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


                      AGREEMENT AND PLAN OF REORGANIZATION

                            DATED AS OF JULY 24, 1997

                                      AMONG

                        INTEGRATED HEALTH SERVICES, INC.,
                         INTEGRATED AG ACQUISITION, INC.

                                       AND

                             ARCADIA SERVICES, INC.

                                       AND

                                HERBERT GRAEBNER

                                       AND

                                LEONARD BELLINSON

                                       AND

                                    COMMITTEE

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







                                TABLE OF CONTENTS
                                                                            PAGE

ARTICLE I: MERGER..............................................................1
         1.1      Merger.......................................................1
         1.2      Taking of Necessary Action...................................2

ARTICLE II: CONVERSION.........................................................2
         2.1      Conversion of Stock..........................................2
         2.2      Adjustments to the Merger Consideration......................3
         2.3      General Escrow...............................................4
         2.4      Arizona Litigation and Arizona Escrow........................6
         2.5      Assets.......................................................7
         2.6      Liabilities..................................................7

ARTICLE III:  IHS STOCK........................................................8
         3.1      IHS Stock....................................................8

ARTICLE IV:  THE CLOSING......................................................13
         4.1      Time and Place of Closing...................................13
         4.2      Filings at Closing..........................................13
         4.3      Effective Time..............................................13

ARTICLE V:  REPRESENTATIONS AND WARRANTIES OF THE PRINCIPAL
         SELLERS AND ARCADIA..................................................13
         5.1      Organization and Standing of Arcadia........................13
         5.2      Absence of Conflicting Agreements...........................14
         5.3      Consents....................................................14
         5.4      Arcadia Stock...............................................14
         5.5      Assets......................................................14
         5.6      Trademarks..................................................15
         5.7      Contracts...................................................15
         5.8      Financial Statements........................................16
         5.9      Material Changes............................................17
         5.10     Licenses; Permits; Certificates of Need.....................17
         5.11     Title, Condition of Personal Property.......................18
         5.12     Legal Proceedings...........................................19
         5.13     Employees...................................................19
         5.14     Collective Bargaining, Labor Contracts, Employment
                  Practices, Etc..............................................19
         5.15     ERISA.......................................................20
         5.16     Insurance and Surety Agreements.............................21
         5.17     Relationships...............................................21


                                       (i)





         5.18     Absence of Certain Events...................................21
         5.19     Compliance with Laws........................................23
         5.20     Finders.....................................................23
         5.21     Tax Returns.................................................24
         5.22     Encumbrances Created by this Agreement......................24
         5.23     Subsidiaries and Joint Ventures.............................24
         5.24     No Untrue Statement.........................................24
         5.25     Medicare and Medicaid Programs..............................24
         5.26     Leasehold Interests.........................................24
         5.27     Power and Authority.........................................25
         5.28     Binding Effect..............................................25
         5.29     Questionnaires..............................................25
         5.30     Questionable Payments.......................................25

ARTICLE VI:  REPRESENTATIONS AND WARRANTIES OF PRINCIPAL SELLERS
          ....................................................................25
         6.1      Authority...................................................25
         6.2      Binding Effect..............................................25
         6.3      Absence of Conflicting Agreements...........................25
         6.4      Consents....................................................26
         6.5      Ownership of Arcadia Stock..................................26

ARTICLE VII:  REPRESENTATIONS AND WARRANTIES OF BUYER AND NEWCO
          ....................................................................26
         7.1      Organization and Standing...................................26
         7.2      Power and Authority.........................................26
         7.3      Binding Agreement...........................................26
         7.4      Absence of Conflicting Agreements...........................27
         7.5      Consents....................................................27
         7.6      Securities and Exchange Commission Filings..................27
         7.7      Capital Stock...............................................27

ARTICLE VIII:  INFORMATION AND RECORDS CONCERNING ARCADIA AND ITS
         SUBSIDIARIES.........................................................28
         8.1      Access to Information and Records before Closing............28

ARTICLE IX:  OBLIGATIONS OF THE PARTIES UNTIL CLOSING.........................28
         9.1      Conduct of Business Pending Closing.........................28
         9.2      Negative Covenants of Arcadia and its Subsidiaries..........28
         9.3      Affirmative Covenants.......................................29
         9.4      Pursuit of Consents and Approvals...........................30
         9.5      Exclusivity.................................................30



                                      (ii)





ARTICLE X:  CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS.......................30
         10.1     Representations and Warranties..............................30
         10.2     Performance of Covenants....................................30
         10.3     Delivery of Closing Certificate.............................31
         10.4     Opinion of Counsel..........................................31
         10.5     Legal Matters...............................................31
         10.6     Authorization Documents.....................................31
         10.7     Material Change.............................................31
         10.8     Approvals...................................................31
         10.9     Consents....................................................31
         10.10    Estimated Closing Date Balance Sheet........................31
         10.11    Real Property Consents......................................32
         10.12    Arcadia's Subsidiaries and Options..........................32
         10.13    Board Approvals.............................................32
         10.14    Hart-Scott-Rodino...........................................32
         10.15    Employment Agreements.......................................32
         10.16    Required Transactions.......................................32
         10.17    Termination of Non-Retained Agreements......................32
         10.18    Escrow Agreements...........................................32
         10.19    Termination of Certain Contracts............................33
         10.20    Grayrose....................................................33
         10.21    Stock Certificates..........................................33
         10.22    Dissenter's Rights..........................................33
         10.23    Captive Insurance...........................................33
         10.24    Other Documents.............................................33

ARTICLE XI:  CONDITIONS PRECEDENT TO PRINCIPAL SELLERS' OBLIGATIONS...........33
         11.1     Representations and Warranties..............................33
         11.2     Performance of Covenants....................................33
         11.3     Delivery of Closing Certificate.............................34
         11.4     Opinion of Counsel..........................................34
         11.5     Legal Matters...............................................34
         11.6     Authorization Documents.....................................34
         11.7     H-S-R Filings...............................................34
         11.8     Employment Agreements.......................................34
         11.9     Escrow Agreements...........................................34
         11.10    Other Documents.............................................34

ARTICLE XII:  SURVIVAL AND INDEMNIFICATION....................................34
         12.1     Survival of Representations and Warranties..................34
         12.2     Indemnification by Shareholders and/or Principal Sellers....35
         12.3     Indemnification by Buyer....................................36


                                      (iii)





         12.4     Assertion of Claims.........................................36
         12.5     Indemnity Basket and Cap....................................36
         12.6     Control of Defense of Indemnifiable Claims..................37
         12.7     Restrictions................................................37
         12.8     Records.....................................................38
         12.9     Buyer's Affirmative Covenants...............................38
         12.10    Dissenters' Rights..........................................38
         12.11    Special Provisions with Regard to Indemnification of
                  Representations and Warranties..............................39

ARTICLE XIII:  TERMINATION....................................................39
         13.1     Termination.................................................39
         13.2     Effect of Termination.......................................40

ARTICLE XIV: CASUALTY, RISK OF LOSS...........................................40
         14.1     Casualty, Risk of Loss......................................40

ARTICLE XV:  MISCELLANEOUS....................................................40
         15.1     Costs and Expenses..........................................40
         15.2     Performance.................................................40
         15.3     Benefit and Assignment......................................41
         15.4     Effect and Construction of this Agreement...................41
         15.5     Cooperation - Further Assistance............................41
         15.6     Notices.....................................................41
         15.7     Waiver, Discharge, Etc......................................42
         15.8     Rights of Persons Not Parties...............................42
         15.9     Governing Law...............................................42
         15.10    Amendments, Supplements, Etc................................43
         15.11    Severability................................................43
         15.12    Counterparts................................................43
         15.13    Arbitration.................................................43
         15.14    Public Announcements........................................43



                                      (iv)





                              SCHEDULES & EXHIBITS

Schedule 2.1(b)            -       Allocation among Shareholders
Schedule 2.6               -       Assumed Liabilities
Schedule 5.3               -       Consent List of Principal Sellers
Schedule 5.4               -       Arcadia Stock
Schedule 5.5               -       Liens on Assets
Schedule 5.6               -       Trademarks
Schedule 5.7               -       Contracts
Schedule 5.8(a)            -       Audited Financial Statement
Schedule 5.8(b)            -       Monthly Financial Statements
Schedule 5.8(c)            -       March 31 Balance Sheets
Schedule 5.8(d)            -       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 5.26              -       Leasehold Interests
Schedule 7.5               -       Consent List of Buyer

Exhibit A                  -       Plan of Merger
Exhibit 2.3                -       Escrow Agreement
Exhibit 2.4                -       Arizona Litigation Escrow Agreement
Exhibit 5.29               -       Questionnaire
Exhibit 10.4               -       Opinion of Shareholders' Counsel
Exhibit 10.15              -       Employment Agreements
Exhibit 11.4               -       Opinion of Buyer's Counsel



                                       (v)





                     --------------------------------------
                      AGREEMENT AND PLAN OF REORGANIZATION
                     --------------------------------------


     This Agreement and Plan of  Reorganization  (the "Agreement") is made as of
the 24th day of July, 1997, among INTEGRATED  HEALTH SERVICES,  INC., a Delaware
corporation ("Buyer"),  INTEGRATED AG ACQUISITION,  INC., a Delaware corporation
("Newco"), HERBERT GRAEBNER and LEONARD BELLINSON (collectively,  the "Principal
Sellers" and individually,  the "Principal Seller") and the Principal Sellers in
their  collective  capacity  as the  "Committee"  and ARCADIA  SERVICES,  INC. a
Michigan corporation ("Arcadia").

     WHEREAS, Newco is a subsidiary of Buyer; and

     WHEREAS,  Arcadia is in the business of providing home health care services
and medical staffing services and Arcadia's wholly-owned  subsidiary,  Grayrose,
Inc.  ("Grayrose") is in the business of providing clerical and light industrial
staffing services; and

     WHEREAS,  the Principal  Sellers are the owners or holders of a majority of
the issued and outstanding shares of the capital stock of Arcadia; and

     WHEREAS,  all owners or holders of the issued and outstanding shares of the
capital  stock of Arcadia (the  "Shareholders")  (the  "Arcadia  Stock") will be
authorizing  the  Committee  to act as their agent for the purpose of taking any
action under this Agreement; and

     WHEREAS,  the Shareholders and the Boards of Directors of Buyer, Newco, and
Arcadia deem it  advisable  to merge Newco with and into Arcadia (the  "Merger")
pursuant to this  Agreement  and the Plan of Merger  annexed as Exhibit A hereto
(the "Plan of Merger"); and

     WHEREAS,  pursuant  to the  Merger,  all  shares of  Arcadia  Stock will be
converted  into the right to receive  the Merger  Consideration  (as  defined in
Section 2.1(a) of this Agreement).

     NOW,  THEREFORE,  Principal  Sellers,  Committee,  Buyer, Newco and Arcadia
intending to be legally bound, agree as follows:

                                ARTICLE I: MERGER

     1.1 MERGER.  Subject to the terms and conditions of this Agreement,  at the
Effective  Time of Merger (as  defined in Article  IV,  below),  Newco  shall be
merged with and into Arcadia and the separate existence of Newco shall cease.







