EXHIBIT 10.69


                           MASTER MANAGEMENT AGREEMENT

                                     BETWEEN

                              LYRIC HEALTH CARE LLC

                                       AND

                          IHS FACILITY MANAGEMENT, INC.

                             AS OF JANUARY 13, 1998







                                TABLE OF CONTENTS

PART I

         MANAGEMENT TERMS AND CONDITIONS

ARTICLE I         RETENTION OF MANAGER

ARTICLE II        TERM

ARTICLE III       RIGHTS AND DUTIES OF MANAGER

ARTICLE IV        RIGHTS AND DUTIES OF OWNER

ARTICLE V         COMPENSATION AND DISTRIBUTIONS

ARTICLE VI        INTENTIONALLY OMITTED

ARTICLE VII       INTENTIONALLY OMITTED

ARTICLE VIII      TERMINATION RIGHTS

ARTICLE IX        INDEMNIFICATION

ARTICLE X         CONFIDENTIALITY; NON-SOLICITATION

ARTICLE XI        CONDEMNATION

ARTICLE XII       SUCCESSORS AND ASSIGNS

ARTICLE XIII      MISCELLANEOUS PROVISIONS

PART II

          OTHER TERMS AND CONDITIONS

ARTICLE I         TERM

ARTICLE II        REPRESENTATIONS AND WARRANTIES

ARTICLE III       TERMINATION RIGHTS

ARTICLE IV        INSURANCE

ARTICLE V         MISCELLANEOUS PROVISIONS

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                           MASTER MANAGEMENT AGREEMENT

         THIS MASTER MANAGEMENT AGREEMENT (this "Agreement") is made and entered
into as of January 13,  1998,  by and between  LYRIC HEALTH CARE LLC, a Delaware
limited  liability  company,  with offices at 8889 Pelican Bay Boulevard,  Suite
500,  Naples,  Florida  34103  ("Lyric")  and IHS FACILITY  MANAGEMENT,  INC., a
Delaware corporation,  with offices at 10065 Red Run Boulevard, Owings Mills, MD
21117 ("Manager").

                             INTRODUCTORY STATEMENT

         Lyric owns,  indirectly,  all of the shares of each of the corporations
listed on Schedule "1" attached hereto (each, an "Owner" and  collectively,  the
"Owners").  Each Owner  operates the health care facility set forth opposite its
name on Schedule "1". (Each facility and the equipment,  furnishings,  and other
tangible personal property to be used in connection  therewith shall be referred
to  as a  "Facility",  and  they  shall  be  referred  to  collectively  as  the
"Facilities").

         The Owners sublease their  Facilities  pursuant to Facility  Subleases,
dated as of the date hereof,  from Lyric Health Care  Holdings,  Inc.,  which in
turn  leases  all  of the  facilities  from  Omega  Healthcare  Investors,  Inc.
("Lessor") under Master Lease, dated as of the date hereof (the "Master Lease").
Each of the subleases  contains  substantially the same provisions as the Master
Lease except for provisions  concerning  rent and other matters  specific to the
Facility.  In this Agreement  "Lease" means the Master Lease and the sublease as
applicable to each Facility.

         Each  Owner  has  entered  into a  Facility  Franchise  Agreement  with
Integrated Health Services Franchising Co., Inc. (each, a "Franchise Agreement")
for the use of  certain  "Proprietary  Information"  and the "IHS  Systems"  (as
defined  therein) and the  provision of certain  services in order to facilitate
the operation of its Facility.

          Manager is  engaged  in the  operation  of  facilities  similar to the
Facilities,  and is experienced in various phases of the  management,  operation
and ownership thereof.

         Lyric and Manager are  entering  into this  agreement  to set forth the
general terms by which all of the  Facilities  shall be managed.  This agreement
also sets forth the  responsibilities  of Manager with respect to the  Franchise
Agreements.

         Simultaneously herewith, Manager shall enter into a Facility Management
Agreement  with  the  Owner  of  each  Facility.  By  entering  into a  Facility
Management Agreement,  each Owner and Manager shall adopt the terms of Part I of
this  agreement by reference  (except as expressly  provided  therein) and agree
upon  certain  additional  terms  and  conditions  for  the  management  of each
Facility.

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

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                                     PART I

                         MANAGEMENT TERMS AND CONDITIONS

         Lyric and Manager  hereby agree to the following  terms and  conditions
for the management of each Facility:

                                    ARTICLE I

                              RETENTION OF MANAGER

         1.1 RETENTION. For and during the term of this Agreement,  Owner hereby
grants  to  Manager  the  sole and  exclusive  right,  and  employs  Manager  to
supervise,  manage,  and operate the Facility in the name and for the account of
Owner upon the terms and conditions hereinafter set forth.

         1.2  ACCEPTANCE.  Manager  accepts such  appointment and agrees that it
will (a) perform its duties and  responsibilities  hereunder in accordance  with
this Agreement,  (b) use commercially reasonable efforts to supervise and direct
the  management  and operation of the Facility in an efficient  manner,  and (c)
consult with Owner and keep Owner advised of all major policy  matters  relating
to the Facility.  Subject to the  foregoing and to the other  provisions of this
Agreement,  Manager,  without the  approval of Owner  (unless  such  approval is
herein specifically required as to policies and manner of operation), shall have
the  unrestricted  control and sole  discretion with regard to the operation and
management of the Facility for all customary purposes (including the exercise of
its rights and  performance  of its duties  provided for in Article III hereof),
and the right to determine all policies  affecting the appearance,  maintenance,
standards of operation,  quality of service,  and any other matter affecting the
Facility or the operation thereof.

         1.3 INDEPENDENT CONTRACTOR. It is expressly agreed by Owner and Manager
that Manager is at all times acting and  performing  under this  Agreement as an
independent contractor,  and that no act, commission or omission by either Owner
or Manager  shall be  construed  to make or  constitute  the other its  partner,
member,  principal,  agent,  joint  venturer or associate,  except to the extent
specified herein.

         1.4 OWNERSHIP.  Owner shall be the owner and/or holder of all licenses,
permits and contracts  obtained with respect to the Facility (subject to Section
3.7 hereof),  and shall be the "provider"  within the meaning of all third-party
contracts for the Facility.  Specifically,  and without limitation,  Owner shall
own (a) the Medicare provider number,  (b) the Medicare provider  agreement with
Health Care Financing Administration (HCFA), and (c) the Medicare certification.

                                   ARTICLE II

                                      TERM

         The initial term of this Agreement shall immediately  commence upon the
date  hereof (the  "Commencement  Date") and shall be for a period from the date
hereof to January 31, 2011 (the

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"Term"),  which is the same period as the Lease  Term,  as defined in the Lease.
This Agreement shall  automatically  renew for each extension or renewal term of
the Lease (the  "Renewal  Terms"),  should Owner renew the Lease for one or more
such terms under the Lease; provided,  however,  Manager may decide not to renew
in any such case by giving notice to Owner not less than six (6) months prior to
the expiration of the initial term or any renewal term.

                                   ARTICLE III

                          RIGHTS AND DUTIES OF MANAGER

         During the Term of this Agreement,  and in the course of its management
and operation of the Facility:

         3.1  EMPLOYEES.  Manager,  on  Owner's  behalf,  shall  hire,  promote,
discharge,  and supervise the work of the  Facility's  Administrator,  Assistant
Administrator,  Department  Heads,  and  all  operating  and  service  employees
performing  services in and about the Facility.  All of such employees  shall be
employees of Owner,  except for the  Administrator  and the Director of Nursing,
who shall be employees of Manager,  and the  aggregate  compensation,  including
fringe benefits, with respect to such employees, including the Administrator and
the  Director  of  Nursing,  shall be  charged  to Owner  as an  expense  of the
operation  of the  Facility.  The term  "fringe  benefits"  as used herein shall
include,   but  not  be  limited  to,  the  employer's   contribution  of  FICA,
unemployment   compensation,   and  other  employment  taxes,   retirement  plan
contributions,   workman's  compensation,   group  life,  accident,  and  health
insurance premium, profit sharing contributions,  disability,  and other similar
benefits paid or payable by Manager with respect to other  facilities  which may
be  managed  by  Manager.  All such  employees  of  Manager  shall be covered by
appropriate  malpractice  and/or errors and  omissions  insurance as approved by
Manager  and Owner.  The cost of same shall be charged to Owner as an expense of
the  operation  of said  Facility.  Manager  shall  be  responsible,  also,  for
coordinating health insurance coverages,  benefits, and permits (including COBRA
matters) for the employees of each Facility.

