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

                            STOCK PURCHASE AGREEMENT

                           DATED AS OF AUGUST 29, 1997

                                      AMONG

                        INTEGRATED HEALTH SERVICES, INC.

                                       AND

                                APS AMERICA, INC.

                                       AND

                             RAYMOND A. MIRRA, JR.,
                                   JAMES KUO,

                                  EDWARD KRAMM,

                                       AND

                           SIRROM CAPITAL CORPORATION



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







                                TABLE OF CONTENTS
                                                                            PAGE

ARTICLE I:  SALE AND PURCHASE OF COMPANY STOCK.................................1
         1.1      Sale and Purchase of Company Stock...........................1

ARTICLE II:  PURCHASE PRICE....................................................1
         2.1      Determination and Payment of Purchase Price..................1
         2.2      Adjustments to the Purchase Price............................2
         2.3      Liabilities..................................................3

ARTICLE III:  IHS STOCK........................................................3
         3.1      IHS Stock....................................................3

ARTICLE IV:  THE CLOSING.......................................................8
         4.1      Time and Place of Closing....................................8

ARTICLE V:  REPRESENTATIONS AND WARRANTIES OF THE SELLERS AND
         COMPANY...............................................................8
         5.1      Organization and Standing of the Company.....................8
         5.2      Absence of Conflicting Agreements............................8
         5.3      Consents.....................................................9
         5.4      Company Stock................................................9
         5.5      Assets.......................................................9
         5.6      Trademarks..................................................10
         5.7      Contracts...................................................10
         5.8      Financial Statements........................................11
         5.9      Material Changes............................................12
         5.10     Licenses; Permits; Certificates of Need.....................12
         5.11     Title, Condition of Personal Property.......................12
         5.12     Legal Proceedings...........................................14
         5.13     Employees...................................................14
         5.14     Collective Bargaining, Labor Contracts, Employment
                  Practices, Etc..............................................14
         5.15     ERISA.......................................................15
         5.16     Insurance and Surety Agreements.............................15
         5.17     Relationships...............................................16
         5.18     Absence of Certain Events...................................16
         5.19     Compliance with Laws........................................17
         5.20     Finders.....................................................17
         5.21     Tax Returns.................................................17
         5.22     Encumbrances Created by this Agreement......................17
         5.23     Subsidiaries and Joint Ventures.............................17


                                       (i)





         5.24     No Untrue Statement.........................................17
         5.25     Medicare and Medicaid Programs..............................18
         5.26     Leasehold Interests.........................................18
         5.27     Power and Authority.........................................18
         5.28     Binding Effect..............................................18
         5.29     Questionnaires..............................................18
         5.30     Questionable Payments.......................................18

ARTICLE VI:  REPRESENTATIONS AND WARRANTIES OF SELLERS .......................19
         6.1      Authority...................................................19
         6.2      Binding Effect..............................................19
         6.3      Absence of Conflicting Agreements...........................19
         6.4      Consents....................................................19
         6.5      Ownership of Company Stock..................................19

ARTICLE VII:  REPRESENTATIONS AND WARRANTIES OF BUYER.........................19
         7.1      Organization and Standing...................................19
         7.2      Power and Authority.........................................20
         7.3      Binding Agreement...........................................20
         7.4      Absence of Conflicting Agreements...........................20
         7.5      Consents....................................................20
         7.6      Material Changes............................................20
         7.7      Finders.....................................................20
         7.8      Capital Stock...............................................20
         7.10     Compliance with Laws........................................21
         7.11     Questionable Payments.......................................21

ARTICLE VIII:  INFORMATION AND RECORDS CONCERNING THE OTHER
         PARTIES..............................................................21
         8.1      Buyer's Access to Information and Records before Closing....21
         8.2      Sellers' and Company's Access to Information and Records
                  Before Closing..............................................22

ARTICLE IX:  OBLIGATIONS OF THE PARTIES (OTHER THAN SIRROM) UNTIL
         CLOSING..............................................................22
         9.1      Conduct of Business Pending Closing.........................22
         9.2      Negative Covenants of the Company and its Subsidiaries......22
         9.3      Affirmative Covenants.......................................22
         9.4      Pursuit of Consents and Approvals...........................23
         9.5      Exclusivity.................................................24



                                      (ii)





ARTICLE X:  CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS.......................24
         10.1     Representations and Warranties..............................24
         10.2     Performance of Covenants....................................24
         10.3     Delivery of Closing Certificate.............................24
         10.4     Opinion of Counsel..........................................24
         10.5     Legal Matters...............................................24
         10.6     Authorization Documents.....................................25
         10.7     Material Change.............................................25
         10.8     Approvals...................................................25
         10.9     Employment Agreement........................................25
         10.10    Consents....................................................25
         10.11    Estimated Closing Date Balance Sheet........................25
         10.12    Company's Subsidiaries and Options..........................25
         10.13    Cost and Expenses...........................................26
         10.14    Resignation of Company Boards of Directors and Officers.....26
         10.15    Affiliated Company..........................................26
         10.16    Lien Releases...............................................26
         10.17    Other Documents.............................................26

ARTICLE XI:  CONDITIONS PRECEDENT TO SELLERS' OBLIGATIONS.....................26
         11.1     Representations and Warranties..............................26
         11.2     Performance of Covenants....................................26
         11.3     Delivery of Closing Certificate.............................26
         11.4     Opinion of Counsel..........................................27
         11.5     Legal Matters...............................................27
         11.6     Authorization Documents.....................................27
         11.7     Employment Agreement........................................27
         11.8     Material Change.............................................27
         11.9     Other Documents.............................................27

ARTICLE XII:  SURVIVAL AND INDEMNIFICATION....................................27
         12.1     Survival of Representations and Warranties..................27
         12.2     Indemnification by Sellers..................................27
         12.3     Indemnification by Buyer....................................28
         12.4     Assertion of Claims.........................................28
         12.5     Indemnity Basket............................................29
         12.6     Control of Defense of Indemnifiable Claims..................29
         12.7     Restrictions................................................30
         12.8     Records.....................................................31

ARTICLE XIII:  TERMINATION....................................................31
         13.1     Termination.................................................31
         13.2     Effect of Termination.......................................31




                                      (iii)





ARTICLE XIV:  MISCELLANEOUS...................................................31
         14.1     Costs and Expenses..........................................31
         14.2     Performance.................................................31
         14.3     Benefit and Assignment......................................32
         14.4     Effect and Construction of this Agreement...................32
         14.5     Cooperation - Further Assistance............................32
         14.6     Notices.....................................................32
         14.7     Waiver, Discharge, Etc......................................33
         14.8     Rights of Persons Not Parties...............................33
         14.9     Governing Law...............................................34
         14.10    Amendments, Supplements, Etc................................34
         14.11    Severability................................................34
         14.12    Counterparts................................................34
         14.13    Arbitration.................................................34
         14.14    Public Announcements........................................34



                                      (iv)





                              SCHEDULES & EXHIBITS

Schedule 2.1(b)          -       Allocation among Sellers
Schedule 5.3             -       Consent List of Sellers
Schedule 5.4             -       Company Stock
Schedule 5.6             -       Trademarks
Schedule 5.7             -       Contracts
Schedule 5.8(a)          -       Unaudited Financial Statement
Schedule 5.8(b)          -       Unaudited Interim Financial Statements
Schedule 5.8(c)          -       Material Liabilities
Schedule 5.9             -       Material Changes
Schedule 5.10            -       Licenses, Permits, Certificates of Need
Schedule 5.11(a)         -       Liens on Personal Property
Schedule 5.11(b)         -       Leases of Personal Property
Schedule 5.12            -       Legal Proceedings
Schedule 5.13            -       Employees
Schedule 5.15 (b)        -       Employee Benefit Plans
Schedule 5.15 (c)        -       Employees on Leave of Absence
Schedule 5.16            -       Insurance and Surety Agreements
Schedule 5.17            -       Relationships
Schedule 5.18            -       Absence of Certain Events
Schedule 5.19            -       Compliance with Laws
Schedule 5.21            -       Tax Returns
Schedule 5.23            -       Subsidiaries, Joint Ventures, etc.
Schedule 5.25            -       Medicare and Medicaid Programs
Schedule 6.5             -       Ownership of Company Stock

Exhibit 5.29             -       Questionnaire
Exhibit 10.4             -       Opinion of Sellers' Counsel
Exhibit 10.9             -       Employment Agreement
Exhibit 11.4             -       Opinion of Buyer's Counsel



                                       (v)





                           --------------------------
                            STOCK PURCHASE AGREEMENT
                           --------------------------


     This Stock Purchase  Agreement (the "Agreement") is made as of the 29th day
of August, 1997, among SIRROM CAPITAL CORPORATION ("Sirrom"),  RAYMOND A. MIRRA,
JR.,  JAMES KUO, and EDWARD KRAMM (the said  individuals,  together with Sirrom,
being collectively  referred to herein as the "Sellers",  and each individually,
the "Seller"),  and INTEGRATED  HEALTH  SERVICES,  INC., a Delaware  corporation
("Buyer"), and APS AMERICA, INC., a Delaware corporation (the "Company").

     WHEREAS,  the Company is in the  business of providing  infusion  services,
including  without  limitation,  blood fractions  services and chronic  infusion
therapies (the "Business" or "Services"); and

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

     WHEREAS,  Buyer wishes to acquire the Company  Stock from the Sellers,  and
the Sellers  wish to sell the Company  Stock to Buyer,  in  accordance  with the
terms and conditions hereinafter set forth.

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


                  ARTICLE I: SALE AND PURCHASE OF COMPANY STOCK

     1.1 SALE AND PURCHASE OF COMPANY STOCK. Subject to the terms and conditions
of this Agreement, at the Closing (as hereinafter defined),  Buyer shall acquire
from the Sellers,  and the Sellers  shall sell,  assign,  transfer and convey to
Buyer,  the Company Stock.  The number of shares of Company Stock (and the class
or series of such shares) being sold by each Seller is set forth on Schedule 5.4
hereto.


