EMPLOYMENT AGREEMENT
                              --------------------

         This AGREEMENT is made effective as of this 1st day October,  1996 (the
"Effective Date"), by and between  INTEGRATED HEALTH SERVICES,  INC., a Delaware
corporation (hereinafter referred to as the "Company"),  and C. CHRISTIAN WINKLE
(hereinafter referred to as the "Executive").

                              W I T N E S S E T H:
                              --------------------
         WHEREAS,  the Company  wishes to employ the Executive and to ensure the
continued services of the Executive for the Term (as hereinafter  defined),  and
the  Executive  desires to be employed  by the  Company for such Term,  upon the
terms and conditions hereinafter set forth.
         NOW,  THEREFORE,  in  consideration  of the  foregoing  premise and the
mutual agreements herein contained, the parties,  intending to be legally bound,
hereby agree as follows:
                                    ARTICLE I

                             EMPLOYMENT RELATIONSHIP
                             -----------------------
         1.1  Employment.  The  Company  hereby  employs  the  Executive  in the
position of  Executive  Vice  President - Operations  of the Company,  with such
responsibilities  as may be  assigned  to  Executive  from  time  to time by the
Company's Chief Executive  Officer and/or  President.  Executive shall report to
and be  responsible  to the  individual  who is Chief  Executive  Officer and/or
President of the Company for the period hereinafter set forth, and the Executive
hereby accepts such employment.

         During the Term,  the Executive  agrees to devote all such working time
as is  reasonably  required  for the  discharge of his duties  hereunder  and to
perform such services faithfully and to the

                                       -1-



best of his ability.  Notwithstanding  the foregoing,  nothing in this Agreement
shall  preclude the  Executive  from (a) engaging in  charitable  and  community
affairs,  so long as they are  consistent  with his duties and  responsibilities
under this Agreement, (b) managing his personal investments,  and (c) serving on
the boards of directors of other  companies with the consent of the President or
the individual to whom the Executive  reports.  

         1.2 TERM. The term of employment  under this  Agreement  shall begin on
the  Effective  Date,  and  shall  end on that  date  which is three  (3)  years
following the Effective Date, unless sooner terminated  pursuant to the terms of
this  Agreement.  The obligations of the Employee under Paragraph 4.4 shall only
be enforceable by Employer in the event (a) Employee  terminates  this Agreement
either for Good Reason as defined  below or without  Good  Reason,  as set forth
below,  (b) the Employer  terminates this Agreement for cause, as defined below,
and the Employer pays one-half of the Noncompetition  Severance Pay as set forth
below,  (c) this  Agreement  terminates on its natural  expiration  date and the
Employer pays  Noncompetition  Severance Pay as set forth below, or (d) Employer
terminates this Agreement without cause and pays Noncompetition Severance Pay as
set forth below. 

                                   ARTICLE II

                                  COMPENSATION
                                  ------------

         2.1 Salary.  The  Executive  shall  receive a base salary at an initial
rate of Four  Hundred  Thousand  Dollars  ($400,000)  per year  (the  "Salary"),
payable in  substantially  equal  installments in accordance with the pay policy
established  by the  Company  from time to time,  but not less  frequently  than
monthly.  On each  Anniversary  Date, the Salary shall be increased or decreased
(but not below Four Hundred Thousand  Dollars  ($400,000)) by a percentage which
is equal to the percentage


                                                                    
                                       -2-


increase or decrease, as applicable,  in the "Consumer Price Index for All Urban
Consumers"  published by the United States Department of Labor's Bureau of Labor
Statistics  for the then most recently  ended twelve (12) month period as of the
date of such  adjustment,  and  increased by such  additional  amounts as may be
determined at the  discretion of the Chief  Executive  Officer or the President.
Once adjusted, such adjusted amount shall constitute Salary for purposes of this
Agreement.