         3.2 LABOR CONTRACTS. Manager, if requested by Owner, will negotiate, on
Owner's behalf and at Owner's expense, with any labor union lawfully entitled to
represent the employees at the Facility, but any collective bargaining agreement
or labor contract resulting  therefrom must first be approved by Owner who shall
be the only person  authorized  to execute the same.  Owner agrees that all fees
and  costs  of  outside   professionals   in  conducting  and  concluding   such
negotiations shall be paid by Owner out of Facility Funds.

         3.3 CONCESSIONAIRES, ETC. Manager shall negotiate and consummate in the
name  and  at  the   expense   of  Owner,   contracts   or   arrangements   with
concessionaires,  licensees,  tenants, and other intended users of the Facility.
Any fees and expenses incurred in connection therewith shall be charged to Owner
as an expense of the operation of the Facility.

         3.4 ANCILLARY  SERVICES,  UTILITIES ETC.  Manager shall enter into such
contracts in the name of and at the expense of Owner as may be deemed  necessary
or  advisable  for  the  furnishing  of  all  ancillary   services,   utilities,
concessions, supplies and other services as may be needed from

                                       -3-








time to time for the  maintenance  and  operation  of the  Facility.  Manager is
authorized to contract for or provide  ancillary  services,  including,  but not
limited to, pharmacy (drug and I.V.),  rehabilitation  and  respiratory  therapy
services, and mobile diagnostic services, through providers which are affiliates
of Manager,  provided  that such  services are rendered at levels of quality and
pricing that are competitive with those available in the community.

         3.5 PURCHASES. Manager shall supervise the purchasing by Facility staff
of food, beverages, operating supplies, and other materials and supplies, in the
name of and for the account  and at the expense of Owner,  as may be needed from
time to time for the maintenance and operation of the Facility. However, Manager
shall participate in any master purchasing program specified by Owner.

         3.6 REPAIRS.  Manager shall make or install or cause to be installed at
Owner's  expense  and in the name of Owner  any  proper  repairs,  replacements,
additions,  and  improvements  in and to the  Facility and the  furnishings  and
equipment in order to keep and maintain the same in good repair,  working  order
and condition,  and outfitted and equipped for the proper  operation  thereof in
accordance with (a) industry  standards  comparable to those prevailing in other
similar  facilities,  (b) all applicable state or local rules,  regulations,  or
ordinances, and (c) the terms and conditions of the Lease.

         3.7 LICENSES AND PERMITS.  Manager shall apply for and use commercially
reasonable  efforts to obtain  and  maintain  in the name and at the  expense of
Owner,  all licenses and permits  required in connection with the management and
operation of the  Facility.  If Manager is required by law to obtain any license
or permit in its name, Manager agrees to use commercially  reasonable efforts to
obtain and  maintain  such  license or permit in its name,  at Owner's  expense.
Owner  agrees  to  cooperate  with  Manager  in  applying  for,  obtaining,  and
maintaining such licenses and permits.

         3.8      GOVERNMENTAL REGULATION.

                  (A) Manager shall use commercially  reasonable efforts to take
         such  action  as shall  be  reasonably  necessary  to  insure  that the
         Facility  and the  management  thereof  by  Manager  complies  with all
         federal, state and local laws, regulations and ordinances applicable to
         the  Facility  or the  management  thereof by  Manager,  including  the
         particular laws and regulations applicable to health care facilities.

                  (B)  Manager  shall  promptly  provide  to  Owner  as and when
         received  by  Manager,  all  notices,  reports or  correspondence  from
         governmental  agencies that assert  deficiencies or charges against the
         Facility or that otherwise relate to the suspension, revocation, or any
         other  action  adverse  to any  approval,  authorization,  certificate,
         determination,  license  or  permit  required  or  necessary  to own or
         operate  the  Facility.  Manager  may appeal  any  action  taken by any
         governmental agency against the Facility; provided, however, that Owner
         shall adequately  secure and protect Manager from loss, cost, damage or
         expense  by bond or other  means  satisfactory  to  Manager in order to
         contest by proper legal  proceedings  the validity of any such statute,
         ordinance, law,

                                       -4-







         regulation or order, provided that such contest shall not result in the
         suspension of operations of the Facility;  and provided,  further, that
         Owner shall have no obligation  to secure and protect  Manager from any
         loss,  cost,  damage or expense  that arises  directly out of Manager's
         material breach of any of its covenants under this Agreement.

         3.9 TAXES. Manager shall cause all taxes,  assessments,  and charges of
every kind imposed upon the Facility by any  governmental  authority,  including
interest and penalties thereon (collectively, "Taxes"), to be paid when due from
Facility  Funds (as defined in Section 3.10 below),  subject to the terms of the
Lease, and in accordance with the Budget (as defined in Section 3.17 hereof) and
in the order of  priority  set forth in Section  3.10 below.  Manager  shall not
cause such Taxes to be paid if (a) such Taxes are in good faith being  contested
by Owner at its sole expense and without cost to Manager,  (b)  enforcement  for
nonpayment  of such Taxes is  stayed,  and (c) Owner  shall  have given  Manager
written notice of such contest and stay and authorized the non-payment  thereof,
not less than ten (10) days  prior to the date on which  such  Taxes are due and
payable. Interest or penalty payments shall be reimbursed by Manager to Owner if
imposed upon Owner by reason of the gross  negligence  on the part of Manager in
making the payment if funds are available  therefor.  Manager shall notify Owner
of all Taxes  assessed  against the Facility  other than in the normal course of
business.

         3.10 DEPOSIT AND  DISBURSEMENT  OF FUNDS.  Manager  shall  deposit in a
banking institution which is a member of the FDIC in accounts in Manager's name,
as agent for Owner,  all monies  arising  from the  operation of the Facility or
otherwise received by Manager for and on behalf of Owner (the "Facility Funds"),
and shall disburse and pay the same from said accounts on behalf and in the name
of Owner pursuant to the Budget, in the following order of priority, as and when
required to be made in connection with:

                  (A)  Payment  of all costs  and  expenses  arising  out of the
         administration,  maintenance and operation of the Facility,  including,
         without limitation,  Taxes,  reimbursable  expenses of Manager, and all
         accrued and unpaid  interest  on any unpaid  balances  thereon,  as set
         forth in Section 3.16;

                  (B) Payment of the  Facility  Rent or debt  service on a first
         mortgage (if any) on the Facility;

                  (C) Payment of the monthly  installment to the capital expense
         reserve for the Facility described in the Budget;

                  (D) Payment of interest  due on the  working  capital  line of
         credit for the Facility;

                  (E)  Payment  of the  letter of credit  fee (for the  security
         deposit under the Lease), if required;

                  (F)  Payment  of all  administrative  and  operating  costs of
         Lyric;


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                  (G)  Payment  of the  "Annual  Continuing  Fee" due  under the
         Franchise Agreement;

                  (H) Payment of Manager's  Base  Management Fee provided for in
         Article V hereof  (including  any accrued  and unpaid  Base  Management
         Fees, plus all accrued and unpaid interest thereon, for prior periods);

                  (I)  Payment  of  subordinated  mortgage  debt (if  any)  with
         respect to the Facility;

                  (J) Payment of the monthly  installments  to any  supplemental
         capital expense and working  capital escrows and reserves  described in
         the Budget;

                  (K) Payment of Manager's Incentive Management Fee provided for
         in  Article  V hereof  (including  any  accrued  and  unpaid  Incentive
         Management  Fees,  plus all accrued and unpaid  interest  thereon,  for
         prior periods); and

                  (L) The balance of such funds shall be distributed to Owner at
         Owner's request.

