EXHIBIT 2.7


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

                          AGREEMENT AND PLAN OF MERGER

                          DATED AS OF FEBRUARY 27, 1998

                                      AMONG

                        INTEGRATED HEALTH SERVICES, INC.,

                 INTEGRATED HEALTH SERVICES AT HAWTHORNE NURSING
                                  CENTER, INC.

                                       AND

                            PREMIERE ASSOCIATES, INC.

                                     AND ITS

                                  SHAREHOLDERS

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





                                TABLE OF CONTENTS



                                                                               PAGE

                                                                             
ARTICLE I:  MERGER...............................................................3
    1.1     Merger...............................................................3
    1.2     Merger Time..........................................................3
    1.3     Payment of Merger Consideration......................................4
    1.4     Surviving Corporation................................................4

ARTICLE II: CONVERSION...........................................................5
    2.1     Consideration........................................................5
    2.2     Certain Adjustments to the Base Amount...............................8
    2.3     Assets and Liabilities..............................................17
    2.4     Designated Contracts................................................18
    2.5     Escrow Indemnification..............................................19

ARTICLE III: IHS STOCK..........................................................21
    3.1      IHS Stock..........................................................21

ARTICLE IV:  THE CLOSING........................................................27
    4.1      Time and Place of Closing..........................................27

ARTICLE V:  REPRESENTATIONS AND WARRANTIES OF THE PRINCIPAL
    SHAREHOLDERS  AND COMPANY...................................................27
    5.1      Organization and Standing of the Company; Subsidiaries.............27
    5.2      Authority..........................................................28
    5.3      Binding Effect.....................................................28
    5.4      Absence of Conflicting Agreements..................................28
    5.5      Consents...........................................................28
    5.6      Schedule of Assets and Properties..................................29
    5.7      Contracts..........................................................31
    5.8      Financial Statements...............................................33
    5.9      Material Changes...................................................34
    5.10     Licenses; Permits; Certificates of Need............................34
    5.11     The Facilities.....................................................35
    5.12     Legal Proceedings..................................................37
    5.13     Employees..........................................................37
    5.14     Collective Bargaining, Labor Contracts, Employment Practices, etc..38
    5.15     ERISA..............................................................38
    5.16     Questionnaire......................................................38
    5.17     Insurance and Surety Agreements....................................38
    5.18     Relationships......................................................39
    5.19     Assets Comprising the Business.....................................39
    5.20     Absence of Certain Events..........................................39
    5.21     Compliance with Laws...............................................40




                                       (i)



                                                                            
    
    
    
    
    5.22     Taxes..............................................................41
    5.23     Encumbrances Created by this Agreement.............................42
    5.24     Questionable Payments..............................................42
    5.25     Reimbursement Matters..............................................42
    5.26     Capital Stock......................................................43
    5.27     Finders............................................................44
    5.28     Shareholder Untrue Statement.......................................44

ARTICLE VI:  REPRESENTATIONS AND WARRANTIES OF THE MINORITY
         SHAREHOLDERS ..........................................................44
    6.1      Authority..........................................................44
    6.2      Binding Effect.....................................................44
    6.3      Absence of Conflicting Agreements..................................45
    6.4      Consents...........................................................45
    6.5      Capital Stock......................................................45
    6.6      Untrue Statements..................................................45
ARTICLE VII:  REPRESENTATIONS AND WARRANTIES OF BUYER...........................45
    7.1      Organization and Standing..........................................45
    7.2      Power and Authority................................................46
    7.3      Binding Agreement..................................................46
    7.4      SEC Documents......................................................46
    7.5      Absence of Conflicting Agreements..................................46
    7.6      Capital Stock......................................................46
    7.7      Material Changes...................................................46
    7.8      No Untrue Statements...............................................47

ARTICLE VIII:  INFORMATION AND RECORDS CONCERNING THE COMPANY...................47
    8.1      Access to Information and Records before Closing...................47

ARTICLE IX:  OBLIGATIONS OF THE PARTIES UNTIL CLOSING...........................47
    9.1      Conduct of Business Pending Closing................................47
    9.2      Negative Covenants of the Company..................................48
    9.3      Affirmative Covenants..............................................49
    9.4      Pursuit of Consents and Approvals..................................50
    9.5      Pursuit of Nondisturbance Agreements and Estoppel Certificates.....50
    9.6      Supplementary Financial Information................................50
    9.7      Exclusivity........................................................51
    9.8      Spin-offs..........................................................51
    9.9      Certain Bonuses....................................................51
    9.10    Special Counsel.....................................................51
    9.11    Acquisition of Christopher Manor of St. Petersburg, Inc.............52
    9.12    Updating............................................................52






                                      (ii)




                                                                            

ARTICLE X:  CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS.........................52
   10.1     Representations and Warranties......................................52
   10.2     Performance of Covenants............................................52
   10.3     Delivery of Closing Certificate.....................................52
   10.4     Opinions of Counsel.................................................52
   10.5     Legal Matters.......................................................53
   10.6     Authorization Documents.............................................53
   10.7     Material Change.....................................................53
   10.8     Required Approvals..................................................53
   10.9     Hart-Scott Rodino Act...............................................53
   10.10    Surveys.............................................................53
   10.11    Termite Inspections.................................................54
   10.12    Zoning Report.......................................................54
   10.14    Non-competition Agreements..........................................55
   10.15    Cost and Expenses...................................................55
   10.16    Consents............................................................55
   10.17    Closing Date Balance Sheet..........................................55
   10.18    Resignation of Company Boards of Directors and Officers.............55
   10.19    Estimated Closing Date Long Term Liabilities; 
               Negative Working Capital.........................................55
   10.20    Termination of Angell Options.......................................56
   10.21    Closing of Magnolia/Medi-Serve Merger Agreement.....................56
   10.22    Woodruff Facility...................................................56
   10.23    Shareholder Settlements.............................................56
   10.24    Spin-offs...........................................................56
   10.25    Escrow Agreements...................................................56
   10.26    IHS Stock Price.....................................................56
   10.27    Principal Shareholders' Loans.......................................56
   10.28    Opinion of Special Counsel..........................................56
   10.29    Termination of Relationship with Manatee............................56
   10.30    Christopher of St. Petersburg, Inc..................................57
   10.31    Articles of Merger..................................................57
   10.32    Other Documents.....................................................57

ARTICLE XI:  CONDITIONS PRECEDENT TO SHAREHOLDERS' OBLIGATIONS..................57
   11.1     Representations and Warranties......................................58
   11.2     Performance of Covenants............................................58
   11.3     Delivery of Closing Certificate.....................................58
   11.4     Opinion of Counsel..................................................58
   11.5     Legal Matters.......................................................58
   11.6     Authorization Documents.............................................58
   11.7     Hart-Scott Rodino Act...............................................58
   11.8     Closing of Magnolia/Medi-Serve Stock Purchase Agreement.............58
   11.9     Escrow Agreements...................................................58
   11.10    Termination of Guaranties...........................................58
   11.11    IHS Stock Price.....................................................59
   11.12    Other Documents.....................................................59



                                      (iii)




ARTICLE XII:  SURVIVAL AND INDEMNIFICATION......................................59
   12.1     Survival of Representations and Warranties..........................59
   12.2     Indemnification by Shareholders.....................................59
   12.3     Indemnification by Buyer............................................60
   12.4     Assertion of Claims.................................................60
   12.5     Control of Defense of Indemnificable Claims.........................61
   12.7     WARN ACT LIABILITY..................................................62
   12.8     CERTAIN WAIVERS.....................................................63
   12.9     CERTAIN ASSISTANCE..................................................63

ARTICLE XIII: TERMINATION.......................................................63
   13.1     Termination.........................................................63
   13.2     Effect of Termination...............................................64

ARTICLE XIV: CASUALTY, RISK OF LOSS.............................................64
   14.1     Casualty, Risk of Loss..............................................64

ARTICLE XV:  MISCELLANEOUS......................................................64
   15.1     Performance.........................................................64
   15.2     Benefit and Assignment..............................................64
   15.3     Effect and Construction of this Agreement...........................65
   15.4     Cooperation - Further Assistance....................................65
   15.5     Notices.............................................................65
   15.6     Waiver, Discharge, Etc..............................................66
   15.7     Rights of Persons Not Parties.......................................66
   15.8     Governing Law.......................................................66
   15.9     Amendments, Supplements, Etc........................................66
   15.10    Severability........................................................66
   15.11    Joint and Several...................................................67
   15.12    Records.............................................................67
   15.13    Late Delivery of Exhibit 2.2(a)(vi)(E)..............................67




                                      (iv)



                              SCHEDULES & EXHIBITS
                              --------------------

                                                       
Schedule 2.1(c)(i)       -       Consideration
Schedule 5.1(a)          -       Organization and Standing of the Company; Subsidiaries
Schedule 5.1(b)          -       Organization and Standing of the Company; Subsidiaries
Schedule 5.5             -       Consents
Schedule 5.6             -       Schedule of Assets and Properties
Schedule 5.7(b)          -       Contracts
Schedule 5.7(b)(i)       -       Contracts
Schedule 5.7(c)          -       Contracts
Schedule 5.8(a)(i)       -       Financial Statements
Schedule 5.9             -       Material Changes
Schedule 5.10            -       Licenses, Permits, Certificates of Need
Schedule 5.11(b)         -       Title, Condition to Personal Property
Schedule 5.11(c)         -       Title, Condition to Personal Property
Schedule 5.12            -       Legal Proceedings
Schedule 5.14            -       Collective Bargaining, Labor, Contracts, Employment Practices, etc.
Schedule 5.15            -       ERISA
Schedule 5.17            -       Insurance and Surety Agreements
Schedule 5.18            -       Relationships
Schedule 5.20            -       Absence of Certain Events
Schedule 5.21            -       Compliance with Laws
Schedule 5.22            -       Taxes
Schedule 5.25            -       Reimbursement Matters
Schedule 5.26            -       Capital Stock
Schedule 6.4             -       Consents
Schedule 7.7             -       Material Changes

Exhibit 1.1              -       Merger
Exhibit 2.2(e)           -       Working Capital
Exhibit 2.5(a)(i)        -       Escrow Agreement
Exhibit 2.5(a)(ii)       -       Manatee Escrow Agreement
Exhibit 5.16             -       Questionnaire
Exhibit 10.4             -       Opinions of Counsel
Exhibit 10.14-A          -       Non-competition Agreements
Exhibit 10.14-B          -       Non-Solicitation Agreements
Exhibit 10.28            -       Opinion of Special Counsel
Exhibit 11.4             -       Opinion of Counsel




                                       (v)



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

                          AGREEMENT AND PLAN OF MERGER

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


This Agreement and Plan of Merger (this  "AGREEMENT") is made as of the 27th day
of  February,   1998,  among  INTEGRATED  HEALTH  SERVICES,   INC.,  a  Delaware
corporation  ("BUYER"),  INTEGRATED HEALTH SERVICES AT HAWTHORNE NURSING CENTER,
INC., a North Carolina corporation ("NEWCO"),  and PREMIERE ASSOCIATES,  INC., a
North Carolina corporation ("PREMIERE",  or the "COMPANY"), W. STEWART SWAIN, an
individual with an address at 115 Fieldwood Drive, Advance, North Carolina 27006
("SWAIN") and L.P.  HERZOG , an individual with an address at 1949 Dupont Court,
Deltona,  Florida  32723  ("HERZOG",  and together  with Swain,  the  "PRINCIPAL
SHAREHOLDERS"), and Jewell Austin, an individual with an address at 2928 Winding
Way, Lilbum, Georgia 30247 ("AUSTIN"), Troy Curry, an individual with an address
at 1045 Wilderness Run Drive, Yadkinville,  NC 27055 ("CURRY"), Bruce W. Covell,
Jr., ("COVELL") an individual with an address at 66 55 S.W. 7th Street, Margate,
FL 33068 ("COVELL"),  and M. Rebecca Muenchow,  an individual with an address at
656 Lantern Ridge Drive, Winston-Salem, NC 27104 ("MUENCHOW"), and together with
Austin,  Curry and Covell the  "MINORITY  SHAREHOLDERS",  and together  with the
Principal Shareholders, the "SHAREHOLDERS". The Shareholders and the Company are
sometimes herein referred to collectively as the "GROUP",  and each individually
as a "GROUP PARTICIPANT" or "GROUP MEMBER".

                                    PREMISES

         WHEREAS,  the Principal  Shareholders  are the owners of all the issued
and outstanding  shares of Voting Common Stock (the "SERIES A PREMIERE  SHARES")
of Premiere, a corporation that, through its subsidiaries (the  "SUBSIDIARIES"),
is the owner in fee simple in the State of Florida of 1 skilled nursing facility
(the  "PREMIERE  OWNED  FACILITY"),  the  operator  in Georgia and Florida of 27
skilled  nursing  facilities  (all of which  are  leased  by it) (the  "PREMIERE
OPERATED  FACILITIES")  and the manager of 18 skilled nursing  facilities in the
States of South Carolina,  Georgia,  and Florida,  including all of the Magnolia
Facilities (as  hereinafter  defined) (the "PREMIERE  MANAGED  FACILITIES",  and
together with the Premiere Owned Facility,  and the Premiere Operated Facilities
the "FACILITIES"); and

         WHEREAS,  the Minority  Shareholders  are employees of Premiere and the
owners of all the issued and  outstanding  shares of Non-Voting  Common Stock of
Premiere  (the  "SERIES B  PREMIERE  SHARES",  and  together  with the  Series A
Premiere Shares,  the Series C Premiere Shares (as hereinafter  defined) and the
Series D Premiere Shares (as hereinafter defined),  the "PREMIERE SHARES" or the
"SUBJECT SHARES"); and







WHEREAS,  concurrently herewith, Buyer is entering into an Agreement and Plan of
Merger (the  "MAGNOLIA/MEDI-SERVE  MERGER  AGREEMENT")  with The Magnolia Group,
Inc. ("MAGNOLIA"),  a South Carolina corporation that, through its subsidiaries,
is the operator in South Carolina of 12 skilled nursing facilities (all of which
are  leased  by it)  (the  "MAGNOLIA  FACILITIES"),  Medi-Serve,  Inc.,  a South
Carolina  corporation that provides  pharmaceutical and Medicare Part B services
("MEDI-SERVE"),  and Terry Cash (the "MAGNOLIA SHAREHOLDER"), an individual with
an address at 620 Henderson Road, Chesnee, SC 29323, and the owner of all of the
issued and  outstanding  shares of  capital  stock (the  "MAGNOLIA  SHARES")  of
Magnolia and of Medi-serve,  Inc. (the  "MEDI-SERVE  SHARES"),  and the Magnolia
Shareholder is unwilling to sell the Magnolia  Shares to Buyer unless Buyer also
purchases the Medi-Serve Shares; and

