or  more,  Schedule
5.7(b)(i),  Schedule  5.7(b)(ix)  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 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. There are no severance
obligations  or  continuing  sick pay  obligations  of any Company or Subsidiary
except as set forth on Schedule  5.13 or the  calculations  set forth on Exhibit
2.2(a)(vi)(E)  above. Each employee,  agent and consultant of the Company or any
Subsidiary has all licenses  necessary to carry on his or her  obligations as an
employee of the Company or any  Subsidiary  and to the  knowledge of the Company
(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 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
the Company has no reason to believe that any such termination will be likely by
reason of any change of control in the Company (or any Subsidiary)  contemplated
by this Agreement.



                                       37

<PAGE>

         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 or any Subsidiary and its 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 or any Subsidiary are  represented by
any labor union or similar  organization in connection with their  employment by
or relationship with, the Company or any Subsidiary, and to the knowledge of the
Company,  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 or any  Subsidiary  relating to any of its past or present
employees,  and there 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 and the  Subsidiaries  has any collective  bargaining or other labor
contracts. Except as disclosed on Schedule 5.14, no Facility has been audited by
the United  States  Department of Labor during the two (2) year period ending on
the date hereof.

         5.15         ERISA.  Except as set forth  on Schedule 5.15, none of the
Company and the Subsidiaries  maintains or make contributions to and none of the
Company  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  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 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 or any  Subsidiary or otherwise in force
and  providing  coverage  for the  Business or any of the  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
otherwise  in force and  relating to the  Business or any of the  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  or one of its
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,



                                       38

<PAGE>

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  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 or of any  Subsidiary,  and no
Shareholder, no member of any Shareholder's immediate family or of the immediate
family of any principal or partner of any  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 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),  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 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 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;



                                       39

<PAGE>

                      (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 any  Subsidiary or
the Business or the Assets;

                      (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 and the Subsidiaries, on a
consolidated  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 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 and each Subsidiary is in compliance with,
and to the Group's knowledge, each of their respective licensed employees are in
material compliance with, all Governmental  Requirements applicable to them, the
Assets or the operation of the Business.



                                       40

<PAGE>

None of the Company and the  Subsidiaries  has received any claim or notice that
any of the  Facilities  or  Assets  is not in  compliance  with  any  applicable
Governmental  Requirement.  The Company  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 it or any Subsidiary, any of the Facilities, or any
of the Assets is not in compliance with any of the foregoing.

                      (B)  Except  as set  forth  on the  environmental  reports
identified  on  Schedule  5.21(b),  at all times,  each of the  Company and each
Subsidiary has complied, and is complying in all respects with all environmental
and related Governmental Requirements applicable to it, the 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
Facility,  or at any other  location.  No uncured  notice from any  Governmental
Authority  has been  served upon the  Company 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 or any  Subsidiary.  All Taxes  payable by the
Company 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 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 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
or any  Subsidiary  or any waiver or agreement by the Company or any  Subsidiary
for the extension of time for assessment of any Tax. None of the Company and the
Subsidiaries  is a party  to any  pending  action  or  proceeding,  and,  to the
knowledge of the Company,  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



                                       41

<PAGE>

asserted  against  the  Company or any  Subsidiary.  None of the Company 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 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 or any 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's,
Subsidiaries  and  Shareholders  has, and to the  knowledge  of the Company,  no
director,  officer,  agent or employee of the Company 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, each Subsidiary and, to the Company's knowledge, each
operator of any Managed Facility (each, a "MANAGED FACILITY  OPERATOR"),  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,  any  Subsidiary  and any
Managed Facility  Operator 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,
any Subsidiary and any Managed Facility  Operator 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,  threatened  with respect to the operation of the
business of any Facility.  None of the Company,  any  Subsidiary and any Managed
Facility Operator nor, to the knowledge of the Company,  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,  none of such  employees  has  committed  any
offense which may serve as the basis for suspension,  restriction,  or exclusion
of the  Company,  any  Subsidiary  or any  Managed  Facility  Operator  from the
Medicare and Medicaid programs,  or any other third party reimbursement  source.
Except as set  forth on  Schedule  5.25,  since  January  1,  1998,  none of the
Company,  the Subsidiaries  and the Managed Facility  Operators has received any
notice  from  the  Medicare  or  Medicaid  programs  or any  other  third  party
reimbursement  source  to the  effect  that  the  basis  on  which  it  receives
reimbursement  for its services is to be changed in any manner that could have a
material  adverse effect on the Company and the  Subsidiaries  taken as a whole.
The Company has 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, any Subsidiary or any Managed Facility Operator



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<PAGE>

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 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 Facility.  All such  violations  and
deficiencies have been fully remedied by the applicable  Company,  Subsidiary or
Managed Facility Operator or withdrawn by the applicable Governmental Authority.
During  the  twelve-month  period  immediately  preceding  the date  hereof,  no
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  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,  any  Subsidiary  and any Managed
Facility  Operator  has been  served  with any  notice  which (x)  requires  the
performance  of any  work or  alterations  on any  Facility,  or in the  streets
bounding thereon,  or (y) orders the  installation,  repair or alteration of any
public  improvements on or about any Facility or the streets  bounding  thereon.
Each Facility is in material  compliance  with all  "Conditions and Standards of
Participation" in the Medicare or Medicaid  Programs.  Each of the Company,  the
Subsidiaries  and the Managed  Facility  Operators 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 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.  Schedule 5.26 sets forth a
complete  list and  description  of all of the  authorized  capital stock of the
Company,  the number of shares issued and  outstanding of such capital stock and
the  identity  of each holder  thereof,  in each case  indicating  the number of
shares held. No shares of the  Company's  capital stock are held in the treasury
of  the  Company.  The  Company  has  only  one  class  of  capital  stock.  The
Shareholders  are the lawful record and beneficial  owners 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.  Each  Shareholder  has the full  legal  power to  transfer  and
deliver the Subject Shares listed as owned by him, her or it 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  from  the  Company  or any
Shareholder  or any one else pursuant to any provision of law or the Articles of
Incorporation or ByLaws of the Company or by agreement or otherwise.  Except for
the Angell Options granted as set forth on Schedule 5.26,  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 any shares of
capital stock of the Company or any  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



                                       43

<PAGE>

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.  The consent of each member of the Angell Group to the  consummation  of
the transactions  contemplated by this Agreement has been obtained if and to the
extent such consent is required.

                  5.27   FINDERS.   No  broker  or  finder  has  acted  for  any
Shareholder or the Company 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 any Shareholder or the Company.

                  5.28 SHAREHOLDER UNTRUE STATEMENT. None of the representations
and  warranties  of the Company or any  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.

                  5.29 MANATEE,  KANSAS AND ILLINOIS  SUBSIDIARIES.  None of the
Kansas  or  Illinois   Subsidiaries  has  any  material  liabilities  or  assets
(including rights such as options), and except as set forth on Schedule 5.29, no
items of revenue,  income or expense  from any of them or from Manatee or any of
its subsidiaries was included in any of the Financial Statements.

           ARTICLE VI: REPRESENTATIONS AND WARRANTIES OF THE MINORITY
                                  SHAREHOLDERS

                  Each Minority  Shareholder  hereby  severally  represents  and
warrants to Buyer as follows:

                  6.1 AUTHORITY.  Such  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,  her,  or it,  and  to  consummate  all of the  transactions
contemplated  hereby and thereby.  Such  execution,  delivery,  performance  and
consummation have been made in the exercise of each such Shareholder's free will
and volition,  and any  necessary  consents of holders of  indebtedness  of such
Shareholder  to the  transactions  contemplated  by  this  Agreement  have  been
obtained.

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



                                       44

<PAGE>

                  6.3 ABSENCE OF CONFLICTING  AGREEMENTS.  Neither the execution
or  delivery  of this  Agreement  or any of the  Transaction  Documents  by such
Shareholder  nor  the  performance  by  such  Shareholder  of  the  transactions
contemplated hereby and thereby, conflicts with, or constitutes a breach of or a
default  under  or  the  termination  of  (A)  any  Shareholder  that  is not an
individual person, its Certificate of Incorporation or other Governing Document;
or  (B)  any  Governmental  Requirements  applicable  to  it,  him or her or the
operation  of the  Business or the  ownership  of any of the Assets;  or (C) any
agreement,  indenture, contract or instrument to which such Shareholder is now a
party or by which it, him or her or any of its, his or her respective  assets is
bound.

                  6.4  CONSENTS.  Except  as  set  forth  on  Schedule  6.4,  no
authorization,  consent,  approval,  license,  filing  or  registration  by such
Shareholder  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 such  Shareholder,  or for the
consummation of the transactions contemplated hereby and thereby.

                  6.5 CAPITAL STOCK.  Such  Shareholder is the lawful record and
beneficial  owner of all of the shares of Company Stock 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. Such Shareholder has the full
legal power to transfer and deliver the Subject  Shares  listed as owned by him,
her or it 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.   Such  Shareholder  has  no
subscription,  participation,  preemptive or first refusal rights to purchase or
otherwise acquire shares of capital stock of the Company from the Company or any
other  Shareholder  or any one  else  pursuant  to any  provision  of law or the
Articles  of  Incorporation  or  By-Laws  of  the  Company  or by  agreement  or
otherwise.  There are not now any and, 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 in favor of such
Shareholder,  nor does  such  Shareholder  have  any  rights  in any  securities
convertible into or exchangeable for any such shares.  Such Shareholder is not a
party to any voting agreement, arrangement, trust or restriction relating to any
of the Subject Shares.

                  6.6 UNTRUE STATEMENTS.  To such Shareholder's actual knowledge
without  investigation other than pursuant to such Shareholder's  responsibility
as an  officer  or  employee  of the  Company,  all of the  representations  and
warranties set forth in Section 2.2(d)(ii) and 2.2(e)(ii),  and in Article V are
true and correct in all material respects. The foregoing,  however, shall not be
deemed to apply to the Manatee Liability.

              ARTICLE VII: REPRESENTATIONS AND WARRANTIES OF BUYER

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

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



                                       45

<PAGE>

                  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  executed  and  delivered  by it to  the
Shareholders at the Closing.

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

                  7.4 SEC  DOCUMENTS.  Buyer has  furnished  the Company and the
Shareholders with a correct and complete copy of its report on Form 10-K for its
fiscal years ended December 31, 1996, its proxy statement prepared in connection
with its annual meeting held on 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.

                  7.5 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 nor the performance by Buyer 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, or (B) any law, rule, judgment,  order, writ, injunction, or decree of
any court  currently  in effect  applicable  to Buyer,  or (C) any  Governmental
Requirement  applicable to Buyer, 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 is bound.

                  7.6 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.

                  7.7  MATERIAL  CHANGES.  Except as set forth in SEC  Documents
delivered to the Shareholders'  Representative,  or as set forth on Schedule 7.7
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  Stockholder
acknowledges  that the  information  set  forth on  Schedule  7.7 is not  public
information and is confidential.  Accordingly,  each Stockholder  agrees to hold
such information confidential, and to refrain from making any purchases or sales
of shares of IHS Stock  until  such  time as Buyer  notifies  the  Shareholders'
Representative that such information has become publicly available.



                                       46

<PAGE>

                  7.8 NO UNTRUE STATEMENTS. To the Buyer's knowledge, all of the
representations  and  warranties  set  forth  in this  Article  VII are true and
correct in all material respects.

          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 financial and legal condition of the Company,
the  Subsidiaries  and the  Facilities as Buyer deems  necessary or advisable to
familiarize  itself  therewith  and/or with 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 books and
records of the Company,  the  Subsidiaries  and the Facilities  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  products,  services,
operations  and assets of the Company 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 and the Subsidiaries; and the Company shall make,
or cause to be  made,  extracts  thereof  as  Buyer or its  representatives  may
request from time to time to enable Buyer and its representatives to investigate
the  affairs  of the  Company  and  the  Subsidiaries  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 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  shareholders  regarding their ownership of shares or the management
or operation of the Company and the Subsidiaries.  The Company 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 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 8.1, none of
the Company 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  by  reason of this
sentence  shall  not be  deemed  to  limit  or  modify  any  representations  or
warranties of the Company, any Subsidiary or any Shareholder.

              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  shall,  and shall  cause  each
Subsidiary to, maintain its existence and conduct its business in good faith and
in the customary and ordinary course of business consistent with past practice.



                                       47

<PAGE>

                  9.2  NEGATIVE  COVENANTS  OF THE  COMPANY.  Without  the prior
written  approval of Buyer,  the Company  shall not (and the Company 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  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 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; 

                      (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 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 13.1(b) below,
take any action that would prevent consummation of the transactions contemplated
by this Agreement.



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<PAGE>

         9.3          AFFIRMATIVE  COVENANTS.  Between  the date  hereof and the
Closing, the Company 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  and  the  Subsidiaries;  keep
available  the services of the present  employees  and agents of the Company 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  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 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 or any
Subsidiary;

                      (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 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 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 of any  Shareholder  of any  representation,  warranty or
covenant made pursuant to this Agreement; and



                                       49

<PAGE>

                      (K)  promptly  notify  the Buyer in  writing  of any event
involving  the  Company  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  or  any  Subsidiary  or  may  involve  the  loss  of
relationships with any of the customers of the Company or any Subsidiary.

                  9.4      PURSUIT OF CONSENTS AND APPROVALS.

                      (A) Prior to the Closing,  the Company  shall use its 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 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 and
the  Subsidiaries  by  Buyer  in  accordance  herewith  ("REQUIRED  GOVERNMENTAL
APPROVALS",  and together  with the  Required  Non-Governmental  Approvals,  the
"REQUIRED APPROVALS"). The Company and each Shareholder shall cooperate with and
use its,  his or her  commercially  reasonable  efforts  to assist  the Buyer in
obtaining all such approvals.

                      (C) The Buyer,  on the one hand, and the  Shareholders  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 10.9).

                  9.5  PURSUIT  OF   NONDISTURBANCE   AGREEMENTS   AND  ESTOPPEL
CERTIFICATES.  Prior to the Closing,  the Company  shall use its 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  and Managed  Leased  Facilities  that will be
subject to mortgages after the Closing, and to obtain estoppel certificates (the
"ESTOPPEL  CERTIFICATES") from all applicable landlords,  mortgagees and Managed
Facility  Operators with respect to all Leased Facilities and Managed 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  or  Managed  Facilities.  Buyer  shall
cooperate to assist the Company in obtaining all such approvals.

                  9.6  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  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 and the Subsidiaries, on a consolidated 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 chief financial officer and
the Principal Shareholders.



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<PAGE>

                  9.7 EXCLUSIVITY.  Until the earlier of the Closing Date or the
termination of this Agreement  pursuant to Section 12.1, no Shareholder  nor the
Company, 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  or  any  Subsidiary  or of
substantially all of the assets of the Company or any Subsidiary,  or in respect
of any  merger,  consolidation  or  other  sale  of the  Company  (any  of  said
transactions  being  referred  to herein  as a  "PROHIBITED  TRANSACTION").  The
Company  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.

                  9.8  SPIN-OFFS.   Notwithstanding  anything  to  the  contrary
contained  in Section 9.2 or 9.3 above,  prior to the Closing the Company  shall
sell, without recourse:  (x) all of the capital stock of each of Manatee and its
subsidiaries to the Principal  Shareholders for approximately  $750,000; and (y)
the Kansas Subsidiaries and the Illinois  Subsidiaries for nominal consideration
to the Principal Shareholders or their Affiliates (other than the Subsidiaries).

                  9.9 CERTAIN BONUSES.  Notwithstanding anything to the contrary
contained in Section 9.2 or 9.3 above,  prior to the Closing the Company may pay
bonuses  to the  Principal  Shareholders  in an  aggregate  amount not to exceed
$100,000.

                  9.10 SPECIAL COUNSEL.  Promptly following the date hereof, and
in any event within five (5) business  days,  the Company  shall retain  special
legal  counsel  (the  "SPECIAL  COUNSEL")  reasonably  acceptable  to  Buyer  to
represent  the  Company  and  its  Subsidiaries  (other  than  Manatee  and  its
subsidiaries) with respect to any alleged Manatee  Liability,  including without
limitation,  any alleged criminal liability with respect thereto.  In connection
therewith,  the Company shall,  and it shall cause each  Subsidiary  (other than
Manatee  and  its  subsidiaries)  to  provide  such  Special  Counsel  with  all
information  relating thereto in the possession of the Company or any Subsidiary
(other than Manatee and its  subsidiaries) or to which the Company or any of its
Subsidiaries  (other than Manatee and its subsidiaries)  has access,  including,
without  limitation,  any  information  with respect to which the Company or any
such  Subsidiary  (other than  Manatee and its  subsidiaries,  or any  Principal
Shareholder)  may be entitled to assert the  attorney  client  privilege  or the
attorney work product  doctrine or any other  applicable  privilege  ("PROTECTED
INFORMATION").  To the extent permitted by applicable Governmental Requirements,
immediately prior to Closing, the Company may transfer any Protected Information
to Manatee  (together with any privileges  associated  therewith) if Buyer shall
have been provided with a legal opinion from the Special Counsel in the form and
substance  of  paragraph  7 of  Exhibit  10.28  hereto;  provided  that any such
transfer  shall be made  subject  to the  right  of the  Company,  in the  event
necessary to defend against any investigation by any Governmental  Authority, to
review and utilize such Protected  Information on terms and  conditions,  to the
extent possible,  reasonably  designed to preserve such  privileges,  in writing
reasonably  satisfactory  to  Manatee  and the  Company.  Access of the  Special
Counsel to such Protected  Information  and delivery of such legal opinion shall
not be intended to waive any previously asserted privilege.



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<PAGE>

         9.11      ACQUISITION  OF  CHRISTOPHER  MANOR OF ST.  PETERSBURG,  INC.
Notwithstanding  anything to the contrary contained in Section 9.2 or 9.3 above,
prior to the Closing,  the Company shall purchase for nominal  consideration and
free and clear of all Liens all of the issued and outstanding  shares of capital
stock of Christopher Manor of St.  Petersburg,  Inc. not owned by it legally and
beneficially as of the date hereof.

        9.12       UPDATING.  The  Company  and   Principal  Shareholders  shall
notify  Buyer of any  changes or  additions  to any of their  Schedules  to this
Agreement  by the  delivery of updates  thereof,  if any, not later than two (2)
business  days prior to the  Closing.  No such  updates  made  pursuant  to this
Section  shall be deemed to cure any breach of any  representation  or  warranty
made in this  Agreement,  nor  shall  any such  notification  be  considered  to
constitute  or give rise to a waiver by Buyer of any condition set forth in this
Agreement.

             ARTICLE X: 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 XII herein.

            10.1      REPRESENTATIONS  AND WARRANTIES.  The  representations and
warranties of Company and each 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 date hereof,  and at and as of the Closing Date,
as though such  representations  and warranties were made at and as of such time
(as updated by the revising of Schedules  contemplated  by Section  9.12, to the
extent Buyer shall have accepted such updates in writing).

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

            10.3      DELIVERY OF CLOSING CERTIFICATE.  Each of the Shareholders
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 10.1 and 10.2  applicable to them have
been satisfied.


            10.4      OPINIONS OF COUNSEL. The Shareholders shall have delivered
to Buyer an opinion,  dated the Closing Date, of their counsel,  in the form and
substance of Exhibit 10.4.  Said opinion shall be addressed to and may be relied
upon by Buyer.



                                       52

<PAGE>

            10.5      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.

            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 its Boards of Directors  authorizing
the  execution  and  full  performance  of this  Agreement  and the  Transaction
Documents and the incumbency of its officers.

            10.7      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 and the
Subsidiaries,  taken as a whole  (except to the extent  covered by the condition
set forth in Section 10.30 below).

            10.8      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.

           10.9      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.

           10.10      SURVEYS.  Buyer shall have received, at Buyer's expense, a
standard  real estate  boundary and as built survey of each Facility in form and
substance reasonably satisfactory to Buyer, prepared by a land surveyor licensed
in the State in which  such  Facility  is  located  and  approved  by Buyer that
confirms the condition of the property.  If any such survey  indicates  that any
Liens exist that do not constitute  Permitted  Liens,  the parties shall in good
faith  agree  upon  a   reasonable   adjustment   to  the  Base   Amount   (and,
correspondingly,  to the  Series  A  Merger  Consideration  and  Series B Merger
Consideration  on a  proportionate  basis) to reflect any damages that the Buyer
might sustain by reason  thereof,  and upon such  adjustment  being made,  Buyer
shall be deemed to have been wholly  compensated  for any such damages and shall
not be entitled to indemnification with



                                       53

<PAGE>

respect thereto.  Nothing  contained in this subsection shall be deemed to limit
Buyer's right to terminate  this Agreement by reason of the failure of any other
condition, including, without limitation, Section 10.1 above.

           10.11      TERMITE INSPECTIONS. Buyer shall have received, at Buyer's
expense, reports from qualified inspectors approved by Buyer with respect to any
termite,  wood boring insect or other pest infestation at each Facility,  and/or
resultant damage that has not been corrected in all material  respects.  If such
reports  shall  indicate  any  matters  that  would  constitute  a breach of any
representation  or warranty by any Shareholder or the Company,  then the parties
shall in good faith agree upon a reasonable  adjustment to the Base Amount (and,
correspondingly,   the  Series  A  Merger  Consideration  and  Series  B  Merger
Consideration  on a  proportionate  basis) to reflect any damages that the Buyer
might sustain by reason  thereof,  and upon such  adjustment  being made,  Buyer
shall be deemed to have been wholly  compensated  for any such damages and shall
not be entitled to  indemnification  with respect thereto.  Nothing contained in
this  subsection  shall be  deemed  to limit  Buyer's  right to  terminate  this
Agreement by reason of the failure of any other  condition,  including,  without
limitation, Section 10.1 above.

          10.12       ZONING  REPORT.  Buyer  shall  have  received,  at Buyer's
expense,  reports,  from  qualified  zoning  inspectors  approved  by Buyer with
respect  to  the  compliance  of  each  Facility  with  all  applicable   zoning
requirements,  and if  such  reports  shall  indicate  any  matters  that  would
constitute a breach of any  representation or warranty by any Shareholder or the
Company then the parties shall in good faith agree upon a reasonable  adjustment
to the Base Amount (and,  correspondingly,  to the Series A Merger Consideration
and Series B Merger  Consideration  on a  proportionate  basis) to  reflect  any
damages that the Buyer might sustain by reason thereof, and upon such adjustment
being made,  Buyer shall be deemed to have been wholly  compensated for any such
damages and shall not be  entitled  to  indemnification  with  respect  thereto.
Nothing  contained in this subsection  shall be deemed to limit Buyer's right to
terminate  this  Agreement  by reason  of the  failure  of any other  condition,
including, without limitation, Section 10.1 above.

           10.13      TITLE  INSURANCE.   Buyer  shall  have  obtained,  at  its
expense,  at normal rates, a title  commitment  from a reputable title insurance
company  selected by Buyer (the "TITLE  COMPANY")  for an owner's  title  policy
(owner's ALTA Policy Form B, as amended  10/17/70),  insuring that title to each
Owned Facility and the leasehold interest in each Leased Facility and any option
to purchase any Managed Facility shall be good and marketable and free and clear
of all Liens and other title objections (including any lien or future claim from
materials  or labor  supplied  for  improvement  of such  property),  except for
Permitted Liens, the standard  exceptions  normally contained in the ALTA Form B
Title Policy and schedules thereto.  If any such title commitment  indicates any
matter that would constitute a breach of any  representation  or warranty by any
Shareholder  or the  Company,  then the parties  shall  agree upon a  reasonable
adjustment  to the Base  Amount  (and,  correspondingly,  to the Series A Merger
Consideration  and Series B Merger  Consideration  on a proportionate  basis) to
reflect any damages  that the Buyer might  sustain by reason  thereof,  and upon
such  adjustment  being  made,  Buyer  shall  be  deemed  to  have  been  wholly
compensated  for any such  damages and shall not be entitled to  indemnification
with respect  thereto.  Nothing  contained in this subsection shall be deemed to
limit Buyer's right to terminate  this Agreement by reason of the failure of any
other  condition,  including,  without  limitation,  Section 10.1 above.  At the
request of Buyer,  the Principal  Shareholders  shall provide such affidavits to
the Title



                                       54

<PAGE>

Company  or take such other  reasonable  actions  (at no  expense to Buyer,  the
Company  or any of the  Subsidiaries)  that would  enable  the Title  Company to
remove any of such standard exceptions (provided that the foregoing shall not be
deemed to require the Company or any Subsidiary to obtain any survey).

         10.14        NON-COMPETITION  AGREEMENTS.  Each  Principal  Shareholder
shall have entered into a  Non-competition  Agreement in the form and  substance
respectively   of   Exhibit   10.14-   A-1  and   Exhibit   10.14-A-2   (each  a
"NON-COMPETITION AGREEMENT"), for no further consideration, with Buyer, pursuant
to which such Shareholder shall agree that after the Closing Date for the period
set forth below (the "NON-COMPETE PERIOD"),  such Shareholder will not, directly
or  indirectly,  for  herself,  himself,  or  itself,  or on behalf of any other
person,  firm,  entity or other  enterprise,  be  employed  by,  be an  officer,
director  or manager  of,  act as a  consultant  for,  be a partner  in,  have a
proprietary interest in, or loan money to any person,  enterprise,  partnership,
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,  located in the States of South
Carolina, Georgia and Florida. The Non-Competition Agreements shall not prohibit
the  ownership  of less  than 2% of the  issued  and  outstanding  stock  of any
competitive  business whose stock is listed on a national securities exchange or
traded  on the  NASDAQ  national  market  system,  and shall  not  prohibit  any
Shareholder  from  carrying on certain  other  activities  as more  particularly
provided on Exhibit 10.14-A.  Each Non-Competition  Agreement also shall contain
confidentiality and non-solicitation  provisions reasonably acceptable to Buyer.
The  Non-Compete  Period for each  Principal  Shareholder  shall commence on the
Closing  Date and end five  (5)  years  from the  Closing  Date.  Each  Minority
Shareholder shall have entered into a Non-Solicitation  Agreement in the form of
Exhibit 10.14-B hereto.

         10.15        COST AND EXPENSES.  The  Shareholders  shall have paid (or
assumed the liability with respect to) all costs,  fees and expenses  (including
without  limitation,  filing fees,  transfer taxes,  stamp taxes, legal fees and
broker,  audit  and  appraisal  fees)  incurred  by  the  Company  or any of its
Subsidiaries in connection with the transactions contemplated by this Agreement.

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

         10.17        CLOSING DATE BALANCE SHEET. The Principal Shareholders and
Company shall have  furnished the Estimated  Closing Date Balance Sheet to Buyer
certified as required by Section

2.2(a) hereof.

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

        10.19         ESTIMATED  CLOSING  DATE LONG TERM  LIABILITIES;  NEGATIVE
WORKING CAPITAL.

                      (A)  The  long-term  liabilities  of the  Company  and its
subsidiaries on a consolidated  basis as set forth on the Estimated Closing Date
Balance Sheet shall not exceed $33,000,000.



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<PAGE>

                      (B) The  negative  working  capital of the Company and the
Subsidiaries on a consolidated  basis as set forth on the Estimated Closing Date
Balance Sheet shall not be more than $8,000,000.

         10.20       TERMINATION OF  ANGELL OPTIONS.  All of the Angell Options,
shall have been terminated, canceled and satisfied in full, and Buyer shall have
purchased all of the Angell Shares,  if any, pursuant to the terms of the Angell
Agreement.

         10.21       CLOSING  OF   MAGNOLIA/MEDI-SERVE   MERGER  AGREEMENT.  The
Closing shall have occurred under the Magnolia/Medi-Serve Merger Agreement.

         10.22       WOODRUFF  FACILITY.  The  Woodruff Facility shall be leased
to 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.

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

         10.24        SPIN-OFFS.  None of the Company and the Subsidiaries shall
be the legal or beneficial owner of any shares of the capital stock or assets of
Manatee, any Kansas Subsidiary or any Illinois Subsidiary,  or be liable for any
liabilities of any of them.

         
         10.25       ESCROW  AGREEMENTS.  The  Escrow  Agreement and the Manatee
Escrow  Agreement  shall have been  executed and delivered by each party thereto
other than the Buyer.

         10.26       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.

         10.27       PRINCIPAL   SHAREHOLDERS'  LOANS.  All of the  transactions
contemplated by Section 2.1(c) shall have been completed.

         10.28       OPINION  OF SPECIAL COUNSEL. The Special Counsel shall have
delivered  to Buyer a legal  opinion  acceptable  to Buyer  with  respect to the
matters set forth on Exhibit 10.28 hereof.

         10.29       TERMINATION  OF RELATIONSHIP WITH MANATEE.  All contractual
relationships  between Manatee (and any of its subsidiaries) and the Company and
any of its other Subsidiaries shall have been terminated and all obligations and
liabilities  among them shall have been settled or satisfied.  Without  limiting
the foregoing, Manatee shall no longer be a party to any loan agreement to which
the  Company or any such other  Subsidiary  is a party,  and no UCC  termination
statements  filed against the Company or any such other  Subsidiary shall secure
any obligations of Manatee.



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<PAGE>

          10.30       CHRISTOPHER OF ST. PETERSBURG, INC.

                      (A)  The  Company   shall  have   purchased   for  nominal
consideration  and free and clear of all Liens all of the issued and outstanding
shares of capital  stock of  Christopher  Manor of St.  Petersburg,  Inc.  ("ST.
PETERSBURG") not owned by it legally and beneficially as of the date hereof.

                      (B)  Buyer,  in  its  good  faith  judgement,  shall  have
determined  that since the Balance Sheet Date, no material  adverse  change with
respect to the assets, liabilities,  operations,  census, licensure requirements
or prospects of St. Petersburg or the Facility leased by it, shall have occurred
or shall be reasonably likely to occur. If the foregoing  condition shall not be
satisfied  prior to  Closing,  the  parties  shall  nevertheless  proceed to the
Closing as if such  condition had been  satisfied;  provided  however,  the Base
Amount (and,  correspondingly,  the Series A Merger  Consideration  and Series B
Consideration,  on a proportionate basis) shall be reduced by an amount equal to
$6,500,000,  and all of the capital stock of St. Petersburg shall be transferred
to the  Principal  Shareholders  at their cost and expense  (including,  without
limitation, any Taxes associated therewith) (and accordingly the liabilities and
assets of St.  Petersburg shall not be included in the  determination of working
capital or long-term  liabilities for purposes of Section 2.2(a) above). In lieu
thereof,  the parties may negotiate in good faith a reasonable  reduction in the
Base Amount (and, correspondingly,  the Series A Merger Consideration and Series
B Merger  Consideration on a proportionate  basis), in which case St. Petersburg
shall not be transferred to the Principal Shareholders.

          10.31       ARTICLES OF MERGER. The Articles of Merger shall have been
executed,  delivered, filed and accepted for filing by the Secretary of State of
North Carolina.

          10.32       OTHER DOCUMENTS.

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

                      (B) All stock certificates representing all of the capital
stock in each of the Subsidiaries  shall have been delivered to Buyer other than
the  shares  pledged  to  Omega  Healthcare  Corporation  as  disclosed  on  the
Disclosure Schedule hereto.

          ARTICLE XI: CONDITIONS PRECEDENT TO SHAREHOLDERS' OBLIGATIONS

                  The   obligation  of  the   Shareholders   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's Representative,  with any such waiver to
be  effective  only  if in  writing.  Upon  failure  of  any  of  the  following
conditions,  Shareholders'  Representative may terminate this Agreement pursuant
to and in accordance with Article XIII herein.



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<PAGE>

         11.1         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.

         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 Shareholders a certificate of an officer of Buyer dated the Closing
Date upon which  Shareholders  may 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
Shareholders an opinion, dated the Closing Date, of its counsel, in the form and
substance of Exhibit 11.4.

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

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

        11.7          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.

        11.8          CLOSING OF  MAGNOLIA/MEDI-SERVE  STOCK PURCHASE AGREEMENT.
The closing shall have occurred  under the  Magnolia/Medi-Serve  Stock  Purchase
Agreement.

        11.9          ESCROW  AGREEMENTS.  The Escrow  Agreement and the Manatee
Escrow  Agreement  shall have been  executed and delivered by each party thereto
other than the Shareholders.

        11.10         TERMINATION OF  GUARANTIES.  Each  Shareholder  shall have
been  released from any guaranty by him or her of any  Permitted  Liability,  or
Buyer shall have agreed,  in form and substance  reasonably  satisfactory to the
applicable Shareholder, to indemnify and hold such Shareholder harmless from all
liabilities  arising  out of  any  guaranty  by  him  or  her  of any  Permitted
Liability.



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<PAGE>

         11.11        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.

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

                    ARTICLE XII: SURVIVAL AND INDEMNIFICATION

         12.1         SURVIVAL   OF   REPRESENTATIONS   AND   WARRANTIES.    All
representations  and warranties made by each party in this Agreement and in each
Schedule  and  Transaction  Document  shall  survive the Closing  Date and for a
period of 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 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 and 6.3 insofar as they relate to the  legality,  validity,  binding
effect and  enforceability of the  Non-Competition  Agreements shall survive for
the term of the Non-Competition  Agreements.  All representations and warranties
related  to any  claim  asserted  in  writing  prior  to the  expiration  of the
applicable  survival  period shall survive (but only with respect to such claim)
until such claim shall be resolved  and  payment in respect  thereof,  if any is
owing, shall be made.

         12.2         INDEMNIFICATION    BY    SHAREHOLDERS.    The    Principal
Shareholders  and the Company  (subject to the  limitations set forth in Section
15.11 hereof) jointly and severally,  and the Minority  Shareholders (subject to
the limitations set forth in Section 15.11 hereof),  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 (provided that each Minority Shareholder shall be obligated (severally
and not jointly)  only as to a breach of his or her  respective  representations
and warranties and covenants made pursuant to this Agreement,  and not as to any
other matters):

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

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



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<PAGE>

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

                      (D) any Loss arising out of the prior ownership, operation
or disposition of Manatee Medical  Products and Services,  Inc.  ("MANATEE"),  a
wholly  owned  subsidiary  of  Premiere,   including  without  limitation,   any
Reimbursement  Liability  (any of the foregoing  being referred to as a "MANATEE
LIABILITY") or arising out of the prior  ownership,  operation or disposition of
any Kansas  Subsidiary  or any Illinois  Subsidiary  (together  with any Manatee
Liability, the "SPIN- OFF LIABILITIES"); or

                      (E) any Loss  arising out of the  failure of the  Contract
identified as item 3(sss) on Schedule 5.7(b) to be enforceable; or

                      (F) any Loss  arising  out of the  guaranties  provided by
Premiere or its  Subsidiaries  (other  than  Manatee  and its  subsidiaries)  of
obligations of any Principal Shareholder; or

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

         12.3         INDEMNIFICATION BY BUYER. Buyer shall indemnify and defend
Shareholders  and, if there shall not be a Closing,  Company,  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;

                      (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 any Shareholder or the Company; and

                      (D)  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.

         12.4         ASSERTION OF CLAIMS. Any claims for indemnification  under
Section 12.2(a) or 12.3(a) must be asserted by written notice on or prior to the
date on which such representation or warranty expires.



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<PAGE>

          12.5        CONTROL OF DEFENSE OF INDEMNIFICABLE CLAIMS.

                      (A) (I)  Buyer  shall  give  Shareholders'  Representative
prompt notice of each claim for which it seeks indemnification.  Failure to give
such prompt notice shall not relieve the  Shareholders of their  indemnification
obligation,  provided that such  indemnification  obligation shall be reduced by
any damages Shareholders demonstrate they have suffered resulting from a failure
to  give  prompt  notice  hereunder.  The  Shareholders  shall  be  entitled  to
participate  in the  defense  of such  claim.  If at any time  the  Shareholders
acknowledge in writing that the claim is fully  indemnifiable by them under this
Agreement,  and, if requested by Buyer,  post  adequate  bond or security,  they
shall have the right to assume control of the defense of such claim at their own
expense. If the Shareholders do assume control of the defense of any such claim,
the Buyer  agrees not to settle such claim  without  the written  consent of the
Shareholders' Representative,  which consent shall not be unreasonably withheld,
delayed or  conditioned.  Nothing  contained in this Section 12.5 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  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  Shareholders'  Representative  with  reasonable  prior
written  notice  of such  intent  and of the  current  status  of the  appeal or
contest, and upon request of Shareholders' Representative, Buyer shall assign to
the Principal  Shareholders 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
Principal  Shareholders with respect to the otherwise  appealable or contestable
portion thereof.

                        (III)  Buyer  shall not be  entitled to settle any claim
which is the subject  matter of the Manatee Escrow  Agreement  without the prior
written  consent  of  each  Principal   Shareholder  (which  consent  shall  not
unreasonably  be  withheld,   delayed  or  conditioned)  unless  all  applicable
Governmental  Authorities  agree (A) not to seek  separate  payment  from either
Principal  Shareholder  and/or Don G. Angell,  and (B) not to impose criminal or
material civil  penalties  against either  Principal  Shareholder  and/or Don G.
Angell.

                        (B) The  Shareholders'  Representative  shall give Buyer
prompt   written  notice  of  each  claim  for  which  any   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


                                       61

<PAGE>

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 Shareholders'  Representative,  post adequate bond of security, 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  Shareholders
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 12.5 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.

            12.6      LIMITATIONS ON INDEMNIFICATION OBLIGATIONS.

                      (A) Notwithstanding any other provision of this Agreement,
the aggregate indemnification obligations of the Principal Shareholders,  on the
one hand,  and Buyer,  on the other  hand,  shall not exceed an amount  equal to
Thirty Seven Million Dollars ($37,000,000).

