EXHIBIT 10.73


                              EMPLOYMENT AGREEMENT

     This  AGREEMENT is made  effective  as of February 1, 1998 (the  "Effective
Date"),  by and  between  LYRIC  HEALTH CARE LLC, a Delaware  limited  liability
company  (hereinafter  referred to as the "Company" or "Lyric"),  and TIMOTHY F.
NICHOLSON (hereinafter referred to as the "Executive").

                              W I T N E S S E T H:

     WHEREAS,  the  Company  wishes  to employ  the  Executive  as the  Managing
Director of the Company and to ensure the  continued  services of the  Executive
for the Term (as hereinafter defined),  and the Executive desires to be employed
by the  Company for such Term,  upon the terms and  conditions  hereinafter  set
forth.

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

                                    ARTICLE I

                             EMPLOYMENT RELATIONSHIP

     1.1.  Employment.  The Company hereby employs the Executive in the position
of Managing  Director of the  Company.  The  responsibilities  and duties of the
Executive  shall be those  specified  for the  Managing  Director of the Company
under  Article 8 (and other  relevant  provisions)  of the Amended and  Restated
Operating  Agreement of the Company dated as of the date hereof (the  "Operating
Agreement").  The Executive shall report to and be responsible to the Members of
the Company, and the Executive hereby accepts such employment.

     As of the  date  of  this  Agreement,  the  Company  has  two  Members--TFN
Healthcare Investors,  LLC, a Delaware limited liability company ("N-Co"), which
is controlled by the Executive, and Integrated Health Services, Inc., a Delaware
corporation ("IHS").

     During the Term,  the  Executive  agrees to devote such  working time as is
reasonably  required for the  discharge of his duties  hereunder  and to perform
such services  faithfully  and to the best of his ability.  Notwithstanding  the
foregoing,  nothing in this  Agreement  shall  preclude the  Executive  from (a)
engaging in  charitable  and  community  affairs,  and (b) managing his personal
investments or conducting other business activities, subject to section 4.2.

     1.2. Term. Unless sooner terminated pursuant to Article III below, the term
of this Agreement  (the "Term") shall commence on the Effective  Date, and be in
effect for approximately  five (5) years expiring  December 31, 2002;  provided,
however,  that on January 1, 2003, and on each January 1st thereafter,  the then
current term of this Agreement  automatically shall be extended by an additional
period of twelve (12) months if not terminated as set forth below.







Notwithstanding  the  foregoing,  either the  Executive (or IHS on behalf of the
Company) may elect not to so extend this  Agreement by giving  written notice of
such election to the other on or before the July 1st  immediately  preceding the
expiration of the then current term.

                                   ARTICLE II

                                  COMPENSATION

     2.1.  Salary.  (a) The Executive  shall receive a base salary at an initial
rate of Two Hundred Fifty Thousand  Dollars  ($250,000) per year (the "Salary"),
payable in  substantially  equal  installments in accordance with the pay policy
established  by the  Company  from time to time,  but not less  frequently  than
monthly.  The Salary shall be reviewed by IHS for possible increase,  based upon
the performance of the Executive, promptly after January 1, 1998 and annually as
of each  January 1st  thereafter.  Any  increases  following  such review  shall
require the approval of IHS.

          (b)  The  Executive  shall  receive  Revenue  Salary   Adjustments  in
accordance with Appendix "2" if, as, and when, the Company  achieves the revenue
targets specified in Appendix "2" hereto.

     2.2.  Bonuses.  If the Company  meets its goals of  profitability,  revenue
growth and business  expansion,  as set forth in business  plans approved by the
Members from time to time (the "Target"), the Company shall pay the Executive an
annual  discretionary  bonus up to, but not exceeding one-third (33 1/3%) of the
Executive's Salary ("Bonus"),  based on the Executive's performance,  benefit to
the Company at large,  and the extent to which the Company equals or exceeds the
Target.  In addition,  the Members may, but shall not be obligated to, award the
Executive a bonus for extraordinary service to the Company, as determined by the
Members in their discretion.

     2.3. Executive Benefits and Perquisites. During the Term, the Company shall
provide and/or pay for employee medical and health care benefits as follows:

          (a) comprehensive  individual health  insurance,  including  dependent
     coverage;

          (b) life insurance coverage in the amount of two times the Executives'
     Salary not to exceed  $500,000;  any  proceeds of which shall be payable to
     the Executive's designated beneficiary or his estate; and

          (c) accidental death and dismemberment  insurance in the amount of two
     times the Executives' Salary not to exceed $500,000; and

          (d) disability insurance coverage in a monthly benefit amount equal to
     the sum of 66 2/3% of the Executive's monthly Salary.