     1.2 TAKING OF NECESSARY  ACTION.  Prior to and after the Effective  Time of
Merger,  subject to the provisions of this Agreement,  each of the Shareholders,
Buyer,  Newco,  and Arcadia  shall take all such action as may be  necessary  or
appropriate in order to effect the Merger as contemplated  hereunder. In case at
any time after the Effective  Time of Merger any further  action is necessary or
desirable  to carry out the  purposes of this  Agreement  and to vest Buyer with
full title to Arcadia Stock, the parties shall take all such necessary action.


                             ARTICLE II: CONVERSION

     2.1 CONVERSION OF STOCK. At the Effective Time of Merger:

       (A) the  shares  of  Arcadia  Stock  which  are  issued  and  outstanding
immediately  prior to the Effective Time of Merger shall,  without any action by
the holder thereof, be converted into the right to receive that number of shares
of the common stock,  par value $.001,  of Buyer ("IHS Stock")  determined as of
the Closing Date in  accordance  with Section  3.1(a) as shall have an aggregate
value,  and subject to  adjustment  pursuant to Section 2.2 hereof,  of EIGHTEEN
MILLION SEVEN HUNDRED THOUSAND AND 00/100 ($18,700,000.00)  DOLLARS (the "Merger
Consideration");  provided  that the  aggregate  Merger  Consideration  shall be
reduced by an amount equal to that portion of the Merger  Consideration which is
allocable  to any shares of Arcadia  Stock as to which the holder of such shares
has  exercised  his  or her  dissenter's  rights  under  the  Michigan  Business
Corporation  Act. Each of the  Shareholders  whose shares are converted into the
Merger Consideration (other than those who have exercised  dissenter's rights as
aforesaid) shall receive a portion of the Merger Consideration as shall be equal
to the aggregate Merger Consideration multiplied by a fraction, the numerator of
which is the  number  of  shares  of  Arcadia  Stock  owned by such  Shareholder
immediately prior to the Effective Time of Merger,  and the denominator of which
is the total number of shares of Arcadia  Stock that are issued and  outstanding
immediately prior to the Effective Time of Merger.

       (B) each share of Newco common stock outstanding immediately prior to the
Effective  Time of Merger,  shall be converted into one share of common stock of
Arcadia.

       (C) at the  Effective  Time  of  Merger,  each  holder  of a  certificate
theretofore  evidencing  outstanding  shares of Arcadia Stock, upon surrender of
such  certificate,  shall be entitled to receive in exchange therefor his or her
proportionate share of the Merger Consideration,  calculated pursuant to Section
2.1(a) above,  represented by the  certificate or  certificates  so surrendered.
Until so surrendered,  each such  outstanding  certificate  which,  prior to the
Effective Time of Merger, represented shares of Arcadia Stock, will be deemed to
evidence the right to receive the  proportionate  share of Merger  Consideration
represented  by such  certificate  or  certificates.  Upon the surrender of such
certificates, they shall be duly canceled.




                                        2





       (D)  Immediately  after the Effective Time of Merger,  Buyer, as the sole
shareholder  of  Newco,  upon  surrender  of  stock  certificate(s)   evidencing
outstanding shares of Newco, shall be entitled to receive in exchange therefor a
certificate representing the shares of Arcadia Stock, calculated on a one-to-one
basis. Until so surrendered, each such certificate which, prior to the Effective
Time of Merger, represented the outstanding shares of Newco stock will be deemed
to  evidence  such  shares  of  Arcadia  Stock.   Upon  the  surrender  of  such
certificate(s), they shall be duly canceled.

     2.2 ADJUSTMENTS TO THE MERGER CONSIDERATION.

       (A) At the Closing,  Arcadia shall  deliver a  certificate  signed by its
Chief  Financial  Officer  certifying  his best good faith estimate of Arcadia'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  $791,000  (the
"Minimum Working Capital"), the Merger Consideration payable to the Shareholders
at Closing  will be reduced on a  dollar-for-dollar  basis by an amount equal to
the amount of such  deficiency.  If the Estimated  Closing Date Working  Capital
exceeds the Minimum Working  Capital,  the Merger  Consideration  payable to the
Shareholders at Closing will be increased by an amount equal to the excess above
the Minimum  Working  Capital,  payable in IHS Stock.  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 any prepayment  obligation related
to any accounts receivable factoring arrangements entered into by Arcadia or any
of its  subsidiaries  as of or prior to the  Closing  Date will be included as a
current  liability in the calculation of working capital;  provided further that
any waiver of the Shareholders'  debt shall be treated as a reduction of current
assets in the calculation of working capital;  provided further the Shareholders
will have reserved  $809,000 for the Arizona  Receivables (as defined in Section
2.4,  below) and $50,000 for the Arizona  Litigation (as defined in Section 2.4,
below) on the Estimated Closing Date Balance Sheets; provided further all assets
and liabilities  associated with the Mutual Indemnity  (Bermuda) Limited captive
insurance  (the  "Captive  Insurance")  will be excluded in the  calculation  of
working capital on the Estimated  Closing Date Balance Sheet;  provided  further
all obligations related to terminations of employment agreements with Arcadia or
its subsidiaries  shall be treated as current  liabilities in the calculation of
working  capital on the  Estimated  Closing  Date  Balance  Sheet and;  provided
further any liabilities and obligations, other than Assumed Liabilities, must be
reflected as current  liabilities  to the extent and only to the extent they are
reflected on the  Estimated  Closing Date Balance  Sheet.  Additionally,  at the
Closing,  Arcadia  shall  deliver  to Buyer the  balance  sheet of  Arcadia on a
consolidated  basis dated as of the Closing Date,  certified by Arcadia's  Chief
Financial  Officer to be his 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  Arcadia's  long-term
liabilities  as  determined  in  accordance  with GAAP exceeds  $1,300,000  (the
"Maximum  Long-Term  Liabilities"),  the  Merger  Consideration  payable  to the
Shareholders 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,  excluding  any  liabilities   specifically  classified  as  current
liabilities in this Section 2.2(a).


                                        3





       (B) As soon as is reasonably practicable,  but in any event within ninety
(90) days  following  the  Closing  Date,  Buyer  shall  complete a review  (the
"Post-Closing  Review") of Arcadia's  Estimated  Closing Date Balance Sheet. The
Merger Consideration, after giving effect to any adjustments made at the Closing
pursuant to Section 2.2(a), above, (the "Adjusted Merger Consideration"),  shall
be subject to further  adjustment based upon the Post-Closing  Review indicating
that the  aggregate  working  capital  of Arcadia  as of the  Closing  Date (the
"Actual Working  Capital") was different from the Estimated Closing Date Working
Capital, then the parties shall make such payments to each other as shall result
in the Merger  Consideration  being the  amount  that it would have been had the
Actual  Working  Capital been used at Closing in lieu of the  Estimated  Closing
Date Working Capital. Any increase to the Adjusted Merger Consideration shall be
in IHS Stock by Buyer to Shareholders,  and if the Adjusted Merger Consideration
is reduced,  then the  Escrowee (as defined  below) shall  deliver over to Buyer
shares  of IHS  Stock  having a value  determined  in  accordance  with  Section
2.3(a)(vii),  below,  equal to such  deficiency.  In the  event  the  deficiency
exceeds the Escrow  Deposit (as defined  below) held by Escrowee,  the Principal
Sellers shall refund to Buyer the amount of such  deficiency in IHS Stock valued
in accordance with Section 2.3(a)(vii),  below. Furthermore, if the Post-Closing
Review reveals the aggregate amount of Arcadia's long-term liabilities as of the
Closing Date exceeded the greater of (w) Maximum Long-Term  Liabilities,  or (x)
the amount of Arcadia's  long-term  liabilities  as  indicated on the  Estimated
Closing Date Balance  Sheet,  the Merger  Consideration  shall be deemed to have
been reduced by the amount of such excess,  and the Escrowee  shall deliver over
to Buyer IHS Stock having a value equal to such excess.  In the event the amount
of such  excess  is  greater  than the  Escrow  Deposit  held by  Escrowee,  the
Principal  Sellers shall be jointly and  severally  obligated to refund to Buyer
the  amount  of such  excess  in IHS  Stock.  The  value of any IHS  Stock to be
distributed  to the Buyer  from the  Escrowee  will be as set  forth in  Section
2.3(a)(vii),  below. 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  agreed upon "big six" accounting firm other than KPMG Peat Marwick LLP
or Coopers & Lybrand 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.  Principal  Sellers will have  reasonable
access to such  records as are  necessary  for the  calculation  of the  working
capital in connection with the Post- Closing Review.

                  2.3      GENERAL ESCROW.

       (A) At the Closing, pursuant to an Escrow Agreement to be entered into by
the parties substantially in the form and substance of Exhibit 2.3, a portion of
the Merger  Consideration as shall be equal in value to ONE MILLION FIVE HUNDRED
THOUSAND  ($1,500,000)  DOLLARS (the "Escrow  Deposit") based upon the valuation
described in Section  3.1(a),  below,  shall be delivered by Buyer, on behalf of
the Shareholders, to CoreStates Bank, N.A. as escrow agent (the "Escrowee"). The
Principal  Sellers  shall be  designated by the  Shareholders  as  Shareholders'
Committee under the Escrow  Agreement,  to take any and all action,  and to give
any and all notices,  on behalf of the Shareholders  under the Escrow Agreement.
Subject to the  provisions  of this  Section 2.3,  $1,000,000  (less any amounts
offset for claims  pursuant to Section  2.3(a)(i) and (ii)) shall be released to
the Shareholders one (1) year following


                                        4





the Closing Date (the "General Indemnification Fund"). The balance of the Escrow
Deposit  shall   continue  to  be  held  solely  to  indemnify   against  Excess
Reimbursement  Liabilities  (as  defined  below)  and shall be  released  to the
Shareholders  three (3) years  following  the Closing Date.  The Escrow  Deposit
shall be held and disbursed by the Escrowee in accordance with the following:

          (I) In the event that the  Shareholders  become obligated to remit IHS
Stock  back to Buyer  pursuant  to the  post-Closing  adjustments  set  forth in
Section  2.2(b),  the Escrowee shall release to Buyer that portion of the Escrow
Deposit  as  shall  have a  value  equal  to the  amount  by  which  the  Merger
Consideration is so reduced.

          (II) In the event that the Buyer becomes  entitled to  indemnification
pursuant to Section  12.2,  the Escrowee  shall release to Buyer that portion of
the Escrow Deposit as shall be equal in value to such indemnification.

          (III) If no claim  for  indemnification  on the part of Buyer  remains
outstanding  upon the expiration of one (1) year following the Closing Date, any
remaining  General  Indemnification  Fund  (less any  amounts  offset for claims
pursuant to Section 2.3(a)(i) and (ii)) shall be released to the Shareholders.

          (IV) If any claim for indemnification on the part of Buyer does remain
outstanding upon the expiration of one (1) year following the Closing Date, then
any General Indemnification Fund (less any amounts offset for claims pursuant to
Section 2.3(a)(i) and (ii)) (including all accrued interest  thereon)  remaining
(after  resolution of the outstanding  claim and payment in respect thereof,  if
any is owing,  shall be made),  shall be released to the  Shareholders  promptly
after resolution of such claim.