                      (B) Notwithstanding any other provision of this Agreement,
after the Closing, the Principal Shareholders 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 Base Amount (and the Series A or Series B
Merger Consideration) under Article II above, (ii) claims made by Buyer pursuant
to Sections  12.2(b),  (c), (d) or (f) above, or (iii) claims arising out of any
breaches of  representations  or warranties of any Principal  Shareholder to the
extent  that  such  Principal   Shareholder  had  actual   knowledge  that  such
representation  or warranty was incorrect or inaccurate in any material  respect
at  the  time  made,   or  (iv)  claims   arising  out  of  any  breach  of  the
representations  and  warranties  contained in Section 5.26.  The limitation set
forth in this Section 12.6(b) shall not apply to any indemnification obligations
arising out of any breach of the  representations  and  warranties  contained in
Section 5.11(g) or 5.21(b).

                      (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  permitted  by  applicable  law) to the extent of such payment to the
rights of the indemnified  party against any landlords  (other than Magnolia and
its  subsidiaries),   vendors,  fee  mortgagees,  insurance  carrier,  workmens'
compensation  fund,   attorneys,   title  insurance  carrier,   engineers,   any
Shareholder,  surveyors,  environmental inspectors, zoning experts and the other
parties  to the  SCHM  Agreements  and  the  SV/South  Florida  Agreements.  The
foregoing  shall not be deemed to  require  any  Shareholder  to  reimburse  the
Company or any  Subsidiary  for any legal fees  previously  advanced  or for any
amounts  accrued,  in each  case,  to the  extent  set  forth  in the  Financial
Statements or the Closing Date Balance Sheet.

         12.7         WARN ACT LIABILITY. In reliance on the representations and
warranties of t he Company and the Shareholders 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 



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<PAGE>

loss that may arise as a result of the termination by Buyer of the employment of
any  employees of the Company 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 or any Subsidiary prior to the Closing Date.

         12.8         CERTAIN  WAIVERS.   Effective  as  of  the  Closing,  each
Shareholder  hereby  knowingly  waives  all  rights  that he or she may  have to
indemnification  against the  Company or any  Subsidiary  (other  than  Manatee)
(except to the extent of insurance proceeds actually  collectible by the Company
or a Subsidiary  with respect  thereto or except for amounts  previously paid or
advanced by the Company to Shareholders in respect thereof),  including, without
limitation any right to receive  advancement or  reimbursement  of legal fees or
costs,  or to insurance with respect to any claim against him or her arising out
of any  investigation by the Office of Inspector General of the United States or
any matter related thereto.  Effective as of the Closing,  each Shareholder also
hereby  knowingly  waives any claims that he or she may have against Magnolia or
any of its  subsidiaries on or prior to Closing arising out of the  transactions
contemplated by this Agreement or the Magnolia/Med-Serve  Merger Agreement.  The
foregoing  shall not be deemed to  require  any  Shareholder  to  reimburse  the
Company or any Subsidiary for any legal fees accrued, to the extent set forth on
the Closing Date Balance Sheet.

         12.9         CERTAIN  ASSISTANCE.  After the Closing,  for a reasonable
amount of time not to exceed  ninety (90) days,  Buyer shall  endeavor to assist
Manatee  and  its   subsidiaries   with  preparing  its  billing,   payroll  and
bookkeeping.  It will also promptly forward to Manatee any of Manatee's accounts
receivable that are delivered to it.  Notwithstanding  the foregoing,  Buyer and
the Company and the  Subsidiaries  shall have no  obligation to expend any funds
(beyond  ordinary and reasonable  wages) with respect to the foregoing and shall
have no liability with respect to any failure to perform any of the foregoing.

                            ARTICLE XIII: TERMINATION

          13.1        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 X  hereof,  have not been  satisfied  by the  Closing  Date or
pursuant to Section 14.1, or otherwise as expressly provided in this Agreement;

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

                      (C)  the  mutual   consent  of  Buyer  and   Shareholders'
Representative.



                                       63

<PAGE>

         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, 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 12.2 or 12.3, as the case may be, hereof (and
for such  purposes  such Section 12.2 or 12.3, as the case may be, shall survive
the termination of this  Agreement).  Furthermore,  nothing in this Section 13.2
shall affect  Buyer's right to specific  performance  of the  obligations of the
Shareholders at Closing hereunder.

                       ARTICLE XIV: CASUALTY, RISK OF LOSS

         14.1         CASUALTY,  RISK OF LOSS.  Shareholders 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  any  Facility,   Shareholders'   Representative  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,
any  Subsidiary  or any  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  nor  shall  the  cost  of  such
reconstruction be included as a liability to the extent of insurance  reasonably
collectible with respect thereto).  Nothing contained in this Section 14.1 shall
limit or adversely affect the right of Buyer to receive  indemnification for any
Losses  incurred by it by reason of any breach by any 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         PERFORMANCE.  In the event of a breach by any  Shareholder
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.

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



                                       64

<PAGE>

responsible  for  consummating  the Closing as provided in 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.

         15.3         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.

          15.4        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.

          15.5        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 or any Shareholder, 
to the Shareholders' Representative at:

                                   Stewart Swain
                                   115 Fieldwood Drive
                                   Advance, North Carolina 27006

with a copy to:                    George E. Hollodick, Esq.
                                   Blanco Tackabery Combs & Matamoros, P.A.
                                   110 South Stratford Road, Suite 500
                                   Winston-Salem, NC 27104

If to the Buyer:                   Integrated Health Services, Inc.
                                   10065 Red Run Boulevard
                                   Owings Mills, MD  21117
                                   Attn:  Elizabeth B. Kelly,
                                          Executive Vice President

                                              and



                                       65

<PAGE>

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

         15.6         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.

         15.7         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.

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

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

         15.10        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.



                                       66

<PAGE>

         15.11        JOINT AND SEVERAL. The Principal  Shareholders and Company
(unless  there  shall be a  Closing,  in which  case the  Company  shall have no
liability  under this Agreement)  shall be jointly and severally  liable for all
representations,  warranties  and covenants made by any of them pursuant to this
Agreement.  Each  Minority  Shareholder  shall be liable only for such  Minority
Shareholder's  own  representations,  warranties  and  covenants  made  by  such
Minority  Shareholder  pursuant to this  Agreement.  The  Minority  Shareholders
acknowledge that they have no rights to the Escrow Deposit or the Manatee Escrow
Deposit.  After the Closing no Shareholder  shall have any right of contribution
or indemnity from the Company and no right of subrogation to proceed against the
Company with respect to any of the foregoing or  otherwise.  For all purposes of
this Agreement, any reference to the "knowledge" of any Principal Shareholder or
to  any  of  them  having  received  "notice"  of  any  matter  or  any  similar
qualification  shall  be  deemed  to  include  the  knowledge  of  each  of  the
Shareholders or notices to any of the Shareholders,  as the case may be. For all
purposes of this  Agreement,  any reference to the "knowledge" of the Company or
to its having received "notice" of any matter or any similar qualification shall
be deemed to  include  the  knowledge  of each of the  Shareholders,  directors,
facility administrators, directors of nursing, the director of legal affairs and
the  executive  officers of the Company or any  Subsidiary  or notices to any of
them, as the case may be.

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

         15.13         LATE  DELIVERY  OF  EXHIBIT  2.2(A)(VI)(E).  The  parties
acknowledge that Exhibit 2.2(a)(vi)(E) has not been delivered to Buyer as of the
date  hereof.  The  Principal  Shareholdres  agree to use their best  efforts to
deliver  such  Exhibit by no later than March 6, 1998.  Buyer shall use its best
efforts to notify the Shareholders' Representative by no later than two business
days after its receipt of such Exhibit as to whether such Exhibit is  reasonably
acceptable to Buyer. If such Exhibit is not reasonably acceptable to Buyer, then
the parties shall,  notwithstanding  anything to the contrary  contained in this
Agreement,  agree  to a  reasonable  adjustment  to the  amount  of the  accrual
referred to in Section 2.2(a)(vi)(E).



                                       67

<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:

                                        PREMIERE ASSOCIATES, INC.

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

                                        PRINCIPAL SHAREHOLDERS:


                                        ----------------------------------------
                                        W. Stewart Swain


                                        ----------------------------------------
                                        L.P. Herzog




                                        MINORITY SHAREHOLDERS:


                                        ----------------------------------------
                                        Jewell Austin


                                        ----------------------------------------
                                        Troy Curry


                                        ----------------------------------------
                                        Bruce W. Covell, Jr.


                                        ----------------------------------------
                                        M. Rebecca Muenchow



                                       68

<PAGE>

                                        BUYER:

                                        INTEGRATED HEALTH SERVICES, INC.

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


                                        INTEGRATED HEALTH SERVICES AT
                                        HAWTHORNE NURSING CENTER, INC.


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


                                       69

<PAGE>

                             INDEX OF DEFINED TERMS
<TABLE>
<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).
"ADDITIONAL SWAIN IHS SHARES".............................shall have the meaning as set forth in Section 2.1(f)(i).
"ADJUSTED MARKET VALUE PER ADDITIONAL IHS SHARE"...................................................................
 .............................................................shall have the meaning as set forth in Section 3.1(k).
"ADJUSTMENT NOTICE"..........................................shall have the meaning as set forth in Section 3.1(k).
"AGGREGATE SCHM PURCHASE PRICE".......................shall have the meaning as set forth in Section 2.2(a)(vi)(C).
"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 AGREEMENT"..................................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 MEMBER"...............................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.
"ARBITRATING ACCOUNTANTS" .............................. shall have the meaning as set forth in Section 2.2(a)(iv).
"APPLICABLE VALUATION DATE" ................................ shall have the meaning as set forth in Section 3.1(a).
"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).
"AUSTIN"............................................shall have the meaning as set forth in the Introduction hereto.
"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).
"BASE AMOUNT".............................................shall have the meaning as set forth in Section 2.1(a)(i).
"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'S INDEMNITEES" ........................................ shall have the meaning as set forth in Section 12.2.
"BUYER'S REVIEW" ......................................... shall have the meaning as set forth in Section 2.2(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).
"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 BALANCE SHEET" ............................. shall have the meaning as set forth in Section 2.2(iii).
"CLOSING SWAIN LOAN"......................................shall have the meaning as set forth in Section 2.1(f)(i).
"CLOSING HERZOG LOAN"....................................shall have the meaning as set forth in Section 2.1(f)(ii).
"CLOSING LOANS"..........................................shall have the meaning as set forth in Section 2.1(f)(ii).
"COMMISSION".................................................shall have the meaning as set forth in Section 3.1(b).
"COMPANY"...........................................shall have the meaning as set forth in the Introduction hereto.
"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(a).
"COVELL"............................................shall have the meaning as set forth in the Introduction hereto.
"CURRY".............................................shall have the meaning as set forth in the Introduction hereto.
"DADE COUNTY FACILITIES"..................................shall have the meaning as set forth in Section 2.2(e)(i).
</TABLE>



                                       70

<PAGE>
<TABLE>
<S>                                                                 <C>

"DADE COUNTY FINANCIAL STATEMENTS"...........................shall have the meaning as set forth in Section 5.8(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(k).
"EMPLOYMENT AGREEMENTS" .................................. shall have the meaning as set forth in Section 10.16(a).
"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)(iv)(A).
"ESCROW INCOME" ............................................ shall have the meaning as set forth in Section 2.5(c).
"ESCROW RELEASE DATE"......................................shall have the meaning as set forth in Section 2.5(a)(i)
"ESCROWEE" .............................................. shall have the meaning as set forth in Section 2.5(a)(i).
"ESTIMATED CLOSING DATE BALANCE SHEET........................shall have the meaning as set forth in Section 2.2(ii)
"ESTIMATED CLOSING DATE WORKING CAPITAL"...........................................................................
 ........................................................ shall have the meaning as set forth in Section 2.2(a)(i).
"ESTOPPEL CERTIFICATES".........................................shall have the meaning as set forth in Section 9.5.
"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 12.5(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).
"FOUNTAINHEAD NURSING CENTER".............................shall have the meaning as set forth in Section 2.2(e)(i).
"GAAP" ................................................. shall have the meaning as set forth in Section 2.2(a)(ii).
"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 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 10.9.
"HERZOG"............................................shall have the meaning as set forth in the Introduction hereto.
"HERZOG NOTE"............................................shall have the meaning as set forth in Section 2.1(c)(ii).
"HERZOG STOCK PLEDGE AGREEMENT"..........................shall have the meaning as set forth in Section 2.1(c)(ii).
"IHS STOCK" ............................................. shall have the meaning as set forth in Section 2.1(c)(i).
"ILLINOIS SUBSIDIARIES"................................shall have the meaning as set forth in Section 2.2(a)(viii).
"INITIAL MARKET VALUE PER SHARE".............................shall have the meaning as set forth in Section 3.1(k).
"KANSAS SUBSIDIARIES"..................................shall have the meaning as set forth in Section 2.2(a)(viii).
"LEASED RELATED CONTRACT".......................................shall have the meaning as set forth in Section 2.4.
"LEASED ASSETS" ......................................... shall have the meaning as set forth in Section 5.6(a)(i).
"LEASED FACILITY"...........................................shall have the meaning as set forth in Section 5.11(b).
"LETTER OF TRANSMITTAL"......................................shall have the meaning as set forth in Section 2.1(d).
"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 12.2.
"MAGNOLIA"..........................................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/MEDI-SERVE MERGER AGREEMENT".............................................................................
</TABLE>



                                       71

<PAGE>
<TABLE>
<S>                                                   <C>

 ....................................................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 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.
"MANAGED ASSETS" ........................................ shall have the meaning as set forth in Section 5.6(a)(i).
"MANAGED FACILITY"..........................................shall have the meaning as set forth in Section 5.11(b).
"MANAGED FACILITY OPERATOR"....................................shall have the meaning as set forth in Section 5.25.
"MANAGED LESSEE/OPERATOR....................................shall have the meaning as set forth in Section 5.11(c).
"MANAGED LEASED FACILITY"...................................shall have the meaning as set forth in Section 5.11(c).
"MANAGED LEASE".............................................shall have the meaning as set forth in Section 5.11(c).
"MANAGEMENT AGREEMENTS" ................................. shall have the meaning as set forth in Section 5.7(a)(x).
"MANATEE"...................................................shall have the meaning as set forth in Section 12.2(d).
"MANATEE ESCROW DEPOSIT"..............................shall have the meaning as set forth in Section 2.1(c)(iv)(A).
"MANATEE LIABILITY".........................................shall have the meaning as set forth in Section 12.2(d).
"MANATEE RELEASE DATE" ................................. shall have the meaning as set forth in Section 2.5(a)(ii).
"MEDI-SERVE"........................................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.
"MERGER TIME"...................................................shall have the meaning as set forth in Section 1.2.
"MINORITY SHAREHOLDERS".............................shall have the meaning as set forth in the Introduction hereto.
"MUENCHOW"..........................................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.
"NCGCL".........................................................shall have the meaning as set forth in Section 1.1.
"NEWCO".............................................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.
"NEW HERZOG PREMIERE SHARES".............................shall have the meaning as set forth in Section 2.1(f)(ii).
"NEW PREMIERE SHARES"....................................shall have the meaning as set forth in Section 2.1(f)(ii).
"NEW SWAIN PREMIERE SHARES"...............................shall have the meaning as set forth in Section 2.1(f)(i).
"NON-COMPETITION AGREEMENT" ................................. shall have the meaning as set forth in Section 10.14.
"NON-COMPETE PERIOD" ........................................ shall have the meaning as set forth in Section 10.14.
"NON-DISTURBANCE AGREEMENTS.....................................shall have the meaning as set forth in Section 9.5.
"NORTH MIAMI NURSING AND REHABILITATION CENTER
 ..........................................................shall have the meaning as set forth in Section 2.2(e)(i).
"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)(i).
"OWNED ASSETS" .......................................... shall have the meaning as set forth in Section 5.6(a)(i).
"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 1.2.
"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.
</TABLE>



                                       72

<PAGE>
<TABLE>
<S>                                                 <C>

"PRIMARY ESCROW"......................................shall have the meaning as set forth in Section 2.1(c)(iv)(A).
"PRINCIPAL SHAREHOLDERS"............................shall have the meaning as set forth in the Introduction hereto.
"PRINCIPAL SHAREHOLDERS' NOTE"...........................shall have the meaning as set forth in Section 2.1(f)(ii).
"PRINCIPAL SHAREHOLDERS' STOCK PLEDGE AGREEMENT"...................................................................
 .........................................................shall have the meaning as set forth in Section 2.1(f)(ii).
"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 9.7.
"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 9.4(b).
"REQUIRED NON-GOVERNMENTAL APPROVALS"..............................................................................
 .............................................................shall have the meaning as set forth in Section 9.4(a).
"REQUIRED GOVERNMENTAL APPROVALS"..................................................................................
 .............................................................shall have the meaning as set forth in Section 9.4(b).
"RULE 144"...................................................shall have the meaning as set forth in Section 3.1(d).
"SEC" ......................................................... shall have the meaning as set forth in Section 7.4.
"SEC DOCUMENTS" ............................................... shall have the meaning as set forth in Section 7.4.
"SERIES A MERGER CONSIDERATION PER SHARE"..........................................................................
 .........................................................shall have the meaning as set forth in Section 2.1(a)(ii).
"SERIES B MERGER CONSIDERATION PER SHARE"..........................................................................
 .........................................................shall have the meaning as set forth in Section 2.1(a)(ii).
"SERIES C MERGER CONSIDERATION PER SHARE"..........................................................................
 .........................................................shall have the meaning as set forth in Section 2.1(a)(ii).
"SERIES D MERGER"..................................................................................................
 .........................................................shall have the meaning as set forth in Section 2.1(a)(ii).
"SERIES A PREMIERE SHARES".........................................................................................
 ....................................................shall have the meaning as set forth in the Introduction hereto.
"SERIES B PREMIERE SHARES"..........................shall have the meaning as set forth in the Introduction hereto.
"SERIES C PREMIERE SHARES"..........................shall have the meaning as set forth in the Introduction hereto.
"SERIES D PREMIERE SHARES"................................shall have the meaning as set forth in Section 2.1(f)(i).
"SHAREHOLDERS' REPRESENTATIVE" ............................. shall have the meaning as set forth in Section 2.2(f).
"SHORT LEASE EXTENSION ALLOCATION" ......................... shall have the meaning as set forth in Section 2.2(b).
"SHCM STOCK PURCHASE AGREEMENT"...........................shall have the meaning as set forth in Section 2.2(d)(i).
"SHCM AGREEMENTS".........................................shall have the meaning as set forth in Section 2.2(d)(i).
"SCHM SUBSIDIARIES".........................................shall have the meaning as set forth in Section 2.2(ii).
"SCHM ASSET PURCHASE AGREEMENT"...........................shall have the meaning as set forth in Section 2.2(d)(i).
"SCHM SUBSIDIARIES FINANCIAL STATEMENTS"...........................................................................
 .............................................................shall have the meaning as set forth in Section 5.8(d).
"SCHM PROHIBITED LIABILITIES"...............................shall have the meaning as set forth in Section 2.2(ii).
"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.
"SHELF REGISTRATION STATEMENT"...............................shall have the meaning as set forth in Section 3.1(b).
"SHORT LEASE"...............................................shall have the meaning as set forth in Section 2.2(b).
</TABLE>



                                       73

<PAGE>
<TABLE>
<S>                                                       <C>

"SKYLER LEASES"...........................................shall have the meaning as set forth in Section 2.2(e)(i).
"SOUTHEASTERN FACILITIES" ............................... shall have the meaning as set forth in Section 2.2(d)(i).
"SPECIAL COUNSEL"..............................................shall have the meaning as set forth in Section 9.10.
"SPIN-OFF LIABILITIES"......................................shall have the meaning as set forth in Section 12.2(d).
"SUBSIDIARIES"......................................shall have the meaning as set forth in the Introduction hereto.
"SUBJECT SHARES"....................................shall have the meaning as set forth in the Introduction hereto.
"SUPPLEMENTAL ESCROW DEPOSIT" ....................... shall have the meaning as set forth in Section 2.1(c)(iv)(A).
"SURVIVING CORPORATION".........................................shall have the meaning as set forth in Section 1.1.
"SV/SOUTH FLORIDA" ...................................... shall have the meaning as set forth in Section 2.2(e)(i).
"SV/SOUTH FLORIDA LIABILITIES" .......................... shall have the meaning as set forth in Section 2.2(e)(i).
"SV/SOUTH FLORIDA AGREEMENTS" ........................... shall have the meaning as set forth in Section 2.2(e)(i).
"SV/SOUTH FLORIDA TERMINATION AGREEMENTS"..........................................................................
 ........................................................ shall have the meaning as set forth in Section 2.2(e)(i).
"SWAIN".............................................shall have the meaning as set forth in the Introduction hereto.
"SWAIN NOTE"..............................................shall have the meaning as set forth in Section 2.1(f)(i).
"SWAIN PLEDGE AGREEMENT"..................................shall have the meaning as set forth in Section 2.1(f)(i).
"TAXES" ...................................................... shall have the meaning as set forth in Section 5.22.
"TAX RETURNS"..................................................shall have the meaning as set forth in Section 5.22.
"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 10.13.
"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 12.7.
"WOODRUFF FACILITY".................................shall have the meaning as set forth in the Introduction hereto.
</TABLE>



                                       74

<PAGE>

                                                  SCHEDULE 2.2(B)

Facility                                             Amount

Heart of Georgia                                      $1,000,000
Old Capital                                              375,000
Heritage Inn                                             375,000
Hart Care                                                500,000
Rockmart                                                 250,000
Macon                                                  1,100,000
Dublin                                                 1,150,000
Oceanside/Savannah Beach                                 250,000



                                       75

<PAGE>

                                              Annex A to Schedule 2.4

         Riverfront Facility                         $3,100,000

         Woodbridge Facility                         $2,000,000

         St. Petersburg Facility                     $6,500,000



                                       76

<PAGE>

                                  SCHEDULE 7.7

         Buyer has made a decision to exit from the following  business lines in
the fourth quarter of 1997:

         Outpatient Rehabilitation Services
         Network Services
         Physician Practices
         One Home Care Management Contract.

         Buyer  anticipates  taking a fourth quarter  write-down with respect to
these business  lines to net realizable  value in an amount between $100 million
to $125 million.



                                       77





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


                           PROPERTY PURCHASE AGREEMENT

                            DATED AS OF JUNE 30, 1998

                                      AMONG

                        INTEGRATED HEALTH SERVICES, INC.,
               INTEGRATED HEALTH SERVICES OF FLORIDA AT HOLLYWOOD
                                   HILLS, INC.
                   MEDICAL ASSOCIATES IV LIMITED PARTNERSHIP,
                    HILLCO PCS (HIALEAH) LIMITED PARTNERSHIP,
                            MEDICAL ASSET FUND, LLC,
                                TODD P. ROBINSON,
                            DR. JOHN J. SHEEHAN, SR.,
                                       AND
                         HIALEAH ACQUISITION FUND, L.P.

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


<PAGE>

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

                                                                           PAGE

ARTICLE I:  SALE AND PURCHASE OF PROPERTY....................................2
    1.1     Acquired Property ...............................................2
    1.2     Excluded Property ...............................................3
    1.3     No Assumption of Liability.......................................3

ARTICLE II:  PURCHASE PRICE..................................................4
    2.1      Determination and Payment of Purchase Price.....................4
    2.2      Transfer and Sales Taxes........................................4
    2.3      Certain Adjustments.............................................5
    2.4      Prorated Items..................................................5

ARTICLE III: IHS STOCK.......................................................5
    3.1      IHS Stock.......................................................5

ARTICLE IV: THE CLOSING......................................................10
    4.1      The Closing.....................................................10

ARTICLE V:  REPRESENTATIONS AND WARRANTIES OF GROUP MEMBERS..................10
    5.1      Organization and Standing.......................................10
    5.2      Authority.......................................................11
    5.3      Binding Effect..................................................11
    5.4      Absence of Conflicting Agreements...............................12
    5.5      Consents........................................................12
    5.6      Title to Personal Property......................................12
    5.7      Contracts.......................................................12
    5.8      Title, Condition of the Real Property...........................13
    5.9      Legal Proceedings...............................................14
    5.10     Compliance with Laws............................................14
    5.11     Finders.........................................................14
    5.12     Tax Returns ....................................................15
    5.13     Encumbrances Created by this Agreement .........................15
    5.14     Equity Holders .................................................15

ARTICLE VI:  REPRESENTATIONS AND WARRANTIES OF IHS AND BUYER ................15
    6.1      Organization and Standing ......................................15
    6.2      Power of Authority .............................................15
    6.3      Binding Agreement ..............................................15
    6.4      SEC Documents ..................................................15


                                       (i)

<PAGE>


    6.5      Absence of Conflicting Agreements ..............................16
    6.6      Consents .......................................................16
    6.7      Capital Stock ..................................................16
    6.8      Finders ........................................................16

ARTICLE VII:  INFORMATION AND RECORDS CONCERNING THE FACILITY................16
    7.1      Maps, Plans, Surveys, etc ......................................16

ARTICLE VIII:  OBLIGATIONS OF THE PARTIES UNTIL CLOSING .....................17
    8.1      Negative Covenants of the Parties ..............................17
    8.2      Affirmative Covenants ..........................................17
    8.3      Pursuit of Consents and Approvals ..............................17
    8.4      Exclusivity ....................................................17

ARTICLE IX:  CONDITIONS PRECEDENT TO OBLIGATIONS OF BUYER AND IHS............17
    9.1      Representations and Warranties .................................17
    9.2      Performance of Covenants .......................................17
    9.3      Delivery of Closing Certificate ................................18
    9.4      Legal Matters ..................................................18
    9.5      Approvals ......................................................18
    9.6      Title Insurance ................................................18
    9.7      Deed ...........................................................19
    9.8      Property Transferred at Closing ................................19
    9.9      Authorization Documents ........................................19
    9.10     Opinion of Counsel .............................................19
    9.11     Additional Items to be Delivered ...............................19
    9.12     Intentionally Omitted ..........................................19
    9.13     Certain Reports ................................................20
    9.14     Other Documents ................................................20

ARTICLE X:  CONDITIONS PRECEDENT TO OBLIGATIONS OF GROUP MEMBERS.............20
   10.1     Representations and Warranties ..................................20
   10.2     Performance of Covenants ........................................20
   10.3     Delivery of Closing Certificate .................................20
   10.4     Legal Matters ...................................................20
   10.5     Authorization Documents .........................................20
   10.6     Opinion of Counsel ..............................................21
   10.7     Other Documents .................................................21


                                      (ii)

<PAGE>

ARTICLE XI:  OBLIGATIONS OF PARTIES AFTER CLOSING ...........................21
   11.1     Discharge of Liabilities ........................................21
   11.2     Survival of Representations and Warranties ......................21
   11.3     Indemnification by Group Members ................................21
   11.4     Indemnification by Buyer and IHS ................................21
   11.5     Assertion of Claims .............................................22
   11.6     Control of Defense of Indemnifiable Claims ......................22

ARTICLE XII:  TERMINATION ...................................................23
   12.1     Termination .....................................................23
   12.2     Effect of Termination ...........................................24

ARTICLE XIII:  CASUALTY, RISK OF LOSS .......................................24
   13.1     Casualty, Risk of Loss ..........................................24

ARTICLE XIV:  MISCELLANEOUS PROVISIONS ......................................24
   14.1     Public Announcements ............................................24
   14.2     Costs and Expenses ..............................................24
   14.3     Performance .....................................................25
   14.4     Benefit and Assignment ..........................................25

   14.5     Effect and Construction of this Agreement .......................25
   14.6     Cooperation - Further Assistance ................................25

   14.7     Notices .........................................................25


                                     (iii)

<PAGE>





                                    SCHEDULES

Schedule 1.1A     -        Description of Real Property

Schedule 2.3      -        Allocation of Purchase Price

Schedule 5.5      -        Seller's Consents

Schedule 5.6      -        Personal Property Encumbrances

Schedule 5.7      -        Leasehold defaults of Buyer

Schedule 5.8(a)   -        Title Exceptions

Schedule 5.14     -        Equity Interests in the Seller

Schedule 6.6      -        Buyer's Consents

                                    EXHIBITS
                                    --------

Exhibit 2.1(c)    -        Promissory Note

Exhibit 9.7       -        Special Warranty Deed

Exhibit 9.8-1     -        Bill of Sale

Exhibit 9.8-2     -        Assignment and Assumption of Contracts and Lease

Exhibit 9.10      -        Opinion of Seller's Counsel

Exhibit 10.6      -        Opinion of Buyer's Counsel

                                      (iv)

<PAGE>





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

                           PROPERTY PURCHASE AGREEMENT

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


                  This Property Purchase Agreement (this "AGREEMENT") is made as
of the 30th  day of June,  1998,  among  Integrated  Health  Services,  Inc.,  a
Delaware corporation having an address at 10065 Red Run Boulevard, Owings Mills,
Maryland  21117  ("IHS"),  Integrated  Health  Services of Florida at  Hollywood
Hills,  Inc.,  a  Delaware  corporation  having  an  address  at  10065  Red Run
Boulevard,  Owings  Mills,  MD 21117  ("BUYER"),  Medical  Associates IV Limited
Partnership,  a North  Carolina  limited  partnership  having an address at 2307
Princess Anne Drive,  Greensboro,  N.C. 27408  ("SELLER"),  Hillco PCS (Hialeah)
Limited  Partnership,  a Florida limited  partnership  having an address at 2307
Princess Anne Drive, Greensboro, NC 27408 ("HILLCO"), Medical Asset Fund, LLC, a
Georgia limited liability company having an address at P.O. Box 1073, Cleveland,
TN 37364-1073 ("MAF"), Todd P. Robinson, an individual having an address at 2307
Princess Anne Drive, Greensboro,  N.C. 27408 ("ROBINSON"),  Dr. John J. Sheehan,
Sr., an individual  having an address at 124 Florentine,  Horseshoe Bay West, TX
78657  ("Sheehan"),  and Hialeah  Acquisition  Fund,  L.P., a Tennessee  limited
partnership  having an  address  at P.O.  Box  1073,  Cleveland,  TN  37364-1073
("HIALEAH L.P.", and together with Hillco,  MAF,  Robinson,  and Dr. Sheehan the
"EQUITY  HOLDERS",  and each an "EQUITY  HOLDER").  The Equity  Holders  and the
Seller are  sometimes  referred  to  collectively  as the  "GROUP" and each as a
"GROUP MEMBER" or a "MEMBER OF THE GROUP".

                                   BACKGROUND
                                   ----------

                  A.  Buyer is a subsidiary of IHS.

                  B.  Seller  is the  owner of the  Property  (as  such  term is
hereinafter  defined)  relating to the  skilled  nursing  facility  known as the
"HIALEAH  CONVALESCENT  HOME",  and having an  address at 190 West 28th  Street,
Hialeah, Florida (the "FACILITY").

                  C. Buyer desires to purchase the Property.

                  D. The Equity  Holders are directly or indirectly  the holders
of the equity in Seller.

                  E. The Property is being leased to SHCM  Hialeah,  Inc.  F/K/A
Angell Care of Hialeah,  Inc. (the "LESSEE") under the Lease (the "LEASE") dated
as of January 31, 1984,  as amended July 1, 1991,  and further  amended June 28,
1996, between Lessee and Seller.

                  F. IHS or one of its  subsidiaries  (other than Buyer) has the
right to acquire all of the Lessee's rights under the Lease.


<PAGE>



                  NOW,  THEREFORE,  in  consideration  of the  foregoing and the
mutual  covenants,   agreements  and   representations   and  warranties  herein
contained,  and for other  good and  valuable  consideration,  the  receipt  and
sufficiency of which is hereby acknowledged, the parties hereto, intending to be
legally bound, agree as follows:

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

                  1.1 ACQUIRED PROPERTY . Subject to the terms and conditions of
this Agreement, at the Closing (as hereinafter defined), Buyer, in reliance upon
the covenants,  representations,  warranties and agreements of the Group Members
contained herein or made pursuant hereto,  will acquire from Seller, and Seller,
in reliance upon the  covenants,  representations,  warranties and agreements of
Buyer and IHS  contained  herein or made  pursuant  hereto,  will sell,  assign,
transfer  and  convey,  free and  clear  of all  Encumbrances  (as such  term is
hereinafter defined in Section 5.6), other than Permitted  Encumbrances (as such
term is hereinafter  defined in Section 5.8) to Buyer,  all of Seller's  rights,
title and interest, if any, in and to the following property (collectively,  the
"PROPERTY"):

                  (A)   the real property described on Schedule 1.1(a) attached 
hereto (the "LAND");

                  (B)   all  buildings,   structures,  Fixtures  (as hereinafter
defined)  and other  improvements  of every kind and nature  including,  but not
limited to, alleyways and connecting tunnels, sidewalks, utility pipes, conduits
and lines (on-site and off-site),  and parking areas and roadways appurtenant to
such  buildings  and  structures  presently or hereafter  situated upon the Land
(collectively, the "IMPROVEMENTS");

                  (C)   all easements, rights of way, licenses, leases, permits,
rights, privileges, tenements,  hereditaments and uses appurtenant or applicable
to the Land,  the  Improvements,  or the ownership or operation of the Facility,
including,  but not limited to, the entire rights,  title and interest of Seller
in and to any land lying in the bed of any and all public and  private  streets,
roads,  avenues,  highways  or  passageways,  open or  proposed,  in front of or
abutting the Land (collectively, the "RIGHTS");

                  (D)   all permanently affixed equipment,  machinery, fixtures,
and other items of property,  including all components thereof, now or hereafter
located  in,  on or used in  connection  with,  and  permanently  affixed  to or
incorporated into the Improvements, including, without limitation, all furnaces,
boilers,   heaters,   electrical   equipment,   heating,   plumbing,   lighting,
ventilating, refrigerating, incineration, air and water pollution control, waste
disposal,  air-cooling  and  air-conditioning  systems and apparatus,  sprinkler
systems and fire and theft protection equipment,  and built-in oxygen and vacuum
systems,  all of which,  to the  greatest  extent  permitted  by law, are hereby
deemed by the parties  hereto to  constitute  real  property,  together with all
replacements, modifications, alterations and additions thereto (collectively the
"FIXTURES");

                                        2

<PAGE>





                  (E)   all machinery, equipment, furniture,furnishings, movable
walls or  partitions,  computers or trade  fixtures or other  personal  property
located at the Facility,  including without limitation,  all items of furniture,
furnishings,  equipment,  vehicles,  supplies and  inventory,  together with all
replacements,  modifications,  alterations, and additions thereto, except items,
if any, included within the definition of Fixtures (collectively,  the "TANGIBLE
PERSONAL PROPERTY");

                  (F) the Lease, and all rights, and benefits arising thereunder
on or after the Closing,  and all security  deposits held by Seller, or in which
Seller has any rights,  including,  any security deposit under the Lease or with
public utilities; and

                  (G)  to the extent assignable, all intangible rights of Seller
of every kind and description, used in the maintenance or operation of the Land,
or the Improvements,  or other Property and, including without  limitation,  all
warranties, trademarks,  servicemarks,  tradestyles, building and property names
(including,  but not  limited  to any name by which  the  Facility  is  commonly
known),  and building signs on or relating to the Land or the Improvements,  and
also  including,  without  limitation,  all rights  arising  under or out of any
purchase agreements covering any of the Property (the "INTANGIBLES").

         All Property which  constitutes  real property is referred to herein as
"REAL PROPERTY" and all other Property is referred to as "PERSONAL PROPERTY."

              1.2  EXCLUDED  PROPERTY  .  Notwithstanding  the  foregoing,   the
Property  shall not  include,  and Seller  shall not sell,  transfer,  convey or
assign the  following  property  to Buyer:  the right to receive  refunds of any
sales tax paid by Seller prior to the Closing,  the Seller's limited partnership
certificate and limited partnership agreement,  qualifications to do business in
any jurisdiction,  taxpayer  identification numbers, and other documents related
specifically to Seller's limited partnership organization and maintenance,  cash
(provided that security  deposits  shall be included in the  Property),  and any
rights arising under the Lease to the extent arising out of services or products
or other  benefits  provided by the Seller  prior to the Closing  (collectively,
"EXCLUDED PROPERTY").

              1.3 NO ASSUMPTION OF LIABILITY .

                  (A)  Buyer  shall  not  assume,  nor in any way be  liable  or
responsible for, anyclaim, 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  (collectively,  "LIABILITIES") of the
Seller, or arising out of the ownership,  operation or maintenance of any of the
Property on or prior to the Closing, including without limitation, any liability
arising out of the Lease or any Contract (whether or not a Designated  Contract)
("UNASSUMED LIABILITIES").

                                       3


<PAGE>





                  (B)  Notwithstanding  the foregoing,  subject to the terms and
conditions of this Agreement,  at the Closing,  Buyer shall assume and undertake
to perform when and as the same shall become due, all obligations arising out of
services  or products  or other  benefits to be provided to Buyer after  Closing
under the Lease (the "ASSUMED LIABILITIES").

