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


         THIS AGREEMENT made and entered into as of the __________ day of April,
1994, by and between INTEGRATED HEALTH SERVICES,  INC., a Delaware  corporation,
(hereinafter  collectively referred to as the "Employer" or the "Company"),  and
ANTHONY R. MASSO (hereinafter referred to as the "Employee").


                              W I T N E S S E T H:
                              --------------------
         WHEREAS,  Employer is engaged in the  business of owning and  operating
nursing care  facilities and other health  care-related  businesses  through its
subsidiaries and tradenames; and

         WHEREAS,  Employer  wishes to employ  Employee,  and Employee wishes to
accept such employment, on the terms and conditions set forth herein; and

         WHEREAS,  in  the  course  of  his  employment,   and  as  a  necessary
consequence thereof,  Employee will receive information and acquire knowledge of
special procedures,  processes, business conduct, and knowledge that is private,
proprietary, and secret to the Company in its business; and

         WHEREAS,  the  business,  as well as the  success  and  profits  of the
Company,  depend  in large  part  upon the  maintenance  of  secrecy  as to such
information,  processes,  procedures  and  knowledge  as to the  conduct  of the
Company's business generally.

         NOW, THEREFORE,  in consideration of the foregoing premises, the mutual
agreements herein contained,  as well as the agreement to employ the Employee or
to  continue to employ the  Employee  under the terms and  conditions  contained
herein,  and  intending to be legally  bound  hereby,  it is agreed  between the
parties hereto as follows:







                                    ARTICLE I

                             EMPLOYMENT RELATIONSHIP
                             -----------------------

         1.1  EMPLOYMENT.  The  Employer  hereby  employs  the  Employee  in the
position  of  Senior Vice President-Managed Care, with such  responsibilities as
may be  assigned to Employee  from time to time by the ________________________,
provided,  that in the event the Company's  Board of Directors  provides for the
creation of an Executive Vice President position and any individual is appointed
to such  position,  then  Employee  shall be  appointed  Executive  Senior  Vice
President of Managed Care.  Employee  shall report to and be  responsible to the
________________________________for the period  hereinafter  set forth,  and the
Employee hereby accepts such employment.

         1.2 EXCLUSIVE  EMPLOYMENT.  During the  continuation  of the Employee's
employment by the Employer hereunder, the Employee will, unless the Employee has
first received the prior written consent of the Employer,  devote the Employee's
entire  business  time,  energy,  attention,  and skill to the  services  of the
Employer and to the promotion of its  interests,  and covenants that during such
time the  Employee  will not engage in, be  employed  by, be a director of or be
otherwise  directly or  indirectly  interested  in (i) any  business or activity
competing with or of a nature similar to the businesses of the Employer, or (ii)
any  business or activity  engaged in the owning,  operation  or  management  of
business or activity  competing with or of a nature similar to the businesses of
the Employer.


                                   ARTICLE II

                              PERIOD OF EMPLOYMENT
                              --------------------

         2.1  TERM.  Unless  sooner  terminated  pursuant  to the  terms of this
Agreement, the term of Employee's employment under this Agreement shall be for a
period of three (3) years, commencing

                                      - 2 -


as of June 1, 1994, and ending on May 31, 1997, provided,  however, that on June
1, 1997 and on each June 1st thereafter  (an  "Anniversary  Date"),  the term of
this Agreement shall be automatically extended by an additional period of twelve
(12) months. Notwithstanding the foregoing, either party hereto may elect not to
so extend this  Agreement by giving written notice of his or its election to the
other  party  hereto at least one (1) year prior to any  Anniversary  Date.  The
expiration of this Agreement  following an election by either party not to renew
shall be deemed to be an expiration on the Agreement's  natural  expiration date
for all purposes of this  Agreement.  

         2.2 TERMINATION  FOR CAUSE.  Employer may terminate this Agreement with
cause and without any obligation to pay Employee further  compensation  upon the
occurrence of any one or more of the  following  events:  

                  (a) Employee fails to materially  perform any of his duties of
         employment  or breaches  any  material  term of this  Agreement,  which
         failure,  non-performance or event is not corrected within fifteen (15)
         days after written  notice is delivered by the Employer to the Employee
         specifying said failure, non-performance or breach.

                  (b)  Employee  becomes  disabled  or is unable to perform  his
         normal duties, which condition persists for a period of sixty (60) days
         or more, and Employer has provided  Employee with disability  insurance
         which shall begin to pay after said sixty (60) day period expires;

                  (c) Employee is convicted of a misdemeanor or a felony;

                  (d)  Employee  commits  theft,   larceny  or  embezzlement  of
         Employer's tangible or intangible property.

