SETTLEMENT AGREEMENT

     AGREEMENT this 8th day of July, 1998,  between Incon  Development,  Inc., a
New  Hampshire  corporation  with a  principal  place of business at 5 Flagstone
Drive,  Hudson, New Hampshire ("Incon") and Integrated Health Services,  Inc., a
Delaware  corporation  with a  principal  place of  business  at  10065  Red Run
Boulevard, Owings Mills, Maryland ("IHS").

     WHEREAS,  Incon  is  the  plaintiff  in  an  action  presently  pending  in
Hillsborough   County  Superior  Court,   Southern  District,   captioned  Incon
Development,  Inc. v. Integrated Health Services, Inc., Docket No. 97-C-251 (the
"Litigation"),  which alleges  breach of contract and other theories of recovery
against IHS arising out of an agreement fully executed on March 27, 1996 between
IHS and Incon,  and IHS has defended  against the Litigation  alleging breach of
contract on the part of Incon; and

     WHEREAS,  the parties believe that the purchase of certain  products by IHS
from Incon and the  exchange of other  consideration  identified  below would be
mutually beneficial and an appropriate way to resolve the Litigation.

     NOW, THEREFORE, the parties hereto agree as follows:

     1. IHS has, on the date hereof,  issued  39,012  shares of IHS common stock
(the  "Shares")  to Incon  having a total fair market  value of one and one-half
million dollars ($1,500,000).  IHS agrees that to the extent Incon receives less
than an average  of $38.45  per share  (before  brokerage  commissions)  for the
Shares sold by Incon during the two (2) trading days following the date Incon is
notified that the registration  statement  covering the resale of the shares has
been  declared  effective  under  the  Securities  Act of 1933,  it will pay the
difference between the product determined by multiplying $38.45 by the number of
shares  sold;  provided  that IHS  shall  not be  required  to pay more than one
hundred thousand dollars ($100,000) in cash, and any excess will be paid through
the issuance of additional  unregistered  shares of IHS common stock. IHS agrees
to pay Incon  interest on a monthly  basis on one and one-half  million  dollars
($1,500,000)  accruing from June 10, 1998 at a rate equal to the prime rate plus
one point (as of June 10, 1998) calculated on a per annum basis,  payable on the
tenth day of each month  beginning  July 10,  1998.  Should IHS common stock not
become fully  registered by September 28, 1998,  then Incon shall have the right
to put the  Shares  to IHS in  exchange  for one and  one-half  million  dollars
($1,500,000) (plus any outstanding  interest) in cash or cash equivalent payable
forthwith in full satisfaction of its obligations  enumerated in this paragraph.
In the event that the sale price of the stock  exceeds one and one-half  million
dollars  ($1,500,000)  plus any outstanding  interest,  the excess will serve to
offset any amount of interest IHS might  otherwise owe to Incon.  Any additional
excess amount will be refunded in cash to IHS forthwith.






     2. Incon represents to IHS that:

          (a) It is acquiring the Shares for  investment  purposes only, and not
with the view to, or for resale in connection with, any distribution thereof. It
understands that the Shares have not been registered under the Securities Act of
1933, as amended ("the  "Securities  Act"),  or under the securities laws of the
various  states,  by  reason  of a  specified  exemption  from the  registration
provisions  thereunder  which  depends upon,  among other things,  the bona fide
nature of Incon's investment intent as expressed herein.

          (b) It acknowledges that the Shares must be held  indefinitely  unless
they are  subsequently  registered under the Securities Act and under applicable
state  securities laws or an exemption from such  registration is available.  It
has been advised or is aware that Rule 144 promulgated under the Securities Act,
which permits  limited resales of securities  purchased in a private  placement,
will not be  available  for a period of one year from the date hereof for resale
of the Shares and,  at the end of such one year  period,  may not be  available.
Consequently, Incon acknowledges that the Shares are an illiquid investment.

          (c) It has received and carefully  reviewed all  information  which it
deemed relevant in connection with its investment made hereby, including without
limitation  IHS'  filings  with  the  Securities  and  Exchange  Commission.  In
addition,  Incon  acknowledges  that it has had the opportunity to ask questions
of, and receive  answers from,  IHS'  representatives  concerning IHS' business,
financial condition and results of operations.

          (d) It is aware that no  federal  or state or other  agency has passed
upon or made  any  finding  or  determination  concerning  the  fairness  of the
transactions  contemplated hereby and it must forego the security,  if any, that
such a review would provide.

