INTEGRATED HEALTH SERVICES INC
S-3, 1999-04-06
SOCIAL SERVICES
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     AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON APRIL 6, 1999
================================================================================

                                                      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
     666 Fifth Avenue                   Integrated Health Services, Inc.
 New York, New York 10103                  10065 Red Run Boulevard
      (212) 318-3000                     Owings Mills, Maryland 21117
    (212) 752-5958(Fax)                         (410) 998-8400
                                              (410) 998-8500(Fax)
</TABLE>

                                 --------------
       Approximate  Date of  Commencement  of Proposed Sale to the Public:  From
  time to time after the effective date of this Registration Statement.
                                 --------------
     If the only  securities  being  registered  on this Form are being  offered
pursuant to dividend or interest  reinvestment plans, please check the following
box: [ ]

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

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

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

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

<PAGE>


<TABLE>
<CAPTION>
                        CALCULATION OF REGISTRATION FEE
====================================================================================================================================
     TITLE OF EACH CLASS OF              AMOUNT OF SHARES   PROPOSED MAXIMUM OFFERING  PROPOSED MAXIMUM AGGREGATE      AMOUNT OF
   SECURITIES TO BE REGISTERED          PRICE PER SHARE(1)   PRICE PER SHARE(1)          OFFERING PRICE(1)         REGISTRATION FEE
- ------------------------------------------------------------------------------------------------------------------------------------
<S>                                      <C>                      <C>                          <C>                 <C>
Common Stock, $.001 par value per share
 (including the Preferred Stock Purchase
 Rights)(2) ............................     1,076,601            $ 5.125                    $5,517,580.13             $1,534.00
====================================================================================================================================
</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 April 5, 1999.

(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 APRIL 6, 1999

PROSPECTUS


                                1,076,601 SHARES



                               [GRAPHIC OMITTED]



                       INTEGRATED HEALTH SERVICES, INC.


                                 COMMON STOCK

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

     Our  stockholders  listed in this  prospectus are offering and selling from
time to time an  aggregate of shares of our Common  Stock.  All but two of these
stockholders  obtained  their  shares in  connection  with our purchase of their
businesses,  at which time we agreed to register  their  shares for resale.  The
other two stockholders are deferred compensation plans for certain of our senior
executives;  we  contributed  shares of our Common  Stock,  rather than cash, to
these plans in 1998.

     We 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.

          Our  Common  Stock is traded on the New York Stock  Exchange  ("NYSE")
under the symbol "IHS." On April 5, 1999, the closing price of our Common Stock,
as reported by the NYSE, was $4.375 per share.

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

     SEE  "RISK FACTORS," WHICH BEGINS ON PAGE 6 OF THIS PROSPECTUS, FOR CERTAIN
INFORMATION  THAT  YOU  SHOULD  CONSIDER  BEFORE  YOU INVEST IN THE SHARES BEING
OFFERED PURSUANT TO THIS PROSPECTUS.

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

NEITHER  THE  SECURITIES  AND  EXCHANGE  COMMISSION  NOR  ANY  STATE  SECURITIES
 COMMISSION  HAS APPROVED OR  DISAPPROVED OF THE IHS COMMON STOCK BEING  OFFERED
  PURSUANT TO THIS PROSPECTUS  OR DETERMINED IF THIS PROSPECTUS IS TRUTHFUL OR
   COMPLETE. ANY  REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.

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


                      The date of this Prospectus is , 1999


THE  INFORMATION IN THIS  PROSPECTUS IS NOT COMPLETE AND MAY BE CHANGED.  WE MAY
NOT SELL  THESE  SECURITIES  UNTIL THE  REGISTRATION  STATEMENT  FILED  WITH THE
SECURITIES AND EXCHANGE COMMISSION IS EFFECTIVE. THIS PROSPECTUS IS NOT AN OFFER
TO  SELL  THESE  SECURITIES  AND IT IS NOT  SOLICITING  AN  OFFER  TO BUY  THESE
SECURITIES IN ANY STATE WHERE THE OFFER OR SALE IS NOT PERMITTED.

<PAGE>

                                TABLE OF CONTENTS
<TABLE>
<CAPTION>
                                                      PAGE
                                                      -----
<S>                                                   <C>
About this Prospectus ..............................     2
Where You Can Find More Information ................     2
Note Regarding Forward-Looking Statements ..........     3
The Company ........................................     4
Risk Factors .......................................     6
Use of Proceeds ....................................    14
Selling Stockholders ...............................    14
Plan of Distribution ...............................    17
Legal Matters ......................................    17
Experts ............................................    18
</TABLE>

                              ABOUT THIS PROSPECTUS

       This  prospectus is a part of a registration  statement on Form S-3 filed
by us with the  Securities  and  Exchange  Commission  (the  "SEC") to  register
1,076,601 shares of our Common Stock on behalf of the Selling Stockholders. 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 SEC.  Accordingly,  you  should  refer  to the  registration
statement  and its  exhibits  for  further  information  about us and our Common
Stock.  Copies of the  registration  statement and its exhibits are on file with
the SEC.  Statements  contained in this  prospectus  concerning the documents we
have  filed  with  the SEC are not  intended  to be  comprehensive,  and in each
instance we refer you to the copy of the actual  document filed as an exhibit to
the registration  statement or otherwise filed with the SEC. Each such statement
is qualified in its entirety by such reference.

     You should rely only on the information provided in this prospectus and the
registration  statement.  We have not  authorized  anyone  to  provide  you with
different information.  The information contained in this prospectus is accurate
only as of the date of this  prospectus,  regardless  of the time of delivery of
this prospectus or of any sale of Common Stock.

                       WHERE YOU CAN FIND MORE INFORMATION

     We are subject to the informational requirements of the Securities Exchange
Act of 1934, as amended (the  "Exchange  Act"),  and,  therefore,  file reports,
proxy  statements and other  information with the SEC. You can read and copy all
of our filings at the SEC's public reference facilities in Washington, D.C., New
York,  New  York  and  Chicago,  Illinois.  You may  obtain  information  on the
operation  of the  SEC's  public  reference  facilities  by  calling  the SEC at
1-800-SEC-0300.  You can also read and copy all of our filings at the offices of
the NYSE, 20 Broad Street, New York, New York 10005. You may also obtain our SEC
filings  from  the  SEC's  Web  site  on  the   Internet   that  is  located  at
http://www.sec.gov.


     The SEC allows us to  "incorporate by reference" much of the information we
file with them (File No.  1-12306),  which means that we can disclose  important
information to you by referring you to those publicly available  documents.  The
information  that we  incorporate  by reference is considered to be part of this
prospectus.  Because we are  incorporating  by reference our future filings with
the SEC, this  prospectus is  continually  updated and those future  filings may
modify or supersede some or all of the  information  included or incorporated in
this prospectus. This means that you must look at all of the SEC filings that we
incorporate  by  reference  to  determine  if  any  of the  statements  in  this
prospectus or in any


                                        2

<PAGE>

document previously  incorporated by reference have been modified or superseded.
This  prospectus  incorporates  by reference the documents  listed below and any
future  filings we will make with the SEC under  Sections  13(a),  13(c),  14 or
15(d) of the Exchange Act until the selling  stockholders  sell all their shares
of stock:

       (a) Our Annual Report on Form 10-K for the year ended December 31, 1998;

       (b) Our  Current  Report on Form 8-K dated  September  25, 1997 and filed
   October 10, 1997,  reporting our  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;

       (c) Our  Current  Report on Form 8-K  dated  October  21,  1997 and filed
   November 5, 1997, reporting our acquisition of RoTech Medical Corporation, as
   amended by Form 8-K/A filed November 25, 1997;

       (d) Our  Current  Report on Form 8-K dated  December  31,  1997 and filed
   January 14, 1998,  reporting our 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;

       (e)  The  description  of our  Common  Stock  contained  in Item 1 of our
   Registration Statement on Form 8-A dated September 1, 1993; and

       (f) The description of our Preferred  Stock Purchase Rights  contained in
   Item 1 of our Registration Statement on Form 8-A dated September 28, 1995.

     The  information  about us  contained  in this  prospectus  should  be read
together with the information in the documents  incorporated  by reference.  You
may  request a copy of any or all of these  filings,  at no cost,  by writing or
telephoning us at 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.

                    NOTE REGARDING FORWARD-LOOKING STATEMENTS

     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  about our
financial  condition,  results of operations  and business that are based on our
current  and  future  expectations.  You can find  many of these  statements  by
looking  for  words  such as  "estimate,"  "project,"  "believe,"  "anticipate,"
"intend," "expect" and similar expressions.  Such statements reflect our current
views with respect to future events and are subject to risks and  uncertainties,
including  those  discussed  under "Risk  Factors,"  that could cause our actual
results to differ  materially from those  contemplated  in such  forward-looking
statements.  We caution you that no forward-looking  statement is a guarantee of
future   performance   and  you  should  not  place  undue   reliance  on  these
forward-looking statements,  which speak only as of the date of this prospectus.
We do 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 which may cause our
actual results to differ from those expressed or implied by the  forward-looking
statements contained in this prospectus.


                                        3

<PAGE>

                                   THE COMPANY

     We are 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.  Our post-acute  care services
and products include:

       (i)    inpatient  services,  including  subacute  care,  skilled  nursing
              facility care, contract rehabilitation and hospice services;

       (ii)   home respiratory care, infusion and durable medical equipment;

       (iii)  lithotripsy services; and

       (iv)   diagnostic services.

Our  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. Our post-acute  healthcare  system is
intended  to provide  cost-effective  continuity  of care for our  patients  and
enable payors to contract with one provider to provide all of a patient's  needs
following  discharge  from acute care  hospitals.  Our  post-acute  care network
currently consists of over 1,700 service locations in 47 states and the District
of Columbia.

     Our  post-acute  care  network   strategy  is  to  provide   cost-effective
continuity  of  care  for our  patients,  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.  To
implement our post-acute care network strategy, we have focused on:

       (i)    developing  market  concentration for our 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 services we offer 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.

     We presently operate 370 geriatric care facilities (285 owned or leased and
85 managed) and 17 specialty hospitals. We provide a wide range of basic medical
and subacute  care  services as well as a  comprehensive  array of  respiratory,
physical,  speech,  occupational and physiatric  therapy in all of our geriatric
care facilities.  We have over 10,000 contracts to provide  services,  primarily
physical,  occupational,  speech and respiratory  therapies,  to skilled nursing
facilities,  subacute care centers,  assisted living  facilities,  hospitals and
other locations.  We also provide mobile  diagnostics such as portable x-ray and
EKG to patients in geriatric  care  facilities and other  settings,  lithotripsy
services on an outpatient  basis, as well as diversified home respiratory  care,
home  infusion  therapy and other  pharmacy-related  services  and  products and
durable medical equipment  products from  approximately 800 primarily  non-urban
locations in 44 states and the District of Columbia.

     In implementing our post-acute care network  strategy,  we focused in 1996,
1997  and 1998 on  expanding  the  services  we  provide  to take  advantage  of
healthcare  payors'  increasing  focus  on  having  healthcare  provided  in the
lowest-cost  setting  possible and recent advances in medical  technology  which
have  facilitated  the  delivery  of  medical  services  in  alternative  sites.
Consistent  with our  strategy,  in  October  1997 we  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, we 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  we offer to  patients,  payors  and  other
providers. Lithotripsy is a non-invasive technique that

                                        4

<PAGE>

utilizes   shock  waves  to   disintegrate   kidney  stones.   Following   these
acquisitions,   we  continued  to  acquire  smaller  companies   providing  home
respiratory care and mobile diagnostic services.  We are currently exploring the
sale of our home respiratory, infusion and durable medical equipment business.

     We have also continued to expand our post-acute  care network by increasing
the number of  facilities we operate or manage.  In September  1997, we acquired
Community Care of America,  Inc.  ("CCA"),  which developed and operated skilled
nursing  facilities  in  medically   underserved  rural  communities  (the  "CCA
Acquisition").  CCA broadened our post-acute  care network to include more rural
markets,  which we believed would complement  RoTech's business,  which has also
focused on non-urban locations.  In addition, in December 1997, we acquired from
HEALTHSOUTH  Corporation  ("HEALTHSOUTH") 139 owned, leased or managed long-term
care facilities (13 of which were subsequently sold) 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").

     In 1996 and 1997 we also focused on providing  home health nursing in order
to meet patients' desires to be treated at home.  Consistent with this strategy,
in October 1996 we 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.  Following  the  acquisition  we  continued  to acquire  smaller
companies providing home health nursing services.  Prior to implementation of an
interim  payment  system for home  health  nursing,  we intended 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 our  post-acute  care
network; and (iii) provide a cost-effective site for case management and patient
direction.

     However,  the delay in the  implementation of a prospective  payment system
("PPS") for  Medicare  home health  nursing  until after  October 1, 2000 at the
earliest and a reduction in current cost  reimbursement for Medicare home health
nursing pending  implementation of a prospective  payment system mandated in the
Balanced Budget Act of 1997 ("BBA"),  enacted in August 1997, adversely impacted
our  financial  performance.  Accordingly,  in the  third  quarter  of  1998  we
determined to exit the home health nursing business,  and sold substantially all
of this business in the first quarter of 1999.

     In 1999, we intend to focus primarily on ensuring that our core business is
operating efficiently and profitably under PPS. We also intend to take advantage
of attractive  acquisition  opportunities which we believe will occur as smaller
companies have difficulty in operating successfully under PPS.

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

                                        5

<PAGE>

                                  RISK FACTORS

     In  addition  to the  other  information  in this  prospectus,  you  should
carefully  consider  the  following  factors in  evaluating  us and our 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).

OUR  SUBSTANTIAL  INDEBTEDNESS COULD LIMIT OUR GROWTH AND OUR ABILITY TO RESPOND
TO CHANGING CONDITIONS


     We have a large amount of  indebtedness  when compared to the equity of our
stockholders.  At December 31, 1998, our total long-term debt, including current
portion,  accounted  for  71.7%  of  our  total  capitalization.  We  also  have
significant lease  obligations with respect to the facilities  operated pursuant
to long-term leases,  which aggregated  approximately $878.0 million at December
31,  1998.  For the year ended  December  31,  1998 our rent  expense was $126.2
million.  In addition,  pursuant to the agreement relating to the acquisition of
First American,  we are obligated to pay an additional $155.0 million in respect
of the  acquisition of First American during 2000 to 2004. Our December 31, 1998
balance sheet includes as a liability the $122.1  million  present value of this
$155.0 million  payment.  We have  discontinued our home health nursing business
and sold substantially all of it.


     Our  strategy  of  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 we are  leveraged,  as
well as our rent expense,  could have important consequences to securityholders,
including:

       (i)    our  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 our cash flow from  operations  may be
              dedicated  to  the  payment  of  principal  and  interest  on  our
              indebtedness   and  rent  expense,   thereby  reducing  the  funds
              available to us for our operations;

       (iii)  certain  of our  borrowings  bear,  and  will  continue  to  bear,
              variable  rates of  interest,  which  exposes us to  increases  in
              interest rates; and

       (iv)   certain  of  our   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,  our  substantial  debt may also  adversely  affect our ability to
respond to changing  business  and  economic  conditions  or continue our growth
strategy.

     Our ability to satisfy our  liabilities  depends upon our future  operating
performance,  which  may be  affected  by  prevailing  economic  conditions  and
financial,  business and other factors, many of which are beyond our control. We
cannot assure you that our operating results will be sufficient to pay our debt.
If we are  unable to meet  interest,  principal  or lease  payments,  or satisfy
financial covenants, we could be required to seek renegotiation of such payments
and/or  covenants or obtain  additional  equity or debt  financing.  If we raise
additional funds by issuing equity securities, our stockholders,  including you,
may  experience  dilution.  Further,  such equity  securities  may have  rights,
preferences or privileges  senior to those of the Common Stock. To the extent we
finance  activities  with  additional  debt,  we may  become  subject to certain
additional financial and other covenants that may restrict our ability to pursue
our growth  strategy and to pay dividends on the Common Stock.  We cannot assure
you that any such efforts would be successful or timely or that the terms of any
such  financing or  refinancing  would be  acceptable to us. See "-- We May Need
Additional Funds to Implement Our Growth Strategy."

     In March 1999,  Standard & Poors ("S&P")  lowered our corporate  credit and
bank loan ratings from B+ to B- and our subordinated debt rating from B- to CCC.
S&P stated that it took this action in light of our high debt  leverage  and the
impact of PPS. Our debt remains on CreditWatch with negative implications.

                                        6

<PAGE>

WE  HAVE LIMITED EXPERIENCE WITH THE NEW MEDICARE PROSPECTIVE PAYMENT SYSTEM FOR
SKILLED NURSING FACILITIES


     The BBA,  enacted in August 1997, made numerous changes to the Medicare and
Medicaid  programs  that are  significantly  affecting our  operations.  The BBA
provides for the phase-in of PPS for skilled nursing facilities over a four year
period effective  January 1, 1999 for our owned and leased facilities other than
the facilities we acquired in the Facility  Acquisition,  which  facilities will
become  subject to PPS on June 1, 1999.  Under PPS,  Medicare  will pay  skilled
nursing  facilities a fixed fee per patient day based on the acuity level of the
patient to cover all post-hospital  extended care routine service costs, as well
as  substantially  all  items  and  services,  such as  rehabilitation  therapy,
furnished  during a  covered  stay for which  reimbursement  was  formerly  made
separately  under  Medicare.  During  the  first  three  years of the  phase-in,
reimbursement  will be based on a blend of the facility's  historical  costs and
federal  costs.  Thereafter,  the per diem  rates  will be based 100% on federal
costs.  It is unclear what the impact of PPS will be on us, and we cannot assure
you that the  implementation  of PPS will not have a material  adverse effect on
our results of operations and financial  condition.  To date, the implementation
of PPS has resulted in reduced demand for, and reduced  operating  margins from,
the  rehabilitation  services we provide to third parties because such providers
are  admitting  fewer  Medicare   patients  and  are  reducing   utilization  of
rehabilitation services.


     The  profitability of our inpatient  services segment will be significantly
affected by the amount of the federally  established  per diem rate and our cost
of providing  care.  There can be no assurance that the per diem rate will cover
our cost of providing care, particularly with respect to higher acuity patients.
Although  our cost of care for subacute  patients  generally  exceeded  regional
reimbursement  limits  established under Medicare prior to the implementation of
PPS, we were historically able to recover a significant  portion of these excess
costs.  However,  under PPS we will receive  reimbursement at a  pre-established
daily rate, regardless of our cost of care. We cannot assure you that this daily
rate, which over time will be based less on our historical cost of care and more
on a blended rate based on all facilities'  costs of care, will be sufficient to
cover our actual cost of care and to provide us with a reasonable  profit.  As a
result,  there can be no assurance  that our financial  condition and results of
operations will not be materially and adversely affected.

     The BBA also reduced significantly  Medicare payment amounts for oxygen and
oxygen  equipment,  and froze fees for  durable  medical  equipment  and certain
infusion  levels.  There can be no assurance that these fees will cover our cost
of providing  such  services.  As a result,  there can be no assurance  that our
financial  condition  and  results  of  operations  will not be  materially  and
adversely affected.

SUCCESS  OF  OUR  GROWTH STRATEGY MAY BE LIMITED BY OUR ABILITY TO ACQUIRE OTHER
BUSINESSES AND TO GROW THROUGH INTERNAL DEVELOPMENT

     Our growth  strategy  involves  growth  through  acquisitions  and internal
development  and, as a result,  we are subject to various risks  associated with
this growth  strategy.  Our planned  expansion and growth require that we expand
our home respiratory,  infusion and durable medical  equipment  services through
the  acquisition  of  additional  providers  and that we acquire,  or  establish
relationships  with, third parties which provide  post-acute care services which
we do not currently  provide and that we acquire,  lease or acquire the right to
manage for others additional  facilities.  Such expansion and growth will depend
on  our  ability  to  create  demand  for  our  post-acute  care  programs,  the
availability  of suitable  acquisition,  lease or management  candidates and our
ability to finance such acquisitions and growth.  The successful  implementation
of our  post-acute  healthcare  system  will depend on our ability to expand the
amount of post-acute care services we offer directly to our patients rather than
through  third-party  providers.  However, we may not be able to locate suitable
acquisition candidates, complete acquisitions or successfully integrate acquired
facilities and companies into our operations. Even if we successfully accomplish
the  foregoing,  it will not guaranty  that our  post-acute  healthcare  system,
including  the  capitation  of  rates,  can  be  successfully  implemented.  The
post-acute  care  market  is  highly   competitive,   and  we  face  substantial
competition from hospitals,  subacute care providers,  rehabilitation  providers
and home  healthcare  providers,  including  competition  for  acquisitions.  We
anticipate that competition for acquisition  opportunities will intensify due to
the ongoing  consolidation in the healthcare  industry.  See "-- The Industry in
Which We Compete is Highly Competitive."

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<PAGE>

     The  successful  integration  of acquired  businesses  is  important to our
future financial  performance.  We may not achieve the anticipated benefits from
any acquisition  unless the operations of the acquired business are successfully
combined with ours in a timely manner.  The integration of our acquisitions will
require  substantial  attention  from  our  management.  The  diversion  of  the
attention of our management,  and any difficulties encountered in the transition
process,  could have a material  adverse  effect on our operations and financial
results.  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. In addition,  the process of integrating the various
businesses  could also 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  our  operations  and  financial  results.  There  can be no
assurance  that  we  will  realize  any of the  anticipated  benefits  from  our
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 our profitability.

     Our current and anticipated  future growth has placed, and will continue to
place,  significant  demands  on  our  management,   operational  and  financial
resources.  Our  ability  to manage our growth  effectively  will  require us to
continue  to improve  our  operational,  financial  and  management  information
systems  and to  continue to  attract,  train,  motivate,  manage and retain key
employees. We may not be able to manage our expanded operations effectively. See
"-- We May Need Additional Funds to Implement Our Growth Strategy."

     We may not be successful in  implementing  our strategy or in responding to
ongoing changes in the healthcare  industry which may require adjustments to our
strategy.  If we are unable to  implement  our strategy  successfully  or do not
respond timely and adequately to ongoing changes in the healthcare industry, our
business,  financial  condition  and results of  operations  will be  materially
adversely affected.

WE MAY NEED ADDITIONAL FUNDS TO IMPLEMENT OUR GROWTH STRATEGY

     Our growth  strategy  requires  substantial  capital for the acquisition of
additional  service  providers  and  geriatric  care  facilities.  The effective
integration,  operation  and  expansion  of our  existing  businesses  will also
require  substantial  capital.  We expect to  finance  new  acquisitions  from a
combination of funds from operations,  borrowings under our bank credit facility
and the issuance of debt and equity securities.  We may raise additional capital
through  the  issuance  of  long-term  or  short-term  debt or the  issuance  of
additional equity securities in private or public transactions, at such times as
we deem  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.  We may not be able to
obtain financing for future acquisitions or for the integration and expansion of
existing  businesses and operations on terms which we find acceptable or at all.
Our bank credit facility limits our ability to make acquisitions, and certain of
the indentures under which our outstanding  senior  subordinated debt securities
were issued limit our ability to incur  additional  indebtedness  unless certain
financial  tests are met. See "-- Our Substantial  Indebtedness  Could Limit Our
Growth and Our Ability to Respond to Changing Conditions."

WE RELY ON THIRD PARTY PAYORS TO PAY FOR OUR SERVICES

     We receive payment for services  rendered to patients from private insurers
and patients  themselves,  from the Federal government under Medicare,  and from
the  states in which we operate  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 us, which has adversely affected, and may
continue  to  adversely  affect,  our  margins,  particularly  in our  inpatient
facilities.  Aspects of certain healthcare reform proposals, such as cutbacks in
the Medicare and Medicaid programs, reductions in Medicare reimbursement rates

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<PAGE>

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 us. The BBA makes
numerous changes to the Medicare and Medicaid programs which will  significantly
impact our business and financial results.  We cannot assure you that we will be
reimbursed  by Medicare  and private  insurers in amounts  that are  adequate to
cover  our costs of  providing  services  and to  provide  us with a  reasonable
profit.   Significant  limits  on  the  scope  of  services  reimbursed  and  on
reimbursement rates and fees could have a material adverse effect on our results
of operations  and financial  condition.  See "-- Additional  Healthcare  Reform
Measures Could Adversely  Affect Our Business."  During the years ended December
31,  1996,  1997  and  1998,  we  derived   approximately   62%,  46%  and  46%,
respectively, of our patient revenues from Medicare and Medicaid.

     The sources and amounts of our patient  revenues derived from our operation
of our  geriatric  care  facilities  are  determined  by a  number  of  factors,
including  licensed bed capacity of our  facilities,  occupancy rate, the mix of
patients  and the  rates  of  reimbursement  among  payor  categories  (private,
Medicare and  Medicaid).  Changes in the mix of our  patients  among the private
pay,   Medicare   and  Medicaid   categories   can   significantly   affect  our
profitability.   We  also  contract  with  private  payors,   including   health
maintenance  organizations  and other  managed  care  organizations,  to provide
certain  healthcare  services  to patients  for a set per diem  payment for each
patient. The rates we receive from those payors may not be adequate to cover our
cost of providing services to covered beneficiaries.

     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  us as a  preferred  provider  and/or  engage our
competitors  as a  preferred  or  exclusive  provider,  our  business  could  be
materially adversely affected.  In addition,  private payors,  including managed
care  payors,  increasingly  are  demanding  discounted  fee  structures  or the
assumption  by healthcare  providers of all or a portion of the financial  costs
through prepaid capitation.

ADDITIONAL HEALTHCARE REFORM MEASURES COULD ADVERSELY AFFECT OUR BUSINESS

     In addition to extensive  existing  government  healthcare  regulation,  in
recent  years a number of laws have  been  enacted  which  have  effected  major
changes in the healthcare  system,  both nationally and at the state level.  The
BBA makes  numerous  changes to the Medicare and  Medicaid  programs  which will
significantly impact us. 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  (subsequently  delayed to  October  1,  2000),  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. Our inability to provide inpatient  services
and/or home respiratory,  infusion and durable medical  equipment  services at a
cost below the established  Medicare fee schedule could have a material  adverse
effect on our home healthcare  operations,  post-acute care network and business
generally.  We expect 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 our business.  See "-- We Rely on Third Party Payors to Pay for Our
Services."  There  can  be  no  assurance  that  currently  proposed  or  future
healthcare legislation or

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<PAGE>

other changes in the administration or interpretation of governmental healthcare
programs will not have an adverse  effect on our business or that payments under
governmental programs will remain at levels comparable to present levels or will
be   sufficient  to  cover  the  costs   allocable  to  patients   eligible  for
reimbursement pursuant to such programs.  Concern about the potential effects of
the proposed  reform  measures has  contributed  to the  volatility of prices of
securities of companies in healthcare and related  industries,  including  ours,
and may  similarly  affect the price of our Common Stock in the future.  See "--
Government Regulation Could Adversely Affect Our Business ."

     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 acuity
level of the  patient.  The  pre-established  daily rate will cover all routine,
ancillary and capital costs.  It is anticipated  that this  prospective  payment
system   will  be  phased  in  over  four  years  on  a  blended   rate  of  the
facility-specific  costs and the new federal per diem.  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 began January 1, 1999 for our owned and leased
skilled  nursing   facilities   other  than  the  facilities  we  acquired  from
HEALTHSOUTH, which facilities will become subject to prospective payment on June
1, 1999.  Prospective  payment for skilled  nursing  facilities  which we manage
becomes 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.

     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,  and we believe many
states will move towards a prospective payment type system similar to PPS.

     While we have  prepared  certain  estimates of the impact of PPS, it is not
possible  to  fully  quantify  the  effect  of  the  recent   legislation,   the
interpretation or  administration of such legislation or any other  governmental
initiatives  on our business.  Accordingly,  there can be no assurance  that the
impact of PPS will not be  greater  than  estimated  or that  these  legislative
changes or any  future  healthcare  legislation  will not  adversely  affect our
business.

     We anticipate  that federal and state  governments  will continue to review
and assess alternative  healthcare  delivery systems and payment  methodologies.
There can be no assurance that future healthcare legislation or other changes in
the administration or interpretation of government  healthcare programs will not
have an adverse effect on our operations.

GOVERNMENT REGULATION COULD ADVERSELY AFFECT OUR BUSINESS

     The healthcare  industry  generally,  including us, is subject to extensive
federal,   state  and  local  regulation  governing  licensure  and  conduct  of
operations at existing facilities,  construction of new facilities,  acquisition
of existing facilities, additions of new services, certain capital expenditures,
the  quality of  services  provided  and the manner in which such  services  are
provided and reimbursement for services rendered. Changes in applicable laws and
regulations or new interpretations of existing laws and regulations could have a
material adverse effect on licensure, eligibility for participation, permissible
activities,  operating costs and the levels of reimbursement  from  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 our  business.  The failure to maintain or renew any  required
regulatory  approvals  or  licenses  could  prevent  us from  offering  existing
services or from obtaining reimbursement. In certain circumstances,  our failure
to comply at one facility may affect our ability to obtain or maintain  licenses
or approvals under Medicare and Medicaid programs at other facilities. In

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<PAGE>

addition,  our 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 ordinary course of our business,  our facilities  receive notices of
deficiencies  for  failure  to  comply  with  various  regulatory  requirements.
Generally, the facility and the reviewing agency will agree upon the measures to
be taken to bring the facility into compliance with regulatory requirements.  In
some cases or upon repeat  violations,  the  reviewing  agency may take  adverse
actions  against a  facility,  including  the  imposition  of  fines,  temporary
suspension  of  admission  of  new  patients  to  the  facility,  suspension  or
decertification from participation in the Medicare or Medicaid programs, and, in
extreme circumstances, revocation of a facility's license. These adverse actions
may  adversely  affect  the  ability  of the  facility  to operate or to provide
certain  services and its eligibility to participate in the Medicare or Medicaid
programs.  In  addition,   such  adverse  actions  may  adversely  affect  other
facilities  we  operate.  There  can be no  assurance  that  we  will be able to
maintain  compliance  with all  regulatory  requirements  or that it will not be
required to expend significant amounts to do so.

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

     In 1995,  a major  anti-fraud  demonstration  project,  "Operation  Restore
Trust,"  was  announced  by the OIG. A primary  purpose  for the  project was to
scrutinize the activities of healthcare providers which are reimbursed under the
Medicare and Medicaid programs. Investigative efforts focused on skilled nursing
facilities,  home health and hospice  agencies  and  durable  medical  equipment
suppliers,  as well as several  other types of  healthcare  services.  Operation
Restore Trust originally focused on California,  Florida, Illinois, New York and
Texas,  but has now been  expanded  to all  states.  This  effort is  focused on
problems  with claims for  services  not rendered or not provided as claimed and
claims  falsified to circumvent  coverage  limitations on medical  supplies.  We
expect these types of efforts to continue.

     False  claims are  prohibited  pursuant  to  criminal  and civil  statutes.
Criminal  provisions  prohibit filing false claims or making false statements to
receive  payment or  certification  under  Medicare or  Medicaid,  or failing to
refund  overpayments or improper  payments;  offenses for violation are felonies
punishable  by up to  five  years'  imprisonment  and/or  $25,000  fines.  Civil
provisions  prohibit  the knowing  filing of a false claim or the knowing use of
false  statements to obtain  payment;  penalties for violations are fines of not
less than  $5,000 nor more than  $10,000,  plus treble  damages,  for each claim
filed.  Suits  alleging  false claims can be brought by  individuals,  including
employees  and  competitors,  who share in any amounts paid by the entity to the
government in fines or settlement. In addition to qui tam actions brought by

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<PAGE>

private  parties,  we believe  that  governmental  enforcement  activities  have
increased at both the federal and state levels. If it were found that any of our
practices  failed to comply with any of the anti-fraud  provisions  discussed in
the paragraphs above, our business could be materially adversely affected.

     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  before we can expand our  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.

     We are  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 our business,  results of operations and financial  condition.
See "--  Additional  Healthcare  Reform  Measures  Could  Adversely  Affect  Our
Business."

THE INDUSTRY IN WHICH WE COMPETE IS HIGHLY COMPETITIVE

     The healthcare  industry is highly competitive and is subject to continuing
changes in the  provision  of services and the  selection  and  compensation  of
providers.  We compete on a local and regional basis with other providers on the
basis of the breadth and quality of our services,  the quality of our facilities
and, to a more limited  extent,  price.  We also compete with other providers in
the acquisition and development of additional  facilities and service providers.
Our 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 other home respiratory
care, infusion and durable medical equipment companies and similar institutions,
many of which have  significantly  greater financial and other resources than we
do. In addition, we compete 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 us. New service  introductions
and  enhancements,   acquisitions,  continued  industry  consolidation  and  the
development  of  strategic  relationships  by  our  competitors  could  cause  a
significant  decline in sales or loss of market  acceptance  of our  services or
intense  price  competition  or  make  our  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  our  business.  There  can be no
assurance that we will be able to compete successfully against current or future
competitors  or that  competitive  pressures  will not have a  material  adverse
effect on our business,  financial condition and results of operations.  We also
compete  with  various  healthcare  providers  with  respect to  attracting  and
retaining qualified  management and other personnel.  Any significant failure by
us to  attract  and retain  qualified  employees  could have a material  adverse
effect on our business, results of operations and financial condition.

CERTAIN  PROVISIONS  OF  DELAWARE LAW AND OUR CORPORATE GOVERNANCE DOCUMENTS MAY
AFFECT A THIRD PARTY'S ABILITY TO ACQUIRE IHS

     Our  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 our Common Stock.  Certain of these provisions allow
us 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,  our Stockholders'  Rights Plan,
which provides for discount  purchase rights to certain of our stockholders upon
certain acquisitions of 20% or more of the outstanding shares of

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<PAGE>

Common  Stock,  may also  inhibit  a change in  control  of IHS.  As a  Delaware
corporation,  we are  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.

OUR STOCK PRICE HAS BEEN VOLATILE

     There has been  significant  volatility  in the market  price of our Common
Stock, and it is likely that the price of our Common Stock will fluctuate in the
future.  Factors such as the following  could have a  significant  effect on our
stock price:

       o  fluctuations in our operating results;

       o  changes in government regulations;

       o  developments affecting our competitors;

       o  changes in analysts' recommendations regarding us and our competitors;
          and

       o  changes in general conditions in the economy, the financial markets or
          the healthcare industry.

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 our business, operating results and financial condition.