                           ARTICLE II: PURCHASE PRICE

     2.1 DETERMINATION AND PAYMENT OF PURCHASE PRICE.

       (A) Subject to adjustment  pursuant to Section 2.2 hereof,  the aggregate
purchase  price to be paid by Buyer to the Sellers  for the  Company  Stock (the
"Purchase  Price"),  shall be TWO  MILLION  AND 00/100  (2,000,000.00)  DOLLARS,
payable at the  Closing by the  delivery  of newly  issued  shares of the Common
Stock, par value $.001, of Buyer (the "IHS Stock").








       (B) The  Purchase  Price  payable to the  Sellers at the  Closing,  after
taking into account the  adjustments in Section 2.2,  below,  shall be allocated
among the Sellers on the basis set forth on Schedule 2.1(b).

     2.2 ADJUSTMENTS TO THE PURCHASE PRICE.

       (A) At the Closing, the Company shall deliver a certificate signed by its
Chief Financial Officer certifying the amount of the Company's aggregate working
capital (as defined herein) as of the Closing Date on a consolidated  basis (the
"Estimated  Closing  Date  Working  Capital").  In the event that the  Estimated
Closing Date Working Capital is less than zero (the "Minimum Working  Capital"),
the  Purchase  Price  payable to the  Sellers  at  Closing  will be reduced on a
dollar-for-dollar  basis by an amount equal to the amount of such  deficiency in
cash.  For the purposes  hereof,  "working  capital" means the excess of current
assets over current  liabilities,  as determined in  accordance  with  generally
accepted accounting  principles,  consistently  applied ("GAAP");  provided that
current  liabilities  shall  include  any  deferred  taxes  resulting  from  the
conversion  of the Company as of the  Closing  Date from an  S-corporation  to a
C-corporation.  Additionally, at the Closing, the Company shall deliver to Buyer
the balance sheet of the Company on a consolidated basis dated as of the Closing
Date,  certified by the Company's Chief Financial  Officer to be his or her best
good faith estimate thereof (the "Estimated Closing Date Balance Sheet"). In the
event that the Estimated Closing Date Balance Sheet discloses that the aggregate
amount of the Company's  long-term  liabilities as determined in accordance with
GAAP exceeds zero,  the Purchase Price payable to the Sellers at Closing will be
reduced  by an amount  equal to the  amount  of such  excess.  For the  purposes
hereof,  "long-term  liability" means any liability that would be set forth as a
long-term  liability on a balance sheet in accordance  with GAAP;  provided that
long-term  liabilities  shall  include any  deferred  taxes  resulting  from the
conversion  of the Company as of the  Closing  Date from an  S-corporation  to a
C-corporation,  except  that in no event  will the same  deferred  tax amount be
included as both a current liability and long-term liability.

       (B) As soon as is reasonably practicable,  but in any event within ninety
(90) days  following  the Closing  Date,  Buyer  shall  complete a review of the
Company's  Estimated Closing Date Balance Sheet. If such review reveals that the
Company's working capital as of the Closing Date was less than the lesser of (i)
the  Minimum  Working  Capital,  and (ii) the  Estimated  Closing  Date  Working
Capital,  the Purchase  Price shall be deemed to have been reduced by the amount
of such  deficiency,  and the Sellers  shall pay over to Buyer cash in an amount
equal to such  deficiency.  Furthermore,  if such review  reveals the  aggregate
amount of the Company's  long-term  liabilities  as of the Closing Date exceeded
the  greater  of (w)  zero,  or  (x)  the  amount  of  the  Company's  long-term
liabilities  as indicated on the  Estimated  Closing  Date  Balance  Sheet,  the
Purchase  Price  shall be  deemed  to have been  reduced  by the  amount of such
excess,  and the Sellers  shall deliver over to Buyer cash in an amount equal to
such excess.  If there shall be any dispute  regarding  the  calculation  of the
working capital as of the Closing Date or the amount of long-term liabilities as
of the Closing Date,  such dispute  shall be submitted to a mutually  acceptable
"big six" accounting firm other than KPMG Peat Marwick LLP and Deloitte & Touche
LLP (the  "Accountants")  for final  resolution  and the party  against whom the
Accountants  shall rule shall pay the costs and expenses of the  Accountants  in
connection therewith.


                                        2





     2.3  LIABILITIES.  As of the Closing  Date,  the Company  will not have any
Liabilities other than such long-term liabilities and current liabilities as are
reflected on the  Estimated  Closing Date  Balance  Sheet.  For purposes of this
Agreement the term "Liability" means any claim, lawsuit,  liability,  obligation
or debt of any kind or nature whatsoever, whether absolute, accrued, due, direct
or indirect,  contingent or liquidated,  matured or unmatured, joint or several,
whether or not for a sum  certain,  whether  for the payment of money or for the
performance or observance of any obligation or condition,  and whether or not of
a type which would be reflected as a liability on a balance  sheet in accordance
with GAAP,  including,  without  limitation (i)  malpractice  claims asserted by
patients or any other tort claims  asserted,  claims for breach of contract,  or
any claims of any kind asserted by patients,  former patients,  employees or any
other  party  that are based on acts or  omissions  occurring  on or before  the
Closing Date; (ii) amounts due or that may become due to Medicare or Medicaid or
any other  health  care  reimbursement  or  payment  intermediary  on account of
Medicare cost report  adjustments or other payment  adjustments  attributable to
any period on or prior to the  Closing  Date,  or any other form of  Medicare or
other health care reimbursement recapture, adjustment or overpayment whatsoever,
including  fines and  penalties,  with  respect to any period on or prior to the
Closing Date ("Excess Reimbursement Liabilities"); (iii) any accounts payable or
employment  or other taxes;  and (iv) accrued but unpaid  compensation  or other
benefits to any of the Company's  employees,  agents,  consultants  or advisers,
including accrued vacation.


                             ARTICLE III: IHS STOCK

     3.1 IHS STOCK. The entire Purchase Price equal to TWO MILLION  ($2,000,000)
DOLLARS shall be payable by means of the delivery to the Sellers of IHS Stock in
accordance with the following:

       (A) SHARE  VALUE.  The number of shares of IHS Stock  issuable at Closing
pursuant to Section  2.1(b) shall be calculated  based upon a price per share of
such stock equal to the average  closing NYSE price of such stock for the thirty
(30) trading day period immediately  preceding the date which is two (2) trading
days before the Closing Date.

       (B) REGISTRATION  RIGHTS.  Buyer will prepare and use its best efforts to
cause  to be  filed  and  declared  effective  by the  Securities  and  Exchange
Commission  (the  "Commission")  within  ninety (90) days  following the Closing
Date, a registration  statement for the registration under the Securities Act of
1933 (the "Securities  Act") of the IHS Stock issued to Sellers pursuant to this
Agreement,  and Buyer shall  maintain  the  effectiveness  of such  registration
statement  for a period of one (1) year  following  the date on which it becomes
effective (the "Registration Date"), or until no Seller shall own any of the IHS
Stock issued  pursuant to this  Agreement,  whichever shall occur first, in each
case  except to the extent  that an  exemption  from  registration  would  allow
Sellers to sell all of their stock without restrictions (other than as set forth
in Section 3.1(d), below) is available.


                                        3





       (C)  REGISTRATION  EXPENSES.  Sellers shall not be  responsible  for, and
Buyer  shall  bear,  all of the  reasonable  expenses  of Buyer  related to such
registration including, without limitation, the fees and expenses of its counsel
and  accountants,  all of its other  costs,  fees and  expenses  incident to the
preparation,  printing,  registration and filing under the Securities Act of the
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 Sellers' or any transferee's  failure to comply
with its obligations under this Article III.

       (D) RESALE LIMITATIONS.  All resales of IHS Stock issued pursuant to this
Agreement  shall be effected  solely  through Smith Barney Inc., as broker,  and
sales by Sellers  and, if any,  their  transferees  of such  shares  (other than
transferees  acquiring  shares  pursuant to market  transactions  through  Smith
Barney Inc. and in accordance with this subsection  (d)), shall not at any time,
in the aggregate,  exceed Thirty Thousand (30,000) shares during any thirty (30)
day period.

       (E)  REGISTRATION  PROCEDURES,  ETC. In connection with the  registration
rights  granted to the Sellers with respect to the IHS Stock as provided in this
Section 3.1, Buyer covenants and agrees as follows:

          (I)  At  Buyer's  expense,   Buyer  will  keep  the  registration  and
qualification  under this  Section 3.1  effective  (and in  compliance  with the
Securities  Act) by such action as may be  necessary  or  appropriate  until the
Registration  Date or for a period of one (1) year  following  the date on which
the registration  becomes  effective,  in each case except to the extent that an
exemption from registration may be available.  Buyer will immediately notify the
Sellers,  at any time when a  prospectus  relating to a  registration  statement
under this Section 3.1 is required to be delivered  under the Securities Act, of
the  happening  of any event known to Buyer as a result of which the  prospectus
included in such registration  statement,  as then in effect, includes an untrue
statement of a material  fact or omits to state any material fact required to be
stated  therein or necessary to make the  statements  therein not  misleading in
light of the circumstances then existing.

          (II) Buyer shall furnish the Sellers 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  Sellers,  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.