                           ARTICLE II: PURCHASE PRICE

                  2.1 DETERMINATION AND PAYMENT OF PURCHASE PRICE . The purchase
price (the "PURCHASE  Price") for the Property  shall be TWELVE MILLION  DOLLARS
($12,000,000),  which shall be payable at the Closing (as hereinafter defined in
Section 4.1) as follows:

                  (A) SIX MILLION FIVE  HUNDRED  THOUSAND  DOLLARS  ($6,500,000)
shall be paid in cash by wire transfer of immediately available funds;

                  (B) TWO MILLION FIVE  HUNDRED  THOUSAND  DOLLARS  ($2,500,000)
shall be paid by the delivery of newly issued  shares of the Common  Stock,  par
value  $.001,  of IHS (the  "IHS  STOCK")  valued  using  the  Closing  Date (as
hereinafter defined) as the date of determination in accordance with Section 3.1
below); and

                  (C) THREE MILLION  DOLLARS  ($3,000,000)  shall be paid by the
issuance of an unsecured  promissory note of Buyer in the form of Exhibit 2.1(c)
(the  "NOTE") and  providing,  inter alia,  for the payment of principal in five
installments as follows:

                            January 1, 1999 $760,000
                            January 1, 2000 $560,000
                            January 1, 2001 $560,000
                            January 1, 2002 $560,000
                            January 1, 2003 $560,000

Such  installments  shall be paid by the  delivery  of shares of IHS Stock (with
such shares to be valued in accordance  with Section 3.1(a) below using the date
that the delivery  thereof becomes due as the date of  determination).  Buyer in
its  sole  discretion  may  elect  to pay  all or any  part  of  such  principal
installments  in cash. The  outstanding  principal  under the Note, from time to
time,  shall bear interest at the rate of eight percent (8%) per anum, with such
accrued  and unpaid  interest  to be paid in cash on each date when a  principal
payment becomes due. Buyer in its sole discretion may elect to prepay all or any
principal  outstanding under the Note from time to time or at any time; provided
that any such  prepayment  shall be made in cash. The Note shall be executed and
delivered in Maryland.

              2.2 TRANSFER AND SALES TAXES . All state and local real estate and
other  property  transfer,  recording  fees and similar taxes arising out of the
transactions  contemplated  herein shall be borne fifty  percent (50%) by Seller
and fifty percent  (50%) by Buyer.  Any income or gains taxes arising out of the
transactions contemplated herein shall be borne by Seller.

                                       4

<PAGE>





              2.3 CERTAIN ADJUSTMENTS . The Purchase Price shall be allocated as
agreed in good faith by and between Buyer and Seller.

              2.4  PRORATED   ITEMS  .  On  the  Closing  Date,   the  following
adjustments  and  prorations  shall be  computed as of 11:59 P.M. on the Closing
Date with respect to the following  taxes (unless  otherwise  stated herein) and
the cash portion of the Purchase Price shall be adjusted,  upward or downward as
appropriate, to reflect such prorations:

                  (A)  RENT.  All rent  under the Lease  shall be  adjusted  and
apportioned as of the Closing Date.

                  (B) OTHER  PRORATIONS.  All other charges and fees customarily
prorated  and  adjusted  in  similar  transactions  in the  locale  in which the
Property is situated shall be prorated as of the Closing Date in accordance with
such custom.

              In the event that accurate prorations and other adjustments cannot
be made as of the Closing  Date  because  current  bills or  statements  are not
obtainable (as, for example,  utility bills),  the parties shall prorate and pay
their  respective  shares of such within 15 days after receipt of the final bill
of  statement,  but in no event  later than sixty (60) days after  Closing.  The
Seller shall use its best efforts to have all utility meters read on the Closing
Date so as accurately to determine the proration of current utility bills.

                             ARTICLE III: IHS STOCK

              3.1 IHS STOCK . As set forth in this  Agreement,  a portion of the
Purchase Price 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.  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 date of  determination  by using the average closing
New York Stock Exchange  ("NYSE") price of IHS Stock for the twenty (20) trading
day  period  ending  on the date  which  is two (2)  trading  days  prior to the
applicable date of determination.

                  (B) REGISTRATION RIGHTS.

                     (I) IHS will use its best  efforts to cause to be prepared,
filed and declared  effective by the  Securities  and Exchange  Commission  (the
"COMMISSION"),  within one hundred and twenty (120) days  following  the Closing
Date, a registration statement (a "REGISTRATION STATEMENT") for the registration
of the shares of IHS Stock issued to Seller at Closing, under the Securities Act
of  1933,  as  amended  (the  "SECURITIES  ACT"),  and IHS  shall  maintain  the
effectiveness  of such  registration  statement  for a  period  of one (1)  year
following  the  Closing  Date,  or until  Seller  shall no longer own any of the
shares of IHS Stock  issued at Closing  pursuant  to this  Agreement,  whichever
shall occur  first,  in each case except to the extent  that an  exemption  from
registration may be available.
 
                                      5


<PAGE>





                     (II) IHS will use its best efforts to cause to be prepared,
filed and declared  effective by the  Commission,  within one hundred and twenty
(120) days  following  the  issuance of any shares of IHS Stock  pursuant to the
Note ("NOTE SHARES"), a Registration Statement for the registration of such Note
Shares,  under the Securities Act, and IHS shall maintain the  effectiveness  of
such  registration  statement for a period of one (1) year following the date of
such  issuance,  or until  Seller  shall no longer own any of such Note  Shares,
whichever shall occur first, in each case except to the extent that an exemption
from registration may be available.

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

                  (D) RESALE LIMITATIONS.  Seller hereby covenants with IHS that
all resales of IHS Stock  issued  pursuant to this  Agreement  shall be effected
solely through Salomon Smith Barney, Inc., as broker.

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

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

                     (II) IHS shall  furnish  the  Seller  with  such  number of
prospectuses  asshall  reasonably be requested by Seller in connection  with any
actual or contemplated resales.

                                       6


<PAGE>





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

                     (IV) The information  included or incorporated by reference
in  the  Registration  Statements  will  not,  at  the  time  such  Registration
Statements become 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 Registration  Statements or any amendments  thereto.  The
Registration Statements will comply in all material respects with the provisions
of the  Securities  Act and the  rules  and  regulations  thereunder.  IHS shall
indemnify the Seller and each person, if any, who controls the Seller within the
meaning of ss.15 of the Securities  Act or ss.20(a) of the  Securities  Exchange
Act of 1934, as amended (the "EXCHANGE ACT"),  against all loss, claim,  damage,
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 any of
such Registration  Statements  executed by IHS or based upon written information
furnished by IHS filed in any  jurisdiction  in order to qualify IHS Stock under
the securities laws thereof or filed with the Commission,  any state  securities
commission  or agency,  NYSE or any  securities  exchange;  or the  omission  or
alleged  omission  was made in  reliance  upon and in  conformity  with  written
information  furnished to IHS or the omission or alleged omission therefrom of a
material fact required to be stated  therein or necessary to make the statements
contained therein not misleading,  unless such statement or omission was made in
reliance upon and in conformity with written information furnished to IHS by the
Seller for use in any  Registration  Statement (it being understood that IHS may
rely on the representations and warranties of the Group Members made pursuant to
this  Agreement in  preparing  the  Registration  Statement),  any  amendment or
supplement  thereto  or any  application,  as the case may be. If any  action is
brought against the Seller or any controlling person of the Seller in respect of
which   indemnity  may  be  sought  against  IHS  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 IHS in  writing of the  institution  of such
action and IHS shall assume the defense of such action, including the employment
and payment of reasonable fees and expenses of counsel (reasonably  satisfactory
to the Seller or such controlling  person).  Seller 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
Seller or such  controlling  person  unless (A) the  employment  of such counsel
shall have been  authorized in writing by IHS in connection  with the defense of
such action,  or (B) IHS shall not have  employed  counsel to have charge of the
defense of such action  within  fifteen  (15) days of the date of its receipt of
written request therefor referencing the consequences of failure to timely


                                       7

<PAGE>



retain such  counsel as set forth in this clause (iv),  or (C) such  indemnified
party or parties shall have reasonably concluded and notified IHS that there may
be  defenses  available  to her,  him,  it or them which are  different  from or
additional  to those  available  to IHS (in which  case,  IHS shall not have the
right to direct the defense of such action on behalf of the indemnified party or
parties),  in any of which  events  the fees and  expenses  of not more than one
additional  firm of attorneys  for the Seller  and/or such  controlling  persons
shall be borne by IHS.

                     (V) The  Seller,  and its  successors  and  assigns,  shall
indemnify IHS, its officers and directors and each person,  if any, who controls
IHS  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 information  furnished (or
required to be furnished in accordance  with this  Agreement) by or on behalf of
any of the Group Members, or any of their successors or assigns for inclusion in
the  Registration  Statement,  any Exchange Act filing or any State Blue Sky Law
filing.

                  (F)  NOTICE  OF SALE.  Seller  shall not  resell or  otherwise
transfer  any  interest  in any of the  shares  of IHS  Stock  issued  to Seller
pursuant to this  Agreement  unless  Seller shall have complied with all of his,
her or its  obligations  under this Agreement and except in the case of proposed
sales solely  pursuant to an effective  Registration  Statement,  unless  Seller
shall have given prior notice to IHS,  describing in reasonable  detail Seller's
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,  Seller will resell only in compliance  with the disclosure  therein and
discontinue any offers and sales  thereunder upon notice from IHS to the Sellers
that the  Registration  Statement  relating  to the  shares of IHS  Stock  being
transferred  is not  "current"  until IHS gives  further  notice that offers and
sales may be  recommenced.  In the event of any such notice from IHS, IHS agrees
to file expeditiously  such amendments to such 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 Seller when the  Registration  Statement has again
become  current.  If Seller  delivers  to IHS an opinion  of counsel  reasonably
acceptable to IHS and its counsel in form and substance reasonably acceptable to
them and to the effect that the proposed  transfer of shares of IHS Stock may be
made without  registration  under the Securities  Act and all  applicable  state
securities  laws,  Seller 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 their counsel.

                  (G)  CONDITIONS.  It shall  be a  condition  precedent  to the
obligations  of IHS to take any action  pursuant  to this  Article  III that the
Seller shall furnish to the IHS such information regarding itself, the shares of
IHS Stock held by it, and the intended  method of disposition of such securities
as shall be required to effect the  registration of their shares of IHS Stock or
as otherwise shall  reasonably be requested by IHS. In that  connection,  Seller
shall be required  to  represent  and  warrant to IHS that all such  information
which is given is both complete 

                                       8

<PAGE>


and accurate in all material respects. It also shall be a condition precedent to
the  obligations of IHS to take any action pursuant to this Article III that the
Seller shall  deliver to IHS a statement in writing that it bona fide intends to
resell,  transfer or otherwise  dispose of the shares of IHS Stock.  Seller will
promptly  notify IHS at any time when a  prospectus  relating to a  Registration
Statement  covering  Seller's  shares  under this  Section 3.1 is required to be
delivered  under the  Securities  Act,  of the  happening  of any event known to
Seller  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  under
which such statements are made.

                  (H) INVESTMENT REPRESENTATIONS.  All shares of IHS Stock to be
issued  hereunder  will be newly issued  shares of IHS.  Seller  represents  and
warrants to IHS that the IHS Stock being issued hereunder is being acquired, and
will be acquired,  by the Seller 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 any applicable state securities law; the Seller
acknowledges  that  the  shares  of IHS  Stock  issued  to it  pursuant  to this
Agreement  constitute  restricted  securities  under Rule 144 promulgated by the
Commission pursuant to the Securities Act, and may have to be held indefinitely,
and the Seller  agrees that no shares of IHS Stock issued to it 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 Seller  represents and warrants
that it 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 Seller
represents and warrants that it has had the opportunity to make inquiries of and
obtain from  representatives  and employees of IHS such other  information about
IHS as he, she or it 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  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 required in the opinion of IHS'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.


                                       9

<PAGE>





                  (J) CERTAIN TRANSFEREES. Except in the case of any transfer of
any shares of IHS Stock issued pursuant to this Agreement to a person in an open
market  transaction  subsequent  to the  effective  date of, and  pursuant to, a
Registration  Statement  covering  such  shares of IHS Stock,  Seller  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
IHS, to be bound by the  provisions  applicable to the Seller 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.

                             ARTICLE IV: THE CLOSING

                  4.1 THE CLOSING . The closing of the transactions contemplated
by  this  Agreement  (the  "CLOSING")   shall  take  place  pursuant  to  escrow
arrangements, reasonably satisfactory to the parties hereto, when all conditions
to the Closing are  satisfied,  including,  without  limitation,  receipt of all
necessary regulatory approvals in connection with the transactions  contemplated
by this  Agreement,  but in any event,  no later than June 30, 1998,  subject to
extension  until  July  31,  1998  at the  discretion  of  IHS,  if all of  such
conditions shall not then have been satisfied (the "CLOSING DATE").

           ARTICLE V: REPRESENTATIONS AND WARRANTIES OF GROUP MEMBERS

                  The Group Members,  jointly and severally (except as otherwise
hereinafter  expressly  provided),  represent  and  warrant  to Buyer and IHS as
follows, provided, however, that the representations and warranties contained in
Sections 5.1, 5.2, 5.3, 5.4 and 5.5 are made severally by each Group Member with
respect to itself,  himself or herself only and provided further, that the Group
Members  jointly and severally,  make such  representations  and warranties with
respect to Seller.

                  5.1  ORGANIZATION AND STANDING .

                      (A)  Each  Group  Member  that is a   corporation  is duly
organized, validly existing and i n good standing under the laws of its state of
incorporation.  Copies of its Articles of  Incorporation  and  By-Laws,  and all
amendments thereof to date (the "CORPORATE  DOCUMENTS"),  have been delivered to
Buyer and are  complete  and  correct.  Each such Group Member 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 such
Group Member 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.

                                       10


<PAGE>





                      (B) Each Group Member that is a limited  liability company
is duly organized,  validly  existing and in good standing under the laws of its
state  of  formation.  Copies  of it  Certificate  of  Formation  and  Operating
Agreement,  and all amendments  thereof to date (the "LIMITED  LIABILITY COMPANY
Documents"),  have been  delivered to Buyer and are  complete and correct.  Each
such Group Member 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 to which it is a
party and to perform its obligations  hereunder and thereunder.  Each such Group
Member is qualified  to do business as a foreign  limited  liability  company in
each state  where the  ownership  of its assets or the  conduct of its  business
would make such qualification necessary.

                      (C) Each Group  Member  that is a limited  partnership  is
duly  organized,  validly  existing and in good  standing  under the laws of its
state of organization.  Copies of it Limited Partnership Certificate and Limited
Partnership  Agreement,  and  all  amendments  thereof  to  date  (the  "LIMITED
PARTNERSHIP  DOCUMENTS",  and  together  with the  Corporate  Documents  and the
Limited  Liability  Company  Documents,  the "GOVERNING  DOCUMENTS"),  have been
delivered to Buyer and are complete and correct.  Each such Group Member 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 to which it is a party and to
perform its  obligations  hereunder  and  thereunder.  Each such Group Member is
qualified to do business as a foreign  limited  partnership  in each state where
the  ownership  of its  assets or the  conduct of its  business  would make such
qualification necessary.

                      (D) Each Group  Member that is an  individual  is of legal
age and  otherwise  has the  capacity  to  enter  into  this  Agreement  and the
Transaction  Documents  to which he is a party,  and is doing so by his own free
act of volition.

              5.2  AUTHORITY . Each Group Member that is not an  individual  has
the full  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.  The execution,  delivery,  performance  and  consummation  of this
Agreement  and the  Transaction  Documents  have  been  duly  authorized  by all
necessary action,  corporate,  limited liability company, limited partnership or
otherwise,  on the part of such Group  Member,  and all  necessary  consents  of
holders of indebtedness of such Group Member to the transactions contemplated by
this Agreement have been obtained.

              5.3 BINDING EFFECT . This Agreement and all Transaction  Documents
constitute the legal, valid and binding obligations of each Group Member that is
a party thereto,  enforceable against such Group Member in accordance with their
respective terms.

                                       11

<PAGE>





              5.4 ABSENCE OF  CONFLICTING  AGREEMENTS . Neither the execution or
delivery  by any  Group  Member  of  this  Agreement  or any of the  Transaction
Documents  nor  the  performance  by  any  Group  Member  of  the   transactions
contemplated hereby and thereby, conflicts with, or constitutes a breach of or a
default under (A) such Group Member's  Governing  Documents;  (B) except for the
Required Approvals, any judgment, order, writ, injunction, decree, statute, law,
rule,  regulation,  directive,  mandate,  ordinance or guideline  ("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, him or her or the ownership of
any of the Property, or (C) any agreement,  indenture, contract or instrument to
which  any  Group  Member is now a party or by which any of them or any of their
respective assets is bound.

              5.5  CONSENTS  . No  authorization,  consent,  approval,  license,
exemption by filing or registration  with any Governmental  Authority is or will
be necessary  for any Group Member to obtain in  connection  with it, his or her
entry into,  execution,  delivery and performance of this Agreement,  any of it,
his or her Transaction  Documents,  or for the  consummation of the transactions
contemplated hereby and thereby.

              5.6 TITLE TO PERSONAL  PROPERTY . Except for the rights granted to
the Lessee under the Lease, Seller has good and marketable title to all Personal
Property 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 ("ENCUMBRANCES"),
other than Permitted  Encumbrances.  Except for Lessee's  rights pursuant to the
Lease, no other person has any right to the use or possession of any of Personal
Property  and,  except as set forth on Schedule  5.6,  Seller has not signed any
security  agreement  authorizing  or granting a security  interest in and to the
Personal Property.

              5.7  CONTRACTS  . Except  for the  Lease,  there is no  agreement,
lease,  contract,  instrument or commitment relating to the Property or to which
the Seller is a party or by which the Seller or any of the Property is bound.  A
true,  complete and correct copy of the Lease has been  delivered to Buyer.  The
Lease was  entered  into and  requires  performance  in the  ordinary  course of
business and is in full force and effect. The Seller is not in default under the
Lease and there has not been asserted, either by or against the Seller under the
Lease, any notice of default,  set-off or claim of default.  Except as set forth
on Schedule  5.7, to the  knowledge of the Group  Members,  the Lessee is not in
default of any of its  obligations  under the Lease,  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 the Lease.  Except as set forth in Schedule
5.7,  all amounts  payable or  receivable  under the Lease are,  and will at the
Closing  Date, be on a current  basis.  Except as set forth in Schedule 5.7, the
assignment of the Lease and the transactions contemplated by this Agreement will
not require consent under the Lease.

                                       12

<PAGE>





               5.8  TITLE, CONDITION OF THE REAL PROPERTY .

                    (A)  Other  than  the  mortgages   described  on  the  title
insurance  commitment  heretofore  delivered to Buyer,  which mortgages shall be
satisfied  and  released  in a manner  satisfactory  to Buyer  prior to Closing,
Seller has good and marketable  fee simple title to the Real Property,  free and
clear of all Encumbrances and title exceptions of any kind whatsoever except for
the  title  exceptions  set forth on  Schedule  5.8(a)  and for the  Lease  (the
"PERMITTED ENCUMBRANCES").

                    (B)  Except  for the  Lease,  there  are no  leases or other
agreements  of Seller as lessor or licensor,  granting any third party the right
to use or occupy any of the  Property  (except  for rights  granted by Lessee as
lessee under the Lease,  such as the rights of the patients of the Facility) and
no person, firm or entity has any ownership interest or option or right of first
refusal to acquire any ownership interest in any or all of the Real Property.

                    (C)  Seller has  delivered  to Buyer copies of any notice of
violation of any Governmental Requirement affecting the Real Property issued to,
or received by, Seller from any Governmental Authority.

                    (D)  Seller has not received  any notice of any plan,  study
or effort by any Governmental Authority which in any way affects or would affect
the present use or zoning of the Real Property or any part  thereof.  Seller has
not received any notice of any  assessments or proposed  assessments or proposed
or  contemplated  plan to widen,  modify or realign any street or highway or any
existing,  proposed or contemplated eminent domain proceedings that would affect
the  Real  Property  in  any  way  whatsoever.  No  subdivision  plan  or  plans
(preliminary  or otherwise) have been or will be filed by Seller with respect to
the Real Property.

                    (E)  There is no  proceeding  pending  to which  Seller is a
party  relating to the assessed  valuation of any portion of the Real  Property,
and Seller has not received any assessment for public  improvements  against the
Real Property that remains unpaid or unperformed.

                    (F)  Seller has not  received  any  notice of  noncompliance
from any Governmental  Authority regarding any of the Improvements or the use or
occupancy thereof.

     Except to the extent that Lessee shall be liable  therefor under the Lease,
to the best of Seller's  knowledge,  the  Improvements and all of their systems,
and the Fixtures, 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
(except for normal wear and tear that has not had a material  adverse  effect on
the condition  thereof),  and have passed all previous  safety and/or  licensing
inspections.


                                       13

<PAGE>





              5.9 LEGAL  PROCEEDINGS . There are no disputes,  claims,  actions,
suits or proceedings,  arbitrations or investigations,  either administrative or
judicial,  to  which  Seller  is a party  or is  subject,  pending,  or,  to the
knowledge  of  the  Group  Members,  threatened  or  contemplated,  nor,  to the
knowledge  of the  Group  Members,  is there  any  basis  therefor,  against  or
affecting any of the Property or Seller's rights therein or Seller's  ability to
consummate  the  transactions  contemplated  herein,  at  law  or in  equity  or
otherwise,  before or by any  Governmental  Authority.  Seller has  received  no
written requests for information  with respect to the transactions  contemplated
hereby from any Governmental Authority.

              5.10  COMPLIANCE WITH LAWS .

                    (A)  Except  to the  extent  that  Lessee  shall  be  liable
therefor  under  the  Lease,  to the best of  Seller's  knowledge,  Seller is in
compliance with all Governmental  Requirements applicable to it or the Property.
The Seller has not  received any claim or notice that any of the Property is not
in compliance with any applicable  Governmental  Requirement.  The Group Members
shall report to Buyer,  within five (5) days after receipt thereof,  any written
or oral claims or notices that any of the Property is not in compliance with any
of the foregoing.

                    (B) Except to the extent the Lessee shall be liable therefor
under the Lease,  at all times,  to the best of Seller's  knowledge,  Seller has
complied,  and is complying in all respects with all  environmental  and related
Governmental Requirements applicable to it and the Property,  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 use and ownership of
the  Property  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  Property,  or at any other
location.  No notice from any  Governmental  Authority has ever been served upon
the Seller,  or any of its agents or  representatives  claiming any violation of
any  Environmental  Law, or requiring  or calling  attention to the need for any
work, repairs, or demolition, on or in connection with any of such properties in
order to comply with any Environmental Law.

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

                                       14

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              5.12 TAX RETURNS . Seller has filed all Federal, state, county and
local real estate and  personal  property,  and other tax returns and  abandoned
property  reports  (if any) to date that are due and  required to be filed by it
prior to the date hereof, and there are no claims, liens, or judgments for taxes
due and  payable  prior to the date  hereof  from  Seller  affecting  any of the
Property, and no basis for any such claim, lien, or judgment exists.

              5.13  ENCUMBRANCES  CREATED BY THIS  AGREEMENT . The execution and
delivery of this  Agreement and any of  Transaction  Documents does not, and the
consummation of the transactions contemplated hereby or thereby will not, create
any Encumbrances on any of the Property in favor of third parties.

              5.14  EQUITY  HOLDERS  .  Schedule  5.14  sets  forth  all  of the
outstanding  percentage  interests  in the  Seller,  and  the  holders  thereof.
Schedule 5.14 also sets forth all of the  outstanding  membership  interests and
outstanding  shares of capital  stock in each of the  partners of the Seller and
the holders thereof.

           ARTICLE VI: REPRESENTATIONS AND WARRANTIES OF IHS AND BUYER

              IHS and Buyer  jointly  and  severally  represent  and  warrant to
Seller as follows:

              6.1  ORGANIZATION  AND  STANDING  .  Each of IHS  and  Buyer  is a
corporation duly organized, validly existing and in good standing under the laws
of the State of Delaware.

              6.2 POWER OF  AUTHORITY . Each of IHS and Buyer has the  corporate
power and authority to execute,  deliver and perform this  Agreement,  and as of
the Closing,  each of IHS and Buyer will have the corporate  power and authority
to execute and deliver the  Transaction  Documents  required to be executed  and
delivered by them to the Seller at the Closing.

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

              6.4 SEC  DOCUMENTS . IHS has  furnished  the Group  Members with a
correct and complete  copy of its report on Form 10-K for its fiscal years ended
December 31, 1997  (the"10-K"),  its report on Form 10-Q for its fiscal  quarter
ended March 31, 1998 (the"10-Q"), and its proxy statement prepared in connection
with its annual  meeting  held on May 22,  1998 (the "PROXY  STATEMENT").  As of
their  respective  dates,  none of the 10-K,  10-Q, and Proxy  Statement and any
press  release  or other  schedule  or  report  required  by IHS to be  publicly
disclosed  or filed with the  Securities  and  Exchange  Commission  (the "SEC")
pursuant to the Exchange Act since January 1, 1998 (all of the  foregoing  being
the "SEC  DOCUMENTS")  contained any untrue  statements,  or

                                       15

<PAGE>


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.

              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 or IHS nor the performance by
Buyer or IHS 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 or IHS, or (b) any  Governmental  Requirement
applicable  to  Buyer  or IHS,  or (d) any  agreement,  indenture,  contract  or
instrument  to which  the  Buyer  or IHS is now a party  or by which  any of the
assets of Buyer or IHS is bound.

              6.6   CONSENTS  .  Except  as  set  forth  on  Schedule   5.5,  no
authorization,  consent, approval, license, exemption by, filing or registration
with any Governmental  Authority, is or will be necessary in connection with the
execution,  delivery and performance of this Agreement or any of the Transaction
Documents by Buyer or IHS.

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

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

          ARTICLE VII: INFORMATION AND RECORDS CONCERNING THE FACILITY

              7.1 MAPS, PLANS,  SURVEYS, ETC . As promptly as possible after the
date hereof,  Seller shall deliver, or cause to be delivered,  to Buyer, without
charge,  copies of all plans,  maps,  surveys,  descriptions,  title reports and
certificates  of occupancy  respecting  the  Property and the use and  occupancy
thereof in Seller's  possession or under  Seller's  control that exist as of the
date of this  Agreement,  which  materials  shall be  returned to Seller if this
Agreement is terminated.  Prior to the Closing Date, Buyer may make, or cause to
be made, such  investigation  of the condition of the Seller and the Property as
Buyer deems necessary or advisable to familiarize  itself  therewith.  The Group
Members shall permit Buyer and its authorized  representatives  (including legal
counsel,  accountants and  investigating  agencies),  to have full access to the
books and  records  of the Seller  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  Property  as Buyer  shall  from  time to time  reasonably
request. The Seller shall cause its accountants to cooperate with Buyer.

                                       16

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             ARTICLE VIII: OBLIGATIONS OF THE PARTIES UNTIL CLOSING

              8.1 NEGATIVE  COVENANTS OF THE PARTIES . Without the prior written
approval of Seller or Buyer, as the case may be, neither Buyer nor Seller shall,
between  the date  hereof  and the  Closing,  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  made  by it as set  forth  in this
Agreement had the same occurred prior to the date hereof.

              8.2  AFFIRMATIVE  COVENANTS  .  Between  the date  hereof  and the
Closing,  Seller shall comply with all  provisions of the  Contracts,  including
without limitation,  payment of all amounts coming due thereunder, and shall not
modify, amend, terminate or supplement any of same.

              8.3 PURSUIT OF  CONSENTS  AND  APPROVALS  . Prior to the  Closing,
Buyer and Seller  jointly  shall  diligently  undertake  to obtain all  Required
Approvals.

              8.4  EXCLUSIVITY  . Until the earlier of the  Closing  Date or the
termination of this Agreement pursuant to Section 12.1, no Group Member, 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
of the Property or of any of the equity in the Seller (any of said  transactions
being referred to herein as a "PROHIBITED TRANSACTION"). The Group Members 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.

        ARTICLE IX: CONDITIONS PRECEDENT TO OBLIGATIONS OF BUYER AND IHS

              Unless  expressly  waived  by Buyer  in  writing  and  IHS,  their
respective  obligations  to consummate  the  transactions  contemplated  by this
Agreement are subject to the satisfaction,  prior to or at the Closing,  of each
of the following  conditions.  Upon failure of any of the  following  conditions
Buyer or IHS may terminate  this  Agreement  pursuant to and in accordance  with
Article XII herein.

              9.1  REPRESENTATIONS  AND  WARRANTIES  . The  representations  and
warranties of the Group Members 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.

              9.2  PERFORMANCE  OF  COVENANTS  . Each  Group  Member  shall have
performed or complied with each agreement,  covenant and obligation  required by
this Agreement to be performed or complied with by such Group Member prior to or
at the Closing.

                                       17

<PAGE>





              9.3 DELIVERY OF CLOSING CERTIFICATE . The Group Members shall have
executed  and  delivered to Buyer and IHS a  certificate  dated the Closing Date
upon which they may rely,  certifying  that the conditions set forth in Sections
9.1 and 9.2 have been satisfied as of the Closing Date.

              9.4 LEGAL MATTERS . No suit,  action,  investigation,  or legal or
administrative  proceeding shall have been brought or shall have been threatened
by any person that  questions the validity or legality of this  Agreement or the
consummation of the transactions contemplated hereby.

              9.5  APPROVALS .

                   (A)  The consent or approval of all  Government  Authorities
necessary for the  consummation  of the  transactions  contemplated  hereby (the
"REQUIRED APPROVALS") shall have been granted.

                    (B) None of the foregoing  Required 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 Property or the Facility,  or (ii) shall
impose on Buyer or IHS any material  condition or provision or requirement  with
respect  to the  Property  or  the  Facility  or  its  operation  that  is  more
restrictive  than or different from the  conditions  imposed upon such operation
prior to Closing.

              9.6 TITLE  INSURANCE . Buyer shall have obtained,  at its expense,
at normal rates, a title  commitment from a reputable  title  insurance  company
selected by Buyer (the "TITLE  COMPANY")  for an owner's  title policy  (owner's
ALTA  Policy  Form B, as  amended  10/17/70),  insuring  that  title to the Real
Property  shall be in fee simple and shall be good and  marketable  and free and
clear of all  Encumbrances  or  rights  of use or  possession  and  other  title
objections  (including any lien or future claim from materials or labor supplied
for improvement of such property), except for Permitted Encumbrances;  provided,
however, that, at the request of Buyer, Seller shall provide such affidavits and
standard indemnities to the Title Company and take such other reasonable actions
that would enable the Title Company to remove any standard  exceptions  included
as Permitted Encumbrances, but shall not be required to pay any premium or incur
any  out-of-pocket   expense  to  do  so.  Seller  shall,  if  required  by  the
aforementioned  title  insurance  company in connection with the issuance of the
aforementioned  owner's title policy, have executed a gap indemnity agreement in
a form acceptable to such title insurance company.  With respect to the standard
survey  exceptions,  Buyer may obtain prior to the Closing a survey,  at Buyer's
expense,  but if such survey (or study)  discloses any Encumbrance that is not a
Permitted Encumbrance, Buyer may consider such a defect in title and may, at its
option,  elect to cancel this  Agreement  pursuant to Section  12.1  hereof.  In
addition to such title  policy,  Buyer,  at its  expense,  must receive a zoning
opinion or report in form and substance reasonably satisfactory to it.

                                       18

<PAGE>





              9.7 DEED . Seller  shall have  executed  and  delivered to Buyer a
special warranty deed for the Real Property with warranty against grantor's acts
in  the  form  of  Exhibit  9.7  hereto,  and  subject  only  to  the  Permitted
Encumbrances.

              9.8 PROPERTY  TRANSFERRED AT CLOSING . Seller shall have delivered
or caused to be delivered to Buyer  possession  of the Property (or the right to
obtain  possession  on  demand)  together  with  such  instruments  of sale  and
transfer,  including without  limitation,  a Bill of Sale in the form of Exhibit
9.8-1 and an  Assignment  and  Assumption  of Contracts and Lease in the form of
Exhibit 9.8-2 (the "ASSIGNMENT AGREEMENT"), sufficient to vest in Buyer good and
marketable  title to the Personal  Property,  free and clear of all Encumbrances
other than the Permitted Encumbrances.

              9.9  AUTHORIZATION   DOCUMENTS  .  Buyer  shall  have  received  a
certificate of the Group Members  certifying  authorization  of their execution,
delivery and full  performance of this Agreement and the Transaction  Documents,
and  certifying a copy of the  Certificate  of Limited  Partnership  and Limited
Partnership Agreement of Seller.

              9.10 OPINION OF COUNSEL . Seller shall have  delivered to Buyer an
opinion  dated as of the  Closing  Date,  of counsel to Seller,  in the form and
substance attached hereto as Exhibit 9.10(a). Said opinion shall be addressed to
and may be relied upon by Buyer, its counsel, Buyer's lenders and their counsel,
and the Title Company.

              9.11  ADDITIONAL  ITEMS  TO BE  DELIVERED  . At or  prior  to  the
Closing, Seller shall have delivered the following to Buyer:

                   (A) all keys to the Improvements in the possession or control
of Seller;

                   (B) to the extent in the possession or control of Seller, the
originals (if  available,  otherwise  legible and complete  photocopies)  of all
building  permits,  certificates  of occupancy,  zoning  certificates  and other
governmental  permits and licenses  required in connection  with the  ownership,
use, operation or maintenance of the Property;

                   (C) to the extent  they are in the  possession  or control of
Seller,  all  architectural,   engineering,  mechanical,  HVAC,  electrical  and
landscaping plans, drawings, and specifications,  including "as built" plans and
specifications for each of the Improvements; and

                   (D) all  other  documents,  correspondence,  files,  records,
memoranda, reports and other items within the possession or control of Seller or
its agents or attorneys  pertaining  to the Property  which Buyer or its counsel
may reasonably request.

              9.12 INTENTIONALLY OMITTED .


                                        19


<PAGE>





              9.13  CERTAIN  REPORTS . Buyer  shall  have  received,  at Buyer's
expense,  reports from qualified engineers and inspectors approved by Buyer with
respect to the physical  condition of the Property and any termite,  wood boring
insect or other pest  infestation at the Facility,  and/or resultant damage that
has not been  corrected in all material  respects.  If any of such reports shall
indicate any matters that would  constitute  a breach of any  representation  or
warranty by any Group  Member,  then the Buyer may terminate  this  Agreement in
accordance  with Section 12.1 hereof.  The  condition  set forth in this Section
9.13 shall be deemed  satisfied  unless Buyer  otherwise  notifies  Seller on or
prior to June 20, 1998.

              9.14 OTHER  DOCUMENTS . Seller shall have furnished Buyer with all
other documents,  certificates and other instruments required to be furnished to
Buyer by Seller  pursuant to the terms hereof,  including,  without  limitation,
assignments of warranties to the extent assignable.

         ARTICLE X: CONDITIONS PRECEDENT TO OBLIGATIONS OF GROUP MEMBERS

              Unless  expressly  waived in writing by Seller,  the obligation of
the Group Members 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:

              10.1  REPRESENTATIONS  AND  WARRANTIES . The  representations  and
warranties of Buyer and IHS 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.

              10.2 PERFORMANCE OF COVENANTS . Buyer and IHS shall have performed
or  complied  with  each  of its  agreements  and  conditions  required  by this
Agreement  to be  performed  or complied  with by it prior to or at the Closing,
including payment of the Purchase Price.

              10.3  DELIVERY OF CLOSING  CERTIFICATE  . Buyer and IHS shall have
delivered  to  Seller a  certificate  of an  officer  of Buyer and IHS dated the
Closing  Date upon which Seller can rely,  certifying  that the  conditions  set
forth in Sections 10.1 and 10.2 have been satisfied as of the Closing Date.

              10.4 LEGAL MATTERS . No suit,  actions,  investigation or legal or
administrative  proceeding shall have been brought or shall have been threatened
by any person that  questions the validity or legality of this  Agreement or the
transactions contemplated hereby.

              10.5  AUTHORIZATION  DOCUMENTS  . Seller  shall  have  received  a
certificate of the Secretary or other officer of Buyer and IHS certifying a copy
of  resolutions  of the  Board of  Directors  of Buyer and IHS  authorizing  the
execution  and full  performance  by  Buyer  and IHS of this  Agreement  and the
Transaction Documents and the incumbency of the officers of Buyer and IHS.

                                       20

<PAGE>





              10.6  OPINION OF COUNSEL . Buyer and IHS shall have  delivered  to
Seller an opinion, dated as of the Closing Date, of counsel to Buyer and IHS, in
the form and substance attached hereto as Exhibit 10.6.

              10.7 OTHER  DOCUMENTS . Buyer and IHS shall have furnished  Seller
with all documents,  certificates and other instruments required to be furnished
to Seller by Buyer or IHS pursuant to the terms hereof.

                ARTICLE XI: OBLIGATIONS OF PARTIES AFTER CLOSING

              11.1  DISCHARGE  OF  LIABILITIES  .  Seller  shall  pay all of its
liabilities  and  obligations  (other than Assumed  Liabilities),  if any,  with
respect to the Property as and when the same shall become due and payable.

              11.2   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 until the second anniversary of
the Closing Date  notwithstanding  any  investigation  at any time made by or on
behalf of the other party.

              11.3 INDEMNIFICATION BY GROUP MEMBERS . The Group Members, jointly
and  severally,  shall  indemnify  and  defend  Buyer  and IHS and each of their
respective  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:

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

                     (B) the breach of any covenant,  obligation or  undertaking
by any Group Member made pursuant to this Agreement;

                     (C) any Unassumed Liability; or

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

              11.4  INDEMNIFICATION  BY  BUYER  AND IHS . Buyer  and IHS  shall,
jointly  and  severally,  indemnify  and  defend  the  Group  Members  and their
respective  partners,  officers,   directors,   employees,  advisors  and  their
respective  successors and assigns  harmless against and with respect to any and
all Loss resulting from or arising out of:

                                       21

<PAGE>





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

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

                     (C) any Assumed Liability; or

                     (D)  any  action,  suit,  proceeding,  demand,  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.