                                       13

<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 November 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>
FARMERS AND MERCHANTS BANK & TRUST, TRUSTEE(1) ..........    376,471       376,471             0
 FBO Integrated Health Services, Inc. Supplemental
 Deferred Compensation Plan
SMITH BARNEY PRIVATE TRUST COMPANY, TRUSTEE(2) ..........    282,353       282,353             0
 FBO Integrated Health Services, Inc. Key
 Employee Supplemental Executive Retirement Plan (Plan A)
ACCUCARE MEDICAL CORPORATION(3)
 Walter/Hendry Revocable Trust of 1998 ..................     82,918        82,918             0
 Steven Richards & Associates, Inc.(4) ..................     10,727         8,701         2,026
 Paul A. Bernou .........................................      3,455         3,455             0
 CoreStates Bank, N.A., as escrow agent(5) ..............     33,898        33,898             0
AMERICAN OXYGEN SERVICES OF TENNESSEE, INC.(6)
 Timothy O. Bates .......................................      9,149         9,149             0
 Michael Campbell .......................................     27,448        27,448             0
 Amerimed Healthcare, Inc. ..............................     18,299        18,299             0
 Crestar Bank, as escrow agent(5) .......................      6,165         6,165             0
THOMAS D. SCOTT(7) ......................................     24,089        14,089        10,000
INDIANA RESPIRATORY CARE, INC.(8)
 Indiana Respiratory Care, Inc. .........................     47,850        47,850             0
 Strausser, Inc.(9) .....................................      2,696         2,696             0
 CoreStates Bank, N.A., as escrow agent(5) ..............     16,849        16,849             0
FIRST COMMUNITY CARE, INC.(10)
 Aaron Bowser ...........................................        232            80           152
 Gary Colella ...........................................      2,779           958         1,821
 Dacian Connell .........................................      1,696           585         1,111
 James Connell ..........................................     12,107         4,175         7,932
 Maurice Jack Connell ...................................      9,204         3,174         6,030
 Peter Cummiskey ........................................      7,830         2,700         5,130
 Francis Fermoile .......................................      3,114         1,074         2,040
 Elizabeth Fox ..........................................      1,696           585         1,111
   Under Uniform Gifts To Minors
 Emily Fox ..............................................      1,696           585         1,111
   Under Uniform Gifts To Minors ........................
 Patricia Connell Fox ...................................     12,305         4,243         8,062
 Gregory Guay ...........................................      4,832         1,666         3,166
 Richard Keilman ........................................        175            60           115
 John Koss ..............................................        175            60           115
 Joan M. Myers ..........................................        175            60           115
 George Navik ...........................................        175            60           115
</TABLE>


                                       14

<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>
 Peter Parisi .................................................        175            60           115
 Maureen DaCosta Redmond ......................................     12,107         4,175         7,932
 Zebadiah Redmond .............................................      1,696           585         1,111
 Joann Shaw Smith and James M. Shaw, Joint Tenants with
   Rights of Survivorship .....................................      1,105           381           724
 Constance Verity .............................................        350           121           229
 David Verity .................................................      7,830         2,700         5,130
 Betty Watts ..................................................        232            80           152
 Richard J. Wilwohl ...........................................      3,178         1,096         2,082
 John Young ...................................................      5,763         1,988         3,775
MEDICAL CONVALESCENT AIDS OF PINELLAS, INC. D/B/A MEDAIDS(11)
 Arthur Tepper and Elizabeth Tepper, as Trustees, FBO Arthur
   Tepper UTD 7/14/78 .........................................     88,477        47,245        37,532
 Joseph D. Valenti, as Trustee, FBO Joseph D. Valenti
   Revocable Trust UTD 6/10/98 ................................     77,879        45,221        37,326
 Samuel J. Jarczynski & Helen Leann Jarczynski JTWROS .........     28,153        17,252        10,901
 Thomas A. Valenti, as Trustee, FBO Thomas A. Valenti Trust
   UTD 5/22/96 ................................................      6,736         4,406         2,330
 Steven G. Tepper .............................................      1,442           885           557
</TABLE>

- ----------

(1)   Represents   shares  of  Common  Stock  we  contributed  to  our  deferred
      compensation plan for certain of our senior executives in lieu of cash.

(2)   Represents  shares of Common Stock we contributed  to our retirement  plan
      for Dr.  Robert N.  Elkins,  our  Chairman of the Board,  Chief  Executive
      Officer and President, in lieu of cash.

(3)   Except for Steven  Richards & Associates,  Inc. (see note 4 below),  these
      stockholders  received  their  shares  from  us  in  connection  with  our
      acquisition  of  substantially  all  of the  assets  of  Accucare  Medical
      Corporation ("Accucare") pursuant to an Agreement for Sale and Purchase of
      Assets and Restrictive Covenants, dated as of September 25, 1998. Of these
      shares,  33,898  shares  are being  held in escrow  by our  escrow  agent,
      CoreStates Bank, N.A., to secure indemnification  obligations and purchase
      price adjustments.  Purchase price adjustments will be based upon a review
      of the operating  profit of Accucare from  September 1, 1998 to August 31,
      2000.

(4)   This stockholder  received its shares as a finder's fee in connection with
      the sale of assets of Accucare.

(5)   Does not include shares of Common Stock held in escrow in respect of other
      acquisitions we made.

(6)   These  stockholders  received their shares from us in connection  with our
      acquisition of substantially all of the assets of American Oxygen Services
      of Tennessee,  Inc.  ("American Oxygen") pursuant to an Agreement for Sale
      and Purchase of Assets,  dated as of August 14, 1998. Of these shares,  an
      aggregate  of 6,165  shares are being held in escrow by our escrow  agent,
      Crestar Bank, to secure indemnification obligations.

(7)   This  stockholder  received his 14,089 shares from us as an engagement fee
      in connection  with our  appointment  as a manager of two skilled  nursing
      facilities  pursuant to a Management  Agreement,  dated as of September 1,
      1998.

(8)   Except for Strausser, Inc. (see note 9 below), these stockholders received
      their shares in connection  with our acquisition of  substantially  all of
      the assets of  Indiana  Respiratory  Care,  Inc.  ("Indiana  Respiratory")
      pursuant to an Agreement  for Sale and Purchase of Assets and  Restrictive
      Covenants,  dated as of November 18, 1998. Of these shares,  16,849 shares
      are being held in escrow by our escrow agent,  CoreStates,  Bank, N.A., to
      secure   indemnification   obligations  and  purchase  price  adjustments.
      Purchase  price  adjustments  will be based upon a review of the operating
      profit of Indiana Respiratory from December 1, 1998 to November 30, 2000.

(9)   This stockholder  received its shares as a finder's fee in connection with
      the sale of assets of Indiana Respiratory.

(10)  These stockholders received their shares from us as part of a post-closing
      adjustment to the purchase  price for  substantially  all of the assets of
      First  Community  Care,  Inc.  ("First  Community  Care")  pursuant  to an
      Agreement for Sale and Purchase of Assets and Restrictive  Covenants dated
      as of April 29, 1998.

(11)  Information as of March 26, 1999. These stockholders received their shares
      from us as part of  post-closing  adjustments  to the  purchase  price  in
      connection with our acquisition 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.

TRANSACTIONS INVOLVING SELLING STOCKHOLDERS

     Effective  November 19, 1998, we  contributed  376,471 shares of our Common
Stock,  having a value of $4  million,  from our  treasury  to our  Supplemental
Deferred  Compensation  Plan for our senior officers.  Our contribution of stock
was in lieu of a cash contribution.

                                       15

<PAGE>


     Effective  November 19, 1998, we  contributed  282,353 shares of our Common
Stock,  having a value of $3  million,  from our  treasury  to our Key  Employee
Supplemental  Executive Retirement Plan (Plan A), in which Dr. Robert N. Elkins,
our Chairman of the Board,  Chief Executive  Officer and President,  is the sole
participant. Our contribution of stock was in lieu of a cash contribution.


     On  September  25,  1998,  we acquired  substantially  all of the assets of
Accucare Medical Corporation, which operates a home respiratory care and durable
medical equipment business in California.  The purchase price for the assets and
certain  restrictive  covenants agreed to by the seller and its stockholders was
$3.5 million, less $646,500 in assumed liabilities,  of which we paid $2,583,500
through the issuance of 128,972 shares of our Common Stock.  The stockholders of
Accucare are now offering their shares pursuant to this prospectus.

     On August 14, 1998, we acquired substantially all of the assets of American
Oxygen Services of Tennessee,  Inc.,  which operates a home respiratory care and
durable medical equipment business in Florida and Tennessee.  The purchase price
for the assets was  approximately  $2.0  million.  We paid this  purchase  price
through the issuance of 61,061 shares of our Common Stock.  The  stockholders of
American Oxygen are now offering their shares pursuant to this prospectus.

     On  September  1,  1998,  we  acquired  substantially  all of the assets of
Pinnacle Health Care,  Inc.,  which operates a home respiratory care and durable
medical  equipment  business in Florida.  The purchase  price for the assets and
certain  restrictive  covenants agreed to by the seller and its shareholders was
$223,000, all of which we paid in cash. In connection with this acquisition, our
subsidiary  entered into a management  agreement  with a subsidiary of Pinnacle,
which  operates  two skilled  nursing  facilities  in  Louisiana,  to manage the
facilities.  In consideration for the appointment of our subsidiary as a manager
of these  facilities,  we issued to Mr. Scott, a principal owner of the Pinnacle
subsidiary, 14,089 shares of our Common Stock, which he is now offering pursuant
to this prospectus.

     On  November  18,  1998,  we  acquired  substantially  all of the assets of
Indiana  Respiratory  Care,  Inc.,  which operates a home  respiratory  care and
durable medical equipment business in Indiana. The purchase price for the assets
and certain  restrictive  covenants agreed to by the seller and its stockholders
was $1.2 million,  of which we paid $1.0 million  through the issuance of 67,395
shares of our Common Stock.  The  stockholders  of Indiana  Respiratory  are now
offering their shares pursuant to this prospectus.


     On April 30,  1998,  we acquired  substantially  all of the assets of First
Community  Care,  Inc.,  which operates a home  respiratory  and durable medical
equipment  business in New York.  The purchase  price for the assets and certain
restrictive  covenants  agreed to by the  seller and its  stockholders  was $8.6
million,  of which we paid  $2,282,000  through the issuance of 59,376 shares of
our Common Stock. On September 18, 1998,  pursuant to the agreement  between the
parties,  we issued an  additional  31,251  shares  of our  Common  Stock to the
stockholders  of  First   Community  Care  as  a  post-closing   purchase  price
adjustment.  The  stockholders  of First  Community  Care are now offering their
additional shares pursuant to this prospectus.

     On February 11, 1998,  we 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
Florida. We paid $2,480,000 of the $3.7 million merger consideration through the
issuance of 83,057  shares of our Common  Stock.  In the first  quarter of 1999,
pursuant to the agreement between the parties,  we issued an additional  115,009
shares of our Common Stock to the former stockholders of Medaids as post-closing
purchase price adjustments.  The former stockholders of Medaids are now offering
their additional shares pursuant to this prospectus.


                                       16

<PAGE>

                              PLAN OF DISTRIBUTION

     We are registering the shares on behalf of the Selling Stockholders. We are
paying all costs,  expenses and fees in connection with the  registration of the
shares offered hereby.  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 us 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 stockholders of Accucare, as a group, have agreed not to sell in excess
of 75,000 shares of our Common Stock during any consecutive  30-day period.  The
former stockholders of Medaids, as a group, and the former stockholders of Prime
Medical Services, Inc., as a group, have jointly agreed not to sell in excess of
30,000 shares of our Common Stock during any 30-day period.  Each of the selling
stockholders  (except for the former stockholders of American Oxygen and Indiana
Respiratory Care) has agreed that all sales of our Common Stock will be effected
solely through Salomon Smith Barney, Inc. as broker. The stockholders of Indiana
Respiratory  Care, as a group, have agreed that all sales of their shares of our
Common Stock will be effected  solely  through  A.G.  Edwards & Sons,  Inc.,  as
broker.


     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 Exchange Act, 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
us 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 us by Fulbright & Jaworski L.L.P.,  New
York, New York. At April 1, 1999,  partners of Fulbright & Jaworski L.L.P. owned
an aggregate of 300 shares of Common Stock.


                                       17

<PAGE>

                                     EXPERTS



     The consolidated  financial statements of Integrated Health Services,  Inc.
and  subsidiaries  as of December 31, 1997 and 1998 and for each of the years in
the  three-year  period  ended  December  31,  1998  have been  incorporated  by
reference in this  prospectus  and  elsewhere in the  Registration  Statement in
reliance upon the report dated March 30, 1999 of KPMG LLP, independent certified
public accountants,  incorporated by reference herein, and upon the authority of
said firm as experts in accounting and auditing.

     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  dated April 14, 1997 of KPMG
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 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 dated
September 18, 1997 (October 21, 1997 as to Note 1), 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'  Amendment  No. 1 to Current  Report on Form  8-K/A  (dated
December 31, 1997) have been audited by Arthur Andersen LLP,  independent public
accoutnants,  as  indicated  in their  report  with  respect  thereto,  which is
incorporated  herein by reference and has been so  incorporated in reliance upon
the authority of such firm as experts in accounting and auditing.



                                       18

<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 ..........    $   1,534.00
     Legal, accounting and printing fees and expenses ...............       25,000.00*
     Miscellaneous ..................................................        3,766.00*
                                                                         ------------
        Total .......................................................    $  40,000.00*
                                                                         =============
</TABLE>
- ----------
* Estimated.

ITEM 15. INDEMNIFICATION OF DIRECTORS AND OFFICERS.

     Under the  General  Corporation  Law of the State of Delaware  ("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 Accucare Shares,  the American Oxygen
Shares,  the Indiana  Respiratory  Shares, the Pinnacle Health Shares, the First
Community  Care Shares and the Medaids  Shares were issued  (Exhibits  2.1, 2.2,
2.3, 2.4, 2.5, 2.6 and 2.7,  respectively)  provide for  indemnification  by the
sellers  thereunder of the Company and its  controlling  persons,  directors and
officers  for  certain  liabilities,  including  liabilities  arising  under the
Securities Act.


ITEM 16. EXHIBITS.

<TABLE>
<S>           <C>
 2.1           --Agreement  for Sale and  Purchase  of  Assets  and  Restrictive
                 Covenants  made as of September 25, 1998 by and among  Accucare
                 Medical Corporation, Robert D. Walter, Marcia Hendry-Walter and
                 Paul Bernou,  Integrated of Garden Terrace, Inc. and Integrated
                 Health Services, Inc.
 2.2           --Agreement  for Sale and  Purchase  of Assets  made as of August
                 14, 1998 by and among  American  Oxygen  Services of Tennessee,
                 Inc., Timothy O. Bates, Michael Campbell, Amerimed, Healthcare,
                 Inc.,  IHS  Acquisition   XXVII,  Inc.  and  Integrated  Health
                 Services, Inc.

</TABLE>

                                      II-1

<PAGE>


<TABLE>
<S>   <C>
 2.3  --Agreement for Sale and Purchase of Assets and Restrictive  Covenants made
        as of November 18, 1998 by and among Indiana  Respiratory Care, Inc., J.
        Bard Beesley,  Integrated of Westcliff Park, Inc. and Integrated  Health
        Services, Inc.
 2.4  --Agreement for Sale and Purchase of Assets and Restrictive  Covenants made
        as of September 1, 1998 by and among Pinnacle  Health Care,  Inc.,  Brad
        Levine,  Richard R. Rizzo,  Harold Winters and Doug Shirley,  and RoTech
        Oxygen and Medical Equipment, Inc.
 2.5  --Management  Agreement  made and entered into effective as of September 1,
        1998 by and between  Pinnacle  Health  Facilities of Louisiana,  LLC and
        Integrated Health Services at Franklin, Inc.
 2.6  --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. (1)
 2.7  --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. (1)
 4.1  --Third Restated Certificate of Incorporation, as amended. (2)
 4.2  --Amendment to the Third Restated Certificate of Incorporation,  dated May
        26, 1995. (3)
 4.3  --Certificate of Designation of Series A Junior  Participating  Cumulative
        Preferred Stock. (4) ' 4.4 -- By-laws, as amended. (5)
  5   --Opinion of Fulbright & Jaworski L.L.P.
23.1  --Consents of KPMG LLP.
23.2  --Consent of Deloitte & Touche LLP.
23.3  --Consent of Arthur Andersen LLP
23.4  --Consent of Marshall A. Elkins, Esq. (included in Exhibit 5).
 24   --Power of Attorney (included on signature page).
</TABLE>

- ----------
(1) Incorporated herein by reference to the Company's  Registration Statement on
    Form S-3 (No. 333-59891).
(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 April 6, 1999.

                                    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     April 6, 1999
- -----------------------------     and Chief Executive Officer
        (Robert N. Elkins)        (Principal Executive Officer)



       /s/ EDWIN M. CRAWFORD      Director                             April 6, 1999
- -----------------------------
          (Edwin M. Crawford)

       /s/ KENNETH M. MAZIK       Director                             April 6, 1999
- -----------------------------
          (Kenneth M. Mazik)

      /s/ ROBERT A. MITCHELL      Director                             April 6, 1999
- -----------------------------
         (Robert A. Mitchell)

   /s/ CHARLES W. NEWHALL, III    Director                             April 6, 1999
- -----------------------------
      (Charles W. Newhall, III)

     /s/ TIMOTHY F. NICHOLSON     Director                             April 6, 1999
- -----------------------------
        (Timothy F. Nicholson)

</TABLE>


                                      II-4

<PAGE>


<TABLE>
<CAPTION>

           SIGNATURE                             TITLE                       DATE
- -------------------------------   -----------------------------------   --------------
<S>                               <C>                                   <C>

       /s/ JOHN L. SILVERMAN      Director                              April 6, 1999
- -----------------------------
          (John L. Silverman)


       /s/ GEORGE H. STRONG       Director                              April 6, 1999
- -----------------------------
          (George H. Strong)


       /s/ C. TAYLOR PICKETT      Executive Vice President-             April 6, 1999
- -----------------------------     Chief Financial Officer (Principal
          (C. Taylor Pickett)     Financial Officer)


      /s/ W. BRADLEY BENNETT      Executive Vice President-             April 6, 1999
- -----------------------------     Chief Accounting Officer
         (W. Bradley Bennett)     (Principal Accounting Officer)

</TABLE>


                                      II-5

<PAGE>



<TABLE>
<CAPTION>
                                                         INDEX TO EXHIBITS
  EXHIBIT
    NO.                                                    DESCRIPTION                                            PAGE NO.
- -----------      ----------------------------------------------------------------------------------------------- ---------
<S>        <C>
   2.1      --   Agreement for Sale and Purchase of Assets and Restrictive Covenants made as of September
                 25, 1998 by and among Accucare Medical Corporation, Robert D. Walter, Marcia
                 Hendry-Walter and Paul Bernou, Integrated of Garden Terrace, Inc. and Integrated Health
                 Services, Inc.
   2.2      --   Agreement for Sale and Purchase of Assets made as of August 14, 1998 by and among
                 American Oxygen Services of Tennessee, Inc., Timothy O. Bates, Michael Campbell,
                 Amerimed, Healthcare, Inc., IHS Acquisition XXVII, Inc. and Integrated Health Services, Inc.
   2.3      --   Agreement for Sale and Purchase of Assets and Restrictive Covenants made as of November
                 18, 1998 by and among Indiana Respiratory Care, Inc., J. Bard Beesley, Integrated of Westcliff
                 Park, Inc. and Integrated Health Services, Inc.
   2.4      --   Agreement for Sale and Purchase of Assets and Restrictive Covenants made as of September
                 1, 1998 by and among Pinnacle Health Care, Inc., Brad Levine, Richard R. Rizzo, Harold
                 Winters and Doug Shirley, and RoTech Oxygen and Medical Equipment, Inc.
   2.5      --   Management Agreement made and entered into effective as of September 1, 1998 by and
                 between Pinnacle Health Facilities of Louisiana, LLC and Integrated Health Services at
                 Franklin, Inc.
   2.6      --   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. (1)
   2.7      --   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. (1)
   4.1      --   Third Restated Certificate of Incorporation, as amended. (2)
   4.2      --   Amendment to the Third Restated Certificate of Incorporation, dated May 26, 1995. (3)
   4.3      --   Certificate of Designation of Series A Junior Participating Cumulative Preferred Stock. (4)
   4.4      --   By-laws, as amended. (5)
    5       --   Opinion of Fulbright & Jaworski L.L.P.
  23.1      --   Consents of KPMG LLP.
  23.2      --   Consent of Deloitte & Touche LLP.
  23.3      --   Consent of Arthur Andersen LLP
  23.4      --   Consent of Marshall A. Elkins, Esq. (included in Exhibit 5).
   24       --   Power of Attorney (included on signature page).
</TABLE>

- ----------
(1) Incorporated herein by reference to the Company's  Registration Statement on
    Form S-3 (No. 333-59891).
(2) Incorporated  by reference to the Company's  Registration  Statement on Form
    S-3, No. 33-77754, effective June 29, 1994.
(3) Incorporated  by reference to the Company's  Registration  Statement on Form
    S-4, No. 33-94130, effective September 15, 1995.
(4) Incorporated by reference to the Company's  Current Report on Form 8-K dated
    September 27, 1995.
(5) Incorporated  by reference the Company's  Annual Report on Form 10-K for the
    year ended December 31, 1997.


                                                                     Exhibit 2.1



                    AGREEMENT FOR SALE AND PURCHASE OF ASSETS
                            AND RESTRICTIVE COVENANTS

     THIS AGREEMENT is made as of Sept. 25, 1998, by and among ACCUCARE  MEDICAL
CORPORATION, a California corporation, having its principal place of business at
2900  Telegraph  Avenue,   Oakland,   California  94609  (the  "SELLER"  or  the
"CORPORATION"), ROBERT D. WALTER, MARCIA HENDRY-WALTER AND PAUL BERNOU, the sole
shareholders of Seller (the "SHAREHOLDERS" and each a "SHAREHOLDER"), INTEGRATED
OF GARDEN  TERRACE,  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 California (the "BUSINESS"); and

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

     WHEREAS, Buyer is a wholly owned subsidiary of IHS; and

     WHEREAS,  Seller wishes to sell, and Buyer desires to purchase from Seller,
substantially all of the assets of the Business in exchange for voting shares of
the common  stock,  par value $.001,  of IHS (the "IHS STOCK") 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 Stock to the Shareholders
in complete  liquidation  of the Seller and dissolve;  and Buyer also desires to
acquire  from  Seller  and  each  Shareholder,  and  each  of  Seller  and  each
Shareholder  desires  to grant to  Buyer,  covenants  not to  compete  and other
restrictive  covenants as  described  in  paragraph 17 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 and Restrictive Covenants.

          (a) The Assets.  As of 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"),  except for the Assumed
Liabilities (as defined in paragraph 6(b) herein), all of Seller's rights, title
and interest in, to or under:



                                       -1-


<PAGE>


               (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

               (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,  whether owned or leased
     including,  without limitation,  the leasehold interests listed on Schedule
     1(a)(v)(C); (D) all of Seller's prepaid assets; (E) rights under contracts,
     agreements,   including,  without  limitation,  franchise  agreements,  and
     instruments;  and (F) 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) 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,  Articles  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
(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.  Buyer shall pay an amount for the Assets and the
Restrictive  Covenants  equal to Three  Million  Five Hundred  Thousand  Dollars
($3,500,000.00), less the amount of the Assumed Liabilities (as defined below in
paragraph  6),  which  amount of  Assumed  Liabilities  shall be  $646,500  (the
"PURCHASE  PRICE").  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.  At the Closing  (as defined in  paragraph  9),
Buyer shall pay, disburse, and deliver the Purchase Price as follows:

               (i) IHS Stock having a value (using the Trade Price (as such term
     is defined  in  paragraph  4(a)) to value  such IHS  Stock)  equal to Three
     Hundred Fifty Thousand ($350,000) Dollars (the "GENERAL ESCROW AMOUNT") and
     Four Hundred  Thousand  ($400,000)  Dollars (the  "CLAW-BACK  AMOUNT") (the
     General Escrow Amount and the Claw-back  Amount shall be referred to as the
     "ESCROW FUND") 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  paragraph  6(d),  below)  pursuant  to the  terms  of a Escrow
     Agreement,  in the form  attached  hereto as Exhibit  2(b)(i)  (the "ESCROW
     AGREEMENT").  The entire Escrow Fund shall be subject to the  provisions of
     paragraphs 7 and 18 hereof.

               (ii) IHS Stock  having a value  (using  the Trade  Price to value
     such IHS Stock)  equal to One  Hundred  Ninety Two  Thousand  Five  Hundred
     Dollars ($192,500) (the "BROKER'S FEE") shall be paid, on behalf of Seller,
     to Steven Richards & Associates,  Inc. (the  "BROKER"),  in satisfaction of
     all fees and  compensation  due at the Closing to the Broker in  connection
     with the transactions contemplated by this Agreement.  Buyer shall also pay
     to Broker on behalf of Seller  seven  percent  (7%) of any  portion  of the
     General  Escrow Amount and the Claw-back  Amount if, when and to the extent
     released to Seller,  and any such  payment  shall be  credited  against the
     amount of the Claw-back  Amount  payable to Seller.  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 sums from the Purchase
     Price and  disburse  such sum directly to the Broker.  Notwithstanding  the
     foregoing, IHS and Buyer shall not be required to make any such delivery to
     the  Broker   unless  the  Broker  shall  have  executed  and  delivered  a
     Confirmation  Agreement  in the  form and  substance  of  Exhibit  2(b)(ii)
     hereto.

               (iii) IHS Stock  having a value  (using the Trade  Price to value
     such IHS Stock) equal to One Million Nine Hundred Eleven  Thousand  Dollars
     ($1,911,000) (the balance of the Purchase Price), to the Shareholders.

     3. Purchase Price  Adjustment.  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 period
commencing  on  September  1, 1998 and ending  August 31, 2000 (the  "APPLICABLE
PERIOD")  shall be less than  $700,000,  then the  Buyer  shall be  entitled  to
receive an amount  from the  Seller  equal to five times (5x) the amount of such
deficiency (the "CLAW-BACK PAYMENT");  provided that the Claw-back Payment shall
not  exceed  the Claw-  back  Amount.  For  purposes  hereof,  the term  "ANNUAL
OPERATING PROFIT" shall be determined as set forth on Exhibit 3 attached hereto.

     The parties further  acknowledge  that they have used their best efforts to
determine  that the Purchase  Price is consistent  with the fair market value of
the Business and its assets as of the  Closing,  based in part on the  projected
future  revenues of the Business.  The foregoing  provisions of this paragraph 3
are intended solely to adjust the Purchase Price, if necessary,  to reflect fair
market value and not to induce Seller or the  Shareholders to refer or influence
the  referral of any  prospective  client,  customer  or patient  (collectively,
"PROSPECTIVE  PATIENTS")  to the  Business or to  recommend  the Business to any
Prospective  Patients.  Accordingly,  (i) prior to the  Closing,  Seller and the
Shareholders shall not engage in any marketing activities  (including any direct
solicitation of Prospective Patients) except in the ordinary and usual course of
conducting the Business,  consistent with lawful past practices,  and (ii) after
the  Closing,  Seller and  Shareholders  shall not take any action,  directly or
indirectly,  to  induce  any  Prospective  Patients  to become  patients  of the
Business.

                                      -3-

<PAGE>




     4. IHS Stock.  A portion or all of the  Purchase  Price shall be payable by
means of the  delivery  of shares of IHS Stock  issued to the  Shareholders  (in
contemplation  of the liquidation and dissolution of Seller),  as aforesaid,  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 five (5)
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  covering the resale of the IHS Stock
issued to the  Shareholders in connection with this  transaction,  including the
shares, if any, issuable as a share adjustment pursuant to paragraph 4(c), 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 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  (including  the shares  delivered to the Broker,  but excluding any other
shares that have  previously  been  transferred  by the  Shareholders)  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  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 average closing NYSE
price for IHS Stock for the 5-trading day period ending on the Share  Adjustment
Date (as defined  below).  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  Shareholders,  and the Broker 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 pre-effective  amendment thereto.  If the Execution Date
Share Count exceeds the Adjusted Share Count, the  Shareholders,  and the Broker
promptly will return to the Buyer that number of shares of IHS Stock as shall be
equal to such excess;  provided,  however, that the Adjusted Share Count may not
exceed twice the  Execution  Date Share Count;  and provided  further,  that the
Adjusted  Share Count shall not be less than one-half the  Execution  Date share
Count. For purposes hereof, "SHARE ADJUSTMENT DATE" shall mean the date which is
two trading days before the Registration Date.

          (d) Registration Expenses.  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 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  Shareholders'  or any transferee's  failure to
comply with its obligations under this Article 4.



                                       -4-


<PAGE>



          (e)  Resale Limitations.

               The aggregate sales by the Shareholders, and Broker shall not, at
     any time,  exceed 75,000 shares in the aggregate  during any 30 consecutive
     day period,  and all such sales shall be effected  solely  through  Salomon
     Smith Barney, Inc.

          (f) Registration Procedures,  etc. In connection with the registration
rights granted to the Shareholders  with respect to the IHS Stock as provided in
this Article 4, Buyer covenants and agrees as follows:

               (i) At  Buyer's  expense,  Buyer will keep the  registration  and
     qualification  under this Article 4 effective  (and in compliance  with the
     Securities Act) by such action as may be necessary or appropriate until the
     first  anniversary of the Registration  Date,  except to the extent that an
     exemption from  registration  may be available.  Buyer will promptly notify
     the Representative (as hereinafter  defined), at any time when a prospectus
     relating to a registration statement under this Article 4 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  Representative  with such number of
     prospectuses as shall reasonably be requested.

               (iii) Buyer shall take all necessary action which may be required
     in qualifying or registering IHS Stock included in a registration statement
     for offering and sale under the  securities or Blue Sky laws of such states
     as  reasonably  are  requested by the  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
     registration  statement  filed  pursuant to this Article 4 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  Shareholder  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
     Shareholder 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 any
     Shareholder in respect of which indemnity may be sought

                                      -5-

<PAGE>


     against Buyer pursuant to this subparagraph  4(f)(iv),  such Shareholder 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  Shareholder or such
     controlling  person).  Notwithstanding  anything contained in the foregoing
     sentence,  the failure of such Shareholder or controlling person to provide
     Buyer with notice of such action  within  thirty (30) days will not have an
     adverse affect on the rights of such  Shareholder or controlling  person to
     seek indemnity  against Buyer except to the extent that Buyer is prejudiced
     by the failure to give such notice.  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 (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  incorrect or
     incomplete  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.

                    (i)  Prior to any  proposed  sale or other  transfer  of any
interest in any of the shares of IHS Stock issued to any Shareholder pursuant to
this Agreement, such Shareholder shall give notice (a "PROPOSED SALE NOTICE") to
Buyer of any  such  proposed  transfer  describing  in  reasonable  detail  such
Shareholder's  intention  to effect  the  proposed  transfer,  the manner of the
proposed  transfer,  the number of shares  proposed  to be  transferred  and the
mailing address and the telefacsimile number, if any, for such Shareholder. Each
Proposed Sale Notice also shall contain a certification  to the effect that such
Shareholder  shall comply with the volume  limitations  and other  provisions of
this  Agreement  relating to the transfer of such  interest in the shares.  Each
Proposed Sale Notice may be sent by telefacsimile transmission to

                        Integrated Health Services, Inc.
                             10065 Red Run Boulevard
                          Owings Mills, Maryland 21117
      Attention: Marc Levin, Executive Vice President -- Investor Relations
                           fax number: (410) 998-8714
                          phone number: (410) 998-8428

                                      -6-


<PAGE>



                                 with a copy to:

                        Integrated Health Services, Inc.
                             10065 Red Run Boulevard
                          Owings Mills, Maryland 21117
             Attention: Elizabeth B. Kelly, Executive Vice President
                           fax number: (410) 902-2110

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 transfer shall comply with all of the provisions of this Agreement and such
Shareholder   shall  have  received  notice  from  Buyer's  Investor   Relations
Department  (which notice may be given orally or by telefacsimile  transmission)
that the registration statement covering such proposed transfer is effective and
"current",  or, if such  transfer is not to be made  pursuant to a  registration
statement,  that Buyer has  determined  (with the advice of legal  counsel after
receipt of the legal  opinion  referred to below) that the proposed  transfer of
shares of IHS Stock may be made without  registration  under the  Securities Act
and all applicable state securities laws. If an applicable Shareholder shall not
have been otherwise notified (orally, by telefacsimile  transmission or by other
method) by the close of business on the third  trading day following the date on
which Buyer's Investor  Relations  Department shall have received the applicable
Proposed Sale Notice, then the Investor Relations  Department shall be deemed to
have consented to such transfer.

                    (ii)  If the  transfer  is to be  pursuant  to an  effective
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 said  Shareholder  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 such  registration  statement  as may be  necessary  to  bring it
current  and to give prompt  notice to such  Shareholder  when the  registration
statement has again become current.

                    (iii)  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(e)  above,  be entitled  to transfer  said shares of 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 4 that the
Shareholders  and the  Broker  shall  each  furnish  to Buyer  such  information
regarding  themselves,  the IHS Stock held by them,  and the intended  method of
disposition of such  securities as shall be required to effect the  registration
of its IHS Stock. In that  connection,  each  transferee of Shareholders  and/or
Broker (whose shares would be included in a Registration  other than transferees
pursuant to an effective registration  statement) shall be required to represent
to Buyer that all such information  which is given is both complete and accurate
in all material respects.  The Shareholders and the Broker shall each 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  (whose shares would be included in a  Registration  other than
transferees pursuant to an effective  registration  statement) will,  severally,
promptly  notify Buyer at any time when a prospectus  relating to a registration
statement covering such transferee's  shares under this Article 4 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.

                                      -7-

<PAGE>




          (i)  Investment  Representations.  The  Shareholders  and  the  Broker
represent  and warrant to Buyer that the IHS Stock being  issued  hereunder  are
being acquired,  and will be acquired,  by the  Shareholders  and the Broker 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  and the Broker
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 Shareholders and the Broker agree 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 the Securities Act, the rules and regulations thereunder, and
under all applicable state securities laws. The Shareholders and the Broker have
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 and the Broker 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.

          (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,  Shareholders  and the Broker 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 Shareholders and the Broker under this Article
4. IHS shall not  unreasonably  withhold  its  consent to the  inclusion  in the
registration statement covering the Shareholders' shares of IHS Stock of resales
by permitted  transferees  of the shares of IHS Stock  acquired by them from the
Shareholders so long as such transferees (or the Shareholders) reimburse IHS for
all of its expenses and costs arising out of such inclusion.

     5.     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  California.  Seller  and  Shareholders  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.

     6.    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 6(a) (the "LISTED LIABILITIES"). For

                                      -8-

<PAGE>


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,  whether or not asserted as of the date  hereof,  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,  any liabilities
relating to any Excluded  Assets,  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 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 6(a).

          (b) At the  Closing,  Buyer  shall  undertake  to pay,  discharge  and
perform,  as and when due,  the Listed  Liabilities  to the extent  indicated as
being  assumed on  Schedule  6(a) of the  Seller  (the  "ASSUMED  LIABILITIES");
provided,  however,  that  Buyer  shall  not  assume,  be  liable  for,  or have
responsibility  for Assumed  Liabilities in an aggregate amount in excess of Six
Hundred  Forty Six  Thousand  Five  Hundred  ($646,500)  Dollars  (the  "ASSUMED
LIABILITY  CAP").  In the event that,  at any time  following  the Closing Date,
Buyer shall have paid any amounts in excess of the Assumed  Liability  Cap, such
amount  shall  constitute  a  Liabilities  Deficiency  under the  provisions  of
paragraph 7 hereof.  Except for the Assumed  Liabilities,  Buyer will not assume
any, and Seller shall remain liable for each, liability of Seller arising out of
any facts,  circumstances,  matters or  occurrences  existing on or prior to the
Closing Date (whether or not known) ("CLOSING DATE LIABILITIES").