                                        4





          (IV) The  information  included or  incorporated  by  reference in the
registration  statement filed pursuant to this Section 3.1 will not, at the time
any such registration statement becomes effective,  contain any untrue statement
of a material  fact,  or omit to state any material  fact  required to be stated
therein as necessary in order to make the  statements  therein,  in light of the
circumstances under which they were made, not misleading or necessary to correct
any  statement  in any  earlier  filing of such  registration  statement  or any
amendments  thereto.  The  registration  statement  will comply in all  material
respects with the provisions of the Securities Act and the rules and regulations
thereunder.  Buyer shall  indemnify the Sellers of IHS Stock to be sold pursuant
to the registration statement, their successors and assigns, and each person, if
any, who controls such Sellers within the meaning of ss.15 of the Securities Act
or ss.20(a) of the Securities Exchange Act of 1934 ("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 any of the Sellers  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  Sellers  or any
controlling  person of the Sellers in respect of which  indemnity  may be sought
against  Buyer  pursuant  to this  subsection  3.1(e)(iv),  the  Sellers 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 Sellers or such controlling  person). The Sellers 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 Sellers or
such  controlling  person  unless (A) the  employment of such counsel shall have
been  authorized  in writing  by Buyer in  connection  with the  defense of such
action,  or (B) Buyer  shall not have  employed  counsel  to have  charge of the
defense of such  action,  or (C) such  indemnified  party or parties  shall have
reasonably  concluded  that there may be defenses  available to it or them which
are different  from or  additional  to those  available to Buyer (in which case,
Buyer shall not have the right to direct the defense of such action on behalf of
the indemnified party or parties),  in any of which events the fees and expenses
of not more than one  additional  firm of attorneys for the Sellers  and/or such
controlling  person shall be borne by Buyer. Buyer agrees promptly to notify the
Sellers of the  commencement  of any litigation or proceedings  against Buyer or
any of its officers,  directors or  controlling  persons in connection  with the
resale of IHS Stock or in connection with such registration statement.


                                        5





          (V) The  Sellers of IHS Stock to be sold  pursuant  to a  registration
statement,  and their successors and assigns, shall severally,  and not jointly,
indemnify  Buyer,  its  officers  and  directors  and each  person,  if any, who
controls  Buyer within the meaning of ss.15 of the Securities Act or ss.20(a) of
the  Exchange  Act  against all loss,  claim,  damage,  or expense or  liability
(including  all  expenses  reasonably  incurred in  investigating,  preparing or
defending  against any claim  whatsoever) to which they may become subject under
the  Securities  Act,  the  Exchange  Act or any other  statute,  common  law or
otherwise,  to the extent arising from information  furnished by or on behalf of
such  Sellers,  or their  successors  or assigns for specific  inclusion in such
registration statement.

       (F) NOTICE OF SALE. If the Sellers  desire to transfer all or any portion
of IHS Stock,  the Sellers will deliver  written notice to Buyer,  describing in
reasonable  detail their  intention to effect the transfer and the manner of the
proposed  transfer.   If  the  transfer  is  to  be  pursuant  to  an  effective
registration  statement as provided herein,  the Sellers will sell the IHS Stock
in compliance  with the disclosure  therein and discontinue any offers and sales
thereunder upon notice from Buyer that the  registration  statement  relating to
the IHS Stock being  transferred  is not  "current"  until  Buyer gives  further
notice that offers and sales may be recommenced. In the event of any such notice
from  Buyer,   Buyer  agrees  to  file  expeditiously  such  amendments  to  the
registration statement as may be necessary to bring it current during the period
specified  in Section  3.1(e) and to give prompt  notice to the Sellers when the
registration statement has again become current. If the Sellers deliver to Buyer
an opinion of counsel reasonably  acceptable to Buyer and its counsel and to the
effect that the proposed transfer of IHS Stock may be made without  registration
under the Securities  Act, the Sellers will be entitled to transfer IHS Stock in
accordance with the terms of the notice and opinion of their counsel.

       (G)  FURNISH  INFORMATION.  It  shall  be a  condition  precedent  to the
obligations  of the Buyer to take any action  pursuant to this  Article III that
the Sellers shall furnish to the Buyer such  information  regarding  themselves,
the IHS Stock  held by them,  and the  intended  method of  disposition  of such
securities as shall be required to effect the  registration  of their IHS Stock.
In that connection, each transferee of any Seller shall be required to represent
to the  Buyer  that all such  information  which is given is both  complete  and
accurate in all material  respects.  Such Sellers  shall  deliver to the Buyer a
statement in writing from the  beneficial  owners of such  securities  that they
bona fide intend to sell, transfer or otherwise dispose of such securities. Each
transferee  will,  severally,  promptly notify IHS at any time when a prospectus
relating to a registration  statement  covering such  transferee's  shares under
this Section 3.1 is required to be delivered  under the  Securities  Act, of the
happening  of any  event  known  to such  transferee  as a result  of which  the
prospectus included in such registration  statement, as then in effect, includes
an untrue  statement  of a  material  fact or omits to state any  material  fact
required to be stated  therein or necessary to make the  statements  therein not
misleading in light of the statements as then existing.


                                        6





       (H)  INVESTMENT  REPRESENTATIONS.  All  shares  of IHS Stock to be issued
hereunder  will be newly  issued  shares of Buyer.  The  Sellers  represent  and
warrant to Buyer that the IHS Stock being issued  hereunder  is being  acquired,
and will be acquired,  by the Sellers 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 Sellers  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 Sellers  agree that no shares of IHS
Stock may be sold,  transferred,  assigned,  pledged or  otherwise  disposed  of
except  pursuant to an effective  registration  statement  or an exemption  from
registration under the Securities Act, the rules and regulations thereunder, and
under all applicable  state  securities laws. The Sellers 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 Sellers have had the opportunity to make inquiries of and
obtain from  representatives and employees of Buyer such other information about
Buyer as it deems necessary in connection with such investment.  Buyer will file
all Exchange Act Reports on a timely basis, including any permitted extensions.

       (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.

       (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 Sellers under this Article III.


                                        7





                             ARTICLE IV: THE CLOSING

     4.1  TIME  AND  PLACE  OF  CLOSING.  The  closing  (the  "Closing")  of the
transactions  contemplated  by this  Agreement  shall  be held  as  promptly  as
practicable,   but  not  more  than  seven  (7)  business  days   following  the
satisfaction of all conditions precedent specified in this Agreement,  including
receipt of all necessary regulatory  approvals,  unless duly waived by the party
entitled to satisfaction thereof. The Closing shall take place at the offices of
the Buyer, or at such other time and place upon which the parties may agree. The
date on which the Closing is held is hereinafter called the "Closing Date."


          ARTICLE V: REPRESENTATIONS AND WARRANTIES OF THE SELLERS AND
                                     COMPANY

     The  Company  and the  Sellers  (other  than  Sirrom)  hereby  jointly  and
severally  represent and warrant to Buyer as follows (it being  understood that,
for the  purposes of this Article V, except  where the context  would  otherwise
require  "Company" shall be deemed to refer  collectively to the Company and any
subsidiaries listed on Schedule 5.23 and "to the knowledge of the Company" shall
be deemed to refer  collectively  to the  Company's  knowledge  and the Sellers'
knowledge):

     5.1 ORGANIZATION AND STANDING OF THE COMPANY.  The Company is a corporation
duly  organized,  validly  existing and in good  standing  under the laws of the
State of  Delaware.  Copies  of the  Company's  Articles  of  Incorporation  and
By-Laws,  and all amendments  thereof to date,  have been delivered to Buyer and
are complete and  accurate.  The Company 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.  The  Company  is  qualified  to  do  business  as a  foreign
corporation  in each state where the  ownership  of its assets or the conduct of
its business renders such qualification necessary.

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


                                        8





     5.3  CONSENTS.  Except  as set forth in  Schedule  5.3,  no  authorization,
consent, approval,  license, exemption by, filing or registration with any court
or   governmental   department,    commission,    board,   bureau,   agency   or
instrumentality, domestic or foreign, is or will be necessary in connection with
the  execution,  delivery  and  performance  of  this  Agreement  or  any of the
Transaction Documents by any of the Sellers or the Company.

     5.4 COMPANY STOCK.  Schedule 5.4 sets forth a complete list and description
of the authorized capital stock of the Company,  the number of shares issued and
outstanding of each class or series of such capital  stock,  and the identity of
each  Seller of the  Company,  in each case  indicating  the class and number of
shares  held.  No shares of the  Company  Stock are held in the  treasury of the
Company.  The Sellers are the record owners of all of the issued and outstanding
shares of the Company  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 from the
Company  or Sellers  shares of  capital  stock of the  Company  pursuant  to any
provision of law or the Articles of  Incorporation  or By-Laws of the Company or
by agreement or  otherwise.  On the Closing Date there shall not be  outstanding
any warrants,  options, or other rights to subscribe for or purchase from any of
the  Company  any shares of capital  stock of the  Company,  nor shall  there be
outstanding any securities convertible into or exchangeable for such shares. The
shares of Company Stock  indicated on Schedule 5.4 as being owned by the Sellers
constitute all of the issued and outstanding  shares of the capital stock of the
Company.

     5.5 ASSETS. As of the Closing Date, the consolidated  assets of the Company
(the  "Assets")  will  include  its  ownership  interest  in all of its  current
operating  subsidiaries,  as well as all of the tangible and  intangible  assets
necessary  to operate  the  Business  of the  Company  and its  subsidiaries  as
presently  constituted,  including,  without  limitation,  all contract  rights,
leasehold  interests,  fixed  and  moveable  equipment,  vehicles,  furnishings,
tangible  personal  property,  inventory  and  supplies  (other than  inventory,
supplies,  and other  assets  disposed of in the  ordinary  course of  business,
consistent with prior practice),  goodwill, trade names, trademarks, all patient
records,  books and files,  Certificates of Need, Medicare and Medicaid provider
agreements and provider  numbers,  provider  agreements with third party payors,
telephone numbers, and to the extent permitted by law, all permits, licenses and
other governmental  approvals.  The Assets of the Company as of the Closing Date
shall also include cash, accounts receivable,  and prepaid expenses.  The Assets
shall not  include  inventory,  supplies  and other  assets  disposed  of in the
ordinary course of business, consistent with the prior practice of the Company's
business.  The  quantities  of  inventory  items  included  in  the  Assets  are
reasonable  in light of the  present  and  anticipated  volume of the  Company's
business and the  inventory is good,  usable,  merchantable,  and salable in the
ordinary  course of the Company's  business,  in each case, as determined by the
Company in good faith and consistent with past practice. The accounts receivable
of the Company  are  reflected  properly on its books and records in  accordance
with GAAP,  and have been billed or invoiced in the ordinary  course of business
consistent  with past  practice.  The  Assets  are not  subject to any Liens (as
defined in Section  5.11),  except for  Permitted  Liens (as  defined in Section
5.11).