              11.5  ASSERTION OF CLAIMS . Any claims for  indemnification  under
Section 11.3(a) or 11.4(a) must be asserted by written notice on or prior to the
second anniversary of the Closing Date.

              11.6 CONTROL OF DEFENSE OF INDEMNIFIABLE CLAIMS .

                     (A) Buyer shall give Seller prompt notice of each claim for
which it seeks  indemnification.  Failure to give such prompt  notice  shall not
relieve the Group  Members of their  indemnification  obligation,  provided that
such  indemnification  obligation  shall be  reduced  by any  damages  the Group
Members  demonstrate they have suffered  resulting from a failure to give prompt
notice hereunder.  The Seller shall be entitled to participate in the defense of
such claim.  If at any time the Group  Members  acknowledge  in writing that the
claim is fully  indemnifiable  by them under this Agreement,  and, if reasonably
requested by Buyer, post adequate bond or security, they shall have the right to
assume  control of the  defense of such  claim at their own  expense;  provided,
however,  no such bond  shall be  required  if such  matter is fully  covered by
insurance or is otherwise the obligation of the Lessee.

                     (B) The Seller  shall give Buyer prompt  written  notice of
each claim for which any Group  Member  seeks  indemnification.  Failure to give
such prompt  notice  shall not  relieve the Buyer or IHS of its  indemnification
obligation,  provided that such  indemnification  obligation shall be reduced by
any damages Buyer or IHS  demonstrates it has suffered  resulting from a failure
to give  prompt  notice  hereunder.  IHS and 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 Seller post adequate  bond of security,  it shall have the right
to assume control of the defense of such claim at its own expense.

                     (C) Nothing  contained in this  Section 11.6 shall  prevent
either party from  assuming  total  control of the defense  and/or  settling any
claim against it for which  indemnification  is not sought under this Agreement.
No party shall settle any claim for which  indemnification is sought without the
written consent of the Seller and Buyer, which consent shall not be unreasonably
withheld, delayed or conditioned.

                                       22

<PAGE>





                     (D) Any Buyer Indemnitee shall be entitled to, but shall no
be required to, offset any claim made by such Buyer Indemnitee  pursuant to this
Agreement  against  any  amount  payable  under  the  Note.  Buyer  shall not be
permitted such offsets if Seller is complying with all of its obligations  under
this Section 11.6,  provided,  however,  (i) such matter is covered by insurance
and/or Seller posts a bond or provides other reasonably  acceptable security, or
(ii) the remaining balance of the Note is greater than twice the amount claimed,
in which  event,  Buyer  shall be  entitled  to escrow any  scheduled  principal
payments pursuant to a commercially reasonable escrow agreement.

                     (E) If any of the  Group  Members  shall  be  subject  to a
dispute  with Buyer or IHS with respect to  indemnification  rights or matters ,
they shall,  unless Buyer elects otherwise in its sole and absolute  discretion,
be required to act as a group with respect to any and all rights and obligations
with  respect to the  resolutions  of dispute and Seller shall act as their sole
representative  and shall be bound by all actions  taken or omitted by Seller on
behalf of any Group Member as provided in this Agreement,  and each Group Member
shall be deemed to have  received  any notice  deemed  given or payment  made to
Seller in accordance  with the notice  provisions of this  Agreement on the date
deemed  given or the date paid to Seller and Buyer and IHS shall be  entitled to
rely on all notices and  consents  given,  and all  settlements  entered into on
behalf of any Group  Member to the extent  authorized  pursuant  to the terms of
this Agreement notwithstanding any objections made by any Group Member prior to,
concurrently  with or  subsequent to the giving of any such notice or consent or
the settlement of any such matter.

                     (F) 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  permitted  by  applicable  law) to the extent of such payment to the
rights of the indemnified party against any vendors,  fee mortgagees,  insurance
carrier,  workmens'  compensation  fund,  attorneys,  title  insurance  carrier,
engineers,  surveyors,  environmental  inspectors,  zoning experts and the other
parties to the Transaction Documents.

                            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  Buyer's
obligations  hereunder,  including without limitation those conditions set forth
in Section 2.4 or Article IX hereof, have not been satisfied by the Closing Date
or  pursuant  to  Section  13.1 if any  portion  of the  Property  is damaged or
destroyed;

                                       23

<PAGE>





                     (B)  Seller,   if  any  condition   precedent  to  Seller's
obligations  hereunder,  including without limitation those conditions set forth
in Article X hereof, have not been satisfied by the Closing Date; or

                     (C) the mutual consent of Buyer and Seller.

              12.2 EFFECT OF TERMINATION . If a party  terminates this Agreement
because  one of its  conditions  precedent  has not been  satisfied,  or if this
Agreement is terminated by mutual consent,  this Agreement shall become null and
void without any  liability to the  terminating  party except to the extent that
said  terminating  party  shall have been in breach of this  Agreement.  If such
termination is by Buyer  pursuant to Section  12.1(a) as a result of a breach by
any  Group  Member of any of its  representations,  warranties,  obligations  or
covenants made pursuant to this Agreement, nothing herein shall affect the right
of Buyer and IHS to  damages  on  account  of such  breach or to elect  specific
performance  or  injunctive  relief on account of such breach,  and (ii) if such
termination is by Seller pursuant to Section 12.1 (b) as a result of a breach by
Buyer or IHS of any of its representations, warranties, obligations or covenants
in this  Agreement,  nothing  herein  shall affect the Group  Members'  right to
damages on account of such breach.

                      ARTICLE XIII: CASUALTY, RISK OF LOSS

              13.1 CASUALTY,  RISK OF LOSS . If at any time prior to the Closing
any portion of the Property is damaged or  destroyed as a result of fire,  other
casualty or for any reason  whatsoever.  Buyer shall have the right, in its sole
and absolute discretion,  within thirty (30) days of receipt of such notice (and
the scheduled Closing Date shall be correspondingly  extended), 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 Seller on account of any such
casualty,  in which case Buyer shall be deemed to have  accepted the Property in
its damaged condition and waived any right to indemnification or other claim due
from Seller with respect to such casualty.

                      ARTICLE XIV: MISCELLANEOUS PROVISIONS

              14.1 PUBLIC  ANNOUNCEMENTS . Any general public  announcements  or
similar  media  publicity  with respect to this  Agreement  or the  transactions
contemplated  herein  shall be at such time and in such  manner  as Buyer  shall
determine, subject to the reasonable approval of Seller.

              14.2 COSTS AND EXPENSES . Except as expressly  otherwise  provided
in this  Agreement,  each party  hereto shall bear its own costs and expenses in
connection with this Agreement and the transactions contemplated hereby.

                                       24

<PAGE>


              14.3 PERFORMANCE . In the event of a breach by any Group Member of
its, his or her  obligations  hereunder,  Buyer and IHS 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 Group Members hereby waive
the defense that there may be an adequate remedy at law and any requirement that
Buyer post any bond or security. Should any party default in its performance, or
other  remedy,  the  prevailing  party  shall  be  entitled  to  its  reasonable
attorneys' fees.

              14.4 BENEFIT AND ASSIGNMENT . This  Agreement  binds and inures to
the benefit of each party hereto and its  successors and proper  assigns.  Buyer
may assign its rights and interest  under this  Agreement to any other person or
entity; provided that IHS shall continue to be liable for all of its obligations
hereunder.

              14.5 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.

              14.6  COOPERATION - FURTHER  ASSISTANCE . Subject to the terms and
conditions  herein  provided,  each of the  parties  hereto  shall  use its best
efforts to take, or cause to be taken, such action,  to execute and deliver,  or
cause to be executed and delivered,  such additional  documents and instruments,
and to do, or cause to be done, all things necessary, proper and advisable under
the provisions of this Agreement and under applicable law to consummate and make
effective the transactions contemplated by this Agreement.

              14.7 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 any Group Member,
to the Seller at:                   Todd Robinson
                                    2307 Princess Anne Drive         
                                    Greensboro, NC 27408
                              

with a copy to:                     Ronald Matamoros, Esq.
                                    Blanco Tackabery Combs & Matamoros
                                    110 South Strafford Road
                                    Winston-Salem, NC 27104-4244

                                       25

<PAGE>





If to the Buyer or IHS:             Integrated Health Services, Inc.
                                    10065 Red Run Boulevard
                                    Owings Mills, MD 21117
                                    Attn: Daniel J. Booth,
                                          Senior 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

              14.8 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
its 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.

              14.9  RIGHTS OF PERSONS NOT  PARTIES.  Nothing  contained  in this
Agreement shall be deemed to create rights in persons not parties hereto,  other
than the successors and proper assigns of the parties hereto.

              14.10  GOVERNING  LAW.  This  Agreement  shall be  governed by and
construed  in  accordance  with  the  internal  laws  of the  state  of  Florida
applicable to contracts  executed,  delivered  and to be fully  performed in the
state of Florida,  disregarding  any  contrary  rules  relating to the choice or
conflict of laws.

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

                                       26

<PAGE>





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

INTEGRATED HEALTH SERVICES, INC.

By:/s/ Daniel J. Booth
  ----------------------------------
Title: Daniel J. Booth
     -------------------------------
       Senior Vice President  

       
INTEGRATED HEALTH SERVICES OF
FLORIDA AT HOLLYWOOD HILLS, INC.

By:/s/ Daniel J. Booth              
  ----------------------------------
Title: Daniel J. Booth              
     -------------------------------
       Senior Vice President        


MEDICAL ASSOCIATES IV LIMITED
PARTNERSHIP

By: Hillco PCS (Hialeah) Limited Partnership
Its: General Partner

By: Medical Asset Fund, LLC
    Todd Robinson, Manager


By:
  ----------------------------------
   John J. Sheehan, Jr., Manager

HILLCO PCS (HIALEAH)
LIMITED PARTNERSHIP

By: Medical Asset Fund, LLC
Its: General Partner

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

MEDICAL ASSET FUND, LLC

                                       27

<PAGE>


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

INTEGRATED HEALTH SERVICES, INC.

By:
  ----------------------------------
Title:
     -------------------------------
       

       
INTEGRATED HEALTH SERVICES OF
FLORIDA AT HOLLYWOOD HILLS, INC.

By:           
  ----------------------------------
Title:            
     -------------------------------
             


MEDICAL ASSOCIATES IV LIMITED
PARTNERSHIP

By: Hillco PCS (Hialeah) Limited Partnership
Its: General Partner

By: Medical Asset Fund, LLC


By: /s/ Todd Robinson
  ----------------------------------
   Todd Robinson, Manager


By:/s/ John J. Sheehan, Jr.
  ----------------------------------
   John J. Sheehan, Jr., Manager

HILLCO PCS (HIALEAH)
LIMITED PARTNERSHIP

By: Medical Asset Fund, LLC
Its: General Partner

By:/s/ John J. Sheehan, Jr.
  ----------------------------------
Its: Manager

MEDICAL ASSET FUND, LLC
                                    
By: /s/ Todd Robinson  
  ----------------------------------                                      
   Todd Robinson, Manager 

                                 
By:/s/ John J. Sheehan, Jr.         
  ----------------------------------
   John J. Sheehan, Jr., Manager    

                                       27
<PAGE>



EQUITY HOLDERS:

/s/ Todd P. Robinson
- ------------------------------------
Todd P. Robinson


- ------------------------------------
Dr. John J. Sheehan, Sr.

HIALEAH ACQUISITION FUND, L.P.

By:
  ----------------------------------
Its: General Partner
  ----------------------------------


                                       28

<PAGE>


EQUITY HOLDERS:


- ------------------------------------
Todd P. Robinson

/s/ Dr. John J. Sheehan, Sr.
- ------------------------------------
Dr. John J. Sheehan, Sr.

HIALEAH ACQUISITION FUND, L.P.

By:/s/ Margaret P. Sheehan
  ----------------------------------
Its: General Partner



                                       28




                              SETTLEMENT AGREEMENT

     AGREEMENT this 8th day of July, 1998,  between Incon  Development,  Inc., a
New  Hampshire  corporation  with a  principal  place of business at 5 Flagstone
Drive,  Hudson, New Hampshire ("Incon") and Integrated Health Services,  Inc., a
Delaware  corporation  with a  principal  place of  business  at  10065  Red Run
Boulevard, Owings Mills, Maryland ("IHS").

     WHEREAS,  Incon  is  the  plaintiff  in  an  action  presently  pending  in
Hillsborough   County  Superior  Court,   Southern  District,   captioned  Incon
Development,  Inc. v. Integrated Health Services, Inc., Docket No. 97-C-251 (the
"Litigation"),  which alleges  breach of contract and other theories of recovery
against IHS arising out of an agreement fully executed on March 27, 1996 between
IHS and Incon,  and IHS has defended  against the Litigation  alleging breach of
contract on the part of Incon; and

     WHEREAS,  the parties believe that the purchase of certain  products by IHS
from Incon and the  exchange of other  consideration  identified  below would be
mutually beneficial and an appropriate way to resolve the Litigation.

     NOW, THEREFORE, the parties hereto agree as follows:

     1. IHS has, on the date hereof,  issued  39,012  shares of IHS common stock
(the  "Shares")  to Incon  having a total fair market  value of one and one-half
million dollars ($1,500,000).  IHS agrees that to the extent Incon receives less
than an average  of $38.45  per share  (before  brokerage  commissions)  for the
Shares sold by Incon during the two (2) trading days following the date Incon is
notified that the registration  statement  covering the resale of the shares has
been  declared  effective  under  the  Securities  Act of 1933,  it will pay the
difference between the product determined by multiplying $38.45 by the number of
shares  sold;  provided  that IHS  shall  not be  required  to pay more than one
hundred thousand dollars ($100,000) in cash, and any excess will be paid through
the issuance of additional  unregistered  shares of IHS common stock. IHS agrees
to pay Incon  interest on a monthly  basis on one and one-half  million  dollars
($1,500,000)  accruing from June 10, 1998 at a rate equal to the prime rate plus
one point (as of June 10, 1998) calculated on a per annum basis,  payable on the
tenth day of each month  beginning  July 10,  1998.  Should IHS common stock not
become fully  registered by September 28, 1998,  then Incon shall have the right
to put the  Shares  to IHS in  exchange  for one and  one-half  million  dollars
($1,500,000) (plus any outstanding  interest) in cash or cash equivalent payable
forthwith in full satisfaction of its obligations  enumerated in this paragraph.
In the event that the sale price of the stock  exceeds one and one-half  million
dollars  ($1,500,000)  plus any outstanding  interest,  the excess will serve to
offset any amount of interest IHS might  otherwise owe to Incon.  Any additional
excess amount will be refunded in cash to IHS forthwith.


<PAGE>



     2. Incon represents to IHS that:

          (a) It is acquiring the Shares for  investment  purposes only, and not
with the view to, or for resale in connection with, any distribution thereof. It
understands that the Shares have not been registered under the Securities Act of
1933, as amended ("the  "Securities  Act"),  or under the securities laws of the
various  states,  by  reason  of a  specified  exemption  from the  registration
provisions  thereunder  which  depends upon,  among other things,  the bona fide
nature of Incon's investment intent as expressed herein.

          (b) It acknowledges that the Shares must be held  indefinitely  unless
they are  subsequently  registered under the Securities Act and under applicable
state  securities laws or an exemption from such  registration is available.  It
has been advised or is aware that Rule 144 promulgated under the Securities Act,
which permits  limited resales of securities  purchased in a private  placement,
will not be  available  for a period of one year from the date hereof for resale
of the Shares and,  at the end of such one year  period,  may not be  available.
Consequently, Incon acknowledges that the Shares are an illiquid investment.

          (c) It has received and carefully  reviewed all  information  which it
deemed relevant in connection with its investment made hereby, including without
limitation  IHS'  filings  with  the  Securities  and  Exchange  Commission.  In
addition,  Incon  acknowledges  that it has had the opportunity to ask questions
of, and receive  answers from,  IHS'  representatives  concerning IHS' business,
financial condition and results of operations.

          (d) It is aware that no  federal  or state or other  agency has passed
upon or made  any  finding  or  determination  concerning  the  fairness  of the
transactions  contemplated hereby and it must forego the security,  if any, that
such a review would provide.

          (e) It is an  "Accredited  Investor"  as that term is  defined in Rule
501(a) of Regulation D under the Securities Act.

          (f) It understands  that all  certificates for the Shares issues to it
shall bear a legend in substantially the following form:

          "THESE SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF
          1933, AS AMENDED,  OR QUALIFIED UNDER ANY STATE  SECURITIES  LAWS. THE
          SECURITIES MAY NOT BE OFFERED, SOLD, TRANSFERRED OR OTHERWISE DISPOSED
          OF  WITHOUT  SUCH  REGISTRATION  OR THE  DELIVERY  TO THE ISSUER OF AN
          OPINION OF COUNSEL,  SATISFACTORY TO THE ISSUER,  THAT SUCH DEPOSITION
          WILL NOT REQUIRE  REGISTRATION OF

                                        2
<PAGE>



          SUCH SECURITIES  UNDER THE SECURITIES ACT OF 1933, AS AMENDED,  OR ANY
          STATE SECURITIES LAWS."

     3. IHS has paid  Incon two  hundred  thousand  dollars  ($200,000)  for the
purchase of certain  products  listed  among those  identified  in the  attached
Exhibit A. IHS agrees  that in addition  to being  responsible  for all costs of
shipping  these  products,  it is also  responsible  for nine  thousand  dollars
($9,000) in handling costs and eighteen  thousand dollars ($18,000) in destroyed
or damaged product, and therefore,  will receive only one hundred  seventy-three
thousand  dollars  ($173,000)  worth of  products.  Any  delay by IHS in  taking
possession  of the products  shall not  constitute a waiver of its rights to the
products.

     4. Incon represents and warrants that the products  identified in Exhibit A
have been  warehoused  for some time in Nashua,  New  Hampshire and are in their
original  packaging.  Incon  is not  aware  of  any  deterioration  of  clinical
effectiveness and,  following an inspection of those packages,  IHS is not aware
of any  such  deterioration.  Beyond  that,  Incon  makes no  representation  or
warranty that the products are  mechantable , fit for a particular  purpose,  or
otherwise of any particular quality. In addition, apart from the representations
contained herein,  IHS agrees to indemnify and hold Incon harmless for any claim
brought  against Incon arising out of the quality of the products  identified in
Exhibit A.

     5. The parties will execute and file with the Hillsborough  County Superior
Court,  Southern  District,  the  docket  markings  attached  as  Exhibit B upon
exchange of the consideration identified herein.

     6. The parties have executed the releases attached hereto as Exhibits C and
D. The  release  running  to Incon  (Exhibit  C) will be  delivered  to  Michael
Pignatelli,  counsel for Incon,  as Escrow Agent ("Incon  Escrow  Agent").  Upon
exchange of all other  consideration  identified  herein,  Incon Escrow Agent is
authorized  to  distribute  said  release to Incon.  The release  running to IHS
(Exhibit D) will be  delivered  to Michael  Harvell,  counsel for IHS, as Escrow
Agent ("IHS Escrow Agent"). Upon exchange of all other consideration  identified
herein, IHS Escrow Agent is authorized to distribute said release to IHS.

     7.  Nothing  in  this  Agreement  is to be  construed  as an  admission  of
liability on the part of either party.

     8. The parties  agree that any  disputes  concerning  or arising out of the
terms of this Settlement Agreement are to be governed by the internal law of New
Hampshire.

     9. This Agreement and attachments  reflect the entire  understanding of the
parties and supersedes any and all prior  agreements or  understandings  between
them.

                                        3
<PAGE>



     IN WITNESS WHEREOF, the parties have hereunto set their hands.

                                                Incon Development, Inc.

 /s/                                               BY /s/
- ---------------------------------------            -----------------------------
Witness

                                                Integrated Health Services, Inc.

 /s/                                               BY /s/
- ---------------------------------------            -----------------------------
Witness

                                        4

<PAGE>

<TABLE>
<CAPTION>


                                                                       EXHIBIT A
                                           IHS   
                                        INVENTORY
                                    PRODUCT OWNERSHIP                                     IHS
                             TRANSFER/WAREHOUSE SEGREGATION                UNIT         PURCHASE
     CATALOG #                            7/1/98                           COST        EXTENSION
     ---------                         -----------                         ----        ---------

<S>                <C>                                                 <C>          <C>             <C>              <C>
ADULT DIAPERS:
 1000-01           Embrace Ultra Regular Fit w/Polymer, Small                 222           33.45     $   7,425.90
 1000-02           Embrace Ultra Regular Fit w/Polymer, Medium                288           30.65     $   8,152.90
 1001-01           Embrace Ultra Full Fit w/Polymer, Small                    115           34.28     $   3,942.20
 1001-02           Embrace Ultra Full Fit w/Polymer, Small                    341           31.81     $  10,647.21
LINER SYSTEM:
 1200-10           Embrace 10 x 24 Regular Pad 950cc                          175           35.65     $   8,238.75
 1200-20           Embrace 10 x 24 Super Absorbent Pad 1250cc                 100           43.26     $   4,326.00
 1200-02           Embrace Contour Liner, Regular                             242           31.29     $   7,572.18
 1200-04           Embrace Contour Liner Super Absorbent, Overnight           550           47.30     $  26,016.00
 1200-99           Embrace Large Mesh Pants                                    35           51.51     $   1,502.85
UROLOGICALS: 01
 3000-16           Embrace Urethral Tray 14fr.-16fr.                          106           34.32     $   3,637.92
 3000-01           Embrace Urethral Tray with Plastic Cath eter                30           28.64           859.20   Expired
 3002-10           Embrace Insert Tray 10cc. BZK                               95           26.76     $   2,542.20
 3002-30           Embrace Insert Tray 30cc, PVI                               265          28.40     $   7,524.00   Expired
IRRIGATION
 3007-10           Embrace Irrigation Solution Water, 110ml                    75           24.50     $   1,837.50   Expired
UROLOGICALS: 02
 3004-60           Embrace Irrigation Syringe, Piston 60cc, Sterile           873           83.90     $  73,244.70
 3009-00           Embrace Drainage Bag w/Anti-Reflux & Sample Port            41           34.00     $   1,394.00
 3009-10           Embrace Leg Bag, 500 ml, Medium                              9           53.12     $     478.08
 3009-20           Embrace Leg Bag, 1000ml, Large                              13           53.12     $     690.56
VINVL EXAM GLOVES:
 2001-01           Embrace Vinyl Exam, Small                                    5           35.80     $     179.00
POWER FREE EXAM GLOVES:
 2002-02           Powder Free Exam, Medium                                    14           55.37     $     775.18
LATEX EXAM GLOVES:
 2000-01           Embrace Latex Exam, Small                                  100           35.27     $   3,527.00
                                                                            -----                     ------------
Total                                                                       3,672                     $ 173,014.33
                                                                            -----                     ------------
                                                                                                      $ 173,000.00
                                                                                          Variance    $      14.33
                                                                                                      ============
</TABLE>

<PAGE>


                                                                       EXHIBIT B



                           THE STATE OF NEW HAMPSHIRE

HILLSBOROUGH, SS                                                  SUPERIOR COURT
SOUTHERN DISTRICT   

                                    97-C-251

                             INCON DEVELOPMENT, INC.

                                       v.

                        INTEGRATED HEALTH SERVICES, INC.

                                 DOCKET MARKINGS
                                 ---------------

     The  parties  agree that the docket  shall be marked:  "Neither  Party.  No

Interest. No Costs. No further action for the same cause."



                                            Respectfully submitted,

                                            INTEGRATED HEALTH SERVICES, INC.

                                            By Its Attorneys,

                                            SHEEHAN PHINNEY BASS & GREEN,
                                            PROFESSIONAL ASSOCIATION

Date: May ___, 1998                         By:
                                              ------------------------------
                                              David W. McGrath, Esq.
                                              1000 Elm Street
                                              PO Box 3701
                                              Manchester, NH 03701-3701
                                              (603) 668-0300

<PAGE>


                                              INCON DEVELOPMENT, INC.         
                                                                           
                                              By Its Attorneys,               
                                                                           
                                              RATH, YOUNG & PIGNATELLI,         
                                              PROFESSIONAL ASSOCIATION          
                                                                           
Date:                                         By:                               
    ------------------------                     ------------------------       
                                                 Michael Pignatelli, Esq.       
                                                 20 Trafalgar Square            
                                                 Nashua, NH  03063              
                                                 (603) 889-9952                 
                                              
`

<PAGE>

                                                                       EXHIBIT C


                                 GENERAL RELEASE
                                 ---------------

     NOW COMES  Integrated  Health  Services,  a Delaware  corporation  with its
principal place of business in Owings Mills,  Maryland  (hereinafter referred to
as "the Releasor"), for and in consideration of a cross-release of even date and
other  good  and  valuable   consideration,   the  receipt   whereof  is  hereby
acknowledged  and hereby remises,  releases and forever  discharges and by these
presents  does  for  themselves,  their  employees,   directors,   shareholders,
affiliates,  subsidiaries,  successors,  heirs and assigns,  remise, release and
forever discharge Incon Development,  Inc. a New Hampshire  corporation with its
principal place of business in Hudson, New Hampshire, its employees,  directors,
shareholders,  agents,  affiliates,  successors,  heirs and assigns (hereinafter
referred to as "the Releasee") from all manner of action and actions,  cause and
causes of action, suits, debts, dues, sums of money, accounts, reckoning, bonds,
bills, specialties, covenants, contracts,  controversies,  agreements, promises,
variances,  trespasses,  damages,  judgments,  extents,  executions,  claims and
demands  whatsoever,  in law or in  equity,  which  against  the  Releasee,  the
Releasor ever had, now has or which its successors,  heirs or assigns, hereafter
can,  shall or may have for,  upon or by reason  of any  matter,  cause or thing
whatsoever  from the beginning of the world to the day of these  presents,  with
particular  reference,  but without any  limitation,  to all claims and cause of
action made or which could have been made associated with a contract dated March
_____,  1996 between  Releasor and Releasee for the purchase and sale of certain
products to be used in Releasor's  nursing home  business,  except that Releasor
does not release  any claim it might have  against  Releasee  arising out of the
Settlement Agreement dated ___________________



                                        INTEGRATED HEALTH SERVICES, INC.

Dated:  ________________                By:_______________________________
                                            Its ______________, duly authorized

<PAGE>





STATE OF MARYLAND
COUNTY OF ________________  SS



     On this ___ day of  April,  1998,  personally  appeared  ______________  as
________________   of  Integrated   Health  Services,   Inc.,  known  to  me  or
satisfactorily  proven to be the person  described in the foregoing  instrument,
and  acknowledged  that he/she was duly  authorized and that he/she executed the
same on behalf of the Corporation for the purposes therein contained.



     Before me,

                                 ----------------------------------
                                 Notary Public/Justice of the Peace

                                 My Commission expires: 
                                                       ------------

<PAGE>

                                                                       EXHIBIT D


                                 GENERAL RELEASE
                                 ---------------

     NOW COMES Incon  Development,  Inc., a New Hampshire  corporation  with its
principal place of business in Hudson, New Hampshire (hereinafter referred to as
"the  Releasor"),  for and in  consideration of a cross-release of even date and
other  good  and  valuable   consideration,   the  receipt   whereof  is  hereby
acknowledged  and hereby remises,  releases and forever  discharges and by these
presents  does  for  themselves,  their  employees,   directors,   shareholders,
affiliates,  subsidiaries,  successors,  heirs and assigns,  remise, release and
forever discharge Integrated Health Services,  Inc., a Delawarecorporation  with
its  principal  place of  business in Owings  Mills,  Maryland,  its  employees,
directors,  shareholders,  agents,  affiliates,  successors,  heirs and  assigns
(hereinafter  referred  to as "the  Releasee")  from all  manner of  action  and
actions,  cause  and  causes  of  action,  suits,  debts,  dues,  sums of money,
accounts,   reckoning,   bonds,  bills,   specialties,   covenants,   contracts,
controversies,  agreements, promises, variances, trespasses, damages, judgments,
extents,  executions,  claims and demands whatsoever, in law or in equity, which
against the Releasee,  the Releasor  ever had, now has or which its  successors,
heirs or assigns, hereafter can, shall or may have for, upon or by reason of any
matter,  cause or thing whatsoever from the beginning of the world to the day of
these presents,  with particular reference,  but without any limitation,  to all
claims and cause of action made or which could have been made  associated with a
contract dated March _____,  1996 between Releasor and Releasee for the purchase
and sale of certain  products to be used in  Releasee's  nursing home  business,
except that Releasor  does not release any claim it might have against  Releasee
arising out of the Settlement Agreement dated _____________.




                             INCON DEVELOPMENT, INC.

Dated:  ________________     By:_______________________________
                                  Its ______________, duly authorized

<PAGE>


STATE OF NEW HAMPSHIRE
COUNTY OF ________________  SS



     On this ___ day of  April,  1998,  personally  appeared  ______________  as
________________  of Incon  Development,  Inc.,  known  to me or  satisfactorily
proven to be the person described in the foregoing instrument,  and acknowledged
that he/she was duly  authorized and that he/she  executed the same on behalf of
the Corporation for the purposes therein contained.

     Before me,

                             ----------------------------------
                             Notary Public/Justice of the Peace

                             My Commission expires: 
                                                  -------------








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


                          PARTNERSHIP INTEREST PURCHASE

                                    AGREEMENT

                            Dated as of June 1, 1998

                                      among

                           WEST COAST CAMBRIDGE, INC.

                        INTEGRATED HEALTH SERVICES, INC.

                               T(2) MEDICAL, INC.

                                       and

                          CORAM HEALTHCARE CORPORATION

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



<PAGE>



                                TABLE OF CONTENTS
                                -----------------
<TABLE>
<CAPTION>
                                                                                                               PAGE
<S>                                                                                                              <C>
ARTICLE I: DEFINITIONS............................................................................................1
     1.1    Defined Terms.........................................................................................1
     1.2    Other Defined Terms...................................................................................6

ARTICLE II: PURCHASE AND SALE OF ASSETS...........................................................................7
     2.1    Transfer of Assets....................................................................................7
     2.2    Assumption of Liabilities.............................................................................7
     2.3    Excluded Liabilities..................................................................................7
     2.4    Determination and Payment of Purchase Price...........................................................8
     2.5    Closing Costs; Transfer Taxes and Fees...............................................................13
     2.6    Tax Clearance Certificate............................................................................13

ARTICLE III: CLOSING.............................................................................................13
     3.1    Closing..............................................................................................13
     3.2    Conveyance at Closing and Other Closing Documents....................................................13
     3.3    Certain Bring-Downs..................................................................................15
        
ARTICLE IV: REPRESENTATIONS AND WARRANTIES OF SELLER.............................................................15
     4.1    Organization of Coram, Seller and the Partnership; Organizational Documents
             ....................................................................................................15
     4.2    Subsidiaries.........................................................................................15
     4.3    Authorization........................................................................................15
     4.4    Absence of Certain Changes or Events.................................................................16
     4.5    Assets...............................................................................................18
     4.6    Contracts and Commitments............................................................................18
     4.7    Permits; Consents and Approvals......................................................................19
     4.8    No Conflict or Violation.............................................................................20
     4.9    Financial Statements.................................................................................20
     4.10   Books and Records....................................................................................21
     4.11   Litigation...........................................................................................21
     4.12   Labor Matters........................................................................................21
     4.13   Liabilities..........................................................................................21
     4.14   Compliance with Law..................................................................................22
     4.15   No Brokers...........................................................................................22
     4.16   No Other Agreement to Sell the Assets................................................................22
     4.17   Proprietary Rights...................................................................................22
     4.18   Employee Benefit Plans...............................................................................23
     4.19   Transactions with Certain Persons....................................................................28
     4.20   Tax Matters..........................................................................................29
</TABLE> 


                                       2


<PAGE>



<TABLE>
<CAPTION>
<S>  <C>                                                                                                        <C>
     4.21   Insurance............................................................................................30
     4.22   Accounts Receivable..................................................................................30
     4.23   Inventory............................................................................................30
     4.24   Payments.............................................................................................30
     4.25   Customers, Distributors and Suppliers................................................................30
     4.26   Compliance With Environmental Laws...................................................................31
     4.27   Compliance with Health Care Laws; Settlement Agreement...............................................33

ARTICLE V: REPRESENTATIONS AND WARRANTIES OF BUYER...............................................................35
     5.1    Organization of Buyer and IHS........................................................................35
     5.2    Authorizations.......................................................................................35
     5.3    No Conflict or Violation.............................................................................35
     5.4    Consents and Approvals...............................................................................35
     5.5    No Brokers...........................................................................................35
     5.6    SEC Documents........................................................................................36
     5.7    Capital Stock........................................................................................36

ARTICLE VI: COVENANTS OF SELLER AND BUYER........................................................................36
     6.1    Further Assurances...................................................................................36
     6.2    Employee Matters.....................................................................................36
     6.3    Allocation of Purchase Price.........................................................................36
     6.4    Employee Benefits....................................................................................36

ARTICLE VII: [INTENTIONALLY OMITTED].............................................................................37

ARTICLE VIII: [INTENTIONALLY OMITTED]............................................................................37

ARTICLE IX: CONSENTS TO ASSIGNMENT...............................................................................37
     9.1    Consents to Assignment...............................................................................37

ARTICLE X: ACTIONS BY SELLER AND BUYER AFTER THE CLOSING.........................................................37
     10.1   Books and Records....................................................................................37
     10.2   Cooperation and Records Retention; Payment of Liabilities............................................37
     10.3   Survival of Representations, Etc.....................................................................38
     10.4   Indemnification......................................................................................38
     10.5   Taxes................................................................................................41

ARTICLE XI: MISCELLANEOUS........................................................................................41
     11.1   .....................................................................................................41
     11.2   Assignment...........................................................................................41
     11.3   Notices..............................................................................................41
     11.4   Choice of Law........................................................................................42
     11.5   Entire Agreement, Amendments and Waivers.............................................................42
</TABLE>



                                       3


<PAGE>



<TABLE>
<CAPTION>
<S>  <C>                                                                                                         <C>
     11.6   Multiple Counterparts.................................................................................43
     11.7   Expenses..............................................................................................43
     11.8   Invalidity............................................................................................43
     11.9   Titles; Gender........................................................................................43
     11.10  Public Statements and Press Releases..................................................................43
     11.11  Confidentiality.......................................................................................43
     11.12  Certain Distributions.................................................................................44
     11.13  Cumulative Remedies...................................................................................44
     11.14  Arbitration...........................................................................................44
     11.15  Joint and Several.....................................................................................45
</TABLE>




                                        4


<PAGE>



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

                     PARTNERSHIP INTEREST PURCHASE AGREEMENT

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

          This Partnership  Interest  Purchase  Agreement (this  "AGREEMENT") is
made as of the 1st day of June,  1998,  among  West  Coast  Cambridge,  Inc.,  a
California  corporation  (the  "BUYER"),  Integrated  Health  Services,  Inc., a
Delaware  corporation  ("IHS"),   Coram  Healthcare   Corporation,   a  Delaware
corporation  ("CORAM"),  and T(2)  Medical,  Inc., a Delaware  corporation  (the
"SELLER").

                                    PREMISES
                                    --------

          WHEREAS,   South  Georgia  Lithotripsy  Partners,  a  Georgia  general
partnership (the "PARTNERSHIP"), is in the lithotripsy services business; and

          WHEREAS, the Seller is the owner of a 69.03% partnership interest (the
"PARTNERSHIP INTEREST") in the Partnership; and

          WHEREAS,  Buyer wishes to acquire  Seller's  Partnership  Interest and
certain related assets and rights from the Seller, and the Seller wishes to sell
the  Partnership  Interest  and such  related  assets  and  rights to Buyer,  in
accordance with the terms and conditions hereinafter set forth; and

          WHEREAS,  Buyer is a wholly owned  subsidiary  of IHS, and Seller is a
wholly owned subsidiary of Coram; and

          NOW,  THEREFORE,  in consideration  of the foregoing  premises and for
other good and valuable  consideration,  the receipt and sufficiency of which is
hereby  acknowledged by the parties hereto,  the parties hereto  intending to be
legally bound, agree as follows:

                             ARTICLE I: DEFINITIONS
                             ----------------------

          1.1  DEFINED  TERMS.  As used  herein,  the terms below shall have the
following  meanings.  Any of such terms,  unless the context otherwise requires,
may be used in the singular or plural, depending upon the reference.

          "1997 BUDGET ACTS" shall mean the Taxpayer  Relief Act of 1997 and the
Balanced Budget Bill of 1997.

          "ACTION" shall mean any action, claim, suit,  litigation,  proceeding,
labor  dispute,  arbitral  action,   governmental  audit,  governmental  inquiry
(including any request for information), criminal prosecution,  investigation or
unfair labor practice charge or complaint.

          "AFFILIATE"  shall  have  the  meaning  set  forth  in the  Securities
Exchange Act of 1934, as amended, and the rules and regulations thereunder.