          (c) 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 6(b), or any liabilities  with
respect thereto.

     7.   Right of Offset Against the Escrow Fund.

          (a)   Event of Deficiency. If:

               (i) Buyer  pays for any  liabilities  in  excess  of the  Assumed
     Liabilities  Cap,  then  Seller and the  Shareholders  shall,  jointly  and
     severally,  reimburse Buyer for such payment (a "LIABILITIES  DEFICIENCY");
     or

               (ii)  the  aggregate  value  of  the  Corporation's   collectible
     accounts  receivable  as of the Closing Date is  determined to be less than
     $470,000,  as determined by actual net cash collections of such receivables
     during the twelve (12) month period immediately following the Closing Date,
     then Seller and Shareholders, jointly and severally, shall pay to Buyer the
     amount of such deficiency ("ASSET VALUE DEFICIENCY"); or

               (iii) Buyer is entitled  to any payment  pursuant to  paragraph 3
     above (an "ADJUSTMENT CLAIM");

                                      -9-


<PAGE>

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

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) 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 18 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 Period.

               (i) The "ESCROW PERIOD" shall terminate  twenty-four  (24) months
following the Closing Date.

               (ii) (A) On the first  anniversary  of the Closing  Date,  Seller
shall  receive an amount  equal to the Escrow  Fund,  less (x) the amount of any
Claims paid out of the Escrow Fund  pursuant to  paragraph  7(a) above,  (y) any
amounts withheld pursuant to clause (iii) below, and (z) the Claw-Back Amount.

                    (B) 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 forty-five (45) days after the last
day of the Escrow Period.

               (iii) Notwithstanding  anything to the contrary contained in this
subparagraph  (c), 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 one and
one-half  times  the  amount  of the  Claim  asserted  by Buyer  until the final
settlement of such Claim or Claims.

          (e)  Valuation  of  Shares.  The  value  of any  shares  of IHS  Stock
delivered to Buyer in respect of any Claim shall be the Recalculated Value.

          (f) Sales from Escrow. At the request of the Shareholders, Buyer shall
sell any shares of IHS Stock held in the Escrow Fund in the open market pursuant
to an effective  registration  statement  provided that Buyer shall be satisfied
that proper procedures shall be undertaken to assure Buyer that at all times the
shares of IHS Stock  being  sold or the  proceeds  thereof  shall be held by the
Buyer pursuant to the Escrow Agreement, subject to no Liens.

     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

                                      -10-




<PAGE>


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.

     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, including,  without limitation,  the execution and delivery
of this Agreement by each of the parties hereto, is sometimes referred to as the
"CLOSING  DATE".  Notwithstanding  the  foregoing,  the  Effective  Date for the
transactions contemplated by this Agreement shall be September 25, 1998.

     10. Asset Condition and Quality.  Seller and the Shareholders,  jointly and
severally,  represent,  warrant and covenant  that, as of the Closing Date,  all
physical  Assets of Seller  are free of  material  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.

     11. 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  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,  except for the
Assumed Liabilities.

          (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 11(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 14(a) below), and the incumbency of its officers.

     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.

     13.  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 14(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;

                                      -11-
<PAGE>




          (ii)  subjected  any  Assets  to any  Liens,  except  in the  case  of
acquisitions in the ordinary course of business;

          (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;

          (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, or
waived any rights of  substantial  value  other than in the  ordinary  course of
business, consistent with past practice; 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  14(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.

     14.  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 Shareholder hereby, jointly and severally,  represent and
warrant to Buyer as follows as of the Closing Date:

          (a) Organization of Seller; Enforceability.

                                      -12-
<PAGE>




               (i) Seller is a  corporation,  organized,  and in good  standing,
respectively, in the State of California, 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 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, subject to and limited by the effect of applicable bankruptcy,
insolvency,  reorganization,   moratorium  and  other  similar  laws  and  court
decisions of general  application or of legal and equitable  principles relating
to, limiting or affecting the enforcement of creditors' rights generally. 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
each  Shareholder,  enforceable  against each Shareholder in accordance with its
terms,  subject  to  and  limited  by  the  effect  of  applicable   bankruptcy,
insolvency,  reorganization,   moratorium  and  other  similar  laws  and  court
decisions of general  application or of legal and equitable  principles relating
to, limiting or affecting the enforcement of creditors' rights generally.

          (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 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 Seller or 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  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 each  Shareholder  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.

                                      -13-

<PAGE>




          (f) Title to Assets.  Seller has good and  marketable  title to all of
the Assets, free and clear of all Liens except for the Assumed Liabilities.

          (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;

               (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;



                                      -14-


<PAGE>



               (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 payable by Seller to the Broker as set forth in
paragraph  2(b)(ii)  above is due,  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 Seller.

          (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 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 Shareholder, 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

                                      -15-


<PAGE>



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
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 sole  shareholders  of Seller and the following
individuals are all of the officers and directors of Seller:

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

         Robert D. Walter                     President
         Marcia Hendry-Walter                 Vice President/Treasurer
         Paul A. Bernou                       Secretary

          (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 period(s)  ended  September 30,
1997,  and has furnished  Buyer with its financial  statements  (the  "FINANCIAL
STATEMENTS")  for the periods ended  September 30, 1996,  September 30, 1997 and
June 30, 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  (if  required),  and (ii) tax
returns  required  of it by the  federal  government  and  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, federal,  state
and local tangible personal property tax returns,  and federal,  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).

                                      -16-


<PAGE>



          (q)  Adverse  Business  Developments.  No notice has been  received by
Seller or  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 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.  Except as
disclosed  on Schedule  14(r),  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 practice.

          (t) Questionable Payments. Seller has not, and to the knowledge of the
Seller and each Shareholder, 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 nor any Shareholder 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 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) neither Seller nor any  Shareholder
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 Seller or otherwise,  and to the knowledge
of  Seller  and  Shareholder,  no  such  investigation  or  survey  is  pending,
threatened or imminent.

          (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 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  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.

                                      -17-


<PAGE>




          (w)  Questionnaires.   The  healthcare  law  questionnaire  heretofore
delivered  to the  Seller  by  Buyer  attached  hereto  as  Exhibit  14(w)  (the
"QUESTIONNAIRE")  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.

     15.  Representations  and  Warranties of Buyer and IHS.  Buyer and IHS each
represent and warrant to Seller and Shareholder that:

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

          (b) Due Authority. Each of Buyer and IHS 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 each
of them herein; and (iii) deliver all consideration provided for under the terms
hereof.

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

          (d)  Binding  Agreement.  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.  Each of Buyer and IHS will continue the historic business of
the Seller or will use a significant portion of the Assets in a Business.

          (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 paragraph 4, such IHS Stock will be validly issued, fully paid
and nonassessable.

          (g) SEC Documents.  IHS has furnished the Seller and the  Shareholders
with a correct and complete  copy of its report on Form 10-K for its fiscal year
ended  December  31, 1997  (the"10-K"),  its reports on Form 10-Q for its fiscal
quarters  ended  March 31, 1998 and June 30,  1998  (the"10-QS"),  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-Ks, 10-Qs,
and Proxy  Statements and no 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
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.

                                      -18-


<PAGE>



          (h)  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.

          (i) Consents. Except as set forth on Schedule 15(i), 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.

     16. Survival of Representations  and Warranties.  The  representations  and
warranties of Seller,  Shareholders,  and Buyer contained in or made pursuant to
this Agreement shall survive the execution of this Agreement.

     17. Restrictive Covenants.

          (a) Non-Compete. Each of 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,  except to the extent expressly
required pursuant to any Shareholder's  obligations as an employer or contractor
of  Buyer,  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  (including,
without limitation, the provision of respiratory medications, respiratory rental
equipment,  durable medical  equipment,  respiratory  therapy services and other
health  care  products  and  services to persons at their  homes) that  provides
services or products (including, without limitation, through the mail or courier
service)  within  fifty (50) miles of any  location set forth on the Schedule of
Locations attached hereto as Schedule 17(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;
(iii) 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

                                      -19-

<PAGE>



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 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 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 afford Buyer the opportunity
to  obtain  assurance  that  compelled  disclosures  will  receive  confidential
treatment.

          (c)  Non-Solicitation  and  Non-Pirating.  Each  of  Seller  and  each
Shareholder  hereby agrees that, during the Restricted Period it, he or she will
not, directly or indirectly,  for itself, himself or herself 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, each of 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.  Each of the Seller  and each  Shareholder
acknowledges  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.

                                      -20-



<PAGE>



     18. 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) arising out of:
(i) any inaccurate  representation made by Seller or 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 (other than Assumed Liabilities).

          (b)  Indemnification by Buyer. Buyer shall indemnify and hold harmless
at all times Seller or Shareholders from and against any Damages arising out of:
(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 Claims, (as defined in paragraph 7 hereof).

          (d) Remedies.

               (i)  Buyer's  Remedies.  Seller and each  Shareholder  shall make
     payment of any Claim made  against it, him or her by no later than the last
     day of the Notice Period as provided in paragraph 7(b) above.

               (ii) Seller's  Remedies.  If Seller or Shareholders  make written
     request to Buyer for the payment of Damages, then Buyer shall pay to Seller
     or the  Shareholders  the amount of Damages  requested within ten (10) days
     from the date  that  such  notice  is  delivered  to Buyer  (also a "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 "NOTICE OF  DISPUTE")  within the  applicable  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  18, with the
     non-prevailing party bearing the prevailing party's costs of arbitration if
     such Dispute is resolved by arbitration.

                                      -21-


<PAGE>



               (iv)  Arbitration.  If arbitration  is required  pursuant to this
     paragraph  18,  Buyer,  on the  one  hand,  and  the  affected  Seller  and
     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.  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 Shareholders shall be subject
     to a Dispute  with Buyer and IHS,  they shall,  unless  Buyer and IHS elect
     otherwise  in their 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 and
     Representative  shall have the authority to settle such Dispute  and/or any
     Claims on behalf of such group.

          (e) Settlement of Disputes.

               (i) Disputes Not Involving Third Parties.  If a Dispute  involves
     claims not  involving  any third  party,  Buyer and Seller or  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  Shareholder,  Buyer and Seller  and/or  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 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

                                      -22-


<PAGE>



                    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.

                    (E) Nothing  contained  in this  paragraph  18(e)(ii)  shall
          prevent any party from assuming control of the defense and/or settling
          any Third  Party  Claim  against it for which  indemnification  is not
          sought under this Agreement.

     19. 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.

     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 and Buyer.

          (a) Final  Financial  Information.  Not  later  than  sixty  (60) days
following Closing,  Seller, at Seller's sole cost and expense,  shall deliver to
Buyer (to the attention of Gayle Lamson) "FINAL  FINANCIAL  INFORMATION",  which
shall include:

               (i) a balance sheet of Seller as of the  Effective  Date 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  Effective  Date which agrees with the balance sheet
     submitted at Closing;

                                      -23-


<PAGE>




               (iii) an inventory of fixed assets of Seller as of the  Effective
     Date which agrees with the balance sheet submitted at Closing; and

               (iv) a listing of resale  inventory of Seller as of the Effective
     Date which agrees with the balance sheet submitted at Closing.

               (v) a cash  settlement  summary of Seller in a form  provided  by
     Buyer.

          (b) Liabilities Deficiency. If all such Final Financial Information or
if any document,  instrument or agreement required to be delivered in accordance
with paragraph  10(a),  including,  without  limitation,  original motor vehicle
certificates of title property endorsed,  is not delivered to Buyer within sixty
(60) days following Closing,  Seller and Shareholder shall be liable to Buyer in
an amount  equal to $500.00 for each day after such sixty (60) day period  until
all such  Final  Financial  Information  and  such  documents,  instruments  and
agreements  are  delivered  to Buyer,  and such  liability  shall  constitute  a
Liabilities Deficiency under the provisions of paragraph 7, above.

          (c) Wells  Fargo Bank Line of Credit.  No later than two (2)  business
days following Closing,  Seller will provide Buyer with the current  outstanding
balance  (the "Wells Fargo  Balance")  of that certain Line of Credit  Agreement
between  Seller and Wells  Fargo  Bank,  dated . Buyer shall pay the Wells Fargo
Balance no later than five (5) business  days  following the receipt from Seller
of the Wells Fargo  Balance.  In addition,  Seller shall use its best efforts to
have  UCC-3  Termination  Statements  filed  with  the  Secretary  of  State  of
California and the County Clerk in each applicable jurisdiction.

     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:                         c/o Robert D. Walter
                                               P. O. Box 6564
                                               Incline Village, Nevada 89450

            to the Shareholders:               Robert D. Walter
                                               Marcia Hendry Walter
                                               P. O. Box 6564
                                               Incline Village, Nevada 89450



                                      -24-


<PAGE>




                                               Paul A. Bernou
                                               2610 Otis Drive
                                               Alameda, CA 94501

                  with a copy to:              Mark T. Schieble
                                               Foley & Lardner
                                               One Maritime Plaza, Sixth Floor
                                               San Francisco, CA 94111-3404

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

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

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

     25.  Choice  of Law.  The laws of the  State of  California  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.

     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,  Shareholder  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.



                                      -25-


<PAGE>



     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  each of  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.

     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.  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 the
Shareholder or notices to the Shareholders, as the case may be.

     35.  Independent  Legal Counsel;  Tax-Free  Qualification.  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.  In addition,  Seller and each  Shareholder  hereby
acknowledge that the Buyer has made no representations or warranties herein with
respect to the qualification of the transactions  contemplated by this Agreement
and the Transaction Documents as a "reorganization" under ss.368(a)(1)(c) of the
Code.

     36.  Representative.  Notwithstanding  anything  contained  herein  to  the
contrary, each of Seller and each Shareholder hereby designates Robert D. Walter
and each of Seller and each Shareholder hereby accepts the designation of Robert
D.  Walter  as  the   representative   of  the  Seller  and  Shareholders   (the
"REPRESENTATIVE")  to act for and on behalf of the  Seller and  Shareholders  as
provided in this Agreement.  Each of Seller and each Shareholder  shall be bound
by all actions taken or omitted by the Representative on behalf of any Seller or
Shareholder,  and each of Seller  and each  Shareholder  shall be deemed to have
received notice deemed given or payment made to the Representative in accordance
with the notice  provisions  of this  Agreement  on the date deemed given or the
date paid to the  Representative,  and Buyer  shall be  entitled  to rely on all
notices and consent given, and all settlements  entered into on behalf of Seller
or any Shareholder to the extent authorized pursuant


                                      -26-


<PAGE>



to the terms of this Agreement notwithstanding any objections made by any Seller
or Shareholder  prior to,  concurrently  with or subsequent to the giving of any
such notice or consent or the settlement of any such matter.  The Representative
may be replaced only if and when Seller and all of the Shareholders shall notify
Buyer that a new individual  person (named in such notice) has been  unanimously
selected  by them to be to be the new  Representative,  in which  case  such new
person shall thereafter be the Representative.

     37.  Drafting.  Buyer's  counsel has drafted this  Agreement  and the other
Transaction Documents as a matter of convenience for the parties hereto; and the
parties  hereto  have  carefully  reviewed  and  negotiated  the  terms  of this
Agreement and the Transaction  Documents;  and accordingly any drafting  errors,
ambiguities or inconsistencies shall not be interpreted against Buyer.

                       [SIGNATURES ON THE FOLLOWING PAGE]



                                      -27-


<PAGE>



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

INTEGRATED HEALTH SERVICES, INC.                  BUYER:
                                                  INTEGRATED OF GARDEN
                                                  TERRACE, INC.

                                                  /s/ MARK KOVINSKY
                                                  ------------------------------

By: /s/ MARK KOVINSKY                             By: /s/ MARK KOVINSKY
   ------------------------------                    ---------------------------
Name: Mark Kovinsky                               Name: Mark Kovinsky
Title: SVP                                        Title: SVP


                                                  SELLER:

                                                  ACCUCARE MEDICAL
                                                  CORPORATION


                                                  By: /s/ ROBERT D. WALTER
                                                     ---------------------------
                                                  Name: Robert D. Walter
                                                  Title: President

                                                  SHAREHOLDERS:


                                                  /s/ ROBERT D. WALTER
                                                  ------------------------------
                                                  Robert D. Walter

                                                  /s/ MARCIA HENDRY-WALTER
                                                  ------------------------------
                                                  Marcia Hendry-Walter

                                                  /s/ PAUL A BERNOU
                                                  ------------------------------
                                                  Paul A. Bernou

     The  undersigned  hereby  agrees to be bound by, and jointly and  severally
liable  with Paul A.  Bernou  with  respect  to,  all of the  provisions  of the
preceding  agreement;  provided,  however,  that the Buyer  and IHS  shall  have
recourse solely to the  undersigned's  interest,  if any, in any  considerations
received or to be received  by Paul A.  Bernou  arising out of the  transactions
contemplated by such agreement,  and any proceeds of, or  distributions  made in
respect of, any of such consideration.

                                                  /s/ CARI L. BERNOU
                                                  ------------------------------
                                                  Cari L. Bernou



                                      -28-


<PAGE>

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
- --------------------------------------------------------------------------------

State of California
                         } ss

County of San Francisco

On  September  28,  1998,  before  me,  David  Bonner,  Notary Public personally
appeared Robert D. Walter/President and Shareholder

                                        [X] personally known to me
                                        --   proved   to  me  on  the  basis  of
                                        satisfactory evidence

                                        to   be   the  person(s)  whose  name(s)
                                        is/are   subscribed   to   the   within
                                        instrument  and  acknowledged to me that
                                        he/she/they   executed   the   same   in
[SEAL]                                  his/her/their  authorized capacity(ies),
DAVID BONNER                            and  that  by his/her/their signature(s)
COMMISSION #1192886                     on  the instrument the person(s), or the
NOTARY PUBLIC-CALIFORNIA                entity   upon   behalf   of   which  the
SAN FRANCISCO COUNTY                    person(s)    acted,     executed    the
MY COMM. EXPIRES AUG 14, 2002           instrument.

                                        WITNESS my hand and official seal.

                                        /s/ David Bonner
                                        -------------------------------------
Place Notary Seal Above                      Signature of Notary Public

- ---------------------------------  OPTIONAL ---------------------------------

Though the  information  below is not required by law, it may prove  valuable to
persons  relying  on the  document  and could  prevent  fraudulent  removal  and
reattachment of this form to another document

DESCRIPTION OF ATTACHED DOCUMENT

Title or Type of Document:_____________________________________________________

Document Date:_________________________________ Number of Pages: ______________

Signer(s) Other Than Named Above ______________________________________________

CAPACITY(IES) CLAIMED BY SIGNER
                                                               -----------------
Signer's Name: ____________________________________________    RIGHT THUMBPRINT
                                                                  OF SIGNER
[ ] Individual                                                 Top of thumb here
[ ] Corporate Officer -- Title(s):_________________________
[ ] Partner  -- [ ] Limited  [ ]  General
[ ] Attorney in Fact
[ ] Trustee
[ ] Guardian or Conservator
[ ] Other _________________________________________________

Signer is Representing: ___________________________________      ---------------

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


<PAGE>

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
- --------------------------------------------------------------------------------

State of California
                         } ss

County of San Francisco

On  September  28,  1998,  before  me,  David  Bonner,  Notary Public personally
appeared Marcia Hendry-Walter.

                                        [X] personally known to me
                                        --   proved   to  me  on  the  basis  of
                                        satisfactory evidence

                                        to   be   the  person(s)  whose  name(s)
                                        is/are   subscribed   to   the   within
                                        instrument  and  acknowledged to me that
                                        he/she/they   executed   the   same   in
[SEAL]                                  his/her/their  authorized capacity(ies),
DAVID BONNER                            and  that  by his/her/their signature(s)
COMMISSION #1192886                     on  the instrument the person(s), or the
NOTARY PUBLIC-CALIFORNIA                entity   upon   behalf   of   which  the
SAN FRANCISCO COUNTY                    person(s)    acted,     executed    the
MY COMM. EXPIRES AUG 14, 2002           instrument.

                                        WITNESS my hand and official seal.

                                        /s/ David Bonner
                                        -------------------------------------
Place Notary Seal Above                      Signature of Notary Public

- ---------------------------------  OPTIONAL ---------------------------------

Though the  information  below is not required by law, it may prove  valuable to
persons  relying  on the  document  and could  prevent  fraudulent  removal  and
reattachment of this form to another document

DESCRIPTION OF ATTACHED DOCUMENT

Title or Type of Document:_____________________________________________________

Document Date:_________________________________ Number of Pages: ______________

Signer(s) Other Than Named Above ______________________________________________

CAPACITY(IES) CLAIMED BY SIGNER
                                                               -----------------
Signer's Name: ____________________________________________    RIGHT THUMBPRINT
                                                                  OF SIGNER
[ ] Individual                                                 Top of thumb here
[ ] Corporate Officer -- Title(s):_________________________
[ ] Partner  -- [ ] Limited  [ ]  General
[ ] Attorney in Fact
[ ] Trustee
[ ] Guardian or Conservator
[ ] Other _________________________________________________

Signer is Representing: ___________________________________      ---------------

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


<PAGE>

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
- --------------------------------------------------------------------------------

State of California
                         } ss

County of San Francisco

On  September  28,  1998,  before  me,  David  Bonner,  Notary Public personally
appeared Paul A Bernou.

                                        [X] personally known to me
                                        --   proved   to  me  on  the  basis  of
                                        satisfactory evidence

                                        to   be   the  person(s)  whose  name(s)
                                        is/are   subscribed   to   the   within
                                        instrument  and  acknowledged to me that
                                        he/she/they   executed   the   same   in
[SEAL]                                  his/her/their  authorized capacity(ies),
DAVID BONNER                            and  that  by his/her/their signature(s)
COMMISSION #1192886                     on  the instrument the person(s), or the
NOTARY PUBLIC-CALIFORNIA                entity   upon   behalf   of   which  the
SAN FRANCISCO COUNTY                    person(s)    acted,     executed    the
MY COMM. EXPIRES AUG 14, 2002           instrument.

                                        WITNESS my hand and official seal.

                                        /s/ David Bonner
                                        -------------------------------------
Place Notary Seal Above                      Signature of Notary Public

- ---------------------------------  OPTIONAL ---------------------------------

Though the  information  below is not required by law, it may prove  valuable to
persons  relying  on the  document  and could  prevent  fraudulent  removal  and
reattachment of this form to another document

DESCRIPTION OF ATTACHED DOCUMENT

Title or Type of Document:_____________________________________________________

Document Date:_________________________________ Number of Pages: ______________

Signer(s) Other Than Named Above ______________________________________________

CAPACITY(IES) CLAIMED BY SIGNER
                                                               -----------------
Signer's Name: ____________________________________________    RIGHT THUMBPRINT
                                                                  OF SIGNER
[ ] Individual                                                 Top of thumb here
[ ] Corporate Officer -- Title(s):_________________________
[ ] Partner  -- [ ] Limited  [ ]  General
[ ] Attorney in Fact
[ ] Trustee
[ ] Guardian or Conservator
[ ] Other _________________________________________________

Signer is Representing: ___________________________________      ---------------

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



<PAGE>

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
- --------------------------------------------------------------------------------

State of California
                         } ss

County of San Francisco

On  September  28,  1998,  before  me,  David  Bonner,  Notary Public personally
appeared Cari L. Bernou.

                                        [X] personally known to me
                                        --   proved   to  me  on  the  basis  of
                                        satisfactory evidence

                                        to   be   the  person(s)  whose  name(s)
                                        is/are   subscribed   to   the   within
                                        instrument  and  acknowledged to me that
                                        he/she/they   executed   the   same   in
[SEAL]                                  his/her/their  authorized capacity(ies),
DAVID BONNER                            and  that  by his/her/their signature(s)
COMMISSION #1192886                     on  the instrument the person(s), or the
NOTARY PUBLIC-CALIFORNIA                entity   upon   behalf   of   which  the
SAN FRANCISCO COUNTY                    person(s)    acted,     executed    the
MY COMM. EXPIRES AUG 14, 2002           instrument.

                                        WITNESS my hand and official seal.

                                        /s/ David Bonner
                                        -------------------------------------
Place Notary Seal Above                      Signature of Notary Public

- ---------------------------------  OPTIONAL ---------------------------------

Though the  information  below is not required by law, it may prove  valuable to
persons  relying  on the  document  and could  prevent  fraudulent  removal  and
reattachment of this form to another document

DESCRIPTION OF ATTACHED DOCUMENT

Title or Type of Document:_____________________________________________________

Document Date:_________________________________ Number of Pages: ______________

Signer(s) Other Than Named Above ______________________________________________

CAPACITY(IES) CLAIMED BY SIGNER
                                                               -----------------
Signer's Name: ____________________________________________    RIGHT THUMBPRINT
                                                                  OF SIGNER
[ ] Individual                                                 Top of thumb here
[ ] Corporate Officer -- Title(s):_________________________
[ ] Partner  -- [ ] Limited  [ ]  General
[ ] Attorney in Fact
[ ] Trustee
[ ] Guardian or Conservator
[ ] Other _________________________________________________

Signer is Representing: ___________________________________      ---------------

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

<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)        -        Patients List of the Business
Schedule 1(a)(v)(B)        -        Telephone Numbers and Licenses
Schedule 2(a)              -        Allocation of Purchase Price
Schedule 6(a)              -        Closing Date Liabilities
Schedule 11(c)             -        Seller's Opinion
Schedule 14(c)             -        Litigation
Schedule 14(g)             -        Contracts
Schedule 14(i)             -        Personnel Payrates; Employee Benefits
Schedule 14(k)             -        Insurance
Schedule 14(o)             -        Tax Returns and 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 17(a)             -        Locations

Exhibit 2(b)(i)            -        Escrow Agreement
Exhibit 14(w)              -        Healthcare Questionnaire



                                      -31-


<PAGE>



                                    EXHIBIT 3

                                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 "3" shall be determined solely with respect to
so much of the business  operations of  Corporation  as consists of the business
enterprise   previously   conducted  by  the  Acquired   Entity  (the  "ACQUIRED
ENTERPRISE") before being acquired by Corporation.  Accordingly,  all references
herein to revenues,  expenses, costs, profits, losses, and any other transaction
or  activity,  whether by reference to  "Corporation",  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 on behalf of the Acquired Enterprise
as kept on the  accrual  method,  including  salary  paid to the  Employees  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 the  Acquired  Enterprise's  matters,  to be allocated on a reasonable
basis.

               (4)  INTEREST  on all or any net  intercorporate  borrowing  from
Integrated Health Services, Inc. ("IHS") at the cost of such funds to IHS.

               (5) GROUP OR  CONSOLIDATED  PURCHASES for items  benefitting  the
Acquired Enterprise purchased by IHS, RoTech or by Corporation,  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  calculated  on a consistent
basis as previously and historically calculated by the Acquired Enterprise.



                                      -32-


<PAGE>


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

          (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  Enterprise  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 the
Acquired  Enterprise and Seller, IHS and RoTech corporate overhead or costs will
not beallocated to the Acquired Enterprise or considered in Operating Profits.

               (3) COSTS OF ACQUIRING THE ACQUIRED  ENTERPRISE.  The calculation
of Operating  Profits will not include cost 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 Further Enterprises. Nothing contained herein shall
be deemed to affect,  limit or  restrict  the right of RoTech or IHS to make any
acquisitions.

                                      -33-




                                                                     EXHIBIT 2.2

                    AGREEMENT FOR SALE AND PURCHASE OF ASSETS

         THIS  AGREEMENT  is made as of August 14, 1998,  by and among  AMERICAN
OXYGEN SERVICES OF TENNESSEE, INC., a Florida corporation,  having its principal
place of business at 165 Westmoreland Street,  Harrogate, TN 37752 (the "SELLER"
or  the   "CORPORATION"),   TIMOTHY  O.  BATES   ("BATES"),   MICHAEL   CAMPBELL
("CAMPBELL"),  AMERIMED  HEALTHCARE,  INC., a Florida  corporation  ("AMERIMED")
(Bates, Campbell and Amerimed are hereinafter sometimes collectively referred to
as "SHAREHOLDERS"  and individually as a "SHAREHOLDER"),  IHS ACQUISITION XXVII,
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 States of Florida and Tennessee (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  (as
hereinafter  defined) 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  set  forth  in  certain
Restrictive  Covenant and Indemnification  Agreements of even date herewith (the
"RESTRICTIVE COVENANT AGREEMENTS"); and

         WHEREAS,  the  consent or approval  of all  persons  necessary  for the
consummation  of the  transactions  contemplated  hereby  has  been  or  will be
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 are hereby acknowledged, it is hereby agreed as follows:

         1.       Purchase and Sale of Assets.

                  (a) The Assets.  As of the Closing  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") other than the "Permitted  Liens" as hereinafter  defined,
all of Seller' rights, title and interest in, to or under:

                                       -1-


<PAGE>




                         (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

                         (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)  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)(iv)(A);  (B) the  telephone
         numbers  listed on the  Schedule  of  Telephone  Numbers  and  Licenses
         attached  hereto as Schedule  1(a)(iv)(B);  (C) all personal  property,
         machinery and equipment  other than the Excluded Assets (as hereinafter
         defined);  (D)  all  of  Seller's  prepaid  assets;  (E)  rights  under
         contracts,   agreements,   including,  without  limitation,   franchise
         agreements, and instruments; (F) any other assets used in the operation
         of the Business,  other than the Excluded  Assets and real and personal
         property leased pursuant to certain equipment operating leases,  leases
         for  Seller's  locations  in  LaFollette,   Tennessee  and  Sneedville,
         Tennessee  (the "REAL ESTATE  LEASES") and the property to be leased by
         Seller to Buyer in Harrogate, Tennessee, pursuant to the Excluded Lease
         (as hereinafter  defined);  and (G) 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.   The  assets  described  in
         subsections 1(a)(i), (ii), (iii) and (iv) are referred to herein as the
         "Assets".

                  (b) For purposes of this  Agreement,  "Permitted  Liens" shall
include  all liens,  claims or  encumbrances,  including,  but not  limited  to,
personal  and real  property  taxes,  on any of  Seller's  assets to the  extent
securing  of the  Closing  Assumed  Lease  Payables,  any liens for  current tax
assessments  that are not yet due and  payable,  the Real Estate  Leases and the
Assumed Liabilities (as hereinafter defined).

                  (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  building  in
Harrogate,  Tennessee,  and the related  ground  lease (the  "EXCLUDED  LEASE"),
certain computer  equipment and software used by Seller in its Orlando,  Florida
location and owned by Amerimed Healthcare,  Inc., certain computer equipment and
software  owned and used by Chip Newcomb in connection  with the  performance of
his  duties as an  employee  of  Seller,  the  ownership  interests  in the real
property subject to the Real Estate Leases,  the ownership interest in equipment
subject to the  equipment  operating  leases and a  conditional  sale  agreement
assumed by Buyer, loan receivable in the amount of $15,000.00 owed by Timothy O.
Bates to Seller,  loan  receivable in the amount of  $15,000.00  owed by Michael
Campbell  to  Seller,  $4,691.07  in cash  retained  by Seller  to pay  Seller's
outstanding  accounts  payable as of the  Closing,  the rights to any federal or
state income tax refunds due Seller, 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  (collectively,  the "EXCLUDED
ASSETS").  Seller  agrees to lease to  Buyer,  and  Buyer  agrees to lease  from
Seller, the portion of Seller's building in Harrogate,  Tennessee presently used
by Seller in the  operation of the Business,  in  accordance  with the terms and
conditions  set forth in the lease  agreement (the "LEASE  AGREEMENT")  attached
hereto as Exhibit  1(c),  and Buyer and Seller agree to execute and deliver said
Lease Agreement at the Closing (as hereinafter defined).

                                      -2-
<PAGE>


                  (d) Restrictive Covenants.  Concurrently herewith,  Buyer, IHS
and each of Seller and each Shareholder shall enter into a Restrictive  Covenant
Agreement, in such form as attached hereto as
Exhibit 1(c)-1, 1(c)-2, 1(c)-3 and 1(c)-4.

         2.       Purchase Price; Method of Payment.

                  (a) Purchase  Price.  The aggregate  "PURCHASE  PRICE" for the
Assets shall be One Million Seven Hundred Fifty  Thousand  Dollars  ($1,750,000)
increased  by (i) the amount of Seller's  accounts  receivable  balance  (net of
reserve for doubtful  accounts) as of the Closing (the "CLOSING NET  RECEIVABLES
AMOUNT")  and (ii) the amount of Seller's  cash  balance as of the Closing  (the
"CLOSING  CASH  AMOUNT")  and  reduced by (A) the  aggregate  unpaid  balance of
Seller's  operating  leases  as of  the  Closing  (the  "CLOSING  ASSUMED  LEASE
PAYABLES"),  and (B) any accrued  vacation and sick leave pay owing by Seller to
any of  Seller's  employees  as of the  Closing  Date  (the  "EMPLOYEE  BENEFITS
PAYABLES"),  all of which shall be payable by delivery of newly issued shares of
voting common stock of IHS (the "IHS  SHARES")  valued as set forth in paragraph
6(a) below.  Seller and Shareholders  represent and warrant that the Closing Net
Receivables  Amount is  $350,000,  the  Closing  Cash  Amount is $0, the Closing
Assumed Lease Payables amount is $111,239.43, and the Employee Benefits Payables
amount is $7933.75 and  accordingly,  that the Purchase Price,  as adjusted,  is
$1,980,826.82

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

                         (i) by  delivery  of IHS  Shares  equal to Two  Hundred
         Thousand Dollars  ($200,000)  (having a value determined as of the date
         hereof in accordance with Section 6(a) below) (the "ESCROWED SHARES" or
         "ESCROW FUND") 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)-A (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 in the form of Exhibit  2(b)(i)-B  hereto (the
         "STOCK PLEDGE  AGREEMENT").  The entire Escrow Fund shall be subject to
         the provisions of paragraphs 5 and 16 hereof; and

                         (ii) by delivery of IHS Shares equal One Million  Seven
         Hundred Eighty Thousand Eight Hundred Twenty Six Dollars and Eighty Two
         Cents ($1,780,826.82)  (having a value determined as of the date hereof
         in  accordance  with  Section  6(a) below) (the balance of the Purchase
         Price) to Seller. Said IHS Shares shall, immediately after the Closing,
         be transferred by Seller to the  Shareholders as part of a distribution
         by  Seller  to  the   Shareholders  in  connection  with  the  complete
         liquidation of Seller.  Buyer shall deliver the IHS Shares  pursuant to
         this Section 2(b)(ii) to Seller at the Closing,  and subject to Section
         6, IHS agrees to reissue the IHS Shares delivered to Seller pursuant to
         this Section 2(b)(ii) to the Shareholders within a reasonable period of
         time following the 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 Tennessee.  Seller and each  Shareholder  agree to
indemnify Buyer and save and hold Buyer harmless against all Damages (as defined
in  paragraph  16(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 other than the Permitted  Liens,  the Closing  Assumed Lease Payables,
obligations  arising prior to Closing under the Real Estate Leases, the Employee
Benefits Payables and the Assumed Liabilities.