                                        9





     5.6 TRADEMARKS. Schedule 5.6 sets forth a complete and accurate list of all
trademarks,  service marks, or applications for any of the same, copyrights, and
other items of  intellectual  property that are owned,  possessed or used by the
Company.  There are no claims or proceedings pending or, to the knowledge of the
Company, overtly threatened against the Company asserting that the use of any of
the  aforementioned  properties  or  rights  infringes  the  rights of any other
person, and, to the knowledge of any of the Sellers and Company,  the Company is
not infringing on the intellectual property rights of any other person.

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

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

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

       (C) each agreement or arrangement  for the purchase or sale of any of the
Company's  assets,  properties or rights outside the ordinary course of business
(by purchase or sale of assets,  purchase or sale of stock, merger or otherwise)
which is currently in effect which involves consideration of more than $25,000;

       (D) each  contract  currently  in effect which  contains  any  provisions
requiring the Company to indemnify or act for, or guarantee the  obligation  of,
any other person or entity;

       (E) each  agreement  restricting  the Company  from  conducting  business
anywhere in the world;

       (F) each partnership or joint venture contract or similar  arrangement or
agreement which involves a sharing of profits or future payments with respect to
the Company's business or any portion thereof;

       (G)   each   licensing,   distributor,   dealer,   franchise,   sales  or
manufacturer's  representative,  agency, purchasing, supply, and rebate or other
similar contract, arrangement or commitment which involves consideration of more
than $15,000;

       (H) each  contract  under which the Company  performs the Services  which
involves consideration of more than $15,000;


                                       10





       (I) each lease of real property; or

       (J) any other  agreement  not made in the ordinary  and normal  course of
business which involves consideration of more than $15,000.

     Except as indicated on Schedule 5.7, each of the Contracts was entered into
and requires performance in the ordinary course of business and is in full force
and effect.  The Company is not in material default under any Contract and there
has not been asserted,  either by or against the Company under any Contract, any
written notice of default,  set-off or claim of default. To the knowledge of the
Company, the parties to the Contracts other than the Company are not in material
default of any of their respective  obligations  under the Contracts,  and there
has not  occurred  any event  which  with the  passage  of time or the giving of
notice (or both) would  constitute a material  default or material  breach under
any  Contract.  All  amounts  payable  under the  Contracts  are, or will at the
Closing  Date, be on a current  basis.  Except as set forth on Schedule 5.7, the
change of control in the Company to Buyer will not be deemed an  assignment  of,
or require consent under, any Contract.

     5.8 FINANCIAL STATEMENTS.

       (A)  The  unaudited  consolidated  balance  sheet  of the  Company  as of
December 31, 1996,  and the related  statements of operations  for the year then
ended, annexed hereto as Schedule 5.8(a) (the "Unaudited Financial  Statement"),
presents fairly in all material respects the financial  condition and results of
operations  of the Company at and for the period then ended  specified  and were
prepared in accordance with GAAP.

       (B) The unaudited  consolidated monthly statements of operations and cash
flows of the Company for each  calendar  month  since  January 1, 1997,  and the
unaudited consolidated Balance Sheet of the Company as of July 31, 1997, annexed
hereto as  Schedule  5.8(b)  (the  "Unaudited  Interim  Financial  Statements"),
present fairly in all material  respects the financial  condition and results of
operations of the Company at and for the periods therein  specified  (except for
normal  year-end  adjustments  and  such  statements  do  not  contain  footnote
disclosure) and were prepared in accordance with GAAP.

       (C) Except as set forth on Schedule  5.8(c) or as expressly  set forth on
the  Unaudited  Interim  Financial  Statements,  the  Company  has  no  material
non-recurring  or  extraordinary  income or  expense  reduction  not  identified
therein or material  liabilities  or  obligations  (whether  absolute,  accrued,
contingent  or otherwise  and whether due or to become due,  including,  without
limitation,  any guarantees of any obligations of any other person or entity) of
any  kind or  nature  whether  or not  required  by GAAP  to be  reflected  on a
consolidated  balance sheet and/or the notes  thereto,  except for current trade
payables incurred since the date of the Unaudited  Interim Financial  Statements
in the ordinary course of business consistent with past practice.


                                       11





     5.9 MATERIAL CHANGES.  Except as noted on Schedule 5.9, between the date of
the Unaudited Financial Statement and the date of this Agreement,  there has not
been any material  adverse  change in the condition  (financial or otherwise) of
the Company or any damage or destruction  of any of the Company's  Assets or its
place  of  business  by  fire or  other  casualty,  whether  or not  covered  by
insurance, and during such period of time the Company has conducted its business
in the ordinary and normal course.  Sellers have identified and  communicated to
Buyer all material information with respect to this transaction.

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

     5.11 TITLE, CONDITION OF PERSONAL PROPERTY.

       (A) Except for the liens listed and  described on Schedule  5.11(a),  the
Company has good and marketable  title to all of the personal  property owned by
the Company and located at their places of business or used in  connection  with
the  operation of its  businesses,  subject to no mortgage,  security  interest,
pledge, lien, claim,  encumbrance or charge, or restraint on transfer whatsoever
(the  "Liens")  other than  Permitted  Liens (as  defined  below) and except for
personal  property  leased by the Company as set forth on Schedule  5.11(b).  No
other  person  has any right to the use or  possession  of any of such  property
which is owned  and,  except  as set forth on  Schedule  5.11(a),  no  currently
effective financing statement with respect to such personal property has been


                                       12





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

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

       (C) "Permitted Liens" shall mean:

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

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

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

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

          (V) taxes not yet due or those taxes being contested.


                                       13





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

     5.13  EMPLOYEES.  Attached hereto as Schedule 5.13 is the payroll report of
the Company dated as of August 10, 1997,  indicating the names,  positions,  and
compensation  of each of its  employees.  All of such  information is materially
correct as of such date and there has been no material change since then. To the
knowledge of Sellers and Company, none of the employees,  while in the employ of
the  Company,  has ever had his or her  professional  license  or  certification
denied, suspended, revoked, terminated, or voluntarily relinquished under threat
of disciplinary  action,  or has ever been restricted in any way from performing
the duties he or she is to provide for the Company,  and there is no  proceeding
pending, or threatened, pursuant to which any of the foregoing may occur.

     5.14 COLLECTIVE  BARGAINING,  LABOR CONTRACTS,  EMPLOYMENT PRACTICES,  ETC.
During  the two years  prior to the  Closing  Date,  there has been no  material
adverse change in the relationship between the Company and its employees nor any
strike or material labor  disturbance by such employees  affecting the Company's
business and, to the knowledge of the Company,  there is no indication that such
a change, strike or labor disturbance is threatened. The Company's employees are
not represented by any labor union or similar  organization  and the Company has
no reason to believe that there are pending or threatened  any  activities,  the
purpose  of  which  is to  achieve  such  representation,  of all or some of the
Company's  employees.  Except as set forth on Schedule 5.7 or Schedule  5.15(b),
the Company has no collective  bargaining or other labor  contracts,  employment
contracts,  pension,  profit-sharing,  retirement,  insurance,  bonus,  deferred
compensation or other employee  benefit plans,  agreements or arrangements  with
respect to their  employees.  The  Company is in  material  compliance  with the
requirements  prescribed by all Federal,  state and local  statutes,  orders and
governmental rules and regulations ("Government Requirements") applicable to any
of the  employee  benefit  plans,  agreements  and  arrangements  identified  on
Schedule 5.7 and Schedule 5.15(b),  including,  without limitation, the Employee
Retirement  Income Security Act of 1974, as amended  ("ERISA"),  the Immigration
Reform and Control Act, the Worker Adjustment and Retraining Notification Act of
1988, any such  Government  Requirements  respecting  employment  determination,
equal opportunity,  affirmative action,  employee privacy,  wrongful or unlawful
termination, workers' compensation, occupational safety and health requirements,
labor management  relations and unemployment  insurance,  or related matters and
there are no threatened or pending claims relating thereto, in each case. In the
event of  termination  of employment of an employee of the Company,  the Company
will not,  after the Closing,  pursuant to any agreement  with any Seller or the
Company or by reason of any representation made or plan adopted by any Seller or
the Company  prior to the Closing,  be liable to any employee of the Company for
so-called  "severance pay",  parachute payments or any other similar payments or
benefits, including, without limitation,  post-employment healthcare (other than
pursuant to the  continuation  health care  provisions  of Section  4980B of the
Internal  Revenue  Code of 1986,  as amended or Section 601 through 608 of ERISA
("COBRA")),  insurance  benefits,  accrued  vacation  and sick  days,  except as
properly  accrued for on the Estimated  Closing Date Balance Sheet in accordance
with GAAP.


                                       14





     5.15 ERISA.

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

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

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

     5.16  INSURANCE  AND SURETY  AGREEMENTS.  Schedule 5.16 contains a true and
accurate  list of:  (a) all  policies  of fire,  liability  and  other  forms of
insurance  held or owned by the  Company  (including  but not limited to medical
malpractice  insurance,  and any state  sponsored  plan or program for  worker's
compensation);  and (b) all bonds,  indemnity agreements and other agreements of
suretyship made for or held by the Company, including a brief description of the
character  of the bond or agreement  and the name of the surety or  indemnifying
party.  Schedule 4.16 sets forth for each such insurance  policy the name of the
insurer, the amount of coverage,  the type of insurance,  the policy number, the
annual premium and a brief description of the nature of insurance included under
each such  policy and of any claims made  thereunder  during the past two years.
Such policies are owned by and payable solely to the Company,  and said policies
or renewals or replacements thereof will be outstanding and duly in force at the
Closing Date. All insurance  policies  listed on Schedule 5.16 are in full force
and effect,  all premiums due on or before the Closing Date have been or will be
paid,  financed  or accrued on or before the Closing  Date.  The Company has not
been  advised by any of its  insurance  carriers of an intention to terminate or
modify any such policies  other than under  circumstances  where the Company has
received a commitment  for a replacement  policy,  nor has the Company failed to
comply with any of the material conditions contained in any such policies.