To the extent  practicable and available,  Manager shall  distribute to Owner an
amount  sufficient to pay the income tax liability of Owner's  members from time
to time.  In this  Agreement,  the term  "Facility  Rent"  means  the  scheduled
payments of Rent, as defined in the Lease,  and all other  applicable  costs for
the  maintenance  or operation of the  Facility and other  payments  required of
Owner under the Lease.

         3.11  STATEMENTS.  Manager  shall  prepare  and deliver (or cause to be
prepared and delivered) to Lyric's Managing Director all monthly,  quarterly and
annual  financial  statements  and  Compliance  Reports  (as  defined in Lyric's
Operating  Agreement) 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.

         3.12 LEGAL ACTIONS.  Manager shall institute, in its own name or in the
name of Owner,  but in any  event at the  expense  of  Owner,  any and all legal
actions or proceedings to collect charges,  rent, or other sums due the Facility
or to lawfully oust or dispossess  tenants or other persons in possession under,
or lawfully  cancel,  modify,  or terminate  any lease,  license,  or concession
agreement for the breach thereof or default thereunder by the tenant,  licensee,
or  concessionaire.  Unless  otherwise  directed by Owner,  Manager may take, at
Owner's expense,  appropriate steps to protect and/or litigate to final judgment
in any  appropriate  court any violation or order  affecting  the Facility.  Any
counsel to be engaged under this or the next preceding paragraph of this Section
shall be approved by Owner,  which approval shall not be unreasonably  withheld.
Manager shall promptly notify Owner and Lessor of all legal actions.

         3.13 MANAGEMENT SERVICES. Without limitation, Manager shall provide the
Facility with all of the customary  management  services and techniques which it
employs in operating other  facilities  which it manages which may be applicable
to and beneficial to the Facility.


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         3.14 DATA PROCESSING.  Manager shall, directly or through an affiliate,
provide the data  processing  required to maintain the financial,  payroll,  and
accounting records of the Facility; except that Manager agrees that the Facility
payroll will not be moved to Manager's central payroll administration until same
can be accomplished without a material disruption to Facility cash flow.

         3.15 BOOKS AND RECORDS.  Manager on behalf of Owner shall supervise and
direct the keeping of full and accurate  books of account and such other records
reflecting the results of operation of the Facility as required by law.

         3.16     PAYMENT  OF EXPENSES.

                  (A) OWNER EXPENDITURES. All expenditures and advances of every
kind  required or  permitted  of Manager  under this  Agreement  are for Owner's
account ("Owner  Expenditures"),  except for Manager's Staff Services (described
below). Manager is authorized to pay all Owner Expenditures from Facility Funds.
Owner shall pay  directly (or  reimburse  Manager  promptly if Manager  advances
funds for) any Owner Expenditures not paid from Facility Funds. Manager's "Staff
Services" -- not  reimbursable  by Owner -- means only  salaries and benefits of
Manager's  officers  and home office  staff,  as well as  Manager's  home office
overhead not specifically allocable to the Facility.

                  (B)  REIMBURSEMENT OF ADVANCES.  Manager may from time to time
(but shall not be  obligated  to)  advance or incur  expenses  in respect of the
operation or maintenance of the Facility,  including,  without  limitation,  the
items  listed  on  Exhibit  A  hereto.   Such  expenses   shall  be  immediately
reimbursable  to Manager  out of  Facility  Funds in the  priority  set forth in
Section 3.10 hereof.  Any such expenses advanced from Manager and not reimbursed
within thirty (30) days shall bear interest from the date advanced until paid in
full at a rate per annum equal to the prime rate of Citibank,  N.A.,  as then in
effect, plus two percent (2%).

         3.17 BUDGETS.  Manager shall be responsible for the following budgetary
items:

                  (A) PREPARING BUDGETS.  Manager at its sole cost shall prepare
and submit to Owner for Owner's  review and approval a yearly  operating  budget
and a yearly capital budget in a form  reasonably  acceptable to Owner.  Manager
shall  present  such  budgets on a cash basis  also.  Manager  shall  submit the
proposed budgets to Owner no later than November 15 of the preceding year. Owner
will  consider  the  proposed  budgets and then consult with Manager in order to
finalize an approved budget on or before December 15 of the preceding year. (The
budgets  for 1998  shall be  presented  within  60 days  after  the date of this
Agreement unless Owner and Manager agree otherwise.) Such budgets shall:

                           (i)  set  forth  on  a  month  to  month   basis  all
         anticipated  income,  operating  expenses,  working  capital  and other
         necessary  reserves and capital  expenditures for such calendar year in
         connection with the operation of the Facility;


                                       -7-





                           (ii)  contain  all of  the  items  referenced  in the
         approved budget for 1998; and

                           (iii) include all supporting  schedules  requested by
         Owner.

                  The operating  budget and the capital  budget,  as approved by
Owner,  shall be referred to herein as the  "Operating  Budget" and the "Capital
Budget," respectively, and shall be referred to collectively as the "Budget."

                  (B) REVISED  BUDGET/UNFORESEEN  INCREASES. If Owner or Manager
believes  that it is necessary to revise the Budget after it has been  approved,
Manager  shall  prepare  and  deliver to Owner a revised  budget.  Any  proposed
changes to the Budget shall be addressed in the revised budget and Manager shall
explain such changes.  Manager shall not  implement the revised  budget  without
Owner's  approval,  which may be granted or withheld in Owner's sole discretion.
If Owner  approves  the revised  budget,  the terms of such revised  budget,  as
approved, shall amend the Budget accordingly. During each calendar year, Manager
shall  promptly  inform Owner of any major  increases in costs and expenses that
were not  foreseen  during  the  Budget  preparation  period  and thus  were not
reflected in the Budget.

                  (C)  OWNER'S  APPROVAL  REQUIRED.  If  Owner  shall  not  have
approved  any  proposed  budgets,  the  Operating  Budget  then in effect  shall
continue  until an Operating  Budget is agreed  upon;  provided,  however,  that
during any interim period Manager may reasonably exceed the Operating Budget for
the  previous  fiscal year for taxes,  utility  charges,  costs  under  existing
agreements which (by the terms of such agreements) automatically increase at the
beginning  of the new year,  and other  items not  within  Manager's  reasonable
control. There will be no Capital Budget for any year until a Capital Budget for
such year is approved by Owner.

         3.18   COMPLIANCE   WITH   FRANCHISE   AGREEMENT.   Manager  shall  use
commercially  reasonable  best  efforts to cause  Owner to comply  with  Owner's
obligations as the "Franchisee" under the Franchise Agreement to the extent that
such  obligations are capable of (and appropriate for) performance by Manager on
Owner's behalf,  subject to the terms and conditions of this Agreement,  and are
not personal to Owner.

         3.19  COMPLIANCE  PROGRAM.   Manager  shall  implement  and  monitor  a
compliance  program  designed to identify and eradicate fraud and abuse relating
to the  Facility and its  operation.  Such  program  will  include,  among other
things,  advertising the toll free "fraud and abuse"  telephone line operated by
Integrated Health Services Franchising Co., Inc.


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                                   ARTICLE IV

                           RIGHTS AND DUTIES OF OWNER

         During the term of this Agreement:

         4.1  RIGHT  OF  INSPECTION.  Owner  (and  Lessor,  subject  to  and  in
accordance  with the  Lease)  shall have the right to enter upon any part of the
Facility upon reasonable  advance notice to Manager for the purpose of examining
or inspecting  same or examining or making  extracts of books and records of the
Facility,  but the same shall be done with as little  disruption to the business
of the  Facility as  possible.  However,  the books and records of the  Facility
shall not be removed from the Facility  without the express  written  consent of
Manager.  Owner  acknowledges  that some books and records will be maintained at
Manager's principal place of business.

         Owner shall  direct all  inquiries  regarding  operations,  procedures,
policies, employee relations, patient care, and all other matters concerning the
Facility to the Senior Vice  President  of Manager's  Managed  Division or other
officer of Manager as it may from time to time  designate in a written notice to
Owner.