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Once  increased,  the level of  benefits  shall  not be  decreased  without  the
Executive's  consent.  The  Company  represents  and  agrees  that the  employee
benefits  provided to the  Executive  under clauses (a) through (d) above are --
and during  the Term shall  continue  to be -- similar to those  provided  to an
employee  of  IHS in a  similar  capacity  as the  Executive,  except  that  the
Executive will not participate in IHS' Senior Executive Retirement Program.

     2.4.  Business  Expense  Reimbursement.  The  Company  will  reimburse  the
Executive for reasonable business-related expenditures (including travel, meals,
lodging and other appropriate items).  Business-related travel will be deemed to
include up to four  round-trips to London,  England business class prior to June
30, 1998.

                                   ARTICLE III

                            TERMINATION AND SEVERANCE

     3.1. Termination; Nonrenewal. The Company shall have the right to terminate
the Executive's employment, at any time during the Term, for "Cause" (as defined
below). Upon the Executive's  termination or resignation for "Cause" or upon the
expiration  of the Term  following  the  Company's  election  not to renew  this
Agreement,  the Executive shall be entitled to no severance.  If the Executive's
employment  is  terminated  because of a  Permanent  Disability  (as  defined in
Section 3.5), the Executive shall receive the benefits and payments described in
Section 3.5. The  Executive  shall have the right to terminate  the  Executive's
employment for "Good Reason" as set forth below.

     3.2. Termination For Cause.

          (a) The Company (by sole vote of IHS) may terminate this Agreement for
Cause following a determination  by IHS that Cause exists.  For purposes of this
Agreement, Cause means any or all of the following:

               (i)  the  Executive   materially  fails  to  perform  his  duties
          hereunder;

               (ii) a material  breach by the Executive of his  covenants  under
          Sections 4.1 or 4.2;

               (iii) the Executive is convicted of any felony or any misdemeanor
          involving moral turpitude, or commits larceny,  embezzlement, or theft
          of the Company's tangible or intangible property; or

               (iv)  N-Co  disposes  of more  than  50% of its  interest  in the
          Company  (whether  to IHS or any other  person or  entity),  otherwise
          ceases to be a Member of the  Company,  or defaults in any  obligation
          under the Operating Agreement.


                                       -3-





          (b)  Notwithstanding  anything in Section  3.2(a) to the  contrary,  a
termination  shall not be for Cause unless (i) IHS notifies  the  Executive,  in
writing,  of intention to terminate  the Executive for Cause (which notice shall
set forth the conduct  alleged to constitute  Cause) (the "Cause  Notice");  and
(ii) the Executive does not cure his conduct (to the reasonable  satisfaction of
IHS),  within  sixty (60) days  after the  receipt  of the Cause  Notice.  (This
Section 3.2(b) shall not apply to a termination under (a) (iii) or (iv) above).

     3.3.  Termination  for  Good  Reason.  The  Executive  may  terminate  this
Agreement  for Good  Reason,  provided  he gives both the  Company and IHS prior
written notice that Good Reason exists (the "Good Reason Notice").  For purposes
of this Agreement, Good Reason shall mean one or both of the following:

          (a) a material  breach of the  Agreement  by the  Company  (including,
     without the Executive's  prior written consent,  the failure of the Company
     to pay the Executive amounts when due under this Agreement),

          (b) the resignation by the Executive  within one (1) year after: (i) a
     "Change of Control" (as defined in Appendix "2" hereto) occurs with respect
     to IHS;  or (ii) IHS and N-Co  together  no longer  have a majority  of the
     Membership  Percentages  of the  Company;  or (iii) if N-Co is diluted to a
     Membership Percentage in the Company of less than 33-1/3% and N-Co has sold
     its interest in the Company  pursuant to under  Article 16 of the Company's
     Operating Agreement.

Notwithstanding the foregoing, a termination on account of a reason described in
paragraph  (a),  shall be deemed not to be for Good Reason  unless the Executive
(i) gives the Company the  opportunity to cure the condition that purports to be
Good Reason, and (ii) the Company fails to cure that condition within sixty (60)
days after the  receipt  of the Good  Reason  Notice  (or,  with  respect to the
failure to make any payment when due to the Executive within ten (10) days after
the receipt of such notice).