          (V) If no claim for indemnification on the part of Buyer in connection
with Excess  Reimbursement  Liabilities  (as defined below) remains  outstanding
upon the  expiration of three (3) years  following  the Closing  Date,  then any
remaining  Escrow  Deposit then held by the Escrowee  shall first be used to pay
off any attorney's fees and expenses in connection with indemnification pursuant
to Section 12.2,  below,  properly  chargeable,  and then any  remaining  Escrow
Deposit shall be released to the Shareholders.

          (VI)  If any  claim  for  indemnification  on the  part  of  Buyer  in
connection with Excess  Reimbursement  Liabilities  remains outstanding upon the
expiration  of three (3) years  following  the  Closing  Date,  then any  Escrow
Deposit  (including all accrued interest thereon) remaining (after resolution of
the outstanding claim and payment in respect thereof,  if any is owing, shall be
made)  shall  first  be used to pay off any  attorney's  fees  and  expenses  in
connection with Excess Reimbursement Liabilities,  properly chargeable, and then
any  remaining  Escrow  Deposit shall be released to the  Shareholders  promptly
after resolution of such claim.



                                        5





          (VII) The value of any IHS Stock to be  distributed  to Buyer from the
Escrow Deposit shall be calculated  based upon the average closing NYSE price of
such stock for its thirty (30)  business day period  immediately  preceding  the
date of such distribution.

       (B) The costs,  fees and expenses of the Escrowee  shall be borne equally
by Buyer, on the one hand, and the Shareholders, on the other hand.

     2.4 ARIZONA LITIGATION AND ARIZONA ESCROW.

       (A) At the Closing, pursuant to an Escrow Agreement to be entered into by
the parties substantially in the form and substance of Exhibit 2.4, a portion of
the Merger  Consideration  as shall be equal in value to EIGHT  HUNDRED AND NINE
THOUSAND  ($809,000)  DOLLARS  (the  "Arizona  Escrow  Deposit")  based upon the
valuation  described in Section 3.1(a),  below,  shall be delivered by Buyer, on
behalf  of the  Shareholders,  to  Escrowee.  The  Principal  Sellers  shall  be
designated  by the  Shareholders  as  Shareholders'  Committee  under the Escrow
Agreement,  to take  any and all  action,  and to give any and all  notices,  on
behalf of the  Shareholders  under such Escrow  Agreement.  The  Arizona  Escrow
Deposit  shall be held and  disbursed  by the  Escrowee in  accordance  with the
following:

          (I) To the extent Buyer is able to collect any proceeds from Arcadia's
accounts  receivable  with  respect to the matter  currently  in  litigation  in
Maricopa County, Arizona (the "Arizona  Receivables"),  the Buyer shall instruct
the Escrowee to distribute  from the Arizona Escrow Deposit to the  Shareholders
such portion which equals the amount of Arizona  Receivables  actually collected
by Buyer.  Said distribution from the Arizona Escrow Deposit shall be paid first
in shares of IHS Stock (to the extent available) and then in cash, with the form
of such payment to be in the discretion of the Shareholders.

          (II) Upon the expiration of eighteen (18) months following the Closing
Date,  any remaining  Arizona Escrow  Deposit  (including  all accrued  interest
thereon) (less any amounts previously  distributed to the Shareholders  pursuant
to Section 2.4(a)(i), above), shall be released to Buyer.

          (III)  The value of any IHS Stock to be  distributed  to  Shareholders
from the  Arizona  Escrow  Deposit  shall be  calculated  based upon the average
closing  NYSE  price of such  stock for its  thirty  (30)  business  day  period
immediately preceding the date of such distribution.

       (B) The costs,  fees and expenses of the Escrowee  shall be borne equally
by Buyer, on the one hand, and the Shareholders, on the other hand.

       (C) Upon the  expiration  of eighteen  (18) months  following the Closing
Date and the release of any remaining Arizona Escrow Deposit to Buyer,  then, in
such event,  Buyer agrees to assign all of its rights and interests under and to
the  Arizona  Receivables  to  a  liquidating  trust  for  the  benefit  of  the
Shareholders  in order to facilitate the  Shareholders'  efforts with respect to
litigation concerning the Arizona Receivables (the "Arizona Litigation").


                                        6





       (D)  Principal  Sellers  shall  have the  exclusive  right to direct  the
collection efforts regarding the Arizona Receivables and the Arizona Litigation;
provided; Buyer will not incur any attorneys' fees, costs and expenses in excess
of  $50,000  in  connection  with  the  Arizona   Receivables  and  the  Arizona
Litigation;  and provided further Buyer shall only provide  reasonable access to
Arcadia and its resources, including its employees.

     2.5 ASSETS. As of the Closing Date, the consolidated assets of Arcadia (the
"Assets") will include its ownership  interests in all of its current  operating
subsidiaries,  as well as all of the tangible and intangible assets necessary to
operate the businesses of Arcadia 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 numbers,
provider  agreements with third party payors,  investments in affiliate offices,
telephone numbers, and to the extent permitted by law, all permits, licenses and
other governmental approvals. The Assets of Arcadia as of the Closing Date shall
also include cash, accounts receivable, and prepaid expenses.

     2.6  LIABILITIES.  As of the  Closing  Date,  Arcadia  shall only have such
liabilities which (i) are reflected as a liability on the Estimated Closing Date
Balance  Sheet in  accordance  with GAAP,  and (ii) arise  under  those  certain
contracts (the  "Retained  Contracts")  set forth on Schedule 2.6,  specifically
assumed by Buyer and assigned by the  Principal  Sellers to Buyer,  with respect
to, and only with respect to, services to be rendered or goods to be supplied to
or  benefits  to  be  conferred   upon  Buyer  solely  after  the  Closing  Date
(collectively,  the "Assumed  Liabilities").  Liabilities and obligations  under
such Retained  Contracts that have accrued,  or the performance of which is due,
on or prior to the Closing,  all  liabilities  and  obligations  under all other
Contracts (as defined  below) or which are in payment or  consideration  for any
excluded assets, and any other 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 to the extent not covered by  insurance;  (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


                                        7





of Arcadia's or its subsidiaries'  employees,  agents,  consultants or advisers,
including  accrued  vacation,  shall  remain  the  sole  responsibility  of  the
Principal  Sellers  and shall be paid or  performed  on or prior to the  Closing
Date,  unless  such  liabilities  shall have been  properly  accrued  for on the
Estimated Closing Date Balance Sheet.


                             ARTICLE III: IHS STOCK

     3.1 IHS STOCK.  The entire Merger  Consideration  equal to EIGHTEEN MILLION
SEVEN HUNDRED THOUSAND ($18,700,000.00) DOLLARS shall be payable by means of the
delivery to the  Shareholders  of newly issued shares of the Common  Stock,  par
value $.001, of Buyer (the "IHS Stock") in accordance with the following:

       (A) SHARE  VALUE.  The number of shares of IHS Stock  issuable at Closing
(the "Closing Date Share Count")  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 use its best efforts to cause to be
prepared, 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 Shareholders  pursuant to this
Agreement,  including the shares issuable under Section 3.1(c) in respect of any
re-calculation  of the Closing  Date Share Count,  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  Shareholder  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 may be available.

       (C) SHARE  ADJUSTMENT.  Upon  registration  of the IHS Stock as  provided
above,  the number of shares  deliverable  as part of the  Merger  Consideration
under  Section  2.1(a)  hereof  shall be  re-calculated  based upon the  average
closing  NYSE  price of IHS Stock for the 30-  trading  day  period  immediately
preceding the Registration  Date. If the number of shares as recalculated  under
this  subsection  (the  "Adjusted  Share Count")  exceeds the Closing Date Share
Count,  the Buyer promptly shall deliver over to the  Shareholders an additional
number of shares  of IHS Stock as shall be equal to the  amount of such  excess,
and such additional shares shall be included in the aforementioned  registration
statement by means of a post-effective  amendment  thereto.  If the Closing Date
Share Count exceeds the Adjusted  Share Count,  the  Shareholders  promptly will
return to the Buyer that number of shares of IHS Stock as shall be equal to such
excess.



                                        8





       (D) REGISTRATION EXPENSES. Shareholders 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  Shareholder's  or any transferee's  failure to
comply with its obligations under this Article III.

       (E) 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 the Shareholders and, if any, their  transferees of such shares,  shall
not at any time, in the aggregate,  exceed One Hundred Thousand (100,000) shares
during any thirty (30) trading day period.

       (F)  REGISTRATION  PROCEDURES,  ETC. In connection with the  registration
rights granted to the Shareholders  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 for so long as
the Shareholders own any of the IHS Stock except to the extent that an exemption
from  registration  may  be  available.   Buyer  will  immediately   notify  the
Shareholders, 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  Shareholders  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  Shareholders,  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.



                                        9





          (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  Shareholders  of IHS Stock to be sold
pursuant to the registration  statement,  their successors and assigns, and each
person,  if any, who controls such  Shareholders  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
Shareholders expressly for use in such registration statement,  any amendment or
supplement  thereto  or any  application,  as the case may be. If any  action is
brought against the  Shareholders or any controlling  person of the Shareholders
in respect of which  indemnity  may be sought  against  Buyer  pursuant  to this
subsection 3.1(f)(iv),  the Shareholders 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 fees and
expenses  of  counsel  (reasonably  satisfactory  to the  Shareholders  or  such
controlling  person). The Shareholders or such controlling person shall have the
right to employ  its or their own  counsel  in any such  case,  but the fees and
expenses of such  counsel  shall be at the expense of the  Shareholders  or such
controlling  person  unless (A) the  employment  of such counsel shall have been
authorized in writing by Buyer in connection with the defense of such action, or
(B) Buyer shall not have employed  counsel to have charge of the defense of such
action, or (C) such indemnified party or parties shall have reasonably concluded
that there may be defenses  available to it or them which are different  from or
additional to those available to Buyer (in which case,  Buyer shall not have the
right to direct the defense of such action on behalf of the indemnified party or
parties),  in any of which  events  the fees and  expenses  of not more than one
additional firm of attorneys for the Shareholders and/or such controlling person
shall be borne by Buyer.  Except as expressly provided in the previous sentence,
in the event that Buyer shall not  previously  have  assumed the defenses of any
such action or claim,  Buyer shall not thereafter be liable to the  Shareholders
or such  controlling  person in  investigating,  preparing or defending any such
action  or claim.  Buyer  agrees  promptly  to notify  the  Shareholders  of the
commencement  or 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.


                                       10





          (V)  The   Shareholders  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,  arising from  information  furnished by or on behalf of such
Shareholders,  or their successors or assigns in writing for specific  inclusion
in such registration statement.

       (G) NOTICE OF SALE.  If the  Shareholders  desire to transfer  all or any
portion of IHS Stock,  the  Shareholders  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 Shareholders 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(b) and to give prompt notice to the
Shareholders  when the registration  statement has again become current.  If the
Shareholders  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  Shareholders,
will be  entitled  to  transfer  IHS Stock in  accordance  with the terms of the
notice and opinion of their counsel.