         4.2 COOPERATION  WITH MANAGER.  Owner will fully cooperate with Manager
in operating and  supervising  the operations of the Facility and will reimburse
Manager for all funds  expended or costs and expenses  incurred to which Manager
is entitled to reimbursement hereunder.

         4.3 OPERATING CAPITAL.  Owner shall provide Manager with such amount of
working  capital as may be required  from time to time for the  operation of the
Facility on a sound  financial  basis  (including the payment of management fees
and  reimbursable  expenses owed to Manager).  If additional  working capital is
required,  Manager shall notify Owner thereof in writing and Owner shall provide
Manager  with  such  increase  in  working  capital  within  fifteen  (15)  days
thereafter.  If Owner fails to provide such additional working capital,  Manager
may, but is not obligated to,  provide the same as a loan to Owner in accordance
with Section 3.16.

         4.4 CAPITAL IMPROVEMENTS.  Owner shall provide Manager with such amount
of funds as may be  required  from  time to time to make all  necessary  capital
improvements  to the  Facility in order to maintain  and  continue  standards of
operation of the Facility as a nursing home. If additional  capital  improvement
funds are  required,  Manager  shall notify  Owner  thereof in writing and Owner
shall provide  Manager with such  additional  capital  improvement  funds within
fifteen (15) days thereafter.  If Owner fails to provide such additional capital
improvement  funds,  Manager may, but is not obligated to, provide the same as a
loan to Owner in accordance with Section 3.16.


                                       -9-





                                    ARTICLE V

                         COMPENSATION AND DISTRIBUTIONS

         5.1 As full and  exclusive  compensation  for all of the services to be
rendered  by  Manager  during  the Term of this  Agreement,  Owner  shall pay to
Manager at its principal office, or at such other place as Manager may from time
to time designate in writing, and at the times hereinafter specified:

                  (A) A monthly  fee (the "Base  Management  Fee")  equal to (i)
         three percent (3%) of Gross Revenues  derived for each calendar year of
         the Term,  or (ii) if Gross  Revenues for any calendar year exceed $350
         million,  then four  percent (4%) of Gross  Revenues for such  calendar
         year of the Term.  The Base  Management  Fee shall be payable  five (5)
         days  after  delivery  to Owner  of the  monthly  financial  statements
         referred to in Section 3.11 (each such date being hereinafter  referred
         to as a  "Payment  Date")  and  shall  be  calculated  based  upon  the
         Facility's  Gross Revenues  during the preceding  month as set forth in
         such financial statements; and

                  (B) An annual fee (the  "Incentive  Management  Fee") equal to
         seventy  percent  (70%) of the Net Cash  Flow  for each  calendar  year
         during the Term of this Agreement.  The Incentive  Management Fee shall
         be:  (1)  calculated  and  earned on an annual  basis;  and (2) paid to
         Manager on an estimated basis in advance in equal monthly  installments
         on each Payment Date. The estimated  Incentive  Management Fee for each
         year (other than the first year) shall be equal to the actual Incentive
         Management  Fee paid to Manager for the  previous  year.  For the first
         year,  the  estimated  Incentive  Management  Fee  shall be  determined
         promptly after the date hereof by Manager and Owner. Promptly after the
         annual  audited  financial  statements  have been  delivered to Owner's
         Managing  Director,  Manager shall give notice to Owner stating whether
         the  installments  of the Incentive  Management Fee paid to Manager for
         such year were greater or less than the actual Incentive Management Fee
         earned.  If there is a  deficiency,  Owner  shall  pay such  amount  to
         Manager  within  15  days  after  such  notice;  and  if  there  is  an
         overpayment,  the amount of such  overpayment  shall be offset  against
         installments  of the  Incentive  Management  Fee next  becoming  due to
         Manager.  Manager  shall  be  entitled  to a  pro-rata  portion  of the
         Incentive Management Fee for any partial calendar year during the Term.
         If  and to  the  extent  that  Owner  experiences  bad  debts  or  poor
         collections  exceeding the amounts reserved for in its Budget, and as a
         result  Owner  is  unable  to  pay  all  or any  part  of  the  monthly
         installment of the Incentive Management Fee for a particular month, the
         unpaid  portion of such  installment  shall accrue and be payable (with
         interest as  calculated  pursuant to Section  5.3) as soon as cash flow
         permits but in no event later than at the end of the current year.  The
         foregoing sentence shall not apply for more than one year.

                  The formula for calculating the Net Cash Flow for the Facility
shall be as follows:

                  From: Gross Revenues for the Facility (calculated according to
                        GAAP)


                                      -10-





                  Subtract: All amounts described in Sections 3.10(a), (b), (c),
                            (d), (e), (f), (g), (h), (i), and (j) hereof

         5.2 For the  purposes  of  determining  such  management  fees,  "Gross
Revenues"  means,  for any period,  all  revenues and income of any kind derived
directly or  indirectly by Owner during such period,  including  rental or other
payment  from  concessionaires,  licensees,  tenants,  and  other  users  of all
Facilities  covered by this Agreement,  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  (as  defined  in  the  Franchise
Agreement)),  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.

         5.3  Notwithstanding  the  foregoing,  the Base  Management Fee and the
Incentive  Management  Fee  (including  any amount  carried over pursuant to the
succeeding  sentence  hereof)  shall be payable on each Payment Date only to the
extent that the Facility  Funds (as defined in Section 3.10) shall be sufficient
as of such date.  In the event that any portion of the Base  Management  Fee and
the Incentive  Management Fee is not paid due to the  insufficiency  of Facility
Funds,  interest shall accrue on such unpaid amount at a rate per annum equal to
the prime rate of Citibank, N.A. then in effect, plus two percent (2%), and such
total amount shall be carried over and be payable on the immediately  succeeding
Payment  Date.  When  Facility  Funds  become  available  to pay  past  due Base
Management  Fees and Incentive  Management  Fees, the fees shall be deemed to be
paid in the order in which they were earned. Any and all accrued and unpaid Base
Management Fees and Incentive Management Fees shall become immediately and fully
payable by Owner  upon the  expiration  or any  termination  of this  Agreement,
regardless of the availability of Facility Funds.


                                      -11-





         5.4 (A) In order to secure  performance  and payment of all obligations
and liabilities of Owner to Manager under this  Agreement,  whether now existing
or  hereafter  arising,  including,  without  limiting  the  generality  of  the
foregoing,  the payment of all Base Management Fees,  Incentive Management Fees,
and reimbursable expenses of Manager  (collectively,  the "Obligations"),  Owner
hereby  grants  to  Manager  a  security  interest  in all of the  assets of the
Facility,  including,  but not  limited  to, the  following  described  property
(collectively, the "Collateral"):

                           (I) Owner's  leasehold  interest in the  Facility and
         any and all  rights  that  Owner now has or may  hereafter  acquire  to
         purchase the Facility;

                           (II) all accounts  receivable  now owned or hereafter
         acquired by Owner in connection with the Facility;

                           (III) all  equipment,  furniture,  and  fixtures  now
         owned  or  hereafter  acquired  by  Owner  and  located  at or  used in
         connection with the Facility;

                           (IV) all  contract  rights  now  owned  or  hereafter
         acquired by Owner in connection with the operation of the Facility;

                           (V) all inventory, supplies, goods, merchandise, work
         in progress,  finished  goods,  and other personal  property other than
         accounts  receivable  now  owned or  hereafter  acquired  by Owner  and
         located at or used in connection with the Facility;

                           (VI)  all  licenses,  permits  and  other  intangible
         assets; and

                           (VII) any and all proceeds of any of the foregoing.

                  (B) Manager shall have, in any jurisdiction  where enforcement
         of this  Agreement  is sought,  in addition to any and all other rights
         and remedies it may have under this Agreement, or at law, in equity, by
         statute or otherwise, all the rights and remedies of a secured creditor
         under the Uniform Commercial Code,  including,  but not limited to, the
         right to any deficiency remaining after disposition of the Collateral.