         2.3  TERMINATION  WITHOUT CAUSE.  Employer may terminate this Agreement
without  cause  at any  time  prior  to  this  Agreement's  natural  expiration,
provided,  however,  that  Employer  shall  pay  to  Employee  Severance  Pay in
accordance with Section 3.5.

         2.4  TERMINATION  BY EMPLOYEE WITH CAUSE.  Employee may terminate  this
Agreement  with cause at any time prior to the  Agreement's  natural  expiration
upon the occurrence of any one or more of the following events:


                                      - 3 -


                  (a) A material  breach of the  Agreement  by  Employer,  which
         breach is not corrected  within sixty (60) days after written notice is
         delivered by the Employee to the Employer specifying said breach.

                  (b)  Removal  or  dismissal  of  Robert  N.  Elkins  as  Chief
         Executive  Officer of the  Company or  Lawrence P. Cirka as Senior Vice
         President and Chief Operating  Officer of the Company at any time after
         April 25, 1996.

                  (c) A substantial diminution in Employee's employment duties.

                  (d)  A  requirement   that   Employee   relocate  his  current
         residence.

                  (e)  Employer  fails to grant to  Employee  stock  options  in
         accordance with Section 3.3.

                                   ARTICLE III

                                  COMPENSATION
                                  ------------
         3.1 BASE  SALARY.  For all  services  rendered by  Employee  under this
Agreement,  the  Employee  shall  receive a base  salary at an  initial  rate of
$250,000 per year,  payable in accordance with the pay period policy established
by the  Employer  from time to time.  Said base  salary  shall be  reviewed  for
increase  annually,  commencing  one year after the date hereof.  If at any time
Employer  decides to effect a  company-wide  pay  reduction,  any  reduction  of
Employee's  base salary,  such  reduction  not to exceed twenty (20%) percent of
Employee's  then current base salary,  shall take effect  immediately  and shall
neither  cause the  termination  of this  Agreement  nor  constitute an event of
default by the Employer.

         3.2  BONUSES.  Within  90  days of the  close  of  each  calendar  year
(beginning  with  calendar  year 1994),  the Company shall pay to the Employee a
cash bonus ("Cash  Bonus") in such amount as may be  determined at the Company's
discretion.

         3.3 STOCK OPTIONS.  As additional  compensation  for the performance by
the Employee of his services hereunder, the Company shall recommend to the Stock
Option Plan Committee that, as soon as is reasonably  practicable  following the
execution of this Agreement and upon the approval
                                                      
                                      - 4 -


by the Company's  stockholders  of Employer's 1994 Stock Incentive Plan that the
Employee be granted options to purchase  100,000 shares of common stock pursuant
to the  Company's  1994  Stock  Incentive  Plan,  which  options  shall have the
following terms:  options to purchase 10,000 shares shall vest immediately,  and
options to purchase the  remaining  90,000  shares shall vest on a straight line
basis over the five (5) year period  commencing  on  February 1, 1994.  From and
after any  termination  of this  Agreement,  none of such options which have not
already  vested shall vest unless this  Agreement was  terminated by the Company
without cause,  which termination  without cause shall include Company's failure
to renew this Agreement  pursuant to Section 2.1. If such options are granted at
Employee's request as non-statutory  stock options,  all of such options will be
granted at an exercise price equal to the lowest daily closing NYSE price of the
Company's common stock reached during the period of April 25, 1994, through June
1, 1994; provided, however, that Employee may, by notice to the Company prior to
the granting of such options,  elect to have any or all of such options  qualify
as Incentive  Stock Options under the 1994 Stock  Incentive Plan, in which event
the exercise price of the options so designated by the Employee will be equal to
the market value of the Company's  common stock as of the date of grant.  In the
event Employee is not granted stock options in accordance with this Section 3.3,
Employer  shall be entitled,  at his sole option,  to either (i) terminate  this
Agreement  for cause  pursuant to Section 2.4 hereof,  or (ii) receive an annual
bonus for each calendar year during the term of this Agreement,  commencing with
the calendar year ending  December 31, 1994, of at least thirty (30%) percent of
his then current base salary.

         3.4 ADDITIONAL  BENEFITS.  Separate and apart from the Employee's  cash
compensation  as set forth  above,  the  Company  shall  provide and pay for the
following:  

                  (a) Employee's  coverage under the Company's standard life and
         health package for executives and Exec-U-Care;

                  (b)   Employee's   coverage  under  the  Company's  long  term
         disability plan;


                                      - 5 -






                  (c) a monthly automobile allowance; and

                  (d) Employee's reasonable out of pocket expenses incurred as a
         result of his relocation to the Owings Mills, MD area.