                                       -3-


<PAGE>


         4.       Closing Date Liabilities.

                  (a) Seller and Shareholders represent and warrant that, to the
best of Seller's and each  Shareholder's  knowledge  and belief  after  diligent
inquiry,  all of Seller's  liabilities  (except for the  Closing  Assumed  Lease
Payables, the Real Estate Leases, the Employee Benefits Payables and the Assumed
Liabilities)  as of the Closing Date are listed on the  Schedule of  Liabilities
attached  hereto as Schedule  4(a) (the "LISTED  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,  whether or not asserted as of the date hereof, 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,  any liabilities  relating to any Excluded Assets
(including,  without limitation,  the Excluded Lease), 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 other than the Closing Assumed Lease Payables, the Real
Estate  Leases,  the Employee  Benefits  Payables  and the Assumed  Liabilities.
Seller and each  Shareholder  acknowledge that the Purchase Price for the Assets
is based on the accuracy of Seller's and each Shareholder's  representations and
warranties contained in this Agreement,  including, but not limited to, Seller's
and  each  Shareholder's   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) ("CLOSING DATE LIABILITIES"), other than
the Closing  Assumed  Lease  Payables,  the Real  Estate  Leases,  the  Employee
Benefits Payables and 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  13(b)),  if any,  set  forth on  Schedule  4(b),  or any
liabilities  with  respect  thereto,  and except as provided in  subsection  (c)
below,  Buyer 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.

                  (c) At Closing,  Buyer shall assume the Closing  Assumed Lease
Payables, the Real Estate Leases, the Employee Benefits Payables and the Assumed
Liabilities and shall satisfy the same in the ordinary course of business as the
same shall become due and payable from and after the Closing; provided, however,
that Buyer shall fully satisfy the outstanding  obligations  with respect to the
Closing  Assumed Lease  Payables by not later than August 31, 1998.  The Closing
Assumed Lease Payables,  the Real Estate Leases,  the Employee  Benefit Payables
and the Assumed  Liabilities  shall not constitute  Closing Date  Liabilities or
Listed  Liabilities.  The "ASSUMED  LIABILITIES"  shall be those  liabilities of
Seller set forth on Schedule 4(c).

                                       -4-


<PAGE>




         5.       Right of Offset Against the Escrow Fund.

                  (a)      Event of Deficiency.  If:

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

                           (ii) the actual net cash  collections of the Seller's
         accounts  receivables  included  in the Assets  during the twelve  (12)
         month period immediately  following the Closing Date shall be less than
         the  Closing Net  Receivables  Amount,  then  Seller and  Shareholders,
         jointly and severally, shall pay to Buyer the amount of such deficiency
         ("ASSET VALUE  DEFICIENCY") and Buyer  acknowledges and agrees that the
         Shareholders  shall be entitled to assist Buyer in collecting  Seller's
         accounts receivable included in the Assets during the twelve (12) month
         period  following  the Closing  Date and agrees to  cooperate  with the
         Shareholders  in such  collection  efforts and if  Shareholders  assist
         Buyer in collecting receivables that exceed the Closing Net Receivables
         Amount,  i.e. a collection of  receivables  included in the reserve for
         doubtful  accounts,  then Buyer agrees to deliver additional IHS Shares
         to  Shareholders  calculated  based upon the Trade  Price as defined in
         paragraph 6(a) below; 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 the
Representative  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) 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 Stock  Pledge  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 16 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,  subject,  however, in
the case of a "DISPUTE" to the provisions of paragraph 16 below.

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

                  (d)      Escrow Period.

                           (i) The "ESCROW PERIOD" shall terminate three hundred
         sixty five (365) days 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.

                                       -5-


<PAGE>



                           (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  one  hundred
         twenty-five percent (125%) of the amount of the Claim asserted by Buyer
         until the final settlement of such Claim or Claims.

                           (iv)  Any  interest  accruing  or  income  earned  or
         distributed  on any  portion  of the  Escrow  Fund shall be paid to the
         party receiving such portion of the Escrow Fund.

         6. IHS  Stock.  The  Purchase  Price  shall be  payable by Buyer by the
delivery of IHS Shares to Seller 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  ending on the date that is two (2) business days
immediately preceding the Closing Date (the "TRADE PRICE").

                  (b)      Registration Rights.

                           (i)  IHS  will   prepare   and  use  its   reasonable
         commercial best efforts to cause to be 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 for the  registration  of the IHS Shares  (including  the IHS
         Shares in the Escrow Fund) issued to Seller (and subsequently  reissued
         to the  Shareholders as a result of the  distribution of the IHS Shares
         by Seller to the  Shareholders in connection with complete  liquidation
         of Seller) in connection  with this  transaction,  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 date it became  effective  (the  "REGISTRATION
         DATE").  IHS agrees that before filing such  registration  statement or
         the  prospectus  included  therein  or any  amendments  or  supplements
         thereto,  IHS  shall  endeavor  to  furnish  counsel  selected  by  the
         Shareholders  copies of all such documents  proposed to be filed (which
         documents shall be subject to the review and comment of such counsel).

                           (ii) The  registration  rights  provided  each of the
         Shareholders  hereunder may be transferred by each of the Shareholders,
         in connection with any sale, assignment,  exchange or other disposition
         by the  Shareholders of their IHS Shares prior to the effective date of
         the  registration  statement  required  to be filed  hereunder,  and in
         connection  with  any   dispositions   made   thereafter,   other  than
         dispositions  made thereafter  pursuant to the  registration  statement
         filed in accordance  with Section 6;  provided  that, as a condition to
         such transfer,  each such transferee shall have agreed, in writing,  to
         be bound by the provisions  applicable to the transferring  Shareholder
         under this Section 6. Upon and after any such  transfer,  references to
         the  "Shareholder"  or a "Shareholder" in Section 6 shall refer to each
         such transferee,  as the context may indicate, for so long as each such
         transferee  owns IHS  Shares.  In the  event of any  such  transfer  of
         registration  rights on or after the  Registration  Date, if, solely by
         reason of such transfer,  the prospectus  included in the  registration
         statement  addressing  the  transferring  Shareholder  and his intended
         method of  disposing  of his  registered  IHS Shares is  required to be
         amended or supplemented,  as determined in the reasonable discretion of
         IHS, then IHS' reasonable  costs of preparing and filing such amendment
         or  supplement,  together  with the  reasonable  costs of providing all
         selling

                                       -6-


<PAGE>



         Shareholders named in the prospectus including the transferee each with
         a copy of the prospectus, as so amended or supplemented,  shall be paid
         by the transferring Shareholder or such transferee.

                  (c) Registration  Expenses.  Seller and the Shareholders shall
not be  responsible  for, and IHS shall bear, all of the 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 any Shareholder's or
any  transferee's  failure to comply with its obligations  under this Section 6.
IHS,  shall  in all  events,  pay  its  internal  expenses  (including,  without
limitation,  all salaries and expenses of its officers and employees  performing
legal or  accounting  duties),  the  expense  of any annual  audit or  quarterly
review,  the expense of any  liability  insurance  and the expenses and fees for
listing the Shareholders'  registered IHS Shares on each securities  exchange on
which similar securities issued by IHS are then listed or, if applicable, on the
NASDAQ system.

                  (d)      INTENTIONALLY DELETED BY THE PARTIES

                  (e)  Registration  Procedures,  etc.  In  connection  with the
registration rights granted to Seller (and the Shareholders) with respect to the
IHS Shares as provided in this Section 6, IHS covenants and agrees as follows:

                           (i)  IHS  shall   promptly   respond  to   reasonable
         inquiries  of  the  Shareholders  regarding  the  effectiveness  of the
         registration statement filed hereunder, and shall prepare and file with
         the Commission  such  amendments and  supplements to such  registration
         statement and the  prospectus  used in  connection  therewith as may be
         necessary to keep such registration statement effective for a period of
         one  year  and  shall  otherwise  comply  with  the  provisions  of the
         Securities  Act  with  respect  to the  disposition  of all  securities
         covered by such registration statement during such period in accordance
         with the methods of disposition by the  Shareholders  set forth in such
         registration statement.

                           (ii) IHS will promptly notify the Shareholders at any
         time when a prospectus relating to a registration  statement under this
         Section 6 is required to be delivered  under the  Securities Act and 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,
         would include an untrue  statement of a material fact or omits to state
         any material  fact  required to be stated  therein in order to make the
         statements   set  forth   therein  not   misleading  in  light  of  the
         circumstances  then existing.  At the request of any  Shareholder,  IHS
         shall expeditiously  prepare and file a supplement or amendment to such
         prospectus  so that,  as  thereafter  delivered  to  purchasers  of the
         Shareholders'  registered IHS Shares, such prospectus shall not contain
         an  untrue  statement  of a  material  fact or omit to  state  any fact
         necessary to make the statements therein not misleading.

                           (iii) IHS shall,  upon  request of the  Shareholders,
         furnish such number of prospectuses as shall reasonably be requested.

                           (iv) The  Shareholders  agree that if they sell their
         IHS Shares  included in the  registration  statement they will do so in
         compliance with the disclosed  method of disposition set forth therein,
         and shall  discontinue any offers and sales thereunder upon notice from
         IHS that the registration

                                       -7-


<PAGE>



         statement relating to their IHS Shares is not current,  until IHS gives
         further notice that offers and sales may be recommenced.

                           (v) IHS  shall  otherwise  use its  best  efforts  to
         comply with all applicable rules and regulations of the Commission.

                           (vi) In the event of the  issuance  of any stop order
         suspending the effectiveness of the registration  statement,  or of any
         order  suspending  or preventing  the use of any related  prospectus or
         suspending  the  qualification  of any  IHS  Shares  included  in  such
         registration statement for sale in any jurisdiction, IHS shall promptly
         use its reasonable  commercial efforts to obtain the withdrawal of such
         order.

                           (vii) IHS shall  cause all of the  Shareholders'  IHS
         Shares included in the registration statement to be listed on the NYSE.

                           (viii) 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; and

                           (ix) The  information  included  or  incorporated  by
         reference in the registration  statement filed pursuant to this Section
         6 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.

                  (f)      Indemnification.

                           (i)  IHS  shall  indemnify  the  Shareholders,  their
         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 (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
         registration  statement,  prospectus or  preliminary  prospectus or any
         amendment  thereof or supplement  thereto or contained in any documents
         or information  furnished by IHS filed in any  jurisdiction in order to
         qualify IHS Shares  under the  securities  laws  thereof (the "BLUE SKY
         FILINGS") or filed with the Commission, any state securities commission
         or agency,  the 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 in respect of which
         indemnity  may be  sought


                                       -8-


<PAGE>


         against IHS pursuant to this subsection 6(f)(i), such Shareholder shall
         within  thirty  (30) days  after the  receipt  thereby  of a summons or
         complaint  notify  IHS in  writing of the  institution  of such  action
         (provided,  however,  that the failure to timely give such notice shall
         not affect the Shareholders' right to indemnification  hereunder except
         to the extent  that IHS is  damaged by such delay and IHS shall  assume
         the defense of such actions,  including the  employment  and payment of
         fees  and  expenses  of  counsel   (reasonably   satisfactory  to  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 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.

                           (ii)   To  the   extent   permitted   by   law,   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 written
         information  furnished by or on behalf of such  Shareholders,  or their
         successors  or assigns  expressly  for  inclusion in such  registration
         statement,  provided that the obligation to indemnify  shall be limited
         to the net amount of proceeds received by any such Shareholder from the
         sale of such  Shareholder's  IHS shares  pursuant to such  registration
         statement.

                           (iii)  The indemnification  provided  for under  this
         Section  6  shall  remain  in  force  and  effect   regardless  of  any
         investigation  made by or on  behalf  of the  indemnified  party or any
         officers,  directors or controlling  persons of such indemnified party,
         and shall survive the transfer of the IHS Shares.  Each party agrees to
         make such provisions,  as are reasonably  requested by any of the other
         parties,  for contribution in the event that a party's  indemnification
         is unavailable for any reason.

         (g) Notice of Sale. If the  Shareholders  desire to transfer all or any
of the IHS Shares other than pursuant to the registration  statement,  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  Seller  will sell the IHS  Shares in  compliance  with  subsection
6(e)(iv)  above.  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.  The Shareholders shall furnish promptly,  in
writing,   such  information  and  affidavits  as  IHS  reasonably  requests  in
connection  with  such  registration   statement  (or  the  prospectus  included
therein),  including written information regarding themselves and their intended
method  of  disposition  of  their  IHS  Shares  included  in  the  registration
statement.  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

                                       -9-


<PAGE>


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 6 is
required to be delivered under the Securities Act, of the happening of any event
applicable to and known to such  transferee as a result of which the information
provided  by  the  Shareholders  to  IHS  in  writing  in  connection  with  the
registration  rights for inclusion 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.  The
Shareholders  agree and  acknowledge  that any  failure by any of them to timely
satisfy  their  obligations  under  this  subsection  (h) may  result in delays,
including delay of the resale of the IHS Shares in a registration statement.

         (i) Investment  Representations.  All IHS Shares to be issued hereunder
will be newly issued shares of IHS.  Seller  represents and warrants 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)   Restrictions   on   Transferability/Legend.    The   Shareholders
acknowledge and agree that,  except for the Shareholders' IHS Shares that are to
be sold pursuant to an effective registration statement filed in accordance with
this Section 6, the Shareholders will not be permitted to sell, assign,  pledge,
encumber or otherwise  dispose of their IHS Shares unless  otherwise  registered
under the Securities Act or sold pursuant to an exemption from the  registration
requirements of the Securities Act. The  Shareholders  each agree that, prior to
each  Shareholder's  sale,  transfer,   pledge  or  other  disposition  of  such
Shareholder's  IHS Shares,  other than sales or dispositions made pursuant to an
effective registration  statement,  each such Shareholder shall provide IHS with
an opinion of counsel,  reasonably  acceptable to IHS,  that the proposed  sale,
transfer  or other  disposition  of such  Shareholder's  IHS  Shares may be made
without  registration under the Securities Act. In furtherance of the foregoing,
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.


                                      -10-


<PAGE>

IHS  agrees  to  remove  the  above-described  legend  from  the  certificate(s)
evidencing the  Shareholders'  IHS Shares at such time as they are sold pursuant
to an effective  registration  statement  or pursuant to an  exemption  from the
registration requirements of the Securities Act.

         (k) Certain Transferees. Prior to the effective date of registration of
the IHS Shares,  no  Shareholder  shall transfer any 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 6.

         (l) Rule 144 Reporting. As long as any Shareholder owns any IHS Shares,
with a view of making available  certain rules and regulations of the Commission
which  permit  the  sale  of  restricted   securities  to  the  public   without
registration, IHS agrees to:

                  (i) make "current public information" available as those terms
         are  understood  and defined in Rule 144 of the  regulations  under the
         Securities Act, as amended;

                  (ii) use its best  efforts to file with the  Commission,  in a
         timely manner,  all reports and other documents required to be filed by
         IHS under  the  Exchange  Act so long as IHS  remains  subject  to such
         reporting requirements; and

                  (iii)  subsequent to the first  anniversary of this Agreement,
         furnish to any Shareholder, upon request:

                           (a) a written  statement by IHS as to its  compliance
                  with the reporting requirements of Rule 144 under the Exchange
                  Act  (so  long  as  IHS  remains  subject  to  such  reporting
                  requirements);

                           (b) a copy of the most recent  annual  report of IHS;
                  and

                           (c) such other reports and  documents  filed with the
                  Commission as any such  Shareholder may reasonably  request in
                  availing itself of Rule 144 or any successor statute thereto.

         7.  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  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 IHS,  excluding the Employee
Benefits Payables.

         8. 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,  including,  without  limitation,  the execution and
delivery of this Agreement by each of the parties hereto, is sometimes  referred
to as the "CLOSING  DATE".  The Closing Date for the  transactions  contemplated
under this Agreement will be August , 1998.

                                      -11-
<PAGE>



         9. Asset Condition and Quality.  Seller and  Shareholders,  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 execute and 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 Closing Date,  such  documents
to contain full  warranties of title,  and which documents shall be effective to
vest in Buyer  good,  absolute,  and  valid  legal  title to the  Assets  of the
Business being transferred to Buyer by Seller, free and clear of all Liens other
than the  Permitted  Liens,  the Closing  Assumed Lease  Payables,  the Excluded
Lease, the Real Estate Leases,  the Employee  Benefits  Payables and the Assumed
Liabilities.

                  (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  and IHS an  opinion  or
opinions,  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) Buyer and Seller shall  execute and deliver an  assignment
and assumption of equipment leases for the Closing Assumed Lease Payables.

                  (f)  Shareholders  shall  execute  and  deliver  stock  powers
endorsed in blank to the Escrow Agent,  covering all of the IHS Shares deposited
with the Escrow Agent.

                  (g) Seller will deliver a check for the Closing Cash Amount to
Buyer.

                  (h) Buyer will  deliver the Escrow  Shares to the Escrow Agent
in accordance with Section 2(b)(i) above.

                  (i) Buyer will deliver  to Seller the IHS Shares in accordance
with Section 2(b)(ii) above,

                  (j) Buyer and Seller shall execute and deliver the  assignment
and assumption of the Real Estate Leases.

                  (k) Buyer and  Seller  shall  execute  and  deliver  the Lease
Agreement attached hereto as Exhibit 1(c).

                  (l) Buyer and  Seller  shall  execute  and  deliver  the Stock
Pledge Agreement and the Escrow Agreement.

                                      -12-


<PAGE>



                  (m)  Buyer  shall  execute  an  Assumption  Agreement  for the
Assumed Liabilities,  the Real Estate Leases, the Closing Assumed Lease Payables
and the Employee Benefits Payables.

                  (n) Buyer and IHS will deliver to Seller and  Shareholders  an
opinion,  dated as of the Closing,  of their counsel in  substantially  the form
attached hereto as Schedule 10(n).

                  (o) Buyer 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 sole  shareholder,  IHS,  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.

                  (p) IHS will deliver to Seller a certificate  of its Secretary
or other officer  certifying as of the Closing Date a copy of resolutions of its
Board of Directors  authorizing the execution,  delivery and full performance of
this Agreement and its obligations hereunder and the incumbency of its officers.

         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
IHS, shall be borne by Seller and Buyer.

         12.  Restrictions  on  Operations of Seller.  Seller and  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 other than the  Permitted
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;

              (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;


                                      -13-
<PAGE>

              (vii)  failed to collect its 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 IHS 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  Shareholder.  As a
material  inducement to Buyer and IHS to execute and perform  their  obligations
under this Agreement,  Seller and  Shareholders  hereby,  jointly and severally,
represent and warrant to Buyer and IHS 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 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 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
         any  Shareholder is a party  constitutes  the legal,  valid and binding
         obligations of such Shareholder,  enforceable  against that Shareholder
         in accordance with its terms.

              (b)    Consents.   Except as set  forth  on  Schedule   13(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

                                      -14-
<PAGE>

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 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 Bylaws,  or any judgment,  order,  writ,  injunction,  decree,
statute,  law,  rule,  regulation,  directive,  mandate,  ordinance or guideline
("GOVERNMENTAL  REQUIREMENT") 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
(collectively,   "GOVERNMENTAL   AUTHORITIES"  and  individually   "GOVERNMENTAL
AUTHORITY");  or of any Contract.  The execution and delivery by Seller and each
Shareholder  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  other  than the  Permitted
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;

                                      -15-

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


                                      -16-

<PAGE>

                  (h)  Brokers.  No  broker or  finder  has acted for  Seller 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 Seller.

                  (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) 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 Shareholder, 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 or 401K
plans  existing as of the Closing Date.  Except as disclosed in Schedule  13(j),
Seller has no other 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  therefor 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 IHS. 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
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.


                                      -17-

<PAGE>

                  (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>
                  Michael Campbell                     President/Director
                  Timothy O. Bates                     Vice President/Director
                  Deborah Campbell                     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
IHS with its tax returns (the "TAX RETURNS") for the periods ended September 30,
1996 and September 30, 1997, and has furnished IHS with its financial statements
(the "FINANCIAL STATEMENTS") for the periods ended September 30, 1996, September
30, 1997 and June 30, 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) the  Financial  Statement  for the year ended
September  30,  1996 was  prepared  on the  cash  basis  of  accounting  and the
Financial  Statement  for the year ended  September  30,  1997 was  prepared  in
accordance with GAAP; (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 any 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 IHS
with its most  recent (i) tax  registration  certificates,  and (ii) tax returns
required of it by the  federal  government  and 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,  federal,  state and local
tangible personal property tax returns,  and federal,  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


                                      -18-

<PAGE>

"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.  Except as disclosed on
Schedule 13(s), the Assets,  with the Excluded  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 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  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 each
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 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.

                  (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  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)   Questionnaires.   The   healthcare   law   questionnaire
heretofore  delivered to the Seller by IHS attached hereto as Exhibit 13(w) (the
"QUESTIONNAIRE")  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.


                                      -19-

<PAGE>

         14.      Representations  and  Warranties  of Buyer and IHS.  Buyer and
IHS,  jointly and  severally,  represent and warrant to Seller and  Shareholders
that:

                  (a) Due  Organization  of Buyer;  Etc.  Buyer is a corporation
duly  organized  and validly  existing  and in good  standing  under the laws of
Delaware  and is duly  qualified  and  registered  to do  business  as a foreign
corporation  and is in active  status or good  standing  as  applicable  to each
jurisdiction that requires such  qualification or registration  except where the
failure to so qualify or register  would not have a material  adverse  affect on
Buyer.  Buyer has all the necessary  corporate  power to own its own properties,
conduct its business as presently  conducted  and to do and perform all acts and
things  required  to  be  done  by  Buyer  under  this  Agreement.  Buyer  is  a
wholly-owned subsidiary of IHS.

                  (b) Buyer's  Authority  to Enter Into  Transaction.  Buyer has
full power and  authority  (including  full  corporate  power and  authority) to
execute  and  deliver  this  Agreement  and  all  of the  Transaction  Documents
contemplated  to be executed by Buyer  under this  Agreement  and to perform its
obligations  hereunder  and  thereunder,  and the execution and delivery of this
Agreement has been duly  authorized  and approved by Buyer's Board of Directors.
This Agreement and all of such documents when executed and delivered by Buyer in
connection  with this  Agreement will  constitute the valid and legally  binding
obligations of Buyer  enforceable in accordance with their  respective terms and
conditions.

                  (c)  Noncontravention  With  Respect  to  Buyer.  Neither  the
execution and delivery of this Agreement or any of the Transaction  Documents to
be executed by Buyer as contemplated  under this Agreement nor the  consummation
of the transactions  contemplated in this Agreement or the Transaction Documents
will:  (i) violate any  constitution,  statute,  regulation,  rule,  injunction,
judgement, order, decree, ruling, charge or other restriction of any government,
governmental  agency or court to which  Buyer is  subject  or any  provision  of
Buyer's articles of  incorporation or bylaws or (ii) conflict with,  result in a
breach of, constitute a default under,  result in the acceleration of, create in
any party the right to accelerate,  terminate,  modify or cancel, or require any
notice  under any  agreement,  contract,  lease,  license,  instrument  or other
arrangement to which Buyer is a party or by which it is bound or to which any of
its assets is subject.

                  (d) Broker's Fees.  Neither Buyer nor IHS has any liability or
obligation  to pay fees or  commissions  to any  broker,  finder  or agent  with
respect to the  transactions  contemplated  by this  Agreement  for which Seller
and/or the  Shareholders  could  become  liable or  obligated,  and no broker or
finder  has  acted  for  Buyer  or  IHS  in  connection  with  the  transactions
contemplated under this Agreement.

                  (e) Stock Payment Authority.  Buyer and IHS have the authority
to cause the payment of the purchase  price  consisting  of the IHS Shares to be
delivered  to Seller and to Escrow  Agent in  accordance  with the terms of this
Agreement.

                  (f) Due  Organization  of IHS, Etc. IHS is a corporation  duly
organized,  validly existing and in good standing under the laws of the State of
Delaware  and is duly  qualified  or  registered  to do  business  as a  foreign
corporation  and is in active  status or good  standing  as  applicable  to each
jurisdiction that requires such  qualification or registration  except where the
failure to so qualify or register  would not have a material  adverse  affect on
IHS.  IHS has all  the  necessary  corporate  power  to own its own  properties,
conduct its business as presently  conducted  and to do and perform all acts and
things required to be done by IHS under this Agreement.

                  (g)   Noncontravention   With  Respect  to  IHS.  Neither  the
execution and delivery of this Agreement or any of the Transaction  Documents to
be executed by IHS as contemplated  under this Agreement nor the consummation of
the  transactions  contemplated in this Agreement or the  Transaction  Documents
will:  (i) violate any  constitution,  statute,  regulation,  rule,  injunction,
judgment, order, decree, ruling , charge or other


                                      -20-

<PAGE>

restriction  of any  government,  governmental  agency  or court to which IHS is
subject or any  provision of IHS'  articles of  incorporation  or bylaws or (ii)
conflict with, result in a breach of, constitute a default under,  result in the
acceleration of, create in any party the right to accelerate,  terminate, modify
or cancel, or require any notice under any agreement,  contract, lease, license,
instrument or other  arrangement to which IHS is a party or by which it is bound
or to which any of its assets is subject.

                  (h) IHS  Stock.  IHS has  duly  authorized  and  reserved  for
issuance the IHS Shares to be issued in connection with this Agreement and, when
issued in  accordance  with the terms of Section 6 of this  Agreement,  such IHS
Shares will be validly issued, fully paid and nonassessable.

                  (i) IHS'  Authority  to Enter Into  Transactions  Contemplated
Under the Agreement.  IHS has full power and authority (including full corporate
power and  authority)  to  execute  and  deliver  this  Agreement  and any other
Transaction Documents to be executed by IHS as contemplated under this Agreement
and to perform its obligations  with respect thereto  including the registration
rights  provided  to  Seller  and/or  the  Shareholders  in  Section  6 of  this
Agreement,  and such documents  when executed and delivered will  constitute the
valid and legally  binding  obligations of IHS  enforceable  in accordance  with
their respective  terms and conditions.  The execution of this Agreement and all
of the other documents  contemplated in this Agreement to be executed by IHS has
been duly authorized and approved by IHS' Board of Directors.

                  (j) Securities and Exchange  Commission  Filings and Financial
Statements.  IHS has  furnished the Seller and  Shareholders  with a correct and
complete  copy of its  Annual  Report and its report on Form 10-K for its fiscal
year ended  December  31, 1997 (the  "10-KS"),  its reports on Form 10-Q for its
fiscal  quarters  ended  September 30, 1997 and March 31, 1998 (the "10-QS") 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-Ks, the Annual Report,  the 10-Qs and Proxy Statement and no press release or
other schedule or report required by IHS to be publicly  disclosed or filed with
the  Commission  pursuant to the Exchange Act since  January 1, 1997 (all of the
foregoing being the "SEC DOCUMENTS") contained any untrue statements, or omitted
to state 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.  The financial  statements of IHS and its combined  subsidiaries and
the notes thereto  contained in the Commission  reports are correct and complete
in all material respects and fairly present the combined  financial  position of
IHS and its combined  subsidiaries  as of the  respective  dates thereof and the
results of operations for the periods then ended except as disclosed  therein or
in the notes thereto or in the explanations  thereof contained in the Commission
reports;  and the balance sheets and notes thereto show and properly reflect all
material  liabilities  of IHS and its combined  subsidiaries  on the  respective
dates  thereof  which were  required to be  disclosed in  accordance  with GAAP,
except for any claims and lawsuits against IHS and its combined subsidiaries now
pending  which claims and lawsuits IHS does not expect to  materially  adversely
affect the business,  properties or financial  condition of IHS and its combined
subsidiaries  taken as a whole.  Each such  financial  statement was prepared in
conformity  with GAAP  consistently  applied and presents  fairly the  financial
condition of IHS and its combined subsidiaries as of such dates, and the results
of operations of IHS and its combined  subsidiaries for such periods are correct
and complete in all  material  respects  and are  consistent  with the books and
records of IHS and its combined subsidiaries.  Since the date of the most recent
10-Q,  there  has not been any  material  adverse  change  singularly  or in the
aggregate  in  the  business,  financial  condition,   operations,   results  of
operations,  accounting methods, liabilities,  assets or earnings of IHS and its
combined subsidiaries.

         15. Survival of Representations and Warranties. The representations and
warranties of Seller, Shareholders,  IHS and Buyer contained in or made pursuant
to  this  Agreement  shall  survive  the  execution  of this  Agreement  and the
consummation of the transactions contemplated under this Agreement.


                                      -21-

<PAGE>

         16.      Indemnification; Remedies.

                  (a) Indemnification by Seller and each Shareholder. Seller and
each Shareholder  shall,  jointly and severally,  indemnify and hold harmless at
all times Buyer and IHS and their stockholders,  directors, officers, employees,
agents and  assigns,  from and  against any  Damages  (as  hereinafter  defined)
arising  out of:  (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.

                  (b)  Indemnification  by Buyer and IHS.  Buyer and IHS  shall,
jointly and  severally  indemnify  and hold  harmless at all times Seller and/or
Shareholders  from and against any  Damages  arising out of: (i) any  inaccurate
representation made by Buyer and/or IHS in, pursuant to or under this Agreement;
(ii) any breach of any  warranty  made by Buyer  and/or IHS in,  pursuant  to or
under this  Agreement;  and (iii) any breach or  default in the  performance  by
Buyer and/or IHS of any of the covenants and agreements to be performed by Buyer
and/or IHS 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,
reasonable  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   and  IHS'   Remedies.   Seller  and  each
         Shareholder shall make payment of any Claim made against it, him or her
         by no later  than the last day of the  Notice  Period  as  provided  in
         paragraph 5(b) above.

                       (ii)  Seller's  Remedies.  If Seller  or any  Shareholder
         makes  written  request to Buyer and/or IHS for the payment of Damages,
         then Buyer and/or IHS shall pay to Seller or Shareholders the amount of
         Damages  requested  within ten (10) days from the date that such notice
         is delivered to Buyer and/or IHS (also a "NOTICE PERIOD").

                       (iii) Notice of Dispute.  Notwithstanding  the  foregoing
         provisions of this  subparagraph (d) and Section 5(b) above, 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 applicable  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 16, with the non-prevailing
         party  bearing the  prevailing  party's  costs of  arbitration  if such
         Dispute is resolved by arbitration.


                                      -22-

<PAGE>

                       (iv) Arbitration.  If arbitration is required pursuant to
         this   paragraph  16,  Buyer  and  IHS,  on  the  one  hand,   and  the
         Representative,  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. If Representative or Buyer and IHS 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  Shareholders  shall be  subject to a Dispute  with
         Buyer and IHS,  they shall,  unless  Buyer and IHS elect  otherwise  in
         their 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  16 and
         Representative  shall have the authority to settle such Dispute  and/or
         any Claims on behalf of such group. Any arbitration  required  pursuant
         to this  paragraph 16 shall be conducted in  accordance  with and under
         the rules of the American Arbitration Association.

                       (e) Settlement of Disputes.

                           (i)  Disputes  Not  Involving  Third  Parties.  If  a
         Dispute  involves  claims not involving any third party,  Buyer and IHS
         and Seller and Shareholders  shall settle the Dispute by submitting the
         same to binding  arbitration in accordance  with  subsection  16(d)(iv)
         above.

                           (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  Representative  or  the  applicable  Seller  or
         Shareholder,  Buyer and IHS and Seller and/or 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 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


                                      -23-



<PAGE>

                                    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
                           party or parties  hereto unless the  settlement  will
                           not have a material adverse effect on the other party
                           or parties  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.

                                            (E)   Nothing   contained   in  this
                           paragraph 16(e) shall prevent any party from assuming
                           control  of the  defense  and/or  settling  any Third
                           Party Claim against it for which  indemnification  is
                           not sought under this Agreement.

         17. Use of Corporate and  Fictitious  Names.  Seller and  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.

         18. 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.

         19.      Post-Closing Requirements of Seller.

                  (a) Final  Financial  Information.  Not later  than sixty (60)
         days  following  Closing,  Seller,  at Seller's  sole cost and expense,
         shall  deliver to Buyer  "FINAL  FINANCIAL  INFORMATION",  which  shall
         include:


                                      -24-

<PAGE>

                           (i) a balance  sheet of Seller as of the Closing Date
                  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
                  which agrees with the balance sheet submitted at Closing;

                           (iii) an  inventory  of fixed  assets of Seller as of
                  the Closing Date which agrees with the balance sheet submitted
                  at Closing; and

                           (iv) a listing  of resale  inventory  of Seller as of
                  the Closing Date which agrees with the balance sheet submitted
                  at Closing.

                           (v) a cash  settlement  summary  of  Seller in a form
                  provided by Buyer.

                  (b)  Liabilities  Deficiency.  If  all  such  Final  Financial
         Information is not delivered to Buyer within such sixty (60) day period
         following Closing,  Seller and Shareholders shall be liable to Buyer in
         an amount  equal to  $500.00  for each day after  such  sixty  (60) 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 than 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 next  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:              American Oxygen Services of Tennessee, Inc.
                                     2454 E. Michigan Street
                                     Orlando, FL 32806
                                     Attention: Timothy O. Bates

             to Shareholders:        Timothy O. Bates
                                     7726 White Ash Street
                                     Orlando, FL 32819

                                     Michael Campbell
                                     4341 General Carl Steiner Highway
                                     LaFollette, TN 37766

                                      -25-

<PAGE>


                                     Amerimed Healthcare, Inc.
                                     2454 Michigan Street
                                     Orlando, FL 32806
                                     Attention: Timothy O. Bates, President

             with a copy to:         Dean, Mead Egerton, Bloodworth,
                                     Capouano & Bozarth, P.A.
                                     800 N. Magnolia Avenue, Suite 1500
                                     Orlando, FL 32803
                                     Attention: Albert D. Capouano, Esq.

             to IHS or Buyer:        Integrated Health Services, Inc.
                                     10065 Red Run Boulevard
                                     Owings Mills, MD 21117
                                     Attn:    Marshall Elkins
                                              Elizabeth B. Kelly

             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

         Any party  hereto may change the  address to which  notices,  requests,
demands, claims and other communications hereunder are to be delivered by giving
the other party or parties notice in the manner herein set forth.

         23.  Choice of Law.  The laws of the State of Tennessee  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 and/or any of the Transaction
Documents may be executed in two or more identical counterparts. If so executed,
each of such  counterparts  is to be deemed an original for all purposes and all
such counterparts shall, collectively,  constitute one agreement, but, in making
proof of this Agreement and/or any of such Transaction  Documents,  it shall not
be  necessary  to  produce  or account  for more of such  counterparts  than are
required to show that each party hereto executed at least one such counterpart.


                                      -26-

<PAGE>

         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,  Shareholder  and Buyer
and IHS and their respective successors and assigns.  Buyer shall be entitled to
assign  its  rights,  but not its  obligations,  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 Shareholders 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.

         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 the
Shareholders or notices to the  Shareholders,  as the case may be. Buyer and IHS
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  Transaction  Document or other  document
executed in connection with this Agreement.

         33.  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.