         WHEREAS,  the  Magnolia  Shareholder  also owns all of the  issued  and
outstanding  shares of  capital  stock (the  "CATHCART  SHARES")  of  Cathcart &
Associates,  Inc.  ("CATHCART"),  which in turn owns an 88-bed  skilled  nursing
facility  known  as the  "Woodruff  Skilled  Nursing  Facility"  (the  "WOODRUFF
FACILITY");  although  the  Cathcart  Shares  shall  not be  purchased  by Buyer
pursuant to this Agreement or the Magnolia/Medi-Serve  Stock Purchase Agreement,
it shall be a  condition  to Buyer's  obligations  hereunder  that the  Woodruff
Facility  shall be leased to Magnolia  pursuant to a  "triple-net"  lease with a
term of at least 25 years,  with annual base rent (subject to due  diligence) of
$330,000 per year (subject to annual 2%  escalations),  and otherwise with terms
and conditions satisfactory to Buyer; and

         WHEREAS, it is understood that Magnolia is a party to a lease (the "NEW
GREENVILLE  LEASE") with respect to a 120- bed skilled  nursing  facility  under
construction in Greenville, South Carolina (the "NEW GREENVILLE FACILITY"); and

         WHEREAS, Don G. Angell ("ANGELL") and his affiliates, including without
limitation,  Angell Group  Incorporated,  D. Gray Angell,  Jr. and Don R. House,
co-trustees  under the Don G. Angell  Irrevocable Trust dated July 24, 1992, and
the Bermuda Village  Retirement Center Limited  Partnership  (collectively  with
Angell and the Angell Family Limited Partnership, the "ANGELL GROUP" and each an
"ANGELL GROUP MEMBER") holds promissory  notes in the original  principal amount
of $13,399,161 (the "ANGELL GROUP NOTES") and Angell Family Limited  Partnership
holds an option to purchase  from  Premiere  up to  approximately  nineteen  and
one-half  percent  (19.5%) of the issued and  outstanding  shares of the capital
stock of  Premiere  at an  aggregate  exercise  price  of  $1,000  (the  "ANGELL
OPTIONS"); and

         WHEREAS, at or prior to Closing,  pursuant to a separate agreement (the
"ANGELL  AGREEMENT"),  the Angell Family Limited  Partnership shall exercise the
Angell  Options up to an amount such that the Angell Group will hold shares of a
series of  Non-Voting  Series C Common  Stock of  Premiere  ("SERIES  C PREMIERE
SHARES")  entitling  the Angell Group to receive up to  $1,000,000 of the Merger
Consideration (as such term is hereinafter defined); and

         WHEREAS,  pursuant to the Angell Agreement, at or prior to Closing, all
of the Angell  Options  shall be  exercised as  aforesaid,  and the Angell Group
shall irrevocably consent to and approve the merger contemplated hereby; and



                                        2



         WHEREAS,  pursuant  to the Angell  Agreement,  at or prior to  Closing,
Buyer  shall   guaranty  the   repayment  of  the  Angell  Group  Notes  and  in
consideration  therefore  and in  consideration  for amending  such Angell Group
Notes to provide  that they shall not be prepaid  during the  three-year  period
following the Closing Date, the Premiere  Shares and the shares of capital stock
of the Subsidiaries  (as such term is hereinafter  defined)  (collectively,  the
"PLEDGED  SHARES")  pledged to secure the  repayment  of the Angell  Group Notes
shall be released from such pledge; and

         WHEREAS,  the Boards of Directors of Buyer, Newco, and the Company deem
it advisable to merge the Company with and into Newco pursuant to this Agreement
(the "MERGER");

         WHEREAS, pursuant to the Merger each outstanding share of capital stock
of  Premiere   shall  be  converted   into  the  right  to  receive  the  Merger
Consideration (as hereinafter defined); and

         WHEREAS,  to effectuate  the  foregoing,  the parties desire to adopt a
plan of merger and reorganization; and

         WHEREAS,  all of the  holders  of  capital  stock in the  Company  have
approved  this  Agreement  and  the  plan of  merger  described  herein  and the
transactions contemplated hereby in accordance with all applicable laws, and the
Company's Certificate of Incorporation and By-laws;

         NOW, THEREFORE, in consideration of the premises and for other good and
valuable  consideration,   the  receipt  and  sufficiency  of  which  is  hereby
acknowledged by the parties hereto, each of the Shareholders,  Newco, Buyer, and
the Company, intending to be legally bound, agree as follows:

                                ARTICLE I: MERGER

                  1.1 MERGER.  Upon the terms and subject to the  conditions set
forth in this Plan of Merger and in accordance with the General  Corporation Law
of the State of North  Carolina  (the  "NCGCL"),  at the Merger Time (as defined
herein),  the Company shall be merged with and into Newco in accordance with the
provisions of Section 55-11-01,  et al of the NCGCL. In furtherance  thereof, on
the Closing Date the Company and Newco shall execute,  deliver,  and cause to be
filed with the Secretary of State of the State of North  Carolina,  the Articles
and Plan of Merger in the form of Exhibit  1.1  hereto  (the "PLAN OF MERGER" or
"ARTICLES OF MERGER").  Following  the Merger  Time,  the separate  existence of
Newco and the Company  shall cease,  and Newco shall  continue as the  surviving
corporation in the Merger  (hereinafter  sometimes referred to as the "SURVIVING
CORPORATION") as a business corporation incorporated under the laws of the State
of  North  Carolina,  and  shall  succeed  to and  assume  all  the  rights  and
obligations of the Company and Newco in accordance with the NCGCL.

                  1.2 MERGER TIME.  The Merger  shall  become  effective at such
time (the "MERGER  TIME") as the duly executed  Articles of Merger is filed with
the Secretary of State of the State of North Carolina.



                                        3



                  1.3  PAYMENT  OF  MERGER  CONSIDERATION.   Buyer  agrees  that
following  the Closing (as  hereinafter  defined),  it will make  payment of the
Merger  Consideration  to the extent set forth in,  and in  accordance  with the
terms of, this Agreement.

                  1.4  SURVIVING CORPORATION.

                       (A)  CERTIFICATE  OF  INCORPORATION.  The  Certificate of
Incorporation of Newco as in effect  immediately  prior to the Merger Time shall
be the  Certificate of  Incorporation  of the Surviving  Corporation  until duly
amended in accordance with the terms thereof and of the NCGCL.

                       (B)   BY-LAWS.   The   By-laws  of  Newco  as  in  effect
immediately  prior to the  Merger  Time shall be the  By-laws  of the  Surviving
Corporation until duly amended in accordance with their terms and as provided by
the Certificate of Incorporation of the Surviving Corporation and the NCGCL.

                       (C) DIRECTORS.  The directors of Newco at the Merger Time
shall,  from and  after the  Merger  Time,  be the  directors  of the  Surviving
Corporation  until  their  respective  successors  have  been  duly  elected  or
appointed and qualified or until their earlier death, resignation, or removal in
accordance with the Surviving  Corporation's  Certificate of  Incorporation  and
By-laws.

                       (D)  OFFICERS.  The  officers of Newco at the Merger Time
shall,  from and  after  the  Merger  Time,  be the  officers  of the  Surviving
Corporation  until their  successors  have been duly  elected or  appointed  and
qualified or until their earlier  death,  resignation,  or removal in accordance
with the Surviving Corporation's Certificate of Incorporation and By-laws.

                       (E) FURTHER ACTION. If at any time after the Merger Time,
Buyer  shall  consider  that  any  further  deeds,   assignments,   conveyances,
agreements, documents, instruments, or assurances in law or any other things are
necessary or desirable to vest,  perfect,  confirm,  or record in the  Surviving
Corporation  the  title  to  any  property,  rights,  privileges,   powers,  and
franchises  of Newco or the Company by reason of, or as a result of, the Merger,
or  otherwise  to carry out the  provisions  of this  Agreement  and the Plan of
Merger,  the officers of Newco and the Company shall  execute and deliver,  upon
Buyer's  request,  any  instruments  or  assurances,  and  do all  other  things
necessary or proper to vest, perfect, confirm, or record title to such property,
rights,  privileges,  powers, and franchises in the Surviving  Corporation,  and
otherwise to carry out the provisions of this Agreement and the Plan of Merger.

                       (F) APPROVAL. Each Shareholder  represents,  warrants and
agrees  that he or she has  reviewed  the Plan of  Merger,  and he or she hereby
approves such Plan of Merger.



                                        4



                             ARTICLE II: CONVERSION

                  2.1  CONSIDERATION. For purposes of this Agreement the terms:

                       (A) (I) "MERGER  CONSIDERATION"  shall mean the aggregate
of the Series A Merger  Consideration,  the Series B Merger  Consideration,  the
Series C Merger Consideration and the Series D Merger  Consideration,  and shall
be equal to  $56,000,000  (the "BASE  AMOUNT"),  as  adjusted  pursuant  to this
Agreement.

                           (II) "SERIES A MERGER  CONSIDERATION"  shall mean the
Base Amount,  as adjusted  pursuant to this Agreement,  less the sum of: (x) the
Series B Merger Consideration,  (y) the Series C Merger  Consideration,  and (z)
the Series D Merger  Consideration;  and the "SERIES A MERGER  CONSIDERATION PER
SHARE"  shall  mean the Series A Merger  Consideration  divided by the number of
issued and outstanding shares of Series A Premiere Shares at the Merger Time.

                           (III) "SERIES B MERGER  CONSIDERATION" shall mean (A)
$400,000  plus (B) ten  percent  (10%) of the sum of: (u)  $56,000,000  (plus or
minus,  as the case may be, any  adjustments to the Base Amount made pursuant to
Section  2.2(a)(i),  Section  2.2(a)(ii),  Section  2.4 or Article  X); plus (v)
$1,150,000;  plus (w) $1,500,000;  plus (x) $1,000,000; and the "SERIES B MERGER
CONSIDERATION PER SHARE" shall mean the Series B Merger Consideration divided by
the number of issued and  outstanding  shares of Series B Premiere Shares at the
Merger Time.

                           (IV)  "SERIES  C  MERGER  CONSIDERATION"  shall  mean
$1,000,000;  and the "SERIES C MERGER  CONSIDERATION  PER SHARE"  shall mean the
Series C Merger  Consideration  divided by the number of issued and  outstanding
shares of Series C Premiere Shares at the Merger Time.

                           (V)  "SERIES D MERGER  CONSIDERATION"  shall mean the
amount of the Closing Loans; and the "SERIES D MERGER  CONSIDERATION  PER SHARE"
shall mean the Series D Merger Consideration divided by the number of issued and
outstanding shares of Series D Premiere Shares at the Merger Time.

                           (VI) "PROPORTIONATE SHARE" shall mean with respect to
the holder of any series of  Premiere  Shares  the  fraction  that the number of
shares of such  series  held by such  holder as at the Merger  Time bears to the
aggregate  number  of issued  and  outstanding  shares of such  series as at the
Merger Time.

                  (B)      CONVERSION OF COMMON STOCK. At the Merger Time:

                           (I) each Series A Premiere  Share which is issued and
outstanding at the Merger Time shall by reason of the Merger, without any action
by the holder  thereof,  be converted  into the right to receive,  in accordance
with the procedures hereinafter described, the Series A Merger Consideration Per
Share;



                                        5



                           (II) each Series B Premiere Share which is issued and
outstanding at the Merger Time shall by reason of the Merger, without any action
by the holder  thereof,  be converted  into the right to receive,  in accordance
with the procedures hereinafter described, the Series B Merger Consideration Per
Share;

                           (III) each  Series C Premiere  Share  which is issued
and  outstanding  at the Merger Time shall by reason of the Merger,  without any
action  by the  holder  thereof,  be  converted  into the right to  receive,  in
accordance  with  the  procedures  hereinafter  described,  the  Series C Merger
Consideration Per Share;

                           (IV) each Series D Premiere Share which is issued and
outstanding at the Merger Time shall by reason of the Merger, without any action
by the holder  thereof,  be converted  into the right to receive,  in accordance
with the procedures hereinafter described, the Series D Merger Consideration Per
Share; and

                           (V)  each  share of Newco  common  stock  outstanding
immediately prior to the Merger Time shall be unaffected by the Merger and shall
continue to be held by a direct or indirect wholly owned subsidiary of Buyer.

                  (C)      MANNER OF EXCHANGE. The Merger Consideration shall be
paid as follows:

                          (I) Buyer shall  deliver  newly  issued  shares of the
Common Stock, par value $.001, of Integrated Health Services, Inc. ("IHS STOCK")
having an aggregate  value (using the Closing Date as the date of  determination
in  accordance  with  Section  3.1(a)  below)  equal  to  the  Series  B  Merger
Consideration  to the  Shareholders'  Representative  for  distribution  to, and
registered in the names of, the Minority  Shareholders  as set forth on Schedule
2.1(c)(i).

                          (II)  Buyer  shall  deliver  newly  issued  IHS Shares
having an aggregate  value (using the Closing Date as the date of  determination
in  accordance  with  Section  3.1(a)  below)  equal  to  the  Series  C  Merger
Consideration to the Angell Family Limited  Partnership for distribution to, and
registered in the name of, the holders of the Series C Merger Consideration.

                          (III)  Buyer  shall  deliver  newly  issued IHS Shares
having an aggregate  value (using the Closing Date as the date of  determination
in  accordance  with  Section  3.1(a)  below)  equal  to  the  Series  D  Merger
Consideration  to the  Principal  Shareholders  registered  in the  names of the
Principal Shareholders in accordance with their respective  Proportionate Shares
of the Series D Merger Consideration.

                          (IV) (A)  Buyer  shall  deliver  to the  Escrowee  (as
defined in Section 2.5 below) newly issued IHS Shares  having a value (using the
Closing Date as the date of  determination  in  accordance  with Section  3.1(a)
below) equal to ONE MILLION  FIVE HUNDRED  THOUSAND  DOLLARS  ($1,500,000)  (the
"PRIMARY ESCROW  DEPOSIT")  which payment will be credited  against a portion of
the Series A Merger  Consideration  payable to the  Principal  Shareholders  (in
accordance with their respective Proportionate Shares of the Series A Merger



                                        6



Consideration),   plus,  if  applicable  in  accordance   with  this  Agreement,
additional  shares of IHS Stock  having a value  (using the Closing  Date as the
date of determination  in accordance with Section 3.1(a),  below) equal to up to
FIVE MILLION DOLLARS  ($5,000,000) (the  "SUPPLEMENTAL  ESCROW DEPOSIT"),  which
payment shall be credited against a portion of the Series A Merger Consideration
payable to the  Principal  Shareholders  (in  accordance  with their  respective
Proportionate  Shares of the  Series A Merger  Consideration),  with all of such
shares to be held by the Escrowee  pursuant to the Escrow  Agreement (as defined
in Section 2.5(a), below) (collectively,  the "ESCROW DEPOSIT"), plus additional
shares  of IHS  Stock  having a value  (using  the  Closing  Date as the date of
determination  in accordance  with Section  3.1(a),  below) equal to ONE MILLION
DOLLARS  ($1,000,000)  (the  "MANATEE  ESCROW  DEPOSIT"),  which payment will be
credited against a portion of the Series A Merger  Consideration  payable to the
Principal Shareholders (in accordance with their respective Proportionate Shares
of the Series A Merger Consideration), with all of such shares to be held by the
Escrowee  pursuant to the Manatee  Escrow  Agreement  (as  described  in Section
2.5(a)(ii), below); and

                  (B) the balance of the Series A Merger  Consideration shall be
paid by the delivery by Buyer of shares of IHS Stock having a value equal to the
amount of such balance (using the Closing Date as the date of  determination  in
accordance with Section 3.1(a) below) to the Principal  Shareholders  registered
in the names of the Principal  Shareholders in accordance with their  respective
Proportionate Shares of the Series A Merger Consideration.