         2.2      Bonuses.
                  -------
                  If the  Company's  earnings  per  share  equal or  exceed  the
earnings goals set by the Board (the "Target"),  then no more than ten (10) days
following the date the Company  publicly  announces  its  earnings,  the Company
shall pay the Executive a discretionary bonus ("Bonus") based on the Executive's
performance,  benefit  to the  Company  at  large,  and the  extent to which the
Company equals or exceeds the Target.  Such Bonus shall be discretionary  except
that if the  Company's  earnings  per share  equal or exceed the Target then the
Executive  shall receive a bonus of not less than one hundred  percent (100%) of
his salary.

         2.3 Executive  Benefits and  Perquisites.  During the Term, the Company
shall provide and/or pay for employee  benefits and perquisites that are, in the
aggregate, no less favorable than the employee benefits and perquisites that the
Executive  enjoys as of the  Effective  Date,  as  increased  from time to time,
including, without limitation:

                  (a)  comprehensive  individual  health  insurance,   including
         dependent coverage;

                  (b) life  insurance  coverage  in the  amount of Five  Hundred
         Thousand  Dollars  ($500,000) any proceeds of which shall be payable to
         the Executive's designated beneficiary or his estate;

                  (c)  three (3) weeks paid vacation annually;



                                       -3-


                  (d) disability  insurance coverage in a monthly benefit amount
         equal to the sum of 100% of Executive's  Salary plus "Bonus Amount" (as
         defined in Section 3.4(a));

                  (e) an automobile  allowance and automobile insurance coverage
         in the total amount of One Thousand  Dollars ($1,000) per month, and as
         increased from time to time.

         Once  increased,  the level of benefits  and  perquisites  shall not be
decreased without the Executive's consent.

         2.4  Equity-based  Compensation.  During  the  Term,  the  Compensation
Committee,  in its complete discretion,  may select the Executive to participate
in  programs  or enter into  agreements  which  provide for the grant of certain
equity-based compensation or rights to the Executive.

                                   ARTICLE III
                            TERMINATION AND SEVERANCE
                            -------------------------
         3.1  Termination;  Nonrenewal.  The  Company  shall  have the  right to
terminate the Executive's employment,  and the Executive shall have the right to
resign his  employment  with the Company,  at any time during the Term,  for any
reason or for no stated reason, upon no less than ninety (90) days prior written
notice (or such shorter  notice to the extent  provided  for  herein).  Upon the
Executive's   termination  without  "Cause"  (as  defined  in  Section  3.2)  or
resignation for "Good Reason" (as defined in Section 3.3) or upon the expiration
of the Term  following  the Company's  election not to renew this  Agreement (in
accordance  with Section 1.3),  the Executive  shall be entitled to severance as
set forth in Section  3.4.  Upon the expiry of the term  hereof,  the  Executive
shall be entitled to severance as set forth in Section 3.4. Upon the Executive's
termination  for Cause or resignation  without Good Reason,  the Executive shall
not be entitled to severance. If the Executive's

                                       -4-


employment  is  terminated  because of a  Permanent  Disability  (as  defined in
Section 3.5), the Executive shall receive the benefits and payments described in
Section 3.5.  

         3.2 Termination For Cause. 
             ---------------------

         (a) The Company may  terminate  this  Agreement  for Cause  following a
determination by the Chief Executive Officer that Cause exists.  For purposes of
this Agreement,  Cause shall mean any or all of the following: 

                           (i) the  Executive  materially  fails to perform  his
                  duties hereunder;

                           (ii)  a  material  breach  by  the  Executive  of his
                  covenants under Sections 4.1 or 4.2;

                           (iii) Executive is convicted of any felony.

                           (iv) Executive commits theft, larceny or embezzlement
                  of Company's tangible or intangible property.