         34.  Representative.  Notwithstanding  anything contained herein to the
contrary,  Seller and each Shareholder  hereby  designates  Timothy O. Bates and
Seller and each  Shareholder  hereby accepts the designation


                                      -27-
<PAGE>

of Timothy O. Bates as the  representative  of the Seller and Shareholders  (the
"REPRESENTATIVE")  to act for and on behalf of the  Seller and  Shareholders  as
provided in this Agreement.  Seller and each  Shareholder  shall be bound by all
actions  taken or  omitted  by the  Representative  on  behalf  of Seller or any
Shareholder as provided in this Agreement, and Seller and each Shareholder shall
be  deemed  to  have  received  notice  deemed  given  or  payment  made  to the
Representative in accordance with the notice provisions of this Agreement on the
date  deemed  given or the date paid to the  Representative,  and Buyer shall be
entitled to rely on all notices and consent given,  and all settlements  entered
into on behalf of Seller or any Shareholder to the extent authorized pursuant to
the terms of this Agreement notwithstanding any objections made by Seller or any
Shareholder prior to,  concurrently with or subsequent to the giving of any such
notice or consent or the settlement of any such matter.  The  Representative may
be replaced  only if and when Seller and all of the  Shareholders  shall  notify
Buyer that a new individual  person (named in such notice) has been  unanimously
selected  by them to be to be the new  Representative,  in which  case  such new
person shall thereafter be the Representative.

         35. IHS'  Guarantee of Buyer's  Obligations.  IHS hereby  guarantees to
Seller and  Shareholders  the full and timely  payment of all  amounts due or to
become due from Buyer to Seller/and or the Shareholders under this Agreement and
all amounts due or that become due from Buyer to Seller and/or the  Shareholders
under  the  provisions  of the  Transaction  Documents  and the full and  timely
performance  of all covanants and  agreements to be performed by Buyer and under
this  Agreement  and/or the  Transaction  Documents.  This guarantee by IHS is a
guarantee of payment and performance,  and Seller and/or the Shareholders  shall
not be first  required to seek or obtain a judgement  against Buyer or institute
any  proceedings  or take any action with respect to Buyer before  Seller and/or
the Shareholders can enforce their rights under this guarantee against IHS.

         36. Litigation  Expenses.  In the event of any  litigation,  including
appellate  proceedings,  arising  out of or under this  Agreement  or any of the
Transaction Documents,  the prevailing party or parties in such litigation shall
be  entitled  to recover  reasonable  attorneys'  fees and court  costs from the
nonprevailing party or parties.

         37. Facsimile signatures.  A facsimile,  telecopy or other reproduction
of this Agreement and/or any of the Transaction Documents may be executed by the
parties (in  counterparts or otherwise) and shall be considered  valid,  binding
and effective for all purposes.  At the request of any party, the parties hereto
agree to execute an original of this  Agreement  and/or any of such  Transaction
Documents as well as any facsimile, telecopy or other reproduction.

                       [SIGNATURES ON THE FOLLOWING PAGE]

                                      -28-


<PAGE>



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

                                   IHS:

                                   INTEGRATED HEALTH SERVICES,
                                   INC.

                                   By: /s/ MARK KOVINSKY
                                      ------------------------------
                                   Name:  Mark A. Kovinsky
                                   Title: Senior Vice President

                                   BUYER:

                                   IHS ACQUISITION XXVII, INC.

                                   By: /s/ MARK KOVINSKY
                                      ------------------------------
                                   Name:  Mark A. Kovinsky
                                   Title: Senior Vice President

                                   SELLER:

                                   AMERICAN OXYGEN SERVICES OF
                                   TENNESSEE, INC.


                                   By: /s/ MICHAEL CAMPBELL
                                      ------------------------------
                                   Name: Michael Campbell
                                   Title: President

                                   SHAREHOLDERS:


                                   /s/ TIMOTHY O. BATES
                                   ---------------------------------
                                   Timothy O. Bates

                                   /s/ MICHAEL CAMPBELL
                                   ---------------------------------
                                   Michael Campbell


                                   AMERIMED HEALTHCARE, INC.


                                   By: /s/ TIMOTHY O. BATES
                                      ------------------------------
                                   Timothy O. Bates
                                   Title: Chief Executive Officer and Treasurer

                                      -29-

<PAGE>


STATE OF______________
COUNTY OF_____________


         The  foregoing   instrument  was  acknowledged  before  me  by  Michael
Campbell,  as a shareholder of American  Oxygen  Services of Tennessee,  Inc., a
Florida  corporation,  and who is  personally  known to me; or has produced ____
______________ as identification.




- --------------------------                    ----------------------------------
Date                                          Notary Signature


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



STATE OF_____________
COUNTY OF____________

         The  foregoing  instrument  was  acknowledged  before me by  Timothy O.
Bates, as Chief Executive Officer and Treasurer of Amerimed Healthcare,  Inc., a
Florida corporation,  on behalf of the corporation,  and who is personally known
to me; or has produced ______________ as identification.



- --------------------------                    ----------------------------------
Date                                          Notary Signature


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




STATE OF MARYLAND
COUNTY OF BALTIMORE

         The foregoing  instrument was acknowledged before me by Mark Kovinsky ,
as  a  Senior  Vice  President  of  IHS  Acquisition  XXVII,  Inc.,  a  Delaware
corporation, on behalf of the corporation, and who is personally known to me; or
has produced driver's license as identification.

8/12/98                                       /s/ Joyce Walker Duley
- --------------------------                    ----------------------------------
Date                                          Notary Signature

                                               JOYCE WALKER DULEY
                                              ----------------------------------
                                              Notary Name Printed
                                              My Commission Expires:

                                                   JOYCE WALKER DULEY
                                             NOTARY PUBLIC STATE OF MARYLAND
                                        MY COMMISSION EXPIRES DECEMBER 24, 2000


                                      -30-


<PAGE>



STATE OF MARYLAND
COUNTY OF BALTIMORE

         The foregoing  instrument was acknowledged  before me by Mark Kovinsky,
as a Senior Vice  President  of  Integrated  Health  Services,  Inc., a Delaware
corporation, on behalf of the corporation, and who is personally known to me; or
has produced driver's license as identification.


8/12/98                                       /s/ Joyce Walker Duley
- --------------------------                    ----------------------------------
Date                                          Notary Signature

                                               JOYCE WALKER DULEY
                                              ----------------------------------
                                              Notary Name Printed
                                              My Commission Expires:

                                                   JOYCE WALKER DULEY
                                             NOTARY PUBLIC STATE OF MARYLAND
                                        MY COMMISSION EXPIRES DECEMBER 24, 2000


                                      -31-


<PAGE>


                             SCHEDULES AND EXHIBITS

<TABLE>
<S>                   <C>         <C>
Schedule 1(a)(i)      -           Accounts Receivable
Schedule 1(a)(ii)     -           Inventory; Fixed Assets
Schedule 1(a)(iii)    -           Motor Vehicles
Schedule 1(a)(iv)(A)  -           Patients List
Schedule 1(a)(iv)(B)  -           Telephone Numbers and Licenses
Schedule 4(a)         -           Listed Liabilities
Schedule 4(b)         -           Unassumed Contracts
Schedule 4(c)         -           Assumed Liabilities
Schedule 10(c)        -           Seller's Opinion
Schedule 10(n)        -           Buyer's and IHS' Opinion
Schedule 13(b)        -           Consents
Schedule 13(c)        -           Litigation
Schedule 13(g)        -           Contracts
Schedule 13(i)        -           Personnel Payrates and Advances
Schedule 13(j)        -           Employee Benefit Plans
Schedule 13(k)        -           Insurance Policies
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(s)        -           Assets Comprising the Business
Schedule 13(u)        -           Reimbursement Matters
Schedule 13(v)        -           Environmental Compliance

Exhibit 1(c)          -           Lease Agreement
Exhibit 1(c)-1        -           Restrictive Covenant Agreement among Buyer, IHS and American
                                  Oxygen Services of Tennessee, Inc.
Exhibit 1(c)-2        -           Restrictive Covenant Agreement among Buyer, IHS and Timothy O. Bates
Exhibit 1(c)-3        -           Restrictive Covenant Agreement among Buyer, IHS and Michael Campbell
Exhibit 1(c)-4        -           Restrictive Covenant Agreement among Buyer, IHS and Amerimed
Exhibit 2(b)(i)-A     -           Escrow Agreement
Exhibit 2(b)(i)-B     -           Stock Pledge Agreement
Exhibit 13(w)         -           Healthcare Questionnaire
</TABLE>



                                      -32-





                                                                     EXHIBIT 2.3

                    AGREEMENT FOR SALE AND PURCHASE OF ASSETS
                            AND RESTRICTIVE COVENANTS

         THIS  AGREEMENT is made as of November 18, 1998,  by and among  INDIANA
RESPIRATORY  CARE, INC., an Indiana  corporation,  having its principal place of
business at 5335 North Tacoma  Avenue,  Indianapolis,  IN 46220 (the "SELLER" or
the  "CORPORATION"),  J. BARD  BEESLEY,  the sole  shareholder  of  Seller  (the
"SHAREHOLDER"),  [and  Shareholder's  spouse, , if a community  property state],
INTEGRATED OF WESTCLIFF  PARK,  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 Indiana (the "BUSINESS"); and

         WHEREAS, Shareholder is the sole shareholder of the Seller; and

         WHEREAS, Buyer is a wholly owned subsidiary of IHS;

         WHEREAS,  Seller wishes to transfer its business and  substantially all
of its assets to the Buyer in  exchange  for voting  shares of IHS and a limited
amount of cash 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  Shareholder in compile  liquidation  of the Seller and dissolve,  and Buyer
also  desires to acquire  from  Seller and  Shareholder,  and each of Seller and
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 and Restrictive Covenants.

                  (a) The Assets.  As of the Closing  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:



                                       -1-


<PAGE>



                           (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

                           (iii) Motor Vehicles.  Except as set forth below, 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)  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)(iv)(A);  (B) the  telephone
         numbers  listed on the  Schedule  of  Telephone  Numbers  and  Licenses
         attached  hereto as Schedule  1(a)(iv)(B);  (C) all personal  property,
         machinery and equipment including, but not limited to, the equipment as
         set forth on Schedule  1(a)(iv)  attached  hereto;  (D) all of Seller's
         prepaid  assets;  (E) rights under  contracts,  agreements,  including,
         without  limitation,  franchise  agreements,  and instruments;  (F) any
         Assets  used in the  operation  of the  Business,  but not owned by the
         Seller;  and (G) 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) 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  real  property
located at 6349 Cardinal Lane, Indianapolis, IN 46220, two leased 1998 Chevrolet
Blazers,  cash  on  hand  and  an  anticipated  tax  refund  in  the  amount  of
approximately  $30,000,  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 (collectively, "EXCLUDED ASSETS").

                  (c)  Restrictive  Covenants.  Pursuant to paragraph 17 hereof,
each of Seller and 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 One Million Two Hundred  Thousand
Dollars ($1,200,000). 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.

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

                           (i) by delivery of shares of common stock,  $.001 par
         value,  of IHS ("IHS  SHARES" or "IHS  STOCK")  having a value equal to
         Fifty Thousand Dollars ($50,000) using the Trade Price (as such term is
         defined in paragraph 7(a) to value such shares (the "GENERAL ESCROW



                                       -2-


<PAGE>



         AMOUNT" or "ESCROW  FUND") and IHS Shares  having a value  equal to Two
         Hundred Thousand Dollars ($200,000) using the Trade Price to value such
         shares  (the  "CLAW-BACK  AMOUNT")  (the  General  Escrow  Amount,  the
         Claw-back  Amount,  and all accrued  interest and income earned thereon
         shall be referred to as the "ESCROW FUND") 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)(i)-A  (the  "ESCROW  AGREEMENT")  pursuant  to which,  among other
         things,  the Escrow  Agent  shall  acknowledge  that it is holding  the
         Escrow  Shares  as the  agent of Buyer  pursuant  to the  Stock  Pledge
         Agreement in the form of Exhibit  2(b)(i)-B  hereto (the "STOCK  PLEDGE
         AGREEMENT").  The entire Escrow Fund shall be subject to the provisions
         of paragraphs 6 and 18 hereof.

                           (ii) $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)(ii); and

                           (iii) by delivery of IHS Shares  having a value equal
         to Forty Thousand Dollars ($40,000) using the Trade Price to value such
         shares (the "INITIAL  BROKER'S FEE") on behalf of Seller, to Strausser,
         Inc. (the "BROKER"),  in satisfaction of all fees and  compensation due
         to  the  Broker  at  Closing  in  connection   with  the   transactions
         contemplated  by this  Agreement.  Buyer  shall  also pay to  Broker on
         behalf of Seller an  additional  two percent (2%) of any portion of the
         Claw- back  Amount  upon its  release to Seller;  and any such  payment
         shall be credited against the amount of the Claw-back Amount payable to
         Seller.  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 sums from the Purchase  Price and disburse such
         sums directly to the Broker.

                           (iv) by delivery  of IHS Shares  having a value equal
         to Seven Hundred Ten Thousand Dollars  ($710,000) using the Trade Price
         to value such shares (the balance of the Purchase  Price) shall be paid
         to Seller.

                  (c) 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 Stock  received  pursuant  to this
paragraph 2 to the  Shareholder in complete  cancellation  and redemption of the
Seller's IHS Shares.

         3. Purchase Price Adjustment. 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 period
commencing  on December 1, 1998 and ending  November  30, 2000 (the  "APPLICABLE
PERIOD")  shall be less than  $300,000,  then the  Buyer  shall be  entitled  to
receive an amount  from the  Seller  equal to five times (5x) the amount of such
deficiency (the "CLAW-BACK PAYMENT");  provided that the Claw-back Payment shall
not exceed the amount of the Claw-back  Amount.  For purposes  hereof,  the term
"ANNUAL OPERATING PROFIT" shall be determined as set forth on Exhibit 3 attached
hereto.

         The parties further  acknowledge that they have used their best efforts
to determine that the Purchase Price is consistent with the fair market value of
the Business and its assets as of the  Closing,  based in part on the  projected
future  revenues of the Business.  The foregoing  provisions of this paragraph 3
are intended solely to adjust the Purchase Price, if necessary,  to reflect fair
market value and not to induce Seller or the  Shareholder  to refer or influence
the  referral of any  prospective  client,  customer  or patient  (collectively,
"PROSPECTIVE  PATIENTS")  to the  Business or to  recommend  the Business to any
Prospective  Patients.  Accordingly,  (i) prior to the  Closing,  Seller and the
Shareholders shall not engage in any marketing activities



                                       -3-


<PAGE>



(including  any  direct  solicitation  of  Prospective  Patients)  except in the
ordinary and usual course of  conducting  the Business,  consistent  with lawful
past practices,  and (ii) after the Closing,  Seller and Shareholders  shall not
take any action,  directly or indirectly,  to induce any Prospective Patients to
become patients of the Business.

         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 Indiana. Seller and Shareholder agree to indemnify
Buyer and save and hold  Buyer  harmless  against  all  Damages  (as  defined in
paragraph 16(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 Shareholder  represent and warrant that, to the
best of Seller's and Shareholder's  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 5(a) the "LISTED  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,  whether or not asserted as of the date  hereof,  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,  any liabilities
relating to any Excluded  Assets,  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 Shareholder acknowledge that the Purchase Price for the
Assets is based on the  accuracy of Seller's and  Shareholder's  representations
and  warranties  contained  in this  Agreement,  including,  but not limited to,
Seller's and  Shareholder's  representations  and  warranties  contained in this
paragraph 5(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) ("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  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  in
existence, or obligations to be satisfied, on or prior to the Closing Date.



                                       -4-


<PAGE>



         6.       Right of Offset Against the Escrow Fund.

                  (a)      Event of Deficiency.  If:

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

                           (ii)  the  aggregate   value  of  the   Corporation's
         collectible accounts receivable as of the Closing Date is determined to
         be less than $215,000 as determined by actual net cash  collections  of
         such receivables  during the 365-day period  immediately  following the
         Closing Date, then Seller and Shareholder, jointly and severally, shall
         pay to Buyer the amount of such deficiency ("ASSET VALUE  DEFICIENCY");
         or

                           (iii) Buyer is  entitled  to any payment  pursuant to
         paragraph 3 above (an "ADJUSTMENT CLAIM"); or

                           (iv) 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,  and Adjustment Claims, collectively "CLAIMS" and each, a
         "CLAIM") provided,  however, that Seller's indemnification  obligations
         arising from any Asset Value  Deficiencies and Adjustment  Claims shall
         not  exceed the  lesser of the value of the  balance of shares  held in
         escrow or $250,000;

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) 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  16  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 Buyer and fifty percent (50%) by Seller.

                  (d)  Escrow Period.

                       (i)  The "ESCROW PERIOD" shall terminate on the date that
is ninety (90) days after the second anniversary of the Closing Date.

                       (ii) To the extent funds remain in the Escrow Fund:

                            (A) an  amount  equal  to  (x)  the  General  Escrow
Amount,  less (y) the amount of any Asset  Value  Deficiencies,  Indemnification
Claims and Liabilities  Deficiencies  Claims claimed  pursuant to paragraph 6(a)
above, shall be paid to Seller on the first anniversary of the Closing Date; and



                                       -5-


<PAGE>



                            (B)  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.

                       (iv)  Any  interest  accruing  or  income  earned  on any
portion of the Escrow Fund shall be paid to the party  receiving such portion of
the Escrow Fund.

         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") 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  ending on the date that is
two (2)  business  days  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  Seller  or  Shareholder  in  connection  with  this  transaction,
including  the  shares,  if any,  issuable  as a share  adjustment  pursuant  to
paragraph  7(c),  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) If the value of the IHS Shares  (that have not  previously  been
transferred by the Seller) on the date that is two (2) trading days prior to the
Registration  Date is more than $2.00 per share less than the Trade Price,  then
IHS will issue an additional  number of shares to Seller that would increase the
total number of shares  issued to Seller to be  equivalent  to the number of IHS
Shares that Seller would have received had the price per share been no more than
$2.00 less per share than the Trade Price ("FLOOR PRICE").  Buyer shall promptly
deliver to Seller the number of IHS Shares as required  hereunder.  If the value
of the IHS Shares on the Registration  Date is equivalent to or greater than the
Floor Price,  Seller  shall not be required to return any IHS Shares  previously
delivered by Buyer.

            (d) Registration  Expenses.  Seller and the Shareholder 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 any Shareholder's or any transferee's  failure to comply with its
obligations under this Section 7.



                                       -6-


<PAGE>



            (e)   Resale Limitations.  The Shareholder hereby covenants with IHS
that all sales by the Shareholder shall be effected solely through A.G. Edwards.

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

                  (i) IHS will promptly notify the Shareholder, 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 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  Shareholder  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
         Shareholder,  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 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.  IHS  shall  indemnify  the  Shareholder,  his
         successors  and  assigns,  and each  person,  if any,  who controls the
         Shareholder  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 the Seller or Shareholder 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  Shareholder  in respect of which  indemnity  may be sought
         against IHS pursuant to this  subparagraph  7(f)(iv),  such Shareholder
         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 such Shareholder). The Shareholder shall have the right to
         employ his own counsel in any such case,  but the fees and  expenses of
         such counsel shall be at the expense of the Shareholder  unless (A) the
         employment of such counsel shall have been authorized in writing by



                                       -7-


<PAGE>



         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 him 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 Shareholder and such controlling  persons shall be
         borne by IHS.

                  (v) The  Shareholder,  and his 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,  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  Shareholder,  or his
         successors  or assigns  for  specific  inclusion  in such  registration
         statement.

            (g) Notice of Sale.  If the  Shareholder  desires to transfer all or
any IHS Shares,  he will deliver  prior  written  notice to IHS,  describing  in
reasonable  detail his  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 Shareholder  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  use  it  reasonable   commercial  efforts  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  Shareholder  when the  registration  statement  has again
become  current.  If the  Shareholder  delivers  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 Shareholder  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  Section  7 that the
Shareholder  shall furnish to IHS such information  regarding  himself,  the IHS
Shares held by him, and the intended method of disposition of such securities as
shall  be  required  to  effect  the  registration  of his IHS  Shares.  In that
connection, each transferee of the 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  Shareholder  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 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. The Shareholder and Seller represent
and  warrant  to IHS  that the IHS  Shares  being  issued  hereunder  are  being
acquired,  and will be acquired,  by the  Shareholder for investment for his 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  Shareholder  acknowledges  that the IHS Shares  constitute
restricted securities under Rule 144 promulgated by the



                                       -8-


<PAGE>



Commission pursuant to the Securities Act, and may have to be held indefinitely,
and  the  Shareholder  agrees  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  Shareholder 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
Shareholder  has had  the  opportunity  to make  inquiries  of and  obtain  from
representatives  and  employees  of IHS such other  information  about IHS as he
deems 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,  the Shareholder  shall not 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 Shareholder under this Section 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
Closing Date  Liabilities.  Seller 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.

         9. Closing Date. The consummation of the  transactions  contemplated by
this Agreement is occurring  concurrently  herewith 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".

         10. Asset Condition and Quality.  Seller and  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.

         11. 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  Closing  Date,  such  documents  to  contain  full
warranties of



                                       -9-


<PAGE>



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
11(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 14(a) below), and the incumbency of its officers.

         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.

         13.  Restrictions  on  Operations  of Seller.  Seller and  Shareholder,
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 14(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;

             (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



                                      -10-


<PAGE>



             (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.

         14.  Representations  and  Warranties by Seller and  Shareholder.  As a
material  inducement to Buyer to execute and perform its obligations  under this
Agreement,  Seller and Shareholder 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 Indiana, 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 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
Shareholder is a party constitutes the legal,  valid and binding  obligations of
Shareholder, enforceable against Shareholder in accordance with its terms.

            (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 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 Seller or 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  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  Shareholder  of, and the  performance and compliance by each of them
with this Agreement, and the



                                      -11-


<PAGE>



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 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 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;

                 (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");



                                      -12-


<PAGE>



                 (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  Shareholder's  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 is due and payable by Seller to the Broker
by delivery of IHS Shares having a value equal to $40,000 (using the Trade Price
to value such  shares) at the  Closing  and 2% of any  portion of the  Claw-back
Amount  payable to Seller 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 Seller.

            (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 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 Shareholder, 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



                                      -13-


<PAGE>



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. Seller purchased title insurance as set forth on Schedule 14(k).

            (l)  Disclosure.   No   representation  or  warranty  by  Seller  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
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  Shareholder  is the  sole  shareholder  of  Seller  and the
following individuals are all of the officers and directors of Seller:

                  Name                        Office/Position
                  ----                        ---------------
            J. Bard Beesley                  President/Secretary
            -------------------              -------------------------

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

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


            (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, 1996
and December 31, 1997,  and has furnished  Buyer with its  financial  statements
(the "FINANCIAL  STATEMENTS") for the periods ended December 31, 1997, April 30,
1998 and September 30, 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;  and (iii) were prepared on a basis  consistent with
prior  accounting  periods.  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 the  federal  government  and 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,  federal,  state and local tangible
personal property tax returns,  and federal,  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).



                                      -14-


<PAGE>



            (q) Adverse  Business  Developments.  No notice has been received by
Seller or  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 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  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 14(q).

            (r)  Relationships.  Except as disclosed on Schedule 14(r),  neither
Seller, its officers,  directors and employees, nor 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 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 practice.

            (t) Questionable  Payments.  Seller has not, and to the knowledge of
the Seller and Shareholder,  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  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  Shareholder
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 Shareholder, no such investigation or survey is pending,
threatened or imminent.

            (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 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  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.



                                      -15-


<PAGE>



            (w)  Questionnaires.  The  healthcare law  questionnaire  heretofore
delivered  to the  Seller  by  Buyer  attached  hereto  as  Exhibit  14(w)  (the
"QUESTIONNAIRE")  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.

            (x) Corporation Stock. Schedule 14(x) sets forth a complete list and
description of the authorized  capital stock of the  Corporation,  the number of
shares issued and outstanding of each class or series of such capital stock, and
the identity of each Shareholder of the Corporation, in each case indicating the
class and number of shares held. No shares of the Corporation  Stock are held in
the  treasury of the  Company.  The Sellers are the record  owners of all of the
Corporation Stock and all of such stock is duly authorized,  validly issued, and
fully paid and non-assessable.  On the Closing Date, there will be no preemptive
or first refusal rights to purchase or otherwise acquire shares of capital stock
of the  Corporation  pursuant  to any  provision  of  law  or  the  Articles  of
Incorporation or By-Laws of the Corporation 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 any of the  Corporation  any shares of
capital stock of the  Corporation  nor shall there be outstanding any securities
convertible into or exchangeable for such shares.

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

              (a) Due  Organization.  Each of Buyer and IHS is a duly organized,
valid corporation under the laws of its respective state of incorporation.

              (b) Due Authority. Each of Buyer and IHS 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
or IHS herein; and (iii) deliver all consideration  provided for under the terms
hereof.

              (c) Binding  Authority.  All signatories 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 paragraph 14 such IHS Stock 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 IHS Stock.



                                      -16-


<PAGE>



              (g)  SEC  Documents.  Buyer  has  furnished  the  Seller  and  the
Shareholder  with a correct and complete copy of its report on Form 10-K for its
fiscal year ended  December 31, 1997  (the"10-K"),  its reports on Form 10-Q for
its fiscal quarter ended December 31, 1997, (the"10-Q"), and its proxy statement
prepared  in  connection  with its annual  meeting  held on April 30,  1998 (the
"PROXY  STATEMENT").  As of their respective  dates, none of the 10-K, 10-Q, and
Proxy  Statements and no press release or other  schedule or report  required by
the Companies 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
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.

         16. Survival of Representations and Warranties. The representations and
warranties of Seller, Shareholder,  IHS, and Buyer contained in or made pursuant
to this Agreement shall survive the execution of this Agreement.

         17. Restrictive Covenants.

              (a)  Non-Compete.  Seller and Shareholder  hereby agree that until
the fifth (5th) anniversary of the Closing Date (the "RESTRICTED PERIOD"),  each
of them 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 that provides  services or products within fifty (50) miles of any
location  set forth on the  Schedule of  Locations  attached  hereto as Schedule
17(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



                                      -17-


<PAGE>



and know-how,  improvements,  inventions,  techniques,  and information that has
been created,  discovered or developed,  or has otherwise become known to Seller
or 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 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, 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.   Each  of  Seller  and
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.   Each  of  Seller  and  Shareholder
acknowledge that the restrictions contained in this Agreement are reasonable and
necessary to protect the legitimate  business interests of the Buyer and IHS and
that any violation  thereof by any of them would result in  irreparable  harm to
the  Buyer and IHS,  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  Seller  and  Shareholder  agree  that upon the  violation  of any of the
restrictions  contained  in this  Agreement,  IHS and 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.  Each of the  Seller  and  Shareholder
acknowledge  that the  covenants  contained in this  Agreement  are  independent
covenants  and that any failure by IHS or 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.

         18.  Indemnification; Remedies.

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



                                      -18-


<PAGE>



              (b)  Indemnification  by  Buyer  and  IHS.  Buyer  and  IHS  shall
indemnify and hold harmless at all times Seller or Shareholder  from and against
any Damages arising out of: (i) any inaccurate  representation made by either of
them in,  pursuant to or under this  Agreement;  (ii) any breach of any warranty
made by either of them in,  pursuant to or under this  Agreement;  and (iii) any
breach or default in the  performance  by either of them of any of the covenants
to be performed by either of them 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.  Seller and each Shareholder shall make
         payment of any Claim made  against  it, him or her by no later than the
         last day of the Notice Period as provided in paragraph 6(b) above.

                  (ii) Seller's Remedies. If Seller or Shareholder makes written
         request to Buyer or IHS for the payment of  Damages,  then Buyer or IHS
         shall pay to Seller or  Shareholder  the  amount of  Damages  requested
         within  ten (10) days from the date that such  notice is  delivered  to
         Buyer or IHS (also a "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
         applicable  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 18, 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  18,  Buyer,  on the one hand,  and the  affected  Seller and
         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.  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  Shareholder  shall be subject to a Dispute  with  Buyer,  they
         shall,  unless  Buyer or IHS 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.



                                      -19-


<PAGE>



              (e) Settlement of Disputes.

                  (i)  Disputes  Not  Involving  Third  Parties.  If  a  Dispute
         involves claims not involving any third party,  Buyer,  IHS, Seller and
         Shareholder  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  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



                                      -20-


<PAGE>



                       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.

                       (E)  Nothing  contained  in this  paragraph  18(e)  shall
                  prevent any party from assuming  control of the defense and/or
                  settling   any  Third  Party   Claim   against  it  for  which
                  indemnification is not sought under this Agreement.

         19. Use of Corporate  and  Fictitious  Names.  Seller and  Shareholder,
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.

         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. 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 Listed  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 Indiana 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 Listed  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.



                                      -21-


<PAGE>



                 (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 (18)(a).

            (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 (to the attention of Gale Lamson)  "FINAL  FINANCIAL  INFORMATION",  which
shall include:

                 (i) a balance  sheet of Seller as of the Closing Date  prepared
         on a basis consistent with prior accounting periods;

                 (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 which agrees with the balance sheet
         submitted at Closing;

                 (iii) an  inventory of fixed assets of Seller as of the Closing
         Date which agrees with the balance sheet submitted at Closing; and

                 (iv) a listing of resale  inventory of Seller as of the Closing
         Date which agrees with the balance sheet submitted at Closing.

                 (v) a cash  settlement  summary of Seller in a form provided by
         Buyer.

            (c) Liabilities Deficiency.  If all such Final Financial Information
or if  any  document,  instrument  or  agreement  required  to be  delivered  in
accordance with paragraph 11(a), including,  without limitation,  original motor
vehicle  certificates  of title,  properly  endorsed,  is not delivered to Buyer
within forty-five (45) days following  Closing,  Seller and Shareholder shall be
liable to Buyer in an amount equal to $500.00 for each day after such forty-five
(45) day  period  until all such  Final  Financial  Information  and other  such
documents, instruments and agreements are delivered to Buyer, and such liability
shall  constitute a Liabilities  Deficiency under the provisions of paragraph 6,
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:



                                      -22-


<PAGE>



                  to Seller:               Indiana Respiratory Care, Inc.
                                           5335 North Tacoma Avenue, Suite 20
                                           Indianapolis, IN 46220
                                           Attention: Mr. J. Bard Beesley

                  to Shareholder:          J. Bard Beesley
                                           8225 N. Pennsylvania St.
                                           Indianapolis, IN 46240

                  with a copy to:          Ruppert & Schaefer, P.C.
                                           151 North Delaware Street
                                           Suite 1525
                                           Indianapolis, Indiana 46204
                                           Attention: Michael G. Ruppert

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

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

                                                      and

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

         25.  Choice of Law.  The laws of the  State of  Indiana  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.

         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.



                                      -23-


<PAGE>



         29. Parties in Interest.  This Agreement  shall be binding on and shall
inure to the benefit of, and be enforceable  by, Seller,  Shareholder  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  Shareholder 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 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 each of Seller and 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.

         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.  Seller and the Shareholder 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
Shareholder or notices to the Shareholder, as the case may be.

         35.  Independent  Legal Counsel.  Seller and 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 Shareholder that such party obtain legal counsel.

         36. Drafting.  Buyer's counsel has drafted this Agreement and the other
Transaction Documents as a matter of convenience for the parties hereto; and the
parties  hereto  have  carefully  reviewed  and  negotiated  the  terms  of this
Agreement and the Transaction  Documents;  and accordingly any drafting  errors,
ambiguities or inconsistencies shall not be interpreted against Buyer.

                       [SIGNATURES ON THE FOLLOWING PAGE]



                                      -24-


<PAGE>



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

                                              IHS:

                                              INTEGRATED HEALTH SERVICES,
                                              INC.

                                              By: /s/ MARK KOVINSKY
                                                 -------------------------------
                                              Name: Mark A. Kovinsky
                                              Title: Senior Vice President

                                              BUYER:

                                              INTEGRATED OF WESTCLIFF
                                              PARK, INC.

                                              By: /s/ MARK KOVINSKY
                                                 -------------------------------
                                              Name: Mark A. Kovinsky
                                              Title: Senior Vice President

                                              SELLER:

                                              INDIANA RESPIRATORY CARE, INC.

                                              By: /s/ J. BARD BEESLEY
                                                 -------------------------------
                                              Name: J. Bard Beesley
                                              Title: President

                                              SHAREHOLDER:

                                              /s/ J. BARD BEESLEY
                                              ----------------------------------
                                              J. Bard Beesley

                                              [SHAREHOLDER'S SPOUSE]



                                      -25-


<PAGE>



STATE OF INDIANA
COUNTY OF MARION

         The foregoing instrument was acknowledged before me by J. Bard Beesley,
as President and sole shareholder of Indiana  Respiratory  Care, Inc., a Indiana
corporation,  and  who  is  personally  known to  me; or has  produced  n.a.  as
identification.

Nov. 18, 1998                                /s/ Michael G. Ruppert
- -------------------------                    ------------------------------
Date                                         Notary Signature

                                             Michael G. Ruppert
                                             ------------------------------
                                             Notary Name Printed
                                             My Commission Expires: 10/29/01
                                             Resident of Marion County

STATE OF
COUNTY OF

         The foregoing  instrument was acknowledged before me  by______________,
as spouse of Shareholder  of Seller,  an Indiana  corporation,  on behalf of the
corporation,  and  who is  personally  known  to me;  or  has  produced  _______
__________________ as identification.



- -------------------------                    ------------------------------
Date                                         Notary Signature


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



                                      -26-


<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)(iv)          -        Certain Medical Equipment
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 5(a)              -        Closing Date Liabilities
Schedule 5(b)              -        Unassumed Contracts
Schedule 11(c)             -        Seller's Opinion
Schedule 14(c)             -        Litigation
Schedule 14(g)             -        Contracts
Schedule 14(i)             -        Personnel Payrates; Employee Benefits
Schedule 14(k)             -        Insurance
Schedule 14(o)             -        Tax Returns and 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 17(a)             -        Locations

Exhibit 2(b)(i)            -        Escrow Agreement
Exhibit 2(b)(ii)           -        Payment Escrow Agreement
Exhibit 14(w)              -        Healthcare Questionnaire




                                      -27-


<PAGE>





                                SCHEDULE 1(A)(IV)

Equipment to Be Assumed and paid for by Buyer

 QUANTITY    ITEM NUMBER                    DESCRIPTION


10           265-25000-00     Assembly, 31LL Protege
                              (DF)(SB0115, SB0125,
                              SB0142, SB0146, SB0150,
                              SB0158, SB0167, SB0169,
                              SB0177, SB0178)

5            265-25020-00     Assembly, NPB Portable
                              (PB0285, PB0330,
                              PB0385, PB0422,
                              PB0437)

5            265025021-00     Assembly, Care Portable
                              (PB0170, PBO171,
                              PBO178

10           265025015-00     Assembly, Roller Base

10           265025006-00     Assembly FCV 0-6
                              L.P.M.

