EXHIBIT 10.68


                           MASTER FRANCHISE AGREEMENT

                                     BETWEEN

                INTEGRATED HEALTH SERVICES FRANCHISING CO., INC.

                                       AND

                              LYRIC HEALTH CARE LLC

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

                          DATED AS OF JANUARY 13, 1998

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





                                TABLE OF CONTENTS

ARTICLES
- --------

ARTICLE 1.       Definitions
ARTICLE 2.       Grant and Acceptance of Franchise
ARTICLE 3.       [omitted]
ARTICLE 4.       Term
ARTICLE 5.       Annual Continuing Fees
ARTICLE 6.       Proprietary Materials; Trade Names; IHS Systems
ARTICLE 7.       Preferred Provider Status
ARTICLE 8.       "800" Telephone Number
ARTICLE 9.       Enhancement of the IHS Systems
ARTICLE 10.      Other Business
ARTICLE 11.      [omitted]
ARTICLE 12.      Statements, Records and Fee Payments
ARTICLE 13.      Additional Covenants of Lyric
ARTICLE 14.      Franchisor Not to Compete
ARTICLE 15.      Negative Covenants of Lyric
ARTICLE 16.      Transfer and Assignment
ARTICLE 17.      Rights of Aggrieved Party upon Default
ARTICLE 18.      [omitted]
ARTICLE 19.      Indemnification and Independent Contractor
ARTICLE 20.      Written Approvals, Waivers and Amendment
ARTICLE 21.      Enforcement
ARTICLE 22.      Entire Agreement
ARTICLE 23.      Notices
ARTICLE 24.      Governing Law and Dispute Resolution
ARTICLE 25.      Severability, Construction and Other Matters
ARTICLE 26.      Post Term Obligations
ARTICLE 27.      Taxes, Permits and Indebtedness
ARTICLE 28.      Acknowledgments
ARTICLE 29.      Guaranty of Franchisee Obligations


EXHIBITS
- --------

EXHIBIT 1 -      Franchise Agreement
EXHIBIT 2 -      List of Facilities
EXHIBIT 3 -      [omitted]
EXHIBIT 4 -      List of Individual Franchisee Names, Names of Businesses,
                   and Territories
EXHIBIT 5 -      Guidelines for Determining Territories

                                       -i-








                           MASTER FRANCHISE AGREEMENT

                  MASTER FRANCHISE  AGREEMENT,  dated as of January 13, 1998, by
and between INTEGRATED HEALTH SERVICES FRANCHISING CO., INC.  ("Franchisor"),  a
Delaware  corporation  with its  principal  office at 10065  Red Run  Boulevard,
Owings Mills, MD 21117, and LYRIC HEALTH CARE LLC, a Delaware limited  liability
company  ("Lyric"),  with its  principal  office at 8889 Pelican Bay  Boulevard,
Suite 500, Naples, Florida 34103.

                             INTRODUCTORY STATEMENT

                  Integrated Health Services,  Inc. ("IHS")  developed  valuable
"Trade Names" and "Proprietary Materials" (including the "IHS Systems"),  all as
defined below,  relating to businesses which IHS operates and services which IHS
provides.  These have  substantial  value and materially  enhance and facilitate
IHS's business and  operations.  IHS formed Lyric for the purpose of engaging in
the same or similar enterprises and, to launch Lyric's business,  contributed to
Lyric the shares of five corporations operating health-care facilities under the
Trade  Names.  Lyric and its  subsidiaries  desire to obtain the  benefit of the
Proprietary Materials and the Trade Names, and Franchisor,  on behalf of IHS, is
willing  to grant a  franchise  for  such  purpose,  subject  to the  terms  and
conditions set forth below. Neither IHS nor Franchisor has previously franchised
to others the use of such Trade Names and Proprietary Materials.

                  An affiliate of Franchisor  (the  "Manager")  has entered into
agreements  (the  "Management  Agreements") to manage the health care facilities
which  the  Franchisees  (defined  below)  lease  or own.  The  Manager  will be
responsible, to the extent specified in the Management Agreements, for assisting
the  respective   Franchisees  to  comply  with  their  obligations  under  this
Agreement.

ARTICLE 1.  DEFINITIONS
            -----------

                  1.1  The  following  words  and  phrases  have  the  following
meanings in this Agreement:

                  "Affiliate"  means any person,  corporation  or other  entity,
which,  directly or indirectly,  controls,  is controlled by, or is under common
control with, another person, corporation, or other entity.

                  "Business  Day" means any day other than  Saturday,  Sunday or
any  other  day on which  banking  institutions  in the  State of  Maryland  are
authorized by law or executive action to close.

                  "Control" means the power,  directly or indirectly,  to direct
or cause the direction of the  management and policies of a corporation or other
entity.






                  "EBITDA" means earnings before interest, taxes,  depreciation,
and  amortization  of Lyric on a consolidated  basis as shown on Lyric's monthly
financial statements regularly prepared by Lyric.

                  "Facility"  means a  facility  owned or  leased  by Lyric or a
Franchisee in which any Health Care Business is conducted.

                  "Facility  Franchise  Agreement"  means an  agreement  between
Franchisor  and a Franchisee  in the form of the  agreement  attached  hereto as
Exhibit 1.

                  "Franchisee"  means,  as of any  particular  date,  any entity
designated as such pursuant to a Facility Franchise Agreement.

                  "GAAP"  means  United  States  generally  accepted  accounting
principles consistently applied.

                  "Gross  Revenues"  means,  for any period,  all  revenues  and
income of any kind derived directly or indirectly by the entity specified during
such period (including rental or other payment from concessionaires,  licensees,
tenants,  and  other  users  of such  entity's  facilities  and from the sale of
products  and/or the furnishing of services,  including all revenues or receipts
derived  from or  associated  with  the  Proprietary  Materials  (but  excluding
therefrom all bequests, gifts, or similar donations), whether on a cash basis or
on credit, paid or unpaid, collected or uncollected, as determined in accordance
with GAAP, excluding, however:

                           (a) federal,  state, and municipal excise, sales, and
         use  taxes  collected  directly  from  patients  as a part of the sales
         prices of any goods or services;

                           (b)      proceeds of any life insurance policies;

                           (c)  gains or losses  arising  from the sale or other
         disposition of capital assets;

                           (d) any reversal or accrual of any contingency or tax
         reserve;

                           (e)  interest   earned  on  sinking  funds,   Special
         Security Accounts, bonds funds, etc. originally and specifically formed
         as a  requirement  of any bond issue (if any)  utilized  to finance the
         Facility; and

                           (f)      bad debt expense.

The  proceeds  of  business  interruption  insurance  or proceeds as a result of
Medicare and Medicaid audits shall be included in Gross Revenues. However, funds
required  to be repaid as a result of  Medicare  and  Medicaid  audits  shall be
deducted from Gross Revenues.

                                       -2-







                  "Health Care Business" means any business now or in the future
operated by IHS, Franchisor, Lyric, or any Franchisee involving the provision of
health care services of any and every kind.

                  "IHS  Systems"  means  the  systems,  protocols,   procedures,
software,  contracts  and contract  forms and  documentation,  manuals,  guides,
instructions,  forms, employee benefit plans and programs, used and developed by
IHS  previously,  now,  and in the  future  for the  treatment,  servicing,  and
processing  of  patients,   customers,   and/or   clients  for  the   financial,
administrative,  human resources, procurement,  management, and other operations
of IHS's businesses and activities.

                  "Lease"  means any net lease of a Facility  from Lessor or any
other lessor.

                  "Lessor"  means each lessor or lessors from time to time under
a Lease.

                  "Lyric's  Business"  means and  includes the business of Lyric
and all Lyric Franchisees on a consolidated basis.

                  "Operating Agreement" means the Operating Agreement of Lyric.

                  "Proprietary Materials" means Trade Names; trademarks; service
marks;  copyrighted materials and copyrightable  materials;  software,  manuals,
protocols,  procedures, systems, documentation,  methods, contracts and contract
forms and documents;  trade dress;  uniforms; and other materials for treatment,
servicing,  and  processing of patients,  customers,  and/or clients and for the
financial,  administrative,   procurement,  human  resources,  quality  control,
management,  and  operations  of the Health  Care  Business  (including  the IHS
Systems).

                  "Territory"  means each  territory  within which Lyric and the
Franchisees  may  operate  a  Health  Care  Business.  The  Territories  of  the
Franchisees  are  described  in  the  Facility  Franchise  Agreements.   Lyric's
Territory  is the  aggregate  of the  Territories  of the  Franchisees  (as such
Territories  change  from time to time) as such  Territories  are defined in the
respective Facility Franchise Agreements.

                  "Trade Names" means  "Integrated  Health  Services," "IHS" and
every other name or  description  previously,  now, or in the future used in, or
associated   with   the   Health   Care   Business,   including   any   and  all
"doing-business-as" names or trade names.

                  1.2      Wherever used in this Agreement:

                           (a) the  words  "include"  or  "including"  shall  be
                  construed  as  incorporating,  also,  "but not  limited to" or
                  "without limitation";

                           (b) the  word  "day"  means  a  calendar  day  unless
                  otherwise specified;

                                       -3-







                           (c) the word  "party"  means each and every person or
                  entity  whose  signature  is  set  forth  at the  end of  this
                  Agreement;

                           (d) the word "law" (or "laws")  means any law,  rule,
                  regulation, order, statute, ordinary, resolution,  regulation,
                  order,  statute,  ordinance,  resolution,   regulation,  code,
                  decree, judgment, injunction, mandate or other legally binding
                  requirement of a government entity;

                           (e)  each  reference  to a  Facility  (or any part or
                  component  thereof)  shall be deemed to  include  "and/or  any
                  portion thereof";

                           (f) the word  "notice"  shall mean  notice in writing
                  (whether or not specifically so stated);

                           (g) "month" means a calendar  month unless  otherwise
                  specified; and

                           (h) the  word  "amended"  means  "amended,  modified,
                  extended,  renewed,  changed, or otherwise  revised";  and the
                  word "amendment"  means "amendment,  modification,  extension,
                  change, renewal, or other revision".

                  1.3 Certain  other words and phrases are defined  elsewhere in
this Agreement,  including the Exhibits and Schedules hereto.  Words and phrases
defined in any part of this  Agreement  shall have the same meaning in all parts
of this Agreement.