         3.5 SEVERANCE  PAY. (a) In the event (i) Employer  chooses to terminate
this Agreement without cause,  prior to the Agreement's  natural expiration date
and so  notifies  the  Employee,  or (ii)  Employee  chooses to  terminate  this
Agreement  with cause,  then  Employer  shall pay to Employee  severance  pay of
one-twelfth  (1/12) of Employee's  annual salary on a monthly basis  ("Severance
Pay") for (i) twenty-four (24) months or (ii) the amount of time remaining until
this Agreement's natural expiration,  whichever is less. Employee shall be bound
by the non-competition  restrictions of Paragraph 4.4 for as long as Employee is
receiving  such  Severance  Pay,  provided,  however,  that  Employer  shall  be
obligated to pay the  foregoing  Severance Pay  regardless  of whether  Employer
wishes to bind Employee to the non-competition  restrictions of Paragraph 4.4 or
agrees to release  Employee from such  restrictions.  However,  the Employer may
extend the  restriction  period to such a date which is no later than thirty-six
(36) months from the date of Employee's termination,  which time period shall be
at Employer's  election,  provided that Employer shall pay to Employee Severance
Pay for the  extension  of such  restriction,  and shall give  Employee  written
notice  thereof  within  fifteen  (15) days of such  termination.  The  benefits
provided for under Paragraph  3.4(a),  (b) and (c), above,  shall continue to be
applicable during any period of salary continuation under this Paragraph 3.5.

         (b) In the event this  Agreement  terminates at its natural  expiration
date, including termination as a result of a notice of nonrenewal by Employer or
Employee, and Employer elects to enforce and bind Employee to the noncompetition
restrictions  of  Paragraph  4.4  below,  then  Employer  shall pay to  Employee
Severance  Pay for each  month of  restriction  for a period of time which is no
later than twelve (12) months from the  Agreement's  natural  expiration,  which
time period shall be at Employer's election.


                                      - 6 -



         (c) In the event that this  Agreement is terminated by the Employer for
cause  and  the   Employer   elects  to  enforce   and  bind   Employee  to  the
non-competition restrictions of Paragraph 4.4, below, then Employer shall pay to
Employee one-half of the Severance Pay over the nine-month restriction period of
said Paragraph 4.4.  Employer may extend the  nine-month  restriction  period of
Paragraph  4.4 by paying to Employee  the full  Severance  Pay for each month of
restriction after the initial nine-month  restriction period, up to a maximum of
three (3) additional months,  which time period shall be at Employer's election.
The benefits  provided for under  Paragraph  3.4,  above,  shall  continue to be
applicable during the first 4.5 months of such restriction period.

                                   ARTICLE IV
                            COVENANTS OF THE EMPLOYEE
                            -------------------------
         4.1  OWNERSHIP AND RETURN OF  DOCUMENTS.  The Employee  agrees that all
memoranda,  notes,  records,  papers or other  documents and all copies  thereof
relating  to the  Employer's  operations  or  businesses,  some of which  may be
prepared  by the  Employee,  and all  objects  associated  therewith  in any way
obtained by the Employee  shall be the Employer's  property.  The Employee shall
not,  except for  employer's  use, copy or duplicate  any of the  aforementioned
documents or objects, nor remove them from the Employer's facilities nor use any
information concerning them except for the Employer's benefit, either during the
Employee's employment or thereafter.  The Employee agrees that the Employee will
deliver  all of the  aforementioned  documents  and  objects  that may be in his
possession to the Employer on termination of the  Employee's  employment,  or at
any other time on the Employer's  request,  together with the Employee's written
certification of compliance with the provision of this paragraph.


                                      - 7 -



         4.2  CONFIDENTIAL  INFORMATION.  In connection  with  employment at the
Company,  Employee will have access to  confidential  information  consisting of
some or all of the following  categories of  information.  Employer and Employee
consider their relation one of confidence with respect to such 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
         to 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
         fore-casts,  advertising  formats and  methods or results of  marketing
         efforts or information about impending transactions;

                  (d)  PERSONNEL  INFORMATION,  including  but  not  limited  to
         information  relating  to  employees'  personal  or medical  histories,
         compensation   or  other  terms  of   employment   actual  or  proposed
         promotions, hirings, 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."
During and after the  employment by the Company,  regardless of the reasons that
such employment ends, Employee 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 Employee's employment by the Company;


                                      - 8 -



                  (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  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
         Employee or which may come into Employee's possession during Employee'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 Employee's  deliberate or inadvertent  disclosure becomes well known to the
public;  (ii)  disclosure  compelled by judicial or  administrative  proceedings
after Employee diligently tries to avoid each disclosure and affords the Company
the  opportunity to obtain  assurance that  compelled  disclosures  will receive
confidential  treatment.  