     3.4.  Severance.  (a) If the  Executive  resigns  for  Good  Reason,  or is
terminated  without  Cause,  the Company  shall pay the Executive an amount (the
"Severance  Amount")  equal  to his  annual  Salary  in  effect  on the  date of
resignation  or  termination,  as  applicable,  plus a bonus amount equal to the
average of the Executive's last two annual bonuses.  Such Severance Amount shall
be payable in cash as follows:

          (x) no later  than 10 days  after the  effective  date of  Executive's
     termination,  the Company  shall pay the  Executive  one-half  (1/2) of the
     Severance Amount in a lump sum;

          (y)  commencing on the first day of the month  following the effective
     date of  Executive's  termination  and on the first day of the next  eleven
     months  the  Company  shall  pay  to  the   Executive,   in  equal  monthly
     installments, the remaining one-half (1/2) of the Severance Amount;


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provided,  however, that if the Executive's employment terminates other than for
Cause within one (1) year following an event  described in Section  3.3(b)(i) or
(ii), the Company shall, in lieu of the making the payments described in (x) and
(y), pay the Executive the Severance  Amount in one lump sum cash payment within
ten (10) days after the effective date of the Executive's termination.

     In addition,  for a period of one (1) year  following the effective date of
the  Executive's  termination  other than for Cause,  the Company  shall provide
continued employee benefits and coverage for the Executive and his dependents of
the type and at a level of coverage  comparable to the coverage in effect at the
time of his termination  ("Continued  Benefits")  including,  but not limited to
those benefits and perquisites set forth in Section 2.3 hereof.

          (b) If the Executive  resigns under  3.3(b)(iii)  above within 30 days
after  both the  dilution  of N. Co.  to less than  33-1/3%  and the sale of its
interest in the Company by N. Co., the  Severance  Amount under 3.4(a) shall be:
(x) three  times  (3x) the  Executive's  annual  salary in effect on the date of
resignation if and provided that such  resignation  occurs more than 18 complete
calendar  months after the date of this  Agreement;  or (y) if such  resignation
occurs  earlier,  an amount  equal to 18  months'  annual  salary at the rate in
effect on the date of such resignation.

     A Severance  Payment due under (x) above shall be paid one-third (1/3) as a
lump sum within ten (10) days after the date of the Executive's  termination and
two-thirds  (2/3) in equal  monthly  installments  over the 24 months  from such
date. A Severance Payment due under (y) above shall be payable one-half (1/2) as
a lump sum within  ten (10) days after the  effective  date of  termination  and
one-half (1/2) in equal monthly installments over the 18 months from such date.

     3.5.  Termination for  Disability.  The Company may terminate the Executive
following a reasonable  determination  by IHS that the Executive has a Permanent
Disability; provided, however, that (except for death) no such termination shall
be effective (i) prior to the  expiration of the six (6) month period  following
the date the Executive  first incurred the condition  which is the basis for the
Permanent  Disability or (ii) if the Executive begins to  substantially  perform
the  significant  aspects of his regular duties prior to the proposed  effective
date of such termination. For purposes of this Agreement, "Permanent Disability"
shall  mean the  Executive's  inability,  by  reason of any  physical  or mental
impairment  to  substantially  perform  the  significant  aspects of his regular
duties,  as  contemplated  by this  Agreement,  which  inability  is  reasonably
contemplated  to continue for at least one (1) year from its  incurrence  and at
least ninety (90) days from the effective date of the  Executive's  termination.
"Permanent  Disability" shall also mean death. Any question as to the existence,
extent,  or  potentiality  of the  Executive's  Permanent  Disability  shall  be
determined by a qualified  independent  physician selected by the Executive (or,
if the  Executive  is unable to make such  selection,  by an adult member of the
Executive's immediate family) and reasonably acceptable to IHS.

     3.6.  Death or Disability  After  Termination.  Should the Executive die or
become  disabled before receipt of any or all payments to which the Executive is
entitled  under  Section 3.4,  then the balance of the  payments  and  Continued
Benefits to which the Executive and his


                                       -5-





dependents,  if any, is entitled  under Section 3.4 shall continue to be paid to
the  Executive  (in  the  case  of  his  disability)  or  to  the  executors  or
administrators  of the  Executive's  estate  (in the  event  of the  Executive's
death), and the Executive (in the case of his disability) and his dependents, if
any, shall continue to receive the Continued Benefits for the balance of the one
year  period;  provided,  however,  that the Company may, at any time within its
discretion,  accelerate  any  payments  and pay the  Executive or his estate the
present  value of such  payments  in a lump sum cash  payment.  For  purposes of
determining the present value under this Section 3.6, the interest rate shall be
the prime rate of Citibank, N.A.