          (e) It is an  "Accredited  Investor"  as that term is  defined in Rule
501(a) of Regulation D under the Securities Act.

          (f) It understands  that all  certificates for the Shares issues to it
shall bear a legend in substantially the following form:

          "THESE SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF
          1933, AS AMENDED,  OR QUALIFIED UNDER ANY STATE  SECURITIES  LAWS. THE
          SECURITIES MAY NOT BE OFFERED, SOLD, TRANSFERRED OR OTHERWISE DISPOSED
          OF  WITHOUT  SUCH  REGISTRATION  OR THE  DELIVERY  TO THE ISSUER OF AN
          OPINION OF COUNSEL,  SATISFACTORY TO THE ISSUER,  THAT SUCH DEPOSITION
          WILL NOT REQUIRE  REGISTRATION OF

                                        2




          SUCH SECURITIES  UNDER THE SECURITIES ACT OF 1933, AS AMENDED,  OR ANY
          STATE SECURITIES LAWS."

     3. IHS has paid  Incon two  hundred  thousand  dollars  ($200,000)  for the
purchase of certain  products  listed  among those  identified  in the  attached
Exhibit A. IHS agrees  that in addition  to being  responsible  for all costs of
shipping  these  products,  it is also  responsible  for nine  thousand  dollars
($9,000) in handling costs and eighteen  thousand dollars ($18,000) in destroyed
or damaged product, and therefore,  will receive only one hundred  seventy-three
thousand  dollars  ($173,000)  worth of  products.  Any  delay by IHS in  taking
possession  of the products  shall not  constitute a waiver of its rights to the
products.

     4. Incon represents and warrants that the products  identified in Exhibit A
have been  warehoused  for some time in Nashua,  New  Hampshire and are in their
original  packaging.  Incon  is not  aware  of  any  deterioration  of  clinical
effectiveness and,  following an inspection of those packages,  IHS is not aware
of any  such  deterioration.  Beyond  that,  Incon  makes no  representation  or
warranty that the products are  mechantable , fit for a particular  purpose,  or
otherwise of any particular quality. In addition, apart from the representations
contained herein,  IHS agrees to indemnify and hold Incon harmless for any claim
brought  against Incon arising out of the quality of the products  identified in
Exhibit A.

     5. The parties will execute and file with the Hillsborough  County Superior
Court,  Southern  District,  the  docket  markings  attached  as  Exhibit B upon
exchange of the consideration identified herein.

     6. The parties have executed the releases attached hereto as Exhibits C and
D. The  release  running  to Incon  (Exhibit  C) will be  delivered  to  Michael
Pignatelli,  counsel for Incon,  as Escrow Agent ("Incon  Escrow  Agent").  Upon
exchange of all other  consideration  identified  herein,  Incon Escrow Agent is
authorized  to  distribute  said  release to Incon.  The release  running to IHS
(Exhibit D) will be  delivered  to Michael  Harvell,  counsel for IHS, as Escrow
Agent ("IHS Escrow Agent"). Upon exchange of all other consideration  identified
herein, IHS Escrow Agent is authorized to distribute said release to IHS.

     7.  Nothing  in  this  Agreement  is to be  construed  as an  admission  of
liability on the part of either party.

     8. The parties  agree that any  disputes  concerning  or arising out of the
terms of this Settlement Agreement are to be governed by the internal law of New
Hampshire.

     9. This Agreement and attachments  reflect the entire  understanding of the
parties and supersedes any and all prior  agreements or  understandings  between
them.

                                        3




     IN WITNESS WHEREOF, the parties have hereunto set their hands.

                                                Incon Development, Inc.

 /s/                                               BY /s/
- ---------------------------------------            -----------------------------
Witness

                                                Integrated Health Services, Inc.

 /s/                                               BY /s/
- ---------------------------------------            -----------------------------
Witness

                                        4







                                                                       EXHIBIT A
                                           IHS   
                                        INVENTORY
                                    PRODUCT OWNERSHIP                                     IHS
                             TRANSFER/WAREHOUSE SEGREGATION                UNIT         PURCHASE
     CATALOG #                            7/1/98                           COST        EXTENSION
     ---------                         -----------                         ----        ---------