         4.3  NON-SOLICITATION  AND  NON-PIRATING.  At  all  times  following  a
termination or the natural  expiration of this  Agreement,  the Employee  hereby
agrees that,  without the express written consent of the Employer,  the Employee
will not,  directly or  indirectly,  for the  Employee or on behalf of any other
person,  firm, entity or other enterprise:  

                  (a) call upon any client or customer of the Employer or in any
         way solicit, divert or take away any client or customer of the Employer
         who was a client or customer of the Employer  while the Employee was an
         employee  of the  Employer  under this  Agreement  (such  period  being
         hereinafter referred to as the "Employment Period"); and

                  (b) disturb, hire, entice away or in any other manner persuade
         any employee,  client, or customer of the Employer who was an employee,
         client,  or customer of the Employer during the Employment  Period,  to
         alter,  modify or terminate their  relationship with the Employer as an
         employee, client, or customer, as the case may be.

         4.4  NON-COMPETITION.  In  consideration  of the Employee's  employment
hereunder,  and subject to the  provisions of 3.5,  above,  the Employee  hereby
agrees that,  without the express written consent of the Employer,  the Employee
will not,  directly or  indirectly,  for the  Employee or on behalf 


                                      - 9 -


of any other  person,  firm,  entity or other  enterprise,  during any period in
which the Employee is receiving  Severance  Pay pursuant to Paragraph 3.5 or, in
the event  Employer  terminates  this  Agreement  for cause prior to its natural
expiration,  for a period  of nine (9)  calendar  months  following  the date of
termination  of  the  Employee's  employment  hereunder  (subject  to  extension
pursuant to Paragraph 3.5 hereof),  be employed by, be a director or manager of,
act as a consultant  for, be a partner in, have a proprietary  interest in, give
advice to, loan money to or otherwise  associate  with, any person,  enterprise,
partnership,  association,  corporation,  joint venture or other entity which is
directly or  indirectly  in the  business of owning,  operating  or managing any
nursing  home,  hospital,  health  care  facility  or other  entity of any type,
licensed or unlicensed,  which is engaged in or provides nursing, residential or
domiciliary  care services or which  provides  community  meals,  supervises the
personal  care of  individuals,  or in any way competes with the Employer or its
subsidiaries.  This  provision  shall not be  construed to prohibit the Employee
from owning up to 2% of the issued  shares of any company  whose common stock is
listed for trading on any national securities exchange or on the NASDAQ National
Market System. 

         4.5  NECESSARY   RESTRICTIONS.   The  Employee  acknowledges  that  the
restrictions contained in Paragraphs 4.3 and 4.4 are reasonable and necessary to
protect the legitimate business interests of the Employer and that any violation
thereof by him would result in  irreparable  harm to the Employer.  Accordingly,
the Employee  agrees that upon the  violation by him of any of the  restrictions
contained in  Paragraphs  4.3 or 4.4,  the Employer  shall be entitled to obtain
from any court of competent  jurisdiction a preliminary and permanent injunction
as well as any other relief  provided at law,  equity,  under this  Agreement or
otherwise.  In  the  event  any  of  the  foregoing  restrictions  are  adjudged
unreasonable in any  proceeding,  then the parties agree that the period of time
or the scope of such


                                     - 10 -


restrictions (or both) shall be adjusted to such a manner or for such a time (or
both) as is adjudged to be reasonable.

        4.6 PRIOR EMPLOYERS.  The Employee agrees to indemnify and hold harmless
the  Company,  its  officers,  directors,  and  employees  from and  against any
liabilities  and  expenses,  including  attorney's  fees  and  amounts  paid  in
settlement,  incurred by any of them in connection  with any claim by any of the
Employee's  prior  employers that the  termination  of his employment  with such
employer,  his  employment  with the Employer,  or that the use of any skills or
knowledge  by the Company is a violation  of  contract or law.  Employee  hereby
represents and warrants to the Company that (i) he is not bound by any agreement
with any prior  employer or other party to refrain from using or disclosing  any
confidential information or from competing with the business of such employer or
other party, (ii) his performance under this Agreement will not breach any other
agreement  by which he is bound,  and (iii) he has not  brought  with him to the
Company,  nor will he bring or use in the performance of his responsibilities at
the Company,  any  materials or  documents  of a former  employer  which are not
generally available to the public.