10           505              Alliance Concentrator with
                              OPI (50543109-
                              50543118)

10           0781-3007        O.C.P.R. Assembly
                              (CGA87)

10           1421-0064        Cantera Style Carrying Case

40           0916-0165        (HAX) CYLAL "M6"
                              OXY PO

10           970S             SMARTMONITOR -
                              Enhanced Memory
                              (B80320, B80328,
                              B80422, B80488, B80735,
                              B80822, B80836, B91001,
                              B81012, B81069)

10           505              Alliance Concentrator with OPI, DOM/INT
                              (50543654, 50543655,
                              50543682-50543689)



<PAGE>




 Equipment  Lease dated as of September 10, 1998 between Respironics and Indiana
 Respiratory  Care,  Inc.  regarding  the  following equipment to be assumed and
 paid for by Buyer:


12     B-778966-00     31LL Side Fill

12     B-778966-00     31LL Side Fill

15     B-775099-00     C100

15     B-776090-00     Rollerbases

3      B0775910-00     C21




 Equipment  Lease,  undated between  Respironics and Indiana  Respiratory  Care,
 regarding the following equipment to be assumed and paid for by Buyer:


10     701296-00     C41 Dual Fills

10     778965-00     31LL

2      701295-00     C31 Dual Fills

22     776090-00     Rollerbases



 Equipment to be assumed and paid for by Buyer, with  reimbursement by Seller in
 the amount of $5,105.64.

 QUANTITY     ITEM NUMBER            DESCRIPTION


12           7300            Tranquility Quest
                             (73080576, 73080582,
                             73080584, 73080616,
                             73080642, 73080720,
                             73080725, 7308060,
                             73080866, 73080888,
                             730889, 73080899)

12           7025-20         Mask, Med-Nar

24           100-0078-10     Air Inlet Filler

12           7800            CPAP Passover Humidifier

4            622093          Virtuoso LX Deluxe
                             N.A.M. (608223, 608250,
                             6-8260, 608300)

<PAGE>

4            302328          Simple Strap

4            532116          Aria/Virtuosso/Solo Carry
                             Case

2            622093          Virtuoso LX Deluxe
                             N.A.M. (608013, 608016)

2            532116          Aria/Virtuoso/Solo Carry
                             Case

2            302328          Simple Strap

5            622093          Virtuoso LX Deluxe
                             N.A.M. (608571, 608578,
                             608618, 608620, 608630)

1            622093          Virtuoso LX Deluxe
                             N.A.M. (608303)

6            532116          Aria/Virtuoso/Solo Carry
                             Case

3            1700            Tranquillity Bi-Level
                             System (17011268,
                             17011271, 17011275)


<PAGE>



                                     EXHIBIT

                                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 solely
with respect to so much of the business operations of Corporation as consists of
the  business  enterprise  previously  conducted  by the  Acquired  Entity  (the
"ACQUIRED  ENTERPRISE") before being acquired by Corporation.  Accordingly,  all
references herein to revenues,  expenses,  costs, profits, losses, and any other
transaction or activity, whether by reference to "Corporation",  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 on behalf of Corporation as
kept on the accrual  method,  including  salary paid to the 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  Corporation's  matters,  to be  allocated  on a
reasonable basis.

                      (4)  INTEREST on all or any net  intercorporate  borrowing
from Integrated Health Services, Inc. ("IHS") at the cost of such funds to IHS.

                      (5) GROUP OR CONSOLIDATED  PURCHASES for items benefitting
the  Acquired  Enterprise  purchased  by IHS,  RoTech or by  Corporation,  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  calculated  on  a
consistent  basis as  previously  and  historically  calculated  by the Acquired
Enterprise.



                                      -28-


<PAGE>


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

                  (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  Corporation 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 Corporation and Employee, IHS and RoTech corporate overhead or costs will not
be allocated to Corporation or considered in Operating Profits.

                      (3)  COSTS  OF  ACQUIRING  THE  ACQUIRED  ENTERPRISE.  The
calculation of Operating  Profits will not include cost 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. Nothing contained herein shall
be deemed to affect,  limit or  restrict  the right of RoTech or IHS to make any
acquisitions.

         3.  Consultation  and  Advice.  So long  as  employed  by  Corporation,
Employee  shall  consult with and advise  Corporation  and RoTech  regarding the
Acquired Enterprise,  including  reviewing,  advising on, and general control of
operations, expansion matters, and including marketing and cost control.



                                      -29-



                                                                     EXHIBIT 2.4


                    AGREEMENT FOR SALE AND PURCHASE OF ASSETS
                            AND RESTRICTIVE COVENANTS

         THIS AGREEMENT is made as of 9/1,  1998, by and among  PINNACLE  HEALTH
CARE, INC. a Florida corporation, having its principal place of business at 3121
West  Hallandale  Beach  Boulevard,  Suite 110,  Hallandale,  Florida 33009 (the
"SELLER" or the "CORPORATION"),  BRAD LEVINE,  RICHARD R. RIZZO, HAROLD WINTERS,
AND DOUG  SHIRLEY,  all the  shareholders  of Seller (the  "SHAREHOLDERS"),  and
ROTECH OXYGEN AND MEDICAL EQUIPMENT, INC., a Florida corporation (the "BUYER").

                              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 Florida (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 15 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 and Restrictive Covenants.

             (a) The  Assets.  As of the  Effective  Date  referred  to below in
paragraph  7, 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) 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)(i); and



                                       -1-


<PAGE>




                 (ii) THIS SPACE INTENTIONALLY LEFT BLANK; and

                 (iii) 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)(iii)(A);  (B) any and all rights Seller has
         in the telephone  numbers  listed on the Schedule of Telephone  Numbers
         and Licenses attached hereto as Schedule 1(a)(iii)(B); (C) all personal
         property, machinery and equipment, except for trucks and other vehicles
         leased by the  Seller and more fully set forth on  Schedule  1(b);  (D)
         THIS  SPACE  INTENTIONALLY  LEFT  BLANK;  (E) rights  under  contracts,
         agreements,  including,  without limitation,  franchise agreements, and
         instruments;  (F)  any  leased  Assets  used  in the  operation  of the
         Business,  but not owned by the Seller  prior to the  Closing but which
         will be paid off and owned by Seller  immediately  prior to  Closing as
         set forth on Schedule  1(a)(iii)(F);  and (G) 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) Excluded Assets.

                 (i)  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 lease for
         the Premises, cash, accounts receivable,  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 the items set forth on Schedule 1(b)  attached  hereto
         (collectively, "EXCLUDED ASSETS").

                 (ii) The Buyer hereby acknowledges that all accounts receivable
         up until the  Closing  Date shall be the  property  of Seller who shall
         have sole responsibility for collecting same. At Closing,  Seller shall
         provide Buyer with a list of accounts  receivable and the amounts owing
         Seller.  However, should any accounts receivable be paid to Buyer after
         the departure of Seller,  Buyer shall, within thirty (30) business days
         of receipt of payment, promptly pay over to the Paying Agent, on behalf
         of the Seller the amount for accounts  receivable incurred prior to the
         Closing  Date along with a copy of the  invoice or other  documentation
         which Buyer  shall have or receive  with  respect to the payment  being
         made.  Any  default or failure by Buyer to promptly  pay over  accounts
         receivable  belonging to Seller,  shall  constitute a default under the
         terms of this  Agreement,  and shall entitle Seller to all the remedies
         set forth herein, including the indemnification provisions set forth in
         paragraph 16. This paragraph shall survive the execution,  delivery and
         closing of this Agreement.

             (c)  Restrictive  Covenants.  Pursuant to paragraph 15 hereof,
the 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 Two Hundred Twenty Three Thousand Dollars
($223,000).  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.  At the Closing (as defined in paragraph 7),
Buyer shall pay, disburse, and deliver the Purchase Price as follows:

                 (i) Twenty-Two Thousand Dollars ($22,000) thereof (the "GENERAL
         ESCROW AMOUNT" or "ESCROW  FUND") (the General  Escrow Amount,  and all
         accrued  interest  thereon  shall be referred to as the "ESCROW  FUND")
         shall be paid and  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) (the "ESCROW
         AGREEMENT").  The entire Escrow Fund shall be subject to the provisions
         of paragraphs 5 and 16 hereof.

                 (ii) One Hundred and Four Thousand Dollars  ($104,000) in cash,
         the  approximate  amount  necessary  to payoff  all the  creditors  and
         liabilities of Seller set forth on Schedule 4(a), shall be delivered by
         wired  funds to Neimark & Nadel,  P.A.  Trust  Account,  at the account
         number  as set  forth on the  Schedule  of Wire  Instructions  attached
         hereto as Schedule 2(b)(iii),  to be held and administered by Neimark &
         Nadel, P.A. (hereinafter  referred to as the "PAYING AGENT"),  pursuant
         to the "PAYMENT ESCROW  AGREEMENT"  attached hereto as Exhibit 2(b)(ii)
         with any remaining balance to be distributed by the Paying Agent to the
         Shareholders; and

                 (iii)  Ninety-Seven  Thousand  Dollars  ($97,000)  in cash (the
         balance of the  Purchase  Price) shall be delivered to Neimark & Nadel,
         P.A.  Trust  Account by wired  funds to Neimark & Nadel,  P.A.  account
         number  as set  forth on the  Schedule  of Wire  Instructions  attached
         hereto as Schedule 2(b)(iii).

         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  Florida.  Seller  and  Shareholders  agree  to
indemnify Buyer and save and hold Buyer harmless against all Damages (as defined
in  paragraph  16(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.

         4.  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 Closing  Date are listed on the Schedule of
Liabilities  attached  hereto as Schedule  4(a) the "LISTED  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,  whether or not asserted as of the date  hereof,  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,  any liabilities
relating to any Excluded  Assets,  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



                                       -3-


<PAGE>



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
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,  matters or  occurrences  existing on or prior to the
Closing Date (whether or not known) ("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  12(b)),  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 Closing Date Liabilities, Buyer shall be
         entitled to be  indemnified  for any  Damages  pursuant to the terms of
         this  Agreement  from the Escrow Fund  ("INDEMNIFICATION  CLAIMS",  and
         together  with  any  Liabilities   Deficiencies   (as  defined  below),
         collectively "CLAIMS" and each, a "CLAIM"); and

                 (ii) In the  event  Buyer is not  indemnified  pursuant  to the
         terms  of  this   Agreement  from  the  Escrow  Fund,  the  Seller  and
         Shareholders  (other than Harold  Winters)  shall jointly and severally
         reimburse Buyer for such payment (a "LIABILITIES DEFICIENCY").

         As a  prerequisite  to either  of the  events  set  forth in  paragraph
5(a)(i) or (ii) occurring,  Buyer shall be required to provide written notice to
Seller and each of the Shareholders  (except Harold Winters) of the Claim within
ten  (10)  business  days  of  receipt  of the  Claim,  along  with  any and all
information which Buyer has with respect to 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 or to claimant, as applicable,  within ten (10) days from
the  receipt  of such  written  notice  from  Buyer  (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 16 hereof applicable  thereto),  and Seller agrees to any such offset.
Buyer shall be required to initially proceed against the Escrow Fund, but in the
event the Escrow Fund is insufficient  to pay the Claim in full,  Buyer shall be
entitled  to pursue  any other  rights or  remedies  that it may have under this
Agreement, in law, equity or otherwise.

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



                                       -4-


<PAGE>



             (d) Escrow Period.

                 (i)  The  "ESCROW   PERIOD"  shall   terminate   three  hundred
sixty-five (365) days following the Closing Date.

                 (ii) The  balance,  if any, of the Escrow Fund,  including  any
interest earned  thereon,  remaining at the close of business on the last day of
the Escrow  Period,  shall be  disbursed  to the  Paying  Agent on behalf of the
Seller  pursuant to the  provisions of paragraph  2(b)(iii)  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 1.5  times the  amount  of the  Claim  asserted  by Buyer  until the final
settlement of such Claim or Claims.

                 (iv) Any  interest  accruing  on any portion of the Escrow Fund
shall be paid to the party receiving such portion of the Escrow Fund.

         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 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.  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,  including,  without  limitation,  the execution and
delivery of this Agreement by each of the parties hereto, is sometimes  referred
to as the  "CLOSING  DATE".  The  closing  date  (the  "CLOSING  DATE")  for the
transaction contemplated under this Agreement will be 9/1, 1998.

         8.  Asset Condition and Quality.  Seller and  Shareholders, jointly and
severally,  represent, warrant and covenant that, as of the Closing Date, to the
best of their  knowledge,  all physical Assets of Seller being sold to the Buyer
are free of defects and are 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. Notwithstanding the
aforementioned,  Buyer hereby  acknowledges  that Buyer is acquiring  all of the
Seller's   physical   Assets  in  "As  Is"  condition   with  no  warranties  of
merchantability of fitness for any particular purpose.

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

             (a) Seller will  deliver to Buyer such bills of sale,  assignments,
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 Closing
Date,  with such  documents  containing  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.



                                       -5-


<PAGE>



             (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 Exhibit 9(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 12(a) below), and the incumbency of its officers.

         10. 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.

         11. Restrictions  on  Operations of Seller.  Seller and  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 12(o) below,  through the Closing Date,  there has been
no material  adverse  change in the  condition  (financial  or otherwise) 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;

              (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;



                                       -6-


<PAGE>




              (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  12(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.

         12. 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 (it being  understood  that for purposes of this  paragraph 12,
Harold  Winters  only  represents  and  warrants  to  Buyer  to the  best of his
knowledge) as follows as of the Closing Date:

             (a) Organization of Seller; Enforceability.

                 (i) Seller is a corporation, organized, and in good standing in
the State of Florida,  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 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
such  Shareholder,  enforceable  against such Shareholder in accordance with its
terms.

             (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 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 Seller or any Shareholder.

             (c) Litigation.  Except as set forth on Schedule 12(c), to the best
of Seller's  knowledge,  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



                                       -7-


<PAGE>



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    ("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 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 12(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;



                                       -8-


<PAGE>



                 (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. No broker or finder has acted for Seller 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 Seller.

                 (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 12(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 12(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 12(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



                                       -9-


<PAGE>



relationship  with,  Seller, and to the knowledge of the Seller and Shareholder,
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 12(k), is accurate
and  complete.  Schedule  12(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 12(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 sole  shareholders  of Seller and the
following individuals are all of the officers and directors of Seller:

                  Name                          Office/Position
                  ----                          ---------------
                  Doug Shirley                  President, Secretary

                 (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)(i), 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, 1996 and December  31,  1997,  and has  furnished  Buyer with its  financial
statements (the "FINANCIAL STATEMENTS") for the periods ended December 31, 1996,
December 31, 1997 and the interim  period ending April 30, 1998 (the  "FINANCIAL
STATEMENT  DATES"),  copies of which are attached hereto as Schedule 12(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



                                      -10-


<PAGE>



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 the  federal  government  and 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,  federal,  state and local
tangible personal property tax returns,  and federal,  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 12(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 12(q).

                 (r)  Relationships.  Except as  disclosed  on  Schedule  12(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 practice.

                 (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.



                                      -11-


<PAGE>



                 (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  12(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.

                 (v) THIS PARAGRAPH INTENTIONALLY LEFT BLANK.

                 (w) Questionnaires. The healthcare law questionnaire heretofore
delivered  to the  Seller  by  Buyer  attached  hereto  as  Exhibit  12(w)  (the
"QUESTIONNAIRE")  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.

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

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

                 (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 signatories and agents designated as
agents/officers  for Buyer for signing purposes have the authority to bind Buyer
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 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.

         14.     Survival of Representations and Warranties. The representations
and warranties of Seller,  Shareholders, and Buyer contained in or made pursuant
to this Agreement shall survive the execution of this Agreement.

         15.     Restrictive Covenants.

                 (a)  Non-Compete.  Seller and  Shareholders  hereby  agree that
until the fifth (5th) anniversary of the Closing Date (the "RESTRICTED PERIOD"),
it or he will not, directly or indirectly, own, manage,



                                      -12-


<PAGE>



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 that provides services or products within
fifty (50) miles of any location set forth on the Schedule of Locations attached
hereto as Schedule 15(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
related to  Seller;  (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, to the extent not generally known to the public;  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  Shareholders,  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 or is 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.  Each of 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.  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, each of the Seller and
each Shareholder agree that upon the violation of any of the restrictions



                                      -13-


<PAGE>



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.   Each  of  the  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.

         16.      Indemnification; Remedies.

                 (a)  Indemnification  by Seller and  Shareholders  (other  than
Harold  Winters).  Seller and  Shareholders  (other than Harold  Winters) 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) arising out of: (i) any inaccurate
representation  made by Seller or  Shareholders  in,  pursuant  to or under this
Agreement or any Transaction  Document;  (ii) any breach of any warranty made by
Seller  or  Shareholders  in,  pursuant  to  or  under  this  Agreement  or  any
Transaction  Document;  (iii) any breach or default in the performance by Seller
or  Shareholders  of  any  of  the  covenants  to  be  performed  by  Seller  or
Shareholders hereunder or in any Transaction Document; and (iv) any Closing Date
Liabilities.  Notwithstanding  the  aforementioned,  in the event Harold Winters
breaches the  provisions of paragraph 15, Harold Winters shall be liable for any
Damages (as  hereinafter  defined)  incurred by the Buyer and its  stockholders,
directors,  officers,  employees,  agents  and  assigns,  as a result  of Harold
Winters'  breach of the  provisions of paragraph 15 and Harold  Winters shall be
subject to the provisions of this paragraph 16.

                 (b)  Indemnification  by Buyer.  Buyer shall indemnify and hold
harmless  at all times  Seller or  Shareholders  from and  against  any  Damages
arising out of: (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;  (iii)  any  breach  or  default  in the
performance by Buyer of any of the covenants to be performed by Buyer  hereunder
based upon or arising out of any event,  transaction,  default,  act or omission
which  occurred or was committed by the Buyer on or after the Closing Date;  and
(iv) the failure of Buyer to comply with the provisions of paragraph 1(b)(ii).

                 (c)  Definition of Damages.  The term  "DAMAGES" as used herein
shall   include  any   judgments,   claims,   actions,   deficiencies,   losses,
delinquencies,  defaults,  assessments,  fees, costs,  taxes,  expenses,  debts,
liabilities,   obligations,  settlements,  penalties,  and  damages,  including,
without  limitation,  reasonable  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  Shareholders  for the  payment of  Damages,  then  Seller or
         Shareholders,  as the case may be,  shall  pay to Buyer  the  amount of
         Damages requested by no later than the last day of the Notice Period as
         provided in paragraph 5(b) above.



                                      -14-


<PAGE>



                     (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 by no
         later than the last day of the Notice  Period as provided in  paragraph
         5(b), above.

                     (iii)  Notice of  Dispute.  Notwithstanding  the  foregoing
         provisions  of this  subparagraphs  (d)(i)  and (ii),  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 applicable  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 16, with the non-prevailing
         party bearing the  prevailing  party's fees and costs of arbitration if
         such Dispute is resolved by arbitration.

                     (iv)  Arbitration.  If arbitration is required  pursuant to
         this paragraph 16, Buyer,  on the one hand, and the affected Seller and
         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.  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  Shareholders  shall be subject to a Dispute  with Buyer,  they
         shall,   unless  Buyer  elects  otherwise  in  its  sole  and  absolute
         discretion or unless the Dispute  concerns the actions of a Shareholder
         under  paragraph  15, 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 16.

                 (e) Settlement of Disputes.

                     (i)  Disputes Not  Involving  Third  Parties.  If a Dispute
         involves  claims not  involving  any third  party,  Buyer and Seller or
         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
         along with any and all  information  such party has with respect to the
         Third Party Claim,  by no later than the last day of the Notice  Period
         as  provided in  paragraph  5(b),  and the  failure to provide  such to
         timely  give  such  notice   shall   affect  such   party's   right  to
         indemnification  to the  extent  the  party to  receive  the  notice is
         damaged  by such  delay.  Upon such  notice to Seller or  Shareholders,
         Buyer and  Seller  and/or  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 third party or
                  parties,  and the decision of such arbitrators with respect to
                  such liability shall be final and binding



                                      -15-


<PAGE>



                  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 thereafter required to pay the third party
                       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  reasonable  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 or a full  release of  liability  from the
                  Third Party  Claim is provided to all the parties  affected by
                  the Third Party  Claim.  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.

                          (E)  Nothing  contained  in this  paragraph  16(e)(ii)
                  shall prevent any party from  assuming  control of the defense
                  and/or  settling  any Third Party  Claim  against it for which
                  indemnification is not sought under this Agreement.



                                      -16-


<PAGE>



         17. Use of Corporate and  Fictitious  Names.  Seller and  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.

         18. 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 not 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 Seller.

         19. 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)(ii),  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
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 Listed  Liabilities,  including  without
         limitation the costs for the Yellow Page  advertisements,  and that the
         Paying Agent obtains and delivers to Buyer the "Final Release" referred
         to in the Payment Escrow  Agreement,  or canceled checks referred to in
         the Payment Escrow Agreement.

                 (iii) The existence of the Payment  Escrow shall not affect the
         obligations of the Seller and the  Shareholders  to hold Buyer harmless
         against any Closing Date Liabilities as provided in paragraph (16)(a).

             (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 (to the attention of Gayle Lamson) "FINAL FINANCIAL INFORMATION", which
shall include:

                 (i) a balance sheet of Seller as of the Effective Date 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  Effective  Date which  agrees  with the balance
         sheet submitted at Closing;

                 (iii)  an  inventory  of  fixed  assets  of  Seller  as of  the
         Effective  Date  which  agrees  with the  balance  sheet  submitted  at
         Closing; and



                                      -17-


<PAGE>



                 (iv)  a  listing  of  resale  inventory  of  Seller  as of  the
         Effective  Date  which  agrees  with the  balance  sheet  submitted  at
         Closing.

                 (v) a cash  settlement  summary of Seller in a form provided by
         Buyer.

             (c) Liabilities Deficiency. If all such Final Financial Information
or if  any  document,  instrument  or  agreement  required  to be  delivered  in
accordance with paragraph 9(a), is not delivered to Buyer within forty-five (45)
days following  Closing,  Seller and Shareholder  shall be liable to Buyer in an
amount equal to $500.00 for each day after such forty-five (45) day period until
all such  Final  Financial  Information  and  such  documents,  instruments  and
agreements  are  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:               Pinnacle Health Care, Inc.
                                           3121 West Hallandale Beach Boulevard
                                           Suite 110
                                           Hallandale, FL 33009

                  to Representative:       Howard B. Nadel, Esq.
                                           Neimark & Nadel, P.A.
                                           800 Corporate Drive
                                           Suite 420
                                           Ft. Lauderdale, FL 33334

                  with a copy to:          Howard B. Nadel, Esq.
                                           Neimark & Nadel, P.A.
                                           800 Corporate Drive
                                           Suite 420
                                           Ft. Lauderdale, FL 33334

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



                                      -18-


<PAGE>



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

                                                    and

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

         23.  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.

         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,  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 the 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



                                      -19-


<PAGE>



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.

         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,  unless such joint and several  liability
has been expressly excluded under the terms of this Agreement.  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.

         33.  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.

         34.  Representative.  Notwithstanding  anything contained herein to the
contrary,  each of Seller and each Shareholder hereby designates Howard B. Nadel
of the law firm of Neimark & Nadel, P.A. and each of Seller and each Shareholder
hereby  accepts the  designation of Howard B. Nadel of the law firm of Neimark &
Nadel,  P.A.  as  the   representative  of  the  Seller  and  Shareholders  (the
"REPRESENTATIVE")  to act for and on behalf of the  Seller and  Shareholders  as
provided in this Agreement.  Each of Seller and each Shareholder  shall be bound
by all actions taken or omitted by the Representative on behalf of any Seller or
Shareholder  as  provided  in this  Agreement,  and  each  of  Seller  and  each
Shareholder shall be deemed to have received notice deemed given or payment made
to the Representative in accordance with the notice provisions of this Agreement
on the date deemed given or the date paid to the Representative, and Buyer shall
be  entitled  to rely on all notices  and  consent  given,  and all  settlements
entered  into on behalf of Seller or any  Shareholder  to the extent  authorized
pursuant to the terms of this Agreement  notwithstanding  any objections made by
any Seller or  Shareholder  prior to,  concurrently  with or  subsequent  to the
giving of any such notice or consent or the  settlement of any such matter.  The
Representative  may  be  replaced  only  if  and  when  Seller  and  all  of the
Shareholders  shall notify  Buyer that a new  individual  person  (named in such
notice)   has  been   unanimously   selected  by  them  to  be  to  be  the  new
Representative,   in  which  case  such  new  person  shall  thereafter  be  the
Representative.

                       [SIGNATURES ON THE FOLLOWING PAGES]



                                      -20-


<PAGE>



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

                                            BUYER:

                                            ROTECH OXYGEN AND 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 and Medical  Equipment,  Inc., a Florida
corporation, and who is personally known to me; or has produced ________________
as identification.

9/3/98                                      /s/ Elizabeth S. Brown
- ---------------------                       --------------------------
Date                                        Notary Signature

NOTARY PUBLIC
STATE OF FLORIDA                            -------------------------
[SEAL]                                      Notary Name Printed
ELIZABETH S. BROWN                          My Commission Expires:
MY COMMISSION #CC 733172
EXPIRES: JUNE 25, 2002                      SELLER:
Bonded Thru Notary Public Underwriters
                                            PINNACLE HEALTH CARE, INC.

                                            By: /s/ Doug Shirley
                                               -----------------------
                                            Name: Doug Shirley
                                            Title: President



                                      -21-


<PAGE>



STATE OF FLORIDA
COUNTY OF BROWARD

         The foregoing  instrument was acknowledged  before me by, Doug Shirley,
as President of Pinnacle Health Care,  Inc., a Florida  corporation,  and who is
personally known to me; or has produced LICENSE as identification.

8/31/98                                   /s/ Howard B. Nadel
- ---------------------                     -----------------------
Date                                      Notary Signature


[SEAL]                                    -----------------------
HOWARD B. NADEL                           Notary Name Printed
Notary Public, State of Florida           My Commission Expires:
My Comm. Expires April 22, 2000
No. CC 522201
Bonded Thru Official Notary Service
1-(800) 723-0121


                                      -22-


<PAGE>



                                           SHAREHOLDERS:

                                           /s/ Brad Levine
                                           -------------------------
                                           Brad Levine

STATE OF FLORIDA
COUNTY OF BROWARD

         The foregoing  instrument was acknowledged before me by Brad Levine, as
a shareholder of Pinnacle Health Care, Inc., a Florida  corporation,  and who is
personally known to me; or has produced LICENSE as identification.

8/31/98                                    /s/ Howard B. Nadel
- ---------------------                      -------------------------
Date                                       Notary Signature


[SEAL]                                     -------------------------
HOWARD B. NADEL                            Notary Name Printed
Notary Public, State of Florida            My Commission Expires:
My Comm. Expires April 22, 2000
No. CC 522201                              /s/ Richard R. Rizzo
Bonded Thru Official Notary Service        -------------------------
1-(800) 723-0121                           Richard R. Rizzo

STATE OF FLORIDA
COUNTY OF BROWARD

         The  foregoing  instrument  was  acknowledged  before me by  Richard R.
Rizzo,  as a shareholder of Pinnacle Health Care,  Inc., a Florida  corporation,
and who is personally known to me; or has produced LICENSE as identification.

8/31/98                                    /s/ Howard B. Nadel
- -------------------                        -------------------------
Date                                       Notary Signature

[SEAL]
HOWARD B. NADEL                            -------------------------
Notary Public, State of Florida            Notary Name Printed
My Comm. Expires April 22, 2000            My Commission Expires:
No. CC 522201
Bonded Thru Official Notary Service
1-(800) 723-0121
                                      -23-


<PAGE>




                                                       /s/ Harold Winters
                                                       -------------------------
                                                       Harold Winters

STATE OF FLORIDA
COUNTY OF BROWARD

         The foregoing  instrument was acknowledged before me by Harold Winters,
as a shareholder of Pinnacle Health Care, Inc., a Florida  corporation,  and who
is personally known to me; or has produced LICENSE as identification.

8/31/98                                    /s/ Howard B. Nadel
- ---------------------                      -------------------------
Date                                       Notary Signature

[SEAL]
HOWARD B. NADEL                            -------------------------
Notary Public, State of Florida            Notary Name Printed
My Comm. Expires April 22, 2000            My Commission Expires:
No. CC 522201
Bonded Thru Official Notary Service        /s/ Doug Shirley
1-(800) 723-0121                           -------------------------
                                           Doug Shirley

STATE OF FLORIDA
COUNTY OF BROWARD

         The foregoing  instrument was acknowledged before me by Doug Shirley as
a shareholder of Pinnacle Health Care, Inc., a Florida  corporation,  and who is
personally known to me; or has produced LICENSE as identification.

8/31/98                                    /s/ Howard B. Nadel
- ---------------------                      -------------------------
Date                                       Notary Signature

[SEAL]
HOWARD B. NADEL                            -------------------------
Notary Public, State of Florida            Notary Name Printed
My Comm. Expires April 22, 2000            My Commission Expires:
No. CC 522201
Bonded Thru Official Notary Service
1-(800) 723-0121


                                      -24-


<PAGE>


                                      SCHEDULES AND EXHIBITS

Schedule 1(a)(i)           -        Inventory; Fixed Assets
Schedule 1(a)(iii)(B)      -        Patients' List
Schedule 1(a)(iii)(C)      -        Telephone Numbers
Schedule 1(a)(iii)(F)      -        Paid Off Assets
Schedule 1(b)              -        Excluded Assets
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 12(c)             -        Litigation
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 15(a)             -        Locations

Exhibit 2(b)(i)            -        Escrow Agreement
Exhibit 2(b)(ii)           -        Payment Escrow Agreement
Exhibit 9(c)               -        Seller's Opinion
Exhibit 12(w)              -        Healthcare Questionnaire



                                      -25-





                                                                     EXHIBIT 2.5

                              MANAGEMENT AGREEMENT

     THIS  MANAGEMENT  AGREEMENT  (the  "Agreement")  is made and  entered  into
effective as of September 1, 1998, by and between PINNACLE HEALTH  FACILITIES OF
LOUISIANA, L.L.C., a Texas limited liability company with offices at 2901 Dallas
Parkway.  Plano  Texas  75093  ("Tenant")  and  INTEGRATED  HEALTH  SERVICES  AT
FRANKLIN,  INC., a Delaware corporation with offices at 10065 Red Run Boulevard,
Owings Mills, MD 21117 ("Manager").

     WHEREAS,  Louisiana Two  Associates,  LLC, a California  limited  liability
company  ("Owner") is the owner of (i) a skilled nursing facility named Franklin
Nursing Home located at 1904 China Berry St., Franklin,  LA 70538, together with
the equipment,  furnishings,  and other tangible personal property to be used in
connection therewith ("Franklin"), and (ii) a skilled nursing facility named St.
Mary's Guest House  located at 740 Justa St.,  Morgan City,  LA 70380,  together
with the equipment, furnishings, and other tangible personal property to be used
in connection therewith ("Morgan",  and together with Franklin, the "Facilities"
and each, individually, a "Facility"); and

     WHEREAS,  pursuant  to that  certain  lease  agreement  dated  June 1, 1998
between Owner and Tenant (the "Lease"),  Tenant has leased the  Facilities  from
Owner,  together with the equipment,  furnishings,  and other tangible  personal
property to be used in connection therewith, for a term of 20 years; and

     WHEREAS,  the Manager is engaged in the  ownership and operation of similar
facilities and is experienced in various phases of the management, operation and
ownership thereof; and

     WHEREAS,  the Tenant desires to engage the Manager to manage the Facilities
for Tenant's account during the term herein provided, and the Manager desires to
accept such engagement,  upon the terms and subject to the conditions  contained
herein.

     NOW,  THEREFORE,  in  consideration  of the premises and  covenants  herein
contained,  and  intending  to be legally  bound  hereby,  the parties  agree as
follows:

                                    ARTICLE I

                            RETENTION OF THE MANAGER

     1.1 RETENTION. For and during the term of this Agreement, the Tenant hereby
grants to the Manager the sole and exclusive  right,  and employs the Manager to
supervise, manage, and operate the Facilities in the name and for the account of
the Tenant upon the terms and conditions hereinafter set forth.


<PAGE>





     1.2  ACCEPTANCE.  The Manager  accepts such  appointment and agrees that it
will (a) faithfully perform its duties and responsibilities  hereunder,  (b) use
its best efforts to supervise  and direct the  management  and  operation of the
Facilities  in  accordance  with the operating  budget  contemplated  in Section
3.11(a)(iii),  (c)  consult  with the Tenant and keep the Tenant  advised of all
major policy matters  relating to the Facilities,  and (d) cooperate with Tenant
in Tenant's  administration of the terms of the Lease.  Subject to the foregoing
and to the other provisions of this Agreement, the Manager, without the approval
of the Tenant  (unless  such  approval  is herein  specifically  required  as to
policies and manner of operation)  shall have sole control and  discretion  with
regard to the  operation  and  management  of the  Facilities  for all customary
purposes  (including  the exercise of its rights and  performance  of its duties
provided  for in Article III hereof),  and the right to  determine  all policies
affecting the  appearance,  maintenance,  standards of operation,  or quality of
service, and any other matter affecting the Facilities or the operation thereof.

     1.3 INDEPENDENT  CONTRACTOR.  It is expressly  agreed by Tenant and Manager
that Manager is at all times acting and  performing  under this  Agreement as an
independent contractor, and that no act, commission or omission by either Tenant
or Manager  shall be  construed  to make or  constitute  the other its  partner,
principal,  agent,  joint venturer or associate,  except to the extent specified
herein.

     1.4  OWNERSHIP  OF LICENSES  AND  CONTRACTS.  Tenant shall be the owner and
holder of all  licenses,  permits and  contracts  obtained  with  respect to the
Facilities,  and shall be the "provider"  within the meaning of all  third-party
contracts for the Facilities. Specifically, and without limitation, Tenant shall
own the Medicare and Medicaid provider numbers, the Medicare provider agreements
with Health Care  Financing  Administration  (HCFA),  and  Medicare and Medicaid
certifications with respect to the Facilities.

                                   ARTICLE II

                                      TERM

     2.1 TERM.  The initial term of this Agreement  ("Term")  shall  immediately
commence  upon the date  hereof  (the  "Commencement  Date")  and shall be for a
period of thirty (30) months from the date hereof;  provided that this Agreement
shall immediately terminate upon any termination or expiration of the Lease.

     2.2  OPTION  TO  TRANSFER  MANAGEMENT.   Manager  shall  have  the  option,
exercisable in its discretion by the giving of thirty (30) days advance  written
notice (the  "Option  Notice") to Tenant at any time prior to February  28, 2001
(the "Option Date"), to cause the Facilities to be managed under and pursuant to
that certain Management Agreement (the "Preferred Care Agreement"),  dated March
29, 1995, by and among Thomas Scott,  Preferred Care, Inc.  ("Preferred  Care"),
and Integrated  Health  Services at Big Sail,  Inc. ("IHS at Big Sail").  In the
event that such election is made,  the transfer of management of the  Facilities
to IHS at Big Sail shall be  consummated  not later than  thirty (30) days after
the Option Notice is made to Tenant,  and at the closing of such transaction the
parties hereto shall execute and deliver such agreements,  instruments and other
documents,  and do or cause


                                       2

<PAGE>



to be done such other things,  as shall be necessary or desirable to include the
Facilities  among the  nursing  facilities  managed by IHS at Big Sail under the
Preferred Care Agreement,  including,  without  limitation,  joining Tenant as a
party  thereunder,  and upon such  transfer,  this  Agreement  shall  terminate,
subject to Section 8.3 hereof.  In the event that Manager  exercises  the option
referred to in this Section 2.2,  the  Facilities  shall also be subject to that
certain Purchase Option Agreement dated March 29, 1995 (the "Option  Agreement")
by and among  Preferred Care,  certain  affiliates of Preferred Care, and IHS at
Big Sail,  and  shall be added as  "Additional  Properties"  under  said  Option
Agreement,  to the extent therein set forth.  In the event that Manager fails to
exercise the option  referred to in this  Section 2.2 by the Option  Date,  this
Agreement shall forthwith terminate, subject to Section 8.3 hereof.