                  (C) This  security  interest  is (and  shall at all  times be)
         subordinate to: (i) any security  interests  granted (or to be granted)
         in connection with the working capital line of credit for the Facility,
         (ii) any security  interests granted (or to be granted) to Lessor under
         the Lease, and (iii) any mortgages of the Facility.


                                      -12-





                                   ARTICLE VI

                              INTENTIONALLY OMITTED

                                   ARTICLE VII

                              INTENTIONALLY OMITTED

                                  ARTICLE VIII

                               TERMINATION RIGHTS

         This  Agreement  may be terminated  and,  except as to  liabilities  or
claims of either party hereto  which shall have  theretofore  accrued or arisen,
the  obligations  of the parties  hereto with respect to this  Agreement  may be
terminated, upon the happening of any of the following events:

         8.1  TERMINATION  BY OWNER.  If at any time or from time to time during
the Term any of the following  events shall occur and not be remedied within the
applicable period of time herein specified, namely:

                  (A) Manager shall apply for or consent to the appointment of a
         receiver,  trustee,  or  liquidator  of Manager of all or a substantial
         part of its assets,  file a voluntary  petition in  bankruptcy,  make a
         general assignment for the benefit of creditors,  file a petition or an
         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 any  court  of  competent  jurisdiction,  on the
         application  of  a  creditor,   adjudicating  Manager  as  bankrupt  or
         insolvent or approving a petition seeking  reorganization of Manager or
         appointing a receiver,  trustee,  or liquidator of Manager or of all or
         substantial  part of its  assets,  and such  order,  judgment or decree
         shall  continue  unstayed  and in effect for any period of ninety  (90)
         consecutive days; or

                  (B) Manager shall materially fail to keep, observe, or perform
         any  covenant,  agreement,  term or provision  of this  Agreement to be
         kept,  observed,  or  performed  by  Manager,  and such  default  shall
         continue for a period of sixty (60) days after written  notice  thereof
         by Owner to Manager; or

                  (C)  Manager  shall,   in  the  performance  of  its  services
         hereunder,  engage in  self-dealing,  commit fraud,  or act (or fail to
         act)  in  a  manner  which  constitutes  willful  misconduct  or  gross
         negligence  and shall not cure or correct such matter within sixty (60)
         days after written notice thereof by Owner to Manager;


                                      -13-





then in case of any such  event and upon the  expiration  of the period of grace
(if any) applicable thereto, the Term of this Agreement shall expire, at Owner's
option and upon ten (10) days written notice to Manager.

         8.2 TERMINATION BY MANAGER.  If at any time or from time to time during
the Term any of the following  events shall occur and not be remedied within the
applicable period of time herein specified, namely:

                  (A)  Owner  shall  fail  to  keep,  observe,  or  perform  any
         covenant,  agreement,  term or provision of this  Agreement to be kept,
         observed, or performed by Owner (except for a payment default described
         in Section  8.2(b) below) and such default shall  continue for a period
         of sixty (60) days after written notice thereof by Owner to Manager;

                  (B) Owner  shall fail to make any payment  required  hereunder
         and such default  shall  continue for a period of sixty (60) days after
         written notice from Owner to Manager;

                  (C) The  Facility or any portion  thereof  shall be damaged or
         destroyed  by fire  or  other  casualty  and (i)  Owner  shall  fail to
         undertake to repair,  restore,  rebuild,  or replace any such damage or
         destruction  within  forty-five  (45)  days  after  such  fire or other
         casualty,  or shall fail to  complete  such work  diligently,  and (ii)
         Owner shall fail to permit  Manager to  undertake  to repair,  restore,
         rebuild, or replace, at Owner's expense, any such damage or destruction
         within forty-five (45) days after such fire or other casualty;

                  (D) Owner shall apply for or consent to the  appointment  of a
         receiver,  trustee,  or  liquidator of Owner 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 Owner bankrupt or appointing a
         receiver,  trustee,  or  liquidator  of Owner  with  respect  to all or
         substantial  part of the assets of Owner,  and such order,  judgment or
         decree shall  continue  unstayed and in effect for any period of ninety
         (90) consecutive days;

                  (E) Any license  for the  Facility or the Lease is at any time
         suspended, terminated, or revoked and such suspension,  termination, or
         revocation shall continue unstayed and in effect for a period of thirty
         (30) consecutive days; or

                  (F) Facility  Funds shall be  insufficient  for the payment of
         the Base Management Fees to Manager  pursuant to Article V hereof for a
         period of at least two  consecutive  fiscal  quarters  (other than as a
         result of the mismanagement or other act or omission of Manager);


                                      -14-





then in case of any such  event and upon the  expiration  of the period of grace
(if  any)  applicable  thereto,  the term of this  Agreement  shall  expire,  at
Manager's option and upon ten (10) days written notice to Owner and Lessor.

         8.3 MATERIAL  ADVERSE  CHANGE.  Manager  shall be entitled to terminate
this  Agreement  in the event that any  material  adverse  change  occurs in the
financial or operating  condition of the  Facility,  its business or  prospects.
Such termination  shall become effective three (3) months after Manager delivers
a termination  notice to Owner and Lessor;  however,  if Owner and Manager agree
that Owner  should  sell the  Facility,  Manager  shall  continue  to manage the
Facility  for a period  not to  exceed  six (6)  months  after  delivery  of the
termination notice to facilitate the sale of the Facility.  Notwithstanding  the
preceding  sentence,  Manager  shall have no right to terminate  this  Agreement
pursuant to this Section 8.3 if the material  adverse  change in the Facility is
due to the mismanagement or other act or omission of Manager.

         8.4 SURVIVING  RIGHTS UPON  TERMINATION.  If either party exercises its
option to terminate  pursuant to this Article VIII, each party shall account for
and pay to the  other  all  sums due and  owing  pursuant  to the  terms of this
Agreement  within  thirty  (30) days after the  effective  date of  termination.
Without limiting the generality of the foregoing,  within thirty (30) days after
the effective date of termination of this Agreement, Owner shall be obligated to
pay to Manager all accrued and unpaid Base Management  Fees, a pro-rata  portion
of the Incentive Management Fees, and reimbursable expenses of Manager, together
with all accrued and unpaid  interest  thereon,  notwithstanding  that available
Facility  Funds may not be sufficient  for such  purposes.  All other rights and
obligations of the parties under this Agreement shall  terminate  (except as set
forth in Article IX hereof),  except  that  Manager's  security  interest in the
Collateral shall not terminate until Manager has been paid in full.

         8.5      DISPUTE RESOLUTION.

                  (A) 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  8.5(a)  prior to  exercising  any rights  under the  remaining
         provisions  of Section  8.5.  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 decision  either  party may
         submit the dispute to  arbitration,  as provided in Sections 8.5(b) and
         (c). 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 Sections 8.5(b) and (c). "Mediator" means an individual


                                      -15-





         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. Each party shall pay fifty percent
         of the costs of the Mediator.

                  (B) Subject to Section  8.5(a),  any dispute between Owner and
         Manager  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.  Each party shall
         pay  fifty  percent  of the  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.

                  (C)  Subject  to  Sections  8.5(a)  and (b),  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 accordance with the rules of the American  Arbitration
         Association  ("AAA") then in effect, and judgment may be entered on the
         arbitrators'  award in any court having in personam and subject  matter
         jurisdiction  over the parties.  Each party shall pay fifty  percent of
         the costs of the AAA 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
         AAA 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 the law of the state of Maryland.

                                   ARTICLE IX

                                 INDEMNIFICATION

         9.1  INDEMNIFICATION  OF OWNER BY MANAGER.  Manager shall indemnify and
hold Owner and its members,  officers,  directors,  shareholders,  employees and
affiliates  harmless  from  any  and all  claims,  losses,  judgments,  damages,
expenses and liabilities  whatsoever,  (including  reasonable  attorneys' fees),
incurred  by any of them,  arising  out of  Manager's  material  breach  of this
Agreement  or any third party claims which are caused in whole or in part by any
grossly  negligent act,  willful  omission,  fraud or self-dealing of Manager in
connection with the


                                      -16-





performance of its duties under this Agreement. However, Manager's obligation to
indemnify  Owner shall not extend to any  Medicare  cost  disallowances,  or any
Medicare,  Medicaid,  or  other  governmental  fines  or  penalties.   Manager's
obligations under this Section 9.1 shall survive termination of this Agreement.