                  (D) TRANSMITTAL.  Upon delivery to Buyer of stock certificates
representing any Premiere Shares,  Buyer shall promptly pay to, or on behalf of,
each person entitled thereto the amount of cash (in respect of fractional shares
as described  below) and shall deliver  certificates  representing the number of
shares to which such person is entitled,  as provided above. No interest will be
paid or accrued on any Merger  Consideration  payable upon the  surrender of any
certificate  or  certificates  or  other   instruments.   Until  surrendered  in
accordance  with the  provisions  of this  subsection  (d), the  certificate  or
certificates  or  instruments   which  immediately  prior  to  the  Merger  Time
represented  issued and  outstanding  Premiere  Shares shall  represent  for all
purposes  the right only to receive the Merger  Consideration  set forth in this
Agreement.  After the Merger  Time,  there shall be no further  registration  of
transfers on the records of the Company of any Premiere Shares.

                  (E)  NO   FRACTIONAL   SHARES.   No   certificates   or  scrip
representing  fractional  shares of IHS Stock shall be issued upon the surrender
for  exchange  of  certificates   representing  any  Company  Shares,  and  such
fractional  share interests will not entitle the owner thereof to vote or to any
rights of a  stockholder  of IHS.  Notwithstanding  any other  provision of this
Agreement,  each  holder of  Premiere  Shares  exchanged  pursuant to the Merger
(after  taking  into  account  all  certificates  representing  Premiere  Shares
delivered  by such  holder)  shall  receive,  in  lieu  thereof,  cash  (without
interest)  in an amount  equal to such  fractional  part of a share of IHS Stock
multiplied  by the value of such share  determined  in  accordance  with Section
3.1(a) below.



                                        7



                  (F) (I) Immediately  prior to the Closing,  Buyer shall make a
loan (the CLOSING SWAIN LOAN") to Swain in an amount equal to the lesser of: (x)
fifty percent (50%) of the amount of the negative  working capital and long-term
liabilities  included in the Estimated  Closing Date Balance Sheet (prior to the
purchase of shares contemplated by this subsection (f)); and (y) $4,000,000,  by
depositing (by wire transfer) such amount in an account of the Company, and such
deposit  shall be deemed  to be full  consideration  for the  purchase  by,  and
issuance  to,  Swain of fully  paid and  nonassessable  shares  (the "NEW  SWAIN
PREMIERE  SHARES") of the Company's  Non-Voting Series D Common Stock ("SERIES D
PREMIERE  SHARES").  The Closing  Swain Loan shall bear  interest at the rate of
eight and one-half  percent (8 1/2) per anum  commencing  ninety (90) days after
the Effective Date (as  hereinafter  in Section  3.1(k)) and shall be payable in
four (4) equal  installments  coming due at the end of each  consecutive  thirty
(30)  successive  day period  commencing  on the  Effective  Date,  and shall be
evidenced  by a  promissory  note  issued by Swain to IHS in the form of Exhibit
2.1(f)(i)-1  hereto (the "SWAIN NOTE"), and shall be secured pursuant to a Stock
Pledge  Agreement  (the "SWAIN STOCK PLEDGE  AGREEMENT")  in the form of Exhibit
2.1(c)(i)-2  hereto by all of the  shares of IHS Stock  into which the New Swain
Premiere Shares are converted  pursuant to the Merger (the "ADDITIONAL SWAIN IHS
SHARES").

                       (II) Immediately prior to the Closing, Buyer shall make a
loan (the "CLOSING  HERZOG LOAN",  and together with the Closing Swain Loan, the
"CLOSING  LOANS")  to Herzog  in an amount  equal to the  lesser  of:  (x) fifty
percent  (50%) of the  amount of the  negative  working  capital  and  long-term
liabilities  included in the Estimated  Closing Date Balance Sheet (prior to the
purchase of shares contemplated by this subsection (f)); and (y) $4,000,000,  by
depositing (by wire transfer) such amount in an account of the Company, and such
deposit  shall be deemed  to be full  consideration  for the  purchase  by,  and
issuance to,  Herzog of fully paid and  nonassessable  Series D Premiere  Shares
(the "NEW HERZOG  PREMIERE  SHARES",  and together  with the New Swain  Premiere
Shares, the "NEW PREMIERE SHARES").  The Closing Herzog Loan shall bear interest
at the rate of eight and one-half  percent (8 1/2%) per anum  commencing  ninety
(90) days  after the  Effective  Date,  and shall be  payable  in four (4) equal
installments  coming due at the end of each  consecutive  thirty (30) successive
day  period  commencing  on the  Effective  Date,  and shall be  evidenced  by a
promissory  note  issued by Herzog  to IHS in the form of  Exhibit  2.1(f)(ii)-1
hereto (the "HERZOG  NOTE",  and together  with the Swain Note,  the  "PRINCIPAL
SHAREHOLDERS' NOTES"), and shall be secured pursuant to a Stock Pledge Agreement
(the "HERZOG STOCK PLEDGE  AGREEMENT",  and together with the Swain Stock Pledge
Agreement, the "PRINCIPAL SHAREHOLDERS' STOCK PLEDGE AGREEMENTS") in the form of
Exhibit 2.1(f)(ii)-2 hereto by all of the Additional Herzog IHS Shares.

                  2.2      CERTAIN ADJUSTMENTS TO THE BASE AMOUNT.

                           (A)      WORKING CAPITAL; LONG-TERM LIABILITIES.

                       (I) (A) At the Closing, the Principal  Shareholders shall
deliver a  certificate  certifying  to be their best good faith  estimate of the
amount of the aggregate working capital (as defined in clause (vi) below) of the
Company and its subsidiaries as of the Closing Date on a consolidated basis (the
"ESTIMATED CLOSING DATE WORKING CAPITAL"). If the Estimated Closing Date Working
Capital is a negative amount, the Base Amount (and correspondingly, the Series A
Merger  Consideration and the Series B Merger  Consideration) will be reduced by
an amount equal to such negative amount.



                                        8



                       (B) If the Estimated  Closing Date Working  Capital shall
be a positive amount, the Base Amount (and correspondingly,  the Series A Merger
Consideration  and the Series B Merger  Consideration)  will be  increased by an
amount equal to such positive amount.

                       (II)  Additionally,  at the  Closing,  the Company  shall
deliver to Buyer the  balance  sheet of the Company  and its  subsidiaries  on a
consolidated  basis  as  of  the  Closing  Date,   certified  by  the  Principal
Shareholders  to be their  best good  faith  estimate  thereof  (the  "ESTIMATED
CLOSING DATE BALANCE SHEET"). The Base Amount (and correspondingly, the Series A
Merger  Consideration and the Series B Merger  Consideration) will be reduced by
an amount equal to the amount of the  long-term  liabilities  of the Company and
its  subsidiaries  on a  consolidated  basis as determined  in  accordance  with
generally accepted accounting principles,  consistently applied ("GAAP") (except
as  otherwise  provided  in Section  2.2(a)(vi))  as set forth on the  Estimated
Closing Date Balance Sheet.

                       (III) Within one hundred  twenty (120) days following the
Closing  Date,  Buyer shall use its best efforts to complete a review  ("BUYER'S
REVIEW")  of the  balance  sheet  of the  Companies  and its  subsidiaries  on a
consolidated basis as of the Closing Date (the "CLOSING DATE BALANCE SHEET"). If
the Base Amount,  after  giving  effect to any  adjustments  made at the Closing
pursuant  to  Section  2.2(a)(i)  and (ii),  above,  shall be subject to further
adjustment based upon the Buyer's Review  indicating that the aggregate  working
capital of the Company and the  Subsidiaries  on a consolidated  basis as of the
Closing Date (the "ACTUAL  WORKING  CAPITAL") was  different  from the Estimated
Closing Date Working Capital,  then the parties shall make such payments to each
other as shall  result in the Base Amount  (and,  correspondingly,  the Series A
Merger  Consideration)  being the amount  that it would have been had the Actual
Working  Capital  been used at Closing  in lieu of the  Estimated  Closing  Date
Working  Capital.  Any increase to the Series A Merger  Consideration  resulting
therefrom  shall be made by delivery by Buyer to the Principal  Shareholders  of
shares of IHS Stock  having an  aggregate  value equal to such  increase  valued
based on the Applicable Valuation Date, and if the Series A Merger Consideration
resulting  therefrom  is reduced,  then the  Escrowee  (as defined  below) shall
deliver  over  to  Buyer  shares  of IHS  Stock  having  a value  determined  in
accordance with Section 3.1(a),  below,  equal to such deficiency.  In the event
the  deficiency  exceeds the Escrow Deposit (as defined above) held by Escrowee,
the Principal Shareholders shall be jointly and severally obligated to refund to
Buyer the  amount of such  deficiency  in IHS Stock  valued in  accordance  with
Section 3.1(a), below. Furthermore,  if the Buyer's Review reveals the aggregate
amount  of  the  Company's  and  the  Subsidiaries'  (on a  consolidated  basis)
long-term   liabilities   as  of  the  Closing  Date  (the   "ACTUAL   LONG-TERM
LIABILITIES")   exceeded  the  amount  of  Company's  and  Subsidiaries'  (on  a
consolidated basis) long-term  liabilities as indicated on the Estimated Closing
Date Balance Sheet, the Base Amount (and,  correspondingly,  the Series A Merger
Consideration)  shall be  deemed  to have  been  reduced  by the  amount of such
excess,  and the Escrowee  shall  deliver over to Buyer IHS Stock having a value
equal to such excess. In the event the amount of such excess is greater than the
Escrow Deposit held by Escrowee, the Principal Shareholders shall be jointly and
severally  obligated  to refund to Buyer the amount of such excess in IHS Stock.
The value of any IHS Stock to be distributed to the Buyer from the Escrowee will
be as set forth in Section  3.1(a),  below.  Unless a Delay  Payment  Notice (as
defined in clause (iv) below) shall have been given,  or a Delay Payment  Notice
is under good faith



                                        9



consideration  (prior to the last date on which such a Delay Payment  Notice may
be given),  any such payment  shall be made within two (2)  business  days after
demand by the party entitled to the adjustment.

                       (IV) If the  Principal  Shareholders  shall in good faith
dispute the amount of working capital or long-term  liabilities of the Companies
and its subsidiaries on a consolidated basis as of the Closing Date as set forth
in Buyer's  Review,  they shall give notice to Buyer (a "DELAY PAYMENT  NOTICE")
within thirty (30) days after delivery to them of Buyer's Review that all or any
portion of the payment  specified  should not then be made and setting  forth in
reasonable  detail their  objections and the basis therefor,  in which case, the
disputed portion of any payment otherwise required to be made pursuant to clause
(iii) above shall be delayed,  and Buyer and the Principal  Shareholders'  shall
meet and in good faith attempt to resolve any  disagreements  within thirty (30)
days after  delivery  to Buyer of the Delay  Payment  Notice.  If the  Principal
Shareholders  shall fail to timely deliver a Delay Payment  Notice,  the working
capital and long-term  liabilities  amounts set forth in Buyer's Review shall be
deemed  accepted by the Group and shall be conclusive and binding on all parties
hereto,  absent  fraud.  If a Delay Payment  Notice is timely  delivered and the
parties are unable to resolve such  disagreements  within such time period,  the
disagreements  shall be referred to a "Big 4" accounting firm independent of the
Buyer and Sellers selected by agreement  between the Buyer and the Shareholders'
Representative,  or, if the Buyer and the Shareholders' Representative cannot so
agree  within  the 30 day period  referred  to above,  by lot (the  "ARBITRATING
ACCOUNTANTS"),  and the  determination of the Arbitrating  Accountants  shall be
final, conclusive and binding on the parties hereto. The Arbitrating Accountants
shall be directed to use their best  efforts to reach a  determination  not more
than  thirty  (30) days  after  such  referral.  The costs and  expenses  of the
services  of the  Arbitrating  Accountants  shall be borne  by the  party  whose
proposal is further (by dollar amount) from the amount finally determined by the
Arbitrating Accountants. Within two (2) business days after the final resolution
of any matter covered by a Delay Payment  Notice,  any delayed  payment shall be
made to the extent determined to be due in accordance with such resolution.

                       (V) If  there  shall be  discovered  any  liability  that
should have been included as a current  liability or long-term  liability on the
Closing Date Balance Sheet but that was not so included, then Buyer, in its sole
discretion,  may elect to include such  liability as a Permitted  Liability,  in
which case such liability shall be included as a current  liability or long-term
liability,  as the case  may be,  in the  determination  of the  Actual  Working
Capital Amount or long-term liabilities,  as the case may be, or to exclude such
liability  therefrom,  in  which  case  such  liability  shall  be a  Prohibited
Liability and shall not be included as a current  liability in the determination
of the Actual Working Capital Amount, or in the Actual Long-term Liabilities.