                                       15





     5.17  RELATIONSHIPS.  Except as disclosed on Schedule 5.17 hereto,  none of
the Sellers and no  controlling  Seller,  partner or any affiliate of any Seller
has, or at any time within the last two (2) years has had, a material  ownership
interest in any business,  corporate or otherwise, that is a party to, or in any
property that is the subject of, business  relationships  or arrangements of any
kind relating to the operation of the Company or its businesses.

     5.18 ABSENCE OF CERTAIN EVENTS. Except as set forth on Schedule 5.18, since
the date of the Unaudited Financial Statement, the Company has not, and from the
date of this Agreement through the Closing Date the Company will not have:

       (A) sold,  assigned or  transferred  any of their  assets or  properties,
except in the ordinary course of business;

       (B)  mortgaged,  pledged  or  subjected  to any lien,  pledge,  mortgage,
security interest, conditional sales contract or other encumbrance of any nature
whatsoever, other than a Permitted Lien, any of the Company's assets;

       (C) made or suffered any termination of any Services contract;

       (D)  sold or  assigned,  or  made  or  suffered  any  termination  of any
Contract,  or made or suffered  any  modification  or  amendment of any Contract
except for  terminations,  modifications and amendments of Contracts made in the
ordinary  course of business  consistent  with past practice and which would not
adversely affect earnings or otherwise be material,  and the Sellers and Company
have not  received  notice  (written  or oral)  and have no  knowledge  that any
Contract has been  terminated  or will be  terminated or modified or amended (as
aforesaid);

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

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

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

       (H) entered into any  transaction  other than in the  ordinary  course of
business involving consideration in excess of $15,000.


                                       16





     5.19  COMPLIANCE  WITH LAWS.  The Company is in  compliance in all material
respects with all  Governmental  Requirements  (as defined  herein).  Except for
notices of  non-compliance  as to which the Company has taken corrective  action
acceptable to the applicable  governmental  agency, and as set forth in Schedule
5.19, the Company has not, within the period of twelve months preceding the date
of this  Agreement,  received any written  notice that the Company or any of the
Assets  fail to comply in any  material  respect  with any  applicable  Federal,
state, local 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 their businesses  ("Governmental  Requirements").  The
Company  shall  report to Buyer,  within five (5)  business  days after  receipt
thereof,  any  written  notices  that the  Company is not in  compliance  in any
material respect with any of the foregoing.

     5.20 FINDERS.  No broker or finder has acted for the Sellers or the Company
in connection with the transactions contemplated by this Agreement, and no other
broker or finder is entitled to any broker's or finder's fee or other commission
in  respect  thereof  based  in  any  way  on  agreements,   understandings   or
arrangements with the Sellers or the Company.

     5.21 TAX RETURNS.

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

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

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

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

     5.24 NO UNTRUE STATEMENT.  The representations and warranties made pursuant
to this  Agreement  taken as a whole do not  contain  any  untrue  statement  of
material  fact or omit to  state a  material  fact  necessary,  in  light of the
circumstance under which it was made, in order to make the  representations  not
misleading in any material respect.


                                       17





     5.25 MEDICARE AND MEDICAID PROGRAMS.  The Company,  to the extent necessary
to conduct its business in a manner consistent with past practice,  is qualified
for participation in the Medicare and Medicaid programs.  Except as reflected on
Schedule  5.25,  (a) no  Seller  or the  Company  has  received  any  notice  of
recoupment  with  respect  to the  Company's  operations  from the  Medicare  or
Medicaid programs,  or any other third party reimbursement  source, (b) there is
no basis for the assertion after the Closing Date of any such  recoupment  claim
against Buyer,  Company or any Seller which arose out of any transactions on the
part of the  Company  prior to the Closing or against any Seller for which Buyer
will be liable, and (c) to the knowledge of Sellers and the Company, no Medicare
and Medicaid investigation,  survey or audit is pending,  threatened or imminent
with respect to the operation of the Company prior to the Closing.

     5.26  LEASEHOLD  INTERESTS.  Each of the Company and its  subsidiaries  has
valid leasehold interests in all real property,  subject to leases identified on
Schedule 5.7(i), free and clear of all liens,  claims,  charges and encumbrances
of any kind whatsoever, except for Permitted Liens.

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

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

     5.29 QUESTIONNAIRES. The health care law questionnaire heretofore delivered
to the Company by Buyer (the "Questionnaire") will be attached hereto as Exhibit
5.29 and will as of the Closing Date have been accurately completed and will not
contain any  material  misstatement  of any fact and will not omit any fact that
would  have  to  be  stated  in  order  not  to  render  any  response  to  such
questionnaire materially misleading.

     5.30  QUESTIONABLE  PAYMENTS.  The Company nor any  shareholder,  director,
officer,  controlling  person or employee of Company,  and no  affiliate  of any
Company,  (a) has used any  corporate  funds of Company  to make any  illegal or
unlawful  payment  to  any  officer,  employee,  representative,  agent  of  any
government,  or to any political party or official thereof,  including,  without
limitation,  any of same that would violate the Foreign Corrupt Practices Act of
1977,  as amended;  or (b) has made or  received  any  illegal  payment,  bribe,
kickback,  political  contribution or other similar questionable payment for any
referrals or  recommendations  or otherwise in connection  with the operation of
the Company's business.


                                       18





              ARTICLE VI: REPRESENTATIONS AND WARRANTIES OF SELLERS

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

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

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

     6.3 ABSENCE OF CONFLICTING AGREEMENTS. Neither the execution or delivery of
this  Agreement  or any of the  Transaction  Documents  by such  Seller  nor the
performance by such Seller of the transactions  contemplated  hereby and thereby
conflicts with, or constitutes a breach of or a default under (i) any law, rule,
judgment,  order, writ,  injunction,  or decree of any court currently in effect
applicable to such Seller, or (ii) any rule or regulation of any  administrative
agency or other  governmental  authority  currently in effect applicable to such
Seller, or (iii) any material  agreement,  indenture,  contract or instrument to
which such party is now a party or by which any of the assets of such  Seller is
bound.

     6.4 CONSENTS. No authorization,  consent, approval,  license, exemption by,
filing or registration  with any court or governmental  department,  commission,
board,  bureau,  agency or  instrumentality,  domestic or foreign, is or will be
necessary in connection  with the  execution,  delivery and  performance of this
Agreement or any of the Transaction Documents by such Seller.

     6.5 OWNERSHIP OF COMPANY STOCK. Except as disclosed on Schedule 6.5 hereto,
such  Seller is the lawful  record and  beneficial  owners of all of the Company
Stock shown as owned by such Seller in Schedule 5.4, with good and  indefeasible
title thereto,  free and clear of all liens and  encumbrances,  claims and other
charges  thereon of any kind.  Such  Seller has the full legal power to transfer
and deliver such Company Stock in accordance with this  Agreement,  and delivery
of such Company Stock to Buyer pursuant hereto will convey good and indefeasible
title thereto,  free and clear of all liens and  encumbrances,  claims and other
charges thereon or any kind.


              ARTICLE VII: REPRESENTATIONS AND WARRANTIES OF BUYER

     Buyer represents and warrants to the Company and the Sellers as follows:

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


                                       19





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

     7.3  BINDING  AGREEMENT.  This  Agreement  and  all  Transaction  Documents
executed by Buyer constitute the legal,  valid and binding  obligation of Buyer,
enforceable against Buyer in accordance with their respective terms.

     7.4 ABSENCE OF CONFLICTING AGREEMENTS. Neither the execution or delivery of
this Agreement or any of the Transaction  Documents by Buyer nor the performance
by the Buyer of the transactions contemplated hereby and thereby conflicts with,
or constitutes a breach of or a default under (i) the formation documents of the
Buyer, or (ii) any law, rule, judgment,  order, writ,  injunction,  or decree of
any  court  currently  in  effect  applicable  to  Buyer,  or (iii)  any rule or
regulation  of  any  administrative  agency  or  other  governmental   authority
currently  in  effect  applicable  to  Buyer,  or (iv) any  material  agreement,
indenture,  contract or instrument to which the Buyer is now a party or by which
any of the assets of the Buyer is bound.

     7.5 CONSENTS. No authorization,  consent, approval,  license, exemption by,
filing or registration  with any court or governmental  department,  commission,
board,  bureau,  agency or  instrumentality,  domestic or foreign, is or will be
necessary in connection  with the  execution,  delivery and  performance of this
Agreement or any of the Transaction Documents by Buyer.

     7.6 MATERIAL CHANGES. Since the Form 10-Q (as defined below), there has not
been any material  adverse  change in the condition  (financial or otherwise) of
the Buyer or any material  damage or destruction of any of the Buyer's  material
assets  or its  place of  business  by fire or other  casualty,  whether  or not
covered by insurance, and during such period of time the Buyer has conducted its
business  in the  ordinary  and normal  course.  Buyer is willing to make itself
available to identify and communicate to Sellers all material  information  with
respect to any fact or condition that is reasonably  likely to adversely  affect
the future prospects (financial or otherwise) of the Buyer.

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

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


                                       20





     7.10  COMPLIANCE  WITH LAWS.  The Buyer is in  compliance  in all  material
respects with all Governmental  Requirements (as defined in Section 5.19) except
where the failure to be in  compliance  could  reasonably  be expected to have a
material adverse effect on the Buyer and its subsidiaries  collectively.  Except
for notices of  non-compliance as to which the Buyer has taken corrective action
acceptable to the applicable  governmental  agency or which would not reasonably
be expected to have a material  adverse effect on the Buyer and its subsidiaries
collectively,  the Buyer has not,  within the period of twelve months  preceding
the date of this Agreement, received any written notice that the Buyer or any of
the assets fail to comply in any material  respect with any applicable  Federal,
state, local 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 their businesses.