         9.2 INDEMNIFICATION OF MANAGER BY OWNER. Owner shall indemnify and hold
Manager  and  Manager's  officers,   directors,   shareholders,   employees  and
affiliates  harmless  from  any  and all  claims,  losses,  judgments,  damages,
expenses and  liabilities  whatsoever  (including  reasonable  attorneys'  fees)
incurred by any of them in connection with, by reason of, or arising out of: (i)
Manager's performance of services, or undertaking of responsibilities under this
Agreement;  (ii) Manager's status as manager of the Facility;  (iii) any default
by Owner in keeping Owner's obligations under this Agreement; (iv) any damage to
property,  or injury or death to persons,  occurring  in or with  respect to the
Facility;  and/or (v) any other claim asserted against any of them in connection
with the  Facility  or any matter  relating  thereto,  excluding,  however,  any
matters covered by Manager's indemnity under Section 9.1.

         9.3  CONTROL  OF  DEFENSE  OF  INDEMNIFIABLE  CLAIMS.  A party  seeking
indemnification  under this Article IX shall give the other party prompt written
notice of the claim for  which it seeks  indemnification.  Failure  of the party
seeking  indemnification  to give such prompt notice shall not relieve the other
party of its  indemnification  obligation,  provided  that such  indemnification
obligation  shall  be  reduced  by any  damages  suffered  by such  other  party
resulting from a failure to give prompt notice  hereunder.  The party  receiving
the  aforementioned  notice shall provide the defense of such claim,  including,
without limitation, retention and payment of attorneys.

         9.4 LIMITATION OF EXPENDITURE OBLIGATION.  Notwithstanding  anything to
the contrary in this Agreement,  Manager shall have no obligation  whatsoever to
make  any  advance  to or  for  the  account  of  Owner,  or to pay  any  amount
contemplated for, or required of, Manager under this Agreement,  or to incur any
expenditure  obligation--whether  ordinary or capital--except to the extent that
funds are available for such purpose (in Manager's reasonable judgment),  either
from working  capital or capital funds  provided by Owner or otherwise  from the
Facility Funds. Moreover, if Manager so requests, from time to time, Owner shall
sign,  as  principal,  any contract or agreement  which Manager is authorized or
required to execute  pursuant to this  Agreement  to  evidence  that  Manager is
acting solely as Owner's agent and not as principal.

                                    ARTICLE X

                        CONFIDENTIALITY; NON-SOLICITATION

         10.1  NON-DISCLOSURE OF CONFIDENTIAL  INFORMATION.  Owner  acknowledges
that  Manager's  business  involves  the  development  and  use of  Confidential
Information   (defined   below)  and  that  Manager  will  make  available  such
Confidential  Information to Owner and the Facility in connection with Manager's
duties under this Agreement.  Manager acknowledges that Owner and the Facility's
business involves the development and use of Confidential Information and that

                                      -17-





Owner and the Facility will make  available  such  Confidential  Information  to
Manager in connection  with Manager's  duties under this  Agreement  (subject to
Owner's  obligations  as Franchisee  under the Franchise  Agreement).  Except as
Owner  and  Manager   may   disclose  in   fulfillment   of  their   duties  and
responsibilities  under  this  Agreement  (subject  to  Owner's  obligations  as
Franchisee under the Franchise  Agreement) or as may be required to be disclosed
by Owner,  the  Facility  and Manager by law,  the parties and their  respective
officers, directors,  employees or agents shall not, at any time during or after
the term of this Agreement,  divulge,  furnish or make  accessible  Confidential
Information  to any person or entity for any purpose  whatsoever.  "Confidential
Information"  means any  confidential  or  proprietary  information,  including,
without limitation,  manuals, forms, policies and procedures, computer programs,
system   documentation  and  related  software,   patient  records  and  patient
information, and any other information of any kind with respect to the finances,
business plans or business operations of the parties.

         10.2 NON-USE AND RETURN OF MATERIALS.  Effective  upon a termination of
this  Agreement  for any reason  whatsoever,  the parties  and their  respective
officers,  directors,  employees  or  agents  shall  not  use  any  Confidential
Information for any purpose  whatsoever,  including,  but not limited to, use in
connection with the operation and management of Facility.

         10.3  NON-SOLICITATION.  Owner and Manager  agree that,  for the entire
term of this  Agreement  and for  twelve  (12)  months  after the date that this
Agreement  is  terminated,  (a) Owner  shall not entice or induce,  directly  or
indirectly,  any  employee  to leave the  employ of  Manager to work with or for
Owner,  or to work with any person or entity with whom Owner becomes  affiliated
to provide  health care  services,  and (b) Manager  shall not entice or induce,
directly or  indirectly,  any employee to leave the employ of Owner to work with
or for Manager,  or to work with any other person or entity with whom Manager is
or becomes affiliated.

         10.4  REMEDIES.  The parties  agree that an aggrieved  party who is the
beneficiary  of  any  restriction   contained   herein  may  not  be  adequately
compensated for damages for a breach of the covenants  contained in this Article
X, and such aggrieved party shall be entitled to injunctive  relief and specific
performance  in  addition  to  all  other  remedies.  If a  court  of  competent
jurisdiction  shall finally  determine that the restraints  provided for in this
Article X are too broad as to the  activity,  geographic  area or time  covered,
said  activity,  geographic  area or time  covered  will be reduced to  whatever
extent the court deems necessary, and such covenant shall be enforced as to such
reduced activity, geographic area or time period.

                                   ARTICLE XI

                                  CONDEMNATION

         If the whole of the Facility shall be taken or condemned in any eminent
domain, condemnation,  compulsory acquisition, or like proceeding by a competent
authority  for any public or  quasi-public  use or  purpose  or if such  portion
thereof  shall be taken or  condemned as to make it  unsuitable  for its primary
intended use, then the Term shall cease and terminate on the date on which Owner
shall be  required  to  surrender  possession  of the  Facility.  Manager  shall
continue to


                                      -18-





supervise  and direct the  management  of the Facility  until such time as Owner
shall be required to surrender  possession of the Facility as a  consequence  of
such taking or condemnation.

         If only a part of the  Facility  shall be taken  or  condemned  and the
taking or  condemnation of such part does not make it unsuitable for its primary
intended use, this Agreement shall not terminate.

                                   ARTICLE XII

                             SUCCESSORS AND ASSIGNS

         12.1 ASSIGNMENTS BY MANAGER.  Manager,  without the consent of Owner or
Lessor,  shall have the right to assign this  Agreement  to a wholly or majority
owned subsidiary of Manager or Integrated Health Services,  Inc., provided, that
Manager shall not thereby be released  from its  obligations  hereunder.  In the
event that all or  substantially  all the assets of Manager or its capital stock
shall  during the term of this  Agreement  be  acquired  by another  corporation
(hereinafter  referred  to as the  "Acquiring  Corporation")  as a  result  of a
merger,  consolidation,  reorganization,  or other  transaction,  the  Acquiring
Corporation assumes all of the obligations of Manager then accrued hereunder, if
any, and Manager shall be relieved of all such  obligations  (and such Acquiring
Corporation  shall be relieved of  liability  hereunder  if it  subsequently  is
involved in such an acquisition).  Except as otherwise permitted herein, Manager
shall have no right to assign this Agreement.