                  (b)   Notwithstanding   anything  in  Section  3.2(a)  to  the
contrary,  a termination shall not be for Cause unless (i) the party to whom the
Executive  reports  notifies  the  Executive,  in writing,  of his  intention to
terminate  the  Executive  for Cause  (which  notice shall set forth the conduct
alleged to constitute  Cause) (the "Cause Notice");  and (ii) the Executive does
not cure his conduct (to the  reasonable  satisfaction  of the party to whom the
Executive  reports),  within  sixty  (60) days  after the  receipt  of the Cause
Notice.

         3.3 Termination  for Good Reason.  (a) The Executive may terminate this
Agreement for Good Reason,  provided he gives the Company  prior written  notice
that Good  Reason  exists  (the "Good  Reason  Notice").  For  purposes  of this
Agreement, Good Reason shall mean one or both of the following:


                                       -5-


                  (1)  a  material  breach  of  the  Agreement  by  the  Company
         (including,  without  limitation,  one or more of the following without
         the Executive's prior written consent:

                           (i)  a  material   diminution   of  the   Executive's
                  responsibilities, title, authority or status,

                           (ii) the failure of the Company to pay the  Executive
                  amounts when due under this Agreement,

                           (iii) the Executive's  removal or dismissal from, the
                  position of Executive Vice President - Field  Operations which
                  is not concurrent  with a promotion in title and/or  position,
                  and

                           (iv) a reduction in Salary or a material reduction in
                  benefits  (other  than a  reduction  in  Salary  permitted  by
                  Section 2.1).

                  (2) the resignation by the Executive  within one (1) year of a
         "Change of Control," as defined in Section 3.3(b).

Notwithstanding the foregoing, a termination on account of a reason described in
paragraph  (1),  shall be deemed not to be for Good Reason  unless the Executive
(i) gives the Company the  opportunity to cure the condition that purports to be
Good Reason, and (ii) the Company fails to cure that condition within sixty (60)
days after the  receipt  of the Good  Reason  Notice  (or,  with  respect to the
failure to make any payment when due to the Executive within ten (10) days after
the receipt of such notice).

         Notwithstanding any of the foregoing, if there is a "Change of Control"
as defined  hereafter,  the  Company  shall  cause the  Executive's  outstanding
options which are not  immediately  exercisable  to vest and become  immediately
exercisable  and the  restrictions  on equity  held by the  Executive  which are
scheduled  to lapse  solely  through the  passage of time to lapse (such  events
collectively referred to as "Acceleration of Equity Rights").


                                       -6-


                  (b) For  purposes  of this  Agreement,  a "Change of  Control"
shall  be  deemed  to  occur  if  (i)  there  shall  be   consummated   (x)  any
consolidation,  reorganization  or merger of the Company in which the Company is
not the  continuing or surviving  corporation or pursuant to which shares of the
Company's  common  stock  would be  converted  into  cash,  securities  or other
property,  other  than a merger  of the  Company  in which  the  holders  of the
Company's  common  stock   immediately   prior  to  the  merger  have  the  same
proportionate ownership of common stock of the surviving corporation immediately
after the merger,  or (y) any sale,  lease,  exchange or other  transfer (in one
transaction or a series of related  transactions) of all, or substantially  all,
of the assets of the  Company,  or (ii) the  stockholders  of the Company  shall
approve any plan or proposal for  liquidation or dissolution of the Company,  or
(iii) any person (as such term is used in  Sections  13(d) and  14(d)(2)  of the
Exchange  Act,  including  any "group"  (as  defined in Section  13(d)(3) of the
Exchange  Act)  (other  than  the  Executive  or  any  group  controlled  by the
Executive))  shall become the beneficial owner (within the meaning of Rule 13d-3
under  the  Exchange  Act) of  twenty  percent  (20%)  or more of the  Company's
outstanding  common stock (other than pursuant to a plan or arrangement  entered
into by such person and the  Company)  and such person  discloses  its intent to
effect a change in the  control or  ownership  of the Company in any filing with
the  Securities and Exchange  Commission,  or (iv) within any  twenty-four  (24)
month period  beginning  on or after the  Effective  Date,  the persons who were
directors of the Company  immediately  before the  beginning of such period (the
"Incumbent Directors") shall cease (for any reason other than death,  disability
or  retirement)  to  constitute at least a majority of the Board or the board of
directors of any successor to the Company,  provided  that, any director who was
not a  director  as of the  Effective  Date  shall be deemed to be an  Incumbent
Director if such director was elected to the Board by, or on the  recommendation
of or with the approval of,