       (H)  FURNISH  INFORMATION.  It  shall  be a  condition  precedent  to the
obligations  of the Buyer to take any action  pursuant to this  Article III that
the  Shareholders  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 Shareholder 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 Shareholders 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.



                                       11





       (I)  INVESTMENT  REPRESENTATIONS.  All  shares  of IHS Stock to be issued
hereunder will be newly issued shares of Buyer. The  Shareholders  represent and
warrant to Buyer that the IHS Stock being issued  hereunder  is being  acquired,
and will be acquired,  by the Shareholders for investment for their own accounts
and not with a view to or for sale in connection with any  distribution  thereof
within the meaning of the Securities Act or the applicable state securities law;
the  Shareholders   acknowledge  that  the  IHS  Stock  constitutes   restricted
securities  under  Rule  144  promulgated  by  the  Commission  pursuant  to the
Securities Act, and may have to be held indefinitely, and the Shareholders 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
Shareholders  have the  knowledge  and  experience  in  financial  and  business
matters,  are capable of evaluating the merits and risks of the investment,  and
are able to bear the economic risk of such investment. The Shareholders have had
the  opportunity  to make  inquiries  of and  obtain  from  representatives  and
employees of Buyer such other  information  about Buyer as it deems necessary in
connection with such investment.

       (J) 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.

       (K) 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 Shareholders under this Article III.



                                       12





                             ARTICLE IV: THE CLOSING

     4.1 TIME AND PLACE OF  CLOSING.  The  Closing  under  this  Agreement  (the
"Closing") 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."  Subject to the  conditions  set forth
herein,  at the Closing (a) the Shareholders  shall deliver for cancellation one
or more  stock  certificates  representing  the  shares of  Arcadia  Stock  duly
endorsed,  or  accompanied  by one or more stock powers duly  endorsed,  and (b)
Buyer, as agent for Arcadia,  shall, subject to Sections 2.3 and 2.4, deliver to
the Shareholders the Merger Consideration pursuant to Section 2.1(a) hereof.

     4.2 FILINGS AT CLOSING.  At the Closing Date, Buyer and Arcadia shall cause
the  Plan of  Merger  or such  other  certificate  as  required  to be  filed in
accordance  with the Michigan  Business  Corporation  Act and  Delaware  General
Corporation Law, and each of the Shareholders,  Buyer and Arcadia shall take any
and all lawful actions to cause the Merger to become effective.

     4.3 EFFECTIVE  TIME.  Subject to the terms and conditions set forth herein,
including receipt of all required regulatory approvals,  the Merger shall become
effective at the time the Plan of Merger or such other  certificate  as required
by the Michigan  Secretary of State and the Delaware  Secretary of State is made
effective (the "Effective Time of Merger").


           ARTICLE V: REPRESENTATIONS AND WARRANTIES OF THE PRINCIPAL
                               SELLERS AND ARCADIA

     Arcadia and the Principal  Sellers hereby  jointly and severally  represent
and warrant to Buyer and Newco as follows  (it being  understood  that,  for the
purposes of this Article V, "Arcadia"  shall be deemed to refer  collectively to
Arcadia and any subsidiaries listed on Schedule 5.23):

     5.1  ORGANIZATION  AND STANDING OF ARCADIA.  Arcadia is a corporation  duly
organized,  validly existing and in good standing under the laws of the State of
Michigan.  Copies of Arcadia's  Articles of Incorporation  and By-Laws,  and all
amendments  thereof to date,  have been  delivered to Buyer and are complete and
correct.  Arcadia has the power and authority to own the  properties  and assets
now owned by it and to conduct the businesses  presently  being conducted by it.
Arcadia is qualified to do business as a foreign corporation in each state where
the  ownership  of  its  assets  or the  conduct  of its  businesses  make  such
qualification necessary.



                                       13





     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 Principal Sellers and Arcadia, nor the performance
by Principal  Sellers and Arcadia 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 Arcadia;  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
agreement,  indenture, contract or instrument to which Arcadia is now a party or
by which any of the assets of Arcadia is bound.

     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 Principal Sellers or Arcadia.

     5.4 ARCADIA STOCK.  Schedule 5.4 sets forth a complete list and description
of the  authorized  capital  stock of Arcadia,  the number of shares  issued and
outstanding of each class or series of such capital  stock,  and the identity of
each  Shareholder  of Arcadia,  in each case  indicating the class and number of
shares held. No shares of Arcadia Stock are held in the treasury of Arcadia. The
Shareholders are the record owners of all of Arcadia Stock and all of such stock
is duly authorized,  validly issued, and fully paid and non-assessable.  Arcadia
will,  as of the Closing  Date,  be the sole  shareholder  of  Grayrose.  On the
Closing Date, there will be no preemptive or first refusal rights to purchase or
otherwise  acquire shares of capital stock of Arcadia  pursuant to any provision
of law or the Articles of Incorporation or By-Laws of Arcadia 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 Arcadia any shares of
capital  stock of  Arcadia,  nor  shall  there  be  outstanding  any  securities
convertible into or exchangeable for such shares.

     5.5 ASSETS.  As of the  Closing,  the  consolidated  Assets of Arcadia will
include all of the  tangible  and  intangible  assets  necessary  to operate the
businesses of Arcadia as presently constituted,  including,  without limitation,
cash and accounts receivable;  provided,  however, that Assets shall not include
inventory,  supplies  and other  assets  disposed of in the  ordinary  course of
business,  consistent  with the prior  practice  of  Arcadia's  businesses.  The
quantities of inventory  items included in the Assets are reasonable in light of
the present and anticipated volume of Arcadia's  businesses and the inventory is
good,  usable,  merchantable,  and salable in the  ordinary  course of Arcadia's
businesses,  in each case, as determined by Arcadia in good faith and consistent
with past practice. The accounts receivable of Arcadia are reflected properly on
their  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 or  encumbrances,  except as set forth on
Schedule 5.5.



                                       14





     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
Arcadia.  There are no claims or  proceedings  pending or, to the  knowledge  of
Arcadia, overtly threatened against Arcadia 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 Principal  Sellers and Arcadia,  Arcadia is
not infringing on the intellectual property rights of any other person.

     5.7  CONTRACTS.  Schedule 5.7 sets forth a complete and correct list of all
agreements,  contracts and commitments of the following type to which Arcadia is
a party or by which Arcadia or any of Arcadia's  assets is bound and as to which
Arcadia  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 Arcadia;

       (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 sale of  Arcadia's  assets,
properties or rights outside the ordinary course of business (by sale of assets,
sale of stock, merger or otherwise) which is currently in effect;

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

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

       (F) each partnership or joint venture contract or similar  arrangement or
agreement  which is likely to involve a sharing  of  profits or future  payments
with respect to Arcadia's businesses or any portion thereof;

       (G)   each   licensing,   distributor,   dealer,   affiliate,   sales  or
manufacturer's representative,  agency or other similar contract, arrangement or
commitment;

       (H) each contract under which Arcadia performs home health care services,
medical staffing or clerical staffing  services which involves  consideration of
at least $15,000;



                                       15





       (I) each  contract  under  which  Grayrose  performs  clerical  and light
industrial  staffing services which involves  consideration of at least $15,000;
or

       (J) any other  agreement  not made in the ordinary  and normal  course of
business which involves consideration of more than $50,000.

     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.  Arcadia is not in material default under any Contract and there has
not been asserted,  either by or against Arcadia under any Contract, any written
notice of default, set-off or claim of default. To the knowledge of Arcadia, the
parties to the Contracts  other than Arcadia 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 or properly  accrued for on the  Estimated  Closing Date Balance  Sheet in
accordance with GAAP.

     Notwithstanding the foregoing, Buyer acknowledges that it has been informed
by Arcadia  that  Arcadia  has  agreements  with  certain of its  affiliates  in
geographic areas in which Buyer already is conducting business.  Buyer agrees to
assume any and all liability and be responsible  for any claim or loss which may
occur as a result of the  violation  after the Closing Date by Buyer or Arcadia,
or any of their respective  subsidiaries,  of any exclusive  territorial  rights
contained  in any such  affiliate  agreements,  and that  Arcadia  shall have no
obligation to Buyer nor be deemed in breach or violation of any  representation,
warranty or covenant  hereunder  or otherwise  under this  Agreement as a direct
result of such marketplace overlap.

     5.8 FINANCIAL STATEMENTS.

       (A) The audited  consolidated balance sheet of Arcadia and Grayrose as of
June 30, 1995 and the draft  audited  consolidated  balance sheet of Arcadia and
Grayrose as of June 30, 1996,  and the related  statements of operations for the
years then ended,  annexed  hereto as Schedule  5.8(a) (the  "Audited  Financial
Statements"),  present fairly in all material  respects the financial  condition
and results of operations of Arcadia and Grayrose at and for the period  therein
specified and were prepared in accordance with GAAP.

       (B) The  unaudited  consolidated  monthly  balance  sheets of Arcadia and
Grayrose for each calendar month since June 30, 1996 and the related  statements
of operations  for the periods then ended,  annexed  hereto as Schedule  5.8(b),
present fairly in all material  respects the financial  condition and results of
operations of Arcadia and Grayrose at and for the periods therein  specified and
were prepared in accordance with GAAP.

       (C) The unaudited  consolidated balance sheets of Arcadia and Grayrose as
of March 31, 1997 (the "March 31 Balance Sheets"), and the related statements of
operations  for the  nine-month  period then ended,  annexed  hereto as Schedule
5.8(c),  present  fairly in all material  respects the  financial  condition and
results of  operations  of Arcadia and  Grayrose at and for the periods  therein
specified and were prepared in accordance with GAAP.


                                       16





       (D) Except as set forth on Schedule  5.8(d) or as expressly  set forth on
the March 31 Balance Sheets, Arcadia and Grayrose have 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 in a corporate  balance sheet and/or the
notes thereto.

     5.9 MATERIAL CHANGES.  Except as noted on Schedule 5.9, between the date of
the March 31 Balance Sheets and the date of this  Agreement,  there has not been
any material  adverse  change in the  condition  (financial or otherwise) of the
assets,  properties or operations of Arcadia or any damage or destruction of any
of  Arcadia's  Assets or their  places of  business  by fire or other  casualty,
whether or not covered by insurance,  and during such period of time Arcadia has
conducted  its  businesses  only in the  ordinary and normal  course.  Principal
Sellers have identified and communicated to Buyer all material  information with
respect to any fact or condition that is reasonably  likely to adversely  affect
the future prospects (financial or otherwise) of Arcadia.