     3.7. Termination for Cause. If the Executive is terminated for Cause at any
time, the Company shall pay the Executive no severance amount.

     3.8. Transition Period. If the Executive's  employment terminates under any
of Sections 3.1,  3.2, or 3.3  [excluding  3.2(a)(iii)  or 3.3(a)] and if IHS so
requests in writing,  the  Executive  will  continue to perform his duties as if
this Agreement remained in effect during the transition period while the Company
seeks a  successor  Managing  Director.  In such event the  Executive's  date of
termination  or  resignation  shall be  deemed to be the  actual  date when such
transition period ends; provided, however, that such transition period shall not
continue for more than six months unless IHS and the Executive agree otherwise.

                                   ARTICLE IV

                           COVENANTS OF THE EXECUTIVE

     4.1.  Confidential  Information.  In connection  with his employment at the
Company, the Executive will have access to confidential  information  consisting
of some or all of the following categories of information:

          (a) Financial  Information,  including but not limited to  information
     relating  to  the  Company's  earnings,   assets,  debts,  prices,  pricing
     structure,  volume of  purchases or sales or other  financial  data whether
     related to the Company or generally,  or to particular products,  services,
     geographic areas, or time periods;

          (b) Supply  and  Service  Information,  including  but not  limited to
     information relating to goods and services,  suppliers' names or addresses,
     terms of supply or service  contracts  or of  particular  transactions,  or
     related  information  about  potential  suppliers  to the extent  that such
     information is not generally  known to the public,  and the extent that the
     combination of suppliers or use of a particular supplier,  though generally
     known or available,  yields  advantages to the Company details of which are
     not generally known;

          (c) Marketing  Information,  including but not limited to  information
     relating  to  details  about  ongoing or  proposed  marketing  programs  or
     agreements  by or on behalf of the Company,  sales  forecasts,  advertising
     formats and methods or results of marketing  efforts or  information  about
     impending transactions;


                                       -6-





          (d) Personnel  Information,  including but not limited to  information
     relating to  employees'  personnel or medical  histories,  compensation  or
     other  terms  of  employment,  actual  or  proposed  promotions,   hirings,
     resignation,   disciplinary  actions,  terminations  or  reasons  therefor,
     training methods, performance, or other employee information;

          (e) Customer  Information,  including  but not limited to  information
     relating to past,  existing or prospective  customers' names,  addresses or
     backgrounds,  records of  agreements  and prices,  proposals or  agreements
     between customers and the Company, status of customers' accounts or credit,
     or related  information  about actual or  prospective  customers as well as
     customer lists;

          (f) Acquisition Information,  including but not limited to information
     relating  to past,  present  or  prospective  acquisitions  of  businesses,
     facilities or personnel; and

          (g) The  Proprietary  Materials  (as  defined in the Master  Franchise
     Agreement, between Integrated Health Services Franchising Co., Inc. and the
     Company,  dated as of January 13,  1998) or other  information  of any kind
     received  by  the  Executive  in  connection  with  such  Master  Franchise
     Agreement and/or the Master  Management  Agreement  between the Company and
     IHS Facility Management, Inc., dated as of January 13, 1998 and any and all
     matters or activities covered by either or both of those Agreements.

     All of the foregoing are hereinafter  referred to as "Trade  Secrets." (For
the  avoidance  of doubt,  "Trade  Secrets"  shall not be  construed  to include
materials which represent  "industry  standard"  information  which is generally
available.)  The  Company  and the  Executive  consider  their  relation  one of
confidence  with  respect  to Trade  Secrets.  Therefore,  during  and after the
employment by the Company,  regardless of the reasons that such employment ends,
the Executive agrees:

               (aa) To hold all Trade  Secrets in  confidence  and not  discuss,
          communicate or transmit to others, or make any unauthorized copy of or
          use the Trade Secrets in any capacity,  position or business except as
          it directly relates to the Executive's employment by Company;