                                                                                                      
ADULT DIAPERS:
 1000-01           Embrace Ultra Regular Fit w/Polymer, Small                 222           33.45     $   7,425.90
 1000-02           Embrace Ultra Regular Fit w/Polymer, Medium                288           30.65     $   8,152.90
 1001-01           Embrace Ultra Full Fit w/Polymer, Small                    115           34.28     $   3,942.20
 1001-02           Embrace Ultra Full Fit w/Polymer, Small                    341           31.81     $  10,647.21
LINER SYSTEM:
 1200-10           Embrace 10 x 24 Regular Pad 950cc                          175           35.65     $   8,238.75
 1200-20           Embrace 10 x 24 Super Absorbent Pad 1250cc                 100           43.26     $   4,326.00
 1200-02           Embrace Contour Liner, Regular                             242           31.29     $   7,572.18
 1200-04           Embrace Contour Liner Super Absorbent, Overnight           550           47.30     $  26,016.00
 1200-99           Embrace Large Mesh Pants                                    35           51.51     $   1,502.85
UROLOGICALS: 01
 3000-16           Embrace Urethral Tray 14fr.-16fr.                          106           34.32     $   3,637.92
 3000-01           Embrace Urethral Tray with Plastic Cath eter                30           28.64           859.20   Expired
 3002-10           Embrace Insert Tray 10cc. BZK                               95           26.76     $   2,542.20
 3002-30           Embrace Insert Tray 30cc, PVI                               265          28.40     $   7,524.00   Expired
IRRIGATION
 3007-10           Embrace Irrigation Solution Water, 110ml                    75           24.50     $   1,837.50   Expired
UROLOGICALS: 02
 3004-60           Embrace Irrigation Syringe, Piston 60cc, Sterile           873           83.90     $  73,244.70
 3009-00           Embrace Drainage Bag w/Anti-Reflux & Sample Port            41           34.00     $   1,394.00
 3009-10           Embrace Leg Bag, 500 ml, Medium                              9           53.12     $     478.08
 3009-20           Embrace Leg Bag, 1000ml, Large                              13           53.12     $     690.56
VINVL EXAM GLOVES:
 2001-01           Embrace Vinyl Exam, Small                                    5           35.80     $     179.00
POWER FREE EXAM GLOVES:
 2002-02           Powder Free Exam, Medium                                    14           55.37     $     775.18
LATEX EXAM GLOVES:
 2000-01           Embrace Latex Exam, Small                                  100           35.27     $   3,527.00
                                                                            -----                     ------------
Total                                                                       3,672                     $ 173,014.33
                                                                            -----                     ------------
                                                                                                      $ 173,000.00
                                                                                          Variance    $      14.33
                                                                                                      ============





                                                                       EXHIBIT B



                           THE STATE OF NEW HAMPSHIRE

HILLSBOROUGH, SS                                                  SUPERIOR COURT
SOUTHERN DISTRICT   

                                    97-C-251

                             INCON DEVELOPMENT, INC.

                                       v.

                        INTEGRATED HEALTH SERVICES, INC.

                                 DOCKET MARKINGS
                                 ---------------

     The  parties  agree that the docket  shall be marked:  "Neither  Party.  No

Interest. No Costs. No further action for the same cause."



                                            Respectfully submitted,

                                            INTEGRATED HEALTH SERVICES, INC.

                                            By Its Attorneys,

                                            SHEEHAN PHINNEY BASS & GREEN,
                                            PROFESSIONAL ASSOCIATION

Date: May ___, 1998                         By:
                                              ------------------------------
                                              David W. McGrath, Esq.
                                              1000 Elm Street
                                              PO Box 3701
                                              Manchester, NH 03701-3701
                                              (603) 668-0300




                                              INCON DEVELOPMENT, INC.         
                                                                           
                                              By Its Attorneys,               
                                                                           
                                              RATH, YOUNG & PIGNATELLI,         
                                              PROFESSIONAL ASSOCIATION          
                                                                           
Date:                                         By:                               
    ------------------------                     ------------------------       
                                                 Michael Pignatelli, Esq.       
                                                 20 Trafalgar Square            
                                                 Nashua, NH  03063              
                                                 (603) 889-9952                 
                                              