ARTICLE 2.  GRANT AND ACCEPTANCE OF FRANCHISE

                  2.1 Existing and New  Facilities  and  Businesses.  Subject to
Section 2.2 and the other terms and  conditions  of this  Agreement,  Franchisor
grants to Lyric and to each Franchisee the right and franchise to use and employ
the Proprietary  Materials in accordance with this Agreement.  Franchisor  shall
enter into a Franchise Agreement:

                           (a) for each  facility  listed on  Exhibit 2 with the
         Franchisee specified in such Exhibit; and

                           (b)  with  Lyric  or any of  its  subsidiaries  which
         develop,  acquire,  or  lease  any  additional  Health  Care  Business,
         provided that such additional business meets Franchisor's standards and
         requirements  (which  shall be  consistent  with those set forth in the
         Confidential  Operating Manual and otherwise  required of Lyric and the
         Franchisees  hereunder)  and  provided  further  that  such  additional
         business is not located (i) in the  Territory  of any other  Franchisee
         (or other  franchisee of  Franchisor)  or (ii) in a geographic  area in
         which  Franchisor  is  prohibited  by law or contract  from  granting a
         franchise to operate a Health Care Business.

                                      -4-







                  2.2 Condition. The grant of each franchise pursuant to Section
2.1, and Franchisor's obligation to enter into any Franchise Agreement, shall be
subject to: (a) execution and delivery of the particular  Franchise Agreement to
Franchisor by the  particular  Franchisee;  and (b) compliance by Franchisor and
the respective  Franchisee with laws,  rules and  regulations  applicable to the
creation of such  Franchise  Agreement  (and  Franchisor  and Lyric agree to use
commercially  reasonable  best  efforts  to  comply  with such  laws,  rules and
regulations).

ARTICLE 3.  [OMITTED]

ARTICLE 4.  TERM

                  4.1 Initial Term. Unless sooner terminated pursuant to Article
16, this Agreement  shall extend for an initial term (the "Initial Term") ending
on January 31, 2011.

                  4.2 Extended Terms. This Agreement shall  automatically  renew
for two  consecutive  thirteen year renewal terms  (collectively,  the "Extended
Terms").  Each Extended Term shall commence on the day succeeding the end of the
Initial  Term  or  the  preceding  Extended  Term,  as  applicable.  All  terms,
covenants,  conditions,  and  provisions of this  Agreement  shall apply to each
Extended  Term (except that Lyric may not extend the Term beyond the  expiration
of the Extended Term). Notwithstanding the foregoing,  Franchisor may decide not
to renew in any such case by giving notice to Lyric not less than six (6) months
prior to the last day of the Term or Extended Term.

                  4.3 Effect on Franchisees.  Any extension of the Term by Lyric
under this Article shall automatically  extend the Term for the same period, and
upon  the  same  terms  and  conditions,  of each  Franchise  Agreement  between
Franchisor and a Franchisee.

ARTICLE 5.  ANNUAL CONTINUING FEES

                  5.1  Annual  Continuing  Fee.  For each  "Contract  Year"  (as
hereinafter  defined)  during the Initial  Term,  Lyric shall pay  Franchisor an
annual continuing fee (the "Annual Continuing Fee") in the amount of one percent
(1%) of the Lyric Gross Revenues (as defined below).

                  5.2  Definition  of  "Contract   Year".   In  this  Agreement,
"Contract  Year"  means any period  which  begins on January 1st and ends on the
earlier of the following  December  31st or the effective  date of expiration or
termination  of this  Agreement  (except that the first  Contract  Year may be a
partial year which  commences  on the date hereof and ends on December  31st and
the last Contract Year may end on a date earlier than December 31st).

                  5.3 Monthly  Installments.  During each Contract  Year,  Lyric
shall make monthly installments on account of the Annual Continuing Fee for such
Contract Year. The  installment for each month shall be equal to 1% of the Lyric
Gross  Revenues  for each month,  and shall be paid on or before the 25th day of
the following calendar month, subject to Section 5.5.

                                       -5-







                  5.4 Annual Continuing Fee for Short Contract Year. If the Term
includes any Contract Year of less than 365 days, the Annual  Continuing Fee for
such  Contract Year shall be equal to the product of the Annual  Continuing  Fee
for such Contract Year  multiplied by a fraction,  the numerator of which is the
number of days this  Agreement  was in effect  during such Contract Year and the
denominator of which is 365.

                  5.5 Credit for  Payments by Lyric  Franchisees.  Amounts  paid
directly  by  Franchisees  to  Franchisor  (if any)  pursuant  to the  Franchise
Agreements shall reduce dollar for dollar Lyric's obligation under Sections 5.1,
5.3 and 5.4. If and to the extent that Lyric and its Franchisees  experience bad
debts or poor collections exceeding the amounts reserved for such items in their
respective  current revenue budgets,  and as a result Lyric is unable to pay all
or any  part of the  monthly  installment  of the  Annual  Continuing  Fee for a
particular  month,  the unpaid portion of such  installment  shall accrue and be
payable as soon as cash flow  permits  but in no event  later than at the end of
the current Contract Year. The foregoing  sentence shall not apply for more than
one Contract Year.

                  5.6 Payment  Following  Contract  Year End.  If the  aggregate
dollar  amount of payments  delivered by Lyric to  Franchisor  in payment of the
Annual  Continuing  Fee for any Contract Year under Section 5.3 differs from the
Annual Continuing Fee for such Contract Year, the appropriate party shall pay to
the other the amount of such overpayment or underpayment within one hundred five
(105) days after the end of such Contract Year.

                  5.7 Taxes.  Lyric  shall pay to  Franchisor  the amount of all
sales  taxes,  use taxes,  and  similar  taxes  imposed  upon or  required to be
collected  on  account  of the Annual  Continuing  Fee and of goods or  services
furnished to Lyric and Lyric  Franchisees by  Franchisor,  whether such goods or
services are furnished by sale, lease or otherwise.

                  5.8 Lyric Gross Revenues. "Lyric Gross Revenues" means the sum
of:

                           (a)      the Gross Revenues of all Franchisees; plus

                           (b) the Business Gross Revenues of all the businesses
         which are the  subject  of joint  ventures  to which  Lyric  and/or any
         Franchisee  is  a  party  (the  "Joint  Venture  Businesses")  and  the
         businesses  which are the subject of  management  agreements  and other
         agreements  and  arrangements  of Lyric or any  Franchisee  pursuant to
         which Lyric or any Franchisee provides management,  consulting or other
         services  for so long as any such  agreements  or  arrangements  are in
         effect (the "Managed Businesses"); plus

                           (c)      all other Gross Revenues of Lyric.

                  5.9 Additional  Remedies for Past Due Annual  Continuing Fees.
In addition to all other rights and remedies  under this Agreement and at law or
in equity,  if any Annual  Continuing Fees are past due from Lyric to Franchisor
(subject to Section 5.5) for more than 120 days after  notice from  Franchisor),
Franchisor shall have the right, in addition to Franchisor's

                                       -6-







other rights and remedies under this Agreement,  to require  reconsideration and
revision of Lyric's  current annual and capital  budgets and to require Lyric to
comply with the negative  covenants of Lyric under  Article 15 as if  Franchisor
had sold its  interest in Lyric.  The  foregoing  rights are  cumulative.  Lyric
agrees that, upon the exercise of any such right by Franchisor, Lyric will cease
taking any prohibited action and will take the action required by Franchisor and
will otherwise  cooperate with Franchisor in carrying out the purpose and intent
of this Section.

                  5.10  Interest.  Lyric  shall pay  Franchisor  interest on any
amounts past due at the lower of (i) the maximum  rate  permitted by law or (ii)
the prime rate of  Citibank,  N.A.  plus two percent  (2%) per annum (the "Prime
Rate");  but  interest  shall not accrue on past due amounts to the extent Lyric
(or a particular  Franchisee)  fails to achieve  EBITDA  sufficient  to pay such
amounts as long as Lyric or the  applicable  Franchisee is operating  within its
then-current budget).

                  5.11  Negotiation  of Fees.  Each party agrees  that:  (a) the
Annual Continuing Fee payable under this Article 5 was established by extensive,
good faith, arms-length negotiations between the parties in which each party was
represented by counsel and advised by accountants  familiar with the health care
industry  and  franchising,  and (b) each  party is  satisfied  that the  Annual
Continuing Fee payable  pursuant to this Article 5 represents  the present,  and
(as  applicable)  reasonably  anticipated  during the Initial Term,  fair market
value of the franchise.

                  5.12 Advances by Franchisor. Lyric shall pay to Franchisor all
amounts,  if any,  advanced by Franchisor or which  Franchisor  has paid (or for
which  Franchisor  has  become  obligated)  on  behalf  of  Lyric  or any  Lyric
Franchisees.

ARTICLE 6.  PROPRIETARY MATERIALS; TRADE NAMES; IHS SYSTEMS

                  6.1 Proprietary Materials.  Franchisor hereby grants Lyric the
right  to use the  Proprietary  Materials  in  connection  with  the  businesses
franchised   by   Franchisor   pursuant  to  Article  2,  the   management   and
administration  of existing  Joint  Venture  Businesses,  the  existing  Managed
Businesses, and any Other Business pursuant to Article 10. To enhance the public
image and reputation of businesses  operating under the IHS Systems,  to protect
the goodwill  associated  with the  Proprietary  Materials,  and to increase the
demand for services and products provided by Franchisor and all Franchisees, the
parties agree to the further provisions set forth below.

                  6.2  Ownership.  Franchisor  represents  and warrants that IHS
owns the  Proprietary  Materials and the IHS Systems and that Franchisor is duly
authorized  to grant  Lyric and the  Franchisees  the rights in the  Proprietary
Materials and the IHS Systems described in the Franchise Agreements on behalf of
IHS. Lyric expressly  acknowledges  IHS' and  Franchisor's  rights in and to the
Proprietary  Materials  and agrees not to  represent or claim in any manner that
Lyric has acquired any  ownership  rights in the  Proprietary  Materials.  Lyric
agrees  further  that any and all  goodwill  associated  with the IHS System and
identified by the Proprietary  Materials shall inure directly and exclusively to
the benefit of Franchisor and IHS.

                                       -7-







                  6.3  Authorized   Use.  Lyric  agrees  that  any  use  of  the
Proprietary  Materials  except as expressly  authorized  by this  Agreement  may
constitute an infringement of Franchisor's and/or IHS' rights and that any right
to use the Proprietary  Materials  granted under this Agreement shall not extend
beyond the  termination  or  expiration  of this  Agreement.  Lyric agrees that,
during the term of this Agreement and thereafter,  Lyric shall not,  directly or
indirectly,  commit  any  act  of  infringement  or  contest  or aid  others  in
contesting the validity or registration of Franchisor's and/or IHS' right to use
the Proprietary Materials or take any other action in derogation thereof.