         12.2 SALE,  ASSIGNMENT OR SUBLEASE BY OWNER; RELATED MATTERS. Any sale,
sublease,  or assignment  with respect to the  Facility,  other than to Manager,
shall be expressly  subject to the terms and  provisions  of this  Agreement and
shall not relieve Owner of its  liability or  obligations  hereunder,  and Owner
shall cause any purchaser,  assignee, or sublessee to deliver to Manager written
acknowledgment  of its agreement to perform  hereunder  including the payment of
the  management  fees  described  herein.  Owner shall not  sublease  all or any
portion of the Facility without the prior written consent of Manager,  which may
be granted or withheld in Manager's  sole and absolute  discretion.  Except with
respect to matters  involving  the Lease and Lessor,  Owner may not at any time,
without the prior  written  consent of  Manager,  incur any  additional  debt or
subject its  interest in the  Facility or any part thereof to the lien of one or
more deeds of trust, mortgages, or other security instruments. In the event that
such  consent is given,  such  additional  debt or  security  interest  shall be
subordinate to Manager's  rights and security  interest granted pursuant to this
Agreement.

                                  ARTICLE XIII

                            MISCELLANEOUS PROVISIONS

         13.1  NO  PARTNERSHIP  OR  JOINT  VENTURE.  Nothing  contained  in  the
Agreement  shall  constitute  or be construed to be or create a  partnership  or
joint venture between Owner, its


                                      -19-





successors,  or assigns on the one part and Manager, its successors,  or assigns
on the other part.  Notwithstanding the foregoing, the parties hereby agree that
they  shall each have a duty to act in good  faith and to deal  fairly  with the
other party hereto.

         13.2  MODIFICATIONS  AND CHANGES.  This Agreement  cannot be changed or
modified except by another agreement in writing signed by Owner and Manager.

         13.3  UNDERSTANDING  AND AGREEMENTS.  This Agreement and the Facilities
Management  Agreements  constitute  the entire  understanding  and  agreement of
whatsoever nature or kind existing between the parties with respect to Manager's
management of the Facility.

         13.4 HEADINGS, ETC. The article and paragraph headings contained herein
are for convenience of reference only and are not intended to define,  limit, or
describe the scope of intent of any  provision of this  Agreement.  The Exhibits
and Schedules attached hereto form part of this Agreement.

         13.5  APPROVAL  OR  CONSENT.  Whenever  under  any  provisions  of this
Agreement,  the approval or consent of either  party is  required,  the decision
thereon  shall be  promptly  given and such  approval  or  consent  shall not be
unreasonably withheld,  unless this Agreement expressly provides that a decision
shall be made in a party's sole discretion.  It is further understood and agreed
that whenever  under any provisions of this Agreement the approval or consent of
Owner is required, such approval or consent is given by the person or any one of
the persons,  as the case may be,  designated in a notification  signed by or on
behalf of Owner. For all purposes under this Agreement,  Manager shall determine
solely  from the latest such  notification  received by it the person or persons
authorized to give such approval or consent.  Manager shall rely exclusively and
conclusively on the designation set forth in such notification,  notwithstanding
any notice of knowledge to the contrary.

         13.6 GOVERNING  LAW. This  Agreement  shall be deemed to have been made
and shall be construed and  interpreted in accordance with the laws of the State
of Maryland.

         13.7  ENFORCEABILITY.   Should  any  provision  of  this  Agreement  be
unenforceable as between the parties, such unenforceability shall not affect the
enforceability of the other provisions of this Agreement.

         13.8  COUNTERPARTS.  This  Agreement  may be  executed  in two or  more
counterparts,  each of  which  shall be  deemed  an  original,  but all of which
together shall constitute one and the same instrument.


                                      -20-





                                     PART II

                           OTHER TERMS AND CONDITIONS

                                    ARTICLE I

                                      TERM

         The initial term of this Agreement shall immediately  commence upon the
date hereof and shall  terminate on the date of expiration or termination of the
last Lease to terminate or expire.  This Agreement shall automatically renew for
each extension or renewal term of any Lease, should any Owner renew its Lease.

                                   ARTICLE II

                         REPRESENTATIONS AND WARRANTIES

         2.1 ORGANIZATION  AND STANDING OF LYRIC.  Lyric represents and warrants
to Manager that Lyric is a limited  liability  company duly  organized,  validly
existing and in good standing under the laws of the State of Delaware. Copies of
the  Certificate  of  Formation  and  Operating  Agreement  of  Lyric,  and  all
amendments  thereof to date,  have been, if requested,  delivered to Manager and
are  complete  and  correct in all  material  respects.  Lyric has the power and
authority  to own the  property  and assets  now owned by it and to conduct  the
business presently being conducted by it.

         2.2 ABSENCE OF CONFLICTING AGREEMENTS. Lyric represents and warrants to
Manager that neither the execution or delivery of this Agreement,  including all
Exhibits and Schedules  hereto,  or any of the other  instruments  and documents
required or  contemplated  hereby and thereby (the  "Transaction  Documents") by
Lyric, nor the performance by Lyric of the transactions  contemplated hereby and
thereby, conflicts with, or constitutes a breach of or a default or requires the
consent  of any  third  party  under (i) the  Certificate  of  Formation  or the
Operating  Agreement of Lyric;  or (ii) to the best of its  knowledge  after due
inquiry, any applicable law, rule, judgment,  order, writ, injunction, or decree
of any court,  currently in effect;  or (iii) to the best of its knowledge after
due inquiry,  any applicable rule or regulation of any administrative  agency or
other  governmental  authority  currently  in  effect;  or (iv)  any  agreement,
indenture,  contract or instrument to which Lyric is now a party or by which the
assets of Lyric are bound.

         2.3  ORGANIZATION  AND  STANDING OF  MANAGER.  Manager  represents  and
warrants to Lyric that Manager is a corporation duly organized, validly existing
and in good  standing  under  the laws of the State of  Delaware.  Copies of the
Articles of Incorporation and By-Laws of Manager,  and all amendments thereof to
date,  have been, if requested,  delivered to Lyric and are complete and correct
in all  material  respects.  Manager  has the  power  and  authority  to own the
property and assets now owned by it and to conduct the business  presently being
conducted by it.


                                      -21-





         2.4 ABSENCE OF CONFLICTING AGREEMENTS.  Manager represents and warrants
to Lyric that neither the execution or delivery of this Agreement, including all
Exhibits and Schedules hereto,  or any of the Transaction  Documents by Manager,
nor the  performance  by Manager  of the  transactions  contemplated  hereby and
thereby, conflicts with, or constitutes a breach of or a default or requires the
consent of any third party under (i) the Articles of  Incorporation or ByLaws of
Manager, or (ii) to the best of its knowledge after due inquiry,  any applicable
law, rule, judgment,  order, writ, injunction, or decree of any court, currently
in  effect;  or  (iii) to the  best of its  knowledge  after  due  inquiry,  any
applicable rule or regulation of any administrative agency or other governmental
authority  currently in effect;  or (iv) any agreement,  indenture,  contract or
instrument to which Manager is now a party or by which the assets of Manager are
bound.

                                   ARTICLE III

                               TERMINATION RIGHTS

                  This Agreement may be terminated and, except as to liabilities
or claims of either party hereto which shall have theretofore accrued or arisen,
the  obligations  of the parties  hereto with respect to this  Agreement  may be
terminated, upon the happening of any of the following events:

         3.1  TERMINATION  BY LYRIC.  If at any time or from time to time during
the term of this  Agreement any of the  following  events shall occur and not be
remedied within the applicable period of time herein specified, namely:

                  (A) Manager shall apply for or consent to the appointment of a
         receiver,  trustee,  or  liquidator  of Manager of all or a substantial
         part of its assets,  file a voluntary  petition in  bankruptcy,  make a
         general assignment for the benefit of creditors,  file a petition or an
         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 any  court  of  competent  jurisdiction,  on the
         application  of  a  creditor,   adjudicating  Manager  as  bankrupt  or
         insolvent or approving a petition seeking  reorganization of Manager or
         appointing a receiver,  trustee,  or liquidator of Manager or of all or
         substantial  part of its  assets,  and such  order,  judgment or decree
         shall  continue  unstayed  and in effect for any period of ninety  (90)
         consecutive days; or

                  (B) all of the Facility Management Agreements are terminated;

then in case of any such  event and upon the  expiration  of the period of grace
(if any) applicable thereto, the term of this Agreement shall expire, at Lyric's
option and upon ten (10) days written notice to Manager.