     5.10 LICENSES;  PERMITS;  CERTIFICATES OF NEED.  Schedule 5.10 sets forth a
description  of (a) all  licenses  and other  governmental  or other  regulatory
permits,  authorizations  or approvals  required for the  operation of Arcadia's
businesses  that are now in effect,  including  all  certificates  of  occupancy
issued with respect to Arcadia's businesses; (b) all Certificates of Need issued
with respect to Arcadia's and its subsidiaries  that are now in effect;  and (c)
each other license,  permit,  or other  authorization  that is necessary for the
operation  of  Arcadia's   businesses   (a  "License"  and   collectively,   the
"Licenses"). The Licenses constitute all of the governmental, quasi-governmental
and regulatory licenses,  permits and authorizations  necessary to the operation
of the  businesses of Arcadia and its  subsidiaries  as they are operated on the
date  hereof.  Arcadia has  delivered  to Buyer  copies of all of the  Licenses.
Arcadia and its subsidiaries  own, possess or otherwise have the exclusive legal
right to use the Licenses, free and clear of all liens, pledges, claims or other
encumbrances of any nature whatsoever.  Arcadia is not in material default under
any such License,  and Arcadia 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 Arcadia
nor any of its  subsidiaries  has received  written  notice of any proceeding to
terminate or suspend any License or of any condition or event (other than survey
deficiencies  which singly or in the aggregate would not be material to any home
health  agency  that  Arcadia or any of its  subsidiaries  operates)  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 conditions not
generally  applicable to home health agencies requiring changes in the operation
of Arcadia or any of its subsidiaries have been imposed, formally or informally,
by any License issuer during the past twenty-four (24) months.


                                       17





No  Principal  Seller,  director  or  officer,  employee  or former  employee of
Arcadia,  or any person,  firm or corporation other than Arcadia owns or has any
proprietary,  financial or other  interest,  direct or indirect,  in whole or in
part in any of the Licenses.

     5.11 TITLE, CONDITION OF PERSONAL PROPERTY.

       (A) Except for the security  interests  listed and  described on Schedule
5.11(a),  Arcadia  has good and  marketable  title to,  or valid and  subsisting
leasehold  interests in, all of the personal property located at their places of
business or used in connection with the operation of their  businesses,  subject
to no mortgage,  security interest,  pledge, lien, claim, encumbrance or charge,
or  restraint  on transfer  whatsoever  other than  Permitted  Liens (as defined
below).  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  filed  under the  Uniform  Commercial  Code in any  jurisdiction,  and
Arcadia 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 Arcadia,  whether owned or leased, is
in good operating condition and repair,  subject to normal wear and tear, and is
sufficient to enable  Arcadia to operate its  businesses in a manner  consistent
with their operation during the immediately preceding twelve (12) months.

       (B)  Except  as set  forth on  Schedule  5.11(b),  no  tangible  personal
property used by Arcadia in connection  with the operation of its  businesses is
subject to a lease,  conditional sale, security interest or similar arrangement.
Arcadia has delivered to Buyer a complete and correct copy of each of the leases
and other agreements listed 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. Arcadia is not in material default under
such leases and there has not been asserted,  either by or against Arcadia under
any of such leases, any written notice of default, set-off, or claim of default.
To the best  knowledge  of Principal  Sellers and  Arcadia,  the parties to such
leases  other than  Arcadia 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;


                                       18





          (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; and

          (V) rights of creditors pursuant to Schedule 5.5.

     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 Arcadia,  overtly  threatened
against  or  affecting   Arcadia,   or  Arcadia'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.  Arcadia  has  previously  furnished  Buyer with a payroll
listing dated May 31, 1997 indicating the names, positions,  and compensation of
each of their  employees.  All of such  information is materially  correct as of
such date and there  has been no  material  change  since May 31,  1997.  To the
knowledge of Principal Sellers and Arcadia, none of the employees,  while in the
employ of Arcadia, 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  Arcadia,  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  Arcadia  and  its  employees  or
affiliates  nor any  strike or  material  labor  disturbance  by such  employees
affecting  Arcadia's  businesses  and, to the knowledge of Arcadia,  there is no
indication that such a change, strike or labor disturbance is likely.  Arcadia's
employees  or  affiliates  are not  represented  by any labor  union or  similar
organization  and  Arcadia  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 Arcadia's employees or affiliates.  Except as
set  forth on  Schedule  5.7 or  Schedule  5.15(b),  Arcadia  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. Arcadia 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


                                       19





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. Except
as set forth on Schedule 5.7(a), in the event of termination of employment of an
employee  of  Arcadia,  Arcadia  will not,  after the  Closing,  pursuant to any
agreement  with any  Shareholder  or Arcadia or by reason of any  representation
made or plan adopted by any  Shareholder  or Arcadia  prior to the  Closing,  be
liable to any  employee  of Arcadia 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"))  or insurance  benefits,
and  accrued  vacation  and sick days or properly  accrued for on the  Estimated
Closing Date Balance Sheet in accordance with GAAP.

     5.15 ERISA.

       (A) Arcadia  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.  Arcadia 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,  arrangement or plan, 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 Arcadia for any  employees of Arcadia,  or with respect to
which Arcadia has liability with respect to any employees of Arcadia, or make or
have an  obligation  to make  contributions  on behalf of  employees  of Arcadia
("Plans").

       (C)  Schedule  5.15(c)  identifies  all  employees of Arcadia 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 Arcadia on
leave of absence  entitled  thereto,  and all persons electing such coverage are
being (or have been, if applicable) provided such coverage.


                                       20





     5.16  INSURANCE  AND SURETY  AGREEMENTS.  Schedule 5.16 contains a true and
correct  list  of:  (a) all  policies  of fire,  liability  and  other  forms of
insurance  held or  owned by  Arcadia  (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 Arcadia,  including a brief  description  of the
character  of the bond or agreement  and the name of the surety or  indemnifying
party.  Schedule 5.16 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 Arcadia,  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,  Arcadia has not been
advised by any of their  insurance  carriers of an  intention  to  terminate  or
modify any such  policies  other  than under  circumstances  where  Arcadia  has
received a commitment for a replacement policy, nor has Arcadia failed to comply
with any of the material conditions contained in any such policies.

     5.17  RELATIONSHIPS.  Except as  disclosed  on  Schedule  5.17  hereto,  no
Shareholder and no controlling Principal Seller, partner or any affiliate of any
Shareholder  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 Arcadia or its businesses.

     5.18 ABSENCE OF CERTAIN EVENTS. Except as set forth on Schedule 5.18, since
the date of the March 31 Balance  Sheets,  Arcadia has not, and from the date of
this Agreement through the Closing Date Arcadia will not have:

       (A) except for the sale of its joint venture interest in C.R.K.  Computer
Services  ("C.R.K.")  (provided,  in such  event,  the  proceeds of such sale of
C.R.K.  will be included in the working capital of Arcadia),  sold,  assigned or
transferred  any of its assets or properties,  other than 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 Arcadia's assets;

       (C) made or suffered  any  termination  of any home health care  services
contract  or any  medical,  clerical  and  light  industrial  staffing  services
contract;

       (D) made or suffered any amendment or termination of any other  contract,
commitment,  instrument  or agreement  involving  consideration  or liability in
excess of $25,000;


                                       21





       (E)  except in the  ordinary  course  of  business  consistent  with past
practices,  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 Arcadia;

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

       (H) except for the  acquisition of two agencies  located in Grand Rapids,
Michigan and Lansing,  Michigan,  entered into any transaction other than in the
ordinary course of business involving consideration in excess of $50,000;

       (I)  dissolved,  merged or entered into a share exchange with or into any
other entity;

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

       (K) made any change to its by-laws or articles of incorporation;

       (L) failed to maintain its businesses in substantially  the same state of
repair,  order and condition as on the date hereof,  reasonable wear and tear or
loss by casualty excepted;

       (M) failed to maintain in full force and effect all Licenses currently in
effect with respect to its businesses unless such License is no longer necessary
for the operation of Arcadia;

       (N) failed to  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;

       (O) failed to  preserve  intact the  present  business  organizations  of
Arcadia;  failed to keep available the services of Arcadia's present  employees,
affiliates and agents  necessary to the proper  functioning of the businesses of
Arcadia; and failed to maintain Arcadia's relations and goodwill with suppliers,
employees,  affiliates,  affiliated  medical  personnel  and any  others  having
business  relating to Arcadia and where such  relationships are necessary to the
proper functioning of the businesses of Arcadia;


                                       22





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

       (Q) failed to comply in all respects with all provisions of the Contracts
listed in Schedule 5.7 and with any other material  agreements  that Arcadia has
entered  into in the  ordinary  course of  business  since the March 31  Balance
Sheets, and failed to comply in all respects with the provisions of all material
laws, rules and regulations applicable to Arcadia's businesses;

       (R) failed to pay when due, all taxes,  assessments and charges or levies
imposed  upon  them or on any of their  properties  for  which  they  have  been
required to be withheld or paid over;

       (S)  failed  to  promptly  advise  Buyer  in  writing  of the  threat  or
commencement   against  Arcadia  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 Arcadia; and

       (T) failed to notify the Buyer in writing of any event involving  Arcadia
which has had or may be reasonably expected to have a material adverse effect on
the  business  or  financial  condition  of Arcadia or may  involve  the loss of
contracts with any of Arcadia's customers.

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

     5.20 FINDERS. No broker or finder has acted for the Shareholders or Arcadia
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 Shareholders or Arcadia.


                                       23





     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
Arcadia (collectively,  the "Tax Returns"), have been or will be timely filed on
or before the Closing Date in  accordance  in all  materials  respects  with all
applicable Governmental Requirements; and (ii) Arcadia 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, or real property tax.

     5.22 ENCUMBRANCES CREATED BY THIS AGREEMENT.  The execution and delivery of
this Agreement,  or any of Arcadia'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  Arcadia'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 Arcadia 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 Arcadia or by one of the listed subsidiaries on Schedule 5.23.

     5.24 NO UNTRUE STATEMENT.  None of the  representations and warranties made
pursuant to this  Agreement  contains any untrue  statement of material  fact or
omits to state a material fact  necessary,  in light of the  circumstance  under
which it was made, in order to make any such  representation  not  misleading in
any material respect.

     5.25 MEDICARE AND MEDICAID PROGRAMS. Arcadia is qualified for participation
in the Medicare and Medicaid programs. Except as reflected on Schedule 5.25, (a)
no  Principal  Seller nor Arcadia has  received  any notice of  recoupment  with
respect to Arcadia'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 which arose
out of any  transactions  on the part of Arcadia prior to the Closing or against
any Principal Seller for which Buyer will be liable, and (c) to the knowledge of
Principal Sellers and Arcadia, no Medicare and Medicaid investigation, survey or
audit is  pending,  threatened  or imminent  with  respect to the  operation  of
Arcadia prior to the Closing.

     5.26  LEASEHOLD  INTERESTS.  Schedule 5.26 hereto sets forth a complete and
correct list of all leases pursuant to which Arcadia or any of its  subsidiaries
leases real property.  Each of Arcadia and its  subsidiaries has valid leasehold
interests in all such real property free and clear of all liens, claims, charges
and encumbrances of any kind whatsoever, except for Permitted Liens. Arcadia has
provided  access to the  Buyer to  complete  and  correct  copies of the  leases
identified in Schedule 5.26.