<PAGE>



          "ASSETS"  shall mean all right,  title and  interest of the Seller in,
under and to: (I) the  Partnership  Interest  and the  Partnership  Agreement of
South Georgia Lithotripsy  Partners (the "PARTNERSHIP  AGREEMENT"),  dated as of
July 1, 1992,  between  Seller and South Georgia  Lithotripsy,  J.V. (the "OTHER
PARTNER"),  and  all  rights  arising  out of the  Partnership  Interest  or the
Partnership Agreement (the "PARTNERSHIP RIGHTS"),  including without limitation,
all rights to distributions  from the Partnership  (other than the distributions
made on prior to, or after the date  hereof in  accordance  with  Section  11.12
below),  and all rights to Seller's  Capital Account (as such term is defined in
the  Partnership  Agreement);  (II)  the  Amended  and  Restated  South  Georgia
Lithotripsy Associates,  Inc. Management Agreement (the "MANAGEMENT AGREEMENT"),
dated as of July 1, 1992, between the Partnership and Seller (as the assignee of
Heritage  Group,  Inc.);  (III) the  Non-Compete  and Investment  Representation
Agreement (the "NON- COMPETE AGREEMENT"), dated as of July 1, 1992, by and among
those persons  listed on Schedule "A" thereto (who are the partners of the Other
Partner and the shareholders of South Georgia  Lithotripsy  Associates,  Inc., a
Georgia  corporation  and the sole  general  partner of the Other  Partner  (the
"OTHER  PARTNER'S  GP"); (IV) the Option  Agreement (the "OPTION  AGREEMENT" and
together with the  Partnership  Agreement,  the  Management  Agreement,  and the
Non-Compete  Agreement,  the "MAIN  AGREEMENTS",  and each a "MAIN  AGREEMENT"),
dated as of July 1, 1992, between the Seller and the Other Partner; (V) Contract
Rights; (VI) Books and Records;  (VII) Proprietary Rights; (VIII) claims, causes
of action,  chooses in action,  rights of  recovery  and of set-off of any kind,
against  any person or  entity,  arising  in  connection  with or related to the
Business, including , without limitation, any liens, security interests, pledges
or other  rights  to  payment;  (IX)  supplies,  sales  literature,  promotional
literature,  customer and supplier lists, art work, display units, telephone and
fax numbers and  purchasing  records,  in each case,  relating  primarily to the
Business;  and (X) prospects,  assets and rights of whatever nature and wherever
located and used or useful primarily in connection with the Business.

          "BALANCE SHEET" shall mean the unaudited consolidated balance sheet as
of December 31, 1997 included in the Financial Statements.

          "BALANCE SHEET DATE" shall mean December 31, 1997.

          "BOOKS AND  RECORDS"  shall mean (a) all records  and lists  primarily
pertaining to the Assets, (b) all records and lists pertaining  primarily to the
Business or to  customers,  suppliers  or personnel  of the  Partnership  or the
Seller  associated  primarily with the Business,  (c) all product,  business and
marketing plans of Seller primarily relating to the Business, and (d) all books,
ledgers  files,  reports,  plans,  drawings and operating  records of every kind
maintained by Seller primarily relating to the Business, other than documents of
the Seller covered by the attorney-client privilege.

          "BUSINESS" shall mean the lithotripsy  service  business  conducted by
the Partnership  (including all assets, rights and liabilities of the Seller and
the Partnership relating to the Business) currently, at any time in the past, or
at any time in the future,  up to and including the Closing Date,  but excluding
the Excluded Assets and Excluded Liabilities.

          "CODE" shall mean the Internal  Revenue Code of 1986, as amended,  and
the rules and regulations thereunder.

          "CONTRACT" shall mean any agreement, contract, note, loan, evidence of
indebtedness, guaranty, purchase order, letter of credit, indenture, security or
pledge agreement,  franchise agreement, capital or operating Lease, undertaking,
practice,  covenant not to compete, employment agreement,  license,  instrument,
obligation or commitment to which (i) the  Partnership is a party or is bound or
(ii) the Seller is a party or is


                                        2


<PAGE>



bound and which  relates  primarily  to the  Business or the  Assets,  and shall
include, without limitation, all of the Main Agreements.

          "CONTRACT  RIGHTS" shall mean all of Seller's  rights and  obligations
under (i) the Main Agreements  (ii) the other  Contracts  listed on Schedule 4.6
and (iii) any other Contract entered into in the conduct of the Business.

          "COPYRIGHTS" shall mean registered copyrights,  copyright applications
and unregistered copyrights.

          "COURT  ORDER" shall mean any  judgement,  decision,  consent  decree,
injunction, ruling or order of any federal, state or local court or governmental
agency,  department  or authority  that is binding on any person or its property
under applicable law.

          "DEFAULT"  shall mean (a) a breach of or default  under any  Contract,
(b) the  occurrence  of an event that with the  passage of time or the giving of
notice or both would  constitute a breach of or default under any  Contract,  or
(c) the  occurrence  of an event that with or without the passage of time or the
giving  of  notice  or  both  would  give  rise  to  a  right  of   termination,
renegotiation or acceleration under any Contract.

          "DISCLOSURE  SCHEDULE" shall mean a schedule executed and delivered to
Buyer as of the date hereof by the Seller which sets forth the exceptions to the
representations and warranties  contained in Article IV hereof and certain other
information  called for by this  Agreement.  Unless  otherwise  specified,  each
reference  in this  Agreement  to any  numbered  schedule is a reference  to all
schedules included in the Disclosure Schedule.

          "ENCUMBRANCE"  shall mean any claim,  lien,  pledge,  option,  charge,
easement,   security   interest,   deed  of   trust,   mortgage,   right-of-way,
encroachment,   building  or  use  restriction,   conditional  sales  agreement,
encumbrance or other right of third  parties,  whether  voluntarily  incurred or
arising by operation of law, and includes,  without limitation, any agreement to
give any of the foregoing in the future,  and any contingent sale or other title
retention agreement or lease in the name thereof.

          "ENTITIES" shall mean the Partnership and the Seller.

          "EXCLUDED ASSETS" shall mean (i) all rights of Seller to any refund or
income  taxes paid by Seller for any period  prior to the  Closing in respect of
its  interest in the  Partnership,  (ii) all tangible  personal  property of the
Seller  (other than Books and  Records)  that are  located at  Parent's  Denver,
Colorado office at 1125 Seventeenth  Street,  Suite 2100 which are not issued or
held for use  principally  in the Business,  (iii) all rights under any Contract
otherwise  assigned  to Buyer (or the  benefit of which is  provided to Buyer as
provided  herein)  to assert any set offs with  respect  to matters  that do not
constitute Assumed  Liabilities and have occurred prior to Closing,  defenses or
counterclaim with respect to matters that do not constitute Assumed  Liabilities
and have occurred  prior to Closing in respect of any Excluded  Liability,  (iv)
all cash or cash  equivalents held by the Seller in respect of the Business but,
subject to Section 11.12,  not the cash and cash equivalents of the Partnership,
(v) the right to cash  distributions from the Partnership to the extent provided
in Section 11.12 below, and (vi) the rights of Seller to its corporate name.



                                        3


<PAGE>



          "FINANCIAL  STATEMENTS"  shall mean the unaudited balance sheet of the
Partnership  as at December  31, 1997,  the  unaudited  income  statement of the
Partnership  for the one-year  period ending on December 31, 1997, the unaudited
balance sheet of the Partnership as at April 30, 1998, and the unaudited  income
statement of the Partnership for the 4 month period ending on April 30, 1998.

          "FUNDED  DEBT" shall mean any Liability  with respect to  indebtedness
for borrowed money (other than Intercompany Debt).

          "HEALTH CARE LAWS" shall mean the Regulations  referred to in Sections
4.27(b) through and including 4.27(e).

          "INDEMNIFICATION  AGREEMENT" shall mean the Indemnification  Agreement
dated as of July 2, 1992, among Seller,  the Other Partner,  the Other Partner's
GP, and each of the shareholders of the Other Partner's GP.

          "INSURANCE  POLICIES" shall mean the insurance policies related to the
Business listed on Schedule 4.21.

          "INTERCOMPANY  DEBT" shall mean all accounts,  notes and other amounts
receivable  by or due to Coram or Seller or any of their  respective  Affiliates
from the Partnership related to the Business and existing on the Closing Date.

          "LEASE"  shall  mean  any  lease  with  respect  to  personal  or real
property.

          "LIABILITIES"   shall   mean  any   direct  or   indirect   liability,
indebtedness,  obligation,  commitment,  expense, claim, deficiency, guaranty or
endorsement  of or by  any  person  of  any  type,  whether  accrued,  absolute,
contingent, matured, unmatured or other.

          "MATERIAL  ADVERSE  CHANGE" OR  "MATERIAL  ADVERSE  EFFECT"  means any
change,  effect,  event or occurrence that has, or is reasonably likely to have,
individually  or in  the  aggregate  with  other  changes,  effects,  events  or
occurrences,  a material adverse impact on the financial  position or results of
operations  of the Business or the Assets taken as a whole;  provided,  however,
that "material  adverse change" or "material  adverse effect" shall be deemed to
exclude the impact of (i) changes in generally accepted  accounting  principles,
(ii) changes in general  economic  conditions which affect in general the health
care industry, (iii) changes or effects arising out of or in connection with the
1997 Budget Acts,  and (iv) changes or effects  arising out of or in  connection
with amendments to or the adoption of new Regulations by HCFA,  whether proposed
prior to or after the date hereof.

          "ORDINARY  COURSE OF  BUSINESS"  OR  "ORDINARY  COURSE" or any similar
phrase  shall mean with  respect  to any party  hereto or the  Partnership,  the
ordinary  course of the Business  conducted by that party or the Partnership and
consistent with past practice of that party or the Partnership.

          "ORGANIZATIONAL  DOCUMENTS" shall mean the articles or certificates of
incorporation,  bylaws, shareholder agreements,  agreements providing for rights
of first refusal,  preemptive  rights or options with respect to the purchase of
stock, other securities or assets,  and any similar documents or contracts,  and
all  amendments  and  supplements  to  any  of the  foregoing,  relating  to the
organization, ownership, management or structure of a corporation.



                                        4


<PAGE>



          "PATENTS"  shall  mean  all  patents  and  patent   applications   and
registered design and registered design applications.

          "PERMITS"  shall mean all  certificates  of need,  licenses,  permits,
franchises, approvals,  authorizations,  consents or orders of, or filings with,
any governmental  authority,  whether foreign,  federal,  state or local, or any
other person,  necessary for the conduct of, or relating to the operation of the
Business or the  ownership  of the assets used or held for use in the  Business,
including all licenses, franchises, permits, accreditation, certificates of need
and other  provider  agreements  required under Title XVIII and IX of the Social
Security Act and other applicable laws for reimbursement of services rendered or
goods sold or leased.

          "PERMITTED  ENCUMBRANCES"  shall  mean (i) liens for any Taxes not yet
due and payable as to which  adequate  reserves have been  established  and (ii)
terms and conditions and rights of other parties under the Partnership Agreement
and any Contracts  under which  Contract  Rights are conveyed to Buyer  pursuant
hereto.

          "PROPRIETARY  RIGHTS"  shall  mean  all  of the  Copyrights,  Patents,
Trademarks,  technology rights and licenses,  computer software,  trade secrets,
franchises, know-how, inventions, designs,  specifications,  plans, drawings and
intellectual  property  rights (i) owned by the Seller and used  principally  in
connection with the Business or (ii) owned by the Partnership.

          "REGULATIONS" shall mean any laws, statutes, ordinances,  regulations,
rules, notice requirements,  court decisions,  agency guidelines,  and orders of
any foreign, federal, state or local government or other governmental department
or agency, including, without limitation,  Environmental Laws, Health Care Laws,
energy, motor vehicle safety, public entity, zoning,  building and health codes,
occupational  safety and health laws and laws respecting  employment  practices,
employee  documentation,  or terms and  conditions of  employment  and wages and
hours.

          "REPRESENTATIVE" shall mean any officer, director, principal, partner,
attorney, agent, employee or other representative.

          "REPRESENTED  CONDITION"  shall mean the condition of the Business and
the Assets as represented  and warranted on the date hereof by Seller in Article
IV of this Agreement and in the Disclosure Schedule.

          "STOCK"  shall mean  capital  stock,  securities  exchangeable  for or
convertible  into  shares of capital  stock and  options,  warrants,  preemptive
rights,  rights of first  refusal  and all other  rights  to  acquire  shares of
capital stock of or securities  exchangeable  for or convertible  into shares of
capital stock.

          "SUBSIDIARY"   shall  mean  with  respect  to  any  entity,   (a)  any
corporation  in which such entity then owns stock  possessing 50% or more of the
total  combined  voting power of all classes of stock,  (b) any  partnership  in
which such entity is a general partner, (c) any partnership in which such entity
possesses a 50% or greater interest in the total capital or total income of such
partnership or (d) any Subsidiary of any Subsidiary.

          "TAX"  shall mean any  federal,  state,  local,  foreign or other tax,
levy, impost,  fee,  assessment or other government charge,  including,  without
limitation, income, estimated income, business, occupation, franchise, property,
payroll, personal property,  sales, transfer, use, employment,  commercial rent,
occupancy,  franchise or withholding taxes, and any premium, including,  without
limitation, interest, penalties and additions, in connection therewith.



                                        5


<PAGE>




          "TRADEMARKS"  shall mean  registered  trademarks,  registered  service
marks,  trademark and service mark applications and unregistered  trademarks and
service marks.

          1.2 OTHER DEFINED TERMS.  The following  terms shall have the meanings
defined for such terms in the Sections set forth below:

         Term                                                         Section

         Acceptance                                                   6.2(d)
         Assumed Liabilities                                          2.2
         Assumption Document                                          3.2(b)
         Benefit Arrangement                                          4.18(a)
         Buyer                                                        Preamble
         Buyer Transaction Documents                                  5.2
         Bulk Sales Act                                               10.6
         Claim                                                        10.4(d)
         Claim Notice                                                 10.4(d)
         Closing                                                      3.1
         Commission                                                   2.4(c)
         Competing Offer                                              6.2(d)
         Complaint                                                    4.27(f)
         Compliance Report Position                                   8.3(b)
         Coram                                                        Preamble
         Damages                                                      10.4(a)
         DOJ                                                          6.3(a)
         Employee Plans                                               4.19(a)
         Environmental Conditions                                     4.26(a)
         Environmental Laws                                           4.26(a)
         ERISA                                                        4.19(a)
         ERISA Affiliate                                              4.19(a)
         Exchange Act                                                 2.4(f)(iv)
         Excluded Liabilities                                         2.3
         Hazardous Substance                                          4.26(a)
         IHS                                                          Preamble
         Judgement                                                    4.27(f)
         Multiemployer Plan                                           4.19(a)
         NYSE                                                         2.4(b)
         OIG                                                          6.3(a)
         Pension Benefit Guaranty Corporation                         4.19(a)
         Pension Plan                                                 4.19(a)
         Purchase Price                                               2.4(a)
         Securities Act                                               2.4(c)
         Seller Transaction Documents                                 4.3
         Settlement Agreement                                         4.27(f)
         Shelf Registration Statement                                 2.4(c)
         Tax Entities                                                 4.20(a)
         Termination Date                                             11.1(a)
         Welfare Plan                                                 4.19(a)





                                        6


<PAGE>



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

          2.1 TRANSFER OF ASSETS.  Upon the terms and subject to the  conditions
contained herein, at the Closing, Seller will sell, convey, transfer, assign and
deliver to Buyer, and Buyer will acquire from Seller, the Assets, free and clear
of all Encumbrances other than Permitted Encumbrances.  Notwithstanding anything
to the contrary contained herein, in no event is Buyer acquiring,  nor is Seller
selling or transferring, any of the Excluded Assets.

          2.2  ASSUMPTION  OF  LIABILITIES.  Upon the terms and  subject  to the
conditions contained herein, at the Closing,  Buyer shall assume all Liabilities
of Seller  to be  performed  after  the  Closing  (whether  accrued  prior to or
subsequent to the Closing) under the Main  Agreements and other  Contracts under
which  Contract  Rights of Seller are  included in the Assets  assigned to Buyer
pursuant to Section 2.1 hereof,  but not including any Liability for any Default
under any Main Agreement or other Contract  occurring on or prior to the Closing
Date, and, in no event,  will Buyer assume any Liability  referred to in clauses
(i) through (xi) inclusive, of Section 2.3 hereof (the Liabilities so assumed at
the Closing being referred to herein as the "ASSUMED LIABILITIES").

          2.3 EXCLUDED LIABILITIES.  Notwithstanding any other provision of this
Agreement,  except for the Assumed  Liabilities  expressly  specified in Section
2.2, Buyer shall not assume, or otherwise be responsible for, either directly or
through its ownership interest in the Partnership,  any Liabilities of Seller or
any other person, partnership or entity, whether liquidated or unliquidated,  or
known or unknown,  and whether arising out of occurrences  prior to, at or after
the date hereof ("EXCLUDED  LIABILITIES"),  which Excluded  Liabilities include,
without limitation,  (i) all Liabilities of Seller resulting from entering into,
performing its obligations in or consummation of the  transactions  contemplated
by, this Agreement,  (ii) all Liabilities of Seller in respect of any Tax to the
extent such Tax relates to Seller's  ownership  of the Assets and conduct of the
Business,  (iii) all  Liabilities  arising  under or related  to the  Settlement
Agreement,  (iv) all Liabilities  arising under or related to the Judgment,  (v)
all  Liabilities  arising under or related to Employee Plans other than Employee
Plans of the Partnership, (vi) any Liabilities with respect to any distributions
that any  partner  of the  Partnership  claims  should  have made on or prior to
Closing,  (viii) all Liabilities of Seller and the Partnership arising out of or
related  to the  failure  of the  Seller  or the  Partnership  to have been duly
organized, validly existing or in good standing, (ix) all Liabilities in respect
of the  employment or  termination  of employment of any employee of the Seller,
(x) any Liability noted in the Disclosure  Schedule to be an Excluded Liability,
(xi) all  Liabilities of Seller and the Partnership (y) for or arising out of or
related to the  violation  by Seller or the  Partnership  of any Health Care Law
prior to the Closing  and (z) for or arising out or related to any action  taken
or omission  occurring prior to the Closing which, with notice,  passage of time
or both  (whether  before or after the  Closing)  would result in a violation by
Seller or the  Partnership of any Health Care Law, (xiii) all Liabilities of the
Seller to any  employee  of the  Seller  conditioned  upon  consummation  of the
transactions  contemplated  hereby,  (xii) all liabilities of the Seller and the
Partnership under any Contract that, but for this provision, would be assumed by
Buyer pursuant hereto that was entered into other than in the ordinary course of
the Business, that is material to the Business, that is required to be disclosed
hereunder on the  Disclosure  Schedule and that is not so  disclosed,  (xiv) any
Intercompany Debt owed by the Partnership, (xv) any Liability arising out of the
Indemnification Agreement, or (xvi) the accident that was the subject of Douglas
Watts v. South Georgia Lithotripsy.

          2.4 DETERMINATION AND PAYMENT OF PURCHASE PRICE.

              (A) AMOUNT OF PURCHASE  PRICE.  The aggregate  purchase price (the
"PURCHASE   PRICE")  for  all  of  the  Assets  shall  be  ONE  MILLION  DOLLARS
($1,000,000), which shall be payable at the Closing by the delivery to Seller of
newly issued shares of the Common Stock,  par value $.001, of IHS ("IHS STOCK"),
registered  in the name of Seller and valued  using the Closing Date as the date
of



                                        7


<PAGE>



determination in accordance with the procedure provided in subsection (b) below.
All  shares  of IHS  Stock  shall be  delivered  with  all  related  rights  and
privileges thereto, including voting and dividend rights.

              (B) SHARE VALUE; ADJUSTMENT.

                   (I) 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  date of  determination  by  using  the  average
          closing New York Stock  Exchange  ("NYSE")  price of IHS Stock for the
          five (5)  trading  day  period  ending  on the  date  which is two (2)
          trading days prior to the applicable date of determination.

                   (II) For purposes hereof, the "SHARE VALUE AMOUNT" shall mean
          $1,000,000;  provided that the Share Value Amount shall increase by an
          amount  equal to the amount of the  interest  that would have  accrued
          thereon at an annual  rate  (compounded  daily) of ten  percent  (10%)
          during the period  commencing  on June 2, 1998 and ending on the Share
          Adjustment  Date. For purposes  hereof,  the "SHARE  ADJUSTMENT  DATE"
          shall  mean the date on which  the  Shelf  Registration  Statement  is
          declared  effective by the Commission and IHS advises Coram of such in
          writing. The number of shares of IHS Stock deliverable as the Purchase
          Price  shall be  re-calculated  (the  "ADJUSTED  SHARE  COUNT") to the
          extent necessary so that such shares will have an aggregate value (the
          "RECALCULATED  VALUE")  equal to the Share Value Amount based upon the
          average  closing NYSE price for IHS Stock for the five (5) trading day
          period ending two (2) days preceding the Share Adjustment Date. If the
          Adjusted  Share Count exceeds the number of shares of IHS Stock issued
          as of the Closing Date (the "CLOSING DATE SHARE COUNT"),  IHS promptly
          shall deliver over to the Seller an additional number of shares of IHS
          Stock as shall have a value equal to the amount of such excess  (using
          the  Recalculated  Value for  determining the number of such shares of
          IHS  Stock to be  delivered),  and  such  additional  shares  shall be
          included in the aforementioned  Shelf Registration  Statement.  If the
          Closing  Date Share Count  exceeds the Adjusted  Share  Count,  Seller
          shall promptly  return to IHS the number of shares of IHS Stock having
          a value  equal to the amount by which the  Closing  Date  Share  Count
          exceeds the  Adjusted  Share Count (using the  Recalculated  Value for
          determining the number of shares of IHS Stock to be so delivered).  If
          any shares of IHS Stock are  transferred  by Seller prior to the Share
          Adjustment Date, appropriate  adjustments shall be made to exclude the
          amount of the Share Value Amount allocable to such transferred  shares
          from the adjustments required by this subsection (c).

                   (III) IHS shall notify  Seller  promptly of the status of the
          registration process, including, without limitation, the date and time
          when a Shelf Registration Statement and each post-effective  amendment
          thereto  has  become  effective,  if  and  when  a  supplement  to any
          prospectus  forming a part of such Shelf  Registration  Statement  has
          been filed,  or if any request by the  Commission for the amendment or
          supplement of a Shelf Registration  Statement or prospectus or request
          for additional information has been received.

                   (IV) IHS  shall  use its best  efforts  to  cause  the  Share
          Adjustment  Date to occur by the day that is  one-hundred  and  twenty
          (120)  days  after the ACTUAL  date of the  closing,  and if the Share
          Adjustment  Date  does not  occur by the day that is  one-hundred  and
          forty (140) days after June 29, 1998,  then IHS shall  purchase,  free
          and  clear of all  Liens,  all of the  shares  issued  by it to Seller
          pursuant to this  Agreement for an aggregate  purchase  price equal to
          $1,000,000 plus the amount of interest that would have accrued thereon
          at an annual rate (compounded daily) of ten


                                        8


<PAGE>



          percent (10%) during the period  commencing on June 2, 1998 and ending
          on the date of such purchase.

              (C) REGISTRATION RIGHTS. IHS will use its best efforts to cause to
be  prepared,  filed and  declared  effective  by the  Securities  and  Exchange
Commission  (the  "COMMISSION"),  within  one  hundred  and  twenty  (120)  days
following  the Closing  Date, a  registration  statement (a "SHELF  REGISTRATION
STATEMENT")  for the  registration  of the IHS  Stock  issued or to be issued to
Seller hereunder,  under the Securities Act of 1933, as amended (the "SECURITIES
ACT"),  and shall use its best efforts to cause such  registration  statement to
become  effective as  expeditiously  as practicable,  and IHS shall maintain the
effectiveness  of such  registration  statement  for a  period  of one (1)  year
following  the Closing  Date, or until Seller shall no longer 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 for resale of such
shares by Seller to the public may be available.

              (D)  REGISTRATION  EXPENSES.  Seller shall not be responsible for,
and IHS shall  bear,  all of the fees,  costs and  expenses of the Buyer and IHS
related to such registration and sale 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 or incur
underwriter's  or brokerage  discounts,  commissions  or expenses,  or to pay or
incur any costs and expenses in excess in the  aggregate of $40,000 for Blue Sky
qualifications  of Seller's IHS Stock,  or to pay or incur any costs or expenses
arising  out of  Seller's  failure  to comply  with its  obligations  under this
Section  2.4,  or to pay or incur  any  costs  or  expenses  arising  out of the
inclusion of any transferee of Seller in the Shelf Registration Statement.

              (E) SELLING  EXPENSES.  IHS agrees that if Coram shall  resell the
shares to be issued pursuant hereto through Salomon Smith Barney,  Inc. (or such
other broker as IHS may from time to time  designate  to Coram in writing),  IHS
shall pay to such  broker  all  costs and  expenses  of such  resale  (including
without  limitation  any  discounts,  commissions  or fees thereof or of similar
professional  relating to such resale) and reimburse Coram for all out-of-pocket
costs and expenses  reasonably  incurred thereby relating to such resale, to the
extent that all of the foregoing  exceed $3,000 in the aggregate with respect to
all such shares.

              (F)   REGISTRATION   PROCEDURES,   ETC.  In  connection  with  the
registration  rights  granted  to the  Seller  with  respect to the IHS Stock as
provided in this Section 2.4, IHS covenants and agrees as follows:

                   (I) At IHS's  expense,  IHS will  keep the  registration  and
          qualification under this Section 2.4 effective (and in compliance with
          the Securities  Act) by such action as may be necessary or appropriate
          for a period of one (1) year after the Closing  Date,  or until Seller
          shall no  longer  own any of the IHS  Stock  issued  pursuant  to this
          Agreement,  whichever  shall occur  first,  in each case except to the
          extent that IHS shall,  at its expense,  provide Seller and Coram with
          an opinion of counsel  reasonably  acceptable to Coram stating that an
          exemption  from  registration  for the resale thereby of the IHS Stock
          may be available to the public on the New York Stock Exchange.



                                        9


<PAGE>



          IHS will  promptly  notify the Seller,  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 IHS 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) At IHS's expense, IHS shall furnish the Seller with such
          number of prospectuses  as shall  reasonably be requested by Seller in
          connection with any actual or contemplated resales.

                   (III)  Subject to the  ultimate  sentence  in Section  2.4(d)
          above, at IHS's expense, IHS shall take all necessary action which may
          be required in qualifying or registering IHS Stock included in a Shelf
          Registration Statement for offering and resale under the securities or
          Blue Sky laws of each applicable state, provided that IHS shall not be
          obligated to qualify as a foreign corporation or dealer to do business
          under the laws of any such jurisdiction.

                   (IV) At IHS's  expense,  IHS shall  prepare and promptly file
          with  the  Commission  such  amendments  or  supplements  to  a  Shelf
          Registration  Statement or  prospectus  as may be necessary to correct
          any  statements  or omissions in the Shelf  Registration  Statement or
          prospectus,  and  IHS  will  notify  Seller  if,  at any  time  when a
          prospectus  relating to such  securities  is required to be  delivered
          under the  Securities  Act, any event has occurred the result of which
          will  cause any such  prospectus  or any other  prospectus  as then in
          effect to include any untrue  statement of a material  fact or omit to
          state any material fact required to be stated  therein or necessary to
          make the statements therein not misleading.

                   (V) IHS shall advise Seller  promptly  after it shall receive
          notice or obtain knowledge thereof,  of the issuance of any stop order
          by the Commission suspending the effectiveness of a Shelf Registration
          Statement or the  initiation or threatening of any proceeding for that
          purpose and  promptly  use its best efforts to prevent the issuance of
          any stop order or to obtain its  withdrawal  if such stop order should
          be issued.

                   (VI) 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.  IHS shall  indemnify  and hold  harmless the
          Seller and Coram and their respective officers, directors,  employees,
          agents,  representatives  and Affiliates and each person,  if any, who
          controls any of them 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,  and  including
          reasonable  costs and  expenses  of  counsel) 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



                                       10


<PAGE>



          untrue   statement  of  a  material  fact   contained  in  such  Shelf
          Registration  Statement  executed  by  IHS,  or  omission  or  alleged
          omission  therefrom required to be stated therein as necessary to make
          the  statements  therein not misleading or as necessary to correct any
          statement in any earlier filing of such Shelf Registration  Statement,
          or  based  upon  written  information  furnished  by IHS  filed in any
          jurisdiction  in order to qualify IHS Stock under the securities  laws
          thereof or filed with the Commission,  any state securities commission
          or agency, NYSE or any securities exchange; or the omission or alleged
          omission therefrom of a material fact required to be stated therein or
          necessary to make the  statements  contained  therein not  misleading,
          unless such  statement  or omission  was made in reliance  upon and in
          conformity  with  written  information  furnished  to IHS by  Coram or
          Seller  for  use  in  such  Shelf  Registration  Statement  (it  being
          understood that IHS may rely on the  representations and warranties of
          the Seller made  pursuant to this  Agreement  in  preparing  the Shelf
          Registration  Statement),  any amendment or supplement  thereto or any
          application,  as the case may be. If any action is brought against the
          Seller or Coram or any other person  indemnified  hereunder in respect
          of  which  indemnity  may be  sought  against  IHS  pursuant  to  this
          subsection 2.4(f)(vi), such person shall within thirty (30) days after
          the receipt  thereby of a summons or complaint,  notify IHS in writing
          of the  institution of such action and IHS shall assume the defense of
          such action,  including the employment and payment of reasonable  fees
          and expenses of counsel (reasonably satisfactory to the Seller or such
          controlling  person).  IHS  shall  not  settle  any such  action as to
          Seller,  Coram  or any  such  other  person  without  Coram's  written
          consent,  which shall not be unreasonably  withheld.  Seller, Coram or
          any such other 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 Seller or such  controlling  person
          unless (A) the  employment of such counsel shall have been  authorized
          in writing by IHS in  connection  with the defense of such action,  or
          (B) IHS shall not have employed  counsel to have charge of the defense
          of such action  within ten (10) days of the request  therefor,  or (C)
          such indemnified party or parties shall have reasonably  concluded and
          notified IHS that there may be defenses  available to her,  him, it or
          them which are different from or additional to those  available to IHS
          (in which case,  IHS shall not have the right to direct the defense of
          such action on behalf of the indemnified party or parties),  in any of
          which  events the fees and  expenses  of not more than one  additional
          firm of attorneys for the Seller and/or such controlling persons shall
          be borne by IHS. Any delay of any person indemnified hereunder to give
          the  foregoing  notice  shall not relieve  IHS of its  indemnification
          obligations  hereunder except to the extent IHS is actually prejudiced
          by such delay.

                   (VII) The  Seller,  and its  successors  and  assigns,  shall
          indemnify  IHS  and  Buyer  their  respective   officers,   directors,
          employees, agents,  representatives and Affiliates and each person, if
          any,  who  controls  any of them  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
          information  furnished (or required to be furnished in accordance with
          this  Agreement)  by or on behalf of Seller or Coram,  or any of their
          respective   successors   or  assigns  for   inclusion  in  the  Shelf
          Registration Statement,  any Exchange Act filing or any State Blue Sky
          Law filing.

              (G) NOTICE OF SALE. Coram and Seller shall not resell or otherwise
transfer  any  interest  in any of the  shares  of IHS  Stock  issued  to Seller
pursuant to this Agreement  except in compliance with this Agreement and, in the
case  of any  sales  that  are  not to be  made in  accordance  with  the  Shelf
Registration  Statement,  unless  Seller  shall have given  prior  notice to IHS
describing in reasonable  detail  Seller'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,  Seller will resell
only in compliance



                                       11


<PAGE>



with the disclosure therein and discontinue any offers and sales thereunder upon
notice from IHS to the Seller that the Shelf Registration  Statement relating to
the IHS Stock being  transferred is not "current" until IHS gives further notice
that offers and sales may be  recommenced.  In the event of any such notice from
IHS, IHS 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 2.4 and to give prompt notice to Seller when the Shelf Registration
Statement  has again  become  current.  If Seller  delivers to IHS an opinion of
counsel  reasonably  acceptable  to IHS and its  counsel  in form and  substance
reasonably  acceptable  to them and to the effect that the proposed  transfer of
shares of IHS Stock may be made without  registration  under the  Securities Act
and all applicable state  securities  laws,  Seller will be entitled to transfer
said shares of IHS Stock in  accordance  with the terms set forth in the opinion
of their counsel.

              (H) CONDITIONS. Upon receipt of a reasonable request, Seller shall
furnish to IHS such information  regarding itself,  the shares of IHS Stock held
by it, and the intended  method of  disposition  of such  securities as shall be
required to effect the  registration  of its shares of IHS Stock or as otherwise
shall  reasonably  be  requested  by IHS. In that  connection,  Seller  shall be
required to represent and warrant to the IHS that all such information  which is
given is both complete and accurate in all material  respects.  Coram and Seller
shall be  entitled  to receive a copy of any  information  included in the Shelf
Registration  Statement  that  relates to Coram or Seller  prior to filing  such
Shelf Registration Statement and they shall be entitled to review and comment on
all such information  included in such Shelf Registration  Statement relating to
Coram or Seller. Seller will, severally,  promptly notify IHS at any time when a
prospectus  relating to a Shelf Registration  Statement covering Seller's shares
under this Section 2.4 is required to be delivered  under the Securities Act, of
the  happening of any event known to Seller 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.

              (I)  INVESTMENT  REPRESENTATIONS.  All  shares  of IHS Stock to be
issued  hereunder  will be newly issued  shares of IHS.  Seller  represents  and
warrants to IHS that the IHS Stock being issued  hereunder is being  acquired by
the Seller 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 any applicable state securities law; Seller  acknowledges that the shares
of IHS Stock  issued to it  pursuant  to this  Agreement  constitute  restricted
securities  under  Rule  144  promulgated  by  the  Commission  pursuant  to the
Securities Act, and may have to be held indefinitely, and the Seller agrees that
no shares of IHS Stock  issued to it  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.  Seller represents and warrants that it 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 Seller  represents and warrants
that  it  has  had  the  opportunity  to  make  inquiries  of  and  obtain  from
representatives and employees of IHS such other information about IHS as he, she
or it deems necessary in connection with such investment.

              (J) LEGEND.  It is understood  that, prior to resale of any shares
of IHS Stock pursuant to an effective Shelf  Registration  Statement pursuant to
subsection (f) 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 IHS'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:


                                       12


<PAGE>


                  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.

              (K) CERTAIN TRANSFEREES. Except in the case of any transfer of any
shares of IHS Stock  issued  pursuant to this  Agreement  to a person in an open
market  transaction  subsequent to the  effective  date of, and pursuant to, the
Shelf Registration Statement covering such shares of IHS Stock, Seller shall not
transfer  any such  shares of IHS Stock to any  person  or  entity  unless  such
transfer  shall be made in  accordance  with all  applicable  Federal  and state
securities laws as set forth in subsection (h) above and otherwise in accordance
with this Section 2.4.

          2.5  CLOSING  COSTS;   TRANSFER  TAXES  AND  FEES.   Seller  shall  be
responsible for any  documentary and transfer taxes and any sales,  use or other
taxes imposed by reason of the transfers of purchased  Assets  hereunder and any
deficiency,  interest or penalty asserted with respect thereto. Seller shall pay
the  fees  and  costs  of  recording  or  filing  all  applicable   conveyancing
instruments.  Seller  shall  pay for all  costs of  obtaining  the  transfer  of
existing Permits which may be lawfully transferred. Buyer shall pay all costs of
applying for new Permits on and after the Closing Date.

          2.6 TAX  CLEARANCE  CERTIFICATE.  Seller  shall  provide  Buyer with a
clearance  certificate or similar  document(s) that may be required by any state
taxing  authority in order to relieve  Buyer of any  obligation  to withhold any
portion of the Purchase Price.  Notwithstanding anything herein to the contrary,
in the event Buyer  shall be legally  obligated  to withhold  any portion of the
Purchase Price pursuant to the  requirements of any state taxing  authority,  it
shall not be a breach of this  Agreement  for Buyer to withhold  that portion of
the Purchase Price it is so required to withhold, and only such portion thereof.

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

          3.1 CLOSING. The Closing of the transactions  contemplated herein (the
"CLOSING")  is being held  concurrently  with the execution and delivery of this
Agreement  by mail  through  escrow  arrangements  satisfactory  to the  parties
hereto.

          3.2 CONVEYANCE AT CLOSING AND OTHER CLOSING DOCUMENTS.

              (A) INSTRUMENTS  AND  POSSESSION.  To effect the sale and transfer
referred to in Section 2.1 hereof,  concurrently  herewith  Coram and Seller are
executing and delivering to Buyer:

                   (I) one or more bills of sale, conveying in the aggregate all
         of Seller's personal property included in the Assets;

                   (II)  subject  to Section  9.1,  one or more  Assignments  of
         Contract Rights, with respect to the Contract Rights;

                   (III) one or more  assignments of  Proprietary  Rights to the
         extent necessary to assign such rights,



                                       13


<PAGE>




                   (IV) such other instruments as shall be reasonably  requested
         by Buyer to vest in Buyer title in and to the Assets in accordance with
         the provisions hereof;

                   (V) an opinion  of Paul,  Hastings,  Janofsky  & Walker  LLP,
         counsel to Seller and Coram, dated as of the Closing Date; and

                   (VI)  such  certificates  (including  resolutions)  of  their
         respective  officers  and others as has been  reasonably  requested  by
         Buyer.

              (B)  ASSUMPTION  DOCUMENT.  Upon  the  terms  and  subject  to the
conditions contained herein, concurrently herewith:

                   (I)  Buyer  is   delivering   to  Seller  an   instrument  of
         assumption,  evidencing Buyer's assumption, pursuant to Section 2.2, of
         the Assumed Liabilities;

                   (II)  Buyer is  delivering  to Seller an  opinion  of Blass &
         Driggs, counsel to Buyer, dated as of the Closing Date; and

                   (III) Buyer and IHS are furnishing to Coram such certificates
         (including resolutions) of their respective officers and others as have
         been reasonably requested by Coram.

