EXHIBIT 10.51

                              RELOCATION AGREEMENT

     This RELOCATION  AGREEMENT,  dated as of August 5, 1997, is entered into by
and between  INTEGRATED  HEALTH  SERVICES,  INC.,  a Delaware  Corporation  (the
"Company"), and LAWRENCE P. CIRKA (the "Executive").

                                   WITNESSETH:
                                   ----------

     WHEREAS, Executive is party to an employment agreement with the Company (as
amended,  the  "Employment  Agreement")  pursuant to which  Executive  currently
serves as President of the Company;

     WHEREAS,  Executive  currently  performs a majority of his services for the
Company at the Company's satellite headquarters in Naples, Florida (the "Florida
Headquarters");

     WHEREAS,  the  Company  has  determined  that it is in the  Company's  best
interests for Executive to commence  performing the majority of his services for
the Company at the  Company's  corporate  headquarters  located in Owings Mills,
Maryland (the "Maryland  Headquarters")  on or about April 30, 1998 and to begin
to transition from the Florida Headquarters to the Maryland  Headquarters during
the fall of 1997;

     WHEREAS, in order to induce Executive to relocate himself and his family to
the Maryland area,  the Company has agreed to reimburse  Executive for the costs
incurred  by him in  connection  with such  relocation,  including  the costs of
maintaining  a temporary  residence  in the Florida  area during the  Transition
Period (as defined below) and the costs of selling Executive's current residence
in the Florida area; and

     WHEREAS,  Executive  is willing to  relocate  himself and his family to the
Maryland area, on the terms and conditions set forth herein.

     NOW THEREFORE,  in consideration of the premises and the mutual  agreements
herein contained,  the parties,  intending to be legally bound,  hereby agree as
follows:

     1.  PERFORMANCE  OF  EXECUTIVE'S  DUTIES  DURING AND  FOLLOWING  TRANSITION
PERIOD.  During the period  beginning  on the date hereof and ending on the date
that Executive has completed the relocation of himself,  his wife and his family
to the  Maryland  area,  but not  later  than  April 30,  1998 (the  "Transition
Period"),  Executive  Agrees to perform a  portion,  not to exceed  50%,  of his
duties for the Company at the Maryland  Headquarters  and to continue to perform
the balance of such duties at the Florida  Headquarters.  Beginning  May 1, 1998
and during the remainder of the Term under the  Employment  Agreement,  xecutive
agrees  to  perform  substantially  all of his  duties  for the  Company  at the
Maryland Headquarters.


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     2.  REIMBURSEMENT  FOR MOVING  EXPENSES.  The Company will directly pay or,
upon presentation of appropriate vouchers or other expense statements, reimburse
Executive for all moving,  house search,  travel,  lodging and similar  expenses
incurred by him and his family in relocating Executive,  his wife and family and
household  effects  from his  current  principal  residence  located  in  Bonita
Springs,  Florida (the "Current  Resident")  to the  Baltimore,  Maryland  area,
including  the cost of renting  temporary  storage  space  sufficient  to permit
Executive to retain his and his family's personal effectsuntil Executive and his
family are established in their new permanent residence in Maryland.

     3.  CURRENT  RESIDENCE.  (a)  PURCHASE.  On or about  August 25,  1997 (the
"Closing Date"), the Company shall purchase the Current Residence from Executive
for a purchase  price (the "Purchase  Price") equal to Executive's  basis in the
Current  Residence.  In  addition,  the  Company  shall  directly  pay or,  upon
presentation  of  appropriate  vouchers or other expense  statements,  reimburse
Executive  for  all  costs  associated  with  the  Company's  purchase  and  the
Executive's  sale of the Current  Residence as  contemplated  by this Section 3,
including any transfer or other taxes associated with such sale and/or purchase,
the costs of the  Appraiser  and any other  closing  costs.  The Company  hereby
acknowledges receipt of satisfactory evidence of the Basis.

      (b) LEASE DURING TRANSITION PERIOD. From and after the Closing Date during
    the Transition  Period,  Executive shall have the right to lease the Current
    Residence  from the Company on a month to month basis,  for a monthly rental
    amount equal to the average monthly rental of comparable  residences located
    within the  neighborhood,  and otherwise on  commercially  reasonable  lease
    terms.  Notwithstanding  the foregoing,  Executive  agrees that,  during the
    final 30 days of the  Transition  Period,  if  Executive is then leasing the
    Current  Residence,  Executive  shall  allow  the  Company  to  authorize  a
    reputable Realtor,  reasonably acceptable to Executive,  to inspect and show
    the Current  Residence at reasonable times during daytime hours, on at lease
    one day's advance notice.

     4. Sale of options in Integrated Health Services, Inc. ("IHS") in agreement
   with Robert N. Elkins overall plan.


INTERGRATED HEALTH SERVICES, INC.             LAWRENCE P. CIRKA

By:  /s/ Robert N. Elkins                     By:  /s/ Lawernce P. Cirka
  ------------------------------                 -------------------------------
  Robert N. Elkins
  Chief Executive Officer


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