`



                                                                       EXHIBIT C


                                 GENERAL RELEASE
                                 ---------------

     NOW COMES  Integrated  Health  Services,  a Delaware  corporation  with its
principal place of business in Owings Mills,  Maryland  (hereinafter referred to
as "the Releasor"), for and in consideration of a cross-release of even date and
other  good  and  valuable   consideration,   the  receipt   whereof  is  hereby
acknowledged  and hereby remises,  releases and forever  discharges and by these
presents  does  for  themselves,  their  employees,   directors,   shareholders,
affiliates,  subsidiaries,  successors,  heirs and assigns,  remise, release and
forever discharge Incon Development,  Inc. a New Hampshire  corporation with its
principal place of business in Hudson, New Hampshire, its employees,  directors,
shareholders,  agents,  affiliates,  successors,  heirs and assigns (hereinafter
referred to as "the Releasee") from all manner of action and actions,  cause and
causes of action, suits, debts, dues, sums of money, accounts, reckoning, bonds,
bills, specialties, covenants, contracts,  controversies,  agreements, promises,
variances,  trespasses,  damages,  judgments,  extents,  executions,  claims and
demands  whatsoever,  in law or in  equity,  which  against  the  Releasee,  the
Releasor ever had, now has or which its successors,  heirs or assigns, hereafter
can,  shall or may have for,  upon or by reason  of any  matter,  cause or thing
whatsoever  from the beginning of the world to the day of these  presents,  with
particular  reference,  but without any  limitation,  to all claims and cause of
action made or which could have been made associated with a contract dated March
_____,  1996 between  Releasor and Releasee for the purchase and sale of certain
products to be used in Releasor's  nursing home  business,  except that Releasor
does not release  any claim it might have  against  Releasee  arising out of the
Settlement Agreement dated ___________________



                                        INTEGRATED HEALTH SERVICES, INC.

Dated:  ________________                By:_______________________________
                                            Its ______________, duly authorized







STATE OF MARYLAND
COUNTY OF ________________  SS



     On this ___ day of  April,  1998,  personally  appeared  ______________  as
________________   of  Integrated   Health  Services,   Inc.,  known  to  me  or
satisfactorily  proven to be the person  described in the foregoing  instrument,
and  acknowledged  that he/she was duly  authorized and that he/she executed the
same on behalf of the Corporation for the purposes therein contained.



     Before me,

                                 ----------------------------------
                                 Notary Public/Justice of the Peace

                                 My Commission expires: 
                                                       ------------



                                                                       EXHIBIT D


                                 GENERAL RELEASE
                                 ---------------

     NOW COMES Incon  Development,  Inc., a New Hampshire  corporation  with its
principal place of business in Hudson, New Hampshire (hereinafter referred to as
"the  Releasor"),  for and in  consideration of a cross-release of even date and
other  good  and  valuable   consideration,   the  receipt   whereof  is  hereby
acknowledged  and hereby remises,  releases and forever  discharges and by these
presents  does  for  themselves,  their  employees,   directors,   shareholders,
affiliates,  subsidiaries,  successors,  heirs and assigns,  remise, release and
forever discharge Integrated Health Services,  Inc., a Delawarecorporation  with
its  principal  place of  business in Owings  Mills,  Maryland,  its  employees,
directors,  shareholders,  agents,  affiliates,  successors,  heirs and  assigns
(hereinafter  referred  to as "the  Releasee")  from all  manner of  action  and
actions,  cause  and  causes  of  action,  suits,  debts,  dues,  sums of money,
accounts,   reckoning,   bonds,  bills,   specialties,   covenants,   contracts,
controversies,  agreements, promises, variances, trespasses, damages, judgments,
extents,  executions,  claims and demands whatsoever, in law or in equity, which
against the Releasee,  the Releasor  ever had, now has or which its  successors,
heirs or assigns, hereafter can, shall or may have for, upon or by reason of any
matter,  cause or thing whatsoever from the beginning of the world to the day of
these presents,  with particular reference,  but without any limitation,  to all
claims and cause of action made or which could have been made  associated with a
contract dated March _____,  1996 between Releasor and Releasee for the purchase
and sale of certain  products to be used in  Releasee's  nursing home  business,
except that Releasor  does not release any claim it might have against  Releasee
arising out of the Settlement Agreement dated _____________.




                             INCON DEVELOPMENT, INC.

Dated:  ________________     By:_______________________________
                                  Its ______________, duly authorized




STATE OF NEW HAMPSHIRE
COUNTY OF ________________  SS



     On this ___ day of  April,  1998,  personally  appeared  ______________  as
________________  of Incon  Development,  Inc.,  known  to me or  satisfactorily
proven to be the person described in the foregoing instrument,  and acknowledged
that he/she was duly  authorized and that he/she  executed the same on behalf of
the Corporation for the purposes therein contained.

     Before me,

                             ----------------------------------
                             Notary Public/Justice of the Peace

                             My Commission expires: 
                                                  -------------