                       (VI) For the purposes hereof, "WORKING CAPITAL" means the
excess of current assets over current liabilities (including, without limitation
all closing costs and expenses to the extent  included on the Estimated  Closing
Date Balance Sheet), as determined in accordance with GAAP, applied consistently
with the past  application  of GAAP by the Company;  and "LONG- TERM  LIABILITY"
means any  liability  that  would be set  forth as a  long-term  liability  on a
balance  sheet in  accordance  with  GAAP,  applied  consistently  with the past
application of GAAP by the Company, with the following exceptions:



                                       10



                       (A) all  inter-company  assets and liabilities  among the
Company and among its subsidiaries shall be excluded;

                       (B) all  utility  deposits  in an  amount  not to  exceed
$130,000, and all cash reserves provided by the Company or any Subsidiary to any
landlord,  lessor,  public  utility or mortgagee to the extent the  inclusion of
such cash  reserves is  consistent  with the  accounting  treatment  used in the
preparation of the Balance Sheet, and the debt services reserves for the Crystal
Springs  Facility  (in an amount not to exceed  $350,000)  shall be  included as
current  assets of the Company or such  Subsidiary,  except to the extent of any
reasonable reserve taken for claims against such amounts by the holders thereof;

                       (C) working  capital and long-term  liabilities  shall be
determined as if the amount,  if any, of the purchase  price paid by the Company
or its  Subsidiaries  pursuant to the  closings  under the SHCM  Agreements  (as
hereinafter defined in Section 2.2(d)), as finally adjusted and paid pursuant to
such SHCM Agreements (including,  without limitation, any earnest money deposits
credited against the purchase price) (the "AGGREGATE SCHM PURCHASE PRICE"),  had
not been  paid  (regardless  of  whether  such  purchase  price is paid from the
Company's cash or by incurring loans or by some combination thereof);

                       (D) any loan made by Buyer or its  affiliates to Premiere
pursuant to Section  2.2(d)(iii)  below shall not be included as  liabilities in
the calculation of working capital or long-term liabilities for purposes hereof;
and the assets and the liabilities of SHCM Holdings,  Inc. and its  subsidiaries
shall not be  included  in the  calculation  of  working  capital  or  long-term
liabilities  for purposes  hereof to the extent that such assets and liabilities
are included in the  calculation of any purchase price  adjustment paid pursuant
to Section 8.3 of the SHCM Stock Purchase  Agreement (as hereinafter  defined in
Section 2.2(d));  provided that it is understood that any liability  arising out
of  the  termination  of  any  Contract  (including,   without  limitation,  any
employment agreement) of SCHM Holdings, Inc. or any of its subsidiaries pursuant
to Section 2.4 below) shall  constitute  liabilities of the Company for purposes
of the determination of working capital and long-term liabilities; and

                       (E)  based  on the  representation  and  warranty  of the
Company  and  the  Principal  Shareholders  that  all  of  the  factual  matters
incorporated into the calculations  attached hereto as Exhibit 2.2(a)(vi)(E) are
true and correct, there shall be only an accrual of $310,000 included in working
capital with  respect to accrued  sick pay days for  employees of the Company or
any  Subsidiary  who are  not  members  of any  union,  and  there  shall  be an
additional  accrual for accrued sick pay days of employees of the Company or any
Subsidiary who are members of a union in the amount of $90,000; and

                       (F) the amount of the Series D Merger Consideration shall
be deducted from the working capital.



                                       11



                       (VII) Notwithstanding  anything to the contrary contained
in this Agreement, no liabilities of Manatee (as such term is defined in Section
12.2(d)  below) or any of its  direct or  indirect  wholly  owned  subsidiaries,
including  without  limitation any Manatee Liability (as such term is defined in
Section  12.2(d)  below)  shall be included as a current  liability or long-term
liability of the Company or any Subsidiary for purposes of this Section  2.2(a),
and no current  assets of Manatee or any of its direct or indirect  wholly owned
subsidiaries  shall  be  included  as a  current  asset  for such  purpose.  All
liabilities  of  Manatee  or  any  of  its  direct  or  indirect   wholly  owned
subsidiaries,   including  without  limitation,  any  Manatee  Liability,  shall
constitute Prohibited Liabilities (as defined in Section 2.3(b)).

                       (VIII) Notwithstanding anything to the contrary contained
in this Agreement, no liabilities of HCPIII Kansas, Inc. or any of its direct or
indirect wholly owned subsidiaries (the "KANSAS SUBSIDIARIES") or Angell Care of
Cahokia,  Inc.,  Angell  Care of  Caseyville,  Inc.,  or  Caseyville  Healthcare
Association,  Inc. or any of their  respective  direct or indirect  wholly owned
subsidiaries  (the  "ILLINOIS  SUBSIDIARIES"),  shall be  included  as a current
liability or long-term  liability of the Company or any  Subsidiary for purposes
of this Section  2.2(a),  and none of their  respective  current assets shall be
included as a current  asset for such  purpose.  All  liabilities  of the Kansas
Subsidiaries  and  the  Illinois   Subsidiaries   shall  constitute   Prohibited
Liabilities.

                       (B) EXTENSION OF SHORT LEASES. If any lease identified as
a "SHORT  LEASE" on  Schedule  5.11(a) is not amended on or prior to the Closing
Date to extend the term  thereof (or to provide the tenant  thereunder  with the
irrevocable  (assuming  no  default)  (and to the  extent  such  Short  Lease is
otherwise  assignable,  the assignable) right to extend such term for no further
consideration  (excluding  nominal payments such as reasonable  attorney fees or
which restate existing obligations) other than predetermined  increases of rent)
until the year 2013 on terms and conditions approved by Buyer, such approval not
to be  unreasonably  withheld,  then shares of IHS Stock having a value  (valued
using the Closing Date as the date of  determination  in accordance with Section
3.1(a)  below)  equal  to the  portion  of the  Series  A  Merger  Consideration
allocable to such Short Lease as set forth on Schedule  2.2(b) (the "SHORT LEASE
EXTENSION  ALLOCATION")  shall,  in lieu of  being  delivered  to the  Principal
Shareholders,  be deposited  with the Escrowee,  shall  constitute  Supplemental
Escrow  Deposit,  and shall be added to the Primary  Escrow  Deposit.  After the
Closing, the Company,  Principal Shareholders and Buyer shall cooperate to cause
such Short  Leases to be so amended at no cost or expense to Buyer  (other  than
its reasonable  legal fees and expenses).  At such time as any Short Lease shall
be amended as provided  above,  shares  having a value (valued using the Closing
Date as the date of determination in accordance with Section 3.1(a) below) equal
to the Short Lease  Extension  Allocation  amount  applicable  thereto  shall be
delivered  to  the  Principal  Shareholders  (as  payment  of  Series  A  Merger
Consideration)  by the  Escrowee  from  the  Escrow  Deposit,  or if  there  are
insufficient  shares in the Escrow  Deposit,  Buyer shall deliver  shares valued
using  the  Closing  Date as the date of  determination  or cash,  at  Principal
Shareholders' election, to the extent necessary to cover any such deficiency. If
any Short Lease  relating to the Facilities  known as "Old  Capital",  "Heritage
Inn" or "Hart  Care"  (the  "CARR  FACILITIES")  or to the  Facilities  known as
"Oceanside" or "Savannah Beach" (the "FOSTER  FACILITIES")  (each a "CARR/FOSTER
LEASE") is not so amended by the fifth  anniversary  of the Closing  Date, or if
any other Short Lease is not so amended by the second anniversary of the Closing
Date,  then the Base  Amount  (and the Series A Merger  Consideration)  shall be
deemed reduced by the amount of the Short Lease Extension Allocation  applicable
to such Short Lease (and the Shareholders shall have no further right to recoup



                                       12



such  reduction  (whether  or not the term of such  Short  Lease  is  thereafter
extended)), and shares having a value (valued using the Closing Date as the date
of  determination  in accordance  with Section  3.1(a) below) equal to the Short
Lease Extension Allocation amount applicable thereto shall be delivered to Buyer
by the Escrowee from the Escrow Deposit,  or if there are insufficient shares in
the Escrow Deposit, the Principal Shareholders shall deliver shares valued using
the  Closing  Date as the  date  of  determination  or  cash,  at  Shareholders'
Representative's election, to the extent necessary to cover any such deficiency.
The Company and  Principal  Shareholders  represent  and warrant  that they have
delivered to Buyer true and complete copies of certain extension agreements, and
based on the  foregoing,  Buyer  acknowledges  that, as of the date hereof,  the
Short  Leases  with  respect  to the  Heart of  Georgia  Facility  and the Macon
Facility have been  extended as required  pursuant to this  subsection  (b), and
accordingly,  $2,100,000 of the $5,000,000  shall not be deposited in the Escrow
Deposit  and shall be included  in the Base  Amount  (and  correspondingly,  the
Series A Merger Consideration).

                  (C)  AMENDMENTS  TO BISHOP  LEASES.  If all (but not less than
all) of the leases covering the Facilities  identified as being leased from Gene
Bishop,  as landlord (the "BISHOP  LEASES") on Schedule 2.2(c) are amended on or
prior to the  Closing  Date to extend  the term  thereof  until the year 2022 on
substantially  the same terms and  conditions  as are in  existence  on the date
hereof  (subject to base rent  escalations of up to 2% per year),  then the Base
Amount  (and,  correspondingly,  the  Series  A Merger  Consideration)  shall be
increased by $1,150,000 and shares of IHS Stock having a value (valued using the
Applicable  Valuation  Date  (as  defined  in  Section  3.1(a))  as the  date of
determination  in accordance with Section 3.1(a) below) equal to such $1,150,000
shall  be paid to the  Principal  Shareholders  as  additional  Series  A Merger
Consideration.  If any such amount shall become payable after the Closing,  then
such payment shall be made by delivery to the Principal  Shareholders  of shares
of IHS  Stock  (valued  using  the  Applicable  Valuation  Date  as the  date of
determination  in accordance  with Section  3.1(a)  below).  The Company and the
Principal  Shareholders  represent and warrant that they have delivered to Buyer
true and complete  copies of certain  amendments to the Bishop Leases.  Based on
the foregoing, Buyer acknowledges that, as of the date hereof, the Bishop Leases
have been amended  (effective as of the Closing  Date) in  accordance  with this
subsection  (c) and that upon  receipt of the  consent to such  amendments  from
Pacific Life Insurance Company,  the amounts payable pursuant to this subsection
(c) shall be  included in the Base  Amount  (and  correspondingly,  the Series A
Merger Consideration).

                       (D) LEASE OR ACQUISITION OF SOUTHEASTERN FACILITIES.  (I)
Buyer acknowledges that the Company has entered into that certain Stock Purchase
Agreement  (the "SHCM STOCK  PURCHASE  AGREEMENT")  dated  December 6, 1997 with
Steven D. Johnson,  Trustee under the Steven D. Johnson Revocable Trust, John W.
Trost,  Trustee under the John W. Trost  Revocable  Trust,  and Brenda J. Trost,
Trustee under the Brenda J. Trost  Revocable  Trust,  with respect to all of the
issued  and  outstanding  shares  of  capital  stock  of  SHCM  Holdings,   Inc.
Furthermore, Buyer acknowledges that HCPIII Jesup, Inc., one of the Subsidiaries
has entered into those two (2) certain  Agreements of Purchase and Sale (each, a
"SCHM ASSET  PURCHASE  AGREEMENT",  and  together  with the SHCM Stock  Purchase
Agreement,  the "SHCM  AGREEMENTS"),  each dated December 6, 1997,  respectively
with SHCM East Point  Properties,  Inc.  and SHCM  Atlanta  Properties,  Inc. to
acquire  the fee simple  interest  in the  property  upon which are  located the
Facilities known as the "Bonterra Nursing Home" and "Parkview Nursing Home" (the



                                       13



"SOUTHEASTERN   FACILITIES").   The  parties  agree  that  the  SCHM  Agreements
constitute  Contracts  (as defined in Section  5.7 below).  If all (but not less
than  all)  of  the  transactions   contemplated  by  the  SCHM  Agreements  are
consummated  on or prior to the first  anniversary  of the Closing (and Premiere
shall not have waived any of its  conditions  to closing  thereunder),  then the
Base Amount (and,  correspondingly,  the Series A Merger Consideration) shall be
increased by One Million Five Hundred Thousand Dollars ($1,500,000),  and shares
of IHS Stock, having a value (valued using the Applicable  Valuation Date on the
date of determination in accordance with Section 3.1(a) below) equal to such One
Million  Five  Hundred  Thousand  Dollars  ($1,500,000)  shall  be  paid  to the
Shareholders'  Representative for distribution to the Principal Shareholders (in
accordance with their  respective  Proportionate  Shares as additional  Series A
Merger Consideration.

                      (II) The Company (prior to the Closing) and each Principal
Shareholder hereby jointly and severally  represent and warrant to Buyer that if
each of the Southeastern  Facilities was owned by HCPIII Jesup, Inc. on the date
hereof,  and the  transactions  contemplated by the SCHM Agreements all had been
consummated prior to the date hereof, none of the representations and warranties
made by them pursuant to this Agreement  would, by reason  thereof,  be rendered
false or inaccurate;  it being understood that,  without limiting the foregoing,
all agreements,  leases, contracts,  instruments and commitments relating to the
business of any Southeastern Facility or to which SCHM Holdings,  Inc. or any of
its   subsidiaries   (collectively   with  SCHM   Holdings,   Inc.,   the  "SCHM
SUBSIDIARIES")  is a party or by which any SCHM  Subsidiary or any of the assets
of any SCHM Subsidiary or any of the assets  acquired  pursuant to either of the
SCHM Asset Purchase Agreements are bound shall, for these purposes, be deemed to
be  Contracts,  the  employees,  directors,  officers  and  agents  of each SCHM
Subsidiaries  shall, for these purposes,  be deemed to be employees,  directors,
officers and agents of a Subsidiary of the Company, the SCHM Subsidiaries shall,
for these purposes, be deemed to be Subsidiaries, the assets and the liabilities
of the SCHM Subsidiaries  shall, for these purposes,  be deemed to be assets and
liabilities of Subsidiaries  (subject to Section  2.2(a)(vi)(C)  and (D) above),
the assets acquired and liabilities assumed by the Subsidiaries  pursuant to the
SCHM Asset Purchase  Agreements  would be deemed to be assets and liabilities of
Subsidiaries  (subject  to Section  2.2(a)(vi)(C)  and (D)  above),  and all tax
returns, declarations of estimated tax and other reports required to be filed by
any of the SCHM  Subsidiaries  shall be deemed to be Tax Returns (as hereinafter
defined in Section 5.22). In furtherance of the foregoing, all of the disclosure
schedules of the Company and the Principal Shareholders to this Agreement (other
than the Financial Statements) have been prepared as if each of the Southeastern
Facilities  was  owned  by  HCPIII  Jesup,  Inc.  on the  date  hereof,  and the
transactions  contemplated by the SCHM Agreements all had been consummated prior
to the date hereof;  provided that each of such disclosure  schedules  indicates
which  disclosures  relate  to the SCHM  Facilities  and the SCHM  Subsidiaries.
Notwithstanding  anything to the contrary  contained in Section 2.4 or any other
provision  of  this   Agreement,   except  for   liabilities   included  in  the
determination  of the Aggregate SCHM Purchase Price, or in the  determination of
working capital or long-term  liabilities of the Company on a consolidated basis
in accordance with Section 2.2(a)(vi)(D), all liabilities of any SCHM Subsidiary
or arising under or out of any SCHM  Agreement  shall be Prohibited  Liabilities
(as hereinafter defined in Section 2.3(b)) (the "SCHM PROHIBITED  LIABILITIES").
Without limiting the generality of the foregoing,  any liability with respect to
any wage and salary dispute including any employees of any SCHM Subsidiary shall
be a Prohibited Liability except to the extent taken into account in determining
the  Aggregate  SCHM  Purchase  Price  or  the  working   capital  or  long-term
liabilities as aforesaid.