                                       24





     5.27 POWER AND AUTHORITY.  Arcadia and Principal Sellers have all requisite
power and authority to execute,  deliver and perform this  Agreement,  and as of
the Closing,  Arcadia and Principal  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  Arcadia  and  Principal  Sellers  constitute  the legal,  valid and  binding
obligations  of such party,  enforceable  against such party in accordance  with
their respective terms.

     5.29 QUESTIONNAIRES. The health care law questionnaire heretofore delivered
to Arcadia by Buyer (the  "Questionnaire")  will be  attached  hereto as Exhibit
5.29 and will as of the Closing  Date have been fully and  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. Arcadia nor any shareholder, director, officer,
controlling person or employee of Arcadia,  and no affiliate of Arcadia, (a) has
used any corporate  funds of Arcadia 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 Arcadia's
businesses.


         ARTICLE VI: REPRESENTATIONS AND WARRANTIES OF PRINCIPAL SELLERS

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

     6.1 AUTHORITY. Such Principal 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
Principal Sellers, and any necessary consents of holders of indebtedness of such
Principal Seller have been obtained.

     6.2 BINDING EFFECT.  This Agreement and all Transaction  Documents executed
by such Principal Seller constitute the legal, valid and binding  obligations of
such party,  enforceable  against such Principal 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 Principal Seller nor
the performance by such Principal Seller of the transactions contemplated hereby
and thereby conflicts with, or


                                       25





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
Principal Seller, or (ii) any rule or regulation of any administrative agency or
other  governmental  authority  currently in effect applicable to such Principal
Seller, or (iii) any agreement,  indenture, contract or instrument to which such
party is now a party or by which any of the assets of such  Principal  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 Principal Seller.

     6.5  OWNERSHIP OF ARCADIA  STOCK.  Shareholders  are the lawful  record and
beneficial  owners of all of Arcadia  Stock  shown as owned by  Shareholders  in
Schedule  5.4, with good and  marketable  title  thereto,  free and clear of all
liens and  encumbrances,  claims and other  charges  thereon  of any kind.  Such
Shareholders  have the full legal power to transfer  and  deliver  such  Arcadia
Stock in accordance with this  Agreement,  and delivery of such Arcadia Stock to
Buyer pursuant  hereto will convey good and marketable  title thereto,  free and
clear of all liens and  encumbrances,  claims and other  charges  thereon or any
kind.  The shares of Arcadia  Stock  indicated on Schedule 5.4 as being owned by
the  Shareholders  constitute  all of the issued and  outstanding  shares of the
capital stock of Arcadia. On the Closing Date there shall not be outstanding any
warrants, options, or other rights to subscribe for or purchase from Arcadia any
shares  of  capital  stock  of  Arcadia,  nor  shall  there be  outstanding  any
securities convertible into or exchangeable for such shares.


         ARTICLE VII: REPRESENTATIONS AND WARRANTIES OF BUYER AND NEWCO

     Buyer and Newco jointly and severally  represent and warrant to Arcadia and
the Principal 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.
Newco is a corporation  duly  organized,  validly  existing and in good standing
under the laws of the State of Delaware.

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

     7.3 BINDING AGREEMENT.  This Agreement has been duly executed and delivered
by Buyer and Newco.  This Agreement is, and when executed and delivered by Buyer
and Newco at the Closing each of the Transaction Documents executed by Buyer and
Newco will be,  the legal,  valid and  binding  obligations  of Buyer and Newco,
enforceable against Buyer and Newco in accordance with their respective terms.


                                       26





     7.4 ABSENCE OF CONFLICTING AGREEMENTS. Neither the execution or delivery of
this  Agreement or any of the  Transaction  Documents by Buyer and Newco nor the
performance by the Buyer and Newco 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 and Newco,  or (ii) any law,  rule,  judgment,
order, writ,  injunction,  or decree of any court currently in effect applicable
to Buyer and Newco,  provided  that the  consents  set forth in Schedule 7.5 are
obtained  prior  to  the  Closing,  or  (iii)  any  rule  or  regulation  of any
administrative  agency  or other  governmental  authority  currently  in  effect
applicable to Buyer and Newco,  or (iv) any  agreement,  indenture,  contract or
instrument  to which  the  Buyer or Newco is now a party or by which  any of the
assets of the Buyer or Newco is bound.

     7.5  CONSENTS.  Except  as set forth on  Schedule  7.5,  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 and Newco.

     7.6 SECURITIES AND EXCHANGE COMMISSION FILINGS. Buyer has made available to
the  Principal  Sellers a correct and complete  copy of each  report,  schedule,
registration  statement and definitive  proxy  statement filed by Buyer with the
Commission on or after January 1, 1996 (the "SEC Documents"),  which are all the
documents (other than preliminary material) that Buyer was required to file with
the SEC on or after January 1, 1996. As of their respective  dates,  none of the
SEC  Documents  (including  all exhibits  and  schedules  thereto and  documents
incorporated by reference  therein) contained any untrue statements or omissions
of a  material  fact  necessary  so as  not to  render  the  statements  therein
misleading,  in light of the  circumstances  under which they were made, and the
SEC  Documents  complied  when  filed  in all  material  respects  with the then
applicable  requirements  of the Securities Act or the Exchange Act, as the case
may be. The  financial  statements  of the Buyer  included in the SEC  Documents
complied  in  all  material   respects  with  the  then  applicable   accounting
requirements  and the published  rules and  regulations of the  Commission  with
respect  thereto,  were  prepared  in  accordance  with GAAP  during the periods
involved (except as may have been indicated in the notes thereto or, in the case
of the unaudited  statements,  as permitted by Form 10-Q promulgated by the SEC)
and fairly present (subject, in the case of the unaudited statements, to normal,
recurring audit  adjustments) the consolidated  financial  position of the Buyer
and its  consolidated  subsidiaries as at the dates thereof and the consolidated
results of their operations and cash flows for the periods then ended.

     7.7 CAPITAL STOCK. Buyer's Form 10-Q filed with the Commission with respect
to the fiscal quarter ended March 31, 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.


                                       27





          ARTICLE VIII: INFORMATION AND RECORDS CONCERNING ARCADIA AND
                                ITS SUBSIDIARIES

     8.1 ACCESS TO INFORMATION AND RECORDS BEFORE CLOSING.  Prior to the Closing
Date,  Buyer may make, or cause to be made, such  investigation of Arcadia's (it
being understood that, for the purpose of this Article VIII,  "Arcadia" shall be
deemed to refer collectively to Arcadia and its subsidiaries  listed on Schedule
5.23)  financial  and legal  condition as Buyer deems  necessary or advisable to
familiarize  itself  with  Arcadia  and/or  matters  relating  to its history or
operations.  Arcadia  shall  permit  Buyer  and its  authorized  representatives
(including  legal  counsel and  accountants),  to have full access to  Arcadia's
books and records upon reasonable  notice and during normal business hours,  and
Arcadia will  furnish,  or cause to be  furnished,  to Buyer such  financial and
operating  data and other  information  and copies of documents  with respect to
Arcadia'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,  Arcadia's  tax returns and related work papers
since their  inception;  and Arcadia 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 Arcadia and
the  accuracy of the  representations  and  warranties  made in this  Agreement.
Arcadia shall cause its  accountants to cooperate with Buyer and to disclose the
results of audits relating to Arcadia and to produce the working papers relating
thereto.  Without  limiting any 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 Arcadia.


              ARTICLE IX: OBLIGATIONS OF THE PARTIES UNTIL CLOSING

     9.1 CONDUCT OF BUSINESS PENDING CLOSING. Between the date of this Agreement
and the Closing, Arcadia 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 ARCADIA AND ITS SUBSIDIARIES.  Without the prior
written approval of Buyer,  neither Arcadia 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 or affiliates
without  the  prior  written  consent  of  Buyer,  which  consent  shall  not be
unreasonably withheld;


                                       28





       (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, Arcadia
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,  reasonable  wear and tear or loss by
casualty excepted;

       (B)  maintain in full force and effect all  Licenses  currently in effect
with respect to their businesses  unless such License is no longer necessary for
the operation of Arcadia 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 Arcadia  and its  subsidiaries;  keep  available  the
services of Arcadia's and its subsidiaries'  present  employees,  affiliates and
agents; and maintain Arcadia's and its subsidiaries' relations and goodwill with
suppliers,  employees,  affiliates,  affiliated medical personnel and any others
having business relating to Arcadia and its subsidiaries;

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

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

       (H)  promptly  advise  Buyer in  writing  of the  threat or  commencement
against Arcadia or its subsidiaries or affiliates 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
Arcadia or its subsidiaries or affiliates;


                                       29





       (I) notify the Buyer in  writing  of any event  involving  Arcadia or its
subsidiaries or affiliates which has had or may be reasonably expected to have a
material adverse effect on the business or financial condition of Arcadia or its
subsidiaries  or affiliates or may involve the loss of contracts  with Arcadia's
or its subsidiaries' customers; and

       (J) provide monthly financial  statements of Arcadia and its subsidiaries
within  twenty (20) days of the month end prepared in  accordance  with GAAP and
consistent with past practices.

     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
Arcadia's  and its  subsidiaries'  businesses  by Buyer in  accordance  herewith
("Required  Approvals").  Arcadia and its subsidiaries  shall cooperate with and
use their reasonable efforts to assist Buyer in obtaining all such approvals.

     9.5  EXCLUSIVITY.  Until the earlier of Closing or the  termination of this
Agreement pursuant to Section 13.1, neither Arcadia nor any Shareholder, nor any
of their respective  affiliates,  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 Arcadia.


             ARTICLE X: CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS

     Buyer's and Newco's obligations to consummate the Merger are 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  or  Newco in  writing.  Upon
failure of any of the following  conditions,  Buyer and Newco may terminate this
Agreement pursuant to and in accordance with Article XIII herein.

     10.1 REPRESENTATIONS AND WARRANTIES.  The representations and warranties of
Arcadia and Principal  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 to the
extent affected by the transactions herein contemplated.

     10.2  PERFORMANCE OF COVENANTS.  Each of the Principal  Sellers and Arcadia
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.


                                       30





     10.3 DELIVERY OF CLOSING  CERTIFICATE.  Each of the  Principal  Sellers and
Arcadia  shall  have  executed  and  delivered  to  Buyer a  certificate  of its
president,  dated  the  Closing  Date,  upon  which  Buyer  and  Newco 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  Principal  Seller and  Arcadia  shall have
delivered  to Buyer  and Newco 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.

     10.6  AUTHORIZATION  DOCUMENTS.  Buyer shall have received a certificate of
the  Secretary or other  officer of Arcadia  certifying as of the Closing Date a
copy of  resolutions  of the  Shareholders  and of Arcadia's  board of directors
authorizing   Arcadia's  execution  and  full  performance  of  the  Transaction
Documents and the incumbency of Arcadia's respective officers.

     10.7 MATERIAL  CHANGE.  Since the date of the March 31 Balance Sheets there
shall not have been any material  adverse change in the condition  (financial or
otherwise)  of  the  assets,   properties  or  operations  of  Arcadia  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 Arcadia's and its subsidiaries' businesses,  other
than as  disclosed or approved  hereunder,  or (ii) shall impose on the Buyer or
Newco any  material  condition  or  provision  or  requirement  with  respect to
Arcadia'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 CONSENTS.  Buyer shall have received the written consent to assignment
for each of the Retained Contracts set forth on Schedule 2.6, where such consent
is required  by reason of the change of control of Arcadia and its  subsidiaries
contemplated under this Agreement.