                  6.4 Infringement.  Lyric shall notify  Franchisor  promptly of
any  claim,  demand or cause of action  that  Franchisor  may have based upon or
arising from any  unauthorized  attempt by any person or legal entity to use the
Proprietary Materials,  any colorable variation thereof, or any other mark, name
or indicia in which  Franchisor or IHS has or claims a proprietary  interest (an
"Unauthorized Third Party Use"). Lyric shall assist Franchisor, upon request and
at  Franchisor's  expense,  in taking such action (if any) as  Franchisor  deems
appropriate to halt such Unauthorized  Third Party Use, but shall take no action
nor incur any expense on Franchisor's behalf without  Franchisor's prior written
approval.  If Franchisor undertakes the defense or prosecution of any litigation
relating  to the  Proprietary  Materials,  Lyric  agrees to execute  any and all
documents and to do such acts and things as may, in the opinion of  Franchisor's
legal counsel, be reasonably necessary to carry out such defense or prosecution.
If  Franchisor  does not take action to halt any  Unauthorized  Third Party Use,
Lyric at its  expense  may take  action  as it deems  appropriate  to halt  such
Unauthorized Third Party Use.

                  6.5  Operation  With  Proprietary  Materials.  Lyric  and  the
Franchisees further agree to operate and advertise only under the names or marks
from time to time  designated by Franchisor  for use as part of the  Proprietary
Materials;  to adopt and use the  Proprietary  Materials  solely  in the  manner
prescribed by  Franchisor;  to refrain from using the  Proprietary  Materials to
perform any activity or to incur any obligation or indebtedness in such a manner
as may, in any way, subject Franchisor or IHS to liability therefor;  to observe
all laws  with  respect  to the  registration  of trade  names  and  assumed  or
fictitious  names,  to include in any  application  therefor  a  statement  that
Lyric's  use of the  Proprietary  Materials  is  limited  by the  terms  of this
Agreement;  to provide  Franchisor with a copy of any such application and other
registration document(s); to observe such requirements with respect to trademark
and service mark  registrations  and copyright  notices as Franchisor  may, from
time to time, require, including, without limitation, affixing "SM", "TM" or (R)
adjacent  to any  portions  of the  Proprietary  Materials  in any and all  uses
thereof as requested by Franchisor; and to utilize such other appropriate notice
of ownership, registration and copyright as Franchisor may require.

                  6.6   Modification/Replacement   of   Proprietary   Materials.
Franchisor reserves the right, in its sole discretion,  to designate one or more
new, modified or replacement  Proprietary  Materials for use by Lyric and/or any
Franchisee  and to require the use by Lyric  and/or any  Franchisee  of any such
new, modified or replacement  Proprietary Materials in addition to or in lieu of
any  previously  designated  Proprietary   Materials.   Any  expenses  or  costs
associated with the use by Lyric and/or any Franchisee of any such new, modified
or replacement  Proprietary  Materials shall be the sole responsibility of Lyric
and/or the respective Franchisees.

                                       -8-






                  6.7 Use of IHS Systems.  Franchisor hereby grants to Lyric the
right and license to utilize the IHS Systems in connection  with the  management
and  administration  of the  businesses  franchised  by  Franchisor  pursuant to
Article  2,  the  management  and   administration  of  existing  Joint  Venture
Businesses,  the existing Managed  Businesses and all Other Business pursuant to
Article 10.  Franchisor  shall  establish and Lyric shall maintain  standards of
quality, appearance and operation for Lyric's Business.

                  6.8  Compliance  with IHS Systems.  Lyric agrees in connection
with Lyric's business,  and each Franchisee agrees for itself, to use and comply
with all treatment protocols, treatment, financial, legal and other programs and
procedures,   quality  standards,   quality  assessment   methods,   performance
improvement  and  monitoring  programs and other  matters which now or hereafter
comprise the IHS Systems,  and to comply with the rules,  regulations,  policies
and  standards  of  the  IHS  Systems,  including  all  such  contained  in  the
"Confidential Operating Manual" (as hereinafter defined).

                  6.9 Compliance  With Law. Lyric and each  Franchisee  agree at
all times to operate its business, and to keep all premises at which it and each
Franchisee operates, in compliance with all applicable federal,  state and local
laws, rules and regulations.

                  6.10  Joint   Commission  on   Accreditation  of  Health  Care
Organizations  (JCAHO).  Lyric  agrees to cause  any  applicable  Franchisee  to
maintain  throughout the term of this Agreement any  accreditation  by the Joint
Commission on Accreditation  of Healthcare  Organizations  ("JCAHO")  previously
issued to the particular  Franchisee  (and Lyric shall cause the  Franchisees to
use commercially  reasonable best efforts to seek and obtain such  accreditation
if and as necessary or appropriate). Lyric agrees also to endeavor to obtain and
maintain  accreditation  by  other  organizations  which  may  be  necessary  or
desirable in a particular case. Lyric (or the applicable  Franchisee)  shall pay
all costs of obtaining and maintaining any such accreditation(s).

                  6.11 Maintenance of Standards. Lyric and each Franchisee agree
to maintain all premises  from or at which its  business is  conducted,  and all
furnishings and equipment thereon, in conformity with Franchisor's  then-current
standards,  at all times  during  the term of this  Agreement,  and to make such
repairs and replacements thereto as Franchisor may require. Without limiting the
generality of the foregoing, Lyric and each Franchisee agree:

                           (a) to keep all such  premises at all times in a high
         degree of  sanitation,  repair,  order and  condition,  including  such
         periodic  repainting of the exterior and interior of the premises,  and
         such  maintenance and repairs to all fixtures,  furnishings,  signs and
         equipment, as Franchisor may from time to time reasonably direct; and

                           (b) to meet and  maintain  at all times  governmental
         standards,  certifications  and ratings  applicable to the operation of
         the  premises  and such  business  or such  higher  minimum  standards,
         certifications  and ratings as reasonably set forth by Franchisor  from
         time to time in its  Confidential  Operating  Manual  or  otherwise  in
         writing.

                                       -9-







                  6.12  Operation  in  Conformity   with   Prescribed   Methods,
Standards and  Specifications.  Lyric and each  Franchisee  agree to operate its
business in  conformity  with such  methods,  standards  and  specifications  as
Franchisor may prescribe from time to time in its Confidential  Operating Manual
to insure that  Franchisor's  required  degree of quality,  service and image is
maintained;  and to refrain from deviating  therefrom or otherwise  operating in
any manner which  adversely  reflects on Franchisor's or IHS' name and goodwill,
or on the Proprietary Materials.

                  6.13 Printed Materials;  Marketing.  Lyric and each Franchisee
shall use only marketing and  advertising  materials which have been approved in
advance  by  Franchisor;  and  Lyric  and each  Franchisee  shall  use  business
stationery,  business cards, and similar materials which are consistent with the
Proprietary Materials and their obligations under this Agreement. Lyric and each
Franchisee  shall not employ any person to act as a  representative  of Lyric or
such  Franchisee in  connection  with local  promotion of their  business in any
public  media  without the prior  written  approval of  Franchisor.  Supplies or
materials  purchased,  leased or licensed by Lyric or any Franchisee  shall meet
the standards reasonably specified by Franchisor from time to time.

                  6.14 Ownership Identification. In all advertising displays and
materials  and at all  premises  from or at which their  respective  business is
conducted,  Lyric and each  Franchisee  shall, in such form and manner as may be
specified by Franchisor in the Confidential  Operating Manual, notify the public
that Lyric or the  respective  Franchisee  is operating  the  business  licensed
hereunder as a franchisee of Franchisor and shall identify its business location
in the manner specified by Franchisor in the Confidential Operating Manual.

                  6.15  Patient  Relations.  Lyric  and  each  Franchisee  shall
respond promptly to patient complaints and shall take such other steps as may be
required to insure positive patient relations.

                  6.16 Right to Inspect.  Lyric and each Franchisee hereby grant
to  Franchisor  and its agents the right to enter upon any  premises  from which
they conduct their  business,  without  notice,  at any reasonable  time for the
purpose of conducting  inspections  of the premises and their books and records;
and each agrees to render such  assistance as may reasonably be requested and to
take such steps as may be necessary to correct any deficiencies upon the request
of Franchisor or its agents.

                  6.17  Variation of  Standards.  Because  complete and detailed
uniformity  under many  varying  conditions  may not be possible  or  practical,
Franchisor specifically reserves the right and privilege, in its sole discretion
and as it may  deem in the  best  interests  of all  concerned  in any  specific
instance,  to vary standards for any Franchisees based upon the peculiarities of
a particular circumstance,  or any other conditions which Franchisor deems to be
of importance to the successful  operation of the particular  business.  Neither
Lyric nor any Franchisee  shall have recourse  against  Franchisor on account of
any variation from standard specifications and practices granted to Lyric or any
Franchisee  and shall not be entitled to require  Franchisor  to grant  others a
like or similar variation hereunder.

                                      -10-







                  6.18  Accounting  Equipment  and  Software.   Lyric  and  each
Franchisee  agree to maintain,  develop,  update and replace any  equipment  and
software as reasonably  necessary  for the purpose of  recording,  collecting or
otherwise supporting revenues.

                  6.19 Discoveries and Ideas. Lyric and each Franchisee agree to
disclose promptly to Franchisor all discoveries made or ideas conceived by Lyric
or such Franchisee, their Affiliates, or their employees,  pertaining to the IHS
Systems  (including  any  enhancements  and  updates).  To  the  fullest  extent
permitted  by law,  Lyric and each  Franchisee  hereby grant to  Franchisor  all
right,  title and interest to such discoveries and ideas, and agree to cooperate
with Franchisor in securing  Franchisor's  rights to such discoveries and ideas.
"Discoveries" and "ideas" shall be interpreted  broadly and shall not be limited
to those discoveries or ideas which are potentially patentable or copyrightable.
Franchisor  shall not be obligated to compensate Lyric or any Franchisee for any
such discoveries or ideas.