              (C) FORM OF INSTRUMENTS. To the extent that a form of any document
to be delivered  hereunder is not attached as an Exhibit hereto,  such documents
shall be in form and substance,  and shall be executed and delivered in a manner
reasonably satisfactory to Buyer and Coram.

              (D) CONSENTS. Subject to Section 9.1, concurrently herewith Seller
is  delivering  to Buyer all  Permits and any other  third  party  consents  and
releases of liens, including consents and releases of liens from banks and other
lenders to the Seller,  required for the transfer of the Assets as  contemplated
by this Agreement.

              (E)   NON-COMPETITION,    NON-SOLICITATION   AND   CONFIDENTIALITY
AGREEMENT. Concurrently herewith the parties hereto are executing and delivering
an  Amendment  to the Non-  Competition,  Non-Solicitation  and  Confidentiality
Agreement,  dated as of September 30, 1997, among the parties hereto and certain
other parties.

              (F) INSURANCE.  Concurrently herewith Coram is delivering to Buyer
evidence  confirming  that Coram has obtained  extended  reporting  endorsements
satisfactory to Buyer and covering the two-year period  following the Closing to
all of its existing liability insurance policies that are not "OCCURRENCE BASED"
policies  covering  any  portion of the  Business.  Coram and Buyer  shall share
equally the premiums paid for obtaining the endorsements.

          3.3      CERTAIN BRING-DOWNS.

              (A) All of the  representations  and  warranties  made  by  Seller
pursuant  to this  Agreement  shall be remade  by  Seller  and shall be true and
correct in all material  respects as of June 29, 1998 (except to the extent that
such  representations  and  warranties  expressly  relate to an earlier date (in
which case such  representations and warranties shall be true and correct on and
as of such earlier date)), as if the Closing



                                       14


<PAGE>



were held on such date;  and  Seller  shall so certify to Buyer on such date and
for  the  purposes  of  Section  10.4  of  this  Agreement   (including  without
limitation,  Section  10.4(f)),  IHS and Buyer shall be deemed to have relied on
such  certification  in  consummating  the  transactions  contemplated  by  this
Agreement to occur at the Closing.

              (B) Seller shall indemnify and hold harmless Buyer,  IHS and their
respective  Affiliates  from and against any and all Damages  arising out of any
act or omission by Seller  during the period  commencing  immediately  after the
Closing Date and ending on June 29, 1998 that would have constituted a breach by
Seller if the Closing had not yet occurred.


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

     Seller hereby  represents and warrants to Buyer and IHS as follows,  except
as otherwise set forth on the Disclosure Schedule:

          4.1 ORGANIZATION OF CORAM, SELLER AND THE PARTNERSHIP;  ORGANIZATIONAL
DOCUMENTS.

              (A) ORGANIZATION.  Each of Coram and the Seller is duly organized,
validly  existing  and  in  good  standing  under  the  laws  of  its  State  of
incorporation, with full power and authority to own and lease its properties and
assets. The Partnership is validly formed and in good standing under the laws of
its State of  formation,  with the full power and authority to own and lease its
properties  and assets.  Each of Coram,  the Seller and the  Partnership is duly
qualified  to do  business  as a foreign  corporation,  partnership  or  limited
liability  company  and is in good  standing  in  each  jurisdiction  where  the
character of its properties owned or leased or the nature of its activities make
such qualification  necessary,  except where the failure to so qualify would not
have a material  adverse  effect on the Business.  Schedule 4.1 contains a true,
correct and  complete  list of all  jurisdictions  in which the  Partnership  is
qualified to do business as a foreign partnership.

              (B)  ORGANIZATIONAL  DOCUMENTS AND ENTITIES.  Copies of all of the
Organizational  Documents of Seller and the  Partnership  have  heretofore  been
delivered or made available to Buyer,  and as so delivered or made available are
accurate and complete.

          4.2 SUBSIDIARIES. The Partnership has no subsidiaries.  None of Coram,
Seller or any of their  respective  Affiliates  owns any Stock or other interest
(whether controlling or not) in any corporation, association, partnership, joint
venture or other entity engaged in the Business other than the Partnership.

          4.3  AUTHORIZATION.  Coram and  Seller  have all  requisite  power and
authority, and have taken all corporate action necessary, to execute and deliver
this Agreement and each  instrument,  certificate,  agreement and document to be
executed or delivered by it as provided in this Agreement  ("SELLER  TRANSACTION
DOCUMENTS"),  to consummate the transactions contemplated hereby and thereby and
to perform  their  obligations  hereunder  and  thereunder.  The  execution  and
delivery  of this  Agreement  and each Seller  Transaction  Document by Coram or
Seller,  as the case may be,  and the  consummation  by Coram and  Seller of the
transactions  contemplated  hereby and  thereby  have been duly  approved by the
boards of directors and, to the extent  required,  by the  shareholders of Coram
and Seller.  No other  corporate  proceedings on the part of Coram or Seller are
necessary to authorize the execution, delivery and performance of this Agreement
and each Seller Transaction Document by Coram or Seller, as the case may be, and
the  consummation  of the  transactions  contemplated  hereby and thereby.  This
Agreement and each Seller Transaction Document has



                                       15


<PAGE>



been duly executed and delivered by Coram or Seller,  as the case may be, and is
the legal, valid and binding obligation of Coram and Seller, as the case may be,
enforceable against it in accordance with its terms.

          4.4  ABSENCE OF CERTAIN  CHANGES OR EVENTS.  Since the  Balance  Sheet
Date, except as set forth on Schedule 4.4, there has not been any:

              (A) material adverse change in the Business;

              (B)  change  in  accounting   methods,   principles  or  practices
affecting in any material  respect the Assets,  the Assumed  Liabilities  or the
Business;

              (C)  damage,  destruction  or  loss  (whether  or not  covered  by
insurance) materially and adversely affecting the Assets or the Business;

              (D)  cancellation of any  indebtedness or waiver or release of any
right  or  claim of the  Seller  or the  Partnership  which  had or will  have a
material adverse effect on the Assets or the Business;

              (E)  declaration,  setting  aside,  or  payment  of  dividends  or
distributions  by the  Seller or the  Partnership  except  consistent  with past
practices, or any redemption, purchase or other acquisition of any securities of
or any partnership or membership interest in the Seller or the Partnership;

              (F)  increase  in the rate of  compensation  payable  or to become
payable to any director,  officer or other  employee of the  Partnership  or any
consultant,  Representative  or  agent  of any of the  Partnership  (other  than
compensation  increases for non-officer employees of the Partnership made in the
ordinary  course of business and consistent  with past practices or compensation
increases  required under contracts  existing on the date of this Agreement that
have been disclosed on Schedule 4.6 hereto) including,  without limitation,  the
making of any loan (except travel advances,  if any, made in reasonable  amounts
and in the  ordinary  course of business  consistent  with past  practice of the
Partnership)  to, or the  payment,  grant or  accrual  of any  bonus,  incentive
compensation, service award or other similar benefit to, any such person, or the
addition to, modification of, or contribution to any Employee Plan, arrangement,
or practice described in the Disclosure Schedule.

              (G) material adverse change in employee  relations which has or is
reasonably  likely to have a material  adverse effect on the  productivity,  the
financial condition, results of operations or Business of the Partnership or the
relationships between the employees of the Partnership and the management of the
Partnership;

              (H)  amendment,   cancellation  or  termination  of  any  material
Contract,  commitment,  agreement,  Lease, transaction or Permit relating to the
Business and included in the Assets or entry by the  Partnership  or Seller into
any Contract,  commitment,  agreement,  Lease or transaction which is not in the
ordinary course of business,  including  without  limitation,  any employment or
consulting agreements, that will be included in the Assets;

              (I) mortgage,  pledge or other encumbrance of any of the Assets or
any assets of the Partnership other than Permitted Encumbrances;

              (J)  sale,  assignment  or  transfer  of any of the  Assets or any
assets of the Partnership other than in the ordinary course of business;



                                       16


<PAGE>



              (K)  incurrence  of  indebtedness  by the  Partnership  or, to the
extent such indebtedness would constitute an Assumed  Liability,  by the Seller,
for  borrowed   money  or  commitment  to  borrow  money  entered  into  by  the
Partnership,  or to the  extent  such  commitment  would  constitute  an Assumed
Liability,  by the Seller, or loans made or agreed to be made by the Partnership
or, to the  extent  such loan would  constitute  an  Assumed  Liability,  by the
Seller,  or  indebtedness  guaranteed by the  Partnership or, to the extent such
guarantee would  constitute an Assumed  Liability,  by the Seller,  in each case
other than in the ordinary course of business consistent with past practice;

              (L) incurrence by the  Partnership of any  Liabilities  or, to the
extent such Liabilities  would  constitute  Assumed  Liabilities,  by the Seller
(except,  in each case,  Excluded  Liabilities and  Liabilities  incurred in the
ordinary course of Business), or change in any assumptions underlying or methods
of  calculating  any  doubtful  account  contingency  or other  reserves  of the
Partnership;

              (M) payment,  discharge or  satisfaction of any Liabilities of the
Partnership  other than the payment,  discharge or  satisfaction in the ordinary
course of business of  Liabilities  set forth or reserved  for on the  Financial
Statements or incurred in the ordinary course of business;

              (N) capital expenditure by the Partnership in excess of $25,000 in
the aggregate,  or the incurring of any obligation by the Partnership or, to the
extent such obligation would constitute an Assumed Liability,  by the Seller, to
make any capital expenditure in excess of $25,000;

              (O) failure to pay or satisfy when due or other default in respect
of any  Liability  of the  Partnership  or, to the extent such  Liability  would
constitute an Assumed Liability, by the Seller;

              (P)  failure  of the  Partnership  or  the  Seller  to  use  their
respective  commercially  reasonable efforts to carry on diligently the Business
in the  ordinary  course so as to keep  available  to Buyer the  services of the
employees  of the  Partnership,  and to preserve  for Buyer the Business and the
goodwill of the  suppliers  and  customers of the  Partnership  and other having
business relations with it;

              (Q)  disposition of any  Proprietary  Rights which are material to
the Business;

              (R)  existence  of any  other  event  or  condition  which  in the
aggregate has or would  reasonably be expected to have a material adverse effect
on the Partnership or on the Business, taken as a whole; or

              (S)  agreement by the Seller or the  Partnership  to do any of the
things  described  in the  preceding  clauses  (a)  through  (r)  other  than as
expressly provided for herein.

          4.5 ASSETS.  Seller has and will transfer good and marketable title to
the Assets including,  without limitation,  the Partnership  Interest,  Seller's
rights  under  the Main  Agreements  and the  Partnership  Rights,  and upon the
consummation of the transactions  contemplated  hereby,  Buyer will acquire good
and marketable title to all of the Assets,  free and clear of any  Encumbrances,
except for Permitted  Encumbrances.  The Assets, together with the assets of the
Partnership,  include, without limitation,  substantially all assets used in the
conduct of the  Business in the ordinary  course,  including  substantially  all
assets  held or used by the Seller  and the  Partnership  in the  conduct of the
Business as presently conducted, other than inventory or supplies disposed of or
used in the ordinary  course of Business.  All  tangible  assets and  properties
which are part of the  Assets and all  tangible  assets  and  properties  of the
Partnership are in



                                       17


<PAGE>



good  operating  condition  and repair and are usable in the ordinary  course of
business in a manner consistent with past practice and conform to all applicable
Regulations (including  Environmental Laws) relating to their construction,  use
and operation,  except where the failure to so conform would not have a material
adverse effect on the Business.  The state of organization of the Partnership is
Georgia.  The  percentage  economic  interest  of Seller in the  Partnership  is
69.03%.  Except  as set  forth in the Main  Agreements,  there  are no rights or
rights  of first  refusal  with  respect  to any  outstanding  interests  in the
Partnership.

          4.6 CONTRACTS AND COMMITMENTS.

              (A)  CONTRACTS.  Schedule  4.6 sets forth a complete  and accurate
list of all Contracts of the following categories to which the Seller is a party
and which relates  primarily to the Business,  or to which the  Partnership is a
party:

                   (I) Contracts not made in the ordinary course of business;

                   (II) Employment contracts and severance agreements;

                   (III) Labor or union contracts;

                   (IV) Material  distribution,  franchise,  license,  technical
         assistance  sales,  commission,   consulting,   agency  or  advertising
         contracts which are not cancelable on thirty (30) calendar days notice;

                   (V) Options with respect to any  property,  real or personal,
         whether the Partnership is the grantor or grantee thereunder;

                   (VI)  Contracts   involving  future  annual  expenditures  or
         Liabilities,  actual or  potential,  in excess of $25,000 or  otherwise
         material to the Business of the Partnership;

                   (VII)   Contracts  or  commitments   relating  to  commission
         arrangements with others;

                   (VIII)  Promissory  notes,  loans,  indentures,  evidences of
         indebtedness,  letters  of  credit,  guarantees,  or other  instruments
         relating to an  obligation  to pay money in excess of $25,000,  whether
         the Partnership is the borrower, lender or grantor thereunder;

                   (IX) Contracts  containing  covenants limiting the freedom of
         the  Partnership  or any  shareholder,  officer,  director,  partner or
         employee of the  Partnership or the Other Partner's GP to engage in any
         line of business or compete with any person;

                   (X) Any  Contract  with the  United  States,  or any state or
         local government or any agency or department thereof;

                   (XI) Leases of real property;

                   (XII)  Leases of personal  property not  cancelable  (without
         Liability) within 30 calendar days or which have aggregate annual lease
         payments in excess of $20,000; and



                                       18


<PAGE>



                   (XIII) Contracts  entered into in settlement of any Action or
         threatened Action.

     Coram has delivered or made  available to Buyer true,  correct and complete
copies of all of the Contracts listed on Schedule 4.6,  including all amendments
and supplements thereto.

              (B)  AGREEMENTS.  Coram has  delivered  to Buyer true and complete
copies of all of the Main  Agreements,  including all amendments and supplements
thereto.

              (C)  ABSENCE  OF  DEFAULT.  All  of the  Contracts  to  which  the
Partnership  or the Seller is a party or by which the  Partnership or the Seller
or any of the Assets is bound or affected,  and all of the Main  Agreements  are
valid,  binding and enforceable in accordance with their terms, except that such
enforcement may be subject to bankruptcy, insolvency, reorganization, moratorium
or other  similar laws now or hereafter in effect  relating to or affecting  the
rights of creditors  generally,  and that the remedy of specific performance and
injunctive  and other  forms of  equitable  relief may be  subject to  equitable
defenses  and to the  discretion  of the  court  before  which  any  proceedings
therefore may be brought.  The  Partnership  has fulfilled,  or taken all action
necessary  to enable it to fulfill when due,  all of its  obligations  under the
Contracts,  except  where a failure  to do so would not  constitute  a  material
breach  under the  Contract,  and  Seller  has  fulfilled,  or taken all  action
necessary to enable it to fulfill when due,  all of its  obligations  under each
Main Agreement and Contract to which it is a party.  Each of the Partnership and
Seller  has,  and, to the best  knowledge  of Seller,  the other  parties to the
Contracts have,  complied with the provisions  thereof;  neither the Partnership
nor the Seller is,  and,  to the best  knowledge  of Seller and Coram,  no other
party is, in Default  thereunder  and no notice of any claim of Default has been
given to the Seller.

              (D)  HOSPITAL  CONTRACTS.  Schedule  4.6  contains a complete  and
accurate  list of (i) each  existing  agreement  between the  Partnership  and a
hospital for the use of the Partnership's  lithotripsy services,  (ii) the dates
on which  such  agreements  were  entered  into,  (iii)  the  term of each  such
agreement and (iv) the fees payable under each such agreement.

          4.7 PERMITS; CONSENTS AND APPROVALS.

              (A)  Schedule  4.7  sets  forth a  complete  list  of all  Permits
material to the operation of the Business. The Partnership has, and at all times
has had, all Permits  required  under any  Regulation  (including  Environmental
Laws) in connection with the operations related to the Business except where the
failure to have any such Permit would not have a material  adverse effect on the
Business or the Assets.  The Seller has,  and at all times has had,  all Permits
required under any Regulation (including  Environmental Laws) in connection with
the  operations  related  primarily to the Business  except where the failure to
have any such Permit would not have a material adverse effect on the Business or
the Assets.  Neither the  Partnership  nor,  with respect to the  Business,  the
Seller,  is in Default,  nor has either of them received any notice of any claim
of Default,  with  respect to any such  Permit.  Except as set forth on Schedule
4.7, no such Permit which is material to the  operation of the Business  will be
adversely  affected by the completion of the  transactions  contemplated by this
Agreement.  No present or former shareholder,  director,  officer or employee of
Seller or the Partnership or any Affiliates thereof, or any other person,  firm,
corporation  or other entity,  owns or has any  proprietary,  financial or other
interest  (direct  or  indirect)  in any  Permit  which  the  Partnership  owns,
possesses  or uses  or  which  Seller  owns,  possesses  or  uses  primarily  in
connection with the Business.


                                       19


<PAGE>



              (B) Except as  disclosed  on Schedule  4.7  hereto,  no notice to,
declaration,  filing  or  registration  with,  or Permit or  consent  from,  any
domestic or foreign  governmental or regulatory body or authority,  or any other
person or entity, including, without limitation, any party to any Main Agreement
or Contract, is required to be made or obtained by the Seller or the Partnership
in connection with the execution,  delivery or performance of this Agreement and
the consummation of the transactions contemplated hereby.

          4.8 NO CONFLICT OR  VIOLATION.  Except as disclosed  in Schedule  4.8,
neither  the  execution,  delivery  or  performance  of this  Agreement  nor the
consummation of the transactions  contemplated  hereby, nor compliance by Seller
with  any of the  provisions  hereof,  will (a)  violate  or  conflict  with any
provision of the certificate or articles of incorporation or bylaws, partnership
or limited liability company agreement or limited partnership certificate of the
Seller or Partnership,  (b) violate, conflict with, or result in or constitute a
Default under,  or result in the  termination  of, or accelerate the performance
required  by, or result in a right of  termination  or  acceleration  under,  or
result in the creation of any Encumbrance  (other than a Permitted  Encumbrance)
upon any of the assets of the  Business  under any of the terms,  conditions  or
provisions of any material Contract (including the T(2) Settlement Agreement and
any other  Contract  entered into in  settlement  or resolution of any Action or
threatened or  anticipated  Action),  Main  Agreement or material  Permit (i) to
which  the  Seller  or the  Partnership  is a party or (ii) by which  any of the
Assets are bound or affected,  (c) violate any Regulation or Court Order, or (d)
impose any Encumbrance (other than a Permitted Encumbrance) on any of the assets
of the Business.

          4.9  FINANCIAL  STATEMENTS.  A true and complete copy of the Financial
Statements is attached hereto as Schedule 4.9. The Financial  Statements (a) are
derived from the books and records of the Partnership  and the Seller,  (b) have
been  prepared in  accordance  with  generally  accepted  accounting  principles
consistently  applied  throughout  the  periods  covered  thereby and (c) fairly
present in all  material  respects  the  financial  position of the  Partnership
described  therein  as of the  respective  dates  thereof  and  the  results  of
operations for the periods covered  thereby,  except to the extent the Financial
Statements  do not reflect the  liabilities  described on Schedule  4.13. At the
respective dates of the Financial  Statements,  there were no Liabilities of the
Business  which, in accordance with generally  accepted  accounting  principles,
should have been set forth on or reserved for in the Financial Statements or the
notes  thereto,  which  are not  set  forth  or  reserved  for in the  Financial
Statements or the notes thereto,  which are not set forth or reserved for in the
Financial  Statements or the notes  thereto,  except to the extent the Financial
Statements do not reflect the liabilities described on Schedule 4.13.

          4.10 BOOKS AND  RECORDS.  Seller  has made and kept (and  given  Buyer
access  to) the Books and  Records  and  accounts  of the  Business,  which,  in
reasonable detail, accurately reflect in all material respects the activities of
the  Partnership  and the conduct of the  Business.  The  Partnership  and, with
respect  to  the  Business,   the  Seller  have  not  engaged  in  any  material
transaction,  maintained  any bank account or used any material funds except for
transactions,  bank  accounts and funds that have been and are  reflected in the
Books and Records.

          4.11 LITIGATION.  Except as set forth on Schedule 4.11, as of the date
hereof,  there is no Action  pending,  or to the best  knowledge  of Seller  and
Coram,   threatened  or  anticipated  against,   related  to  or  affecting  the
Partnership or Seller that relate to or affect the Business, or against, related
to  or  affecting  the  Business  or  the  Assets  (including  with  respect  to
Environmental  Laws) or that seek to delay,  limit or  enjoin  the  transactions
contemplated by this Agreement. Neither Seller nor the Partnership is subject to
any Court Order (other than the Court Order(s) listed on Schedule 4.11) or is in
Default with respect to any Court Order that relates to the Business, the Assets
or the assets of the Business and there are no unsatisfied


                                       20


<PAGE>



judgments against the Seller relating to the Business,  the Assets or the assets
of the Business or against the Partnership.  As of the date hereof, there are no
Court Orders or  agreements  with,  or liens by, any  governmental  authority or
quasi-governmental  authority  relating to any Environmental Law which regulate,
obligate, bind or in any way affect the Partnership, the Business, the Assets or
the assets of the Business.

          4.12 LABOR MATTERS.  Neither the Partnership nor the Seller is a party
to  any  labor   agreement   with  respect  to  its  employees  with  any  labor
organization,  union, group or association and there are no employee unions (nor
any other similar labor or employee organizations) under local statutes,  custom
or practice  relating to or affecting the Business,  the Assets or the assets of
the Business. Neither the Partnership nor the Seller has experienced any attempt
by organized labor or its  representatives  to make the  Partnership  conform to
demands of  organized  labor that would cover its  employees.  There is no labor
strike or labor  disturbance  pending  or, to the best  knowledge  of Seller and
Coram,  threatened  against  the  Partnership,  or,  to the  extent  it  relates
primarily  to  the  Business,  Seller,  nor  is any  grievance  currently  being
asserted,  and neither the Partnership nor to the extent is relates primarily to
the Business, Seller, has experienced a work stoppage or other labor difficulty,
and is not and has not engaged in any unfair labor  practice.  Without  limiting
the foregoing,  the Partnership  and, to the extent it relates  primarily to the
Business, the Seller, are in material compliance with the Immigration Reform and
Control Act of 1986 and maintain a current Form I-9, as required by that Act, in
the personnel file of each employee hired after November 9, 1986.  Schedule 4.12
sets forth the names and current  annual salary rates or current hourly wages of
all present  employees of the Partnership whose annual cash compensation for the
fiscal year ending December 31, 1998 is expected to exceed $35,000 per year.

          4.13  LIABILITIES.  Except as disclosed on Schedule 4.13,  neither the
Seller nor the  Partnership  has any  Liabilities  relating  to the  Business or
affecting the Assets and due or to become due, except (a) Liabilities  which are
set forth or  reserved  for on the  Balance  Sheet,  which have not been paid or
discharged  since the Balance Sheet Date,  (b)  Liabilities  incurred  since the
Balance  Sheet Date in the ordinary  course of Business and in  accordance  with
this Agreement  which are not in Default and none of which,  individually  or in
the aggregate,  has or would have a material  adverse effect on the Business and
(c) Excluded Liabilities.

          4.14  COMPLIANCE  WITH LAW. Seller and the Partnership and the conduct
of the Business  have not  violated in any material  respect and are in material
compliance  with all  applicable  Regulations  (other than Health Care Laws) and
Court  Orders  relating to the Assets or the  Business.  Except as  described on
Schedule 4.14,  neither the  Partnership nor the Seller has received any written
notice,  or, to its knowledge,  any oral notice to the effect that, or otherwise
been advised that, it is not in compliance  with any such  Regulations  or Court
Orders,  and  Seller and Coram have no reason to  anticipate  that any  existing
circumstances  are  likely  to  result  in  material  violations  of  any of the
foregoing.

          4.15 NO BROKERS. Neither the Seller nor any of its offices, directors,
employees,  shareholders,  partners  or  Affiliates  has  employed  or made  any
agreement  with any broker,  finder or similar agent or any person or firm which
will  result  in the  obligation  of Buyer or any of its  Affiliates  to pay any
finder's fee, brokerage fees or commission or similar payment in connection with
the transactions contemplated hereby.

          4.16 NO OTHER AGREEMENT TO SELL THE ASSETS. Except as set forth in the
Partnership   Agreement  or  on  Schedule  4.16,  neither  the  Seller  nor  the
Partnership nor any of their  respective  officers,  directors,  shareholders or
Affiliates has any commitment or legal obligations,  absolute or contingent,  to
any


                                       21


<PAGE>



other person or firm other than the Buyer to sell, assign,  transfer or effect a
sale of any of the  Assets  (other  than  inventory  in the  ordinary  course of
business) or any portion of the Business,  to effect any merger,  consolidation,
liquidation, dissolution or other reorganization, or to enter into any agreement
or cause the entering into of an agreement with respect to any of the foregoing.

          4.17 PROPRIETARY RIGHTS.

              (A)  PROPRIETARY  RIGHTS.  Schedule 4.17 lists all of the material
Proprietary  Rights.  Schedule  4.17 also sets forth:  (i) for each Patent,  the
number,  normal expiration date and subject matter for each country in which the
Patent has been issued,  or, if  applicable,  the  application  number,  date of
filing  and  subject  matter  for each  country,  (ii) for each  Trademark,  the
application serial number or registration number, the class of goods covered and
the expiration  date for each country in which a Trademark has been  registered,
and (iii) for each Copyright,  the number and date of filing for each country in
which  a  Copyright  has  been  filed.  The  Proprietary  Rights  listed  in the
Disclosure  Schedule  are all those used by the Seller  and the  Partnership  in
connection with the Business.  True and correct copies of all Patents (including
all pending applications) owned, controlled,  created or used by or on behalf of
the Seller  (limited,  to those used or useful in connection with the conduct of
the Business) or  Partnership  or in which the Seller  (limited to those used or
useful in connection  with the conduct of the Business) or the  Partnership  has
any interest whatsoever have been provided to Buyer.

                  (B)  ROYALTIES  AND  LICENSES.  Neither  the  Seller  nor  the
Partnership  has any obligation to compensate any person for the use of any such
Propertiery  Rights nor has Seller or the Partnership  granted to any person any
license,  option or other  rights to use in any  manner  any of its  Proprietary
Rights, whether requiring the payment of royalties or not.

                  (C) OWNERSHIP AND PROTECTION OF PROPRIETARY RIGHTS. The Seller
and the Partnership own or have a valid right to use the Proprietary Rights, and
the  Proprietary  Rights  will not cause to be valid  rights  of Seller  and the
Partnership  by reasons  of the  execution,  delivery  and  performance  of this
Agreement or the consummation of the transactions contemplated hereby, except to
the extent transferred to Buyer pursuant hereto in which event they shall become
valid rights of Buyer.  All of the pending  Patent  applications  have been duly
filed.  Neither the Partnership nor Seller has received any notice of invalidity
or infringement of any rights of others with respect to the Proprietary  Rights.
Seller  and the  Partnership  have taken all  reasonable  and  prudent  steps to
protect the Proprietary  Rights from  infringement by any other person. No other
person  (i) has  notified  Seller or the  Partnership  that it is  claiming  any
ownership of or right to use any Proprietary  Rights, or (ii) is infringing upon
any Proprietary  Rights in any way. The use by Seller and the Partnership of the
Proprietary  Rights  does not and  will  not  conflict  with,  infringe  upon or
otherwise  violate the valid rights of any third party in or to the  Proprietary
Rights,  and no Action has been  instituted  against or notices  received by the
Seller or the Partnership that are presently  outstanding  alleging that the use
of the  Proprietary  Rights  by the  Seller  or  Partnership  infringes  upon or
otherwise violates any rights of a third party in or to the Proprietary Rights.

          4.18 EMPLOYEE BENEFIT PLANS.

              (A) DEFINITIONS.  The following  terms,  when used in this Section
4.18,  shall have the  following  meanings.  Any of these terms may,  unless the
context otherwise  requires,  be used in the singular or the plural depending on
the reference.


                                       22


<PAGE>



                   (I) BENEFIT ARRANGEMENT. "BENEFIT ARRANGEMENT" shall mean any
         employment,   consulting,   severance   or  other   similar   contract,
         arrangement  or policy and each plan,  arrangement  (written  or oral),
         program,  agreement or  commitment  providing  for  insurance  coverage
         (including,   without  limitation,   any  self-insured   arrangements),
         workers' compensation,  disability benefits,  supplemental unemployment
         benefits,  vacation  benefits,   retirements  benefits,  life,  health,
         disability or accident benefits  (including,  without  limitation,  any
         "voluntary  employees'  beneficiary  association" as defined in Section
         501(c)(9) of the Code providing for the same or other  benefits) or for
         deferred  compensation,  profit-sharing  bonuses,  stock options, stock
         appreciation  rights,  stock  purchases  or other  forms  of  incentive
         compensation  or  post-retirement  insurance,  compensation or benefits
         which

                        (A) is not a Welfare Plan, Pension Plan or Multiemployer
         Plan, (B) i s entered into,  maintained,  contributed to or required to
         be contributed  to, as the case may be, by the Partnership or any ERISA
         Affiliate or under which the  Partnership  or any ERISA  Affiliate  may
         incur any Liability,  and (C) covers any employee or former employee of
         the   Partnership  or  any  ERISA  Affiliate  (with  respect  to  their
         relationship with the Partnership).

                   (II) CODE.  "CODE"  shall mean the  Internal  Revenue Code of
         1986, as amended.

                   (III) EMPLOYEE PLANS. "EMPLOYEE PLANS" shall mean all Benefit
         Arrangements, Multiemployer Plans, Pension Plans and Welfare Plans.

                   (IV) ERISA. "ERISA" shall mean the Employee Retirement Income
         Security Act of 1974, as amended.

                   (V) ERISA AFFILIATE.  "ERISA AFFILIATE" shall mean any Entity
         which is (or at any relevant time was) a member of a "controlled  group
         of  corporations"  with, under "common control" with, or a member of an
         "affiliated  service group" with, the Partnership as defined in Section
         414(b), (c), (m) or (o) of the Code.

                   (VI) MULTIEMPLOYER PLAN.  "MULTIEMPLOYER PLAN" shall mean any
         "Multiemployer  plan," as defined in Section  4001(a)(3) of ERISA,  (A)
         which the  Partnership or any ERISA Affiliate  maintains,  administers,
         contributes to or is required to contribute to, or, after September 25,
         1980,  maintained,  administered,  contributed  to or was  required  to
         contribute to, or under which the  Partnership  or any ERISA  Affiliate
         may incur any  Liability  and (B) which  covers any  employee or former
         employee of the  Partnership  or any ERISA  Affiliate  (with respect to
         their relationship with the Partnership).

                   (VII) PBGC.  "PBGC" shall mean the Pension  Benefit  Guaranty
         Corporation.

                   (VIII) PENSION PLAN.  "PENSION PLAN" shall mean any "employee
         pension benefit plan" as defined in Section 3(2) of ERISA (other than a
         Multiemployer  Plan) (A) which the  Partnership or any ERISA  Affiliate
         maintains, administers, contributes to or is required to contribute to,
         or,  within  five  years  prior  to  the  Closing   Date,   maintained,
         administered, contributed to or was required to contribute to, or under
         which the Partnership or any ERISA Affiliate may incur



                                       23


<PAGE>



         any Liability,  and (B) which covers any employee or former employee of
         the   Partnership  or  any  ERISA  Affiliate  (with  respect  to  their
         relationship with the Partnership).

                   (IX) WELFARE PLAN. "WELFARE PLAN" shall mean

                        (A) any  "employee  welfare  benefit plan" as defined in
         Section 3(l) of ERISA, (A) which the Partnership or any ERISA Affiliate
         maintains, administers, contributes to or is required to contribute to,
         or under which the  Partnership  or any ERISA  Affiliate  may incur any
         Liability  and (B) which covers any employee or former  employee of the
         Partnership or any ERISA Affiliate (with respect to their  relationship
         with the Partnership).

              (B) DISCLOSURE, DELIVERY OF COPIES OF RELEVANT DOCUMENTS AND OTHER
INFORMATION.  Schedule  4.18  contains a complete  list of Employee  Plans which
cover employees of the Partnership (with respect to their  relationship with the
Partnership).  Coram has delivered or made  available to Buyer true and complete
copies of each of the  following  documents:  (i) each  Employee  Plan (and,  if
applicable,  related trust  agreement) which covers employees of the Partnership
(with respect to their  relationship with the  Partnership),  and all amendments
thereto,  including all annuity  contract or other funding  instruments,  (ii) a
complete  description  of any Employee  Plan which is not in writing,  (iii) the
most recent  determination  or opinion  letter  issued by the  Internal  Revenue
Service  with  respect to each  Pension Plan and each Welfare Plan (other than a
"Multiemployer  plan" as defined in Section  3(37) of ERISA) which covers or has
covered  employees of the Partnership (with respect to its relationship with the
Partnership),  (iv) for the three most recent plan years, Annual Reports on Form
5500 Series required to be filed with any  governmental  agency for each Pension
Plan which covers employees of the Partnership (with respect to its relationship
with the  Partnership),  and (v) a  description  setting forth the amount of any
Liability of the  Partnership  for payments  more than thirty (30) calendar days
past due with  respect  to each  Welfare  Plan  which  covers  employees  of the
Partnership;  provided,  however, that the foregoing subparagraphs (i) - (v) are
limited to those Employee  Plans with respect to which Buyer or the  Partnership
has or potentially has a Liability.

              (C)  REPRESENTATIONS.   Notwithstanding  the  provisions  of  this
Section  4.18(c),  the  representations  in  subparagraphs  (i) - (xiv)  of this
Section  4.18(c) apply only to Employee Plans for which Buyer or the Partnership
has or potentially has a Liability. Except as set forth in Schedule 4.14, Seller
represents and warrants as follows:

                        (I)  PENSION PLANS.

                             (A) The funding method used in connection with each
         Pension Plan which is subject to the minimum  funding  requirements  of
         ERISA is acceptable  and the actuarial  assumptions  used in connection
         with funding each such plan are  reasonable.  As of the last day of the
         last plan year of each  Pension  Plan and as of the Closing  Date,  the
         "amount  of  unfunded  benefit   liabilities"  as  defined  in  Section
         4001(a)(18)  of ERISA (but  excluding  from the  definition of "current
         value"  of  "assets"  of  such   Pension   Plan,   accrued  but  unpaid
         contributions)  did not and  will  not  exceed  zero.  No  "accumulated
         funding  deficiency" (for which an excise tax is due or would be due in
         the  absence of a waiver)  as defined in Section  412 of the Code or as
         defined in Section  302(a)(2) of ERISA,  whichever may apply,  has been
         incurred  with  respect to any  Pension  Plan with  respect to any plan
         year,  whether  or not  waived.  Nether the  Partnership  nor any ERISA
         Affiliate has failed to pay when due any "required installment", within
         the meaning of Section 412(m) of the


                                       24


<PAGE>



         Code and Section 302(c) of ERISA,  whichever may apply, with respect to
         any Pension Plan.  Neither the  Partnership  nor any ERISA Affiliate is
         subject to any lien imposed under Section 412(n) of the Code or Section
         302(f) of ERISA, whichever may apply, with respect to any Pension Plan.
         Neither the  Partnership  nor any ERISA Affiliate has any Liability for
         unpaid contributions with respect to any Pension Plan.

                             (B) Neither the Partnership nor any ERISA Affiliate
         is required to provide  security to a Pension  Plan which covers or has
         covered   employees  or  former   employees  of  Seller  under  Section
         401(a)(29) of the Code.

                             (C)  Each  Pension  Plan  and  each  related  trust
         agreement, annuity contract or other funding instrument which covers or
         has covered  employees  or former  employees of the  Partnership  (with
         respect to their  relationship  with the  Partnership) is qualified and
         tax-exempt under the provisions of Code Sections 401(a) (or 403(a),  as
         appropriate)  and  501(a) and has been so  qualified  during the period
         from its adoption to date.

                             (D)  Each  Pension   Plan,   each   related   trust
         agreement, annuity contract or other funding instrument which covers or
         has covered  employees  or former  employees of the  Partnership  (with
         respect to their relationship with the Partnership)  presently complies
         and has been  maintained in substantial  compliance with its terms and,
         both as to form and in operation,  with the requirements  prescribed by
         any and all  Regulations  and Court Orders which are applicable to such
         plans, including, without limitation, ERISA and the Code.

                             (E) The  Partnership  has  paid all  premiums  (and
         interest charges and penalties for late payment, if applicable) due the
         PBGC with  respect to each  Pension Plan for each plan year thereof for
         which such premiums are required. Neither the Partnership nor any ERISA
         Affiliate has engaged in, or is a successor or parent to an entity that
         has engaged in, a transaction described in Section 4069 of ERISA. There
         has been no "reportable  event" (as defined in Section 4043(b) of ERISA
         and the PBGC  regulations  under  such  Section)  with  respect  to any
         Pension Plan. No filing has been made by the  Partnership  or any ERISA
         Affiliate  with the PBGC,  and no proceeding  has been commenced by the
         PBGC, to terminate  any Pension Plan. No condition  exists and no event
         has occurred that could  constitute  grounds for the termination of any
         Pension  Plan by the  PBGC.  Neither  the  Partnership  nor  any  ERISA
         Affiliate has, at any time,  (1) ceased  operations at a facility so as
         to become  subject to the provisions of Section  4062(e) of ERISA,  (2)
         withdrawn  as a  substantial  employer  so as to become  subject to the
         provisions of Section 4063 of ERISA, or (3) ceased making contributions
         on or before the Closing  Date to any Pension  Plan  subject to Section
         4064(a) of ERISA to which the  Partnership or any ERISA  Affiliate made
         contributions during the six years prior to the Closing Date.