                                       14



                      (III) No more than  five (5)  business  days  prior to the
scheduled  closing date under the SCHM Agreements,  and provided that all of the
conditions to purchaser's  obligations to close under the SCHM Agreements  shall
have been  satisfied  (and not waived  without  Buyer's prior written  consent),
Buyer  or one of its  affiliates  shall  provide  financing  to the  Company  to
complete  the  transactions  contemplated  by the SCHM  Agreements  on terms and
conditions  no less  favorable  to the  Company  than the terms  and  conditions
offered to the Company by Omega Healthcare  Corporation as set forth in the term
sheet  heretofore  delivered by the Company to Buyer;  provided,  however,  that
Buyer or its affiliate  shall be granted an option to purchase the assets and/or
the issued and  outstanding  capital stock covered by the SCHM  Agreements for a
price equal to the sum of (x) the amount of the financing  provided as set forth
above,  plus (y)  $1,500,000,  which  purchase  price may be paid by  offsetting
amounts due to Buyer or such affiliate, by cash, or by delivery of shares of IHS
Stock (valued as of the date of exercise in accordance  with Section 3.1 below);
provided,  however, that Buyer in its sole discretion may elect, upon payment to
Premiere of the amount of the earnest  money  deposit paid to the sellers  under
the SCHM Asset  Purchase  Agreements by the Company prior to the date hereof and
applied against the purchase  price, to have the SCHM Asset Purchase  Agreements
assigned to it or its  affiliates in lieu of providing the financing to complete
the transactions  contemplated  thereby, in which case the option price referred
to above  shall be reduced by the amount of the  financing  that would have been
provided  therefor.  The parties to such  transactions  shall be entitled to the
same  conditions,   representations,   warranties,  covenants,  indemnifications
(subject  to   similar,   but   proportionately   reduced,   "deductibles"   and
"indemnification   caps"),   restrictive   covenants  and  other   benefits  and
protections to which such parties would have been entitled had the  transactions
contemplated by the SCHM  Agreements  been closed by the Company's  Subsidiaries
prior to the Closing Date.

                  (E) LEASE OF DADE COUNTY  FACILITIES.  (I) If the commencement
of both (but not just one) of those two (2) certain Leases (the "SKYLER LEASES")
dated December 31, 1997,  each by and between Skyler Miami,  Inc., as lessor and
HCPIII South Florida,  Inc., as lessee,  with respect to the Facilities known as
the "NORTH  MIAMI  NURSING  AND  REHABILITATION  CENTER"  and the  "FOUNTAINHEAD
NURSING CENTER" (collectively,  the "DADE COUNTY FACILITIES") has occurred prior
to the Closing,  or the Company or any  Subsidiary,  or the Buyer, or any of its
subsidiaries,  leases or  manages  both  (but not just  one) of the Dade  County
Facilities on terms and conditions reasonably satisfactory to Buyer prior to the
first  anniversary of the Closing,  then the Base Amount (and,  correspondingly,
the Series A Merger Consideration) shall be increased by $1,000,000,  and shares
of IHS Stock having a value (using the Applicable  Valuation Date as the date of
determination  in  accordance  with Section  3.1(a)  below) equal to One Million
Dollars  ($1,000,000)  shall  be paid to the  Shareholders'  Representative  for
distribution to the Principal  Shareholders (in accordance with their respective
Proportionate  Shares of the  Series A  Premiere  Shares) as payment of Series A
Merger  Consideration.  Notwithstanding  anything to the  contrary  contained in
Section  2.4 or  any  other  provision  this  Agreement,  all  liabilities  (the
"SV/SOUTH  FLORIDA  LIABILITIES")  arising under or out of the Agreement between
Premiere Associates  Management  Company,  Inc. and SV\South Florida Operations,
Inc.  ("SV/SOUTH  FLORIDA")  relating to the  termination of certain  management
agreements (the "SV/SOUTH  FLORIDA  TERMINATION  AGREEMENT"),  or the Operations
Transfer Agreement between HCPIII South Florida, Inc. and SV/South Florida dated
as of December 31, 1997 (the "OPERATIONS TRANSFER AGREEMENT",  and together with
the SV/South Florida Termination  Agreement,  the "SV/SOUTH FLORIDA AGREEMENTS")
shall be Prohibited Liabilities



                                       15



except  to  the  extent  such   liabilities   are  taken  into  account  in  the
determination  of the Actual  Working  Capital  Amount or the  Actual  Long-term
Liabilities  under  Section  2.2(a).  The  Company  and  Principal  Shareholders
represent and warrant that each of said Skyler  Leases  commenced on February 1,
1998, and that the  Management  Agreements  referred to in the SV/South  Florida
Termination  Agreement have been terminated;  and based on the foregoing,  Buyer
acknowledges  that the additional Series A Merger  Consideration  referred to in
this clause (i) is payable.  Notwithstanding  anything to the contrary set forth
in this subsection (e), if termination of any Management  Agreement covering any
Dade  County  Facility,  or if the  entering  into  of any  Skyler  Lease  shall
constitute a breach of any union contract,  then the increase in the Base Amount
(and,  correspondingly,  the Series A Merger Consideration) contemplated by this
subsection  (e)  shall  be  postponed  until  such  breach  is  resolved  to the
satisfaction of Buyer, and the Principal Shareholders shall indemnify Buyer from
and against any Losses (as hereinafter defined) arising out of any such breach.

                      (II) The Company (prior to the Closing) and each Principal
Shareholder hereby jointly and severally  represent and warrant to Buyer that if
each of the Dade  County  Facilities  was  leased  by a  Subsidiary  on the date
hereof, and the transactions contemplated by the SV/South Florida Agreements all
had been consummated prior to the date hereof,  none of the  representations and
warranties made by them pursuant to this Agreement would, by reason thereof,  be
rendered false or inaccurate;  it being  understood  that,  without limiting the
foregoing,  all  agreements,  leases,  contracts,  instruments  and  commitments
relating to the business of any Dade County Facility shall,  for these purposes,
be deemed to be Contracts, the employees, directors, officers and agents of each
Dade County  Facility  shall,  for these  purposes,  be deemed to be  employees,
directors,  officers  and  agents  of a  Subsidiary  of  the  Company,  and  any
liabilities arising under the Skyler Leases shall, for these purposes, be deemed
to be liabilities of Subsidiaries.  In furtherance of the foregoing,  all of the
disclosure  schedules  (other than the Financial  Statements) of the Company and
the Principal  Shareholders  to this  Agreement have been prepared as if each of
the Dade County Facilities was leased by a Subsidiary of the Company on the date
hereof, and the transactions contemplated by the SV/South Florida Agreements all
had been  consummated  prior  to the date  hereof;  provided  that  each of such
disclosure schedules indicates which disclosures relate to the Dade County.

                  (F) SHAREHOLDERS' REPRESENTATIVE.  Notwithstanding anything to
the contrary  contained  in this  Section 2.2,  Buyer shall make any payments of
Purchase Price  adjustments to the  Shareholders as instructed by  Shareholders'
Representative  (as hereinafter  defined).  Each Shareholder  hereby  designates
Swain,  and Swain  hereby  accepts  the  designation  as the  representative  of
Shareholders ( the "SHAREHOLDERS'  REPRESENTATIVE")  to act for and on behalf of
the Shareholders as provided in this Agreement.  Each Shareholder shall be bound
by all actions taken or omitted by Shareholders' Representative on behalf of any
Shareholder as provided in this Agreement,  and each Shareholder shall be deemed
to have  received  any  notice  deemed  given or payment  made to  Shareholders'
Representative in accordance with the notice provisions of this Agreement on the
date deemed given or the date paid to  Shareholders'  Representative,  and Buyer
shall be entitled to rely on all notices and consents given, and all settlements
entered into on behalf of any Shareholder to the extent  authorized  pursuant to
the  terms  of  this  Agreement  notwithstanding  any  objections  made  by  any
Shareholder prior to,  concurrently with or subsequent to the giving of any such
notice or



                                       16



consent or the settlement of any such matter.  Shareholders'  Representative may
be replaced only if and when all of the  Shareholders  shall notify Buyer that a
new individual  person (named in such notice) has been  unanimously  selected by
them to be the new Shareholders'  Representative,  in which case such new person
shall thereafter be the Shareholders' Representative.

                  2.3 ASSETS AND LIABILITIES.

                      (A) As of the Closing Date, the owned,  leased and managed
assets  (the  "ASSETS")  of the  Company and its  Subsidiaries  (as  hereinafter
defined in Section 5.1 (a)) will  include  all of the  tangible  and  intangible
assets which comprise or are utilized or are held for use in connection with the
Company or any of the  Subsidiaries  or are  necessary  to the  operation of the
business of the Company  and the  Subsidiaries  as  presently  constituted  (the
"BUSINESS"),  including, without limitation, all property, plant, and equipment,
contract rights,  leasehold interests,  fixed and moveable equipment,  vehicles,
furnishings,   tangible  personal  property,  inventory,  supplies,  cash,  cash
equivalents,  prepaid  expenses and  accounts  receivable  (other than  accounts
receivable collected,  cash expended and inventory,  supplies,  and other assets
consumed, used or disposed of, in each case, in the ordinary course of business,
consistent   with  prior  practice  and  otherwise  in   conformance   with  the
requirements of this Agreement),  goodwill, tradenames,  trademarks, all patient
records  and  files,  Certificates  of  Need,  Medicare  and  Medicaid  provider
agreements and numbers,  provider agreements with third party payors,  telephone
numbers, capital stock in subsidiaries,  and to the extent permitted by law, all
permits, licenses and other governmental approvals.  Notwithstanding anything to
the contrary  contained  herein,  the Assets shall not include any capital stock
in,  or  assets,  of  Manatee  or  any  of its  subsidiaries,  or of any  Kansas
Subsidiary or of any Illinois  Subsidiary.  As of the Closing, all of the Assets
shall be free and clear of all Liens other than Permitted Liens (as such term is
defined in Section 5.6(c) below).

                      (B) As of  the  Closing,  there  will  not be  outstanding
against the Company or any of its  subsidiaries any claim,  lawsuit,  liability,
obligation or debt of any kind or nature  whatsoever  (regardless of whether the
same  would  constitute  a  liability  to be set  forth  on a  balance  sheet in
accordance  with GAAP),  whether  absolute,  accrued,  due,  direct or indirect,
contingent or liquidated, matured or unmatured, joint or several, whether or not
for a sum certain,  whether for the payment of money or for the  performance  or
observance of any obligation or condition ("PROHIBITED LIABILITIES"), other than
(x) such  liabilities  as are taken  into  account in the  determination  of the
Actual Working Capital Amount or the Actual Long-term  Liabilities under Section
2.2(a), (y) liabilities covered by insurance to the extent of insurance proceeds
collected (or reasonably expected to be collected) with respect thereto, and (z)
obligations arising out of services or products or other benefits to be provided
to the Company or its subsidiaries after Closing under Contracts (as hereinafter
defined in Section  5.7(a)) that are not to be  terminated  in  accordance  with
Section 2.4 below  ("PERMITTED  LIABILITIES").  It is expressly  agreed that the
Principal  Shareholders  shall be responsible for all Prohibited  Liabilities of
the  Company or any of its  subsidiaries,  including,  without  limitation,  (i)
liabilities  of  the  Company  or  any  of  its  subsidiaries   arising  out  of
participation  in the Medicare or Medicaid  programs,  or arrangements  with any
other  third  party  payor,  or  arrangements  with any  person or  entity  that
participates in the Medicare or Medicaid programs or any other third party payor
program, including without limitation, with respect to any excess reimbursement,
recapture,  adjustment or overpayment whatsoever,  in each case, attributable to
any period on or prior



                                       17



to the Closing  Date  ("REIMBURSEMENT  LIABILITIES"),  (ii)  malpractice  claims
asserted by patients  or any other tort  claims  asserted,  claims for breach of
contract,  or any claims of any kind  asserted  by  patients,  former  patients,
employees or any other party that are based on acts or omissions occurring on or
before the Closing Date (except to the extent of  insurance  proceeds  collected
(or  reasonably  expected to be  collected)  with  respect  thereto),  (iii) any
accounts  payable  or  employment  or other  taxes  (except to the extent of the
amount  thereof,  if any,  included  in the  calculation  of the Actual  Working
Capital  Amount or Actual  Long-term  Liabilities),  and (iv) accrued but unpaid
compensation or other benefits to any of the employees,  agents,  consultants or
advisers of the Company or any of its  subsidiaries,  including accrued vacation
(except to the extent of the amount thereof, if any, included in the calculation
of the Actual Working Capital Amount or Actual Long- term  Liabilities).  As set
forth in Section  2.2(a)(vii)  above,  all  liabilities of Manatee or any of its
direct or indirect  subsidiaries,  shall be Prohibited  Liabilities,  including,
without limitation,  any Manatee Liability, as set forth in Section 2.2(a)(viii)
above, all liabilities of the Kansas Subsidiaries and the Illinois  Subsidiaries
shall  constitute  Prohibited  Liabilities,  as set forth in Section  2.2(d)(ii)
above, the SCHM Prohibited Liabilities shall constitute Prohibited  Liabilities,
and as set forth in Section 2.2(c) above the SV/South Florida  Liabilities shall
be Prohibited  Liabilities.  At Closing, the Principal Shareholders shall assume
and undertake in a writing  satisfactory to Buyer (the "UNDERTAKING") to perform
all Prohibited  Liabilities  when and as the same become due in accordance  with
their  terms.  The  Company,  its  subsidiaries  and Buyer  will not  assume any
liabilities of any  Shareholder  or provide any guaranty  therefor or obtain any
release of any of the same.