                                       -7-


at least  two-thirds of the directors who then qualified as Incumbent  Directors
either  actually or by prior  operation of this Section  3.3(b)(iv)  unless such
election,  recommendation or approval was the result of any actual or threatened
election contest of the type contemplated by Regulation 14a-11 promulgated under
the Exchange Act or any successor provision. 

         3.4  Severance.  (a) If the  Executive  resigns for Good Reason,  or is
terminated  without  Cause or at the end of the term  hereof,  or if the Company
gives  the  Executive  notice  of its  intention  not to  extend  the  Term,  in
accordance with Article II, the Company shall cause an immediate Acceleration of
Equity Rights in favor of the Executive.  In addition, the Company shall pay the
Executive an amount (the  "Severance  Amount")  equal to two and one-half  (2.5)
times the sum of (1) his Salary in the year of  Termination  or the  immediately
preceding  year,  whichever is greater;  and (2) the Bonus Amount which shall be
the greater of i) the  Executive's  Bonus in the year of  termination  or in the
immediately preceding calendar year, whichever is greater. Such Severance Amount
shall be payable in cash as follows:

                  (x) no  later  than  10  days  after  the  effective  date  of
         Executive's  termination,  the Company shall pay the Executive one-half
         (1/2) of the Severance Amount in a lump sum;

                  (y)  commencing  on the first day of the month  following  the
         effective date of Executive's  termination  and on the first day of the
         month thereafter for a period of twenty-four  (24) months,  the Company
         shall pay the remaining  one-half (1/2) of the Severance  Amount to the
         Executive in equal monthly installments;

provided,  however, that if the Executive's employment terminates other than for
Cause, within one (1) year following a Change of Control,  the Company shall, in
lieu of the making the payments

                                       -8-




described in (x) and (y), pay the Executive the Severance Amount in one lump sum
cash  payment  within  ten (10) days  after the  effective  date of  Executive's
termination.
    
     In addition, for a period of thirty (30) months following the effective
date  of the  Executive's  termination,  the  Company  shall  provide  continued
employee  benefits and coverage for the Executive and his dependents of the type
and at a level of coverage  comparable  to the coverage in effect at the time of
termination or the preceding year,  whichever is greater ("Continued  Benefits")
including,  but not  limited  to those  benefits  and  perquisites  set forth in
Section 2.3 hereof.  Such  allowances,  benefits and coverages,  etc., to be not
less than those in effect on the Effective  Date of  Executive's  termination or
the preceding year, whichever is greater.  Notwithstanding the foregoing, if any
of the Continued  Benefits or other benefits to be provided  hereunder have been
decreased or otherwise  negatively  affected  within twelve (12) months prior to
the effective date of the Executive's  termination,  the reference for measuring
such benefit shall be the date prior to such  reduction  rather than the date of
such termination.

         3.5  Termination  for  Disability.  (a) The Company may  terminate  the
Executive  following a  determination  by the Chief  Executive  Officer that the
Executive  has  a  Permanent  Disability;   provided,   however,  that  no  such
termination  shall be effective (i) prior to the expiration of the six (6) month
period  following the date the Executive  first incurred the condition  which is
the  basis  for the  Permanent  Disability  or (ii) if the  Executive  begins to
substantially perform the significant aspects of his regular duties prior to the
proposed  effective date of such  termination.  For purposes of this  Agreement,
"Permanent  Disability" shall mean the Executive's  inability,  by reason of any
physical or mental impairment,  to substantially perform the significant aspects
of his regular duties,  as  contemplated  by this Agreement,  which inability is
reasonably  contemplated  to  continue  for at  least

                                       -9-


one (1) year  from  its  incurrence  and at  least  ninety  (90)  days  from the
effective date of the Executive's termination. Any question as to the existence,
extent,  or  potentiality  of the  Executive's  Permanent  Disability  shall  be
determined by a qualified  independent  physician selected by the Executive (or,
if the  Executive  is unable to make such  selection,  by an adult member of the
Executive's immediate family) and reasonably acceptable to the Company.