                  6.20 Compliance with  Confidential  Operating Manual. In order
to protect the reputation and goodwill of the businesses operating under the IHS
Systems and to maintain standards of operation under the Proprietary  Materials,
Lyric and each  Franchisee  shall  conduct its business  operated  under the IHS
Systems in accordance with various written instructions and confidential manuals
(hereinafter and previously referred to as the "Confidential Operating Manual"),
including such  amendments  thereto as Franchisor may publish from time to time,
all of which Lyric and each Franchisee  acknowledge  belong solely to Franchisor
and shall be on loan from Franchisor during the term of this Agreement. When any
provision in this Agreement  requires that Lyric or a Franchisee comply with any
standard,   specification   or  requirement  of  Franchisor,   unless  otherwise
indicated,  such standard,  specification or requirement shall be such as is set
forth in this Agreement or as may, from time to time, be set forth by Franchisor
in the Confidential Operating Manual.

                  6.21 Revisions to  Confidential  Operating  Manual.  Lyric and
each  Franchisee  understand and  acknowledge  that Franchisor may, from time to
time, revise the contents of the Confidential  Operating Manual to implement new
or different  requirements  for the operation of their  business,  and Lyric and
each  Franchisee  expressly  agree  to  comply  at their  expense  with all such
reasonable  changed  requirements  which are by their terms mandatory;  provided
that such requirements  shall also be applied in a reasonably  nondiscriminatory
manner  to  comparable  businesses  operated  under  the IHS  Systems  by  other
Franchisees.

                  6.22 Operating  Assistance.  Franchisor  reserves the right to
require Lyric and each Franchisee to maintain  standards of quality,  appearance
and service at all their  Facilities,  thereby  maintaining the public image and
reputation  of the IHS  System  and the demand  for the  services  and  products
provided  thereunder,  and to that end  Franchisor  shall provide Lyric and each
Franchisee with the following ongoing assistance:

                           (a)  advertising and marketing  assistance  including
         consultation,  access to media buying  programs and access to broadcast
         and other advertising  pieces and materials produced by Franchisor from
         time to time;

                                      -11-







                           (b)  risk   management   services,   including   risk
         financing planning, loss control and claims management;

                           (c)      outcomes monitoring; and

                           (d)  consultation  by  telephone  or at  Franchisor's
         offices  with  respect to matters  relating to their  business in which
         Franchisor has expertise,  including matters relating to reimbursement,
         government   relations,   clinical   strategies,   regulatory  matters,
         strategic planning and business development.

ARTICLE 7.  PREFERRED PROVIDER STATUS

                  Franchisor  shall use  commercially  reasonable  best efforts,
subject to applicable law, to cause the Franchisees to have "preferred provider"
status in connection with Franchisor's  managed  behavioral Health Care Business
on  a  basis  substantially  consistent  with  existing  covenants,   terms  and
conditions, unless the customer directs otherwise.

ARTICLE 8.  "800" TELEPHONE NUMBER

                  Franchisor  agrees to  continue  to operate or will  provide a
toll free "800"  telephone  number and related  service  facility (the "800 Call
Center"),  to provide a telephone  "Help"  line and also a telephone  "Fraud and
Abuse" line to the Franchisees  substantially  the same as those now provided by
IHS' 800 Call  Center  operating  immediately  prior  to the  execution  of this
Agreement, subject to such modifications as Franchisor deems advisable from time
to time to comply with applicable law or subject to such  restructuring as Lyric
and Franchisor  shall agree.  Each party agrees to use  commercially  reasonable
best efforts to negotiate any such  restructuring to comply with applicable law.
Lyric and the  Franchisees  shall have the right (and Lyric  agrees to cause all
Franchisees)  to advertise such "800" telephone  number and otherwise  cooperate
with Franchisor to use the 800 Call Center for the intended purposes.  Lyric and
the Franchisees shall each pay, from time to time promptly  following receipt of
an invoice from Franchisor,  a proportionate share of the costs of operating the
800 Call Center.

ARTICLE 9.  ENHANCEMENT OF THE IHS SYSTEMS

                  Franchisor,  Lyric, and all Franchisees  agree to cooperate in
the creation,  enhancement and updating of written manuals and materials setting
forth  the  treatment,  financial,  legal  and  other  protocols,  programs  and
procedures,   quality  standards,   quality  assessment   methods,   performance
improvement  and  monitoring  programs  and  other  matters  comprising  the IHS
Systems.   Such  manuals  and  other  materials  (together,   the  "IHS  Systems
Materials")  shall be prepared in a manner  suitable  for use by  Franchisor  in
franchising others to use the IHS Systems.  No changes shall be made by Lyric or
any  Franchisee  to the IHS  Systems or the IHS  Systems  Materials  without the
Franchisor's  express written consent which shall not be unreasonably  withheld.
All  protocols,  programs,  procedures,  standards and methods,  all IHS Systems
Materials, and all upgrades, enhancements, and modifications to same (whether

                                      -12-







developed by Franchisor, Lyric or any Franchisee),  shall be owned by Franchisor
and may be used by Lyric and the  Franchisees  only under and  pursuant  to this
Agreement and the Franchise Agreements.

ARTICLE 10.  OTHER BUSINESS

                  Lyric  and each  Franchisee  agree  not to enter  into any new
Joint Venture  Businesses,  Managed Businesses or consulting or other agreements
or  arrangements  relating  to a  Health  Care  Business  (collectively,  "Other
Business")  during the Term of this  Agreement  except and unless (i) Franchisor
and Lyric or the  respective  Franchisee  enter into a Franchise  Agreement with
respect to such Other  Business,  or (ii) with  Franchisor's  written consent in
each instance,  and in each instance in which  Franchisor has given such written
consent,  Franchisor and Lyric (or the applicable  Franchisee)  have  previously
agreed (A) to pay Franchisor,  in addition to all other amounts payable pursuant
to this  Agreement,  a percentage of the gross receipts from such Other Business
agreeable to Franchisor  or (B) to the  inclusion in Gross  Revenues of any such
Other Business.

ARTICLE 11.  [OMITTED]

ARTICLE 12.  STATEMENTS, RECORDS AND FEE PAYMENTS

                  12.1  Maintenance  of Records;  Audit  Rights.  Lyric and each
Franchisee shall maintain,  in a manner  reasonably  satisfactory to Franchisor,
original, full and complete records, accounts, books, data, licenses,  contracts
and invoices which accurately reflect all particulars relating to their business
and such statistical and other  information or records as Franchisor may require
(and  shall  keep such  information  for not less than  three  years  even after
termination  of this  Agreement).  Lyric and each  Franchisee  shall compile and
provide to Franchisor  any  statistical or financial  information  regarding the
operation  of their  business,  services,  and  products,  or data of a  similar
nature.  Franchisor  (and its  agents)  may  examine  and  audit  such  records,
accounts, books and data at all reasonable times to monitor compliance with this
Agreement.  In connection with any such  examination or audit,  Franchisor shall
not be entitled to any adjustment to the extent that Gross Revenues for Lyric or
the applicable  Franchisee have been computed in accordance with Section 5.8. If
such  inspection  discloses that Gross Revenues  during any scheduled  reporting
period  exceeded the amount reported by Lyric by two percent (2%) or more of the
amount  originally  reported  to  Franchisor,  Lyric shall bear the cost of such
inspection  and  audit and shall  pay,  on  demand,  any such  deficiency  (with
interest  from the date due at the  lesser  of the  highest  rate  permitted  by
applicable law, or the Prime Rate plus two percent (2%) per annum).

                  12.2 Financial  Statements.  Lyric and the  Franchisees  shall
prepare and deliver (or cause to be prepared and delivered) to Franchisor,  with
respect to each Facility and Other Business, all monthly,  quarterly, and annual
financial statements and compliance reports and other reports, in the same form,
and within the same periods,  as Lyric  prepares or receives under Article 12 of
Lyric's Operating Agreement.

                                      -13-







                  12.3 Tax  Reports.  Upon  Franchisor's  request,  Lyric  shall
furnish  Franchisor  with a copy of each of Lyric's and any or all  Franchisees'
reports and returns of sales, use and gross receipt taxes and complete copies of
any state or federal income tax returns covering the operation of the businesses
of Lyric and all Franchisees.

                  12.4 Reports. Upon Franchisor's  request,  Lyric shall furnish
Franchisor  with a copy of each of reports filed by Lyric and/or any Franchisees
under applicable  federal and state laws,  rules and regulations  (including but
not limited to reports  required under "Medicare" and "Medicaid" laws, rules and
regulations).

ARTICLE 13.  ADDITIONAL COVENANTS OF LYRIC

                  13.1 Covenant During Term.  During the Term of this Agreement,
Lyric and each  Franchisee  covenant not to engage  directly or indirectly as an
owner,  operator, in any managerial capacity, or otherwise in any business other
than (i) as a franchisee of the  Proprietary  Materials  pursuant to a Franchise
Agreement;  (ii) Other Business (but only as permitted by Franchisor pursuant to
Article 10); or (iii) through  management and  administration  of the businesses
franchised by Franchisor pursuant to Article 2.

                  13.2 Covenant Not to Compete Post-Term.  For a period expiring
three  (3)  years  after  the  expiration,  termination  or  assignment  of this
Agreement,  Lyric  and each  Franchisee  covenant  not to  engage  (directly  or
indirectly)  as an owner,  operator,  franchisee,  or consultant in any business
which was conducted at any of the  Facilities or any Other  Business on the date
of expiration, termination or assignment of this Agreement or during the two (2)
years prior thereto.  The geographic area of the restrictions under this Section
13.2 shall be limited to (i) the Territories of Lyric and all Franchisees at the
date of the  termination,  expiration or assignment of this Agreement and during
the two years  prior  thereto  (which  shall  from time to time be  included  by
addendum in Exhibit 3 hereto);  and (ii) the geographic  areas within a ten (10)
mile radius of any Other  Business in existence  at the date of the  expiration,
termination  or assignment  of this  Agreement or during the two (2) years prior
thereto.

                  13.3 Acknowledgment of Reasonableness.  The parties agree that
Sections  13.1 and 13.2 have been  negotiated  fully and fairly by the  parties,
each  being  represented  and  advised  by  counsel.  Lyric and each  Franchisee
acknowledge  that Lyric and such  Franchisee  willingly  and  freely  accept the
provisions  of  Section  13.1 and 13.2 as  reasonable  and  necessary  under the
circumstances.   One  of  the  acknowledged   reasonable  business  purposes  of
Franchisor is to protect Franchisor's goodwill and proprietary rights. Lyric and
each Franchisee  acknowledge  further that Franchisor  would not enter into this
Agreement  without the covenants of Sections 13.1 and 13.2,  and that it is fair
and reasonable for Lyric and every Franchisee to be subject to such covenants.