                  2.4 DESIGNATED CONTRACTS.  Within ten (10) business days after
the  date  hereof,  Buyer  shall  deliver  to the  Shareholders'  Representative
Schedule 2.4 setting forth each of the Contracts  identified on Schedule  5.7(b)
that the Company or any of its  subsidiaries  shall not retain as of the Closing
(the "DESIGNATED  CONTRACTS");  provided that no Management Agreement or Tenancy
Lease shall be included on Schedule 2.4.  Within five (5) days after Buyer shall
have delivered Schedule 2.4 to Shareholders'  Representative,  the Shareholders'
Representative  may terminate this Agreement in accordance  with Section 13.1 by
giving notice thereof during such five (5) day period if any Contracts  shall be
listed on Schedule  2.4.  If  Shareholders'  Representative  shall not so notify
Buyer within such time period, then such right to terminate this Agreement shall
expire. Prior to the Closing,  each Contract described on Schedule 5.26 and each
other  Designated   Contract  shall  be  terminated  (or  the  Company  and  its
subsidiaries  shall  otherwise  be  released  from all  liability  with  respect
thereto) at the sole cost and expense of the Principal  Shareholders  (or at the
cost of the Company or its  subsidiaries  to the extent  such cost is  expressly
included  in the  calculation  of the Actual  Working  Capital  Amount or Actual
Long-term  Liabilities).  It  shall  be a  condition  precedent  of Buyer to the
Closing that all required  consents  shall have been obtained from each party to
each  Contract  (that is not a  Designated  Contract)  with respect to which the
change in control contemplated by this Agreement requires such consent ("CONSENT
CONTRACTS"),  except to the extent that the failure to obtain such consents with
respect to Consent Contracts that do not constitute  Lease-Related Contracts (as
hereinafter  defined) is not reasonably likely to have a material adverse effect
on the Company or the  operation  of the  Business.  The  Company  (prior to the
Closing  only) and each  Principal  Shareholder  hereby  jointly  and  severally
represent and warrant to Buyer that Schedule  5.7(b)  correctly  identifies each
Consent Contract that is necessary for the Company or any Subsidiary to continue
as the  lessee  under any Lease  other than the  Georgia  billing  office  Lease
identified as item 9 (ee) on Schedule 5.7(b) (each, a "LEASE-RELATED CONTRACT").
If the Company and Shareholders  comply with their obligations under Section 9.4
below and any required consent



                                       18



is not  obtained  on or prior  to  Closing  with  respect  to any  Lease-Related
Contract,  then Buyer shall not be permitted to terminate its obligations  under
this Agreement by reason thereof, but the Base Amount (and, correspondingly, the
Series A Merger Consideration and the Series B Merger  Consideration),  shall be
reduced by the amount  allocated  to the  Facility  to which such  Lease-Related
Contract relates as set forth on Annex A to Schedule 5.7(b); provided,  however,
that if the  aggregate  amount  of such  reduction  to be made by reason of this
Section 2.4 shall be equal to or exceed $7,000,000, then Buyer shall be entitled
to terminate its obligations under this Agreement.  If the Company or any of its
subsidiaries  shall enter into any  agreement,  lease,  contract,  instrument or
commitment after the date hereof and prior to Closing that would be deemed to be
"material"  as defined in Section 5.7 below if it were in  existence on the date
hereof,  or  if  there  shall  be  disclosed  any  agreement,  lease,  contract,
instrument  or  commitment  that should have been  disclosed on Schedule  5.7(b)
hereto but that was not so  disclosed,  then Buyer shall have five (5)  business
days from the date on which so  disclosed  to Buyer to notify the  Shareholders'
Representative  as to whether such  agreement,  lease,  contract,  instrument or
commitment  shall be a  Designated  Contract.  If Buyer  fails to so notify  the
Shareholders' Representative then such agreement, lease, contract, instrument or
commitment shall not be deemed to be a Designated Contract. Without limiting the
generality of the  foregoing,  all of the employment  agreements  referred to in
Schedule  6.6A to the SCHM Stock  Purchase  Agreement  other  than the  one-year
employment  agreements with Brenda Canada,  Sharon Leuzinger,  Pamela Stripling,
Tama Douglas,  and Paul Stickland  substantially in the form heretofore provided
by Buyer to the  Principal  Shareholders,  shall be  terminated  (or all amounts
payable  under  such  employment  agreements  at any time shall be  included  as
current  liabilities in the working capital of the Company and its  subsidiaries
on a  consolidated  basis  as of the  Closing  Date  regardless  of  whether  in
accordance  with GAAP);  provided  further,  that in the case of the  employment
agreement with Timothy Johnson, such employment agreement need not be terminated
on the condition that any payments that may become due to such employee upon the
subsequent  termination  of his employment  after the second  anniversary of the
Closing Date (without  releasing him from any restrictive  covenants),  shall be
Prohibited Liabilities (and shall not be subject to Section 12.6(b) below).

         2.5      ESCROW INDEMNIFICATION.

                  (A) (I) At the Closing,  pursuant to an Escrow Agreement to be
executed  by the  parties in  substantially  the form and  substance  of Exhibit
2.5(a)(i)  hereto,  the Escrow Deposit shall be deposited with CoreStates  Bank,
N.A.  or  another   escrow   agent   acceptable   to  Buyer  and   Shareholders'
Representative (the "ESCROWEE") and shall be held by the Escrowee, together with
all interest or income,  if any,  earned  thereon in accordance  with the Escrow
Agreement,  as a  non-exclusive  source of  indemnification  from the  Principal
Shareholders  for any  amount  due to any  Buyer  Indemnitee  (as  such  term is
hereinafter defined in Section 12.2) pursuant to Articles II, XII, or otherwise.
The Escrow  Deposit  (plus all interest or income  earned  thereon in accordance
with the  Escrow  Agreement)  less any  claims  made for Losses (as such term is
defined  in  Section  12.2)  and any  amounts  paid to  Buyer  or the  Principal
Shareholders  in  accordance  with  Section  2.2(b)  above  shall be released to
Shareholders' Representative (for distribution to the Principal Shareholders) on
the second  anniversary of the Closing Date (the "ESCROW RELEASE  DATE").  If on
the  Escrow  Release  Date,  all  amounts  that  may be  due  to  the  Principal
Shareholders  with respect to the extension of the  Carr/Foster  Leases have not
been paid to the Principal Shareholders, then such unpaid amounts shall



                                       19



be delivered  to Buyer in shares of IHS Stock,  valued using the Closing Date as
the date of determination or cash, at Principal Shareholders' election; provided
however,  that such delivery to Buyer shall not relieve Buyer of its obligations
with respect thereto under Section 2.2(b), above.

                      (II)  At  the  Closing,  pursuant  to the  Manatee  Escrow
Agreement to be executed by the parties in substantially  the form and substance
of Exhibit 2.5(a)(ii) hereto, the Manatee Escrow Deposit shall be deposited with
the Escrowee and shall be held by the  Escrowee,  together  with all interest or
income,  if any, earned thereon in accordance with the Manatee Escrow Agreement,
as a non-exclusive source of indemnification from the Principal Shareholders for
any amount due to any Buyer Indemnitee  pursuant to Section 12.2(d),  below. The
Manatee Escrow Deposit (plus all interest or income earned thereon in accordance
with the Manatee Escrow  Agreement)  less any claims made for Losses pursuant to
Section 12.2(d),  below,  shall be released to the Shareholders'  Representative
(for distribution to the Principal Shareholders) on the earlier to occur of: (x)
the third  anniversary  of the  Closing  Date and (y) such  date as  Buyer,  the
Company and their  respective  subsidiaries  are fully released from the Manatee
Liability in writing  satisfactory  in form and substance to Buyer (the "MANATEE
RELEASE DATE").

                  (B) Subject to the  limitations set forth in Article III below
(including without  limitation,  with respect to the sale of shares of IHS Stock
issued pursuant to this  Agreement),  if Shareholders'  Representative  shall so
request,  the shares of IHS Stock constituting all or part of the Escrow Deposit
or  Manatee  Escrow  Deposit,  as the case may be,  shall be sold in a bona fide
third  party  transaction  if the  entire  proceeds  (net of  broker's  fees and
commissions)  of such sale shall  become  part of the Escrow  Deposit or Manatee
Escrow Deposit, as the case may be, and shall be deposited with the Escrowee and
held pursuant to the Escrow Agreement or Manatee Escrow  Agreement,  as the case
may be, and Buyer shall have reasonably determined that a satisfactory procedure
shall have been  established so that at all times before,  during and after such
sale,  the  escrowed  shares of IHS Stock to be sold and said  proceeds  (net of
broker's fees and  commissions)  thereof shall be subject to the sole possession
and control of the  Escrowee  pursuant to the terms of the Escrow  Agreement  or
Manatee Escrow Agreement, as the case may be and shall be, free and clear of all
Liens of third parties (other than Liens in favor of the Escrowee to the extent,
if any,  provided in the Escrow  Agreement or Manatee Escrow  Agreement,  as the
case may be ).

                       (C) If any shares of IHS Stock  constituting  any part of
the Escrow Deposit or Manatee Escrow Deposit,  as the case may be shall be sold,
the gross proceeds  thereof shall be held by the Escrowee  pursuant to the terms
of the Escrow  Agreement or Manatee  Escrow  Agreement,  as the case may be, and
shall  be  invested  in  accordance  with  the   instructions  of  Shareholders'
Representative  (subject to the reasonable approval of Buyer) as provided in the
Escrow Agreement or Manatee Escrow  Agreement,  as the case may be. Any interest
or income or  dividends  paid on or in  respect of all or any part of the Escrow
Deposit or Manatee Escrow Deposit ("ESCROW INCOME") shall be added to, and shall
thereafter  constitute part of the Escrow Deposit or Manatee Escrow Deposit,  as
the case may be,  and  shall be paid pro rata  with any  payment  of the  Escrow
Deposit or Manatee Escrow Deposit,  as the case may be not  constituting  Escrow
Income.

                       (D) The costs, fees and expenses of the Escrowee shall be
borne  equally by Buyer,  on the one hand,  and Principal  Shareholders,  on the
other hand.



                                       20



         2.6       ANGELL TRANSACTIONS.

                  (A) ANGELL  OPTIONS.  On or prior to  Closing,  the  Principal
Shareholders  and the  Company  shall  cause  all of the  Angell  Options  to be
exercised.  The Angell Family Limited Partnership shall be permitted to exercise
the Angell  Options to purchase up to an amount such that the Angell  Group will
hold  Series C Common  Shares  entitling  the  Angell  Group  to  receive  up to
$1,000,000 of IHS Shares if, but only if, each holder of the Angell Shares shall
have  entered  into the Angell  Agreement.  The Merger  Consideration  otherwise
allocated to the Series A Common Shares hereunder shall be reduced by the amount
of Merger  Consideration  payable to the holders of the Angell  Shares under the
Angell Agreement.

                  (B) ANGELL  GROUP  NOTES.  Buyer agrees that at the Closing it
shall guaranty the repayment of the Angell Group Notes and that the Angell Group
Notes may be  amended  to  provide  that they  shall not be  prepaid  during the
three-year  period  following the Closing  Date, if the Pledged  Shares shall be
released from any Liens held by any or all members of the Angell Group.

                             ARTICLE III: IHS STOCK

         3.1      IHS  STOCK.  As  set  forth  in  this  Agreement,  the  Merger
Consideration  and  various  adjustments  to the Merger  Consideration  shall be
payable by means of the delivery of shares of IHS Stock.  Such deliveries  shall
be made in accordance with the following:

                  (A)  SHARE  VALUE.  Whenever  shares  of IHS  Stock  are to be
delivered pursuant to this Agreement, the number of shares of IHS Stock shall be
valued as of the Applicable  Valuation Date (defined below) by using the average
closing New York Stock  Exchange  ("NYSE") price of IHS Stock for the sixty (60)
trading day period ending on the date which is two (2) trading days prior to the
applicable date of determination.  Unless otherwise expressly provided elsewhere
in this  Agreement,  the applicable  valuation date (the  "APPLICABLE  VALUATION
DATE")  shall mean the date on which the dollar  amount to be paid  (whether  by
reason of an  indemnification  claim or Base Amount  adjustment or otherwise) is
finally determined.

                  (B)  REGISTRATION  RIGHTS.  Buyer will use its best efforts to
cause to be  prepared,  filed  and  declared  effective  by the  Securities  and
Exchange  Commission (the  "COMMISSION"),  within ninety (90) days following the
Closing Date, a registration  statement (a "SHELF  REGISTRATION  STATEMENT") for
the registration of the IHS Stock issued to  Shareholders,  under the Securities
Act of 1933, as amended (the  "SECURITIES  ACT"),  and Buyer shall  maintain the
effectiveness  of such  registration  statement  for a  period  of one (1)  year
following the Closing Date, or until no Shareholder  shall own any of the shares
of IHS Stock issued pursuant to this Agreement,  whichever shall occur first, in
each case  except to the  extent  that an  exemption  from  registration  may be
available.



                                       21



                  (C)   REGISTRATION   EXPENSES.   Shareholders   shall  not  be
responsible  for, and Buyer shall bear,  all of the  reasonable  expenses of the
Buyer related to such registration including,  without limitation,  the fees and
expenses  of its  counsel  and  accountants,  all of its other  costs,  fees and
expenses  incident to the preparation,  printing,  registration and filing under
the  Securities Act of the Shelf  Registration  Statement and all amendments and
supplements   thereto,  the  cost  of  furnishing  copies  of  each  preliminary
prospectus,  each final  prospectus and each amendment or supplement  thereto to
underwriters,  dealers and other purchasers of shares of IHS Stock and the costs
and expenses  (including  fees and  disbursements  of its  counsel)  incurred in
connection with the  qualification of the shares of IHS Stock under the Blue Sky
laws of various  jurisdictions.  Buyer, however, shall not be required to pay or
incur underwriter's or brokerage discounts,  commissions or expenses,  or to pay
or incur any costs or  expenses  arising  out of any  Shareholder's  failure  to
comply with its obligations under this Article III, or to pay or incur any costs
or expenses arising out of the inclusion of any transferee of any Shareholder in
the Shelf Registration Statement.

                  (D) RESALE  LIMITATIONS.  The  Principal  Shareholders  hereby
covenant with Buyer that all resales by the Principal  Shareholders and, if any,
their  transferees  of such shares  (other  than  transferees  acquiring  shares
pursuant to a sale pursuant to an effective  registration  statement or Rule 144
promulgated  pursuant to the Securities Act ("RULE 144") and in accordance  with
subsection  (d)) of shares of IHS Stock issued  pursuant to this Agreement shall
be effected solely through Salomon Smith Barney, Inc., as broker, and resales by
the Principal  Shareholders and, if any, their transferees of such shares (other
than  transferees  acquiring  shares pursuant to a sale pursuant to an effective
registration  statement or Rule 144 and in accordance with this subsection (d)),
shall not at any time,  in the  aggregate,  during the period  commencing on the
Closing Date and ending 120 days after the  Effective  Date,  exceed one hundred
and  thirty  thousand  (130,000)  shares  (plus,  if any shares of IHS Stock are
issued  to  the  Principal   Shareholders  pursuant  to  subsection  (k)  below,
twenty-five  percent  (25%) of the number of such  additionally  issued  shares)
during any thirty (30) day period,  or  thereafter  exceed One Hundred  Thousand
(100,000)  shares  during any  thirty  (30) day  period.  For  purposes  of this
subsection  (d),  the term  Principal  Shareholder  shall  include the  Magnolia
Shareholder,  but shall  exclude  the  Angell  Group  members,  if any,  and the
Minority  Shareholders  with respect to any shares of IHS Stock received by them
by reason of the Merger.  Notwithstanding  the foregoing,  Buyer agrees that the
foregoing volume  restrictions  shall not apply to: sales,  until 150 days after
the Shelf Registration  Statement is declared effective,  of shares of IHS Stock
held  in  escrow  and  made   pursuant  to  Section   2.5(b)  above  to  satisfy
indemnification   or  Merger   Consideration   reduction   obligations   of  the
Shareholders.

                  (E)  REGISTRATION  PROCEDURES,  ETC.  In  connection  with the
registration  rights granted to the  Shareholders  with respect to the shares of
IHS Stock as provided in this Section 3.1, after the Closing Buyer covenants and
agrees as follows:

                      (I)  Buyer  will   promptly   notify   the   Shareholders'
Representative, at any time when a prospectus relating to the Shelf Registration
Statement is required to be delivered under the Securities Act, of the happening
of any event known to Buyer as a result of which the prospectus  included in the
Shelf Registration Statement, as then in effect, includes an untrue statement of
a  material  fact or omits to state  any  material  fact  required  to be stated
therein or necessary to make the  statements  therein not misleading in light of
the circumstances then existing.