     10.10 ESTIMATED  CLOSING DATE BALANCE SHEET.  Principal Sellers and Arcadia
shall have delivered the Estimated Closing Date Balance Sheet to Buyer.


                                       31





     10.11 REAL PROPERTY CONSENTS.  Arcadia and the Principal Sellers shall have
used their best  efforts to obtain the  written  consent to  assignment  of each
landlord  with  whom  Arcadia  or any of its  subsidiaries  has a lease  of real
property  which,  by its  terms,  requires  consent  in the event of a change of
control of Arcadia,  and the written  consent of such landlords  shall have been
received by the Buyer.  Alternatively,  Arcadia and Principal Sellers shall have
delivered a waiver from each such landlord of any provision  contained in any of
such leases which would  require the  landlord's  consent upon any change of the
voting stock of the tenant.  Buyer shall have received notice from the Principal
Sellers by the Closing  Date,  identifying  any landlord  that has not given any
necessary consent as of such date.

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

     10.13 BOARD APPROVALS.  The Buyer will have received all necessary Board of
Director approvals.

     10.14  HART-SCOTT-RODINO.  All applicable  filings ("H-S-R  Filings") shall
have been made and all  applicable  waiting  periods  shall have expired or been
terminated under the  Hart-Scott-Rodino  Antitrust  Improvement Act of 1976 (the
"H-S-R Act").

     10.15  EMPLOYMENT  AGREEMENTS.   Cameron  Hosner,  James  Bellinson,   Gary
Dabkowski,  Herbert  Graebner and Leonard  Bellinson shall have terminated their
existing  employment  agreements and any ongoing obligations  thereunder.  James
Bellinson  shall have executed and delivered to Buyer his  employment  agreement
and Cathy  Sparling  shall have  executed  and  delivered  to Buyer her  amended
employment  agreement,  upon such  terms  and  conditions  as shall be  mutually
acceptable to the parties in the form of Exhibit  10.15 hereto (the  "Employment
Agreements").

     10.16 REQUIRED TRANSACTIONS. Arcadia shall have consummated the acquisition
of two agencies located in Grand Rapids, Michigan and Lansing,  Michigan.  Also,
Arcadia  will have  transferred  to a  liquidating  trust for the benefit of the
Shareholders its joint venture  interest in C.R.K.  and such  liquidating  trust
shall have assumed all of Arcadia's  liabilities  in connection  with  Arcadia's
joint venture interest in C.R.K.

     10.17 TERMINATION OF NON-RETAINED AGREEMENTS. All Contracts, other than the
Retained  Contracts,  shall  have  been  terminated,  as  well  as  any  ongoing
obligations thereunder.

     10.18  ESCROW  AGREEMENTS.   The  Principal  Sellers,   on  behalf  of  the
Shareholders, shall have executed and delivered each of the Escrow Agreements in
the form of Exhibits 2.3 and 2.4.


                                       32





     10.19  TERMINATION  OF  CERTAIN  CONTRACTS.   All  plans,   agreements  and
arrangements set forth on Schedule  5.7(b),  except the Longevity Award Program,
shall have been terminated.

     10.20 GRAYROSE. Grayrose shall be a wholly-owned subsidiary of Arcadia.

     10.21 STOCK  CERTIFICATES.  Shareholders  shall have delivered to Buyer all
stock certificates representing Arcadia Stock duly endorsed in blank.

     10.22 DISSENTER'S  RIGHTS.  All dissenting shares of Arcadia Stock, if any,
shall not  constitute in the  aggregate  more than one (1%) percent of the total
issued and outstanding shares of Arcadia Stock.

     10.23 CAPTIVE INSURANCE. Shareholders shall have used their best efforts to
sell to an A-rated insurance carrier all liabilities and obligations,  including
but not limited to Incurred  But Not Recorded  liabilities  in  connection  with
worker's  compensation  claims that are processed through the Captive Insurance.
In the event the  Shareholders are unable to sell said liabilities in connection
with the Capture  Insurance to an A-rated insurance carrier by the Closing Date,
Shareholders shall increase the Escrow Deposit referenced in Section 2.3 to such
amount that is mutually satisfactory to Buyer and Principal Sellers.

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


             ARTICLE XI: CONDITIONS PRECEDENT TO PRINCIPAL SELLERS'
                                   OBLIGATIONS

     Principal  Sellers'  obligation to consummate  the Merger 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  Principal  Sellers in  writing.  Upon
failure of any of the following conditions, Principal 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 and Newco in this Agreement shall be true at and as of the Closing Date as
though such  representations  and  warranties  were made at and as of such time,
except to the extent affected by the transactions herein contemplated.

     11.2  PERFORMANCE  OF  COVENANTS.  Buyer and Newco 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.


                                       33





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

     11.4 OPINION OF COUNSEL.  Buyer and Newco shall have delivered to Principal
Sellers an opinion,  dated the Closing Date, of Blass & Driggs,  Esqs.,  counsel
for Buyer and Newco, 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.  Principal  Sellers  shall have  received a
certificate  of the Secretary or other officer of Buyer and Newco  certifying as
of the  Closing  Date a copy  of  resolutions  of  their  respective  boards  of
directors  authorizing  their execution and full  performance of the Transaction
Documents and the incumbency of their officers.

     11.7  H-S-R  FILINGS.  The  H-S-R  Filing  shall  have  been  made  and all
applicable waiting periods shall have expired or been terminated under the H-S-R
Act.

     11.8  EMPLOYMENT  AGREEMENTS.   The  Buyer  shall  have  entered  into  the
Employment Agreements with James Bellinson and Cathy Sparling.

     11.9 ESCROW AGREEMENTS. Buyer shall have executed and delivered each of the
Escrow Agreements in the form of Exhibits 2.3 and 2.4.

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


                    ARTICLE XII: SURVIVAL AND INDEMNIFICATION

     12.1 SURVIVAL OF REPRESENTATIONS  AND WARRANTIES.  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 5.25 (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.


                                       34





     12.2   INDEMNIFICATION  BY  SHAREHOLDERS  AND/OR  PRINCIPAL  SELLERS.   The
Shareholders  and/or Principal Sellers (as set forth herein) 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:

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

       (B) the breach of any  covenant or  undertaking  by any of the  Principal
Sellers or Arcadia contained in this Agreement which survives the Closing and is
not waived by Buyer at or prior to the Closing; or

       (C) the  ownership or operation of Arcadia or its  subsidiaries  or their
business or assets prior to the Closing Date, including, without limitation, (i)
any Excess Reimbursement Liabilities (as defined in Section 2.6); (ii) any Taxes
resulting from the operation of the businesses of Arcadia 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 Arcadia with COBRA or any like statute; (iv)
any Loss  arising out of the failure to receive the refund claim within nine (9)
months  following  the  Closing  Date  (the  "Nine-Month   Period")  and/or  any
recoupment of any part of the refund claim  associated with the income tax carry
back provision through the period set forth in Section 12.4, below;  provided in
the event  Arcadia  receives any part of the refund  claim after the  Nine-Month
Period, Buyer shall reimburse  Shareholders for such portion of the refund claim
received by Arcadia to the extent  Shareholders  had  indemnified  Buyer for any
Loss pursuant to this Section 12.2(c)(iv);  (v) any Loss arising out of the sale
of Arcadia's  ownership  interest in Arcadia  Hospice,  Inc. to William Beaumont
Hospital;  (vi) any Loss arising out of the transfer of Arcadia's  joint venture
interest in C.R.K. to a liquidating  trust for the benefit of the  Shareholders;
(vii) any Loss  arising  out of the Captive  Insurance;  (viii) 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 Arcadia's  businesses prior to the Closing Date,
including payments of any deductibles  applicable to the aforesaid policies,  to
the extent not covered by any existing  insurance  policy;  and (ix) any and all
actions, suits, proceedings,  demands, assessments,  judgments,  settlements (to
the extent approved by Arcadia,  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 Merger  Consideration  under Section
2.2; or

       (D) any  prepayment  penalty,  premium,  or other  fees  which may become
payable by Arcadia by reason of the  termination  by Arcadia  after the  Closing
Date of its factoring lines with NPFII-W, Inc.


                                       35





     Any claim for  indemnification  sought  against the  Shareholders  shall be
expressly  limited to the Escrow  Deposit.  If the amount of Loss is equal to or
less than  $1,500,000,  Buyer  shall  first  offset  such amount from the Escrow
Deposit.  If the Escrow  Deposit is  insufficient  to cover such Loss,  then the
Principal Sellers, jointly and severally, will indemnify and hold harmless Buyer
for the remaining amount of the Loss subject to the indemnity cap referred to in
Section 12.5.

       (E) To the extent not otherwise satisfied by the General  Indemnification
Fund, the Principal Sellers will each personally indemnify Buyer for any Loss in
an amount up to $200,000 (in an aggregate  amount up to $400,000) in  connection
with the McClain,  McWilliams  and Brown  matters  listed on Schedule  5.12 (the
"Litigation  Matters").  Such  indemnification  by Principal Sellers pursuant to
this Section 12.2(e) shall only apply to Loss arising from punitive  damages not
otherwise covered by insurance.  Furthermore,  such indemnification  pursuant to
this  Section  12.2(e)  shall not be  subject  to the  indemnity  basket and cap
referenced   in   Section   12.5,   below.   Additionally,   Buyer's   right  to
indemnification  under this Section 12.2(e) shall survive until thirty (30) days
after the applicable statute of limitations for commencing any legal proceedings
arising out of the  applicable  Litigation  Matter shall have lapsed.  The total
aggregate  obligations  of the  Principal  Sellers  shall  not  exceed  $400,000
pursuant to this Section 12.2(e).

     12.3   INDEMNIFICATION   BY  BUYER.   Buyer  shall   indemnify  and  defend
Shareholders 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 by Buyer which survives the
Closing  and is not  waived by  Principal  Sellers or Arcadia at or prior to the
Closing; or

       (C) the  ownership or operation of Arcadia or its  subsidiaries  or their
business or assets on or 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 5.25
(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.

     12.5 INDEMNITY BASKET AND CAP.  Notwithstanding any other provision 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  Shareholders/Principal  Sellers, as the
case may be, have  incurred  Loss in excess of One Hundred  Thousand  ($100,000)
Dollars in the aggregate, in which case, the party seeking indemnification shall
be entitled  to assert  claims  including  such  initial  One  Hundred  Thousand
($100,000)  Dollars.  The maximum aggregate  liability for any Loss arising from
claims for  indemnification  pursuant to Sections 12.2(a) or 12.3(a)  (excluding
any Loss arising from


                                       36





fraud,  Tax liability,  and Excess  Reimbursement  Liabilities) of the Principal
Sellers or Buyer,  respectively,  for indemnification hereunder shall not exceed
an amount equal to Fourteen  Million Two Hundred  Fifty  Thousand  ($14,250,000)
Dollars.