                  13.4  Confidential  Information.   During  the  Term  of  this
Agreement  and  following  the  expiration,  termination  or  assignment  of the
Agreement,  Lyric and each  Franchisee  covenant not to communicate  directly or
indirectly, nor to divulge to or use for its benefit or the benefit of any other
person or legal entity, any trade secrets included in the Proprietary  Materials
or which

                                      -14-







are otherwise proprietary to Franchisor or IHS or any information,  knowledge or
know-how  otherwise  deemed  confidential  by Franchisor  except as permitted by
Franchisor  (all  such,   "Confidential   Information").   Notwithstanding   the
foregoing,  "Confidential Information" shall not include information:  (a) which
at the time of disclosure is readily available to the trade or public; (b) which
after  disclosure  becomes  readily  available to the trade or public other than
through breach of this Agreement; (c) which is subsequently lawfully and in good
faith obtained by such party from an  independent  third party without breach of
this Agreement; or (d) which is disclosed to others in accordance with the terms
of a prior written authorization between the parties to this Agreement. In event
of any termination,  expiration,  assignment,  or non-renewal of this Agreement,
Lyric and each  Franchisee  agree that Lyric and such  Franchisee will never use
the Proprietary Materials or any other confidential information,  trade secrets,
methods of operation or any proprietary  components of Franchisor in the design,
development  or operation of any Health Care Business.  The  protection  granted
hereunder  shall be in addition to and not in lieu of all other  protections for
such trade secrets and confidential  information as may otherwise be afforded in
law or in equity.

                  13.5   Confidential   Agreements   with   Certain   Employees.
Consistent  with  Franchisor's   existing  policies  with  respect  to  employee
non-disclosure agreements, Lyric and each Franchisee agree to maintain and cause
new employees of Lyric to execute  employee non- disclosure  agreements,  in the
form  used by IHS as of the  date  hereof  (or  such  other  form as  reasonably
requested by Franchisor), which shall prohibit disclosure by such parties to any
other person or legal entity of any Confidential  Information.  Franchisor shall
be a third party beneficiary of each such agreement; and Lyric or the respective
Franchisee  shall not amend,  modify or  terminate  any such  agreement  without
Franchisor's prior written consent.

                  13.6  Severability.   The  parties  agree  that  each  of  the
foregoing  covenants  shall be construed as independent of any other covenant or
provision of this Agreement. If any part of one or more of these restrictions is
deemed  unenforceable by virtue of its scope in terms of area, business activity
prohibited  or length of time,  and if such part is  capable of  enforcement  by
reduction of any or all thereof,  Lyric and Franchisor agree that the same shall
be enforced to the fullest extent  permissible  under the law. Also,  Franchisor
may at any time,  in its sole  discretion,  revise any of the  covenants in this
Article  13 so as to  reduce  the  obligations  of  Lyric  or any  one  or  more
Franchisees  hereunder.  The  running  of any period of time  specified  in this
Article 13 shall be tolled and  suspended  for any period of time in which Lyric
is found by a court of competent  jurisdiction  to have been in violation of any
covenant  under this  Agreement.  Lyric agrees further that the existence of any
claim Lyric may have  against  Franchisor  (whether  or not  arising  under this
Agreement)  shall not be a defense to enforcement by Franchisor of the covenants
in this Article 13.

                                      -15-







ARTICLE 14.  FRANCHISOR NOT TO COMPETE

                  Franchisor  agrees not to compete with Lyric or the applicable
Franchisee  in any  business  which is covered by a Franchise  Agreement  in the
Territory covered by such Franchise Agreement.

ARTICLE 15.  NEGATIVE COVENANTS OF LYRIC

                  If  Integrated   Health   Services,   Inc.  sells  its  entire
membership interest in Lyric pursuant to Article 16 of the Operating  Agreement,
Lyric shall not do any of the  following,  without the prior written  consent of
Franchisor,  if Lyric is in  default in paying any  monthly  installment  of the
Annual Continuing Fee for 30 days after written notice from Franchisor:

                  15.1 Restriction of Indebtedness.  Create, incur or assume any
indebtedness  for  borrowed  money or the deferred  purchase  price of any asset
(including   obligations  under   capitalized   leases),   except   indebtedness
subordinated  to all debts,  obligations  and liabilities of Lyric to Franchisor
and its Affiliates pursuant to a subordination agreement on terms and conditions
acceptable to Franchisor.

                  15.2 Restrictions on Liens. Create or permit to be created any
mortgage, pledge, encumbrance or other lien or security interest in any property
or  assets,  except  for any such  that  individually  or in the  aggregate  are
immaterial to Lyric.

                  15.3  Dividends  and  Redemptions.  Make any  distribution  to
Lyric's  members,   or  redeem,   purchase  or  otherwise  acquire  directly  or
indirectly,  any membership interest of Lyric's members, except that Lyric shall
have the right to make cash  distributions  to its members so long as no default
has  occurred and is  continuing  in the payment of any amount due from Lyric to
Franchisor pursuant to this Agreement and so long as, after giving effect to the
payment of the  distribution  sufficient  working  capital is  available  to pay
Annual  Continuing  Fees and  budgeted  operating  expenses  for the three  full
calendar months following the payment of such distribution.

                  15.4 Acquisitions and Investments. Acquire any material assets
or any other business or make any material loan,  advance or extension of credit
to, or investment in, any other person,  corporation or other entity,  including
investments acquired in exchange for stock or other securities or obligations of
any nature (other than to  subsidiaries  or in connection  with cash  management
functions in the ordinary  course of business),  or create or participate in the
creation of any subsidiary or joint venture.

                  15.5 Liquidation;  Merger; Disposition of Assets. Liquidate or
dissolve;  or merge with or into or consolidate  with or into any corporation or
other  entity;  or sell,  lease,  transfer  or  otherwise  dispose of all or any
substantial  part of its property,  assets or business (other than sales made in
the ordinary course of business).

                                      -16-







                  15.6  Increases in Salaries.  Increase any salaries,  bonuses,
profit-sharing  payments, or other compensation of any kind (including severance
agreements)  for any  employees  receiving  (or  likely  to  receive)  more than
$100,000 in total annual compensation.

                  15.7  Affiliates.  Amend any Lease to  increase  the amount or
accelerate the payment of the rent under such Lease or any  installment  thereof
or engage in any material  transaction  with (i) any  Affiliate,  (ii) Lessor or
(iii) an  Affiliate  of Lessor,  other than  pursuant  to  contracts  or ongoing
arrangements  existing at the time Integrated  Health  Services,  Inc. sells its
membership  interest in Lyric,  including  amending in any material  respect any
such contracts or other ongoing arrangements existing at the time of such sale.

                  15.8 No Bankruptcy.  (i) Dissolve or liquidate, in whole or in
part, or institute  proceedings  to be adjudicated  bankrupt or insolvent,  (ii)
consent to the institution of bankruptcy or insolvency  proceedings  against it,
(iii) file a petition  seeking or consenting to  reorganization  or relief under
any applicable  federal or state law relating to bankruptcy,  (iv) consenting to
the appointment of a receiver,  liquidator,  assignee, trustee, sequestrator (or
other similar official) of Lyric or a substantial part of its property, (v) make
a general  assignment  for the benefit of  creditors,  (vi) admit in writing its
inability  to pay its debts  generally  as they  become  due,  or (vii) take any
corporate or other  action to authorize  any of the actions set forth in clauses
(i) through (vi) of this paragraph.

ARTICLE 16.  TRANSFER AND ASSIGNMENT

                  16.1  Assignment by Franchisor.  This Agreement and all rights
and duties hereunder may not be assigned or transferred by Franchisor except (i)
with Lyric's prior written  consent (which shall not be  unreasonably  withheld,
conditioned or delayed); or (ii) to an entity which simultaneously  acquires all
or  substantially  all of Franchisor's  business and assets,  provided that such
transferee/assignee  assumes each and every  obligation of Franchisor under this
Agreement.  Franchisor may grant a security interest for collateral  purposes in
Franchisor's  rights and interest (but not its obligations) under this Agreement
to any of Franchisor's (or its Affiliates') lenders.

                  16.2  Assignment by Lyric.  This  Agreement and all rights and
duties hereunder may not be assigned or transferred by Lyric except (i) with the
written  consent  of  Franchisor,  or (ii)  to an  entity  which  simultaneously
acquires all or  substantially  all of Lyric's  business  and assets  (including
ownership of all Franchisees),  provided that such  transferee/assignee  assumes
each and every  obligation  of Lyric  under  this  Agreement  (and  executes  an
assumption  agreement  to such  effect  in form and  substance  satisfactory  to
Franchisor).  At the  time of  assignment  of  Lyric's  rights  pursuant  to the
preceding sentence, Lyric may transfer simultaneously the Franchisees' interests
in all of the Facility Franchise Agreements to the same person or entity to whom
Lyric's interest in this Agreement is assigned.

                  16.3 Consent Not a Waiver.  Franchisor's  consent (if granted)
to an  assignment  by Lyric  shall  not  constitute  a waiver  of any  claims of
Franchisor against the transferring party,

                                      -17-







nor a waiver of Franchisor's  right to demand exact compliance with all terms of
this Agreement by the transferee.

                  16.4 Parties Bound and  Benefitted.  This  Agreement  shall be
binding  on the  parties  and their  respective  successors  and  assigns.  This
Agreement  shall  inure to the  benefit  of the  parties  and  their  respective
permitted successors and assigns.