                                       22



                      (II) Buyer shall furnish the Shareholders'  Representative
with  such  number  of  prospectuses   as  shall   reasonably  be  requested  by
Shareholders'  Representative  in  connection  with any  actual or  contemplated
resales.

                      (III) Subject to the ultimate  sentence in Section  3.1(c)
above, Buyer shall take all necessary action which may be required in qualifying
or  registering  the  shares  of IHS  Stock  included  in a  Shelf  Registration
Statement for offering and resale under the  securities or Blue Sky laws of such
states as reasonably are requested by the Shareholders' Representative, provided
that Buyer shall not be obligated to qualify as a foreign  corporation or dealer
to do business under the laws of any such jurisdiction.

                      (IV) The information included or incorporated by reference
in  the  Shelf  Registration   Statement  will  not,  at  the  time  such  Shelf
Registration  Statement  becomes  effective,  contain any untrue  statement of a
material  fact, or omit to state any material fact required to be stated therein
as  necessary  in  order  to  make  the  statements  therein,  in  light  of the
circumstances  under which they were made,  not  misleading  or as  necessary to
correct any statement in any earlier filing of such Shelf Registration Statement
or any amendments thereto.  The Shelf Registration  Statement will comply in all
material  respects with the  provisions of the  Securities Act and the rules and
regulations thereunder.  Buyer shall indemnify the Shareholders and each person,
if any,  who  controls  such  Shareholders  within  the  meaning of ss.15 of the
Securities  Act or ss.20(a) of the  Securities  Exchange Act of 1934, as amended
(the "EXCHANGE  ACT"),  against all loss,  claim,  damage,  expense or liability
(including  all  expenses  reasonably  incurred in  investigating,  preparing or
defending  against any claim whatsoever) to which any of them may become subject
under the Securities  Act, the Exchange Act or any other statute,  common law or
otherwise,  arising out of or based upon any untrue  statement or alleged untrue
statement  of a material  fact  contained in such Shelf  Registration  Statement
executed by Buyer or based upon written information  furnished by Buyer filed in
any  jurisdiction  in order to qualify  shares of IHS Stock under the securities
laws thereof or filed with the Commission,  any state  securities  commission or
agency,  NYSE or any securities  exchange;  or the omission or alleged  omission
therefrom of a material fact required to be stated  therein or necessary to make
the  statements  contained  therein not  misleading,  unless such  statement  or
omission was made in reliance  upon and in conformity  with written  information
furnished to Buyer by any of the Shareholders specifically for use in such Shelf
Registration  Statement  (it  being  understood  that  Buyer  may  rely  on  the
representations and warranties of any Shareholder  (relating to such Shareholder
only) made  pursuant  to this  Agreement  in  preparing  the Shelf  Registration
Statement), any amendment or supplement thereto or any application,  as the case
may  be.  If any  action  is  brought  against  any of the  Shareholders  or any
controlling  person of any of the Shareholders in respect of which indemnity may
be sought  against Buyer  pursuant to this  subsection  3.1(e)(iv),  such person
shall  within  thirty  (30)  days  after the  receipt  thereby  of a summons  or
complaint,  notify Buyer in writing of the  institution of such action and Buyer
shall assume the defense of such action, including the employment and payment of
reasonable  fees  and  expenses  of  counsel  (reasonably  satisfactory  to  the
applicable  Shareholder or such  controlling  person).  Such Shareholder or such
controlling  person  shall have the right to employ her,  his,  its or their own
counsel in any such case,  but the fees and expenses of such counsel shall be at
the  expense  of such  Shareholder  or such  controlling  person  unless (A) the
employment  of such counsel  shall have been  authorized  in writing by Buyer in
connection with the defense of such action, or (B) Buyer shall not



                                       23



have employed counsel to have charge of the defense of such action within twenty
(20) days of the  request  therefor,  or (C) such  indemnified  party or parties
shall have  reasonably  concluded and notified  Buyer that there may be defenses
available to her,  him, it or them which are  different  from or  additional  to
those  available  to Buyer (in  which  case,  Buyer  shall not have the right to
direct  the  defense  of such  action  on  behalf  of the  indemnified  party or
parties),  in any of which  events  the fees and  expenses  of not more than one
additional firm of attorneys for the Shareholders  and such controlling  persons
shall be borne by Buyer.

                       (V) The  Shareholders,  and their successors and assigns,
shall  severally,  and not jointly,  indemnify Buyer, its officers and directors
and each person,  if any, who controls  Buyer within the meaning of ss.15 of the
Securities Act or ss.20(a) of the Exchange Act against all loss, claim,  damage,
expense  and  liability   (including   all  expenses   reasonably   incurred  in
investigating, preparing or defending against any claim whatsoever) to which any
of them may become  subject  under the  Securities  Act, the Exchange Act or any
other statute,  common law or otherwise  (Federal,  State,  local or otherwise),
arising from inaccuracies in or omissions from information  furnished in writing
by or on  behalf  of any of such  Shareholders,  or any of their  successors  or
assigns  specifically  for inclusion in the Shelf  Registration  Statement,  any
Exchange Act filing or any State Blue Sky Law filing.

                  (F) NOTICE OF SALE. No  Shareholder  shall resell or otherwise
transfer  any  interest  in any of  the  shares  of IHS  Stock  issued  to  such
Shareholder  pursuant  to this  Agreement  unless  such  Shareholder  shall have
complied in all material respects, with all of his, her or its obligations under
this  Agreement,  and unless such  Shareholder  shall have given prior notice to
Buyer,  describing in reasonable detail such  Shareholder's  intention to effect
the transfer and the manner of the proposed  transfer.  If the transfer is to be
pursuant to an effective Shelf Registration  Statement as provided herein,  such
Shareholder  will  resell only in  compliance  with the  disclosure  therein and
discontinue  any  offers  and sales  thereunder  upon  notice  from Buyer to the
Shareholders'  Representative that the Shelf Registration  Statement relating to
the shares of IHS Stock being  transferred  is not  "current"  until Buyer gives
further  notice  that offers and sales may be  recommenced.  In the event of any
such notice from Buyer,  Buyer agrees to file  expeditiously  such amendments to
such Shelf Registration Statement as may be necessary to bring it current during
the  period  specified  in  this  Section  3.1  and to  give  prompt  notice  to
Shareholders'  Representative  when the Shelf  Registration  Statement has again
become  current.  If any of the  Shareholders  delivers  to Buyer an  opinion of
counsel  reasonably  acceptable  to Buyer and its counsel in form and  substance
reasonably  acceptable  to them and to the effect that the proposed  transfer of
shares of IHS Stock may be made without  registration  under the  Securities Act
and all applicable  state securities  laws, such  Shareholder  will,  subject to
Section  3.1(d)  above,  be  entitled  to  transfer  said shares of IHS Stock in
accordance with the terms of the notice and opinion of their counsel.

                  (G)  CONDITIONS.  It shall  be a  condition  precedent  to the
obligations  of the Buyer to take any action  pursuant to this  Article III that
the  Shareholders'  shall  furnish  to  the  Buyer  such  information  regarding
themselves,  the  shares  of IHS  Stock  held by them,  the  intended  method of
disposition of such securities,  and such other  information as shall reasonably
be requested  by Buyer to the extent  necessary  to effect the  registration  of
their  shares  of IHS  Stock.  In that  connection,  each  Shareholder  shall be
required represent and warrant to the Buyer that all such



                                       24



information  which  is given  is both  complete  and  accurate  in all  material
respects. It also shall be a condition precedent to the obligations of the Buyer
to take any action  pursuant  to this  Article III that the  Shareholders  shall
deliver  to the Buyer a  statement  in  writing  that  they bona fide  intend to
resell,  transfer  or  otherwise  dispose  of  the  shares  of IHS  Stock.  Each
Shareholder will, severally, promptly notify Buyer at any time when a prospectus
relating to a Shelf Registration  Statement  covering such Shareholder's  shares
under this Section 3.1 is required to be delivered  under the Securities Act, of
the  happening of any event known to such  Shareholder  as a result of which the
prospectus  included in such Shelf  Registration  Statement,  as then in effect,
includes an untrue  statement of a material  fact or omits to state any material
fact required to be stated therein or necessary to make the  statements  therein
not  misleading in light of the  circumstances  under which such  statements are
made.

                  (H) INVESTMENT REPRESENTATIONS.  All shares of IHS Stock to be
issued  hereunder will be newly issued shares of Buyer.  Shareholders  represent
and warrant to Buyer that the IHS Stock being issued hereunder are acquired, and
will be acquired,  by the Shareholders for investment for their own accounts and
not  with a view to or for sale in  connection  with  any  distribution  thereof
within the meaning of the Securities Act or any applicable  state securities law
other than  pursuant to an  effective  registration  statement  or Rule 144; the
Shareholders acknowledge that the shares of IHS Stock issued to them pursuant to
this Agreement constitute  restricted securities under Rule 144, and may have to
be held  indefinitely,  and the  Shareholders  agree that no shares of IHS Stock
issued to them pursuant to this  Agreement may be sold,  transferred,  assigned,
pledged or otherwise  disposed of except  pursuant to an effective  registration
statement or an exemption from registration  under the Securities Act, the rules
and regulations thereunder,  and under all applicable state securities laws. The
Shareholders represent and warrant that each has the knowledge and experience in
financial and business matters, is capable of evaluating the merits and risks of
the investment, is able to bear the economic risk of such investment,  and is an
accredited  investor within the meaning of Regulation D promulgated  pursuant to
the Securities Act. The Shareholders represent and warrant that each has had the
opportunity to make inquiries of and obtain from  representatives  and employees
of Buyer such other  information about Buyer as he, she or it deems necessary in
connection with such investment.

                  (I)  LEGEND.  It is  understood  that,  prior to resale of any
shares  of IHS Stock  pursuant  to an  effective  Shelf  Registration  Statement
pursuant to subsection (e) above, the certificates evidencing such shares of IHS
Stock shall bear the following (or a similar) legend (in addition to any legends
which may be  reasonably  required  in the  opinion  of  Buyer's  counsel by the
applicable  securities  laws of any  state),  and  upon  resale  of such  shares
pursuant to such an effective registration, new certificates shall be issued for
the shares sold without such legends except as otherwise required by law:

                      THE SHARES  REPRESENTED BY THIS  CERTIFICATE HAVE NOT BEEN
                      REGISTERED  UNDER THE  SECURITIES  ACT OF 1933. THE SHARES
                      HAVE BEEN  ACQUIRED  FOR  INVESTMENT  AND MAY NOT BE SOLD,
                      TRANSFERRED  OR ASSIGNED  IN THE  ABSENCE OF AN  EFFECTIVE
                      REGISTRATION   STATEMENT   FOR  THESE   SHARES  UNDER  THE
                      SECURITIES  ACT OF 1933  OR AN  OPINION  OF THE  COMPANY'S
                      COUNSEL THAT REGISTRATION IS NOT REQUIRED UNDER SAID ACT.



                                       25



                  (J) CERTAIN TRANSFEREES. Except in the case of any transfer of
any shares of IHS Stock issued  pursuant to this Agreement to a person  pursuant
to the laws of intestacy and succession upon the death of a Shareholder or in an
open market  transaction  subsequent to the effective  date of, and pursuant to,
the  Shelf  Registration  Statement  covering  such  shares  of IHS  Stock or in
accordance  with Rule 144  promulgated  under the Securities Act, no Shareholder
shall  transfer any such shares of IHS Stock to any person or entity unless such
transferee shall have agreed in a writing, in form and substance satisfactory to
Buyer, to be bound by the provisions  applicable to the Shareholders  under this
Article III and such transfer  shall be made in accordance  with all  applicable
Federal  and  state  securities  laws as set forth in  subsection  (g) above and
otherwise in accordance with this Article III.

                  (K)  If,  notwithstanding  the  use of  its  best  efforts  as
provided in subsection  (b) above,  Buyer does not cause the Shelf  Registration
Statement to be prepared,  filed and declared  effective  within one hundred and
fifty  (150) days after the  Closing  Date,  then as of the date that such Shelf
Registration Statement shall become effective (the "EFFECTIVE DATE"), the number
of Additional  IHS Shares shall be adjusted so that the number of Additional IHS
Shares issued to the Principal  Shareholders  pursuant to this  Agreement  shall
have an aggregate  fair market value equal to the original  principal  amount of
the  Closing  Loans  based  upon a price  per share of such  stock  equal to the
average  closing NYSE price of such stock for the thirty (30) trading day period
ending on the date which is two (2) trading  days prior to such  effective  date
(the "ADJUSTED MARKET VALUE PER ADDITIONAL IHS SHARE"). Within five (5) business
days after such  effective  date Buyer shall  deliver  notice  (the  "ADJUSTMENT
NOTICE")  to  the  Principal  Shareholders  of the  Adjusted  Market  Value  Per
Additional  IHS Share and the  number  of  shares  to be  delivered  by Buyer to
Principal  Shareholders  (if the Adjusted  Market Value Per Additional IHS Share
shall be less than the average  market  value per share used on the Closing Date
(the "INITIAL MARKET VALUE PER SHARE") or by the Principal Shareholders to Buyer
(if the Adjusted Market Value Per Additional IHS Share shall be greater than the
Initial Market Value Per Share) so as to effect the adjustment described in this
subsection  3.l(k).  The number of shares to be delivered or issued, as the case
may be, shall be rounded up or down so that no fractional shares need be issued.
Within five (5) business  days the parties shall make the delivery of the shares
of IHS Stock required in the Adjustment Notice.

                  (L) RULE 144  REPORTING.  With a view to making  available the
benefits of the certain rules and regulations of the Commission which may permit
the resale of restricted  securities to the public  without  registration  under
certain  circumstances,  the Buyer agrees, so long as there shall be outstanding
in the hands of the Shareholders  100,000 shares of IHS Stock issued pursuant to
this Agreement,  to furnish to each  Shareholder  who so reasonably  requests in
writing from time to time, a written statement by the Buyer as to its compliance
with the reporting  requirements  of Rule 144 and of the  Securities Act and the
Exchange Act, a copy of the most recent annual or quarterly report of the Buyer,
and such other reports and documents so filed with the  Commission  and that are
publicly  available as such Shareholder may reasonably request from time to time
in  availing  himself,  herself  or  itself  of any  rule or  regulation  of the
Commission allowing such holder to sell any such shares without registration.



                                       26



                             ARTICLE IV: THE CLOSING

                  4.1 TIME AND PLACE OF CLOSING.  The closing (the "CLOSING") of
the transactions contemplated by this Agreement shall take place by mail through
escrow  arrangements  satisfactory  to the parties hereto on the day that is one
(1)  business day after  satisfaction  of all of the  conditions  to closing set
forth in this Agreement, shall have been tendered, made or expressly waived, but
in no event later than March 31, 1998, unless all necessary regulatory approvals
have not been  obtained.  In such event,  the  Closing  shall take place at such
other  time and place upon which the  parties  may agree.  The date on which the
Closing is held is referred to in this Agreement as the "CLOSING DATE".

