WARRANT TO PURCHASE SHARES OF COMMON STOCK

                                      FROM

                        INTEGRATED HEALTH SERVICES, INC.


                                  JULY 1, 1992






                               WARRANT TO PURCHASE
                             SHARES OF COMMON STOCK


THESE SECURITIES HAVE NOT BEEN REGISTERED UNDER THE UNITED STATES SECURITIES ACT
OF 1933, AS AMENDED, AND, MAY NOT BE SOLD,  TRANSFERRED,  ASSIGNED,  OFFERED FOR
SALE,  PLEDGED  OR  HYPOTHECATED  IN THE  ABSENCE OF AN  EFFECTIVE  REGISTRATION
THEREOF UNDER SUCH ACT OR COMPLIANCE WITH RULE 144  PROMULGATED  UNDER SUCH ACT,
OR UNLESS THE COMPANY HAS  RECEIVED AN OPINION OF COUNSEL,  SATISFACTORY  TO THE
COMPANY AND ITS COUNSEL, THAT SUCH REGISTRATION IS NOT REQUIRED.


                        INTEGRATED HEALTH SERVICES, INC.

              INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE


                  THIS CERTIFIES THAT, for value received, Driftwood Health Care
Managers,  Inc.,  a South  Carolina  corporation  ("Driftwood"),  is entitled to
purchase,  pursuant to the terms hereof, three thousand (3,000) shares of Common
Stock,  par value  $.001 per share (the  "Common  Stock") of  Integrated  Health
Services,  Inc., a Delaware corporation (the "Company"),  at a purchase price of
$20.00 per share.  As partial  consideration  for the  execution and delivery of
this  Warrant,  Driftwood  has delivered and paid to the Company an aggregate of
$3.00 ($.001 per share of Common Stock).

         1.       EXERCISE OF WARRANT

                  The  terms and  conditions  upon  which  this  Warrant  may be
exercised,  and the Common Stock covered  hereby (the  "Warrant  Shares") may be
purchased, are as follows:

                  1.1.  Exercise.  This  Warrant may be exercised in whole or in
part at any  time  after  July 1,  1994,  but in no case  may  this  Warrant  be
exercised at any time after the earliest to occur of the following:  (a) July 1,
1999 or (b) the closing of the Company's sale of all or substantially all of its
assets or the  acquisition of the Company by another entity or group by means of
a merger,  sale or exchange of shares, or other transaction as a result of which
shareholders  of the Company  immediately  prior to such  acquisition  possess a
minority of the voting  power of the  acquiring  entity or the Company (if it is
the surviving entity).









                  1.2. Purchase Price. The purchase price for the Warrant Shares
to be issued upon  exercise of this Warrant  shall be $20.00 per Warrant  Share,
subject to adjustments as set forth below.

                  1.3.  Method of Exercise.  The exercise of the purchase rights
evidenced by this Warrant shall be effected by (a) the surrender of the Warrant,
together with a duly executed copy of the form of  subscription  attached hereto
as Exhibit A, to the Company at its  principal  offices and (b) the  delivery of
the purchase  price by certified  check or bank draft  payable to the  Company's
order,  in  immediately  available  funds for the number of shares for which the
purchase rights hereunder are being exercised, or delivery of the purchase price
by any other form of consideration approved by the Company's Board of Directors.

                  1.4.  Issuance of Warrant  Shares.  In the event the  purchase
rights  evidenced  by this  Warrant  are  exercised,  in  whole  or in  part,  a
certificate  or  certificates  for the  purchased  shares  shall  be  issued  to
Driftwood as soon as practicable.  In the event the purchase rights evidenced by
this Warrant are exercised in part,  the Company shall also issue to Driftwood a
new warrant representing the unexercised purchase rights.

         2.       CERTAIN ADJUSTMENTS

                  2.1. Stock  Dividends;  Split or Subdivision of Shares.  If at
any time while this  Warrant  remains  outstanding  and  unexpired,  the Company
should effect a split or subdivision of the  outstanding  shares of Common Stock
or pay a dividend  with respect to the Common Stock  payable in shares of Common
Stock, then:

                           (a) the purchase price shall be reduced, concurrently
with such issuance,  to a price  determined by (i) multiplying such price by the
number of shares of Common Stock outstanding immediately prior to such issuance,
and (ii)  dividing the result by the sum of the number of shares of Common Stock
outstanding  immediately  prior to such  issuance and the actual  number of such
additional  shares of Common Stock so issued,  in the case of any such dividend,
immediately  after the close of business on the record date for  determining the
holders of any class of securities entitled to receive such dividend,  or in the
case of any such  subdivision,  at the close of business on the date immediately
prior to the date upon which such corporate action becomes effective.  In either
case the number of additional  shares of Common Stock deemed to have been issued
shall be the difference between the number of outstanding shares of Common Stock
outstanding  immediately  before such dividend or subdivision  and the number of
shares of Common Stock outstanding immediately thereafter; and

                           (b) the  number of shares  of Common  Stock  issuable
upon  exercise of this Warrant  shall be  increased  to the product  obtained by
multiplying the number of Warrant Shares  purchasable  immediately prior to such
purchase price  adjustment by a fraction (i) the numerator of which shall be the
purchase price immediately prior to such


                                       -3-







adjustment,  and  (ii) the  denominator  of which  shall be the  purchase  price
immediately after such adjustment.