ARTICLE 17.  RIGHTS OF AGGRIEVED PARTY UPON DEFAULT

                  17.1 Franchisor's Right to Terminate. Franchisor may terminate
this Agreement prior to the expiration of its term for "good cause", which shall
exist, at Franchisor's election, if:

                           (a) Lyric or any Franchisee  violates any prohibition
         against transfer and assignment in Article 16;

                           (b) Lyric or any Franchisee  violates any covenant of
         confidentiality or non-disclosure  contained in Section 13.4 or Section
         13.5;

                           (c) Lyric  fails to keep,  observe,  or  perform  any
         covenant,  agreement, term or provision (other than payments covered by
         (d) below) and such failure  continues for sixty (60) days after notice
         from  Franchisor,  provided  that if such failure can be cured but such
         cure cannot be completed  with due diligence  within such period and if
         Lyric commences to cure such failure  promptly after notice thereof and
         thereafter  prosecutes such cure with due diligence,  such period shall
         be extended as necessary to cure such failure with due diligence;

                           (d)  Lyric   shall   apply  for  or  consent  to  the
         appointment of a receiver, trustee, or liquidator of Lyric or of all or
         a  substantial  part  of its  assets,  file  a  voluntary  petition  in
         bankruptcy  or admit in writing its  inability to pay its debts as they
         become due,  make a general  assignment  for the benefit of  creditors,
         file a petition or any answer  seeking  reorganization  or  arrangement
         with creditors or take advantage of any insolvency law, or if an order,
         judgment  or  decree   shall  be  entered  by  a  court  of   competent
         jurisdiction,  on the  application  of a creditor,  adjudicating  Lyric
         bankrupt or appointing a receiver, trustee, or liquidator of Lyric with
         respect to all or a substantial  part of the assets of Lyric,  and such
         order, judgment or decree shall continue unstayed and in effect for any
         period of ninety (90) consecutive days;

                           (e) Lyric or any Franchisee  defaults under any Lease
         or mortgage of any  Facility,  and the  respective  Lessor or mortgagee
         commences legal proceedings to enforce its rights thereunder;

                           (f)  subject  to Section  5.5 Lyric  fails to pay the
         Annual  Continuing Fee owed to Franchisor under this Agreement when due
         or within sixty (60) days thereafter,

                                      -18-







         or  fails  to pay any  other  amounts  owed to  Franchisor  under  this
         Agreement  within sixty (60) days after notice from  Franchisor of such
         obligation.

Upon the happening of any of the foregoing events,  Franchisor may terminate the
rights of Lyric and all Franchisees hereunder by notice to Lyric; and the rights
of Lyric and all Franchisees hereunder shall terminate  automatically  effective
thirty  (30) days  after the giving of such  notice.  If in any  jurisdiction  a
franchisee  is entitled by law to notice  and/or cure periods  longer than those
set forth above, then with respect to any Franchise Agreement (to which Lyric or
a Franchisee is a party)  governed by the law of such  jurisdiction,  the notice
and/or cure periods, as applicable, shall be deemed to be extended automatically
to the minimum notice and/or cure periods required in such jurisdiction.

                  17.2 Lyric's Right to Terminate.  Lyric may not terminate this
Agreement  prior to the expiration of its term (whether  because of Franchisor's
breach,  material  or  otherwise)  except  with the  prior  written  consent  of
Franchisor.

                  17.3 Defaults Caused by Manager.  Notwithstanding  anything in
this  Agreement  to the  contrary,  during  any  period  while an  Affiliate  of
Franchisor is acting is the Manager of any Facility of a Franchisee  pursuant to
a  Management  Agreement,  if and to the extent that such  Manager,  through its
action or failure to act, shall have caused Lyric or the  respective  Franchisee
to be in default of their  obligations  under this Agreement,  then such default
shall not be the basis for  Franchisor to exercise any rights under this Article
or under Section 5.9; provided,  however, the foregoing sentence shall not apply
if the respective  Manager is unable to act (or prevented from acting) by reason
of the  failure of Lyric or the  respective  Franchisee  to comply  with its own
obligation under the particular  Management  Agreement (including the payment of
funds to  Manager  to cover  necessary  expenditures,  the  giving  of  required
approvals or directions, etc.).

ARTICLE 18.  [OMITTED]

ARTICLE 19.  INDEMNIFICATION AND INDEPENDENT CONTRACTOR

                  19.1  Indemnification  and  Hold  Harmless.  Lyric  agrees  to
protect,  defend,  indemnify,  and hold  Franchisor,  IHS and  their  respective
directors,  officers,  agents,  attorneys  and  shareholders,  harmless from and
against all claims,  actions,  proceedings,  damages,  costs, expenses and other
losses and  liabilities,  directly or  indirectly  incurred  (including  without
limitation  reasonable attorneys' and accountants' fees) as a result of, arising
out of, or  connected  with the  operation  of Lyric's  Business,  except  those
directly  resulting  from  Franchisor's  or IHS'  willful  misconduct  or fraud.
Franchisor  agrees  to  protect,  defend,  indemnify  and  hold  Lyric  and each
Franchisee,  and their respective  directors,  officers,  agents,  attorneys and
members,  harmless from and against all claims, actions,  proceedings,  damages,
costs, expenses and other losses and liabilities, directly or indirectly arising
out of or connected with the operation of Lyric's Business arising directly from
Franchisor's willful misconduct or fraud.

                                      -19-







                  19.2  Independent  Contractor.  In  all  dealings  with  third
parties including employees,  suppliers and patients, Lyric shall disclose in an
appropriate manner reasonably acceptable to Franchisor that it is an independent
entity. Nothing in this Agreement is intended to create a fiduciary relationship
between  the  parties   hereto  nor  to   constitute   Lyric  an  agent,   legal
representative,  subsidiary,  joint  venturer,  partner,  employee or servant of
Franchisor for any purpose. It is agreed that Lyric is an independent contractor
and is not  authorized to make any contract,  warranty or  representation  or to
create any obligation on behalf of Franchisor.

ARTICLE 20.  WRITTEN APPROVALS, WAIVERS AND AMENDMENT

                  20.1  Prior  Approvals.   Whenever  this  Agreement   requires
Franchisor's prior approval, Lyric shall make a timely written request. Unless a
different time period is specified in this Agreement,  Franchisor  shall respond
with its  approval or  disapproval  within  fifteen (15) days of receipt of such
request.  If  Franchisor  has not  specifically  approved a request  within such
fifteen (15) day period,  such failure to respond shall be deemed disapproval of
any such request.

                  20.2 No Waiver. No failure of Franchisor to exercise any power
reserved  to it by this  Agreement  and no custom or  practice of the parties at
variance with the terms hereof shall  constitute a waiver of Franchisor's  right
to demand exact  compliance with any of the terms herein.  No waiver or approval
by  Franchisor  of any  particular  breach or default  by Lyric,  nor any delay,
forbearance  or  omission by  Franchisor  to act or give notice of default or to
exercise  any power or right  arising by reason of such default  hereunder,  nor
acceptance by  Franchisor  of any payments due  hereunder  shall be considered a
waiver or  approval by  Franchisor  of any  preceding  or  subsequent  breach or
default by Lyric of any term, covenant or condition of this Agreement.

                  20.3  Written  Amendments.  Except as  otherwise  specifically
provided in this Agreement, no amendment, change or variance from this Agreement
shall be  binding  upon  either  Franchisor  or Lyric  except by mutual  written
agreement.

ARTICLE 21.  ENFORCEMENT

                  21.1  Inspections.  In order to  ensure  compliance  with this
Agreement  and to enable  Franchisor  to carry out its  obligations  under  this
Agreement,  Lyric  agrees that  Franchisor  and its  designated  agents shall be
permitted,  with or without  notice,  full and complete  access during  business
hours to inspect all premises at which  Lyric's  Business is  conducted  and all
records thereof,  including, but not limited to, records relating to Lyric's and
Lyric's  Franchisees'  patients,  suppliers,  employees and agents.  Lyric shall
cooperate  fully with  Franchisor  and its  designated  agents  requesting  such
access.

                  21.2 No Right to  Offset.  Lyric  will  not,  for any  reason,
withhold payment of any monthly  payment,  fee or any other fees or payments due
to the  Franchisor  under this  Agreement  or  pursuant  to any other  contract,
agreement or obligation to the Franchisor or any of its Affiliates.  Lyric shall
not have the right to "offset" any liquidated or unliquidated  amounts,  damages
or other funds  allegedly due to Lyric from the  Franchisor  against any monthly
payment,

                                      -20-







fee or any other fees or payments due to the Franchisor or any of its Affiliates
under this Agreement or otherwise.

ARTICLE 22.  ENTIRE AGREEMENT

                  This  Agreement  and the  Transaction  Documents  contain  the
entire agreement of the parties. No other agreements,  written or oral, shall be
deemed to exist,  and all prior  agreements  and  understandings  are superseded
hereby. There are no conditions to this Agreement which are not expressed herein
or in the Transaction Documents.

ARTICLE 23.  NOTICES

                  All  notices,  consents  or other  communications  under  this
Agreement  (any such, a "notice") must be in writing and addressed to each party
at its  respective  addresses set forth above (or at any other address which the
respective  party may designate by notice given to the other party).  Any notice
required by this  Agreement  to be given or made  within a  specified  period of
time,  on or before a date  certain,  shall be  deemed  given or made if sent by
hand, by fax with confirmed answerback  received,  or by registered or certified
mail (return receipt requested and postage and registry fees prepaid).  Delivery
"by hand" shall include  delivery by commercial  express or courier  service.  A
notice sent by registered or certified mail shall be deemed given on the date of
receipt (or attempted delivery if refused) indicated on the return receipt.  All
other notices shall be deemed given when actually received.

ARTICLE 24.  GOVERNING LAW AND DISPUTE RESOLUTION

                  24.1  Governing  Law.  This  Agreement  shall be  interpreted,
construed,  applied  and  enforced in  accordance  with the laws of the State of
Maryland (without giving effect to principles of conflicts of laws).  Subject to
Sections  24.2 and 24.3,  any action to enforce,  arising out of, or relating in
any  way  to,  any of the  provisions  of  this  Agreement  may be  brought  and
prosecuted  in such court or courts  located in the State of  Maryland,  and the
parties consent to the jurisdiction of said court or courts.

                  24.2 In the event of any dispute or controversy  arising under
or in connection with this Agreement,  the parties shall attempt to resolve such
dispute or  controversy  by  mediation  as  provided  in this  Section  prior to
exercising any rights under the remaining provisions of Article 24. Either party
may commence  mediation by notice to the other party (the  "Mediation  Notice"),
which  notice shall name a proposed  Mediator (as defined  below) to resolve the
dispute.  The party  receiving  the  Mediation  Notice,  within seven days after
receipt,  shall send the other party notice accepting the proposed Mediator (the
"Acceptance   Notice")  or  proposing  an  alternate  Mediator  (the  "Alternate
Notice").  Within  seven (7) days after  receipt  of an  Alternate  Notice,  the
receiving  party shall  deliver  notice  accepting  or rejecting  the  alternate
Mediator.  Within five (5) days after the Mediator has been selected the dispute
shall be submitted to him or her by both parties,  and the Mediator shall decide
the dispute within fourteen (14) days  thereafter.  The decision of the Mediator
shall not be binding upon the parties, and after the Mediator issues a

                                      -21-







decision  either  party may submit the  dispute to  arbitration,  as provided in
Section  24.3 and 24.4.  If the  parties  fail to agree upon a  Mediator  within
twenty  (20) days after  receipt of the  Mediation  Notice,  the  dispute may be
resolved  as provided  in Section  24.3.  "Mediator"  means an  individual  with
experience  relevant  to  the  matter  in  dispute  who is  not  employed  by or
affiliated  with  either  party  and who does not have  (and is not an  officer,
employee or director of an entity which has) significant  business contacts with
either  party.  Franchisor  and  Lyric  shall  share  equally  all  costs of the
Mediator.