                                   ARTICLE III

                        RIGHTS AND DUTIES OF THE MANAGER

     During the term of this Agreement,  and in the course of its management and
operation of the Facilities:

     3.1 EMPLOYEES. Manager, on Tenant's behalf, shall hire, promote, discharge,
and  supervise  the work of the  administrators,  assistant  administrators  and
department  heads of the  Facilities,  and all operating  and service  employees
performing services in and about the Facilities.  All of such employees shall be
employees of the Tenant, except for the Facility Administrators and Directors of
Nurses, who shall be employees of the Manager,  and the aggregate  compensation,
including  fringe  benefits,  with respect to all such employees,  including the
Administrators and Directors of Nurses, shall be charged to Tenant as an expense
of the operation of the  Facilities.  The term "fringe  benefits" as used herein
shall  include  but not be  limited  to the  employer's  contribution  of  FICA,
unemployment   compensation,   and  other  employment  taxes,   retirement  plan
contributions,   workman's  compensation,   group  life,  accident,  and  health
insurance premium, profit sharing contributions,  disability,  and other similar
benefits paid or payable by Manager with respect to other  facilities  which may
be managed by Manager. The cost of same shall be charged to Tenant as additional
expenses of the operation of the Facilities.

     3.2 LABOR CONTRACTS.  Manager, if requested by Tenant,  will negotiate,  on
Tenant's behalf and at Tenant's expense,  with any labor union lawfully entitled
to represent  the employees at the  Facilities,  but any  collective  bargaining
agreement or labor contract resulting therefrom must first be approved by Tenant
who shall be the only person  authorized to execute the same. Tenant agrees that
all fees and costs of outside  professionals  in conducting and concluding  such
negotiations  shall be charged to Tenant as an expense of the  operation  of the
Facilities,  provided  that  if any  such  fees  and  expenses  are  charged  in
connection with services provided by an affiliate of Manager, such services must
be rendered at levels of quality and  pricing  that are  reasonably  competitive
with those otherwise available in the community.



                                       3
<PAGE>



     3.3  CONCESSIONAIRES,  ETC.  Manager shall  negotiate and consummate in the
name  and  at  the  expense  of  the  Tenant,  contracts  or  arrangements  with
concessionaires,   licensees,  subtenants,  and  other  intended  users  of  the
Facilities.  Any fees and expenses  incurred in  connection  therewith  shall be
charged to the Tenant as an expense of the operation of the Facilities, provided
that if any such fees and  expenses  are  charged in  connection  with  services
provided by an affiliate of Manager, such services must be rendered at levels of
quality  and  pricing  that are  reasonably  competitive  with  those  otherwise
available in the community

     3.4  ANCILLARY  SERVICES,  UTILITIES,  ETC.  Manager  shall enter into such
contracts in the name of and at the expense of Tenant as may be deemed necessary
or  advisable  for  the  furnishing  of  all  ancillary   services,   utilities,
concessions,  supplies and other services as may be needed from time to time for
the  maintenance  and  operation of the  Facilities.  Manager is  authorized  to
contract  for or provide  ancillary  services,  including,  but not  limited to,
pharmacy (drug and I.V.),  rehabilitation and respiratory therapy services,  and
mobile diagnostic  services,  through providers which are affiliates of Manager,
provided  that such  services are rendered at levels of quality and pricing that
are competitive with those available in the community.

     3.5 PURCHASES.  Manager shall be solely  responsible  for purchase of food,
beverages,  operating supplies,  and other materials and supplies in the name of
and for the  account  and at the expense of Tenant as may be needed from time to
time for the maintenance  and operation of the Facilities,  provided that if any
such purchases are made from any affiliate of Manager, such purchases must be at
levels of  quality  and  pricing  that are  reasonably  competitive  with  those
otherwise available in the community.

     3.6  REPAIRS.  Manager  shall make or install or cause to be  installed  at
Tenant's expense and in the name of the Tenant any proper repairs, replacements,
additions,  and  improvements  in and to the Facilities and the  furnishings and
equipment thereof as Manager, in its reasonable  judgment,  shall deem necessary
in  order to keep  and  maintain  the same in good  repair,  working  order  and
condition,  and  outfitted  and  equipped  for the proper  operation  thereof in
accordance  with  industry  standards  comparable  to those  prevailing in other
similar  facilities,  and all applicable state or local rules,  regulations,  or
ordinances,  or as otherwise required by Owner under the Lease. Without limiting
the  generality  of the  foregoing,  Tenant  acknowledges  that Manager shall be
making capital expenditures, at Tenant's expense, for the Facilities of not less
than  $175,000  in the  aggregate  during  the  first  twenty-four  (24)  months
following the Commencement Date (it being understood that Manager shall have the
right,  exercisable in its sole and absolute  discretion,  to cause such capital
expenditures to be made, in whole or in part, at any time, or from time to time,
during such 24-month period,  including causing all such capital expenditures to
be made immediately upon the commencement of the Term of this Agreement).

     3.7 LICENSES AND PERMITS.  Manager  shall apply for and use its  reasonable
best  efforts  to obtain  and  maintain  in the name and at the  expense  of the
Tenant,  all licenses and permits required in connection with the management and
operation of the  Facilities.  The Tenant  agrees to  cooperate  with Manager in
applying for, obtaining, and maintaining such licenses and permits.


                                       4

<PAGE>



     3.8 GOVERNMENTAL REGULATION.

          (A) The Manager  shall use its  reasonable  best  efforts to take such
action as shall be  reasonably  necessary  to insure that each  Facility and the
management  thereof by the Manager  complies  with all federal,  state and local
laws,  regulations and ordinances  applicable to such Facility or the management
thereof by the Manager.

          (B) The  Manager  shall  promptly  provide  to the  Tenant as and when
received  by  the  Manager,   all  notices,   reports  or  correspondence   from
governmental  agencies that assert material  deficiencies or charges against the
Facilities or that otherwise threaten the suspension,  revocation,  or any other
action  adverse  to any  approval,  authorization,  certificate,  determination,
license or permit  required or necessary to own or operate the  Facilities.  The
Manager shall promptly provide to the Tenant as and when received by the Manager
copies of all  surveys  taken by Federal  and state  health and life safety code
agencies.  The Manager may, in its name or in the name of the Tenant, but in any
event at the expense of the Tenant,  appeal any action taken by any governmental
agency  against  the  Facilities  or contest  by proper  legal  proceedings  the
validity of any statute,  ordinance,  law,  regulation  or order  adverse to the
Facilities;  provided,  however,  that if the Manager pursues any such appeal or
asserts  any such legal  proceeding,  the  Tenant  shall  adequately  secure and
protect the Manager  from loss,  cost,  damage or expense by bond or other means
satisfactory  to Manager.  If any action taken by any government  agency against
any  Facility  could  result in a loss,  cost,  damage,  or  expense as to which
Manager must indemnify  Tenant under this  Agreement,  as determined by Manager,
then Manager  shall be  permitted  to appeal or contest such action  without the
necessity of Tenant's consent, and the Tenant shall have no obligation to secure
and protect  the  Manager  from any loss,  cost,  damage or expense  that arises
directly out of any such appeal or contest.

     3.9 TAXES. The Manager shall cause all taxes,  assessments,  and charges of
every kind imposed upon the Facilities by any governmental  authority ("Facility
Taxes"),  including  interest  and  penalties  thereon,  to be  paid  when  due.
Notwithstanding  the foregoing the Manager shall not cause  Facility Taxes to be
paid,  if (i) same are in good faith being  contested  by the Tenant at its sole
expense and without cost to the Manager, (ii) enforcement thereof is stayed, and
(iii) Tenant shall have given  Manager  written  notice of such contest and stay
and authorized the non-payment thereof, not less than ten (10) days prior to the
date on which such tax  assessment,  or charge is due and  payable.  Interest or
penalty payments shall be reimbursed by Manager to Tenant if imposed upon Tenant
by reason of  negligence  on the part of the  Manager in making  the  payment if
funds are available therefor.

     3.10 DEPOSIT AND DISBURSEMENT OF FUNDS.  Manager shall deposit in a banking
institution which is a member of the FDIC in accounts in Manager's name as agent
for Tenant, all monies arising from the operation of the Facilities or otherwise
received by Manager for and on behalf of Tenant  ("Facility  Funds"),  and shall
disburse and pay the same from said accounts on behalf and in the name of Tenant
in the  following  order of priority  and, in each case,  in such amounts and at
such times as such Facility Funds are required to be paid in connection with:


                                       5

<PAGE>



          (A) Payment of Facility Debt Service (as defined  below),  any and all
     payments  required  under the  Lease,  and all  costs,  fees and  expenses,
     whether operating or capital, arising out of the leasing,  maintenance, and
     operation  of  the   Facilities,   including,   without   limitation,   the
     reimbursable  expenses,  plus all accrued and unpaid interest on any unpaid
     balances thereon, of Manager as set forth in Section 3.16 hereof hereto;

          (B) Payment of Manager's  Base  Management Fee provided for in Article
     V, below  (including any accrued and unpaid Base Management  Fees, plus all
     accrued and unpaid interest thereon, for prior periods);

          (C) Payment of  Manager's  Incentive  Management  Fee  provided for in
     Article V, below  (including  any accrued and unpaid  Incentive  Management
     Fees, plus all accrued and unpaid interest thereon, for prior periods);

          (D) The  balance of such  funds,  after  provision  for such  adequate
     working  capital  reserves  on a monthly  basis as shall be  determined  by
     Manager in its reasonable  business  judgment,  shall be  distributable  to
     Tenant.

     As used herein,  "Facility  Debt Service" means  scheduled  payments of the
principal and interest with respect to:

          (X) debt service payments pursuant to Schedule C hereof; and

          (Y)  any   additional   indebtedness   incurred   by  Tenant  for  the
     improvement, maintenance, or operation of the Facilities as mutually agreed
     upon by Tenant and Manager.

     "Facility  Debt Service" does not include any amounts  payable by reason of
voluntary prepayments or the acceleration of such indebtedness for any reason.

     3.11 STATEMENTS.

          (A)  Manager  shall  deliver  or  cause  to  be  delivered  to  Tenant
     statements and budgets as follows:

               (I) Within  thirty (30) days  following  the end of each calendar
     month,  a profit and loss  statement  and  balance  sheet  statement  (both
     prepared  on  an  accrual  basis  in  accordance  with  Generally  Accepted
     Accounting  Principles  ("GAAP") ) showing the results of  operation of the
     Facilities for such calendar month and the year-to-date, and having annexed
     thereto a computation of the management fee (as determined  under Article V
     hereof) for such preceding month and the year-to-date; and

               (II) On or before one hundred  eighty  (180) days after the close
     of each fiscal year during the term of this  Agreement,  Manager  will also
     deliver or cause to be delivered to the Tenant a balance  sheet and related
     statement of profit and loss prepared in



                                       6
<PAGE>



     accordance  with GAAP showing the assets  employed in the  operation of the
     Facilities and the liabilities  incurred in connection  therewith as of the
     end of the fiscal  year,  and the results of the  operation of the Facility
     during the  preceding  twelve (12) months  then ended,  and having  annexed
     thereto (A) a copy of the  Medicare and  Medicaid  cost report  prepared by
     Manager with respect to each Facility for such twelve month period, and (B)
     a computation of the  management fee for such twelve (12) month period.  In
     its discretion,  Tenant may elect to have such annual statements  certified
     by an independent public accounting firm of Tenant's choice.  Should Tenant
     so elect,  it will  notify  Manager not later than 31 days after the end of
     the calendar year with respect to which such election is made.

               (III) An operating  budget and a capital  budget that provide for
     maintaining  and  continuing  standards of operation of the  Facilities  as
     nursing homes at levels consistent with similar nursing  facilities managed
     by Manager  shall be prepared by Manager and  approved by the Tenant  (such
     approval not to be  unreasonably  withheld or unduly  delayed) prior to the
     beginning of each year of this  Agreement;  provided  that at the Manager's
     election a calendar  year  budget may be used rather than a budget for each
     annual period commencing with the date of this Agreement. It is agreed that
     an initial  operating  budget  and  capital  budget,  as  required  by this
     Agreement,  will be prepared by the Manager and  approved by Tenant  within
     fifteen (15) business days from the date hereof.  Should  capital  repairs,
     replacement,  additions and/or improvements exceed the pre-approved capital
     budget by $25,000 per any specific item or by $100,000 in the aggregate for
     all items,  any  expenditures  beyond  that level  will  require  the prior
     written  approval of the  Tenant.  Manager  shall not exceed any  operating
     expense  line  item  of any  annual  operating  budget  by  $25,000  or all
     operating  expense items of any annual  operating budget by $100,000 in the
     aggregate, in either case without the prior written approval of the Tenant.

          (B) All costs and expenses incurred in connection with the preparation
of any statements,  schedules,  computations,  and other reports  required under
this  Section  3.11(a)(ii)  shall be  charged to the Tenant as an expense of the
operation of the Facilities.

     3.12 LEGAL ACTIONS.  Manager may institute,  in its own name or in the name
of the Tenant,  but in any event at the expense of the Tenant, any and all legal
actions or proceedings relating to the operations of the Facilities,  including,
without limitation,  to collect charges,  rent, or other sums due the Facilities
or to lawfully oust or dispossess  tenants or other persons in possession under,
or lawfully  cancel,  modify,  or terminate  any lease,  license,  or concession
agreement for the breach thereof or default thereunder by the tenant,  licensee,
or concessionaire thereunder.

     Unless otherwise directed by Tenant, Manager may take, at Tenant's expense,
appropriate   steps  to  protect  and/or  litigate  to  final  judgment  in  any
appropriate  court any violation or order affecting the Facilities.  Any counsel
to be engaged under this or the immediately  preceding paragraph of this Section
shall be approved by Tenant, which approval shall not be unreasonably  withheld.
Manager  shall  promptly  notify Tenant of all legal actions filed in respect of
any of the Facilities.


                                       7

<PAGE>



     3.13 DATA  PROCESSING.  Manager  shall,  directly or through an  affiliate,
provide the data  processing  required to maintain the financial,  payroll,  and
accounting records of the Facilities.

     3.14 BOOKS AND RECORDS. Manager on behalf of the Tenant shall supervise and
direct the keeping of full and accurate  books of account and such other records
reflecting the results of operation of the Facilities as required by law.

     3.15 REIMBURSABLE  EXPENSES;  INTEREST.  Manager may from time to time (but
shall not be obligated to) advance or incur expenses in respect of the operation
or maintenance  of the  Facilities,  including,  without  limitation,  the items
listed on Exhibit A. Such  expenses,  with the  exception of Manager  consultant
travel expenses (which shall remain an obligation and expense of Manager), shall
be immediately  reimbursable  to Manager out of Facility  Funds, in the priority
set  forth in  Section  3.10(a).  To any  extent  that  Facility  Funds  are not
available  for such  purpose,  such  advances by Manager  shall be  repayable by
Tenant to  Manager,  with  interest,  within  twenty  four (24)  hours of demand
therefor.  Any such expenses  advanced by Manager which are not repaid by Tenant
within said  twenty-four (24) hour period shall bear interest from the date that
demand  therefor  is made  until  paid in full at a rate per annum  equal to the
prime rate of Citibank, NA, as then in effect, plus four (4%) percent. Except as
may  otherwise  be  provided  herein or on  Exhibit  A, the cost to  Manager  of
performing  its duties  enumerated  in Article III of this  Agreement  shall not
constitute reimbursable expenses.

     3.16 MANAGEMENT SERVICES.  Manager shall endeavor to provide the Facilities
with  substantially  the same level of management  services and  techniques,  if
applicable,  which Manager employees in operating other nursing facilities which
it manages and which may be applicable to and beneficial to the Facilities.

                                   ARTICLE IV

                         RIGHTS AND DUTIES OF THE TENANT

     During the term of this Agreement:

     4.1 RIGHT OF INSPECTION. Tenant shall have the right to enter upon any part
of the  Facilities,  upon  reasonable  advance  notice to the  Manager,  for the
purpose of examining or  inspecting  same or examining or making copies of books
and  records  of the  Facilities,  but the  same  shall be done  with as  little
disruption to the business of the Facilities as possible. However, the books and
records of the  Facilities  shall not be removed from the  Facility  without the
express written consent of the Manager.  Tenant acknowledges that some books and
records will be maintained at Manager's principal place of business, and Manager
acknowledges that Tenant shall have the right upon reasonable  advance notice to
Manager to examine and inspect such books and records during reasonable business
hours.


                                        8
<PAGE>



     Tenant  shall  direct  all  inquiries  regarding  operations,   procedures,
policies, employee relations, patient care, and all other matters concerning the
Facilities to Integrated  Health  Services'  Skilled Nursing  Facility  Regional
Manager for the Southwest Region or other officer of Manager as Manager may from
time to time designate in a written notice to Tenant.

     4.2 COOPERATION  WITH MANAGER.  Tenant will fully cooperate with Manager in
operating and supervising the operations of the Facilities.

     4.3 OPERATING CAPITAL.

          (A) Tenant shall provide  Manager with such amount of working  capital
as may be required  from time to time for the  operation of the  Facilities on a
sound financial basis,  including,  without limitation,  amounts required to pay
Facility  Taxes and amounts  necessary to pay the items set forth at subsections
(a), (b) and (c) of Section  3.10. If  additional  working  capital is required,
Manager shall notify Tenant thereof in writing and Tenant shall provide  Manager
with such increase in working  capital within fifteen (15) days  thereafter.  If
Tenant fails to provide such additional working capital, Manager may, but is not
obligated to,  provide the same as a loan to Tenant in  accordance  with Section
3.15.

          (B) In  order  to  induce  Manager  to enter  into  and  perform  this
Agreement,  Mr. Thomas Scott  ("Scott") the  principal  owner of Tenant,  hereby
personally,  unconditionally  and  irrevocably  guarantees  the  payment  of all
amounts  required to be paid or advanced  to Manager by Tenant  hereunder.  This
guaranty shall become immediately due and payable upon written notice by Manager
to Scott  following  the  default  by  Tenant  to  comply  with its  obligations
hereunder  regarding  the  payment or  provision  of money to  Manager.  Scott's
guaranty is in no way conditional or contingent,  except as expressly  stated in
the  immediately   preceding  sentence,   and  constitutes  a  valid,   present,
continuing,  irrevocable  and absolute  obligation of Scott as guarantor.  Scott
agrees to pay all costs and expenses,  including reasonable  attorneys' fees, in
connection  with  the  collection  of  amounts  guaranteed   hereunder  and  the
enforcement of his guaranty.

     4.4 CAPITAL IMPROVEMENTS.  Tenant shall provide Manager with such amount of
funds  as may be  required  from  time to time to  make  all  necessary  capital
improvements  to the Facilities  pursuant to the capital budget  provided for in
Section  3.11(a)(iii)  above,  in order to maintain  and  continue  standards of
operation  of the  Facilities  as nursing  homes and  otherwise  to comply  with
requirements, if any, regarding capital improvements set forth in the Lease.

     4.5  INSURANCE.  Manager  shall apply for,  obtain and maintain on Tenant's
behalf and at Tenant's  expense at all times  during the term of this  Agreement
the  following  insurance  with  respect to each  Facility,  in such amounts and
coverage as may be mutually agreed upon by the Tenant and Manager,  or as may be
required  by the  Lease,  but in any  event no less than the  amounts  specified
below:

          (A) (I)  Commercial  General  Liability  insurance  in the  amount  of
     $1,000,000 per occurrence and $3,000,000 in the aggregate for bodily injury
     and property damage;


                                       9

<PAGE>



               (II) Products and Completed  Operations insurance coverage in the
     amount of $2,000,000 in the aggregate;

               (III)  Auto  Liability   insurance  coverage  in  the  amount  of
     $1,000,000  bodily   injury/property   damage  combined  single  limit  per
     occurrence;

               (IV) Professional Liability insurance in the amount of $1,000,000
     per occurrence and $3,000,000 in the aggregate.

     The policies  listed in  subsections  4.5(a)(i)-(iv)  above will insure the
Tenant and name Manager as an Additional Insured

          (B) Such workers'  compensation and other similar  insurance as may be
     required by law or as may be required to insure Tenant  against loss or the
     payment of damages for such liabilities as may be imposed by law;

          (C) Unemployment  Compensation insurance through the appropriate state
     agencies; and

          (D) Fidelity and honesty insurance.

          (E) Business interruption insurance.

     All insurance  provided for under the foregoing  provisions of this Section
shall be effected by policies  issued by  insurance  companies  with at least an
"A-VI" rating from A.M. Best and Company of good  reputation,  of sound adequate
financial responsibility,  and properly licensed and qualified to do business in
the State of Louisiana.

     Each of the policies of insurance referred to in Paragraphs (a) through (d)
of this Section  shall insure the Tenant,  the subject  Facility,  the Owner and
their respective officers, partners, directors, shareholders,  members, managers
and  employees.   Manager,   its  respective  officers,   partners,   directors,
shareholders,  managers and employees shall, to the extent permissible, be named
as additional insured under all such policies of insurance.

                                    ARTICLE V

                         COMPENSATION AND DISTRIBUTIONS

     5.1 As  full  and  exclusive  compensation  for all of the  services  to be
rendered by Manager during the Term of this  Agreement,  the Tenant shall pay to
the Manager at its principal  office,  or at such other place as the Manager may
from time to time designate in writing, and at the times hereinafter specified:



                                       10
<PAGE>



          (A) A  monthly  fee  (the  "Base  Management  Fee")  equal  to six and
     one-half (6 1/2 %) percent of Adjusted  Gross  Revenues (as defined  below)
     derived from the  operation  of the  Facilities  determined  on the accrual
     method of  accounting.  The Base  Management Fee shall be payable five days
     after delivery to Tenant of the monthly financial  statement referred to in
     Section  3.11 (each such date being  hereinafter  referred to as a "Payment
     Date") and shall be calculated  based upon the Adjusted  Gross  Revenues of
     the  Facilities  during the preceding  month as set forth in such financial
     statements; and

          (B) A quarterly fee (the  "Incentive  Management  Fee") equal to forty
     (40%) percent of the Adjusted  EBITDA (as defined  below) of the Facilities
     for each quarterly period during the term of this Agreement.  The Incentive
     Management  Fee for each quarter shall be: (1)  calculated  and earned on a
     quarterly basis as of the last day of such quarter; and (2) paid to Manager
     on the next succeeding Payment Date.

          For the purposes  hereof,  "Adjusted  EBITDA" for any period means the
earnings of the Facilities for such period before interest,  taxes, depreciation
and amortization,  and before  consideration of the Incentive Management Fee, as
determined  in accordance  with GAAP,  and after  adjustment to eliminate  prior
period income and expense items.

     5.2 For the purposes of  determining  the Base  Management  Fee,  "Adjusted
Gross  Revenues" for any period shall be determined on the basis of all revenues
and income of any kind derived directly or indirectly from the Facilities during
such period (including rental or other payment from concessionaires,  licensees,
tenants,  and  other  users  of the  Facilities,  but  excluding  therefrom  all
bequests,  gifts,  or similar  donations)  whether on a cash basis or on credit,
paid or unpaid, collected or uncollected, as determined in accordance with GAAP,
consistently applied, excluding, however:

          (A)  federal,  state,  and  municipal  excise,  sales,  and use  taxes
               collected directly from patients as a part of the sales prices of
               any goods or services;

          (B)  proceeds of any life insurance policies;

          (C)  gains or losses  arising  from the sale or other  disposition  of
               capital assets;

          (D)  any reversal or accrual of any contingency or tax reserve;

          (E)  interest  earned on sinking  funds,  Special  Security  Accounts,
               bonds  funds,  etc.  originally  and  specifically  formed  as  a
               requirement of any bond issue utilized to finance the Facilities;
               and

          (F)  recovery of bad debt expense  taken with respect to periods prior
               to the term of this Agreement;

          (G)  Uncollectible accounts receivable accrued during the term of this
               Agreement.

          (H)  Third party  contractual  adjustments  accrued during the term of
               this Agreement.



                                       11
<PAGE>



               (I)  Disallowance  for  reimbursement  claims  accrued during the
                    term of this Agreement.

     The proceeds of business interruption  insurance or proceeds as a result of
Medicare  and  Medicaid  audits  shall  be  included  in gross  revenues  of the
Facilities.  However,  funds  required to be repaid as a result of Medicare  and
Medicaid audits shall be deducted from gross revenues of the Facilities.

     5.3  Notwithstanding  the foregoing,  the Base Management Fee and Incentive
Management  Fee  (including  any amount  carried over pursuant to the succeeding
sentence  hereof)  shall be payable on each Payment Date only to the extent that
Facility Funds (as defined in Section 3.10) shall be sufficient as of such date.
In the event that any portion of the Base Management Fee or Incentive Management
Fee is not paid when due because of the insufficiency of Facility Funds, Manager
shall make written  demand for immediate  payment  thereof by Tenant.  If Tenant
does not remit payment for the amount so demanded  within twenty four (24) hours
of such  demand,  interest  shall  accrue on such  unpaid  amount  from the date
demanded at a rate per annum equal to the prime rate of Citibank, NA, as then in
effect, plus four (4%) percent,  and such total amount shall be carried over and
be payable on the immediately  succeeding  Payment Date. Any and all accrued and
unpaid Base Management Fee and Incentive Management Fee shall become immediately
and fully  payable by Tenant  upon the  expiration  or any  termination  of this
Agreement.

     5.4 (A) In order to secure  performance  and payment of all obligations and
liabilities  of Tenant to Manager under this  Agreement  whether now existing or
hereafter  arising,  including,  without  limitation,  the  payment  of all Base
Management Fees, Incentive Management Fees, and reimbursable expenses of Manager
(the "Obligations"),  Tenant hereby grants to Manager a security interest in all
of the assets of the Facilities owned by Tenant,  including, but not limited to,
the following described property (collectively, the "Collateral"):

               (I) Tenant's fee simple interest in any real property;

               (II) Tenant's  leasehold  interest in any real property leased by
     Tenant (other than the  Facilities)  and any and all rights that Tenant now
     has or may hereafter acquire to purchase such real property (other than the
     Facilities);

               (III) all accounts  receivable now owned or hereafter acquired by
     Tenant in connection with the Facilities;

               (IV)  all  equipment,   furniture,  and  fixtures  now  owned  or
     hereafter  acquired by the Tenant and located at or used in connection with
     the Facilities;

               (V) all contract rights now owned or hereafter acquired by Tenant
     in connection with the operation of the Facilities;



                                       12
<PAGE>



               (VI)  all  inventory,   supplies,  goods,  merchandise,  work  in
     progress,  finished goods, and other personal  property other than accounts
     receivable now owned or hereafter acquired by Tenant and located at or used
     in connection with the Facilities;

               (VII) all licenses, permits and other intangible assets; and

               (VIII) any and all proceeds of any of the foregoing.

          (B) Tenant  represents,  warrants and agrees that (i) Tenant owns good
     and indefeasible title to the Collateral, (ii) no security interest or lien
     has been created by Tenant,  or is known by Tenant to exist with respect to
     any Collateral,  (iii) no financing  statement or other security instrument
     is on file in any jurisdiction  covering such  Collateral,  and (iv) Tenant
     will not create any other  security  interest  or lien and will not file or
     permit  to be  filed  any  other  financing  statement  or  other  security
     instrument  with respect to the Collateral  without the consent of Manager.
     Tenant will execute, deliver and file such mortgages, financing statements,
     security agreements and other documents as may be requested by Manager from
     time to time to confirm, perfect and preserve the security interest created
     hereby, and, in addition, hereby authorizes Manager to execute on behalf of
     Tenant, deliver and file such financing statements, security agreements and
     other  documents  without the  signature  of Tenant,  all at the expense of
     Tenant.  The lien herein  referred to as security for the  obligations,  in
     favor of Manager,  is and shall be first,  prior and  superior to all other
     liens with respect to the Collateral.

          (C) Manager shall have, in any jurisdiction  where enforcement of this
     Agreement  is sought,  in addition to any and all other rights and remedies
     it may have  under this  Agreement,  or at law,  in  equity,  by statute or
     otherwise,  all the rights and  remedies  of a secured  creditor  under the
     Uniform  Commercial Code,  including,  but not limited to, the right to any
     deficiency remaining after disposition of the Collateral.

                                   ARTICLE VI

                    REPRESENTATIONS AND WARRANTIES OF TENANT

     Tenant represents and warrants to Manager as follows:

     6.1  ORGANIZATION  AND  STANDING  OF THE  TENANT.  The  Tenant is a limited
liability  company duly formed,  validly existing and in good standing under the
laws of the State of Texas. Copies of the Certificate of Formation and Operating
Agreement  of the Tenant,  and all  amendments  thereof to date,  have been,  if
requested, delivered to Manager and are complete and correct. The Tenant 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.



                                       13
<PAGE>



     6.2 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 the Tenant,  nor the  performance by the Tenant of
the transactions contemplated hereby and thereby, conflicts with, or constitutes
a breach of or a default or  requires  the  consent of any third party under (i)
the Certificate of Formation or Operating  Agreement of the Tenant;  or (ii) any
applicable law, rule, judgment, order, writ, injunction, or decree of any court,
currently  in  effect;  or  (iii)  any  applicable  rule  or  regulation  of any
administrative  agency or other governmental  authority  currently in effect; or
(iv) the Lease or any other  agreement,  indenture,  contract or  instrument  to
which the Tenant is now a party or by which the assets of the Tenant are bound.

     6.3  CONSENTS.  Except  as set forth in  Schedule  6.3,  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 by the Tenant.

     6.4  MEMBERSHIP  INTERESTS.  Schedule  6.4 sets forth a  complete  list and
description of all classes and series of membership interests of the Tenant, and
the  identity  of each  member  of the  Tenant,  in  each  case  indicating  the
percentage of all classes and series of membership  interests  held.  The Tenant
does not have  outstanding any warrants,  options,  or other rights to subscribe
for or  purchase  from the Tenant any  interests  of the  Tenant,  nor are there
outstanding any securities convertible into or exchangeable for such interests.

     6.5 FINANCIAL STATEMENTS.

          (A) The unaudited  balance  sheets of each Facility as of December 31,
     1997,  and the related  statements of  operations  for the year then ended,
     annexed hereto as Exhibit 6.5(a),  present fairly in all material  respects
     the  financial  condition and results of operations of such Facility at and
     for the periods  therein  specified and were  prepared in  accordance  with
     GAAP, consistently applied.

          (B) The  unaudited  balance  sheets  and  the  related  statements  of
     operations  of each  Facility as of April 30, 1998,  for the 4 month period
     then ended, certified by the chief financial officer of the Tenant, annexed
     hereto as Exhibit  6.5(b),  present  fairly in all  material  respects  the
     financial  condition  and results of  operations of the Facility at and for
     the periods  therein  specified and were prepared in accordance  with GAAP,
     consistently applied.

          (C) Except as set forth on Schedule 6.5(c),  or as expressly set forth
     on the  above-described  financial  statements,  the Tenant has no 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.

                                       14
<PAGE>



     6.6  MATERIAL  CHANGES.  Since  January  1,  1998,  there  has not been any
material adverse change in the condition (financial or otherwise) of the assets,
properties  or  operations  of the  Tenant  and the  Facilities,  whether or not
covered by  insurance,  and during  such  period of time the  businesses  of the
Facilities have been conducted only in the ordinary and normal course.

     6.7  LICENSES AND PERMITS.  Schedule  6.7 sets forth a  description  of all
licenses  and  other  governmental  or other  regulatory  permits  or  approvals
required for the operation of the Facilities  (excluding  individual  therapists
licenses) that are now in effect (collectively,  the "Licenses"). The Tenant has
delivered  to  Manager  copies  of  all  of  the  Licenses.  The  Tenant  or the
individuals  listed on Schedule 6.7 own,  possess or have the legal right to use
the Licenses, free and clear of all liens, pledges, claims or other encumbrances
of any nature  whatsoever.  The Tenant is not in material default under any such
License,  and the Tenant has not received any notice of any default or any other
claim or  proceeding  relating  to any such  License.  No  member,  director  or
officer,  employee  or former  employee of the  Tenant,  or any person,  firm or
corporation  other than the Tenant  owns or has any  proprietary,  financial  or
other interest,  direct or indirect, in whole or in part in any of the Licenses,
other  than  Licenses  necessary  for such  individuals  to  practice  their own
professions.

     6.8 LEGAL  PROCEEDINGS.  Other than as set forth on Schedule 6.8, there are
no claims, actions, suits or proceedings or arbitrations,  either administrative
or judicial, pending, or, to the knowledge of Tenant, overtly threatened against
or affecting the Facilities or the Tenant, its members or affiliates,  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.

     6.9 COLLECTIVE  BARGAINING,  LABOR CONTRACTS,  EMPLOYMENT  PRACTICES,  ETC.
During the two years prior to the Commencement  Date, there has been no material
adverse  change  in the  relationship  between  the  owner  or  operator  of the
Facilities  and its employees,  nor any strike or material labor  disturbance by
such employees affecting the business of the Facilities and, to the knowledge of
the  Tenant,  there  is no  indication  that  such a  change,  strike  or  labor
disturbance is likely. Except as set forth on Schedule 6.9, the employees of the
Facilities are not  represented by any labor union or similar  organization  and
the Tenant 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 such  employees.  Except as set  forth on  Schedules  6.9,  there are 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 the employees
of the Facilities.  The Tenant is in material  compliance with the  requirements
prescribed by all Federal,  state and local  statutes,  orders and  governmental
rules  and  regulations  applicable  to  any  of  its  employee  benefit  plans,
agreements  and  arrangements,   including,  without  limitation,  the  Employee
Retirement Income Security Act of 1974, as amended ("ERISA").

     6.10  RELATIONSHIPS.  Except as  disclosed  on  Schedule  6.10  hereto,  no
affiliate  of the Tenant  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 Facilities by which
the Tenant will be bound after the  Commencement  Date.