                                       25


<PAGE>



                        (II) MULTIEMPLOYER PLANS.

                             (A) Neither the Partnership nor any ERISA Affiliate
         has, at any time,  withdrawn from a  Multiemployer  Plan in a "complete
         withdrawal"  or a "partial  withdrawal" as defined in Sections 4203 and
         4205 and 4205 of ERISA,  respectively,  so as to result in a Liability,
         contingent or otherwise (including, without limitation, the obligations
         pursuant to an agreement  entered into in accordance  with Section 4204
         of ERISA),  of the  Partnership  or any ERISA  Affiliate.  Neither  the
         Partnership  nor any ERISA  Affiliate has engaged in, or is a successor
         or parent  corporation  to an entity that has engaged in, a transaction
         described in Section 4212(c) of ERISA.

                             (B) All  contributions  required  to be made by the
         Partnership or any ERISA Affiliate to each Multiemployer Plan have been
         made when due.

                             (C) If, as of the  Closing  Date,  the  Partnership
         (and all ERISA  Affiliates)  were to  withdraw  from all  Multiemployer
         Plans to which they (or any of them) has  contributed or been obligated
         to  contribute,  it (and they) would incur no Liabilities to such plans
         under Title IV of ERISA.

                             (D) With respect to each Multiemployer Plan: (1) no
         such   Multiemployer   Plan  has  been   terminated   or  has  been  in
         reorganization under ERISA so as to result, directly or indirectly,  in
         any  Liability,  contingent  or  otherwise,  of any Entity or any ERISA
         Affiliate under Title IV of ERISA; (2) no proceeding has been initiated
         by any person  (including  the PBGC) to terminate  any Multi-  employer
         Plan; (3) Seller,  the  Partnership  and the ERISA  Affiliates  have no
         reason to believe that any  Multiemployer  Plan will be  terminated  or
         will be reorganized under ERISA; and ( 4) the Partnership and the ERISA
         Affiliates do not expect to withdraw from any Multiemployer Plan.

                        (III)   WELFARE PLANS

                             (A) Each  Welfare  Plan which covers or has covered
         employees or former employees of the Partnership (with respect to their
         relationship  with the  Partnership) has been maintained in substantial
         compliance with its terms and, both as to form and operation,  with the
         requirements  prescribed  by any and all  Regulations  and Court Orders
         which  are  applicable  to  such  Welfare  Plan,   including,   without
         limitation, ERISA and the Code.

                             (B) None of the Partnership, any ERISA Affiliate or
         any  Welfare  Plan has any  present  or future  obligation  to make any
         payment to, or with respect to, any retiree  medical  benefit  plan, or
         other retiree Welfare Plan, and no condition exists which would prevent
         the  Partnership  from amending or terminating any such benefit plan or
         Welfare Plan.

                             (C) Each  Welfare  Plan which covers or has covered
         employees or former  employees of the Partnership and which is a "group
         health plan,' as defined in Section 607(1) of ERISA,  has been operated
         in compliance with provisions of Part 6 of Title 1, Subtitle B of ERISA
         and Sections 162(k) and 4980B of the Code at all times.


                                       26


<PAGE>



                             (D) Neither the Partnership nor any ERISA Affiliate
         has incurred any  Liability  with respect to any Welfare Plan that is a
         "Multiemployer  plan," as defined in Section 3(37) of ERISA,  under the
         terms of such Welfare  Plan,  any  collective  bargaining  agreement or
         otherwise  resulting from any cessation of contributions,  cessation of
         obligation to make  contributions or other form of withdrawal from such
         Welfare Plan.

                             (E) If, as of the  Closing  Date,  the  Partnership
         (and all ERISA  Affiliates) were to have a cessation of  contributions,
         cessation  of  obligations  to  make  contribution  or  other  form  of
         withdrawal from all Welfare Plans that are  "multiemployer  plans",  as
         defined in Section 3(37) of ERISA, they would incur no Liabilities with
         respect  to any such  Welfare  Plans  under the  terms of such  Welfare
         Plans, any collective bargaining agreement or otherwise.

                        (IV)  BENEFIT  ARRANGEMENTS.  Each  Benefit  Arrangement
         which  covers  or has  covered  employees  or former  employees  of the
         Partnership  (with respect to their  relationship with the Partnership)
         has  been  maintained  in  compliance  with  its  terms  and  with  the
         requirements  prescribed  by any and all  Regulations  and Court Orders
         which are applicable to such Benefit  Arrangement,  including,  without
         limitation,  the Code. Except as set forth in the Disclosure  Schedule,
         and except as provided by law, the employment of all persons  presently
         employed or retained by the Partnership is terminable at will.

                        (V) UNRELATED  BUSINESS TAXABLE INCOME. No Employee Plan
         (or trust or other funding vehicle pursuant  thereto) is subject to any
         tax under Code Section 511.

                        (VI)  DEDUCTIBILITY  OF PAYMENTS.  There is no contract,
         agreement, plan or arrangement covering any employee or former employee
         of  the  Partnership   (with  respect  to  its  relationship  with  the
         Partnership)  that,  individually  or  collectively,  provides  for the
         payment by the  Partnership  of any  amount (i) that is not  deductible
         under  Section  162(a)(1) or 404 of the Code or (ii) that is an "excess
         parachute payment" pursuant to Section 280G of the Code.

                        (VII)  FIDUCIARY  DUTIES  AND  PROHIBITED  TRANSACTIONS.
         Neither the  Partnership  nor any plan fiduciary of any Welfare Plan or
         Pension Plan which covers or has covered  employees or former employees
         of  the  Partnership  or  any  ERISA  Affiliate,  has  engaged  in  any
         transaction  in  violation  of  Sections  404 or 406  of  ERISA  or any
         "prohibited transaction," as defined in Section 4975(c)(2) of the Code,
         for which no  exemption  exists  under  Section 408 of ERISA or Section
         4975(c)(2) or (d) of the Code, or has otherwise violated the provisions
         of Part 4 of Title 1,  Subtitle  B of ERISA.  The  Partnership  has not
         knowingly  participated in a violation of Part 4 of Title 1, Subtitle B
         of ERISA by any plan  fiduciary of any Welfare Plan or Pension Plan and
         has not been assessed any civil penalty under Section 502(1) of ERISA.

                        (VIII) VALIDITY AND  ENFORCEABILITY.  Each Welfare Plan,
         Pension  Plan,  related  trust  agreement,  annuity  contract  or other
         funding instrument and Benefit  Arrangement which covers or has covered
         employees or former employees of the Partnership (with respect to their
         relationship  with the Partnership) is legally valid and binding and in
         full force and effect.

                        (IX)  LITIGATION.  There is no  Action  or  Court  Order
         outstanding,  relating to or seeking  benefits  under any Employee Plan
         that is pending, threatened or anticipated against the Partnership, any
         ERISA Affiliate or any Employee Plan.


                                       27


<PAGE>




                        (X) NO AMENDMENTS. Neither the Partnership nor any ERISA
         Affiliate  has any  announced  plan or legally  binding  commitment  to
         create  any  additional  Employee  Plans  which are  intended  to cover
         employees or former employees of the Partnership (with respect to their
         relationship  with the  Partnership) or to amend or modify any existing
         Employee Plan which covers or has covered employees or former employees
         of the  Partnership  (with  respect  to  their  relationship  with  the
         Partnership).

                        (XI) NO OTHER MATERIAL LIABILITY.  No event has occurred
         in connection  with which the Partnership or any ERISA Affiliate or any
         Employee Plan, directly or indirectly, could be subject to any material
         Liability  (A) under any  Regulation  or Court  Order  relating  to any
         Employee Plans or (B) pursuant to any obligation of the  Partnership to
         indemnify  any  person  against  Liability   incurred  under  any  such
         Regulation or Court Order as they relate to the Employee Plans.

                        (XII) UNPAID CONTRIBUTIONS.  Neither the Partnership nor
         any ERISA  Affiliate has any Liability for unpaid  contributions  under
         Section 515 with  respect to any Pension  Plan,  Multiemployer  Plan or
         Welfare Plan.

                        (XII) INSURANCE  CONTRACTS.  Neither the Partnership nor
         any Employee  Plan (other than a  "MULTIEMPLOYER  PLAN",  as defined in
         Section  3(37) of  ERISA)  holds as an asset of any  Employee  Plan any
         interest in any Partnership contract, guaranteed investment contract or
         any other  investment  or insurance  contract  issued by any  insurance
         company  that  is  the  subject  of  bankruptcy,   conservatorship   or
         rehabilitation proceedings.

                        (XIV) NO ACCELERATION OR CREATION OF RIGHTS. Neither the
         execution  and  delivery  of  this   Agreement  or  any  other  related
         agreements  by  Seller  nor  the   consummation  of  the   transactions
         contemplated  hereby will result in the acceleration or creation of any
         rights of any person to  benefits  with  respect to any  Employee  Plan
         (including,  without  limitation,  the  acceleration  of the vesting or
         exercisability of any stock options, the acceleration of the vesting of
         any restricted stock, the acceleration of the accrual or vesting of any
         benefits under any Pension Plan or the  acceleration or creation of any
         rights under any severance, parachute or change in control agreement).

          4.19  TRANSACTIONS  WITH  CERTAIN  PERSONS.  Except  as set  forth  in
Schedule 4.19, no officer,  director or employee of the  Partnership or employee
of Seller  dedicated  primarily to the Business  nor, to the knowledge of Seller
and Coram,  any member of any such  person's  immediate  family or any person or
entity  controlled  by such  person or in which such  person  has a  substantial
beneficial  interest,  is  presently,  or within the prior two years has been, a
party to any transaction with the Partnership or Seller relating to the Business
(other  than  for   services  as   officers,   directors  or  employees  of  the
Partnership),  including,  without limitation, any contract,  agreement or other
arrangement  (a) providing for the  furnishing of services by, (b) providing for
the  rental  of real or  personal  property  from,  or (c)  otherwise  requiring
payments to any such person or corporation,  partnership,  trust or other entity
in which any such person has an interest as a  shareholder,  officer,  director,
trustee or partner.

          4.20  TAX MATTERS.

              (A) FILING OF TAX  RETURN.  The  Partnership  (and any  affiliated
group of which it is now or has been a member) (the "TAX  ENTITIES")  has timely
filed (including  filings made during any extension period granted by any taxing
authority) with the appropriate taxing authorities all returns,  except as shown
on Schedule 4.20 (including,  without limitation,  information returns and other
material  information) in respect of Taxes required to be filed through the date
hereof and will timely file any such


                                       28


<PAGE>



returns  required to be filed on or prior to the Closing  Date.  The returns and
other  information  filed are complete  and  accurate in all material  respects.
Seller has delivered or made available to Buyer complete and accurate  copies of
the Partnership's federal, state and local tax returns for the 1995, 1996 & 1997
full fiscal year.

              (B) PAYMENT OF TAXES.  All Taxes, in respect of periods  beginning
before the Closing Date owed by the Tax Entities, have been timely paid, or will
be timely paid, when due, by the Tax Entities.

              (C)  AUDITS,  INVESTIGATIONS  OR  CLAIMS.  Except  as set forth in
Schedule  4.20,  there are no pending or, to the  knowledge of Seller and Coram,
threatened  audits,  investigations  or claims for or relating to any additional
Liability of any Tax Entity in respect of Taxes,  and there are no matters under
discussion with any  governmental  authorities with respect to Taxes that in the
reasonable judgement of any Tax Entity, or its counsel, is likely to result in a
material  additional  Liability of any Tax Entity for Taxes.  Audits of federal,
state,  and local  returns of the Tax Entities for Taxes by the relevant  taxing
authorities  have been  completed  for each period as set forth in Schedule 4.20
and,  except as set forth in Schedule 4.20, no Tax Entity has been notified that
any taxing  authority  intends to audit a return for any  period.  Except as set
forth in Schedule  4.20,  no extension of a statute of  limitations  relating to
Taxes is in effect with respect to any Tax Entity.

              (D) LIEN.  There are no liens for Taxes  (other  than for  current
Taxes not yet due and payable) on the Assets.

              (E) SAFE  HARBOR  LEASE  PROPERTY.  None of the Assets is property
that is required to be treated as being  owned by any other  person  pursuant to
the so-called safe harbor lease  provisions of former  Section  168(f)(8) of the
Code.

              (F)  SECURITY  FOR  TAX-EXEMPT  OBLIGATIONS.  None  of the  Assets
directly  or  indirectly  secures any debt the  interest on which is  tax-exempt
under Section 103(a) of the Code.

              (G) TAX-EXEMPT USE PROPERTY. None of the Assets is "TAX EXEMPT USE
PROPERTY" within the meaning of Section 168(h) of the Code.

              (H) FOREIGN PERSON. Neither Seller nor the Partnership is a person
other than a United States person within the meaning of the Code.

              (I) NO  WITHHOLDING.  The transaction  contemplated  herein is not
subject to the tax  withholding  provisions  of Section 3406 of the Code,  or of
Subchapter A of Subchapter 3 of the Code or of any other provision of law.

          4.21 INSURANCE. Schedule 4.21 contains a complete and accurate list of
all  policies  or  binders of fire,  liability,  title,  worker's  compensation,
product  liability  and other forms of  insurance  (showing as to each policy or
binder the carrier policy number,  coverage  limits,  expiration  dates,  annual
premiums,  a general  description of the type of coverage provided,  and, during
the periods the Seller held any interest in the Partnership, the loss experience
history of the Business by line of coverage)  held or maintained by Seller or by
the Partnership on the Business, the Assets or the employees of the Partnership.
All such  insurance  is in full  force and  effect,  insures  the Seller and the
Partnership in the amounts described therein against the risks described therein
and provides coverage as is required by applicable Regulation and by any and all
Contracts to which the Seller or the Partnership is a party. There is no Default
under any such


                                       29


<PAGE>



coverage  nor has there  been any  failure to give  notice or present  any claim
under such coverage in a due and timely fashion. There are no outstanding unpaid
premiums  except  in  the  ordinary  course  of  business,   and  no  notice  of
cancellation  or nonrental of any such  coverage has been received by the Seller
or the  Partnership.  There are no  outstanding  performance  bonds  covering or
issued for the benefit of the Partnership.  No insurer has advised Seller or the
Partnership  that it intends to reduce  coverage,  increase  premiums or fail to
renew any existing policy or binder relating to the Business.

          4.22 ACCOUNTS  RECEIVABLE.  The accounts  receivable  set forth on the
Balance Sheet, and all accounts receivable arising since the Balance Sheet Date,
in respect of the Business represent bona fide claims of the Partnership against
debtors for sales,  services performed or other charges arising on or before the
date hereof,  and all the goods delivered and services performed which gave rise
to said accounts  were  delivered or performed in material  compliance  with the
applicable orders, Contracts or customer requirements.  Said accounts receivable
are  subject to no  defenses,  counterclaims  or rights of set-off and are fully
collectible in the ordinary  course of business,  except in the aggregate to the
extent of the appropriate reserves for doubtful accounts receivable as set forth
on the Balance Sheet and, in the case of accounts  receivable  arising since the
Balance Sheet Date, in the aggregate to the extent of a reasonable  reserve rate
for doubtful accounts receivable which is not greater than the rate reflected by
the reserve for doubtful accounts on the Balance Sheet.

          4.23  INVENTORY.  Except  for  inventory  that is  excess,  damaged or
obsolete, for which in the aggregate an adequate reserve has been established in
the  Balance  Sheet  in  accordance   with  generally   accounting   principles,
consistently  applied,  the  inventory  reflected  in the Balance  Sheet and not
disposed of or reserved since such date is of good and merchantable  quality, of
a quantity  and  quality  saleable  in the  ordinary  course of  business of the
Business  in  accordance  with past  practices,  and is  adequate as of the date
hereof for the Business as conducted as of such date.

          4.24 PAYMENTS.  Neither the Seller nor the  Partnership  nor, to their
knowledge, any of their respective officers, directors,  members,  shareholders,
employees or agents, has, directly or indirectly,  paid,  delivered,  offered or
agreed to deliver any fee, commission or other sum of money or item of property,
however  characterized,  to  any  finder,  agent,  client,  customer,  supplier,
governmental official or other party, in the United States or any other country,
which is in any manner  related to the Business,  which was, at the time made or
given,  illegal  under any  federal,  state or local laws of the  United  States
(including,  without limitation, the U.S. Foreign Corrupt Practices' Act) or any
other country having  jurisdiction;  and neither the Seller nor the  Partnership
has  participated,  directly or  indirectly,  in any  boycotts or other  similar
practices affecting any of its actual or potential customers.

          4.25  CUSTOMERS,  DISTRIBUTORS  AND SUPPLIERS.  Except as set forth on
Schedule  4.25  hereto,  neither  Coram nor  Seller  has  received  any  written
communication from any of the five largest hospital customers of the Partnership
(other than Seller) of any intention to terminate or materially reduce purchases
from the  Partnership,  nor to the  knowledge  of Seller  and  Coram,  any other
communication to such effect.

          4.26 COMPLIANCE WITH ENVIRONMENTAL LAWS.

              (A) DEFINITIONS.  The following  terms,  when used in this Section
4.26,  shall have the  following  meanings.  Any of these terms may,  unless the
context otherwise  requires,  be used in the singular or the plural depending on
the reference.

                   (I) "ENTITY" For purposes of this Section,  the term "Entity"
         shall  include  (i)  all  Affiliate  of  the   Partnership,   (ii)  all
         partnerships,  joint  ventures and other entities or  organizations  in
         which the Partnership was at any time or is a partner,  joint venturer,
         member or


                                       30


<PAGE>



         participant   and  (iii)  all   predecessor  or  former   corporations,
         partnerships,  joint  ventures,  organizations,   businesses  or  other
         entities,  whether in  existence  as of the date  hereof or at any time
         prior to the date hereof,  the assets or obligations of which have been
         acquired or assumed by the  Partnership or to which the Partnership has
         succeeded.

                   (II) "RELEASE" shall mean and include any spilling,  leaking,
         pumping, pouring, emitting, emptying, discharging, injecting, escaping,
         leaching, dumping or disposing into the environment or the workplace of
         any Hazardous Substance.

                   (III)   "HAZARDOUS   SUBSTANCE"  shall  mean  any  pollutant,
         contaminant,  chemical, waste and any toxic, infectious,  carcinogenic,
         reactive,  corrosive,  ignitable  or  flammable  chemical  or  chemical
         compound or hazardous  substance,  material or waster,  whether  solid,
         liquid or gas, including,  without limitation, any quantity of asbestos
         in any form,  urea  formaldehyde,  PCB's,  radon gas,  crude oil or any
         fraction  thereof,  all forms of natural  gas,  petroleum  products  or
         by-products  or   derivatives,   radioactive   substance  or  material,
         pesticide waste waters, sludge, slag and any other substance,  material
         or waste that is subject to regulation,  control or  remediation  under
         any Environmental Laws.

                   (IV)   "ENVIRONMENTAL   LAWS"   shall  mean  all   applicable
         Regulations  which  regulate or relate to the protection or clean-up of
         the  environment,   the  use,   treatment,   storage,   transportation,
         generation, manufacture, processing, distribution, handling or disposal
         of, or emission,  discharge or other release or threatened  release of,
         Hazardous  Substances,  the  preservation  or  protection of waterways,
         groundwater,  drinking water,  air,  wildlife,  plants or other natural
         resources,  or the health and safety of employees.  Environmental  Laws
         shall include, without limitation, the Federal Insecticide,  Fungicide,
         Rodenticide Act, Resource Conservation & Recovery Act, Clean Water Act,
         Safe Drinking  Water Act,  Atomic Energy Act,  Occupational  Safety and
         Health Act, Toxic Substances Control Act, Clean Air Act,  Comprehensive
         Environmental  Response,  Compensation  and  Liability  Act,  Emergency
         Planning and Community Right-to-Know Act, Hazardous Materials Transport
         Act and all analogous or related federal,  state or local laws, each as
         amended.

                   (V)  "ENVIRONMENTAL  CONDITIONS"  means the introduction into
         the environment of any pollution,  including,  without limitation,  any
         contaminant,   irritant  or  pollutant  or  other  Hazardous  Substance
         (whether  or not  such  pollution  constituted  at the time  thereof  a
         violation  of any  Environmental  Law as a result of any Release of any
         kind  whatsoever  of any  Hazardous  Substance) as a result of which an
         Entity has or may become liable to any person or by reason of which any
         of the Assets or any  properties  or assets of any Entity may suffer or
         be subjected to any material lien.

              (B) FACILITIES. All properties currently owned, leased or operated
by the  Partnership  or by  Seller to the  extent  used in  connection  with the
Business  (collectively the  "FACILITIES")  are, and at all times have been, and
all   Facilities   previously   owned,   leased  or  operated  by  the  Entities
(collectively,  the "FORMER FACILITIES") were at all times when owned, leased or
operated by the  Entities,  owned,  leased and operated in  compliance  with all
Environmental  Laws and in a manner  that  will not give  rise to any  Liability
under any Environmental Laws, where any non-compliance or Liability would have a
material adverse effect upon the Business taken as a whole. Without limiting the
foregoing,  (i)  there  is not and has not been any  Hazardous  Substance  used,
generated,  treated,  stored,  transported,  disposed  of,  handled or otherwise
existing  on,  under,   about  or  emanating   from  any  Facility  or  treated,
transported,  handled,  disposed of, stored or otherwise held on, under or about
any such Facility or any Former Facility, except for


                                       31


<PAGE>



quantities of any such Hazardous  Substances  generated,  treated,  transported,
handled,  disposed  of,  stored or  otherwise  held on,  under or about any such
Facility in  material  compliance  with all  Environmental  Laws and  reasonably
necessary for the  operation of the Business,  (ii) each Entity has at all times
used, generated, treated, stored, transported,  disposed of or otherwise handled
its Hazardous  Substances in compliance with all Environmental  Laws in a manner
that will not result in Liability  of the  Partnership  under any  Environmental
Law, where any  non-compliance or Liability would have a material adverse effect
upon the  Business  taken as whole,  (iii) there is not now and has not been any
time in the past any underground or above-ground storage tank or pipeline at any
Facility or Former Facility where the installation,  use,  maintenance,  repair,
testing,  closure or removal of such tank or pipeline was not in compliance with
all Environmental Laws and there has been no Release from or rupture of any such
tank  or  pipeline,  including,  without  limitation,  any  Release  from  or in
connection with the filling or emptying of such tank,  where any  non-compliance
or Release  would have a material  adverse  effect upon the Business  taken as a
whole,  (iv) the Entities do not  manufacture  or distribute  any product in the
State of California  which requires the warning  mandated by the California Safe
Drinking Water and Toxic Enforcement Act of 1986 ("PROPOSITION  65"), and (v) no
Entity has made or ever been  required  to make any filing  under the New Jersey
Industrial Sit Recovery Act or any other state law of similar effect.

              (C)  NOTICE OF  VIOLATION.  No Entity has  received  any notice of
alleged, actual or potential responsibility for, or any inquiry or investigation
regarding,  (i) any Release or threatened Release of any Hazardous  Substance at
any location,  whether at the Facilities,  the Former Facilities or otherwise or
(ii) an alleged violation of or non-compliance with the conditions of any Permit
required under any Environmental Law or the provisions of any Environmental Law,
where any Release,  threatened  Release,  alleged  violation,  or non-compliance
would have a material adverse effect upon the Business. No Entity has received a
notice of any other claim, demand or Action by any individual or Entity alleging
any  actual or  threatened  injury or damage to any  person,  property,  natural
resource  or  the  environment  arising  from  or  relating  to any  Release  or
threatened Release of any Hazardous Substances at, on, under, in, to or from any
Facilities  or  Former  Facilities,  or in  connection  with any  operations  or
activities of Seller,  where any Release or  threatened  Release or violation of
noncompliance,  individually or in the aggregate,  would have a material adverse
effect upon the Business.

              (D)  ENVIRONMENTAL  CONDITONS.   There  are  no  present  or  past
Environmental  Conditions in any way relating to the Business or at any Facility
or Former Facility.

              (E)  ENVIRONMENTAL  AUDITS  OR  ASSESSMENTS.  True,  complete  and
correct copies of the written reports,  and all parts thereof, in the possession
of  any of the  Seller  or the  Partnership,  of  all  environmental  audits  or
assessments  which have been conducted at any Facility or Former Facility within
the past  five  years,  either by Seller  or the  Partnership  or any  attorney,
environmental consultant or engineer engaged by them for such purpose, have been
delivered to Buyer and a list of all such  reports,  audits and  assessments  is
included on Schedule 4.26.

              (F)  INDEMNIFICATION  AGREEMENTS.  Except as set forth in Schedule
4.26,  no Entity is a party,  whether  as a direct  signatory  or as  successor,
assign or third party  beneficiary,  or otherwise  bound,  to any Lease or other
Contract (excluding  insurance policies disclosed on the Disclosure Schedule and
excluding  Leases and  Contracts  not related to the  Business)  under which the
Entity is  obligated  by or  entitled  to the  benefits  of any  representation,
warranty,  indemnification,  covenant or  restriction  concerning  Environmental
Conditions.


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<PAGE>



              (G)  NOTICES,  WARNING AND RECORDS.  The  Entities  have given all
notice and  warnings,  made all  reports,  and kept and  maintained  all records
required  by,  and in each  case in  material  compliance  with  all  applicable
Environmental Laws.

          4.27 COMPLIANCE WITH HEALTH CARE LAWS; SETTLEMENT AGREEMENT.

              (A) ABSENCE OF CERTAIN BUSINESS PRACTICES.  Neither the Seller nor
the   Partnership,   any   Affiliate   of   Seller  or  the   Partnership,   any
predecessor-in-interest  to Seller or the  Partnership  of any  interest  in the
Partnership,  nor any  person or entity  acting on behalf of any of them  acting
alone or together ("DESIGNATED PERSONS"),  has, in connection with the Business,
(i)  received,  directly or  indirectly,  any  rebates,  payments,  commissions,
promotional  allowances  or any other  economic  benefits,  regardless  of their
nature or type,  from any customer,  physician,  governmental  employee or other
person or entity with whom or which Seller or the  Partnership has done Business
directly or indirectly, or (ii) directly or indirectly,  given or agreed to give
any gift or similar benefit to any customer, physician, governmental employee or
other  person or entity  who is or may be in a  position  to help or hinder  the
Business (or assist Seller or the  partnership in connection  with any actual or
proposed transaction).

              (B)  FRAUD  AND  ABUSE.  No  Designated   Person  has  engaged  in
connection with the Business in any activities that are prohibited under federal
Medicare or Medicaid  statutes,  42 U.S.C. ss. 1320a-7,  1320a-7a,  1320a-7b and
1395(nn),  the federal CHAMPUS  statute,  the federal False Claims  Statute,  31
U.S.C.  ss. 3729, or the  regulations  promulgated  pursuant to such statutes or
related state or local statutes or regulations,  including,  but not limited to,
the following:

                   (I) knowingly  and  willfully  making or causing to be made a
         false statement or representation of a material fact in any application
         for any benefit or payment;

                   (II) knowingly and willfully making or causing to be made any
         false  statement  or  representation  of a  material  fact  for  use in
         determining rights to any benefit or payment;

                   (III)  presenting  or  causing  to be  presented  a claim for
         reimbursement for services under CHAMPUS,  Medicare,  Medicaid or other
         state  health care program that is for an item or service that is known
         to be either not provided as claimed or false or fraudulent;

                   (IV) knowingly and willfully offering,  paying, soliciting or
         receiving any remuneration (including any kickback,  bribe, or rebate),
         directly or indirectly,  overtly or covertly, in cash or in kind (a) in
         return for referring an  individual  to a person for the  furnishing or
         arranging  for the  furnishing of any item or service for which payment
         may be made in whole or in part by CHAMPUS,  Medicare or  Medicaid,  or
         other  state  health  care  program,  or (b) in return for  purchasing,
         leasing,  or  ordering or  arranging  for or  recommending  purchasing,
         leasing,  or  ordering  any good,  facility,  service or item for which
         payment  may be made in  whole  or in party  by  CHAMPUS,  Medicare  or
         Medicaid or other state health care program; or

                   (V) knowingly  and willfully  making or causing to be made or
         inducing  or seeking to induce  the  making of any false  statement  or
         representation  (or  omitting to state a fact  required to be stated or
         necessary to make the  statements  made not  misleading)  of a material
         fact with respect to (i) the  conditions or operations of a facility in
         order that the facility may qualify for CHAMPUS, Medicare,  Medicaid or
         other state  health care  program  certification,  or (ii)  information
         required to be provided under ss. 1124A of the Social  Security Act (42
         U.S.C. ss. 1329a-3).


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<PAGE>



              (C) HEALTH PROFESSIONAL'S  FINANCIAL RELATIONSHIP.  The operations
of the Seller and the  Partnership  relating to the Business  are in  compliance
with and do not  otherwise  violate the federal  Medicare and Medicaid  statutes
regarding health professional self-referrals, 42 U.S.C. ss. 1395nn and 42 U.S.C.
ss. 1396b, or the regulations  promulgated  pursuant to such statute, or similar
state or local statutes or regulations.

              (D) CONTROLLED SUBSTANCES. No Designated Person has engaged in any
activities  in  connection  with the  Business  which are  prohibited  under the
federal Controlled  Substances Act, 21 U.S.C. ss. 801 et seq. or the regulations
promuglated  pursuant  to such  statute  or any  related  or local  statutes  or
regulations concerning the dispensing and sale of controlled substances.

              (E)  DISCLOSURE  OF CERTAIN  FINANCIAL  RELATIONSHIPS.  Seller has
disclosed to Buyer any and all financial  relationships relating to the Business
(whether or not  memorialized  in a writing) that the Seller or the  Partnership
has had with a physician  or an  immediate  family  member of a physician  since
January 1, 1995 or, to the best knowledge of Seller and Coram, prior thereto.

              (F) SETTLEMENT  AGREEMENT AND JUDGMENT.  Attached as Schedule 4.27
is a true and complete  copy of (i) the  Complaint in the civil action  entitled
Donna  Shalala,  Secretary of Health and Human  Services v. T(2)  Medical,  Inc.
(Civil Action No.  1-94-CV-2549-GEG)  filed in the United States  District Court
for the Northern District of Georgia,  Atlanta  Division,  on September 26, 1994
(the "COMPLAINT"),  (ii) the Settlement Agreement (the "SETTLEMENT  AGREEMENT"),
which  provides  for the  settlement  of alleged  claims of the U.S.  government
against Seller and its officers,  directors,  subsidiaries  and affiliates which
refer or relate to the  claims  alleged  in the  Compliant,  and (iii) the Final
Judgement of Permanent  Injunction and Ancillary Relief (the "JUDGMENT") entered
in the  action  covered  by the  Complaint.  The  Settlement  Agreement  and the
Judgment remain in full force and effet and have not been amended,  supplemented
or  modified  in any manner.  Seller and its  present  Affiliates  subject to or
covered by the  Settlement  Agreement  and the  Judgment  have  complied  in all
material  respects with the Settlement  Agreement and the Judgment to the extent
they relate to the  Partnership  or the Business.  The Business is not currently
conducted,  and has not at any time in the past been conducted, in a manner that
would  consitute a violation  of the terms of the  Settlement  Agreement  or the
Judgment and neither the Seller nor the  Partnership  has received notice to the
effect that, or otherwise  been advised  that, it is not in compliance  with the
Settlement  Agreement or the Judgment and will not be subject to the  Settlement
Agreement or the Judgment following  acquisition of the Assets and assumption of
the Assumed Liabilities by Buyer pursuant hereto.

              (G) EXCLUSIVITY OF REPRESENTATIONS AND WARRANTIES. Notwithstanding
anything in this Agreement to the contrary,  the  representations and warranties
set forth in this  Section  4.27  shall be  deemed to be the sole and  exclusive
representations  and warranties  made in this Article IV concerning  Health Care
Laws.

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

         Buyer hereby represents and warrants to Seller and Coram as follows:

                  5.1  ORGANIZATION OF BUYER AND IHS. Each of Buyer and IHS is a
corporation duly organized, validly existing and in good standing under the laws
of the State of Delaware.


                                       34


<PAGE>



              5.2  AUTHORIZATIONS.  Each of  Buyer  and  IHS  has all  requisite
corporate power and authority,  and has taken all corporate action necessary, to
execute and deliver this Agreement and each instrument,  certificate,  agreement
and document to be executed by it in connection herewith (the "BUYER TRANSACTION
DOCUMENTS") to consummate the transactions  contemplated  hereby and thereby and
to perform its obligations hereunder and thereunder.  The execution and delivery
of this Agreement and the Buyer  Transaction  Documents by Buyer and IHS and the
consummation by each of them of the transactions contemplated hereby and thereby
have been duly  approved  by the board of  directors  of Buyer and IHS. No other
corporate proceedings on the part of Buyer or IHS are necessary to authorize the
consummation of the  transactions  contemplated  hereby.  This Agreement and the
Buyer  Transaction  Documents have been duly executed and delivered by Buyer and
IHS  and are the  legal,  valid  and  binding  obligations  of  Buyer  and  IHS,
enforceable  against  them in  accordance  with their  terms,  except  that such
enforcement may be subject to bankruptcy, insolvency, reorganization, moratorium
or other  similar laws now or hereafter in effect  relating to or affecting  the
rights of  creditors  generally,  and the  remedy of  specific  performance  and
injunctive  and other  forms of  equitable  relief may be  subject to  equitable
defenses and to the discretion of the court before which any proceeding therefor
may be brought.

              5.3 NO CONFLICT OR VIOLATION.  Neither the execution,  delivery or
performance  of this  Agreement  and the  Buyer  Transaction  Documents  nor the
consummation of the transactions  contemplated hereby or thereby, nor compliance
by Buyer or IHS with any of the provisions  hereof or thereof,  will (a) violate
or conflict with any provision of the Certificate of  Incorporation or Bylaws of
Buyer or IHS, (b) violate,  conflict  with, or result in or constitute a Default
under, or result in the  termination of, or accelerate the performance  required
by, or result in a right of termination or acceleration  under, or result in the
creation of any  Encumbrance  upon any assets of Buyer or IHS under,  any of the
terms,  conditions  or provisions of any  contract,  indebtedness,  note,  bond,
indenture, security or pledge agreement,  commitment, license, lease, franchise,
permit, agreement, authorization,  concession, or other instrument or obligation
to which Buyer or IHS is a party,  (c) violate any  Regulation  or Court  Order,
except,  in the  case of each of  clauses  (a),  (b)  and (c)  above,  for  such
violations, Defaults,  terminations,  accelerations or creations of Encumbrances
which, in the aggregate, would not have a material adverse effect on the ability
of Buyer or IHS to consummate the transactions contemplated hereby.

              5.4 CONSENTS AND APPROVALS.  No notice to, declaration,  filing or
registration with, or authorization, consent or approval of, or permit from, any
domestic or foreign  governmental or regulatory body or authority,  or any other
person  or  entity,  is  required  to be made or  obtained  by  Buyer  or IHS in
connection  with the execution,  delivery and  performance of this Agreement and
the consummation of the transactions contemplated hereby.

              5.5 NO BROKERS.  Neither Buyer nor IHS nor any of their respective
officers, directors, employees,  shareholders or Affiliates has employed or made
any  agreement  with any broker,  finder or similar  agent or any person or firm
which  will  result in the  obligation  of the  Seller  or  similar  payment  in
connection with the transactions contemplated hereby.

              5.6 SEC  DOCUMENTS.  Buyer has furnished the Seller with a correct
and complete copy of its report on Form 10-K for its fiscal year ended  December
31, 1997  (the"10-K"),  and its report on Form 10-Q for its fiscal quarter ended
March 31, 1998 (the"10-Q").  As of their respective dates, none of the 10-K, the
10-Q and any press  releases  or other  schedules  or  reports  required  by the
Company to be  publicly  disclosed  or filed with the  Securities  and  Exchange
Commission  (the "SEC")  pursuant to the Exchange Act since January 1, 1998 (all
of the foregoing being the "SEC DOCUMENTS") contained any untrue statements,


                                       35


<PAGE>



or omitted to make any disclosures,  which, in light of the circumstances  would
render  any of such  documents  materially  misleading,  and  the SEC  Documents
complied  when  filed  in  all  material   respects  with  the  then  applicable
requirements of the Exchange Act, and the rules and  regulations  promulgated by
the Commission thereunder.

              5.7  CAPITAL  STOCK.  IHS has duly  authorized  and  reserved  for
issuance the IHS Stock, and, when issued in accordance with the terms of Section
2.4, the IHS Stock will be validly  issued,  fully paid, and  nonassessable  and
free of preemptive rights.