                                      -22-





         3.2 TERMINATION BY MANAGER.  If at any time or from time to time during
the term of this  Agreement any of the  following  events shall occur and not be
remedied within the applicable period of time herein specified, namely:

                  (A) 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
         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; or

                  (B) all of the Facility Management Agreements are terminated;

then in case of any such  event and upon the  expiration  of the period of grace
(if  any)  applicable  thereto,  the term of this  Agreement  shall  expire,  at
Manager's option and upon ten (10) days written notice to Lyric.

         3.3 NO SURVIVING  RIGHTS UPON  TERMINATION.  Upon  termination  of this
Agreement  all rights and  obligations  of Lyric and  Manager in this  Agreement
shall terminate.

                                   ARTICLE IV

                                    INSURANCE

         4.1 POLICIES. Subject to Section 4.4 of this Part II, Lyric shall apply
for,  obtain and  maintain on behalf of the Owners and at its own expense at all
times during the Term,  all  insurance  required to be  maintained by the Owners
under the Leases,  or if the Leases are not in effect,  such insurance as Owners
shall direct Lyric to maintain.

         4.2 INSURANCE COMPANIES. All insurance provided for under the foregoing
provisions  of this  Section  shall be effected by policies  issued by insurance
companies  with at least an "A-VI"  rating  from A.M.  Best and  Company of good
reputation,  of sound adequate financial  responsibility,  and properly licensed
and qualified to do business.

         4.3 INSURED PARTIES.  Each of the polices of insurance required by Part
II, Section 4.1 shall insure each Owner and their respective members,  officers,
partners,  directors,  shareholders,  managers  and  employees,  as well as each
Lessor  and  mortgage  lender.  Manager,  its  officers,  partners,   directors,
shareholders,  managers and employees shall, to the extent permissible, be named
as additional insured under all such policies of insurance.


                                      -23-





         4.4 MASTER  POLICY.  Notwithstanding  the other  provisions of Part II,
Article 4,  Manager is  authorized  and  directed  to obtain a master  policy of
insurance naming the parties  described in Part II, Section 4.3 as additional or
named  insureds (as  specified  therein),  in the amounts and for the  coverages
required by Part II,  Section 4.1,  which  policy may be obtained by  Integrated
Health Services, Inc. or its affiliates and which may be a policy of a so-called
"captive" insurance company.

                                    ARTICLE V

                            MISCELLANEOUS PROVISIONS

         5.1 NOTICES.  Any notice or other  communication by either party to the
other  shall be in  writing  and  shall be given and be deemed to have been duly
given, upon the date delivered if delivered personally  (including by commercial
express  service)  or  upon  the  date  received  if  mailed  postage  pre-paid,
registered, express, or certified mail, addressed as follows:

         To Lyric:                  LYRIC HEALTH CARE LLC
                                    8889 Pelican Bay Boulevard
                                    Suite 500
                                    Naples, Florida 34103
                                    Attention:       Eleanor C. Harding
                                                     Marshall A. Elkins, Esq.

         To Manager:                IHS FACILITY MANAGEMENT, INC.
                                    10065 Red Run Boulevard
                                    Owings Mills, MD 21117
                                    Attention:       Eleanor C. Harding
                                                     Marshall A. Elkins, Esq.

         With a copy to:            INTEGRATED HEALTH SERVICES, INC.
                                    10065 Red Run Boulevard
                                    Owings Mills, MD 21117
                                    Attention:       Eleanor C. Harding
                                                     Marshall A. Elkins,  Esq.

or to such other  address,  and to the attention of such other person or officer
as either party may designate in writing by notice.

         5.2 NO PARTNERSHIP OR JOINT VENTURE. Nothing contained in the Agreement
shall  constitute or be construed to be or create a partnership or joint venture
between  Lyric,  its  successors,  or assigns on the one part and  Manager,  its
successors,  or assigns on the other part.  Notwithstanding  the foregoing,  the
parties  hereby  agree that they shall each have a duty to act in good faith and
to deal fairly with the other party hereto.


                                      -24-





         5.3  MODIFICATIONS  AND CHANGES.  This  Agreement  cannot be changed or
modified except by another agreement in writing signed by Lyric and Manager.

         5.4  UNDERSTANDING  AND  AGREEMENTS.  This  Agreement  and  the  Master
Management  Agreement  constitute  the entire  understanding  and  agreement  of
whatsoever nature or kind existing between the parties with respect to Manager's
management of the Facility.

         5.5 HEADINGS,  ETC. The article and paragraph headings contained herein
are for convenience of reference only and are not intended to define,  limit, or
describe the scope of intent of any  provision of this  Agreement.  The Exhibits
and Schedules attached hereto form part of this Agreement.

         5.6  APPROVAL  OR  CONSENT.  Whenever  under  any  provisions  of  this
Agreement,  the approval or consent of either  party is  required,  the decision
thereon  shall be  promptly  given and such  approval  or  consent  shall not be
unreasonably withheld,  unless this Agreement expressly provides that a decision
shall be made in a party's sole discretion.  It is further understood and agreed
that whenever  under any provisions of this Agreement the approval or consent of
Lyric is required, such approval or consent is given by the person or any one of
the persons,  as the case may be,  designated in a notification  signed by or on
behalf of Lyric. For all purposes under this Agreement,  Manager shall determine
solely  from the latest such  notification  received by it the person or persons
authorized to give such approval or consent.  Manager shall rely exclusively and
conclusively on the designation set forth in such notification,  notwithstanding
any notice of knowledge to the contrary.

         5.7 GOVERNING LAW. This Agreement shall be deemed to have been made and
shall be construed and  interpreted in accordance  with the laws of the State of
Maryland.

         5.8   ENFORCEABILITY.   Should  any  provision  of  this  Agreement  be
unenforceable as between the parties, such unenforceability shall not affect the
enforceability of the other provisions of this Agreement.

         5.9  COUNTERPARTS.  This  Agreement  may be  executed  in  two or  more
counterparts,  each of  which  shall be  deemed  an  original,  but all of which
together shall constitute one and the same instrument.



                             SIGNATURE PAGE FOLLOWS



                                      -25-





         IN WITNESS WHEREOF, the parties hereto have executed and delivered this
Master Management Agreement as of the day and year first above written.

LYRIC:                                             MANAGER:

LYRIC HEALTH CARE LLC                              IHS FACILITY MANAGEMENT, INC.
By: Integrated Health Services, Inc.
Its: Managing Director

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



                                       S-1





                                    EXHIBIT A

                        EXAMPLES OF REIMBURSABLE EXPENSES

The following is a list of expenses not included in the Base  Management  Fee or
Incentive Management Fee. These  Facility-specific  expenses are passed directly
to the Facility in connection with which the expense was incurred.

     o    Administrator  wages,  benefits  and related  travel  expenses.  (This
          includes an annual administrator conference).

     o    Computer hardware and software purchased for the Facility.

     o    Facility-specific legal and accounting fees.

     o    Facility-specific  fees associated with union  organization  attempts,
          elections, etc.

     o    Payroll processing fee.

     o    Outside  consultants  used for  Medicare or Medicaid  cost reports and
          Medicare exception requests.

     o    Travel costs for Facility personnel training.

     o    Other travel costs of Manager specifically allocable to the Facility.




                                     Ex. A-1





                                   SCHEDULE 1

                          CURRENT OWNERS AND FACILITIES

             OWNER                                   FACILITY

Gainesville Health Care Center, Inc.   Integrated Health Services at Gainesville

Rest Haven Nursing Center (Chestnut    Integrated Health Services of Chestnut
Hill), Inc.                            Hill

Claremont Integrated Health, Inc.      Integrated Health Services of New
                                       Hampshire at Claremont

Rikad Properties, Inc.                 Integrated Health Services of St.
                                       Petersburg

Integrated Management - Governor's     Governor's Park Nursing and
Park, Inc.                             Rehabilitation Center





                                    Sch. 1-1