                  24.3 (a) Subject to Section  24.2,  any dispute  between Lyric
and Franchisor regarding a financial, tax, or accounting issue shall be resolved
exclusively  through  arbitration  conducted by a principal of KPMG Peat Marwick
(the "Financial Arbitrator"). Either party may commence arbitration hereunder by
notice to the other party and to the Financial Arbitrator,  who shall decide the
dispute.  Franchisor  and Lyric shall share  equally all costs of the  Financial
Arbitrator. The Financial Arbitrator shall conduct the arbitration in any manner
he or she elects; however, the Financial Arbitrator shall issue a final decision
with  respect to such  dispute  within  thirty  (30) days  after the  dispute is
referred to him or her. The decision of such Financial Arbitrator shall be final
and binding upon the parties and shall not be subject to appeal.  Judgment  upon
the award  rendered  by the  Financial  Arbitrator  may be  entered in any court
having in personam and subject matter jurisdiction over the parties.

                  (b)  Subject to  Sections  24.2 and  24.3(a),  any  dispute or
controversy  arising under or in connection with this Agreement shall be settled
exclusively by  arbitration,  conducted  before a panel of three  arbitrators in
Baltimore,  Maryland,  in accordance with the rules of the American  Arbitration
Association  then in effect,  and judgement  may be entered on the  arbitrators'
award in any court having in personam and subject matter  jurisdiction  over the
parties.  Franchisor  and Lyric  shall share  equally the costs of the  American
Arbitration  Association  and the  arbitrators.  Each  party  shall  select  one
arbitrator, and the two so designated shall select a third arbitrator. If either
party  shall  fail to  designate  an  arbitrator  within  seven  (7) days  after
arbitration is requested, or if the two arbitrators shall fail to select a third
arbitrator  within  fourteen (14) days after  arbitration is requested,  then an
arbitrator  shall be  selected  by the  American  Arbitration  Association  upon
application of either party. In considering any issue under this Agreement,  the
arbitrators  shall construe and interpret this Agreement  strictly in accordance
with the  specific  terms  and  provisions  hereof  and in  accordance  with the
judicial decisions, statutes, and other indicia of Maryland law.

ARTICLE 25.  SEVERABILITY, CONSTRUCTION AND OTHER MATTERS

                  25.1  Severability.  Should any provision of this Agreement be
for any reason held invalid,  illegal or  unenforceable  by a court of competent
jurisdiction,  such provision  shall be deemed  restricted in application to the
extent required to render it valid; and the remainder of this Agreement shall in
no way be affected and shall remain valid and enforceable  for all purposes.  In
the event that any  provision  of this  Agreement  should be for any reason held
invalid,  illegal or unenforceable by a court of competent  jurisdiction,  or in
the event the  performance or compliance by any party with any provision of this
Agreement shall result in such party being in violation of

                                      -22-







any law, rule or regulation of any governmental  authority,  then in any of such
events the parties agree to use commercially reasonable best efforts to amend in
a  manner  reasonably  consistent  with  each  party's  economic  interests  the
obligations  of the parties  under and pursuant to the  Agreement so as to cause
the parties' obligations hereunder to be enforceable and not in violation of any
law, rule or regulation of any governmental  authority.  In the event such total
or partial  invalidity or  unenforceability  of any provision of this  Agreement
exists  only  with  respect  to the  laws  of a  particular  jurisdiction,  this
paragraph  shall operate upon such provision only to the extent that the laws of
such jurisdiction are applicable to such provision. Each party agrees to execute
and deliver to the other any further documents which may be reasonably  required
to effectuate fully the provisions  hereof.  Lyric  understands and acknowledges
that Franchisor shall have the right, in its sole discretion,  on a temporary or
permanent  basis,  to reduce  the scope of any  covenant  or  provision  of this
Agreement  binding upon Lyric, or any portion hereof,  without Lyric's  consent,
effective immediately upon receipt by Lyric of written notice thereof, and Lyric
agrees that it will comply  forthwith  with any covenant as so  modified,  which
shall be fully enforceable.

                  25.2  Regulatory  Reports.  Each  party  agrees to  reasonably
cooperate  with the  other in  providing  on a timely  basis all  documents  and
information in its possession or reasonably available to it, reasonably required
by the other for  reports  or  filings  required  by any  governmental  or other
regulatory authority.

                  25.3  Counterparts.  This  Agreement  may be  executed  in any
number of  counterparts,  each of which when so executed and delivered  shall be
deemed an original,  but such counterparts together shall constitute one and the
same instrument.

                  25.4 Table of Contents,  Headings and  Captions.  The table of
contents,  headings  and  captions  contained  herein  are for the  purposes  of
convenience  and  reference  only and are not to be  construed as a part of this
Agreement.  All terms and words used herein  shall be  construed  to include the
number and gender as the  context of this  Agreement  may  require.  The parties
agree that each section of this Agreement  shall be construed  independently  of
any other section or provision of this Agreement.

ARTICLE 26.  POST TERM OBLIGATIONS

                  Upon  the  expiration,   termination  or  assignment  of  this
Agreement, Lyric and every Franchisee shall immediately:

                  26.1 Cease Operations.  Cease to be a Franchisee of Franchisor
under this  Agreement  and cease to operate its business  under the IHS Systems.
Lyric  and  each  Franchisee  shall  not  thereafter,  directly  or  indirectly,
represent  to the public that their  business  is or was  operated or in any way
connected with the IHS Systems or hold itself out as a present (or, publicly, as
a former) franchisee of Franchisor at or with respect to any premises from or at
which its business operated.

                  26.2  Pay  All  Sums  Outstanding.   Pay  all  sums  owing  to
Franchisor.

                                      -23-







                  26.3  Return   Confidential   Operating   Manual.   Return  to
Franchisor  the  Confidential  Operating  Manual and all trade  secret and other
confidential  materials,  equipment and other property owned by Franchisor,  and
all copies  thereof,  including all such provided to any third party by Lyric or
any Franchisee with Franchisor's prior consent pursuant to this Agreement. Lyric
and the Franchisees shall retain no copy or record of any of the foregoing.

                  26.4 Cease Use of IHS Systems. Cease to use in advertising, or
in  any  manner  whatsoever,  any  methods,  procedures,   protocols,  programs,
procedures or techniques  associated with the IHS Systems in which Franchisor or
IHS has a proprietary  right,  title or interest;  cease to use the  Proprietary
Materials and any other marks and indicia of operation  associated  with the IHS
Systems and remove all trade dress, physical characteristics, color combinations
and other  indications of operation under the IHS Systems from any premises from
or at which Lyric or any Franchisee  operated.  Without  limiting the foregoing,
Lyric  and  each  Franchisee  agree  that in the  event  of any  termination  or
expiration of this Agreement, it will remove all signage bearing the Proprietary
Materials,  and will remove from their  respective  premises any items which are
characteristic of the IHS Systems "trade dress".

                                      -24-







ARTICLE 27.  TAXES, PERMITS AND INDEBTEDNESS

                  27.1 Payment.  Lyric and each  Franchisee  shall  promptly pay
when due any and all federal, state and local taxes (including  unemployment and
sales  taxes)  levied or  assessed  with  respect to any  services  or  products
furnished, used or licensed pursuant to this Agreement and all accounts or other
indebtedness  of every  kind  incurred  by  Lyric  and  each  Franchisee  in the
operation of their business.

                  27.2 Compliance with all Laws and Regulations.  Lyric and each
Franchisee  shall  comply  with all  federal,  state and local  laws,  rules and
regulations  and timely  obtain any and all permits,  certificates  and licenses
required for the full and proper conduct of their business.

                  27.3 Full  Responsibility.  Lyric and each  Franchisee  hereby
expressly covenant and agree to accept full and sole  responsibility for any and
all debts and obligations incurred in the operation of their business.

ARTICLE 28.  ACKNOWLEDGMENTS

                  28.1 LYRIC AND EACH FRANCHISEE  ACKNOWLEDGE THAT FRANCHISOR OR
ITS AGENT HAS  PROVIDED  LYRIC AND EACH  FRANCHISEE  WITH A  FRANCHISE  OFFERING
CIRCULAR  NOT LATER  THAN THE  EARLIER  OF THE FIRST  PERSONAL  MEETING  HELD TO
DISCUSS THE SALE OF A FRANCHISE,  TEN (10) BUSINESS DAYS BEFORE THE EXECUTION OF
THIS   AGREEMENT,   OR  TEN  (10)  BUSINESS  DAYS  BEFORE  ANY  PAYMENT  OF  ANY
CONSIDERATION. LYRIC AND EACH FRANCHISEE FURTHER ACKNOWLEDGE THAT LYRIC AND EACH
FRANCHISEE  HAVE  READ SUCH  FRANCHISE  OFFERING  CIRCULAR  AND  UNDERSTAND  ITS
CONTENTS.

                  28.2 LYRIC  ACKNOWLEDGES  THAT  FRANCHISOR  HAS PROVIDED LYRIC
WITH A COPY OF THIS AGREEMENT AND ALL RELATED  DOCUMENTS,  FULLY  COMPLETED,  AT
LEAST  FIVE  (5)  BUSINESS  DAYS  PRIOR  TO  LYRIC'S  EXECUTION  HEREOF  OR SUCH
FRANCHISEE'S EXECUTION OF ITS FRANCHISE AGREEMENT.

                  28.3  LYRIC  AND EACH  FRANCHISEE  ARE  AWARE OF THE FACT THAT
OTHER  PRESENT  OR FUTURE  FRANCHISE  OWNERS OF  FRANCHISOR  MAY  OPERATE  UNDER
DIFFERENT FORMS OF AGREEMENT(S),  AND CONSEQUENTLY THAT FRANCHISOR'S OBLIGATIONS
AND RIGHTS WITH RESPECT TO ITS VARIOUS FRANCHISE OWNERS MAY DIFFER MATERIALLY IN
CERTAIN CIRCUMSTANCES.