               (bb) To use the  Trade  Secrets  only in  furtherance  of  proper
          employment  related reasons of the Company to further the interests of
          the Company;

               (cc) To take  all  reasonable  actions  that  the  Company  deems
          necessary or appropriate, to prevent unauthorized use or disclosure of
          or to protect the Company's interest in the Trade Secrets; and

               (dd)  That any of the  Trade  Secrets,  whether  prepared  by the
          Executive or which may come into the Executive's possession during the
          Executive's  employment hereunder,  are and remain the property of the
          Company  and its  affiliates,  and all such Trade  Secrets,  including
          copies thereof, together with all


                                       -7-





          other property belonging to the Company or its affiliates,  or used in
          their  respective  businesses,  shall be delivered to or left with the
          Company.

     This Agreement does not apply to (i)  information  that by means other then
the  Executive's  deliberate  or  inadvertent  disclosure  becomes  known to the
public;  (ii)  disclosure  compelled by judicial or  administrative  proceedings
provided the Executive  affords the Company the opportunity to obtain  assurance
that  compelled  disclosures  will  receive  confidential  treatment;  and (iii)
information  independently developed by the Executive,  the development of which
was not a breach of this Agreement.

     4.2. Non-Competition. A. During the Term, the Executive agrees that he will
not,  without the express  written  consent of Lyric,  for the  Executive  or on
behalf of any other person,  firm,  entity or other  enterprise  (i) directly or
indirectly solicit for employment or recommend to any subsequent employer of the
Executive the solicitation for employment of any person who, at the time of such
solicitation  is  employed  by Lyric or any  affiliate  thereof,  (ii)  directly
solicit,  divert,  or  endeavor  to  entice  away any  customer  of Lyric or any
affiliate  thereof,  or otherwise engage in any activity  intended to terminate,
disrupt,  or  interfere  with  Lyric's or any  affiliate's  relationship  with a
customer,  supplier,  lessor  or other  person,  or (iii) be  employed  by, be a
director, officer or manager of, act as a consultant for, be a partner or member
in,  have  a  proprietary  interest  in,  give  advice  to  (all  the  foregoing
activities,  collectively,   "Competing  Activities")  any  person,  enterprise,
partnership,  association, corporation, limited liability company, joint venture
or other  entity  which is directly  in the  business  of owning,  operating  or
managing, any healthcare facility of any kind, including but not limited to, any
subacute healthcare facility,  rehabilitation  hospital,  nursing home, assisted
living facility, or home healthcare business of a type which Lyric is conducting
at the time in question  (all such  enterprises,  collectively  the  "Healthcare
Businesses");  and, in the case of any facility or business described, in either
case, which competes with any such type of facility or business then operated by
Lyric or any of its subsidiaries,  provided however, that this Section shall not
prohibit the Executive from:

          (a)  engaging in any of the  activities  or  businesses  disclosed  on
     Appendix "1" hereto;

          (b) performing  Competing  Activities for assisted living  facilities,
     and assisted  living  facilities  operated in conjunction  with  Healthcare
     Businesses provided that the primary activity of any such enterprise is not
     attributable to the Healthcare Businesses;

          (c) performing Competing Activities for Healthcare  Businesses located
     in  Canada  unless  and  until  Lyric  opens  its/their  first   Healthcare
     Businesses  in  Canada,  provided  that  the  Executive  may  continue  any
     Competing  Activities  in  which  he is  engaged  at the  time  such  first
     Healthcare Businesses are opened;

          (d) performing Competing Activities for Healthcare  Businesses located
     in The  United  Kingdom  unless  and  until  Lyric  opens  its/their  first
     Healthcare Businesses in The


                                       -8-





     United  Kingdom,  provided  that the  Executive  may continue any Competing
     Activities  in  which  he is  engaged  at the time  such  first  Healthcare
     Businesses are opened;

          (e) performing Competing Activities for Healthcare  Businesses located
     in New York State unless and until New York State removes the  restrictions
     that now prevent enterprises like Lyric and any of its Members from owning,
     operating  or managing  Healthcare  Businesses  in New York State and Lyric
     commences  activities  in New York State,  provided  that the Executive may
     continue any  Competing  Activities in which he is engaged at the time such
     restrictions are removed; and

          (f) owning up to 10% of the  outstanding  voting  shares of the equity
     securities  of any company that directly or  indirectly  owns,  operates or
     manages Healthcare Businesses, whose common stock is or could be listed for
     trading on any national securities exchange or on the NASDAQ System.