     12.6  CONTROL  OF  DEFENSE  OF  INDEMNIFIABLE  CLAIMS.  Any  party  seeking
indemnification  under this  Agreement (an  "Indemnitee")  shall give each party
from whom  indemnification is sought (an "Indemnitor")  prompt written notice of
the claim for which it seeks indemnification.  Failure of the Indemnitee to give
such  prompt  notice  shall not  relieve an  Indemnitor  of its  indemnification
obligation,  provided that such  indemnification  obligation shall be reduced by
any damages  suffered by the Indemnitor  resulting from a failure to give prompt
notice  hereunder.  All  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  under this Agreement,  it shall have the
right to assume total control of the defense of such claim (other than claims in
connection with Excess Reimbursement  Liabilities or Section 5.25 which it shall
not  control  but be  entitled to  participate  in) at its own  expense.  If all
Indemnitors  do not assume total control of the defense of any such claim (or in
the case of  claims in  connection  with  Excess  Reimbursement  Liabilities  or
Section  5.25),  the  Indemnitee  agrees not to settle  such claim  without  the
written  consent of all  Indemnitors  which  consent  shall not be  unreasonably
withheld. Nothing contained in this Section 12.6 shall prevent either party from
assuming total control of the defense  and/or  settling any claim against it for
which indemnification is not sought under this Agreement.

     12.7 RESTRICTIONS.

       (A) From and after the Closing Date, none of the Principal  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
Arcadia and its  subsidiaries,  any  proprietary  data or trade secrets owned by
Arcadia and its subsidiaries or any financial or other information about Arcadia
and its  subsidiaries  not then in the public domain;  provided,  however,  that
Principal 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 Principal Sellers shall engage or
participate  in any  effort or act to induce any of the  customers,  physicians,
suppliers,  associates,  employees,  affiliates,  or independent  contractors of
Arcadia and its  subsidiaries to cease doing business,  or their  association or
employment, with Arcadia and its subsidiaries.

       (C) No Principal  Seller 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


                                       37





or managing any entity of any type, licensed or unlicensed,  which is engaged in
or provides home health care and medical, clerical and light industrial staffing
services or in any way competes with Arcadia or its subsidiaries anywhere within
the counties where Arcadia or its subsidiaries currently operate.

       (D) The Principal 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,  Principal 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.

     Notwithstanding  the  foregoing,  for  purposes of this Section  12.7,  any
advertisement  prepared  for and  disseminated  to the public in general,  which
advertises  the services of the Principal  Sellers not otherwise in violation of
this  Section  12.7 or  advertises  the need for  services to be supplied to the
Principal Sellers,  shall not be deemed to be an inducement or solicitation with
respect to any such patients, physicians,  suppliers,  employees,  affiliates or
independent contractors.

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

     12.9 BUYER'S AFFIRMATIVE COVENANTS.

       (A) Buyer  agrees to pay an amount up to $100,000  (which  amount will be
accrued for on the Estimated  Closing Date Balance Sheet) for  attorney's  fees,
costs and expenses in connection with the Arizona Litigation.

       (B) Buyer  agrees to retain  Steven  Graebner in its employ for a minimum
period of one (1) year following the Closing Date at his current salary level.

     12.10  DISSENTERS'  RIGHTS.  In the event that any holder of Arcadia  Stock
asserts  dissenter's  rights  with  respect  to the  Merger  under the  Michigan
Business  Corporation  Act,  the  Shareholders,  jointly  and  severally,  shall
indemnify and hold harmless  Buyer from and against (i) any amount which becomes
payable to such holder by Arcadia in satisfaction of such dissenter  rights,  to
the extent that such amount  exceeds  the Merger  Consideration  that would have
been payable to such holder had such holder not exercised his or her dissenter's
rights,  and (ii) any costs or expenses,  including  reasonable  attorneys fees,
incurred by Arcadia in  investigating  or litigating  such  dissenters'  rights;
provided, however, that as a condition to the recovery of


                                       38





attorneys fees and expenses,  Buyer shall provide prompt notice to the Principal
Sellers of any exercise of  dissenters'  rights and will permit  Shareholders  a
reasonable  opportunity  to select and direct  counsel for Arcadia in respect of
the investigation and litigation of such rights.  The provisions of Section 12.5
shall not apply to any claim for indemnification under this Section 12.10.

     12.11 SPECIAL  PROVISIONS WITH REGARD TO INDEMNIFICATION OF REPRESENTATIONS
AND  WARRANTIES.   Buyer  hereby   acknowledges  that  in  connection  with  the
indemnification  by the  Principal  Sellers of  representations  and  warranties
contained in this Agreement,  that their ability to provide such indemnification
is dependent in part upon the  availability of the books and records  maintained
by Arcadia up and through the Closing  Date.  It is therefore a condition to the
indemnification   obligations   of  the   Principal   Sellers  with  respect  to
representations  and warranties  contained herein,  that Buyer preserve and make
available through the entire  indemnification  period, all records maintained by
Arcadia up to the Closing  Date.  In addition,  it is hereby  acknowledged  that
certain Medicare and Medicaid cost reports for the year ended June 30, 1997, and
for the stub period from June 30, 1997 through the Closing Date will be prepared
and  filed   subsequent   to  the  Closing  Date  (the  "Cost   Reports").   The
indemnification  obligations of the Principal Sellers pursuant to this Agreement
necessarily  include matters set forth in the Cost Reports.  Buyer hereby agrees
that it is necessary and appropriate that the Principal  Sellers be permitted to
examine and provide consultation on the Cost Reports in a timely manner prior to
the time they are submitted to the respective  agencies.  It is therefore agreed
that as a condition to providing indemnification to Buyer for the period covered
by the Cost Reports,  that the Principal  Sellers consent to the contents of the
Cost Reports which consent will not be unreasonably withheld or delayed.


                            ARTICLE XIII: TERMINATION

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

       (A) Buyer or Newco,  if any  condition  precedent  to  Buyer's or Newco's
obligations  hereunder,  including without limitation those conditions set forth
in Article X hereof,  have not been satisfied by the Closing Date or pursuant to
Section 14.1 if any portion of the Assets is damaged or destroyed as a result of
fire, other casualty or for any reason whatsoever;

       (B) Principal Sellers,  if any condition  precedent to the obligations of
any Principal Seller or Arcadia  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, Newco and Principal Sellers.


                                       39





     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,  or if it is terminated  pursuant to Section 14.1,
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 Arcadia  and  Principal
Sellers at Closing hereunder.

                       ARTICLE XIV: CASUALTY, RISK OF LOSS

     14.1 CASUALTY,  RISK OF LOSS.  Arcadia and Principal Sellers shall bear the
risk of all loss or damage to any of the  Assets  from all  causes  which  occur
prior to the  Closing.  If at any time prior to the  Closing  any portion of the
Assets is damaged or  destroyed as a result of fire,  other  casualty or for any
reason  whatsoever,  Arcadia and Principal Sellers shall immediately give notice
thereof  to  Buyer.  Buyer  shall  have the  right,  in its  sole  and  absolute
discretion,  within ten (10) days of receipt of such notice, to (1) elect not to
proceed with the Closing and terminate this Agreement, or (2) proceed to Closing
and  consummate  the  transactions  contemplated  hereby and receive any and all
insurance  proceeds received or receivable by any Principal Seller or Arcadia on
account of any such casualty. Nothing contained in this Section 14.1 shall limit
or adversely affect the right of Buyer to receive indemnification for any Losses
incurred  by either of them by reason of any breach by any  Principal  Seller or
Arcadia of any  representation,  warranty or obligation  under this Agreement in
accordance  with  Section 12.2 hereof (and for such  purposes  such Section 12.2
shall survive the termination of this Agreement).


                            ARTICLE XV: MISCELLANEOUS

     15.1 COSTS AND  EXPENSES.  Except for Buyer bearing all of the fees for the
H-S-R  Filings and as expressly  otherwise  provided in this  Agreement,  Buyer,
Newco  and  Principal  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 Arcadia
and its subsidiaries.

     15.2 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.


                                       40





     15.3 BENEFIT AND ASSIGNMENT. This Agreement binds and inures to the benefit
of each party hereto and its successors and proper assigns.  Buyer and Newco may
not assign their  interests  under this  Agreement to any other person or entity
without the prior written consent of Principal Sellers; provided,  however, that
Buyer and Newco may assign their 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.

     15.4 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.

     15.5  COOPERATION  - FURTHER  ASSISTANCE.  From  time to time,  as and when
reasonably  requested by any party hereto after the Closing,  the other  parties
will (at the expense of the requesting  party) execute and deliver,  or cause to
be executed 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, and to vest in
Buyer good title to, possession of and control of all of the Assets.

     15.6  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 Arcadia:                   Herbert Graebner
                                 33 Boulder Lane
                                 Bloomfield Hills, MI 48304

                                 Leonard Bellinson
                                 7403 Via De Fortuna
                                 Carlsbad, CA 92009

If to the Principal Sellers
and the Committee:               Herbert Graebner
                                 33 Boulder Lane
                                 Bloomfield Hills, MI 48304



                                     41





                                 Leonard Bellinson
                                 7403 Via De Fortuna
                                 Carlsbad, CA 92009

with a copy to:                  Lawrence S. Jackier, Esq.
                                 Michael J. Eizelman, Esq.
                                 Jackier, Gould, Bean, Upfal, Eizelman & Goldman
                                 1533 North Woodward Avenue, Suite 250
                                 Bloomfield Hills, MI 48304

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

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

     15.7  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.

     15.8 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.

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


                                       42





     15.10  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.  The  parties  hereto  shall make such  technical
changes to this Agreement,  not inconsistent with the purposes hereof, as may be
required to effect or facilitate any governmental approval or acceptance of this
Agreement or to effect or  facilitate  any filing or recording  required for the
consummation  of any  portion  of the  transactions  contemplated  hereby.  This
Agreement may not be amended  except by an instrument in writing  signed by each
of the parties.

     15.11  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.

     15.12 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.

     15.13  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.

     15.14 PUBLIC ANNOUNCEMENTS.  Following the execution of this Agreement, 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 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]


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                  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.

                                            ARCADIA:
WITNESS:                                    ARCADIA SERVICES, INC.


By:/s/                                      By:/s/
   ----------------------------                ---------------------------------
                                                     James Bellinson
                                            Its:     President

WITNESS:                                    PRINCIPAL SELLERS:


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

                                            Herbert Graebner

WITNESS:


By:/s/                                         /s/
   -------------------------                ------------------------------------
                                            Leonard Bellinson

WITNESS:                                    COMMITTEE
                                            (on behalf of Shareholders):


By:/s/                                         /s/
   -------------------------                ------------------------------------
                                            Herbert Graebner

WITNESS:


By:/s/                                         /s/
   -------------------------                ------------------------------------
                                            Leonard Bellinson

                                            BUYER:
                                            INTEGRATED HEALTH SERVICES, INC.


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

                                            Executive Vice President
                                            Corporate Development

                                            NEWCO:
                                            INTEGRATED AG ACQUISITION, INC.

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


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