                  28.4     LYRIC AND EACH FRANCHISEE ACKNOWLEDGE THAT THIS
INSTRUMENT CONSTITUTES THE ENTIRE AGREEMENT OF THE PARTIES RELATING
TO THE SUBJECT MATTER HEREOF.  EXCEPT AS SET FORTH IN THE TRANSACTION

                                      -25-







DOCUMENTS,  THIS AGREEMENT TERMINATES AND SUPERSEDES ANY PRIOR AGREEMENT BETWEEN
THE PARTIES CONCERNING THE SAME SUBJECT MATTER.

                  28.5  LYRIC  AND EACH  FRANCHISEE  ACKNOWLEDGE  THAT  COMPUTER
SOFTWARE  LICENSED   HEREUNDER  IS  FURNISHED  "AS  IS".   FRANCHISOR  MAKES  NO
WARRANTIES,  WHETHER  EXPRESS  OR IMPLIED  WITH  RESPECT  TO SUCH  SOFTWARE  AND
DOCUMENTATION   DESCRIBING  SUCH  SOFTWARE,   ITS  QUALITY,   ITS   PERFORMANCE,
MERCHANTABILITY,  OR FITNESS FOR A PARTICULAR PURPOSE. THE ENTIRE RISK AS TO THE
QUALITY AND PERFORMANCE OF SOFTWARE AND  DOCUMENTATION  DESCRIBING SUCH SOFTWARE
IS WITH LYRIC.

                  28.6     LYRIC AND EACH FRANCHISEE ACKNOWLEDGE THAT THIS
FRANCHISE OFFER WAS MADE TO LYRIC AND THE FRANCHISEES IN THE STATE

OF FLORIDA.

ARTICLE 29.  GUARANTY OF FRANCHISEE OBLIGATIONS

                  29.1   Definition  of   "Obligations".   In  this  Article  29
"Obligations"  means any and all debts,  obligations,  and  liabilities of every
Franchisee  to  Franchisor  arising  out  of or  relating  to  the  Franchisees'
respective  Franchise   Agreements  with  Franchisor,   whether  such  Franchise
Agreements and/or such debts,  obligations and liabilities are previously,  now,
or subsequently made,  incurred,  or created,  whether voluntary or involuntary,
liquidated or unliquidated,  secured or unsecured, and whether or not any or all
such debts, obligations and liabilities are or become unenforceable by operation
of bankruptcy or insolvency laws.

                  29.2 Guaranty. Lyric hereby (a) unconditionally guarantees the
full and prompt payment and performance of the Obligations  when due, whether by
acceleration or otherwise,  (b) agrees to pay all costs, expenses and reasonable
attorneys'  fees  incurred by  Franchisor  in  enforcing  this  guaranty and the
Obligations and realizing on any collateral  therefor,  and (c) agrees to pay to
Franchisor  the amount of any payments  which were made to Franchisor or another
in full or partial  satisfaction of the Obligations and which are recovered from
Franchisor  by  a  trustee,  receiver,  creditor  or  other  party  pursuant  to
applicable  law.  This  is a  guarantee  of  payment,  and  not  of  collection.
Franchisor  shall not be obligated to: (i) take any steps to collect from, or to
file any claim of any kind against, any Franchisee,  any guarantor, or any other
person or entity liable for payment or performance of the  Obligations,  or (ii)
take any steps to protect,  accept, obtain, enforce, take possession of, perfect
its interest in,  foreclose  or realize on  collateral  or security (if any) for
payment or performance of any of the  Obligations or any guarantee of any of the
Obligations,  or (iii) in any other respect exercise any diligence in collecting
or attempting to collect any of the Obligations.

                  29.3 Liability Absolute.  Lyric shall have the right to assert
any  defenses to  enforcement  of the  Obligations  that would be  available  to
Franchisees,  other  than  defenses  based on  bankruptcy  or  insolvency  laws.
However, except for the preceding sentence, Lyric's liability

                                      -26-







for  payment  and  performance  of  the   Obligations   shall  be  absolute  and
unconditional;  and Lyric  unconditionally and irrevocably waives each and every
defense which,  under  principles of guaranty or suretyship law, would otherwise
operate to impair or diminish  such  liability;  and nothing  except actual full
payment and  performance  to  Franchisor  of the  Obligations  shall  operate to
discharge  Lyric's  liability  under  this  Article  29.  Without  limiting  the
foregoing,  Franchisor  shall  have the  right,  from  time to time and  without
notice, to: (a) extend any credit to any Franchisee,  (b) accept any collateral,
security or guarantee for any  Obligations  or any other  credit,  (c) determine
how, when and what  application of payments,  credits and  collections,  if any,
shall  be made on the  Obligations  and any  other  credit  and  accept  partial
payments,  (d) determine  what (if  anything)  shall be done with respect to any
collateral or security, (e) subordinate,  sell, transfer,  surrender, release or
otherwise dispose of any such collateral or security,  and purchase or otherwise
acquire any such  collateral or security at  foreclosure  or otherwise,  and (f)
with or without consideration grant, permit or enter into any waiver, amendment,
extension,  modification,   refinancing,   indulgence,  compromise,  settlement,
subordination, discharge or release of any of the Obligations.

                  29.4 Additional Waivers. Lyric waives (a) presentment,  notice
of dishonor,  protest, demand for payment and all notices of any kind, including
notice of acceptance  hereof,  notice of the creation of any of the Obligations,
notice of nonpayment, nonperformance or other default on any of the Obligations,
and  notice  of  any  action  taken  to  collect  upon  or  enforce  any  of the
Obligations, (b) any claim for contribution against any co-guarantor,  until the
Obligations  have  been  paid or  performed  in full and such  payments  are not
subject to any right of recovery,  and (c) any setoffs against  Franchisor which
would  otherwise  impair  Franchisor's  rights  against Lyric or any  Franchisee
hereunder.

                  29.5 Continuing Effect.  This is a continuing  guarantee which
shall  continue  in  effect  as to those of the  Obligations  arising  out of or
relating to each Franchise  Agreement until the particular  Franchise  Agreement
has terminated in accordance with its terms.

                             SIGNATURE PAGE FOLLOWS



                                      -27-







                  IN WITNESS WHEREOF, the parties hereto have duly executed this
Master Franchise Agreement under seal as of the date first written above.

                                    FRANCHISOR:

                                    INTEGRATED HEALTH SERVICES
                                      FRANCHISING CO., INC.

                                    By:  
                                         ---------------------------------------
                                         Name:  Daniel J. Booth
                                         Title: Senior Vice President

                                    LYRIC:

                                    LYRIC HEALTH CARE LLC
                                    By:   Integrated Health Services, Inc.
                                    Its:  Managing Director

                                    By:   
                                          --------------------------------------
                                          Name:  Daniel J. Booth
                                          Title: Senior Vice President

                                       S-1







                                                                       EXHIBIT 1
                                                             FRANCHISE AGREEMENT













                                    Exh. 1-1






                                                                       EXHIBIT 2
                                                              LIST OF FACILITIES

1.       Integrated Health Services at Gainesville
         4000 S.W. 20th Avenue
         Gainesville, Florida  32607

         352-377-1981
         352-377-7340 (fax)

2.       Integrated Health Services of Chestnut Hill
         8833 Stenton Avenue
         Wyndmoor, Pennsylvania  19038

         215-836-2100
         215-233-3551 (fax)

3.       Integrated  Health Services of New Hampshire at Claremont
         RFD 3 Box 47, Hanover Street Ext.
         Claremont, New Hampshire  03743
         603-452-2606

         603-453-0479 (fax)

4.       Integrated Health Services of St. Petersburg
         811 Jackson Street N.
         St. Petersburg, Florida  33705
         813-896-3651
         813-821-2453 (fax)

5.       Governor's Park
         1420 South Barrington Rd.
         Barrington, IL  60010
         847-382-6664
         847-382-6693 (fax)
         (including 2.5 acres of unimproved land)



                                    Exh. 2-1






                                                                       EXHIBIT 3

                                    [OMITTED]

















                                    Exh. 3-1






                                                                       EXHIBIT 4
                                            LIST OF INDIVIDUAL FRANCHISEE NAMES,
                                                            NAMES OF BUSINESSES,
                                                                 AND TERRITORIES


- ----------------------------------------------------------------------------------------------------------
                                                                          
       FRANCHISEE NAME                  NAME OF BUSINESS                            TERRITORY
       ---------------                  ----------------                            ---------
Gainesville Health Care                 Integrated Health Services at           The area within a fifteen-
Center, Inc.                            Gainesville                             mile radius of Integrated
                                                                                Health Services at
                                                                                Gainesville
- ----------------------------------------------------------------------------------------------------------
Rest Haven Nursing Center               Integrated Health Services at           The area within a fifteen-
(Chestnut Hill), Inc.                   Chestnut Hill                           mile radius of Integrated
                                                                                Health Services at Chestnut
                                                                                Hill
- ----------------------------------------------------------------------------------------------------------
Claremont Integrated Health,            Integrated Health Services of           The area within a fifteen-
Inc.                                    New Hampshire at                        mile radius of Integrated
                                        Claremont                               Health Services of New
                                                                                Hampshire at Claremont
- ----------------------------------------------------------------------------------------------------------
Rikad Properties, Inc.                  Integrated Health Services of           The area within a fifteen-
                                        St. Petersburg                          mile radius of Integrated
                                                                                Health Services of St.
                                                                                Petersburg
- ----------------------------------------------------------------------------------------------------------
Integrated Management -                 Governor's Park Nursing                 The area within a fifteen-
Governor's Park, Inc.                   and Rehabilitation Center               mile radius of Governor's
                                                                                Park Nursing and
                                                                                Rehabilitation Center
- ----------------------------------------------------------------------------------------------------------




                                    Exh. 4-1






                                                                       EXHIBIT 5
                                          GUIDELINES FOR DETERMINING TERRITORIES

The  "Territory"  for each  "Health  Care  Business"  shall be  determined  on a
case-by-case  basis (with the specific  "Territory"  for each business listed in
Exhibit 3 to the Franchise  Agreement for such business)  based on the following
guidelines:

o    The location of a majority of the main  facility's  patients  (based on Zip
     Codes);

o    The drive time to the main facility for a majority of its patients;

o    The population of the relevant metropolitan area where the main facility is
     located;

o    The location of all competitors in the relevant market area;

o    The location of ancillary services offered by the business; and

o    The  territorial  restrictions  agreed to by IHS or competitors in previous
     sales of facilities in comparable geographical areas.

Based on the  foregoing  factors,  a  "Territory"  will be  determined  for each
facility  measured in miles from a radius  originating  at the  facility's  main
operation (Hospital or RTC).


                                    Exh. 5-1