                                       15
<PAGE>



     6.11 ABSENCE OF CERTAIN EVENTS. Except as set forth on Schedule 6.11, since
January 1, 1998:

          (A) there have not been any sales,  assignments or transfers of any of
     assets or properties of the  Facilities,  except in the ordinary  course of
     business;

          (B) the  Facilities  or any  assets  of the  Facilities  have not been
     mortgaged,  pledged or subjected to any lien,  pledge,  mortgage,  security
     interest,  conditional  sales  contract or other  encumbrance of any nature
     whatsoever,  nor has the  Tenant's  interest in the  Facilities  or in such
     assets been subject to any of the foregoing;

          (C) no material  contract,  commitment,  instrument or agreement of or
     relating to the Facilities  has been amended or  terminated,  other than in
     the ordinary course of business;

          (D)  except  in the  ordinary  course of  business,  or  otherwise  as
     necessary to comply with any applicable minimum wage law, there has been no
     increase to the salaries or other  compensation  of any of the employees of
     the  Facilities,  nor has there been any increase in, or any  additions to,
     any other benefits to which any of such employees may be entitled;

          (E) the Tenant has not failed to pay or discharge  when due any of its
     liabilities, and there has been no failure to pay or discharge when due any
     liabilities of or relating to the Facilities, in either case the failure to
     pay or discharge  of which has caused or will cause any material  damage or
     give rise to the risk of a material loss to the Facilities or the Tenant;

          (F)  there  has been no  change  to any of the  accounting  principles
     followed by the Tenant and the facilities,  or any change to the methods of
     applying any such accounting principles;

          (G) there has been no material  transaction  entered into with respect
     to the  Tenant or the  Facilities,  other  than in the  ordinary  course of
     business; or

          (H) no notice has been given of any adverse  determination made by any
     licensing  authority  or  reimbursement  source  which  may  reasonably  be
     expected to have a material adverse effect on the revenues or operations of
     the  Facilities.  The  Tenant  shall  report to  Manager,  within  five (5)
     business days after receipt thereof, any written notices that the Tenant or
     the Facilities is not in compliance in any material respect with any of the
     foregoing.

     6.12 COMPLIANCE WITH LAWS. Except for notices of non-compliance as to which
the Tenant has taken corrective action acceptable to the applicable governmental
agency,  and as set forth in Schedule  6.12,  within the period of twelve months
preceding  the date of this  Agreement,  no written  notice  has been  served on
Tenant or any prior owner or operator of the  Facilities  that such party or any
Facility fails to comply in any material  respect with any  applicable  Federal,
state, local



                                       16
<PAGE>



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 such party or the Facilities  ("Governmental  Requirements").
The Tenant shall report to Manager,  within five (5) business days after receipt
thereof,  any  written  notices  that  the  Tenant  or  any  Facility  is not in
compliance in any material respect with any of the foregoing.

     6.13 TAX RETURNS. Except as set forth on Schedule 6.13, all Federal, state,
county and local  income,  excise,  property,  employment-related  and other tax
returns  and  abandoned  property  reports  (if  any) to date  that  are due and
required  to be filed with  respect to the  Facilities  have been so filed,  and
there are no  claims,  liens,  or  judgments  for taxes due with  respect to the
Facilities,  and to the  knowledge  of the Tenant,  no basis for any such claim,
lien, or judgment exists.

     6.14 CONTRACTS. Schedule 6.14 sets forth a complete and correct list of all
agreements,  contracts,  and  commitments  to  which  directly  pertain  to  the
operation of the  Facilities or by which the  Facilities or any of the assets of
the  Facilities  are bound (the  "Contracts").  Except as  indicated on Schedule
6.14,  each of the  Contracts was entered into and requires  performance  in the
ordinary  course of business and is in full force and effect.  The Tenant is not
in material  default under any Contract and there has not been asserted,  either
by or against the Tenant  under any  Contract,  any  written  notice of default,
set-off or claim of default.  To the knowledge of the Tenant, the parties to the
Contracts  other  than the Tenant  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 on a current basis.

     6.15 THE LEASE.  Tenant has delivered to Manager a true and correct copy of
the Lease.  The Lease was entered into and requires  performance in the ordinary
course of business and is in full force and effect. The Tenant is not in default
under the Lease and there has not been asserted, either by or against the Tenant
under the Lease, any written notice of default,  set-off or claim of default. To
the  knowledge  of the  Tenant,  the  Owner is not in  material  default  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 material
default or material breach under the Lease.  All amounts payable under the Lease
are on a current basis.

                                   ARTICLE VII

                    REPRESENTATIONS AND WARRANTIES OF MANAGER

     7.1  ORGANIZATION  AND  STANDING OF THE  MANAGER.  Manager  represents  and
warrants to the Tenant that the Manager is a corporation duly organized, validly
existing and in good standing under the laws of the State of Delaware. Copies of
the Articles of  Incorporation  and By-Laws of the Manager,  and all  amendments
thereof  to date,  have  been,  if  requested,  delivered  to the Tenant and are
complete  and  correct.  The  Manager  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.


                                       17
<PAGE>



                                  ARTICLE VIII

                               TERMINATION RIGHTS

     This Agreement may be terminated and, except as to liabilities or claims of
either  party  hereto  which  shall have  theretofore  accrued  or  arisen,  the
obligations  of the  parties  hereto  with  respect  to  this  Agreement  may be
terminated, upon the happening of any of the following events:

     8.1  TERMINATION BY THE TENANT:  If at any time or from time to time during
the term of this  Agreement any of the  following  events shall occur and not be
remedied within the applicable period of time herein specified, namely:

          (A) The  Manager  shall apply for or consent to the  appointment  of a
     receiver,  trustee,  or  liquidator  of the Manager of all or a substantial
     part of its assets, file a voluntary petition in bankruptcy, make a general
     assignment  for the  benefit of  creditors,  file a  petition  or an answer
     seeking  reorganization  or arrangement with creditors or take advantage of
     any insolvency law, or if an order,  judgment or decree shall be entered by
     any court of  competent  jurisdiction,  on the  application  of a creditor,
     adjudicating  the Manager as bankrupt or  insolvent or approving a petition
     seeking reorganization of the Manager or appointing a receiver, trustee, or
     liquidator of the Manager or of all or substantial part of its assets,  and
     such order,  judgment or decree shall  continue  unstayed and in effect for
     any period of ninety (90) consecutive days; or

          (B) The Manager shall fail to keep,  observe,  or perform any material
     covenant,  agreement,  term or  provision  of this  Agreement  to be  kept,
     observed,  or performed by the Manager, and such default shall continue for
     a period of forty-five (45) days after written notice thereof by the Tenant
     to the Manager;

then in case of any such  event and upon the  expiration  of the period of grace
applicable  thereto,  the term of this Agreement  shall expire,  at the Tenant's
option and upon ten (10) days written notice to the Manager.

     8.2 TERMINATION BY THE MANAGER:  If at any time or from time to time during
the term of this  Agreement any of the  following  events shall occur and not be
remedied within the applicable period of time herein specified, namely:

          (A) The Tenant  shall fail to keep,  observe,  or perform any material
     covenants,  agreement,  term or  provision  of this  Agreement  to be kept,
     observed,  or performed by the Tenant and such default shall continue for a
     period of forty-five  (45) days after written notice thereof by the Manager
     to the Tenant,  except for Tenant's  duty to provide for  adequate  working
     capital under Section 4.3 hereof, which shall continue uncured for a period
     of thirty (30) days after written notice thereof;


                                       18
<PAGE>



          (B)  The  Facilities  or any  portion  thereof  shall  be  damaged  or
     destroyed  by fire or  other  casualty  and (i) the  Tenant  shall  fail to
     undertake  to  repair,  restore,  rebuild,  or replace  any such  damage or
     destruction  within forty-five (45) days after such fire or other casualty,
     or shall fail to complete such work diligently,  and (ii) such Tenant shall
     fail to permit the Manager to undertake  to repair,  restore,  rebuild,  or
     replace,  at  Tenant's  expense,  any such  damage  or  destruction  within
     forty-five (45) days after such fire or other casualty;

          (C) The Tenant  shall  apply for or consent  to the  appointment  of a
     receiver,  trustee,  or liquidator of the Tenant or of all or a substantial
     part of its assets,  file a voluntary  petition in  bankruptcy  or admit in
     writing its  inability to pay its debts as they become due,  make a general
     assignment  for the  benefit of  creditors,  file a petition  or any answer
     seeking  reorganization  or arrangement with creditors or to take advantage
     of any insolvency law, or if an order,  judgment or decree shall be entered
     by a court of competent  jurisdiction,  on the  application  of a creditor,
     adjudicating  the Tenant  bankrupt or  appointing a receiver,  trustee,  or
     liquidator  of the Tenant with  respect to all or  substantial  part of the
     assets of the Tenant,  and such order,  judgment or decree  shall  continue
     unstayed and in effect for any period of ninety (90) consecutive days;

          (D) Any license, lease or sub-lease for the operation of any Facility,
     including the Lease, is at any time suspended,  terminated,  or revoked and
     such suspension,  termination, or revocation shall continue unstayed and in
     effect for a period of thirty (30) consecutive days; or

          (E) management  fees payable to the Manager  pursuant to Article V are
     accrued and unpaid with respect to any three (3) month period, and Facility
     Funds or funds  under  Section  4.3 shall be  insufficient  for the payment
     thereof;

then in case of any such  event and upon the  expiration  of the period of grace
applicable  thereto,  the term of this Agreement shall expire,  at the Manager's
option and upon ten (10) days written notice to the Tenant.

     8.3 SURVIVING RIGHTS UPON TERMINATION. If either party exercises its option
to terminate  pursuant to this Article VIII, each party shall forthwith  account
for and pay to the other all sums due and  owing  pursuant  to the terms of this
Agreement.   Without  limiting  the  generality  of  the  foregoing,   upon  any
termination of this  Agreement,  Tenant shall be obligated fully and immediately
to pay to  Manager  all  accrued  and unpaid  Base  Management  Fees,  Incentive
Management Fees, and reimbursable expenses of Manager, together with all accrued
and unpaid interest thereon,  notwithstanding  that available Facility Funds may
not be sufficient  for such  purposes.  All other rights and  obligations of the
parties  under  this  Agreement  shall  terminate,  except  for the  rights  and
obligation  of any party  under  Section  4.3(b),  Article  X, and  Article  XII
hereof).



                                       19
<PAGE>



                                   ARTICLE IX

                    ADDITIONAL COVENANTS REGARDING THE LEASE

     Tenant covenants, represents and agrees that it will promptly and fully pay
and  perform  when  due all  amounts  and  obligations  required  to be paid and
performed  by it  under  the  Lease,  except  to the  extent  that  Manager  has
undertaken to pay such amounts or perform such obligations pursuant to the terms
of this  Agreement,  and that it shall not commit or permit any default to occur
under the Lease.  Tenant agrees that if, during the term of this  Agreement,  it
shall be given notice by Owner of any default under the Lease, it shall,  within
two (2) days of receipt  thereof,  provide  Manager  with a copy of such default
notice.

                                    ARTICLE X

                                 INDEMNIFICATION

     10.1 INDEMNIFICATION OF TENANT BY MANAGER. Manager shall indemnify and hold
Tenant and its respective officers, directors, employees and affiliates harmless
from any and all claims, losses,  judgments,  damages,  expenses and liabilities
whatsoever incurred by Tenant and its respective officers, directors,  employees
and affiliates,  including reasonable  attorneys' fees, arising out of Manager's
material  breach of this Agreement or any third party claims which are caused in
whole or in part by any negligent act or omission of Manager in connection  with
the  performance  of  its  duties  under  this  Agreement.   However,  Manager's
obligation to indemnify Tenant shall not extend to any Medicare or Medicaid cost
disallowances.  Manager's  obligations  under this  Section  10.1 shall  survive
termination of this Agreement.

     10.2  INDEMNIFICATION  OF MANAGER BY TENANT.  The Tenant shall at all times
indemnify and hold harmless the Manager, its officers, directors, employees, and
shareholders, from and against any and all claims, losses, liabilities, actions,
proceedings,  and expenses (including  reasonable attorneys fees) arising out of
(i) the  ownership  or  operation  of the  Facilities  prior to the term of this
Agreement,  (ii) the breach by Tenant of any of its  obligations  hereunder,  or
(iii) any breach of the representations and warranties made by Tenant in Article
VI of this  Agreement.  The  provisions  of this Section 10.2 shall  survive the
termination or expiration of this Agreement.

     10.3  CONTROL  OF  DEFENSE  OF   INDEMNIFIABLE   CLAIMS.  A  party  seeking
indemnification  under this Article X shall give the other party prompt  written
notice of the claim for  which it seeks  indemnification.  Failure  of the party
seeking  indemnification  to give such prompt notice shall not relieve the other
party of its  indemnification  obligation,  provided  that such  indemnification
obligation  shall  be  reduced  by any  damages  suffered  by such  other  party
resulting from a failure to give prompt notice  hereunder.  The party  receiving
the  aforementioned  notice shall provide the defense of such claim,  including,
without limitation, retention and payment of attorneys.



                                       20
<PAGE>



                                   ARTICLE XI

                                 ENGAGEMENT FEE

     11.1  ENGAGEMENT  FEE.  In  consideration  for the  appointment  of  Manger
pursuant to this Agreement,  Integrated Health Services,  Inc. ("IHS") shall pay
to Scott a single  engagement  fee  (the  "Engagement  Fee") in the sum of Three
Hundred Fifty Thousand and 00/100  ($350,000)  Dollars,  payable to Scott on the
Commencement  Date by the  delivery  to Scott of newly  issued  shares of Common
Stock,  par  value  $.001 of IHS  (the  "IHS  Stock"),  in  accordance  with the
following:

          (A) SHARE VALUE.  The number of shares of IHS Stock issuable to Tenant
pursuant to this  Section  11.1 shall be valued  based upon a price per share of
such stock equal to the average closing NYSE price of such stock for the fifteen
(15) trading day period immediately  preceding the date which is two (2) trading
days before the Commencement Date.

          (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  one  hundred  twenty  (120)  days  following  the
Commencement  Date, a  registration  statement  for the  registration  under the
Securities Act of 1933 (the "Securities  Act") of the IHS Stock issued to Tenant
pursuant to this  Agreement,  and IHS 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 Tenant shall not own
any of the IHS Stock issued  pursuant to this  Agreement,  whichever shall occur
first, in each case except to the extent that an exemption from registration may
be available.

          (C)  REGISTRATION  EXPENSES.  Tenant 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 underwriter's or brokerage discounts, commissions or expenses, or to pay any
costs  and  expenses  in  excess  in the  aggregate  of  $20,000  for  Blue  Sky
qualifications  of the Tenant's (and any  transferee's) IHS Stock, or to pay any
costs or expenses  arising out of the  Tenant's or any  transferee's  failure to
comply with its obligations under this Article XI.

          (D) RESALE LIMITATIONS. Except as otherwise expressly provided in this
Section,  all resales of IHS Stock issued  pursuant to this  Agreement  shall be
effected solely through Smith Barney Inc., as broker.



                                       21
<PAGE>




          (E) REGISTRATION PROCEDURES,  ETC. In connection with the registration
rights  granted to the Tenant with  respect to the IHS Stock as provided in this
Section 11.1, IHS covenants and agrees as follows:

               (I)  At  IHS's  expense,  IHS  will  keep  the  registration  and
qualification  under this Section 11.1  effective  (and in  compliance  with the
Securities  Act) by such action as may be necessary or appropriate  for a period
of one (1) year following the date on which the registration  becomes effective,
except to the extent that an exemption from  registration may be available.  IHS
will immediately notify the Tenant, at any time when a prospectus  relating to a
registration statement under this Section 11.1 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  Tenant   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 Tenant, 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 11.1 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



                                       22
<PAGE>



in conformity with written information  furnished to IHS by the Tenant 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 Tenant
or any  controlling  person of the Tenant in respect of which  indemnity  may be
sought against IHS pursuant to this subsection  11.1(e)(iv),  the Tenant 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 Tenant or such controlling  person).  The Tenant 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 Tenant 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 Tenant 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 Tenant or such  controlling
person in  investigating,  preparing or defending any such action or claim.  IHS
agrees  promptly to notify the Tenant of the  commencement  of any litigation or
proceedings against IHS 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  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 by or on behalf of such holder, or
its successors or assigns for specific inclusion in such registration statement.

          (F) NOTICE OF SALE.  If the  Tenant  desires  to  transfer  all or any
portion  of the IHS  Stock,  the  Tenant  will  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,  the Tenant will 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  11.1(b) and to give prompt  notice to the Tenant when the
registration  statement has again become current.  If the Tenant delivers to IHS
an opinion of counsel  reasonably  acceptable  to IHS and its counsel and to the
effect that the proposed transfer of IHS Stock may be made without  registration
under the  Securities  Act, the Tenant will be entitled to transfer IHS Stock in
accordance with the terms of the notice and opinion of its counsel.




                                       23
<PAGE>



          (G)  FURNISH  INFORMATION.  It shall be a condition  precedent  to the
obligations  of IHS to take any  action  pursuant  to this  Article  XI that the
Tenant shall furnish to IHS such  information  regarding  itself,  the IHS Stock
held by it, and the intended  method of disposition of such  securities as shall
be required to effect the  registration  of the IHS Stock.  In that  connection,
each  transferee  of the Tenant  shall be required to  represent to IHS that all
such  information  which is given is both  complete and accurate in all material
respects.  The Tenant  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 11.1
is required to be delivered  under the  Securities  Act, of the happening of any
event known to such  transferee as a result of which the prospectus  included in
such registration  statement, as then in effect, includes an untrue statement of
a  material  fact or omits to state  any  material  fact  required  to be stated
therein or necessary to make the  statements  therein not misleading in light of
the statements as then existing.

          (H) INVESTMENT  REPRESENTATIONS.  All shares of IHS Stock to be issued
hereunder will be newly issued shares of IHS. The Tenant represents and warrants
to IHS that the IHS Stock being issued hereunder is being acquired,  and will be
acquired,  by the Tenant 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  Tenant
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  Tenant  agrees  that no shares of IHS Stock may be
sold, transferred, assigned, pledged or otherwise disposed of except pursuant to
an effective  registration statement or an exemption from registration under the
Securities Act, the rules and regulations  thereunder,  and under all applicable
state  securities laws. The Tenant 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 Tenant
has had the opportunity to make inquiries of and obtain from representatives and
employees  of IHS such  other  information  about IHS as it deems  necessary  in
connection with such investment.

          (I) LEGEND.  It is understood that, prior to sale of any shares of IHS
Stock  pursuant to an effective  registration  pursuant to subsection (b) above,
the  certificates  evidencing  such shares of IHS Stock shall bear the following
(or a similar)  legend (in addition to any legends  which may be required in the
opinion of 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.



                                       24
<PAGE>



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


                                   ARTICLE XII

                        CONFIDENTIALITY; NON-SOLICITATION

     12.1 NON-DISCLOSURE OF CONFIDENTIAL  INFORMATION.  Tenant acknowledges that
Manager's business involves the development and use of Confidential  Information
(defined  below)  and  that  Manager  will  make  available  such   Confidential
Information to Tenant in connection with Manager's  duties under this Agreement.
Manager  acknowledges that Tenant's business involves the development and use of
Confidential  Information and that Tenant will make available such  Confidential
Information to Manager in connection with Manager's duties under this Agreement.
Except as Tenant and Manager may  disclose in  fulfillment  of their  duties and
responsibilities  under this  Agreement or as may be required to be disclosed by
Tenant,  the  Facilities  and Manager by law,  the parties and their  respective
officers, directors,  employees or agents shall not, at any time during or after
the term of this Agreement,  divulge,  furnish or make  accessible  Confidential
Information  to any person or entity for any purpose  whatsoever.  "Confidential
Information"  means any  confidential  or  proprietary  information,  including,
without limitation,  manuals, forms, policies and procedures, computer programs,
system   documentation  and  related  software,   patient  records  and  patient
information, and any other information of any kind with respect to the finances,
business plans or business operations of the parties.

     12.2 NON-USE AND RETURN OF MATERIALS.  Effective upon a termination of this
Agreement for any reason whatsoever,  the parties and their respective officers,
directors,  employees or agents shall not use any  Confidential  Information for
any purpose  whatsoever,  including,  but not limited to, use in connection with
the operation and management of the Facilities.

     12.3  NON-SOLICITATION.  Tenant and Manager agree that, for the entire term
of this  Agreement and for twelve (12) months after the date that this Agreement
is  terminated,  (i) Tenant shall not entice or induce,  directly or indirectly,
any  employee to leave the employ of Manager to work with or for the Tenant,  or
to work with any person or entity with whom Tenant becomes affiliated to provide
nursing home or skilled nursing  facility care services,  and (ii) Manager shall
not entice or induce,  directly or indirectly,  any employee to leave the employ
of  Tenant  to work with or for  Manager,  or to work  with any other  person or
entity with whom Manager is or becomes affiliated.




                                       25
<PAGE>



     12.4  REMEDIES.  The  parties  agree  that an  aggrieved  party  who is the
beneficiary  of  any  restriction   contained   herein  may  not  be  adequately
compensated for damages for a breach of the covenants  contained in this Article
XII,  and such  aggrieved  party  shall be  entitled  to  injunctive  relief and
specific performance in addition to all other remedies.  If a court of competent
jurisdiction  shall finally  determine that the restraints  provided for in this
Article XII are too broad as to the activity,  geographic  area or time covered,
said  activity,  geographic  area or time  covered  will be reduced to  whatever
extent the court deems necessary, and such covenant shall be enforced as to such
reduced activity, geographic area or time period.

     12.5  PROPRIETARY  MATERIAL.  The Tenant  acknowledges  and agrees that the
systems,  methods,  programs,   software,   brochures,   manuals,  forms,  data,
procedures,  and  related  information  used by  Manager in the  performance  of
Manager's  obligations under this Agreement are proprietary in nature,  shall be
and remain (along with any corresponding  copyrights or similar rights) the sole
property of Manager and shall not at any time be  directly or  indirectly  used,
distributed,  disclosed,  copied  or  otherwise  employed  by the  Tenant or the
Facilities, except in the operation of the Facilities under Manager's management
during the term of this  Agreement.  Upon  termination  of this  Agreement,  the
Tenant  shall to  return  to the  Manager  all such  proprietary  materials  and
information  and all documents  (including all copies  thereof)  containing such
information in the Tenant's or Facilities' possession or within its control, and
use its best  efforts to ensure that its  employees  have not  retained any such
materials,  information  or  documents or copies  thereof  and,  upon request by
Manager, confirm compliance with the foregoing in writing.

                                  ARTICLE XIII

                                  CONDEMNATION

     If the whole of either  Facility shall be taken or condemned in any eminent
domain, condemnation,  compulsory acquisition, or like proceeding by a competent
authority  for any public or  quasi-public  use or  purpose  or if such  portion
thereof  shall be taken or  condemned as to make it  unsuitable  for its primary
intended  use, then the term of this  Agreement  shall cease and terminate as to
such  Facility on the date on which the Tenant  shall be  required to  surrender
possession of such Facility.  The Manager shall continue to supervise and direct
the  management of such Facility until such time as the Tenant shall be required
to surrender  possession  of such  Facility as a  consequence  of such taking or
condemnation.

     If only a part of a Facility  shall be taken or condemned and the taking or
condemnation  of such part does not make it unsuitable for its primary  intended
use, this Agreement shall not terminate.

     In the event that the parties  herein are unable  within a period of thirty
(30) days after controversy arising between them to agree upon the apportionment
of any award or are  otherwise  in dispute as to any matter  arising  under this
Article XIII,  any such dispute shall be resolved by  arbitration  in accordance
with the  provision  of Article  XIV hereof  and the costs  thereof or  incurred
therein  shall  be  borne  or  apportioned   and  paid  as  determined  by  said
arbitration.



                                       26
<PAGE>



                                   ARTICLE XIV

                                   ARBITRATION

     If any  controversy  should  arise  between  the  parties  in  performance,
interpretation,  or  application  of this  Agreement  which involves any matter,
either party may,  after their good faith  efforts to resolve the dispute as set
forth  below,  serve  upon the other a written  notice  stating  that such party
desires to have the controversy reviewed by an arbitrator. If the parties cannot
agree  within  fifteen  (15)  days  from the  service  of such  notice  upon the
selection of such  arbitrator,  an arbitrator shall be selected or designated by
the  American  Arbitration  Association  upon  written  request of either  party
hereto.  Arbitration  of such  controversy,  disagreement,  or dispute  shall be
conducted in accordance with the Commercial  Arbitration  Rules then in force of
the  American  Arbitration  Association  and  the  decision  and  award  of  the
arbitrator  so  selected  shall be  binding  upon the Tenant  and  Manager.  The
arbitration will be held in Baltimore, Maryland .

     As a  condition  precedent  to serving  notice for the  appointment  of any
arbitrator,  both  parties  shall be  required  to make a good  faith  effort to
resolve the controversy  which effort shall continue for a period of thirty (30)
days prior to any demand for arbitration. The cost of any such arbitration shall
be shared equally be the parties. Each party shall pay its own costs incurred as
a result of its participation in any such arbitration.

     If the issue to be arbitrated is Manager's alleged breach of this Agreement
and as a result  thereof,  Tenant  has the right to  terminate  this  Agreement,
Manager shall continue to manage the Facilities hereunder pending the outcome of
such arbitration.

     The  Arbitrator  shall have no authority to award  punitive  damages or any
other damages in excess of the prevailing  party's actual  damages,  and may not
make any  ruling,  finding  or award  that  does not  conform  to the  terms and
conditions of this Agreement.

                                   ARTICLE XV

                             SUCCESSORS AND ASSIGNS

     15.1  ASSIGNMENTS BY THE MANAGER.  The Manager,  without the consent of the
Tenant,  shall have the right to assign this  Agreement  to a wholly or majority
owned  subsidiary  provided  that the Manager shall not thereby be released from
its obligations hereunder.

     In the event that all or substantially all the assets of the Manager or its
capital  stock shall  during the term of this  Agreement  be acquired by another
corporation (hereinafter referred to as the "Acquiring Corporation") as a result
of a  merger,  consolidation,  reorganization,  or  other  transaction,  and the
Acquiring Corporation assumes all of the obligations of the Manager then accrued
hereunder,  if any, then Manager shall be relieved of all such  obligations (and
if such  Acquiring  Corporation  shall be  acquired  by a  subsequent  Acquiring
Corporation which assumes all of the obligations of the Manager,  then the first
Acquiring Corporation shall be relieved of liability hereunder).



                                       27
<PAGE>



     Except as otherwise  permitted  herein,  the Manager shall have no right to
assign this Agreement.

     15.2 SALE, ASSIGNMENT,  OR SUB-LEASE BY THE TENANT. Any sale, sub-lease, or
assignment with respect to the Facilities,  other than to the Manager,  shall be
expressly  subject to the terms and  provisions of this  Agreement and shall not
relieve the Tenant of its liability or obligations  hereunder,  and Tenant shall
cause any purchaser,  assignee,  or sub-lessee to deliver to the Manager written
acknowledgment  of its agreement to perform  hereunder  including the payment of
the management fee described herein.

     The Tenant may not at any time,  without the prior  written  consent of the
Manager, which shall not be unreasonably withheld,  incur any additional debt or
subject its interest in the Facilities or any part thereof to the lien of one or
more deeds of trust, mortgages, or other security instruments. In the event that
such  consent is given,  such  additional  debt or  security  interest  shall be
subordinate to Manager's  rights and security  interest granted pursuant to this
Agreement.


                                   ARTICLE XVI

                            MISCELLANEOUS PROVISIONS

     16.1  NOTICES.  Any notice or other  communication  by either  party to the
other  shall be in  writing  and  shall be given and be deemed to have been duly
given, upon the date delivered if delivered personally or upon the date received
if mailed postage pre-paid, registered, or certified mail, addressed as follows:

     To the Tenant:      Pinnacle Health Facilities of Louisiana, LLC
                         2901 Dallas parkway
                         Plano, Texas 75093
                         Attn: Gene Lunceford

     To the Manager:     Integrated Health Services at Franklin, Inc.
                         10065 Red Run Boulevard
                         Owings Mills, MD 21117
                         Attention: Elizabeth B. Kelly, Executive Vice-President
                                    Marshall A. Elkins, Esq.

     With a copy to:     Blass & Driggs
                         461 Fifth Avenue
                         New York, New York 10017
                        Attention: Michael Blass, Esq.

or to such other  address,  and to the attention of such other person or officer
as either party may designate in writing by notice.



                                       28
<PAGE>



     16.2 NO PARTNERSHIP OR JOINT  VENTURE.  Nothing  contained in the Agreement
shall  constitute or be construed to be or create a partnership or joint venture
between the Tenant, its successors,  or assigns on the one part and the Manager,
its successors, or assigns on the other part. Notwithstanding the foregoing, the
parties  hereby  agree that they shall each have a duty to act in good faith and
to deal fairly with the other party hereto.

     16.3  MODIFICATIONS  AND  CHANGES.  This  Agreement  cannot be  changed  or
modified except by another agreement in writing signed by the party sought to be
charged therewith or by its duly authorized agent.

     16.4  UNDERSTANDING AND AGREEMENTS.  This Agreement  constitutes the entire
understanding  and agreements of whatsoever  nature or kind existing between the
parties with respect to the Manager's management of the Facilities.

     16.5 HEADINGS.  The article and paragraph headings contained herein are for
convenience of reference only and are not intended to define, limit, or describe
the scope of intent of any provision of this Agreement.

     16.6 APPROVAL OR CONSENT.  Whenever under any provisions of this Agreement,
the approval or consent of either party is required,  the decision thereon shall
be  promptly  given and such  approval  or  consent  shall  not be  unreasonably
withheld. It is further understood and agreed that whenever under any provisions
of this  Agreement  the  approval  or consent of the  Tenant is  required,  such
approval  or consent is given by the  person or any one of the  persons,  as the
case may be, designated in a notification  signed by or on behalf of the Tenant.
For all purposes under this Agreement,  the Manager shall determine  solely from
the latest such notification  received by it the person or persons authorized to
give  such  approval  or  consent.   The  Manager  shall  rely  exclusively  and
conclusively on the designation set forth in such notification,  notwithstanding
any notice of knowledge to the contrary.

     16.7 GOVERNING  LAW. This  Agreement  shall be deemed to have been made and
shall be construed and  interpreted in accordance  with the laws of the State of
Maryland.

     16.8   ENFORCEABILITY.   Should  any   provision   of  this   Agreement  be
unenforceable as between the parties, such unenforceability shall not affect the
enforceability of the other provisions of this Agreement.

     16.9  COUNTERPARTS.   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 one and the same instrument.



                                       29
<PAGE>



     IN WITNESS  WHEREOF,  the parties  hereto have executed and delivered  this
Management Agreement effective as of the day and year first above written.

TENANT:                                 MANAGER:

PINNACLE HEALTH                         INTEGRATED HEALTH
FACILITIES OF LOUISIANA, L.L.C.         SERVICES AT FRANKLIN, INC.

By: /s/ THOMAS SCOTT                    By: /s/ ELIZABETH B. KELLY
   -----------------------------           -------------------------------

Title:                                  Title: EVP, Corporate Development
      --------------------------              ----------------------------

AGREED AS TO ARTICLE XI:                INTEGRATED HEALTH
                                        SERVICES, INC.
/s/ THOMAS SCOTT
- --------------------------------        By: /s/ ELIZABETH B. KELLY
THOMAS SCOTT                               -------------------------------

                                        Title: EVP, Corporate Development
                                              ----------------------------
AGREED AS TO SECTION 4.3(B):

/s/ THOMAS SCOTT
- --------------------------------
THOMAS SCOTT



                                       30
<PAGE>



STATE OF TEXAS      )
                      ss:
COUNTY OF:          )

     On the 4th day of September, 1998, duly appeared Thomas Scott, to me known,
who, being by me duly sworn,  did depose and say that he resides at , that he is
the  individual  who executed the above  Management  Agreement in his individual
capacity, as guarantor of Tenant thereunder,  and he thereupon duly acknowledged
that he executed same.


                                                   /s/ Melinda S. Provence
                                                   -----------------------
                                                   Notary Public

                                                   NOTARY PUBLIC
                                                   STATE OF TEXAS
                                                   [SEAL]
                                                   Melinda S. Provence
                                                   Notary Public, State of Texas
                                                   My Commission Expires
                                                   March 17, 2001



                                       31
<PAGE>



                                    EXHIBIT A

The  following  is a list of items  and  travel  expenses  not  included  in the
management  fee. These  facility  specific  expenses are passed  directly to the
facility in which the expense was incurred.

     o    Administrator  wages,  benefits  and related  travel  expenses.  (This
          includes an annual administrator conference).

     o    Computer hardware and software purchased for Facilities.

     o    Facility specific legal and accounting fees.

     o    Facility  specific fees associated with union  organization  attempts,
          elections, etc.

     o    Outside  consultants  used for  Medicare or Medicaid  cost reports and
          Medicare exception requests.

     o    Travel costs for facility personnel training.

     o    All other costs incurred related to facility-specific matter.


<PAGE>



                                  SCHEDULE 6.3

                                    CONSENTS


None



<PAGE>



                                  SCHEDULE 6.4

                              MEMBERSHIP INTERESTS


Thomas D. Scott     50%
Linda K. Scott      50%




                                                                      EXHIBIT 5

                           Fulbright & Jaworski L.L.P.
                   A Registered Limited Liability Partnership
                                666 Fifth Avenue
                         New York, New York, 10103-3198



Telephone:  212/318-3000                                  HOUSTON
Facsimile:  212/752-5958                                  WASHINGTON, D.C.
                                                          AUSTIN
WRITER'S INTERNET ADDRESS:                                SAN ANTONIO
                                                          DALLAS

WRITER'S DIRECT DIAL NUMBER:                              NEW YORK
                                                          LOS ANGELES
                                                          LONDON
                                                          HONG KONG

April 5, 1999

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

Dear Sirs,

     We  refer to the  Registration  Statement  on Form  S-3 (the  "Registration
Statement"), filed by Integrated Health Services, Inc. (the "Company") on behalf
of the selling stockholders (the "Selling Stockholders") with the Securities and
Exchange  Commission  under the Securities Act of 1933, as amended,  relating to
________ shares of the Company's  Common Stock.  $.001 par value (the "Shares"),
to be sold by the Selling Stockholders named therein.

     As counsel  for the  Company,  we have  examined  such  corporate  records,
documents  and  such  questions  of  law  as we  have  considered  necessary  or
appropriate  for the  purposes  of this  opinion  and,  upon  the  basis of such
examination,  advise  you that in our  opinion  the  Shares  have  been duly and
validly authorized and are legally issued, fully paid and non-assessable.

      We consent to the filing of this opinion as an exhibit to the Registration
Statement  and the reference to this firm under the caption  "Legal  Matters" in
the prospectus contained therein and elsewhere in the Registration Statement and
prospectus.  This consent is not to be  construed as an admission  that we are a
party  whose  consent is required  to be filed with the  Registration  Statement
under the provisions of the Securities Act of 1933, as amended.

                                    Very truly yours,
                                    /s/ Fulbright & Jaworski L.L.P.
                                        Fulbright & Jaworski L.L.P.



                                                                    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 30,  1999  relating to the
consolidated  financial  statements of Integrated Health Services,  Inc. ("IHS")
and subsidiaries, incorporated herein by reference to IHS 1998 Form 10-K, 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,  and to the  reference  to our firm
under the heading "Experts" in the registration statement.


     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.


                                            KPMG LLP



Baltimore, Maryland

April 5, 1999



                                                                    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

April 5, 1999



                                                                    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

April 5, 1999




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