                  2.2. Mergers, Consolidations or Sale of Assets. If at any time
there  shall  be  a  capital   reorganization  of  the  Company  (other  than  a
combination,  reclassification,   exchange  or  subdivision  of  Warrant  Shares
otherwise provided for herein), or a merger or consolidation of the Company with
or  into  another  corporation  in  which  the  Company  is  not  the  surviving
corporation,  or  the  sale  of the  Company's  properties  and  assets  as,  or
substantially as, an entirety to any other person or entity,  then, as a part of
such  reorganization,  merger,  consolidation or sale, lawful provision shall be
made so that  Driftwood  shall be  entitled  to receive  upon  exercise  of this
Warrant,  during the period  specified  in this  Warrant and upon payment of the
purchase price then in effect, the number of shares of stock or other securities
or property of the successor  corporation  resulting  from such  reorganization,
merger,  consolidation  or  sale,  to  which  a  holder  of the  Warrant  Shares
deliverable  upon exercise of this Warrant  would have been  entitled  under the
provisions of the agreement in such  reorganization,  merger,  consolidation  or
sale if this Warrant had been exercised  immediately before that reorganization,
merger, consolidation or sale.

                  2.3.  Reclassification.  If the Company at any time shall,  by
subdivision,  combination or reclassification of securities or otherwise, change
any of the Warrant  Shares into the same or a different  number of securities of
any other class or classes, this Warrant shall thereafter represent the right to
acquire  such  number and kind of  securities  as would have been  issuable as a
result of such change with respect to the Warrant  Shares  immediately  prior to
such subdivision, combination, reclassification or other change.

                  2.4.  Combination of Shares. If at any time while this Warrant
remains  outstanding  and  unexpired,  the  number of  shares  of  Common  Stock
outstanding  is decreased by a combination of the  outstanding  shares of Common
Stock, then:

                           (a)  the  purchase  price  shall  be  correspondingly
increased to a price  determined by (i)  multiplying  such purchase price by the
number of shares of Common Stock outstanding immediately prior to such issuance,
and (ii) dividing the result by the number of shares of Common Stock outstanding
immediately after such combination; and

                           (b) the  number of shares  of Common  Stock  issuable
upon  exercise of this Warrant  shall be  decreased  to the product  obtained by
multiplying the number of Warrant Shares  purchasable  immediately prior to such
purchase price  adjustment by a fraction (i) the numerator of which shall be the
purchase price immediately prior to such adjustment, and (ii) the denominator of
which shall be the purchase price immediately after such adjustment.

                  2.5.  Certificate  as to  Adjustments.  In the  case  of  each
adjustment or readjustment of the purchase price pursuant to this Section 2, the
Company will promptly compute such adjustment or readjustment in accordance with
the terms hereof and cause a


                                       -4-







certificate  setting forth such adjustment or readjustment and showing in detail
the facts upon which such adjustment or readjustment is based to be delivered to
the holder of this Warrant.  The Company shall,  upon the written request at any
time of the holder of this  Warrant,  furnish or cause to be  furnished  to such
holder a certificate setting forth:

                           (a) such adjustments and readjustments;

                           (b) the purchase price at the time in effect; and

                           (c) the  number of shares of  Warrant  Shares and the
amount,  if any, of other property at the time  receivable  upon the exercise of
this Warrant.

         3.       FRACTIONAL SHARES

                  No fractional  shares shall be issued in  connection  with any
exercise of this Warrant.  In lieu of the issuance of such fractional share, the
Company  shall make a cash  payment  equal to the then fair market value of such
fractional share as determined by the Company's Board of Directors.

         4.       RESERVATION OF COMMON STOCK

                  The Company  shall at all times during the period within which
the rights  represented  by this  Warrant  may be  exercised,  reserve  and keep
available  a  sufficient  number of shares of Common  Stock to  provide  for the
exercise of the rights represented by this Warrant.

         5.       PRIVILEGE OF STOCK OWNERSHIP

                  Prior to the exercise of this Warrant,  Driftwood shall not be
entitled,  by virtue of holding this Warrant,  to any rights of a shareholder of
the Company, including (without limitation) the right to vote, receive dividends
or other distributions, exercise preemptive rights or be notified of shareholder
meetings,  and  such  holder  shall  not be  entitled  to any  notice  or  other
communication  concerning  the  business  or affairs of the  Company,  except as
required by applicable law.