                  (b) If the  Executive is  terminated  because of his Permanent
Disability, the Company shall provide for the Acceleration of Equity Rights and,
the Company  shall,  (i) for a period of twenty-four  (24) months  following the
effective date of such termination  (the "Disability  Period") pay the Executive
one  hundred  (100%)  percent of his Salary  plus  Bonus  Amount,  offset by the
amount,  if any, paid to the Executive under the salary  replacement  portion of
disability  benefits  paid  under a  disability  plan or policy  paid for by the
Company;  and (ii) provide him with  Continued  Benefits  during the  Disability
Period.

         3.6 Death or Disability After Termination.  Should the Executive die or
become  disabled before receipt of any or all payments to which the Executive is
entitled to under Section 3.4 (or in the case of the Executive's death following
his  termination  on  account of  Permanent  Disability,  before  receipt of all
payments  under  Section  3.5) then the  balance  of the  payments  to which the
Executive is entitled shall continue to be paid to the Executive (in the case of
his disability) or to the executors or administrators of the Executive's  estate
(in the event of the Executive's  death);  provided,  however,  that the Company
may, at any time within its  discretion,  accelerate  any  payments  and pay the
Executive  or his estate the present  value of such  payments in a lump sum cash
payment.  For purposes of determining  the present value under this Section 3.6,
the interest rate shall be the prime rate of Citibank, N.A.


                                      -10-






                                   ARTICLE IV

                           COVENANTS OF THE EXECUTIVE
                           --------------------------

         4.1 Confidential Information.  In connection with his employment at the
Company, the Executive will have access to confidential  information  consisting
of some or all of the following categories of information:

                  (a)  Financial  Information,  including  but  not  limited  to
         information relating to the Company's earnings,  assets, debts, prices,
         pricing structure, volume of purchases or sales or other financial data
         whether related to the Company or generally, or to particular products,
         services, geographic areas, or time periods;

                  (b) Supply and Service Information,  including but not limited
         to  information  relating to goods and  services,  suppliers'  names or
         addresses,  terms of  supply  or  service  contracts  or of  particular
         transactions,  or related  information about potential suppliers to the
         extent that such information is not generally known to the public,  and
         the extent that the  combination  of  suppliers  or use of a particular
         supplier, though generally known or available, yields advantages to the
         Company details of which are not generally known;

                  (c)  Marketing  Information,  including  but  not  limited  to
         information  relating to details  about  ongoing or proposed  marketing
         programs or agreements by or on behalf of the Company, sales forecasts,
         advertising  formats  and  methods or results of  marketing  efforts or
         information about impending transactions;

                  (d)  Personnel  Information,  including  but  not  limited  to
         information  relating to  employees'  personnel  or medical  histories,
         compensation   or  other  terms  of  employment,   actual  or  proposed
         promotions, hirings, resignation, disciplinary actions, terminations or
         reasons  therefor,  training  methods,  performance,  or other employee
         information; and

                  (e)  Customer  Information,   including  but  not  limited  to
         information relating to past, existing or prospective customers' names,
         addresses or backgrounds,  records of agreements and prices,  proposals
         or agreements  between customers and the Company,  status of customers'
         accounts or credit, or related  information about actual or prospective
         customers as well as customer lists.