                    ARTICLE VI: COVENANTS OF SELLER AND BUYER
                    -----------------------------------------

     Seller and Buyer each covenant with the other as follows:

          6.1 FURTHER  ASSURANCES.  Upon the terms and subject to the conditions
contained herein,  the parties agree, both before and after the Closing,  (i) to
use commercially  reasonable  efforts to take, or cause to be taken, all actions
and to do, or cause to be done,  all things  necessary,  proper or  advisable to
consummate and make effective the  transactions  contemplated  by this Agreement
(ii) to execute any documents,  instruments or conveyances of any kind which may
be  reasonably  necessary  or  advisable  to carry  out any of the  transactions
contemplated  hereunder,  and (iii) to cooperate  with each other in  connection
with the  foregoing.  Without  limiting  the  foregoing,  the  parties  agree to
cooperate  with  each  other and use their  respective  commercially  reasonable
efforts (A) to obtain all necessary  waivers,  consents and approvals from other
parties to the  Contracts  and Leases to be assumed by Buyer,  (B) to obtain all
necessary  Permits as are required to be obtained under any Regulations,  (C) to
defend  all  Actions  challenging  this  Agreement  or the  consummation  of the
transactions  contemplated  hereby;  (D) to lift or rescind  any  injunction  or
restraining  order or other Court Order  adversely  affecting the ability of the
parties to consummate  the  transactions  contemplated  hereby,  (E) to give all
notices  to,  and  make  all  registrations  and  filings  with  third  parties,
including,   without  limitation,   submissions  of  information   requested  by
governmental authorities,  and (F) to fulfill all conditions to the consummation
of the actions contemplated by this Agreement.

          6.2 EMPLOYEE  MATTERS.  Seller shall be solely  responsible for all of
the  Employee  Plans (as  defined in  Section  4.18) of Seller and Coram and all
obligations  and  liabilities  thereunder.  Buyer  shall not  assume  any of the
Employee Plans of Seller or any obligation or liability thereunder.

          6.3 ALLOCATION OF PURCHASE PRICE.  Seller and Buyer agree to cooperate
with respect to the allocation of the Purchase Price.

          6.4 EMPLOYEE  BENEFITS.  Coram shall continue to provide the employees
of the Partnership  with their current  employee  benefits (other than salaries,
wages and bonuses) through June 30, 1998, or such earlier date designated by the
Partnership and the Buyer. IHS shall cause the Partnership promptly to reimburse
Coram for the costs associated with furnishing such employee benefits.

                      ARTICLE VII: [INTENTIONALLY OMITTED]
                      ------------------------------------

                      ARTICLE VIII: [INTENTIONALLY OMITTED]
                      -------------------------------------


                                       36


<PAGE>



                       ARTICLE IX: CONSENTS TO ASSIGNMENT
                       ----------------------------------

          9.1 CONSENTS TO ASSIGNMENT. Anything in this Agreement to the contrary
notwithstanding,  this Agreement shall not constitute an agreement to assign any
Contract,  Lease, Permit or any claim or right or any benefit arising thereunder
or resulting therefrom if an attempted  assignment thereof,  without the consent
of a third  party  thereto,  would  constitute  a Default  thereof or in any way
adversely  affect  the  rights  of  Buyer  thereunder.  If such  consent  is not
obtained,  or if an attempted  assignment  thereof would be ineffective or would
affect the rights  thereunder  so that Buyer would not receive all such  rights,
Seller will cooperate  with Buyer,  in all  reasonable  respects,  to provide to
Buyer the benefits under any such Contract, Lease, Permit or any claim or right,
including,  without limitation,  enforcement for the benefit of Buyer of any and
all rights of Seller against a third party thereto arising out of the Default or
cancellation by such third party or otherwise. Nothing in this Section 9.1 shall
affect  Buyer's  right to  indemnification  in the  event  that any  consent  or
approval to the transfer of any Asset is not obtained.


            ARTICLE X: ACTIONS BY SELLER AND BUYER AFTER THE CLOSING
            --------------------------------------------------------

          10.1 BOOKS AND RECORDS.  Each party agrees that it will cooperate with
and make available to the other parties, during normal Business hours, all Books
and Records,  information  and  employees  (without  substantial  disruption  of
employment)  retained and  remaining in  existence  after the Closing  which are
necessary or useful in connection with any tax inquiry, audit,  investigation or
dispute,  any litigation or investigation or any other matter requiring any such
Books and Records, information or employees for any reasonable business purpose.
The party requesting any such Books and Records,  information or employees shall
bear all of the out-of-pocket costs and expenses (including, without limitation,
attorneys' fees, but excluding reimbursement for salaries and employee benefits)
reasonably  incurred  in  connection  with  providing  such  Books and  Records,
information  or employees.  All  information  received  pursuant to this Section
shall be subject to the terms of Section 11.11.

          10.2 COOPERATION AND RECORDS RETENTION; PAYMENT OF LIABILITIES. Seller
and  Buyer  shall  (i) each  provide  the  other  with  such  assistance  as may
reasonably be requested by any of them in connection with the preparation of any
return,  audit,  or other  examination  by any taxing  authority  or judicial or
administrative proceedings relating to Liability for Taxes, (ii) each retain and
provide the other with any records or other  information that may be relevant to
such return, audit or examination,  proceeding or determination,  and (iii) each
provide the other with any final determination of any such audit or examination,
proceeding, or determination that affects any amount required to be shown on any
tax return of the other for any period.  Without  limiting the generality of the
foregoing,  Buyer and Seller shall each retain, until the applicable statutes of
limitations (including any extensions) have expired,  copies of all tax returns,
supporting work schedules, and other records or information that may be relevant
to such returns for all tax periods or portions  thereof ending on or before the
Closing  Date and shall not  destroy or  otherwise  dispose of any such  records
without first providing the other party with a reasonable  opportunity to review
and copy the same.  Following the Closing  Date,  Seller shall pay promptly when
due all of the debts and Liabilities of Seller arising out of the conduct of the
Business prior to the Closing,  including any Liability for Taxes arising out of
the  conduct  of  the  Business  prior  to  the  Closing,   other  than  Assumed
Liabilities.

          10.3  SURVIVAL  OF  REPRESENTATIONS,   ETC.  The  representations  and
warranties of Buyer contained in Sections 5.3, 5.4 and 5.5 of this Agreement and
those of Seller contained in Sections 4.1(a), 4.2, 4.4,4.5 (other than the first
sentence of Section 4.5),  4.6, 4.7, 4.8, 4.9, 4.11,  4.12,  4.13,  4.14,  4.15,
4.16,  4.17(a),  4.17(b),  4.17(c)  (other  than the first  sentence  of Section
4.17(c)),  4.19, 4.22, 4.23 and 4.24 of this Agreement shall survive the Closing
for a period of (and claims based upon or arising out of such


                                       37


<PAGE>



representations,  warranties,  covenants and  agreements  may be asserted at any
time on or prior to the date which shall be) one year following the Closing. The
representations  and  warranties of Seller set forth in Section 4.27 (except for
Section  4.27(f) of this  Agreement)  shall  survive the Closing for a period of
(and  claims  based upon or  arising  out of such  representations,  warranties,
covenants  and  agreements  may be  asserted at any time on or prior to the date
which  shall  be) two years  following  the  Closing.  The  representations  and
warranties of Buyer contained in Section 5.2 and 5.7 of this Agreement and those
of Seller contained in Section 4.3, in the first sentence of Section 4.5, in the
first  sentence of Section  4.17(c),  and in Section  4.27(f) of this  Agreement
shall survive the Closing without  limitation,  and claims based upon or arising
out of such representations or warranties may be asserted at any time before the
expiration of the applicable statue of limitations (with extensions)  applicable
to claims made under this  Agreement.  The  representations  and  warranties  of
Seller set forth in Section 4.18,  4.20 and 4.25 of this Agreement shall survive
until  (and  claims  based  upon  or  arising  out of such  representations  all
warranties  may be asserted at any time before) the expiration of the applicable
statue of limitations  (with extension) with respect to the matters addressed in
such  sections.  The  representations  and  warranties  of the  parties  to this
Agreement  set  forth  in  Article  IV and V of  this  Agreement  which  are not
referenced  in this Section  10.3 shall expire upon the Closing.  Subject to the
foregoing,  each of Buyer  and the  Seller  shall be  entitled  to rely upon the
representations and warranties made by the other as set forth in this Agreement.
The termination of the  representations and warranties provided herein shall not
affect  the  rights of a party in  respect  of any Claim made by such party in a
writing  received by the other party prior to the  expiration of the  applicable
survival  period  provided herein (any notice of a claim made against the Seller
may be  delivered  to Coram and upon  delivery  to Coram shall be deemed to have
been delivered to and received by Seller).

          10.4  INDEMNIFICATION.

              (A) BY  SELLER.  Subject  to the  limitations  set  forth  in this
Article 10, from and after the Closing Date,  Seller shall  indemnify,  save and
hold harmless Buyer, IHS, their respective Affiliates and Subsidiaries,  and its
and  their  respective  Representatives,  from and  against  any and all  costs,
losses,  Taxes,  Liabilities,   obligations,  damages,  lawsuits,  deficiencies,
claims,  demands,  and  expenses  (whether  or not  arising  out of  third-party
claims),  including,  without limitation,  interest, fines, penalties,  costs of
litigation,  losses in connection with any Environmental Law (including  without
limitation,  any clean-up or remedial  action),  other losses resulting from any
shutdown or curtailment of operations,  damages to the  environment,  attorneys'
fees and all amounts paid in investigation,  defense or settlement of any of the
foregoing,   including  any  of  the  foregoing  incurred  or  suffered  by  the
Partnership  (herein,  "DAMAGES" ), incurred in connection with, arising out of,
resulting from or incident to (i) any breach of any  representation  or warranty
or the inaccuracy of any representation or warranty,  made by Seller or Coram in
or  pursuant to this  Agreement,  disregarding  for the purpose of this  Section
10.4(a) in determining whether there has been a breach by Seller or Coram of any
representation or warranty set forth in this Agreement any materiality standards
or  exceptions  included in the  representation  or warranty at issue;  (ii) any
breach of any covenant or agreement  made by Seller or Coram,  in or pursuant to
this Agreement;  (iii) any Excluded Liability or (iv) any Liabilities (y) for or
arising out of or related to the violation by Seller or the  Partnership  of any
Health Care Laws prior to the Closing or (z) for or arising out of or related to
any action taken or omission  occurring prior to the Closing which, with notice,
passage of time or both (whether  before or after the Closing) would result in a
violation by Seller or the Partnership, or any predecessor-in-interest to Seller
or the Partnership of an interest in the Partnership, of any Health Care Law.

     The term  "DAMAGES"  as used in this  Article 10 is not  limited to matters
asserted  by  third  parties  against  Seller,  Coram  or  Buyer  or  IHS or the
Partnership, but includes Damages incurred or sustained by


                                       38


<PAGE>



Seller or Buyer or the  Partnership,  in the absence of third party  claims.  As
used in this Article 10, the term Damages,  shall  include,  with respect to the
Partnership,  only  Damages  to the  extent of the  greater  of (i) the  Damages
incurred  by Buyer or any  Affiliate  thereof  as a  partner  or  member  of the
Partnership,  or (ii) the proportionate interest of the Buyer and its Affiliates
in the  Partnership.  Payments by Buyer or IHS of amounts for which Buyer or IHS
is indemnified hereunder, and payments by Seller of amounts for which the Seller
is indemnified, shall not be a condition precedent to recovery.

              (B) BY BUYER. Subject to the limitations set forth in this Article
10 hereof,  from and after the Closing Date,  Buyer shall indemnify and save and
hold harmless Seller, Coram, their respective  Affiliates and Subsidiaries,  and
their respective  Representatives  from and against any and all Damages incurred
in connection with, arising out of, resulting from or incident to (i) any breach
of any representation or warranty or the inaccuracy of any representation,  made
by  Buyer or IHS in or  pursuant  to this  Agreement,  (ii)  any  breach  of any
covenant or agreement made by Buyer or IHS in or pursuant to this Agreement,  or
(ii) any Assumed Liability.

              (C)  COOPERATION.  The  indemnified  party shall  cooperate in all
reasonable  respects  with the  indemnifying  party  and such  attorneys  in the
investigation,  trial and  defense  of such  lawsuit  or action  and any  appeal
arising therefrom; provided, however, that the indemnified party may, at its own
cost,  participate  in the  investigation,  trial and defense of such lawsuit or
action and any appeal arising  therefrom.  The parties shall cooperate with each
other in any notifications to insurers.

              (D) DEFENSE OF CLAIMS. If a claim for Damages (a "CLAIM") is to be
made by a party entitled to  indemnification  hereunder against the indemnifying
party or parties,  the party  claiming such  indemnification  shall,  subject to
Section 10.3 give written notice (a "CLAIM  NOTICE") to the  indemnifying  party
(which,  in the case of a Claim made by Buyer against Seller may be delivered to
Coram  and,  upon  delivery,  shall be  deemed  for all  purposes  to have  been
delivered  to and  received  by Seller) as soon as  practicable  after the party
entitled to indemnification  becomes aware of any fact, condition or event which
may give rise to Damages for which  indemnification  becomes  aware of any fact,
condition or event which may give rise to Damages for which  indemnification may
be sought under this Section 10.4. If any lawsuit or enforcement action is filed
against any party entitled to the benefit of indemnity hereunder, written notice
thereof shall be given to the indemnifying party as promptly as practicable (and
in any event within fifteen (15) calendar days after the service of the citation
or  summons).  The  failure  of any  indemnified  party  to give  timely  notice
hereunder shall not affect rights to  indemnification  hereunder,  except to the
extent that the  indemnifying  party  demonstrates  actual damage caused by such
failure.  After such notice,  if the  indemnifying  party shall  acknowledge  in
writing to the indemnified party that the indemnifying  party shall be obligated
under the terms of its indemnity  hereunder in  connection  with such lawsuit or
action,  then the indemnifying  party shall be entitled,  if it so elects at its
own cost,  risk and  expense,  (i) to employee  and engage  attorneys of its own
choice to handle and defend the same unless the named  parties to such action or
proceeding  include both the indemnifying  party and the indemnified  party, and
the  indemnified  party has been advised in writing by counsel that there may be
one or  more  legal  defenses  available  to such  indemnified  party  that  are
different from or additional to those  available to the  indemnifying  party, in
which event the indemnified party shall be entitled, at the indemnifying party's
cost, risk and expense,  to separate  counsel of its own choosing,  and (iii) to
compromise or settle such claim,  which  compromise or settlement  shall be made
only with the written consent of the indemnified party or parties,  such consent
not to be  unreasonably  withheld,  provided,  however,  if the  remediation  or
resolution  of any such Claim will occur on or at any property or is  reasonably
expected to have a material  adverse  effect on the Business  operations  of the
Partnership, then, notwithstanding the foregoing, the indemnified party shall be
entitled  to  control  such  remediation  or  resolution,   including,   without
limitation,  to take control of the defense and investigation of such lawsuit or
action,  to employ and engage  attorneys  of its own choice to handle and defend
the same, at


                                       39


<PAGE>



the  indemnifying  parties' cost, risk and expense,  and to compromise or settle
such Claim. If the indemnifying  party fails to assume the defense of such claim
within  fifteen  (15)  calendar  days  after  receipt of the Claim  Notice,  the
indemnifying  party  against  which  such  claim has been  asserted  will,  upon
delivery  notice to such  effect to the  indemnifying  party,  have the right to
undertake at the indemnifying party's or parties' cost and expense, the defense,
compromise or settlement of such claim on behalf of and for the account and risk
of the  indemnifying  party;  provided,  however,  that such Claim  shall not be
compromised or settled  without the written consent of the  indemnifying  party,
which consent shall not be unreasonably  withheld.  In the event the indemnified
party will keep the  indemnifying  party  assumes the defense of the claim,  the
indemnified  party  will  keep  the  indemnifying  party or  parties  reasonably
informed of the progress of any such  defense,  compromise  or  settlement.  The
indemnifying  party or parties shall be liable for any  settlement of any action
effected  pursuant to and in accordance with this Section 10.4 and for any final
judgement  (subject  to any  right of  appeal),  and the  indemnifying  party or
parties  agree to indemnify  and hold  harmless the  indemnified  party from and
against any Damages by reason of such settlement or judgement.

              (E)  BROKERS  AND  FINDERS.  Pursuant  to the  provisions  of this
Section 10.4, Buyer shall indemnify, hold harmless and defend Seller, and Seller
shall jointly and severally hold harmless and defend Buyer, from and against the
payment of any and all  broker's  and finder's  expenses,  commissions,  fees or
other  forms  of  compensation  which  may  be  due or  payable  from  or by the
indemnifying  party, or may have been earned by any third party acting on behalf
of the  indemnifying  party in  connection  with the  negotiation  and execution
hereof and the consummation of the transactions contemplated hereby.

              (F) LIMITATIONS.

                   (I) From and after the Closing, neither Buyer nor Seller (and
         Coram)  shall be liable to the other  under this  Section  10.4 for any
         Damages  until the  aggregate  amount  otherwise  due the  party  being
         indemnified  exceeds an  accumulated  total of  Twenty-Eight  Thousand,
         Dollars ($28,000) and thereafter shall be liable only to the extent the
         aggregate amount exceeds the accumulated total of Twenty-Eight Thousand
         Dollars  ($28,000).  Notwithstanding  the  foregoing,  Seller  shall be
         liable for any and all Damages incurred in connection with, arising out
         of or  resulting  from or  incident  to (a) any  Excluded  Liabilities,
         including  without   limitation  all  Liabilities  of  Seller  and  the
         Partnership  (y) for or arising out of or related to the  violation  by
         Seller or the  Partnership of any Health Care Laws prior to the Closing
         and (z)  for or  arising  out of or  related  to any  action  taken  or
         omission occurring prior to the Closing which, with notice,  passage of
         time or both  (whether  before or after the Closing)  would result in a
         violation by Seller or the  Partnership of any Health Care Law, (b) any
         knowing  violation prior to Closing of any Regulation,  (c) any conduct
         or course of action prior to Closing that a reasonably  informed person
         engaged in the Business  should have known  constituted or would likely
         constitute a violation of a Regulation,  and (d) the knowing  breach of
         any  representation  or warranty  hereunder;  provided,  further,  that
         notwithstanding clause (a) of this sentence,  Damages shall not include
         costs  or  expenses  of  Buyer   incurred   in   connection   with  any
         restructuring  or  reconstitution  of the  Partnership  to comply  with
         Health Care Laws undertaken  other than pursuant to a third party claim
         or Action.

                   (II)  Notwithstanding  any provision of this Agreement to the
         contrary, the liability of Seller and Coram to Buyer and IHS hereunder,
         on the one hand, or of Buyer and IHS to Coram and Seller,  on the other
         hand,  for any and all breaches of any  representations  or  warranties
         shall not exceed One Hundred Eight Thousand Dollars ($108,000).


                                       40


<PAGE>



              (G)  REPRESENTATIVES.  No individual  Representative  of any party
shall be  personally  liable for any Damages under the  provisions  contained in
this Section 10.4.  Nothing herein shall relieve any party from any Liability to
make any payment  expressly  required to be made by such party  pursuant to this
Agreement.

              (H) BULK SALES.  It may not be practicable to comply or attempt to
comply with the  procedures of the "Bulk Sales Act" or similar law of any or all
of the states in which the Assets are  situated  or of any other state which may
be  asserted  to  be  applicable  to  the  transactions   contemplated   hereby.
Accordingly,  to induce Buyer to waive any  requirements for compliance with any
or all of such laws, hereby agrees that the indemnity provisions of this Section
10.4 hereof shall apply to any Damages of Buyer arising out of or resulting from
the failure of Seller or Buyer to comply with any such laws that are applicable.

              (I) SOLE AND EXCLUSIVE REMEDY. Except as set forth in Section 11.1
hereof, the  indemnification  provisions  contained in this Section 10.4 are the
sole and  exclusive  remedy of the parties  for any breach of a  representation,
warranty, covenant or agreement contained in this Agreement.

          10.5 TAXES.  Seller shall pay, or cause to be paid, when due all Taxes
for  which  Seller is or may be liable  or that is or may  become  payable  with
respect to all taxable periods ending on or prior to the Closing Date.


                            ARTICLE XI: MISCELLANEOUS
                            -------------------------

          11.1 [INTENTIONALLY OMITTED]

          11.2  ASSIGNMENT.  Neither  this  Agreement  nor any of the  rights or
obligations  hereunder  may be assigned by any party  without the prior  written
consent of the other parties;  except that Buyer may, without such consent,  (i)
assign its rights hereunder (but not its obligations to Seller hereunder) to one
or more direct or indirect wholly owned subsidiaries, it being understood that a
direct  or  indirect  wholly  owned  subsidiary  of  Buyer  may  assume  Assumed
Liabilities,  and/or assign all such rights to any lender as collateral security
and assign any and all such rights to one or more wholly owned  subsidiaries (or
one or more partnerships  controlled by Buyer).  Subject to the foregoing,  this
Agreement  shall be binding upon and inure to the benefit of the parties  hereto
and their respective successors and permitted assigns, and no other person shall
have any right,  benefit or  obligation  under this  Agreement  as a third party
beneficiary or otherwise.

          11.3 NOTICES. All notices,  requests, demands and other communications
which are required or may be given under this Agreement  shall be in writing and
shall be deemed to have been duly given when received if  personally  delivered;
when transmitted if transmitted by telecopy,  electronic or digital transmission
method (upon a confirmation of delivery);  the business day after it is sent, if
sent for  next day  delivery  to a  domestic  address  by  recognized  overnight
delivery service (e.g., Federal Express); and upon receipt, if sent by certified
or registered mail, return receipt requested.  In each case notice shall be sent
to:

     If to Coram or the Seller,
     addressed to:                      Coram Healthcare Corporation
                                        1125 17th Street, Suite 2100
                                        Denver, Colorado 80202            
                                        Attention: Chief Financial Officer
                                        


                                       41


<PAGE>



     With copies to:                    Coram Healthcare Corporation
                                        1125 17th Street, Suite 2100
                                        Denver, Colorado 80202
                                        Attention: General Counsel
     and                                Paul, Hastings, Janofsky & Walker LLP

                                        555 South Flower Street, Suite 2300
                                        Los Angeles, California 90071
                                        Facsimile: (213) 627-0705
                                        Attention: Craig S. Seligman, Esq.

     If to Buyer:                       Integrated Health Services, Inc.
                                        10065 Red Run Boulevard
                                        Owings Mills, MD 21117
                                        Attention: Anthony Masso
                                        Marshall Elkins, Esq.

     with a copy to:                    Blass & Driggs
                                        461 Fifth Avenue
                                        New York, NY 10017
                                        Facsimile (212) 447-5428
                                        Attention: Andrew S. Bogen

          11.4 CHOICE OF LAW. This Agreement shall be construed, interpreted and
the rights of the parties determined in accordance with the laws of the State of
Delaware (without reference to the choice of law provisions of Delaware law).

          11.5  ENTIRE  AGREEMENT,   AMENDMENTS  AND  WAIVERS.  This  Agreement,
together  with all exhibits  and  schedules  hereto  (including  the  Disclosure
Schedule),  and all  agreements  entered into  contemporaneously  herewith or in
furtherance  of the  transactions  contemplated  hereby  constitute  the  entire
agreement  among  the  parties  pertaining  to the  subject  matter  hereof  and
supersede all prior  agreements  understandings,  negotiations  and  discussions
whether  oral or written,  of the  parties.  This  Agreement  may not be amended
except by an  instrument  in  writing  signed  on behalf of each of the  parties
hereto. No amendment, supplement, modification or waiver of this Agreement shall
be binding  unless  executed  in writing  by the party to be bound  thereby.  No
waiver  of any of the  provisions  of this  Agreement  shall be  deemed or shall
constitute a wavier of any other provision hereof (whether or not similar),  nor
shall such waiver  constitute a continuing  waiver  unless  otherwise  expressly
provided.

          11.6 MULTIPLE  COUNTERPARTS.  This Agreement may be executed in one or
more counterparts,  each of which shall be deemed an original,  but all of which
together shall constitute one and the same instrument.

          11.7 EXPENSES.  Except as otherwise specified in this Agreement,  each
party  hereto  shall  pay its own  legal,  accounting,  out-of-pocket  and other
expenses  incident to this  Agreement  and to any action  taken by such party in
preparation for carrying this Agreement into effect.


                                       42


<PAGE>



          11.8  INVALIDITY.  In the event that any one or more of the provisions
contained  in this  Agreement  or in any other  instrument  referred  to herein,
shall,  for any reason,  be held to be invalid,  illegal or unenforceable in any
respect,  then  to  the  maximum  extent  permitted  by  law,  such  invalidity,
illegality  or in  enforceability  shall not affect any other  provision of this
Agreement or any other such instrument.

          11.9 TITLES; GENDER. The titles,  captions or headings of the Articles
and Sections herein,  and the use of a particular gender, are for convenience of
reference only and are not intended to be a part of or to affect or restrict the
meanings or interpretation of this Agreement.

          11.10  PUBLIC  STATEMENTS  AND  PRESS  RELEASES.  The  parties  hereto
covenant and agree that, except as provided for hereinbelow,  each will not from
and after the date hereof make, issue or release any public announcement,  press
release,  statement or  acknowledgment  provided  for herein,  without the prior
written  consent of the other party as to the content and time of release of and
the media in which  such  statement  or  announcement  is to be made,  provided,
however,  that in the  case of  announcements,  statements,  acknowledgments  or
revelations which either party is required by law to make, issue or release, the
making,   issuing   or   releasing   of  any   such   announcement,   statement,
acknowledgments or revelation by the party so required to do so by law shall not
constitute  a breach of this  Agreement  if such party shall have given,  to the
extent reasonably possible,  not less than two (2) calendar days prior notice to
the other party, and shall have attempted, to the extent reasonably possible, to
clear such announcement,  statement, acknowledgment or revelation with the other
party. Each party hereto agrees that it will not unreasonably  withhold any such
consent or clearance.

          11.11 CONFIDENTIALITY.

              (A)  Prior to the  Closing  any party  may  disclose  to the other
certain proprietary, confidential or other non-public information (collectively,
the "INFORMATION") relating to its business.

              (B) Buyer  and IHS,  except as  herein  set  forth,  shall not (i)
reveal or make known to any person, firm,  corporation or entity, other than its
own management and advisors, including its attorneys, accountants and investment
bankers, or (ii) utilize in their own business or (iii) make any other usage of,
any  Information  disclosed to them by the other parties in connection  with the
transactions  contemplated hereby; provided,  however, (x) they may disclose any
Information  received  from the other party to any  governmental  or  regulatory
authority in connection with obtaining approval of the transactions contemplated
hereby or as otherwise may be required by  applicable  law, and (y) if required,
they may disclose any  Information  to its lenders in connection  with obtaining
their approval of the transactions  contemplated  hereby. The obligations of IHS
and Buyer with respect to any item of Information  shall  terminate upon Closing
with respect to all Information  included in the Assets, and with respect to all
other  Information,  if that item of Information  becomes disclosed in published
literature or otherwise  becomes  generally  available to the public;  provided,
however,  that such public  disclosure  did not result,  directly or indirectly,
from any act,  omission,  or fault of such  party  with  respect to that item of
Information.  Further,  this  subsection  (b)  shall  not  apply  to any item of
Information which at the time of disclosure was already  generally  available to
the public or which at the time of disclosure  was already in the  possession of
IHS or Buyer and was not, to their  knowledge,  acquired in  contravention  of a
confidentiality agreement.

              (C) Seller and  Coram,  except as herein set forth,  shall not (i)
reveal or make known to any person, firm,  corporation or entity, other than its
own management and advisors, including its attorneys, accountants and investment
bankers, or (ii) utilize in their own business or (iii) make any other

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<PAGE>



usage of, any  Information  disclosed to them by the other parties in connection
with the  transactions  contemplated  hereby;  provided,  however,  (x) they may
disclose any  Information  received from the other party to any  governmental or
regulatory  authority in connection with obtaining  approval of the transactions
contemplated  hereby or as otherwise may be required by applicable  law, and (y)
if required, they may disclose any Information to its lenders in connection with
obtaining  their  approval  of  the  transactions   contemplated   hereby.   The
obligations  of Seller and Coram with respect to any item of  Information  shall
terminate, if that item of Information becomes disclosed in published literature
or otherwise becomes generally available to the public; provided,  however, that
such public  disclosure did not result,  directly or  indirectly,  from any act,
omission,  or fault of such  party  with  respect  to that item of  Information.
Further, this subsection (c) shall not apply to any item of Information which at
the time of disclosure was already generally available to the public or which at
the time of disclosure was already in the possession of Seller and Coram and was
not,  to  their  knowledge,  acquired  in  contravention  of  a  confidentiality
agreement.

          11.12 CERTAIN  DISTRIBUTIONS.  Seller shall be entitled to receive its
Percentage  Interest (as such term is defined in the  Partnership  Agreement) of
any  distribution  made to  partners of the  Partnership  arising out of any net
profits  earned by the  Business  prior to the  first  day of June,  1998 in the
ordinary course of business  consistent with past practice;  it being understood
that  distributions  during any calendar  month  ordinarily  consist of accounts
receivable  collected  during such month less any accounts payable paid prior to
such distribution plus any increase or minus any decrease in the reserve of cash
held by the  Partnership  with  respect to  liabilities  that the manager of the
Partnership reasonably anticipates will become payable prior to the next date of
distribution.  Buyer shall use its best efforts to cause the Partnership to make
such distribution. IHS shall cause the Partnership to reimburse Coram and Seller
promptly,  and in any event, within thirty (30) days after the Closing,  for any
amounts  payable  to them  pursuant  to  Section  6.4  above  and for any  other
unreimbursed  costs for employee benefits  furnished by Coram in prior periods.]
All such amounts shall be deducted from revenues in determining  net profits for
purposes of this Section 11.12, and such payments shall not be deemed to be part
of the distribution to Seller for purposes of this Section 11.12.

          11.13 CUMULATIVE REMEDIES.  Except as provided herein to the contrary,
all rights and remedies of either party hereto are  cumulative of each other and
of every  other  right or recovery  such party may  otherwise  have at law or in
equity,  and the exercise of one or more rights or remedies  shall not prejudice
or impair the concurrent or subsequent exercise of other rights and remedies.

          11.14 ARBITRATION. Notwithstanding anything herein to the contrary, in
the event that there  shall be a dispute  among the  parties  after the  Closing
arising out of or relating to this Agreement, including, without limitation, the
indemnities provided in Article X, or the breach thereof, the parties agree that
such dispute shall be resolved by final and binding arbitration in New York, New
York,  administered  by  Endispute,   Inc.  d/b/a  JAMS/Endispute  ("JAMS"),  in
accordance with JAMS' rules of practice then in effect or such other  procedures
as the parties may agree to prior to the Closing.  Depositions  may be taken and
other discovery may be obtained during such arbitration  proceedings to the same
extent as authorized in civil judicial proceedings. Any award issued as a result
of such arbitration shall be final and binding between the parties thereto,  and
shall be  enforceable  by any court having  jurisdiction  over the party against
whom enforcement is sought. The parties shall cause the arbitrator to reduce its
findings of fact and conclusions of law to writing.

                                       44


<PAGE>



          11.15  JOINT AND SEVERAL.

              (A) Seller and Coram shall be jointly and severally liable for all
representations,  warranties and  obligations,  including,  without  limitation,
indemnification  obligations,  and covenants  made by either of them pursuant to
this Agreement,  including,  without limitation, any made pursuant to any Seller
Transaction Document.

              (B) IHS and Buyer  shall be jointly and  severally  liable for all
representations,  warranties and  obligations,  including,  without  limitation,
indemnification  obligations,  and covenants  made by either of them pursuant to
this Agreement,  including,  without limitation,  any made pursuant to any Buyer
Transaction Document.

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     IN WITNESS  WHEREOF,  the parties  have caused  this  Agreement  to be duly
executed on their respective behalf, by their respective officers thereunto duly
authorized, all as of the day and year first above written.

INTEGRATED HEALTH SERVICES, INC.,                T(2) MEDICAL, INC.,
a Delaware corporation                           a Delaware corporation

By:                                              By:
      --------------------------                        ------------------------
Name:                                            Name:
      --------------------------                        ------------------------
Title:                                           Title:
      --------------------------                        ------------------------



                                                 CORAM HEALTHCARE
WEST COAST CAMBRIDGE, INC.                       CORPORATION,
                                                 a Delaware corporation

By:                                              By:
      --------------------------                        ------------------------
Name:                                            Name:
      --------------------------                        ------------------------
Title:                                           Title:
      --------------------------                        ------------------------







                                       46




                                                                       EXHIBIT 5

                                  July 23, 1998

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

Dear Sirs:

     I refer  to the  Registration  Statement  on Form  S-3  (the  "Registration
Statement") to be filed with the Securities  and Exchange  Commission  under the
Securities Act of 1933, as amended (the "Act"),  on behalf of Integrated  Health
Services,  Inc. (the  "Company"),  relating to 1,396,691 shares of the Company's
Common  Stock,  $.001 par value (the  "Shares"),  to be sold by certain  Selling
Stockholders named therein.

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

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

                                        Very truly yours,

                                        /s/ Marshall A. Elkins
                                        ----------------------
                                        Marshall A. Elkins
                                        Executive Vice President and
                                        General Counsel


                                                                   EXHIBIT 23.1

                        CONSENT OF INDEPENDENT AUDITORS

The Board of Directors
Integrated Health Services, Inc.:

     We consent to the use of our report  dated March 25,  1998  relating to the
consolidated  financial  statements of Integrated Health Services,  Inc. ("IHS")
and subsidiaries,  incorporated herein by reference, to the incorporation herein
by  reference of our report  dated April 14, 1997  relating to the  consolidated
financial statements of Community Care of America, Inc. and subsidiaries,  which
report appears in Amendment No. 1 to Form 8-K/A of IHS dated  September 25, 1997
and filed May 29, 1998, to the  incorporation  herein by reference of our report
dated  October 17, 1996  relating to the  consolidated  financial  statements of
First  American  Health Care of Georgia,  Inc.  and  subsidiaries,  which report
appears in Amendment  No. 1 to Form 8-K/A of IHS filed on July 11, 1997,  and to
the  reference  to our firm  under the  heading  "Experts"  in the  registration
statement.

     Our report dated March 25, 1998 refers to changes in accounting methods, in
1995, to adopt Statement of Financial  Accounting  Standards No. 121 relating to
impairment  of long-lived  assets and, in 1996,  from  deferring and  amortizing
pre-opening  costs of medical specialty units to recording them as expenses when
incurred.  Our report  dated April 14,  1997 refers to the change in  accounting
method in 1996 to adopt  Statement of  Financial  Accounting  Standards  No. 121
relating to impairment of long-lived  assets.  Our report dated October 17, 1996
contains an  explanatory  paragraph  regarding the  uncertainty  with respect to
certain  contingent  payments which may be payable under a settlement  agreement
with the Health Care Financing Administration.

                                        KPMG Peat Marwick LLP

Baltimore, Maryland
July 22, 1998


                                                                    EXHIBIT 23.2

              CONSENT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS

     We consent to the incorporation by reference in this Registration Statement
on Form S-3 of  Integrated  Health  Services,  Inc.  (IHS) of our  report  dated
September  18, 1997  (October  21, 1997 as to Note 1),  appearing  in the Annual
Report on Form 10-K of RoTech  Medical  Corporation  for the year ended July 31,
1997,  which report appears in the Form 8-K, dated October 21, 1997, as amended,
of  IHS,  and  to  the  reference  to us  under  the  heading  "Experts"  in the
Registration Statement.

Deloitte & Touche LLP
Orlando, Florida

July 23, 1998



                                                                    EXHIBIT 23.3

                   CONSENT OF INDEPENDENT PUBLIC ACCOUNTANTS

     As independent public  accountants,  we hereby consent to the incorporation
by  reference in this  registration  statement of our report dated March 6, 1998
included in Integrated Health Services, Inc.'s Amendment No. 1 to Current Report
on Form 8-K/A dated December 31, 1997 and to all references to our Firm included
in this registration statement.

                                        Arthur Andersen LLP

Albuquerque, New Mexico
July 23, 1998


                                                                     EXHIBIT 99

                        INTEGRATED HEALTH SERVICES, INC.
                       ASSISTANT SECRETARY'S CERTIFICATE

     I, Leslie A. Glew, Assistant Secretary of Integrated Health Services, Inc.,
a Delaware  corporation  (the  "Corporation"),  do hereby certify that set forth
below is a true and correct copy of a  resolution,  duly adopted by the Board of
Directors of the  Corporation at meetings duly called and held at which a quorum
was  present,   or  by  unanimous  written  consent,   in  connection  with  the
Corporation's  Registration Statement on Form S-3 (No. 333- ) (the "Registration
Statement")  and  any  amendment(s)  or  post-effective   amendment(s)  thereto,
pertaining to the authorization of the name of officers signing the Registration
Statement  or any  amendment(s)  or  post-effective  amendment(s)  thereto to be
signed  pursuant to a power of attorney,  and that such  resolution has not been
rescinded or modified and is still in full force and effect.

     IN WITNESS WHEREOF, the undersigned has executed this Certificate this 23rd
day of July, 1998.

                                        /s/ Leslie A. Glew

                                      ----------------------------------------
                       Leslie A. Glew, Assistant Secretary

     "RESOLVED,  that the officers and directors of the Company who are required
to execute the Registration  Statement be, and they hereby are, and each of them
hereby is,  authorized  to execute  and deliver a  power-of-attorney  appointing
Robert N. Elkins and C. Taylor  Pickett to be the  attorneys-in-fact  and agents
with full power of substitution and  resubstitution,  for each of such directors
and officers and in their name,  place and stead, in any and all capacities,  to
sign  any   amendment(s)   to  the   Registration   Statement,   including   any
post-effective amendment(s), to file the same with the Commission and to perform
all  other  acts  necessary  in  connection  with  any  matter  relating  to the
Registration  Statement  and any  amendment(s)  or  post-effective  amendment(s)
thereto."


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