     7.11  QUESTIONABLE  PAYMENTS.   Neither  the  Buyer  nor  any  shareholder,
director, officer,  controlling person or employee of Buyer, and no affiliate of
Buyer, (a) has used any corporate funds of Buyer to make any illegal or unlawful
payment to any officer, employee, representative, agent of any government, or to
any political party or official thereof,  including,  without limitation, any of
same that would violate the Foreign  Corrupt  Practices Act of 1977, as amended;
or (b) has made or received  any illegal  payment,  bribe,  kickback,  political
contribution  or  other  similar  questionable  payment  for  any  referrals  or
recommendations  or otherwise in  connection  with the  operation of the Buyer's
business which could reasonably be expected to have a material adverse effect on
the Buyer and its subsidiaries collectively.


           ARTICLE VIII: INFORMATION AND RECORDS CONCERNING THE OTHER
                                     PARTIES

     8.1 BUYER'S ACCESS TO INFORMATION AND RECORDS BEFORE CLOSING.  Prior to the
Closing Date,  Buyer may make, or cause to be made,  such  investigation  of the
Company's  (it being  understood  that,  for the purpose of this  Article  VIII,
"Company"  shall  be  deemed  to  refer  collectively  to the  Company  and  its
subsidiaries  listed on Schedule  5.23)  financial and legal  condition as Buyer
deems  necessary  or  advisable to  familiarize  itself with the Company  and/or
matters relating to its history or operation. The Company shall permit Buyer and
its authorized  representatives  (including legal counsel and  accountants),  to
have full access to the Company's books and records upon  reasonable  notice and
during  normal  business  hours,  and the Company will  furnish,  or cause to be
furnished,  to Buyer such financial and operating data and other information and
copies of documents with respect to the Company's products, services, operations
and assets as Buyer shall from time to time reasonably request. The documents to
which  Buyer  shall  have  access  shall  include,  but not be  limited  to, the
Company's  tax returns and related  work papers since their  inception;  and the
Company  shall  make,  or cause to be made,  extracts  thereof as Buyer or their
representatives  may  request  from  time to  time to  enable  Buyer  and  their
representatives  to  investigate  the affairs of the Company and the accuracy of
the  representations  and warranties made in this  Agreement.  The Company shall
cause their  accountants  to cooperate with Buyer and to disclose the results of
audits  relating  to the Company  and to produce  the  working  papers  relating
thereto. Without limiting any


                                       21





of the  foregoing,  it is agreed that Buyer will have full access to any and all
agreements  between and among the  previous and current  shareholders  regarding
their ownership of shares or the management or operation of the Company.

     8.2  SELLERS'  AND  COMPANY'S  ACCESS TO  INFORMATION  AND  RECORDS  BEFORE
CLOSING.  Prior to the Closing Date,  Buyer shall make  available to Sellers and
Company any public information related to Buyer and provide access to the senior
management of Buyer.


        ARTICLE IX: OBLIGATIONS OF THE PARTIES (OTHER THAN SIRROM) UNTIL
                                     CLOSING

     9.1 CONDUCT OF BUSINESS PENDING CLOSING. Between the date of this Agreement
and the Closing, the Company and its subsidiaries shall maintain their existence
and shall  conduct their  businesses  in the  customary  and ordinary  course of
business consistent with past practice.

     9.2  NEGATIVE  COVENANTS OF THE COMPANY AND ITS  SUBSIDIARIES.  Without the
prior written approval of Buyer, neither the Company nor any of its subsidiaries
shall, between the date hereof and the Closing:

       (A) cause or permit to occur any of the events or  occurrences  described
in Section 5.18 (Absence of Certain Events) of this Agreement;

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

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

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

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

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

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


                                       22





       (B) maintain in full force and effect all material Licenses  currently in
effect  with  respect  to their  businesses  unless  such  License  is no longer
necessary for the operation of the Company and its subsidiaries;

       (C) maintain in full force and effect the insurance  policies and binders
currently in effect, or the replacements  thereof,  including without limitation
those listed on Schedule 5.16;

       (D)  utilize  their  reasonable  efforts to  preserve  intact the present
business  organization of the Company and its  subsidiaries;  keep available the
services of the Company's and its  subsidiaries'  present  employees and agents;
and maintain the  Company's  and its  subsidiaries'  relations and goodwill with
suppliers,  employees,  affiliated  medical  personnel  and  any  others  having
business relating to the Company and its subsidiaries;

       (E) maintain all of the books and records in  accordance  with their past
practices;

       (F) comply in all material  respects with all provisions of the Contracts
listed in Schedule 5.7 and with any other material  agreements  that the Company
and its subsidiaries  have entered into in the ordinary course of business since
the  date of this  Agreement,  and  comply  in all  material  respects  with the
provisions  of all  material  laws,  rules  and  regulations  applicable  to the
Company's and its subsidiaries' businesses;

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

       (H)  promptly  advise  Buyer in  writing  of the  threat or  commencement
against  the  Company  and  its  subsidiaries  of any  claim,  action,  suit  or
proceeding,   arbitration  or  investigation  or  any  other  event  that  would
materially adversely affect the operations,  properties,  assets or prospects of
the Company and its subsidiaries;

       (I) notify the Buyer in writing of any event  involving  the  Company and
its subsidiaries which has had or may be reasonably  expected to have a material
adverse  effect on the  business or  financial  condition of the Company and its
subsidiaries or may involve the loss of contracts which involve revenues of more
than $15,000 per year  individually  or $100,000 per year in the aggregate  with
any of the Company's or its subsidiaries' customers; and

     9.4 PURSUIT OF CONSENTS AND  APPROVALS.  Prior to the Closing,  Buyer shall
use its reasonable  efforts to obtain all consents and approvals of governmental
agencies and all other  parties  necessary  for the lawful  consummation  of the
transactions  contemplated hereby and the lawful use, occupancy and enjoyment of
the Company's and its subsidiaries'  businesses by Buyer in accordance  herewith
("Required  Approvals").  The Company and its subsidiaries  shall cooperate with
and use  their  reasonable  efforts  to  assist  Buyer  in  obtaining  all  such
approvals.


                                       23







     9.5  EXCLUSIVITY.  Until the earlier of Closing or the  termination of this
Agreement pursuant to Section 13.1, the Company nor any Seller, nor any of their
respective   affiliates,   representatives  or  brokers  shall  enter  into  any
agreement,  commitment  or  understanding  with  respect  to,  or  engage in any
discussions or negotiations directly or indirectly with, or encourage or respond
to any  solicitations  from, any other party with respect to the sale,  lease or
management  of any of the  Assets,  or in  respect  of the sale of any shares of
capital stock in the Company.


             ARTICLE X: CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS

     Buyer's  obligations  to  consummate  the purchase of the Company  Stock is
subject to the fulfillment, prior to or at the Closing, of each of the following
conditions,  any one or more of which may be waived  by Buyer in  writing.  Upon
failure of any of the following  conditions,  Buyer may terminate this Agreement
pursuant to and in accordance with Article XIII herein.

     10.1 REPRESENTATIONS AND WARRANTIES.  The representations and warranties of
Company and Sellers made pursuant to this Agreement shall be true and correct in
all  material   respects  at  and  as  of  the  Closing  Date,  as  though  such
representations  and  warranties  were  made at and as of such  time  (except  a
representation  made as of a  specified  date shall be true and  accurate in all
material  respects  as of  that  date)  except  to the  extent  affected  by the
transactions herein contemplated.

     10.2  PERFORMANCE  OF COVENANTS.  Each of the Sellers and the Company shall
have  performed  or  complied in all  material  respects  with their  respective
agreements and covenants  required by this Agreement to be performed or complied
with by it prior to or at the Closing.

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

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

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


                                       24





     10.6  AUTHORIZATION  DOCUMENTS.  Buyer shall have received a certificate of
the Secretary or other officer of the Company  certifying as of the Closing Date
a copy of  Resolutions of its Board of Directors  authorizing  its execution and
full  performance  of  the  Transaction  Documents  and  the  incumbency  of its
officers.

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

     10.8 APPROVALS.

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

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

     10.9 EMPLOYMENT  AGREEMENT.  Raymond A. Mirra,  Jr. shall have executed and
delivered to Buyer his  employment  agreement in the form of Exhibit 10.9 hereto
(the "Employment Agreement").

     10.10 CONSENTS. Buyer shall have received the written consent to assignment
from each of those  parties  with whom the  Company  or its  subsidiaries  has a
Contract as listed on Schedule 5.7,  where such consent is required by reason of
the change of control of the Company  and its  subsidiaries  contemplated  under
this Agreement.

     10.11 ESTIMATED CLOSING DATE BALANCE SHEET. Sellers (other than Sirrom) and
Company shall have delivered the Estimated Closing Date Balance Sheet to Buyer.

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


                                       25





     10.13 COST AND  EXPENSES.  The Sellers  (other than Sirrom) shall have paid
all  costs,  fees and  expenses  (including  without  limitation,  filing  fees,
transfer taxes,  stamp taxes,  legal fees and broker,  audit and appraisal fees)
incurred  by the  Company  or any of its  subsidiaries  in  connection  with the
transactions contemplated by this Agreement.

     10.14  RESIGNATION  OF  COMPANY  BOARDS OF  DIRECTORS  AND  OFFICERS.  Each
director  and  officer of the Company  and each of its  subsidiaries  shall have
submitted his or her resignation to be effective no later than the Closing Date.

     10.15  AFFILIATED   COMPANY.   Buyer  shall  have  closed  its  acquisition
simultaneously  with Ambulatory  Pharmaceutical  Services,  Inc. and each of its
respective shareholders.

     10.16 LIEN RELEASES.  Healthcare Partners Funding,  Inc. and Sirrom Capital
shall each have  released  their liens against the assets of the Company and its
subsidiaries and the Company shall have delivered to Buyer such releases and UCC
termination statements necessary to evidence that such releases have occurred.

     10.17  OTHER  DOCUMENTS.  The Sellers  (other than  Sirrom) and the Company
shall have  furnished  Buyer with all other  documents,  certificates  and other
instruments  required  to be  furnished  to Buyer by the Sellers and the Company
pursuant to the terms hereof.