         All of the foregoing are  hereinafter  referred to as "Trade  Secrets."
The Company and the Executive  consider  their  relation one of confidence  with
respect to Trade  Secrets.  Therefore,  during

                                      -11-


and after the  employment  by the Company,  regardless  of the reasons that such
employment  ends,  the  Executive  agrees:  

                           (aa) To hold all Trade Secrets in confidence  and not
                  discuss,  communicate  or  transmit  to  others,  or make  any
                  unauthorized copy of or use the Trade Secrets in any capacity,
                  position  or  business  except as it  directly  relates to the
                  Executive's employment by the Company;

                           (bb) To use the Trade Secrets only in  furtherance of
                  proper  employment  related  reasons of the Company to further
                  the interests of the Company;

                           (cc) To take all reasonable  actions that the Company
                  deems necessary or appropriate, to prevent unauthorized use or
                  disclosure  of or to protect  the  Company's  interest  in the
                  Trade Secrets; and

                           (dd) That any of the Trade Secrets,  whether prepared
                  by the  Executive  or  which  may come  into  the  Executive's
                  possession during the Executive's  employment  hereunder,  are
                  and remain the property of the Company and its affiliates, and
                  all such Trade Secrets,  including  copies  thereof,  together
                  with  all  other  property  belonging  to the  Company  or its
                  affiliates,  or used in their respective businesses,  shall be
                  delivered to or left with the Company.

         This  Agreement does not apply to (i)  information  that by means other
than the Executive's  deliberate or inadvertent  disclosure becomes known to the
public;  (ii)  disclosure  compelled by judicial or  administrative  proceedings
provided the Executive  affords the Company the opportunity to obtain  assurance
that  compelled  disclosures  will  receive  confidential  treatment;  and (iii)
information  independently developed by the Executive,  the development of which
was not a breach of this Agreement.

         4.2  Non-Competition.   (a)  During  the  Term  and  for  a  period  of
twenty-four  (24)  months  thereafter  (or in the  event of the  termination  of
Executive's  employment  under any provision  herein within one (1) year after a
Change of  Control,  for a period  of one (1) year  thereafter),  the  Executive
agrees that he will not, without the express written consent of the Company, for
the Executive or on 


                                      -12-





behalf of any other person,  firm,  entity or other  enterprise  (i) directly or
indirectly solicit for employment or recommend to any subsequent employer of the
Executive the solicitation for employment of any person who, at the time of such
solicitation is employed by Company or any affiliate  thereof,  (ii) directly or
indirectly  solicit,  divert,  or endeavor  to entice  away any  customer of the
Company or any affiliate  thereof,  or otherwise engage in any activity intended
to  terminate,  disrupt,  or interfere  with the  Company's  or any  affiliate's
relationship  with a customer,  supplier,  lessor or other  person,  or (iii) be
employed by, be a director, officer or manager of, act as a consultant for, be a
partner in,  have a  proprietary  interest  in, give advice to, loan money to or
otherwise  associate  with, any person,  enterprise,  partnership,  association,
corporation,  joint  venture or other entity which is directly or  indirectly in
the business of owning,  operating or managing  any (1)  healthcare  facility or
business,  including  but not  limited  to, any  subacute  healthcare  facility,
rehabilitation hospital,  nursing home, or home health care business, or (2) any
other business similar to a business which is or was owned,  operated or managed
by the Company  during the Term or during the period that this Section 4.2 shall
apply to the  Executive,  unless  such  business  comprises  (and has during the
preceding twelve (12) month period comprised) less than five percent (5%) of the
Company's  gross  revenues;  and,  in the  case  of  any  facility  or  business
described,  in either  case,  which  competes  with any such type of facility or
business then operated by the Company or any of its subsidiaries. This provision
shall not be construed to prohibit  the  Executive  from owning up to 10% of the
outstanding  voting shares of the equity  securities of any company whose common
stock is listed for trading on any national securities exchange or on the NASDAQ
System or serving as a director  of any such  company.  The  provisions  of this
Section  4.2 shall  only  apply to  businesses  and  operations  located  in, or
otherwise conducted in, the United States.