         6.       LIMITATION OF LIABILITY

                  No provision hereof,  in the absence of affirmative  action by
the holder hereof to purchase the Warrant Shares, and no mere enumeration herein
of the  rights  or  privileges  of the  holder  hereof,  shall  give rise to any
liability  of such  holder for the  purchase  price or as a  shareholder  of the
Company,  whether  such  liability is asserted by the Company or by creditors of
the Company.




                                       -5-







         7.       TRANSFERS AND EXCHANGES

                  7.1.  Transfer of this  Warrant.  Subject to  compliance  with
applicable   securities   laws,  this  Warrant  and  all  rights  hereunder  are
transferrable in whole or in part by Driftwood upon the prior written consent of
the  Company.  Any such  transfer  shall be recorded on the books of the Company
upon the surrender of this  Warrant,  properly  endorsed,  to the Company at its
principal offices and the payment to the Company of all transfer taxes and other
governmental  charges  imposed  on such  transfer.  In the  event  of a  partial
transfer, the Company shall issue to the several holders one or more appropriate
new warrants.

                  7.2. Endorsement of this Warrant. Each holder agrees that this
Warrant when endorsed in blank shall be negotiable and that when so endorsed the
holder may be treated by the Company  and all other  persons  dealing  with this
Warrant as the absolute  owner for all  purposes  and as the person  entitled to
exercise the purchase rights evidenced  hereby;  provided,  however,  that until
such time as the transfer is recorded on the books of the  Company,  the Company
may treat the registered holder of this Warrant as the absolute owner.

                  7.3. New Warrants.  All new warrants issued in connection with
transfers,  exchanges  or  partial  exercises  shall  be  identical  in form and
provision to this Warrant except as to the number of shares.

         8.       PAYMENT OF TAXES

                  The Company shall pay all expenses in connection with, and all
taxes and other  governmental  charges  (other than any thereof on, based on, or
measured  by,  the net  income of the  holder  thereof)  that may be  imposed in
respect of, the issue or delivery of the Warrant  Shares.  The Company shall not
be required,  however, to pay any tax or other charge imposed in connection with
any transfer  involved in the issue of any certificate for shares of the Warrant
Shares in any name other than that of Driftwood,  and in such case,  the Company
shall not be required to issue or deliver any stock  certificate  until such tax
or other  charge  has  been  paid or it has been  established  to the  Company's
satisfaction that no such tax or other charge is due.

         9.       SUCCESSORS AND ASSIGNS

                  The terms and provisions of this Warrant shall be binding upon
the Company and Driftwood and their respective successors and assigns.

         10.      LOSS, THEFT, DESTRUCTION OR MUTILATION OF THIS WARRANT

                  Upon   receipt   by  the   Company  of   evidence   reasonably
satisfactory  to it of the  loss,  theft,  destruction  or  mutilation  of  this
Warrant, and in case of loss, theft or destruction,


                                       -6-






of  indemnity  or security  reasonably  satisfactory  to the  Company,  and upon
reimbursement to the Company of all reasonable expenses incidental thereto,  and
upon surrender and cancellation of this Warrant, if mutilated,  the Company will
make and deliver a new warrant of like tenor and dated as of such  cancellation,
in lieu of this Warrant.

         11.      RESTRICTED SECURITIES

                  The  holder  understands  that this  Warrant  and the  Warrant
Shares  purchasable  hereunder  constitute  "restricted  securities"  under  the
federal  securities  laws  inasmuch as they are, or will be,  acquired  from the
Company in transactions not involving a public offering and accordingly may not,
under such laws and applicable  regulations,  be resold or  transferred  without
registration  under the Securities  Act of 1933 or an applicable  exemption from
registration.  In this connection,  the holder acknowledges that Rule 144 of the
Securities  and  Exchange  Commission  is not now, and may not in the future be,
available  for  resales  of  this  Warrant  and  the  Warrant  Shares  purchased
hereunder.

         12.      SATURDAYS, SUNDAYS, HOLIDAYS

                  If the last or  appointed  day for the taking of any action or
the  expiration of any right  required or granted  herein shall be a Saturday or
Sunday or shall be a legal holiday,  then such action may be taken or such right
may be exercised,  except as to the purchase  price,  on the next succeeding day
not a legal holiday.

                  IN WITNESS WHEREOF, the parties have caused this Warrant to be
duly executed on this 1st day of July, 1992.


                                                INTEGRATED HEALTH SERVICES, INC.

                                                By: /s/ William J. Krystopowicz
                                                    ---------------------------
                                                Name:  William J. Krystopowicz
                                                       ------------------------
                                                Title:  Senior Vice President
                                                        -----------------------

RECEIVED AND ACKNOWLEDGED this
1st day of July, 1992



DRIFTWOOD HEALTH CARE MANAGERS, INC.


By:  /s/  Calvin D. Lipscomb
     ------------------------------

Name:  Calvin D. Lipscomb
       ----------------------------

Title:  President
        ---------------------------