            ARTICLE XI: CONDITIONS PRECEDENT TO SELLERS' OBLIGATIONS

     Sellers'  obligation to consummate the sale of the Company Stock is subject
to the  fulfillment,  prior  to or at the  Closing,  of  each  of the  following
conditions,  any one or more of which may be waived by Sellers in writing.  Upon
failure of any of the following conditions, Sellers may terminate this Agreement
pursuant to and in accordance with Article XIII herein:

     11.1 REPRESENTATIONS AND WARRANTIES.  The representations and warranties of
Buyer in this  Agreement  shall be true and correct in all material  respects at
and as of the Closing Date as though such  representations  and warranties  were
made at and as of such time (except a representation made as of a specified date
shall be true and accurate in all  material  respects as of that date) except to
the extent affected by the transactions herein contemplated.

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

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


                                       26





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

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

     11.6 AUTHORIZATION DOCUMENTS.  Sellers shall have received a certificate of
the Secretary or other officer of Buyer  certifying a copy of Resolutions of the
Board of Directors of Buyer  authorizing  Buyer's execution and full performance
of the Transaction Documents and the incumbency of the officers of Buyer.

     11.7 EMPLOYMENT AGREEMENT. The Buyer shall have entered into the Employment
Agreement with Raymond A. Mirra, Jr.

     11.8 MATERIAL  CHANGE.  Since the Form 10-Q,  there shall not have been any
material adverse change in the condition (financial or otherwise) of the assets,
properties or operations of Buyer.

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


                    ARTICLE XII: SURVIVAL AND INDEMNIFICATION

     12.1  SURVIVAL  OF  REPRESENTATIONS  AND  WARRANTIES.   Absent  fraud,  all
representations  and warranties made by each party in this Agreement and in each
Schedule  and  Transaction  Document  shall  survive the Closing  Date and for a
period of one (1) year after the Closing,  notwithstanding  any investigation at
any  time  made  by  or  on  behalf  of  the  other  party,  provided  that  the
representations   and  warranties   contained  in  Section  5.30   (Questionable
Payments),  Section 5.25  (Medicare and Medicaid) and Section 5.21 (Tax),  shall
survive until thirty (30) days after the applicable  period of  limitations  for
audits by the applicable  Governmental  Authority shall have expired,  including
extensions for any necessary appeals. All representations and warranties related
to any claim  asserted  in writing  prior to the  expiration  of the  applicable
survival  period shall  survive (but only with respect to such claim) until such
claim shall be resolved and payment in respect thereof,  if any is owing,  shall
be made.

     12.2  INDEMNIFICATION BY SELLERS. The Sellers (and the Company unless there
shall be a Closing), jointly and severally, shall indemnify and defend Buyer and
hold  it  harmless  against  and  with  respect  to any and  all  damage,  loss,
liability,   deficiency,  cost  and  expense  (including,   without  limitation,
reasonable  attorney's  fees and  expenses)  (all of the  foregoing  hereinafter
collectively  referred  to as  "Loss")  resulting  from  any of  the  following,
provided that, for the purpose of this Section 12.2, "Sellers" shall not include
Sirrom Capital Corporation:


                                       27





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

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

       (C) the ownership or operation of the Company or its  subsidiaries or its
business or assets prior to the Closing Date, including, without limitation, (i)
any Excess Reimbursement Liabilities (as defined in Section 2.4); (ii) any Taxes
resulting  from the operation of the business of the Company or ownership of any
of the Assets for any period  ending on or before the  Closing  Date;  (iii) any
Loss  arising out of the  noncompliance  of the  Company  with COBRA or any like
statute;  (iv) any  claim of the  type  that  would  be  covered  by a  standard
liability   insurance  policy,   including  without   limitation,   professional
liability,   malpractice,  general  liability,  automobile  liability,  worker's
compensation or employer's liability insurance,  arising out of the operation of
the  Company's  business  prior to the Closing Date,  including  payments of any
deductibles  applicable to the aforesaid policies;  and (v) any and all actions,
suits, proceedings, demands, assessments,  judgments, settlements (to the extent
approved by the Company, such approval not to be unreasonably withheld,  delayed
or conditioned),  costs and legal expenses incident to any of the foregoing; but
excluding  current  liabilities and long-term  liabilities that are reflected on
the  Estimated  Closing  Date  Balance  Sheet or that  otherwise  are taken into
account in any adjustment to the Purchase Price under Section 2.2.

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

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

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

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

     12.4  ASSERTION OF CLAIMS.  Any claims for  indemnification  under Sections
12.2(a)  or 12.3(a)  must be  asserted  by written  notice by a date which is no
later than one (1) year following the Closing Date,  except that any claim based
upon a breach of the  representations  and warranties  contained in Section 5.30
(Questionable  Payments),  Section 5.25  (Medicare and Medicaid) or Section 5.21
(Tax) may be  asserted  until  thirty (30) days after the  applicable  period of
limitations  for  audits by the  applicable  Governmental  Authority  shall have
expired, including extensions for any necessary appeals.



                                       28





     12.5 INDEMNITY BASKET. Notwithstanding any other provisions of this Article
XII, no claim for  indemnification  made under Sections 12.2(a) or 12.3(a) shall
be made  unless and until Buyer or  Sellers,  as the case may be, have  incurred
Loss in excess of Fifty Thousand  ($50,000)  Dollars in the aggregate,  in which
case,  the party  seeking  indemnification  shall be entitled  to assert  claims
including such initial Fifty Thousand ($50,000) Dollars.

     12.6 CONTROL OF DEFENSE OF INDEMNIFIABLE CLAIMS.

       (A)  Each  indemnified  party  (each,  an  "Indemnitee")  shall  give the
indemnifying party (the  "Indemnitor")  prompt notice of each claim for which it
seeks indemnification.  Failure to give such prompt notice shall not relieve any
Indemnitor of its indemnification obligation, provided that such indemnification
obligation  shall be reduced by any damages the Indemnitor  demonstrates  it has
suffered  resulting  from a failure  to receive  prompt  notice  hereunder.  The
Indemnitors shall be entitled to participate in the defense of such claim. If at
any  time  the  Indemnitor  acknowledges  in  writing  that  the  claim is fully
indemnifiable  by it under this Agreement,  and, if requested by the Indemnitee,
the Indemnitor  posts adequate bond or security,  the Indemnitor  shall have the
right to assume control of the defense (but not the settlement) of such claim at
its own expense;  unless (i) Indemnitee shall have been authorized in writing by
the  Indemnitor  to  defend  such  action  with  counsel  of its own  choice  in
connection  with the defense of such action,  or (ii) the  Indemnitor  shall not
have employed counsel to have charge of the defense of such action within twenty
(20) days  after the date of  notice of the claim for which  indemnification  is
sought is given to the Indemnitor or (iii) the  Indemnitor  shall have failed to
undertake  and  reasonably  pursue  the  defense  of such  action,  or (iv)  the
Indemnitee shall have reasonably  concluded that there may be material  defenses
available  to it or them  which  are  different  from  or  additional  to  those
available to the Indemnitor.  If any event described in clauses (i) through (iv)
above shall occur,  then the  Indemnitor  shall not have the right to direct the
defense  of such  action on behalf of the  Indemnitee  with  counsel  of its own
choice, and the reasonable fees and expenses of the Indemnitee shall be borne by
the Indemnitor, provided that such counsel shall be reasonably acceptable to the
Indemnitor.  If the  Indemnitors  do assume  control of the  defense of any such
claim in accordance  with the  foregoing,  then:  (x) the  Indemnitor  shall not
defend the claim for which  indemnification  is being  sought in any manner that
would  likely  have  a  material  adverse  effect  on the  Indemnitee  or on any
relationship that the Indemnitee may have with any customers, vendors, suppliers
or others,  and (y) the  Indemnitee  shall not settle  such  claim  without  the
written  consent of the  Indemnitor,  which  consent  shall not be  unreasonably
withheld,  delayed or conditioned.  Nothing contained in this Section 12.6 shall
prevent either party from assuming  control of the defense  and/or  settling any
claim against it for which indemnification is not sought under this Agreement.

       (B) Notwithstanding anything to the contrary contained in this Agreement,
if there shall be any claim for Excess Reimbursement Liabilities with respect to
which Buyer shall be seeking indemnification,  Buyer will have the sole right to
contest or appeal  such claim  (using at least the same  standard  of care as it
would apply to contests or appeals with respect to reimbursement  liabilities in
general) in accordance  with its  customary  procedures  diligently  and in good
faith. Buyer may, in its sole and absolute discretion, at any time


                                       29





discontinue  any such contest or appeal or enter into a settlement  with respect
thereto  prior to the final  determination  thereof  (a "Final  Determination");
provided,  however,  that if it intends to discontinue or settle any such appeal
or contest  prior to Final  Determination,  then it must  provide  Sellers  with
reasonable  prior written notice of such intent and of the current status of the
appeal or contest or proposed settlement,  and will consult with Sellers in good
faith with respect thereto.

     12.7 RESTRICTIONS.

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

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

       (C) No Seller (which,  for the purposes of this Section  12.7(c) shall be
deemed not to include  Sirrom)  shall,  for a period of five (5) years after the
Closing Date, directly, or indirectly, for or on behalf of himself or herself or
any  other  person,  firm,  entity or other  enterprise,  be  employed  by, be a
director  or manager  of,  act as a  consultant  for,  be a partner  in,  have a
proprietary  interest in, give advice to, loan money to or  otherwise  associate
with, in a business fashion, 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 entity of any type,  licensed
or unlicensed,  which , anywhere within the United States,  (i) is engaged in or
provides the Services , (ii)  compounds or dispenses  pharmaceutical  admixtures
for  intravenous  therapies  to patients at sites  other than  hospitals,  (iii)
provides medical supplies,  equipment or  non-professional  services usually and
customarily  associated with the provision of intravenous therapies to patients,
or (iv) provides  professional nursing services usually and customarily rendered
with the  provision  of  intravenous  therapies,  provided  that nothing in this
Section  12.7(c) shall  restrict any Seller from having any  involvement  with a
nursing agency business.