                                      -13-


         4.3 Remedies For Breach of Article IV. In the event that the  Executive
materially  violates  the  covenants  contained  in this  Article IV,  after his
termination of employment under  circumstances  which entitle him to payments or
benefits  under  Section 3.4, the Company  may, at its  election,  upon ten (10)
days' prior  notice,  terminate  the  Severance  Period and cease  providing the
Executive  with  such  payments  and  benefits.   In  addition,   the  Executive
acknowledges  and  agrees  that  the  amount  of  damages  in the  event  of the
Executive's breach of this Article IV will be difficult,  if not impossible,  to
ascertain.  The Executive therefore agrees that the Company, in addition to, and
without  limiting any other remedy or right it may have, shall have the right to
an injunction  enjoining  any breach of the  covenants  made by the Executive in
this Article IV.

                                    ARTICLE V
                            AMENDMENT AND ASSIGNMENT
                            ------------------------
         5.1 Right of the  Executive to Assign.  The  Executive  may not assign,
transfer,  pledge or hypothecate or otherwise transfer his rights,  obligations,
interests  and benefits  under this  Agreement and any attempt to do so shall be
null and void.

         5.2 Right of Company to Assign.  This Agreement shall be assignable and
transferable  by the Company and any such  assignment or transfer shall inure to
the benefit of and be binding  upon the  Executive,  the  Executive's  heirs and
personal  representatives,  and the Company and its successors and assigns.  The
Executive  agrees to execute all  documents  necessary to ratify and  effectuate
such  assignment.  An  assignment  of this  Agreement  by the Company  shall not
release the Company from its monetary obligations under this Agreement.


                                      -14-





         5.3 Amendment/Waiver. No change or modification of this Agreement shall
be valid unless it is in writing and signed by both parties hereto. No waiver of
any provisions of this Agreement  shall be valid unless in writing and signed by
the person or party to be charged.

                                   ARTICLE VI

                                     GENERAL
                                     -------

         6.1 Governing Law. This  Agreement  shall be subject to and governed by
the laws of the State of Maryland.

         6.2 Binding  Effect.  This Agreement shall be binding upon and inure to
the benefit of the Company and the Executive and their respective  heirs,  legal
representatives, executors, administrators, successors and permitted assigns.

         6.3 Entire Agreement.  This Agreement  constitutes the entire agreement
between the  parties  and  supersedes  the Prior  Agreement  and all other prior
agreements,  either oral or  written,  between  the  parties  hereto;  provided,
however,  that this Agreement  does not supersede any  agreements  pertaining to
stock options which have been granted as of the  Effective  Date,  except to the
extent that any such option agreement contains  provisions which are contrary to
the  provisions  of  this   Agreement   (including   provisions   regarding  the
Acceleration of Equity Rights).

         6.4 Mitigation. The Executive shall not be required to mitigate damages
or the amount of any payment  provided for under this Agreement by seeking other
employment or otherwise nor may any payments  provided for under this Section be
reduced by any amounts  earned by the  Executive,  except as provided in Article
IV.

                                      -15-



         6.5 Survivorship.  The respective rights and obligations of the parties
hereunder  shall  survive  the  termination  of  this  Agreement  to the  extent
necessary  to preserve  the rights and  obligations  of the  parties  under this
Agreement.

         6.6 Notices. All notices,  demands,  requests,  consents,  approvals or
other  communications  required or permitted  hereunder  shall be in writing and
shall be delivered by hand,  registered  or certified  mail with return  receipt
requested or by a nationally recognized overnight delivery service, in each case
with all postage or other delivery  charges  prepaid,  and to the address of the
party to whom it is directed as  indicated  below,  or to such other  address as
such party may  specify  by giving  notice to the other in  accordance  with the
terms hereof. Any such notice shall be deemed to be received (i) when delivered,
if by hand,  (ii) on the next  business  day  following  timely  deposit  with a
nationally  recognized  overnight delivery service or (iii) on the date shown on
the return receipt as received or refused or on the date the postal  authorities
state that delivery cannot be  accomplished,  if sent by registered of certified
mail, return receipt requested.