         4.7 REMEDIES FOR BREACH.  The Employee  acknowledges that the covenants
contained in Article IV of this Agreement are independent covenants and that any
failure by the Employer to perform its obligations  under this Agreement  (other
than the act of nonpayment which is not cured by the Employer within thirty (30)
days of the receipt of written notice of said condition from the Employee) shall
not be a defense to  enforcement  of the  covenants  contained  in  Article  IV,
including but not limited to a temporary or permanent  injunction.  The Employee
acknowledges  that damages in the event of Employee's  breach of this Article IV
will be difficult,  if not impossible,  to ascertain and it is therefore  agreed
that the  Employer,  in addition  to, and without  limiting  any other remedy or
right it may have,  shall  have the right to an  injunction  enjoining  the said
breach. Employee agrees to


                                     - 11 -


reimburse Employer for all costs and expenses,  including reasonable  attorney's
fees, incurred by Employer because of any breach of this Article.


                                    ARTICLE V

                                   ASSIGNMENT
                                   ----------

         5.1 PROHIBITION OF EMPLOYMENT ASSIGNMENT. The Employee agrees on behalf
of  the   Employee   and  the   Employee's   heirs   and   executors,   personal
representatives,  and any other person or persons claiming any benefit under the
Employee  by  virtue of this  Agreement,  that this  Agreement  and the  rights,
interests, and benefits hereunder shall not be assigned, transferred, pledged or
hypothecated in any way by the Employee or the Employee's  heirs,  executors and
personal representatives,  and shall not be subject to execution,  attachment or
similar  process.  Any  attempt  to assign,  transfer,  pledge,  hypothecate  or
otherwise  dispose of this Agreement or any such rights,  interests and benefits
thereunder contrary to the foregoing provision, or the levy of any attachment or
similar  process  thereupon  shall be null and void and without effect and shall
relieve the Employer of any and all liability hereunder.

         5.2 RIGHT OF EMPLOYER TO ASSIGN. This Agreement shall be assignable and
transferable  by  the  Employer  to  Employer's  transferee,   assignee  or  any
successor-in-interest,  parent,  subsidiary or affiliate of Employer,  and shall
inure to the benefit of and be binding upon the Employee,  the Employee's  heirs
and personal  representatives,  and the Employer and its successors and assigns.
Employee agrees to execute all documents necessary to ratify and effectuate such
assignment.

         5.3  BINDING  EFFECT IF  TRANSFERRED.  In the event this  Agreement  is
transferred  by Employer,  the term  "Employer"  and "Company" used herein shall
refer to and be binding upon the Employer's transferee or assignee.


                                     - 12 -



                                   ARTICLE VI

                                     GENERAL

         6.1 GOVERNING LAW. This  Agreement  shall be subject to and governed by
the laws of the State of  Maryland,  irrespective  of the fact that the Employee
may become a resident of a different state.

         6.2 BINDING  EFFECT.  This Agreement shall be binding upon and inure to
the benefit of the Employer and the Employee 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 contains all of the agreements  between the parties with
respect to the subject  matter  hereof;  this  Agreement  supersedes any and all
other  agreements,  either oral or in writing,  between the parties  hereto with
respect to the subject hereof. No change or modification of this Agreement shall
be valid  unless the same be 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.

         6.4  SEVERABILITY.  If any portion of this  Agreement  shall be for any
reason,  invalid or  unenforceable,  the  remaining  portion or  portions  shall
nevertheless  be valid,  enforceable  and carried into  effect,  unless to do so
would  clearly  violate the  present  legal and valid  intention  of the parties
hereto.
 



                                     - 13 -


        6.5 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  ac

IF TO THE  COMPANY:      Integrated Health Services, Inc.
                         10065 Red Run Boulevard
                         Owings Mills, MD 21117
                         Attn:  General Counsel

IF TO THE EMPLOYEE:      Anthony R. Masso
                         15224 Manor Lake Drive
                         Rockville, MD  20853

         6.6 INDEPENDENT LEGAL COUNSEL. Employee represents and warrants that he
has had the opportunity to seek the advice of independent legal counsel prior to
signing  this  Agreement,  and that the Company has  recommended  to him that he
obtain such counsel.

         6.7  ATTORNEY'S  FEES.  In the  event  of  litigation  concerning  this
Agreement,  the  prevailing  party shall be entitled to collect  from the losing
party attorney's fees and costs, including those on appeal.


                                     - 14 -


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

EMPLOYER                                          EMPLOYEE
- --------                                          --------
Integrated Health Services,
Inc., a Delaware Corporation


                                                  /s/ Anthony R. Masso
By:--------------------------------               ------------------------------
   Lawrence P. Cirka,                             Anthony R. Masso
   Senior Vice President and
   Chief Operating Officer










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