       (D) The  Sellers  acknowledge  that the  restrictions  contained  in this
Section 12.7 are  reasonable  and necessary to protect the  legitimate  business
interests of Buyer and that any violation thereof by any of them would result in
irreparable harm to Buyer. Accordingly, Sellers agree that upon the violation by
any of them of any of the  restrictions  contained in this Section  12.7,  Buyer
shall  be  entitled  to  obtain  from  any  court of  competent  jurisdiction  a
preliminary and permanent injunction as well as any other relief provided at law
or equity, under this Agreement or otherwise.  In the event any of the foregoing
restrictions are adjudged unreasonable in any proceeding, then the parties agree
that the  period of time or the scope of such  restrictions  (or both)  shall be
adjusted  in such a manner  or for such a time (or  both) as is  adjudged  to be
reasonable.


                                       30





     12.8 RECORDS.  On the Closing Date,  Sellers and Company shall deliver,  or
cause to be  delivered,  to Buyer all  records  and  files  not then in  Buyer's
possession relating to the operations of the Company and its subsidiaries.


                            ARTICLE XIII: TERMINATION

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

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

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

       (C) the mutual consent of Buyer and Sellers.

     13.2 EFFECT OF TERMINATION.  If a party  terminates this Agreement  because
one of its conditions precedent has not been fulfilled,  or if this Agreement is
terminated by mutual consent,  this Agreement shall become null and void without
any  liability  of any  party  to the  other;  provided,  however,  that if such
termination   is  by  reason  of  the   breach  by  any  party  of  any  of  its
representations, warranties or obligations under this Agreement, the other party
shall be  entitled  to be  indemnified  for any Losses  incurred by it by reason
thereof in  accordance  with  Article  XII hereof  (and for such  purposes  such
Article XII shall survive the termination of this Agreement).  Further,  nothing
in this Section 13.2 shall affect  Buyer's right to specific  performance of the
obligations of the Company and Sellers at Closing hereunder.

                           ARTICLE XIV: MISCELLANEOUS

     14.1 COSTS AND  EXPENSES.  Except as expressly  otherwise  provided in this
Agreement,  Buyer and  Sellers  shall  bear  their own  costs  and  expenses  in
connection  with  this  Agreement  and  the  transactions  contemplated  hereby;
provided,  however,  that no such  costs and  expenses  shall be  charged to the
Company and its subsidiaries; and provided further that the reasonable costs and
expenses of Sirrom shall be borne by the remaining Sellers.

     14.2 PERFORMANCE.  In the event of a breach by any party of its obligations
hereunder,  the other  party  shall have the  right,  in  addition  to any other
remedies which may be available,  to obtain specific performance of the terms of
this Agreement, and the breaching party hereby waives the defense that there may
be an adequate  remedy at law. Should any party default in its  performance,  or
other  remedy,  the  prevailing  party  shall  be  entitled  to  its  reasonable
attorneys' fees.


                                       31





     14.3 BENEFIT AND ASSIGNMENT. This Agreement binds and inures to the benefit
of each party hereto and its  successors and proper  assigns.  Neither Buyer nor
Sellers may assign their  interests  under this Agreement to any other person or
entity  without  the  prior  written  consent  of the other  parties;  provided,
however,  that Buyer may assign its rights,  duties and obligations hereunder to
one or more  subsidiaries or affiliates of Buyer;  and further  provided that in
the instance of such  assignment  Buyer shall  guaranty the  performance  of its
assignee hereunder.

     14.4 EFFECT AND  CONSTRUCTION  OF THIS  AGREEMENT.  This  Agreement and the
Exhibits and Schedules hereto embody the entire  agreement and  understanding of
the  parties  and  supersede  any and all  prior  agreements,  arrangements  and
understandings relating to matters provided for herein. The captions used herein
are for  convenience  only and  shall  not  control  or affect  the  meaning  or
construction of the provisions of this Agreement. This Agreement may be executed
in one or more counterparts,  and all such counterparts shall constitute one and
the same instrument.

     14.5  COOPERATION  - FURTHER  ASSISTANCE.  From  time to time,  as and when
reasonably  requested by Buyer after the Closing, the other parties will (at the
expense  of the  Buyer)  execute  and  deliver,  or  cause  to be  executed  and
delivered, all such documents,  instruments and consents and will use reasonable
efforts to take all such action as may be  reasonably  requested or necessary to
carry out the intent and purposes of this Agreement.

     14.6  NOTICES.  All notices  required or  permitted  hereunder  shall be in
writing  and  shall be  deemed  to be  properly  given or made  when  personally
delivered to the party or parties  entitled to receive the notice or within five
(5) days when sent by certified or registered mail,  postage prepaid,  or on the
next  business  day if sent for next day  delivery  by a  nationally  recognized
overnight  courier,  in either case,  properly addressed to the party or parties
entitled to receive such notice at the address stated below:

If to the Company:            APS America, Inc.
                              9812 Pflum Road
                              Lenexa, Kansas 66215

If to the Sellers:            Raymond A. Mirra, Jr.
                              2932 North Atlantic Boulevard
                              Fort Lauderdale, FL 33308

                              James Kuo
                              890 Wises Mill Road
                              Philadelphia, PA 19128

                              Ted Kramm
                              8909 W. 131st Street
                              Overland Park, Kansas 66213


                                       32






                              John Harrison
                              Sirrom Capital
                              500 Church Street, Suite 200
                              Nashville, TN 37219

with a copy to:               Alexander Bono, Esq.
                              Blank, Rome, Comisky & McCauley
                              2000 Logan Square
                              Philadelphia, PA 19103
                              Attn: J. Patrick Murphy

                              J. Patrick Murphy
                              Chambliss, Bahner & Stophel, P.C.
                              1000 Tallan Building
                              Two Union Square
                              Chattanoogo, TN 37402

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

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

     14.7  WAIVER,  DISCHARGE,  ETC.  This  Agreement  shall  not  be  released,
discharged,  abandoned,  changed  or  modified  in  any  manner,  except  by  an
instrument in writing  executed by or on behalf of each of the parties hereto by
their duly  authorized  officer or  representative.  The failure of any party to
enforce at any time any of the provisions of this  Agreement  shall in no way be
construed  to be a waiver of any such  provision,  nor in any way to affect  the
validity  of this  Agreement  or any  part  hereof  or the  right  of any  party
thereafter to enforce each and every such provision.  No waiver of any breach of
this Agreement shall be held to be a waiver of any other or subsequent breach.

     14.8 RIGHTS OF PERSONS NOT PARTIES.  Nothing  contained  in this  Agreement
shall be deemed to create rights in persons not parties  hereto,  other than the
successors and proper assigns of the parties hereto.


                                       33





     14.9 GOVERNING  LAW. This  Agreement  shall be governed by and construed in
accordance with the laws of the Commonwealth of  Pennsylvania,  disregarding any
rules relating to the choice or conflict of laws.

     14.10  AMENDMENTS,  SUPPLEMENTS,  ETC.  At any time  before  or  after  the
execution and delivery of this Agreement by the parties  hereto,  this Agreement
may  be  amended  or   supplemented  by  additional   agreements,   articles  or
certificates,  as may be mutually  determined  by the  parties to be  necessary,
appropriate or desirable to further the purposes of this  Agreement,  to clarify
the intention of the parties, or to add to or to modify the covenants,  terms or
conditions  hereof or thereof.  This  Agreement may not be amended  except by an
instrument in writing signed by each of the parties.

     14.11  SEVERABILITY.  Any  provision,  or  distinguishable  portion  of any
provision,   of  this   Agreement   which  is  determined  in  any  judicial  or
administrative  proceeding to be prohibited or unenforceable in any jurisdiction
shall, as to such jurisdiction, be ineffective to the extent of such prohibition
or unenforceability  without  invalidating the remaining  provisions hereof, and
any  such  prohibition  or   unenforceability  in  any  jurisdiction  shall  not
invalidate or render unenforceable such provision in any other jurisdiction.  It
is the  intention of the parties that if any  provision of Section 12.7 shall be
determined to be overly broad in any respect,  then it should be  enforceable to
the  maximum  extent  permissible  under the law.  To the  extent  permitted  by
applicable law, the parties waive any provision of law which renders a provision
hereof prohibited or unenforceable in any respect.

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

     14.13  ARBITRATION.  Any dispute or controversy  between any of the parties
hereto  pertaining to the performance or  interpretation of this Agreement shall
be  settled  by  binding  arbitration  pursuant  to the  rules  of the  American
Arbitration Association.  The cost of such proceeding shall be shared equally by
all parties thereto,  and each such party shall bear its own costs incurred as a
result of its participation in any such arbitration.

     14.14 PUBLIC  ANNOUNCEMENTS.  Any general public  announcements  or similar
media publicity with respect to this Agreement or the transactions  contemplated
herein  shall be at such time and in such  manner as Buyer and Raymond A. Mirra,
Jr. shall  determine;  provided that nothing  herein shall prevent either party,
upon as much prior notice as shall be possible  under the  circumstances  to the
other,  from making  such  written  announcements  as such  party's  counsel may
consider  advisable  in order to  satisfy  the  party's  legal  and  contractual
obligations in such regard.


                       [SIGNATURES ON THE FOLLOWING PAGE]


                                       34




     IN  WITNESS  WHEREOF,  each  of the  parties  hereto  and  in the  capacity
indicated  below has executed this  Agreement as of the day and year first above
written.

                                                COMPANY:
                                                APS AMERICA, INC.

WITNESS:

By:/s/                                          By:/s/
   ----------------------------                    -----------------------------
                                                Its:     President


                                                SELLERS:

 WITNESS:


By:/s/                                            /s/
   ----------------------------                 --------------------------------
                                                Raymond A. Mirra, Jr.

WITNESS:


By:                                               /s/
   ----------------------------                 --------------------------------

                                                James Kuo

WITNESS:

By:/s/                                            /s/
   ----------------------------                 --------------------------------

                                                Edward Kramm


                                                SIRROM CAPITAL CORPORATION

                                                By:/s/                          
                                                   -----------------------------
                                                Its:
                                                    ----------------------------
                                                BUYER:
                                                INTEGRATED HEALTH SERVICES, INC.


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


                                       35