         If to the Company:                Integrated Health Services, Inc.
                                           10065 Red Run Boulevard
                                           Owings Mills, Maryland  21117
                                           Attn:  Lawrence P. Cirka

         If to the Executive:              C. Christian Winkle
                                           -------------------------------

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


         6.7  Indemnification.  The Company  agrees to maintain  Director's  and
Officer's  liability  insurance  at a level not less than the level in effect on
the Effective Date, or to the extent such level is increased during the Term, at
such  increased  level;  provided,  however,  that the level of insurance may be
decreased  with the  Executive's  consent.  To the  extent  not  covered by such
liability insurance,

                                      -16-


the  Company  shall  indemnify  and hold the  Executive  harmless to the fullest
extent permitted by Delaware law against any judgments,  fines,  amounts paid in
settlement and reasonable expenses (including  reasonable  attorneys' fees), and
advance  amounts  necessary to pay the foregoing at the earliest time and to the
fullest  extent  permitted  by law,  in  connection  with any  claim,  action or
proceeding  (whether civil or criminal) against the Executive as a result of his
serving as an officer  or  director  of the  Company or in any  capacity  at the
request of the Company in or with regard to any other entity,  employee  benefit
plan or enterprise.  This indemnification shall be in effect during the Term and
thereafter  and  shall  be  in  addition  to  and  not  in  lieu  of  any  other
indemnification rights the Executive may otherwise have.

         6.8 Attorneys' Fees. Upon presentation of an invoice, the Company shall
pay directly or reimburse the Executive for all reasonable  attorneys'  fees and
costs incurred by the Executive:

                  (a)  in  connection  with  the  negotiation,  preparation  and
         execution of this Agreement; and

                  (b) in  connection  with any dispute  brought by the Executive
         over the terms of this Agreement  unless there is a determination  that
         the Executive had no reasonable basis for his claim.

         6.9  Arbitration.  Except as  otherwise  provided in Section  4.3,  any
dispute or controversy  arising under or in connection with this Agreement shall
be  settled  exclusively  by  arbitration,  conducted  before  a panel  of three
arbitrators in Baltimore, Maryland, in accordance with the rules of the American
Arbitration  Association  then in effect,  and  judgement  may be entered on the
arbitrators' award in any court having  jurisdiction.  The Company shall pay all
costs of the American  Arbitration  Association and the  arbitrator.  Each party
shall select one arbitrator, and the


                                      -17-


two so designated shall select a third arbitrator. If either party shall fail to
designate an arbitrator within seven (7) days after arbitration is requested, or
if the two arbitrators  shall fail to select a third arbitrator  within fourteen
(14) days after  arbitration is requested,  then an arbitrator shall be selected
by the  American  Arbitration  Association  upon  application  of either  party.
Notwithstanding the foregoing,  the Executive shall be entitled to seek specific
performance  from a court of the Executive's  right to be paid until the date of
termination  during the pendency of any dispute or controversy  arising under or
in connection with this Agreement and the Company shall have the right to obtain
injunctive relief from a court.

         6.10 Severability. No provision in this Agreement if held unenforceable
shall in any way invalidate any other provisions of this Agreement, all of which
shall remain in full force and effect.

         IN WITNESS WHEREOF,  the Company has caused this Agreement to be signed
by its duly authorized  officers and its corporate seal to be hereunto  affixed,
and the  Executive  has  hereunto set the  Executive's  hand on the day and year
first above written.

COMPANY                                           EXECUTIVE
- -------                                           ---------

Integrated Health Services, Inc.,
a Delaware corporation
     
                                                  /s/ C. Christian Winkle
By:___________________________________            ______________________________
                                                  C. Christian Winkle
Name:_________________________________

Title:________________________________





                                      -18-