          B. During the period of one year after the  termination for any reason
of the  Executive's  employment  with Lyric,  the Executive  will continue to be
bound by, and agrees to comply with, the limitations in (i) and (ii) of 4.2A but
the limitations of (iii) of such 4.2 A will apply only for six months after such
termination  and only to the  Executive's  service as an officer or manager of a
direct competitor of Lyric.

     4.3.  Third Party  Beneficiary.  For purposes of this  Article  (excluding,
however,  Section 4.2), the term "Company" shall be deemed to include IHS in its
individual  capacity,  as distinct from its interest as a Member in the Company.
IHS shall be deemed to be a third  party  beneficiary  entitled  to enforce  the
provisions of this Article IV independently of Lyric Health Care LLC.

     4.4.  Remedies  For  Breach  of  Article  IV. If the  Executive  materially
violates the covenants  contained in this Article IV, after his  termination  of
employment under  circumstances  which entitle him to payments or benefits under
Section 3.4, the Company may, at its election, upon ten (10) days' prior notice,
terminate the  Severance  Period and cease  providing  the  Executive  with such
payments and  benefits.  In addition,  the  Executive  agrees that the amount of
damages  in the  event of the  Executive's  breach  of this  Article  IV will be
difficult, if not impossible,  to ascertain. The Executive therefore agrees that
the Company,  in addition to, and without  limiting any other remedy or right it
may have,  shall  have the right to an  injunction  enjoining  any breach of the
covenants  made by the Executive in this Article IV (although this Section shall
not be construed to limit the right of the Company to claim damages).

     4.5.  Disclosure of Existing and Pending  Activities.  Attached as Appendix
"1" hereto is a list of  corporations  and other entities  engaged in Healthcare
Businesses  (i) of which  the  Executive  is  presently  an  officer,  director,
manager, or general partner, or (ii) in which the Executive  presently,  through
ownership of shares,  limited partnership  interests,  or other interests,  owns
more than 10% of the equity.  (Appendix  "1"  includes,  also,  any such matters
which  are now  pending  but not  complete).  Appendix  "1"  sets  forth,  also,
transactions as to which the


                                       -9-





Executive  is  acting as a broker  as of the date of this  Agreement,  which the
Executive is deemed to have offered to the Company and IHS.

     4.6. Disclosure of Future Activities.  On the first day of January and July
of each calendar year after the date of this  Agreement the Executive  will give
IHS a  list  of the  Executive's  positions  and  activities  in the  categories
described in Section 4.5,  updated as of the  applicable  date.  Upon request of
IHS, also, the Executive will furnish a brief but reasonable  explanation of the
nature of the Executive's role in any such matter and the nature of the business
involved.

     4.7.  Brokerage.  This  Article 4 shall not be  construed  to prohibit  the
Executive from acting as a broker for the acquisition, sale, lease, or financing
of Healthcare  Businesses in which Lyric is presently  operating,  provided that
the Executive  shall first offer to Lyric and IHS each  opportunity of such type
which he  proposes  to  broker,  and that IHS  declines  for itself and Lyric to
pursue such opportunity. IHS shall be deemed to have declined an opportunity for
itself and Lyric if IHS does not give written notice to the Executive expressing
active  interest within 14 days after IHS receives a written  presentation  from
the Executive  (which should include the proposed  business  terms,  prior three
years' financial  statements,  and other information as customarily  required by
sophisticated  investors in similar  transactions  at such time). If IHS Company
concludes a  transaction  presented by the  Executive,  he will be entitled to a
market-rate  commission.  If Lyric  concludes  a  transaction  presented  by the
Executive,  the Executive will receive no commission,  but N-Co.  will receive a
credit to its capital  account  under Lyric's  Operating  Agreement in an amount
equal to the  commission  which  would  otherwise  have been  earned,  provided,
however,  that if and to the extent that the Executive would incur an income tax
liability by reason of such credit,  the Executive  shall receive a cash payment
in an amount  estimated at the  Employee's  highest  marginal tax bracket on the
amount of such credit,  and the capital  account  credit shall be reduced by the
amount of such cash payment.

                                    ARTICLE V

                            AMENDMENT AND ASSIGNMENT

     5.1.  Right of the  Executive  to Assign.  The  Executive  may not  assign,
transfer,  pledge or hypothecate or otherwise transfer his rights,  obligations,
interest and  benefits  under this  Agreement  and any attempt to do so shall be
null and void.

     5.2. Right of Company to Assign. This Agreement shall not be assignable and
transferable by the Company. This Agreement shall inure to the benefit of and be
binding   upon  the   Executive   and  the   Executive's   heirs  and   personal
representatives, and the Company and its successors.

     5.3. Amendment/Waiver. No change or modification of this Agreement shall be
valid  unless it is in writing and signed by both parties  hereto.  No waiver of
any provisions of this Agreement  shall be valid unless in writing and signed by
the person or party to be charged.


                                      -10-





                                   ARTICLE VI

                                     GENERAL

     6.1.  Governing Law. This Agreement shall be subject to and governed by the
laws of the State of Maryland.

     6.2. Binding Effect.  This Agreement shall be binding upon and inure to the
benefit of the Company  and the  Executive  and their  respective  heirs,  legal
representatives, executors, administrators, successors and permitted assigns.

     6.3. Entire  Agreement.  This Agreement  constitutes  the entire  agreement
between the parties and  supersedes all other prior  agreements,  either oral or
written, between the parties hereto.

     6.4. Mitigation. The Executive shall not be required to mitigate damages or
the amount of any payment  provided for under this  Agreement  by seeking  other
employment or otherwise nor may any payments  provided for under this Section be
reduced by any amounts  earned by the  Executive,  except as provided in Article
IV.

     6.5.  Survivorship.  The respective  rights and  obligations of the parties
hereunder  shall  survive  the  termination  of  this  Agreement  to the  extent
necessary  to preserve  the rights and  obligations  of the  parties  under this
Agreement.

     6.6. Notices. All notices, demands, requests,  consents, approvals or other
communications  required or permitted hereunder shall be in writing and shall be
delivered by hand, registered or certified mail with return receipt requested or
by a nationally  recognized  overnight  delivery service,  in each case with all
postage or other delivery  charges  prepaid,  and to the address of the party to
whom it is directed as indicated  below,  or to such other address as such party
may specify by giving notice to the other in  accordance  with the terms hereof.
Any such notice shall be deemed to be received (i) when  delivered,  if by hand,
(ii) on the  next  business  day  following  timely  deposit  with a  nationally
recognized  overnight  delivery service or (iii) on the date shown on the return
receipt as received or refused or on the date the postal  authorities state that
delivery cannot be accomplished, if sent by registered or certified mail, return
receipt requested.

         If to the Company:               8889 Pelican Bay Boulevard, Suite 500
                                          Naples, Florida 34103


         If to the Executive:             304 Gilbert Road
                                          Dillsburg, PA 17019



                                      -11-





         If to IHS:                       8889 Pelican Bay Boulevard, Suite 500
                                          Naples, Florida 34103

                                          with a copy to:

                                          10065 Red Run Boulevard
                                          Owings Mills, MD 21117
                                          Attention: Eleanor C. Harding
                                          Marshall A. Elkins, Esq.

     6.7.  Indemnification.  The  Company  agrees  to  maintain  Director's  and
Officer's  liability  insurance in such  amounts as the Members  determine to be
commercially reasonable.  To the extent not covered by such liability insurance,
the Company  shall  indemnify  and hold the  Executive  harmless as set forth in
Section 14.6 of the Operating Agreement.

     6.8.  Attorneys' Fees. Upon  presentation of an invoice,  the Company shall
pay directly or reimburse the Executive for all reasonable  attorneys'  fees and
costs  incurred by the Executive in connection  with any dispute  brought by the
Executive over the terms of this Agreement unless there is a determination  that
the Executive had no reasonable basis for his claim.

     6.9. Arbitration.  Except as otherwise provided in Section 4.3, 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  jurisdiction.  The Company shall pay all
costs of the American  Arbitration  Association and the  arbitrator.  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. Notwithstanding the foregoing, the
Executive  shall be entitled to seek  specific  performance  from a court of the
Executive's  right to be paid until the date of termination  during the pendency
of any dispute or controversy arising under or in connection with this Agreement
and the Company shall have the right to obtain injunctive relief from a court.

     6.10.  Severability.  No provision in this Agreement if held  unenforceable
shall in any way invalidate any other provisions of this Agreement, all of which
shall remain in full force and effect.


                                      -12-





     IN WITNESS  WHEREOF,  the Company has caused this Agreement to be signed by
its duly authorized officers and its corporate seal to be hereunto affixed,  and
the  Executive has hereunto set the  Executive's  hand on the day and year first
above written.

COMPANY                                            EXECUTIVE

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

By: /s/ Daniel J. Booth                       /s/ Timothy F. Nicholson
  ----------------------------                ----------------------------
Name: Daniel J. Booth                             Timothy F. Nicholson
     ----------------------------
Title: Senior Vice President
      ----------------------------




                                      -13-





                                                                    Appendix "1"


APPENDIX:



A)   Trans  Health  Network  Inc.
     Director,  and less than 10% shareholder  (Principal shareholder is Anthony
     Misitano)

B)   To be formed.  New York State company engage in management and ownership of
     assisted living and retirement facilities and possibly nursing homes in New
     York State. May be in conjunction with Paz Inc and/or Azzie Reckiss

C)   Building,   leasing  and/or   operating   assisted  living   facilities  in
     conjunction with Balanced Care Corp and/or other assisted living companies

D)   Specialty Care Plc - England - Integrated  Health Services is a shareholder
     in this company

E)   Ancillary  Services  Company to be formed in conjunction with Reg Petersen,
     in Canada




                                  Appendix 1-1






                                                                    Appendix "2"

                 "Change of Control"; Revenue Salary Adjustments

     A.   Change of Control.

          For purposes of this Agreement,  a "Change of Control" shall be deemed
to occur if (i) there shall be consummated (x) any consolidation, reorganization
or merger of IHS in which IHS is not the continuing or surviving  corporation or
pursuant to which shares of IHS's  common  stock would be  converted  into cash,
securities or other property, other than a merger of IHS in which the holders of
IHS's common stock immediately  prior to the merger have the same  proportionate
ownership of common stock of the  surviving  corporation  immediately  after the
merger, or (y) any sale,  lease,  exchange or other transfer (in one transaction
or a series of related transactions) of all, or substantially all, of the assets
of IHS, or (ii) the  stockholders  of IHS shall approve any plan or proposal for
liquidation  or dissolution of IHS, or (iii) any person (as such term is used in
Sections  13(d) and  14(d)(2) of the  Securities  Exchange  Act,  including  any
"group" ( as defined in Section  13(d)(3) of such Act) (other than the  Employee
or any group  controlled by the  Employee))  shall become the  beneficial  owner
(within  the meaning of Rule 13d-3  under such Act) of twenty  percent  (20%) or
more of  IHS's  outstanding  common  stock  (other  than  pursuant  to a plan or
arrangement  entered into by such person and IHS) and such person  discloses its
intent to effect a change in the control or  ownership of IHS in any filing with
the  Securities and Exchange  Commission,  or (iv) within any  twenty-four  (24)
month period  beginning  on or after the  Effective  Date,  the persons who were
directors of IHS immediately before the beginning of such period (the "Incumbent
Directors")  shall  cease  (for any  reason  other  than  death,  disability  or
retirement)  to  constitute  at least a  majority  of the  Board or the board of
directors of any  successor to IHS,  provided  that,  any director who was not a
director as of the Effective Date shall be deemed to be an Incumbent Director if
such director was elected to the Board by, or on the  recommendation  of or with
the approval of, at least  two-thirds  of the  directors  who then  qualified as
Incumbent  Directors  either  actually  or by prior  operation  of this  Section
3.3(b)(iv)  unless such election,  recommendation  or approval was the result of
any actual or threatened election contest of the type contemplated by Regulation
14a-11 promulgated under the Exchange Act or any successor provision.

     B.   Revenue Salary Adjustment

          If for any fiscal  year the Company  achieves  the  following  revenue
targets (excluding  operations of merged or acquired  facilities or subsidiaries
for periods before the applicable  merger or  acquisition)  then, for any fiscal
year* and ensuing  years  [subject to later  increases  under this  paragraph or
increases  under Section  2.1(a)] the  Executive's  Salary under Section  2.1(a)
shall be as follows:

- ----------
     *    Any  adjustments  for the current  fiscal year shall be retroactive to
          January  1st of such year if and after  applicable  revenue  target is
          achieved during such year.



                                  Appendix 2-1





      IF REVENUES EXCEEDED
     IN THE LAST FISCAL YEAR                            SALARY
     $150 million                                       275,000
     $250 million                                       300,000
     $450+ million                                      350,000





                                  Appendix 2-2