           ARTICLE V: REPRESENTATIONS AND WARRANTIES OF THE PRINCIPAL
                            SHAREHOLDERS AND COMPANY

                      The  Company  (prior to the  Closing)  and each  Principal
Shareholder  hereby  jointly  and  severally  represent  and warrant to Buyer as
follows:

         5.1      ORGANIZATION AND STANDING OF THE COMPANY; SUBSIDIARIES.

                      (A) Except as set forth on  Schedule  5.1(a),  the Company
has no equity  interest  or  investment,  directly or  indirectly,  in any other
corporation,  limited  liability  company  or  partnership,  limited  or general
partnership,  joint  venture,  or other  entity,  organization  or  association.
Schedule  5.1(a) also sets forth the percentage  equity  interest and percentage
voting  interest held  directly or indirectly  (in which case the nature of such
indirect interest also is set forth on Schedule 5.1(a)) in the entities, if any,
listed on  Schedule  5.1(a) and  whether or not such  equity  interest or voting
interest is held beneficially and of record.  The parties agree that each entity
in which  the  Company  holds an equity  interest  and that is  identified  as a
"Subsidiary" on Schedule 5.1(a) is sometimes  referred to in this Agreement as a
"SUBSIDIARY".  Except as set forth on Schedule 5.1(a),  the financial results of
each  Subsidiary  are  included  in the  Financial  Statements  (as such term is
hereinafter  defined in Section 5.8) on a consolidated  basis in accordance with
GAAP.

                      (B) Except as set forth on  Schedule  5.1(b),  each of the
Company and each Subsidiary is a corporation  duly organized,  validly  existing
and in good standing under the laws of its state of incorporation. Copies of the
Articles of Incorporation  and By-Laws of the Company and copies of the Articles
of Incorporation and By-Laws or other governance documents (such as certificates
of  limited  partnerships  and  limited  partnership  agreements  in the case of
limited partnerships or articles of organization and operating agreements in the
case of limited liability companies) ("GOVERNING DOCUMENTS"), and all amendments
thereof to date, have been delivered to Buyer and are complete and correct. Each
of the  Company  and each  Subsidiary  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 and to enter into this  Agreement  and each of the  Transaction
Documents  (as  defined  below in  Section  5.2) to  which it is a party  and to
perform its obligations  hereunder and thereunder.  Each of the Company and each
Subsidiary  is qualified to do business as a foreign  corporation  in each state
where the ownership of its assets or the conduct of its business would make such
qualification necessary.



                                       27



         5.2    AUTHORITY.  The  Company  has the  full  corporate  power  and
authority to make,  execute,  deliver and perform this Agreement  (including all
Schedules  and  Exhibits  hereto),   and  all  other  agreements,   instruments,
certificates   and  documents   required  or  contemplated   hereby  or  thereby
(collectively "TRANSACTION DOCUMENTS") to be executed or delivered by it, and to
consummate  all  of the  transactions  contemplated  hereby  and  thereby.  Such
execution,  delivery,  performance and consummation have been duly authorized by
all necessary action,  corporate or otherwise,  on the part of the Company.  Any
rights of any holder of equity in the Company to seek appraisal or to dissent to
the transactions contemplated hereby have been irrevocably waived.

                  (B) Each  Principal  Shareholder  has the full legal power and
capacity to make,  execute,  deliver and perform this  Agreement  (including all
Schedules and Exhibits hereto), and all Transaction  Documents to be executed or
delivered  by  him,  her,  or it,  and  to  consummate  all of the  transactions
contemplated  hereby and thereby.  Such  execution,  delivery,  performance  and
consummation have been made in the exercise of each such Principal Shareholder's
free will and volition, and any necessary consents of holders of indebtedness of
such Principal  Shareholders to the transactions  contemplated by this Agreement
have been  obtained.  In the case of any  Principal  Shareholder  that is not an
individual person,  such execution,  delivery,  performance and consummation has
been duly authorized by all necessary action,  corporate,  limited  partnership,
limited  liability  company  or  otherwise,   on  the  part  of  such  Principal
Shareholder and its equity holders.

         5.3      BINDING EFFECT. This Agreement constitutes, and when delivered
at or prior to the Closing,  each Transaction Document executed by any Principal
Shareholder  or the  Company  will  constitute,  the  legal,  valid and  binding
obligations  of such Principal  Shareholder or the Company,  as the case may be,
enforceable against it, him or her, as the case may be, in accordance with their
respective terms.

         5.4      ABSENCE OF  CONFLICTING  AGREEMENTS.  Neither the execution or
delivery of this Agreement or any of the Transaction  Documents by any Principal
Shareholder or the Company nor the  performance by any Principal  Shareholder or
the Company of the transactions contemplated hereby and thereby, conflicts with,
or  constitutes a breach of or a default under or will cause the  termination of
(A) in the case of the Company, any Subsidiary or any Principal Shareholder that
is not an individual person, its Certificate of Incorporation or other Governing
Document; or (B) any judgment,  order, writ, injunction,  decree,  statute, law,
rule,  regulation,  directive,  mandate,  ordinance or guideline  ("GOVERNMENTAL
REQUIREMENTS")  of  any  Federal,   state,   local  or  other   governmental  or
quasi-governmental  agency,  bureau,  board,  council,   administrator,   court,
arbitrator,  commission,  department,  instrumentality,  body or other authority
("GOVERNMENTAL  AUTHORITIES")  applicable  to it, him or her or the operation of
the  Business  or the  ownership  of any of the  Assets;  or (C) any  agreement,
indenture,  contract or instrument to which any Principal  Shareholder  is now a
party or by which any of them or any of their respective assets is bound.

         5.5      CONSENTS.   Except  as  set   forth  on   Schedule   5.5,   no
authorization,  consent,  approval,  license,  filing  or  registration  by  the
Company, any Subsidiary, any Shareholder or, to the best knowledge of the Group,
the  Buyer,  with  any  Governmental  Authority,  is or  will  be  necessary  in
connection  with the entry into,  execution,  delivery and  performance  of this
Agreement or any of the  Transaction  Documents by the Company or any  Principal
Shareholder, or for the consummation of the transactions contemplated hereby and
thereby.



                                       28



         5.6      SCHEDULE OF ASSETS AND PROPERTIES; TITLE; CONDITION.

                  (A) (I) Set forth on Schedule  5.6(a)(i)-1  is a complete  and
accurate list, arranged by Facility, of all material items of machinery, and all
material items of equipment,  office  equipment,  and  furniture,  and any other
items of personal  property,  in each case that  comprise or are utilized or are
held for use in connection  with the Company or any of the  Subsidiaries  or are
necessary to the  operation  of the  Business.  For  purposes of the  foregoing,
"material"  means an item  having a value in  excess  of  $10,000.  Set forth on
Schedule  5.6(a)(i)-2 is a complete and accurate list, arranged by Facility (and
indicating the interest held therein),  of all vehicles used in connection  with
the Business or owned or leased by the Company or any Subsidiary. Said Schedules
5.6(a)(i)-1 and 5.6(a)(i)-2 also set forth which of such assets are owned by the
Company or any of the Subsidiaries  (the "OWNED ASSETS"),  leased by the Company
or any of the Subsidiaries (the "LEASED  ASSETS"),  or managed by the Company or
any of the Subsidiaries (the "MANAGED ASSETS").

                      (II) Set forth on Schedule  5.6(a)(ii)  is a complete  and
accurate  list  of  all  patents,  trademarks,  service  marks,  copyrights,  or
applications  for any of the  same,  franchises,  proprietary  rights  and other
authorizations  (other than Licenses as set forth on Schedule  5.10 hereof),  if
any, and any other items of intangible or intellectual  property that are owned,
possessed  or used by the Company  (owned,  managed,  leased or  licensed)  that
comprise or are utilized or are held for use in  connection  with the Company or
any of the  Subsidiaries  or are necessary to the operation of the Business (the
"PROPRIETARY  RIGHTS").  There is no basis  for any  claim  of  infringement  or
misappropriation by or against the Company or any Subsidiary with respect to any
of the Proprietary Rights.

                  (B) Except as set forth on Schedule 5.6(b), the Company or one
of its  Subsidiaries has good and marketable title to all of the Owned Assets or
a good  and  valid  leasehold  interest  in all of  the  Leased  Assets,  or the
unrestricted  right  to use all of the  Managed  Assets,  subject  to no  liens,
claims, security interests,  mortgages,  pledges, charges,  easements, rights of
set off, restraints on transfers,  restrictions on use, options, or encumbrances
of any kind or nature  whatsoever  ("LIENS"),  other  than  Permitted  Liens (as
defined below in subsection  (c)).  Except as set forth on Schedule  5.6(b),  no
person  other than the Company or one of its  Subsidiaries  has any right to the
use or possession of any of such property and no currently  effective  financing
statement (other than financing  statements granted by lessors of any Facilities
leased  to  the  Company  or  one of the  Subsidiaries  or by  operators  of any
Facilities managed by any of the Company or Subsidiaries) with respect to any of
such  personal  property  has been  filed in any  jurisdiction,  and none of the
Company and the  Subsidiaries  has signed any such  financing  statement  or any
security  agreement  authorizing  any secured party  thereunder to file any such
financing  statement.  Since formation,  each of the Company and each Subsidiary
has conducted  its business  activities  only under the  corporate  and/or trade
names  set  forth  in  Section  5.6(b)  hereto.  All of such  personal  property
comprising  equipment,  improvements,  furniture  and  other  tangible  personal
property,  whether  owned,  leased,  managed or licensed,  is in good  operating
condition and repair  except for normal wear and tear in the ordinary  course of
business and except for items to be replaced in the ordinary  course of business
consistent  with past  practice,  and is  functioning  in the manner and for the
purpose for which it was intended and is in  compliance  with (and the operation
thereof is in compliance with) all applicable Governmental Requirements,  and is
sufficient  and  suitable  to operate  the  Business  in a normal and  efficient
manner.



                                       29



                  (C) "PERMITTED LIENS" means:

                      (I)  each  lien,  if any,  described  on  Schedule  5.6(c)
hereto;

                      (II) carriers', warehouseman's,  mechanics, materialmen's,
repairmen's or other like liens arising in the ordinary course of business which
are not overdue for a period of more than 30 days,  that in the aggregate do not
exceed $50,000;

                      (III) deposits to secure the  performance  of bids,  trade
contracts (other than for borrowed money), leases, statutory obligations, surety
and  appeal  bonds,  performance  bonds and  other  obligations  of like  nature
incurred in the  ordinary  course of business,  provided  that each such deposit
shall be included in the Assets and shall not exceed $15,000 in any one case, or
$75,000 in the aggregate;

                      (IV)  pledges or  deposits  in  connection  with  worker's
compensation, unemployment insurance, and other social security legislation;

                      (V) (A) liens in favor of  Magnolia  or its  wholly  owned
subsidiaries,  or (B) the rights of lessors  of Leased  Assets  under the leases
thereof,  or (C) Liens  created  by the  owners  of any  Leased  Facilities  (as
hereinafter  defined  in  Section  5.11(b))  to  the  extent  permitted  by  the
applicable Tenancy Leases (as hereinafter  defined in Section 5.11(b)) (but only
to the extent  that such Liens  will not have a material  adverse  effect on the
operation of the applicable Leased Facility), or (D) the rights of the owners of
Managed Assets under the applicable Management Agreements,  or (E) Liens created
by the owners of Managed Facilities (as hereinafter  defined in Section 5.11(b))
to the extent permitted by the applicable  Management Agreement (but only to the
extent that such Liens will not have a material  adverse effect on the operation
of the applicable Managed Facility); and

                      (VI)  easements,  rights-of-way,  restrictions  and  other
encumbrances which, in the aggregate, are not substantial in amount with respect
to any  Facility,  and which do not in any case  materially  interfere  with the
ordinary conduct of such Facility.

                  (D)  Except  as set  forth  on  Schedule  5.6(d),  none of the
personal  property  referred to in  subsection  (a) above is subject to a lease,
sublease,  license,  sublicense,   conditional  sale,  or  similar  arrangement.
Schedule  5.6(d) sets forth the annual rental and  unexpired  lease term of each
such item,  and all the  information  set forth  thereon is true,  complete  and
correct.

                  (E)  The   accounts   receivable   of  the   Company  and  the
Subsidiaries  are  reflected  properly  on each of their  books and  records  in
accordance  with GAAP,  have been billed or invoiced in the  ordinary  course of
business consistent with past practice, are not in dispute, and are bona fide.

                  (F) The  quantities of inventory and supply items  referred to
in subsection (a) above are  reasonable in light of the present and  anticipated
volume of the business of the Company and the Subsidiaries and the inventory and
supplies are good, usable,  merchantable,  and salable in the ordinary course of
the business of the Company and the Subsidiaries, in each case, as determined by
the Company in good faith and consistent with past practice.



                                       30



         5.7      CONTRACTS.

                  (A) The Principal  Shareholders have made available for review
by Buyer true, complete and correct copies of each agreement,  lease,  contract,
instrument or commitment relating to the Business or to which the Company or any
Subsidiary  is a party or by which the Company or any  Subsidiary  or any of the
Assets are bound ("CONTRACTS") that is in writing,  and a written description of
each material  oral  Contract.  Without  limiting the  foregoing,  the Principal
Shareholders  have delivered to Buyer true,  complete and correct copies of each
material written Contract.  Each material Contract was entered into and requires
performance in the ordinary  course of business and is in full force and effect.
None of the  Company  and the  Subsidiaries  is in  default  under any  material
Contract and there has not been asserted,  either by or, to the knowledge of the
Group,  against the Company or any Subsidiary under any material  Contract,  any
notice of default,  set-off or claim of default. Except as set forth on Schedule
5.7(b),  to the knowledge of the Group,  the parties to the material  Contracts,
other than the Company and the Subsidiaries,  are not in default of any of their
respective  obligations  under any of the Contracts,  and there has not occurred
any event which with the passage of time or the giving of notice (or both) would
constitute a default or breach under any material Contract.  Except as set forth
in  Schedule  5.7(b),  all  amounts  payable  or  receivable  under  each of the
Contracts  are, and will at the Closing Date, be on a current  basis.  Except as
set forth in  Schedule  5.7(b),  the  change of  control  in the  Company or any
Subsidiary  to Buyer will not be deemed an  assignment  of, or  require  consent
under any material  Contract.  None of the  Company,  the  Subsidiaries  and the
Principal  Shareholders has received notice or has reason to believe that any of
the material  Contracts  will be terminated by any party thereto  within 90 days
after the date hereof  pursuant to any  provision  thereof  permitting  any such
party to terminate such material Contract with or without cause. For purposes of
this  Agreement,  a Contract  shall not be deemed to be "material" if: (i) it is
not required to be disclosed  pursuant to subsection (b) below,  and (ii) (x) it
is terminable  by the Company or  Subsidiary at a cost not to exceed  $10,000 or
(y) it involves annualized payments of less than $50,000 and it is terminable at
no cost within thirty (30) days. Attached hereto as Exhibit 5.7(a) is a standard
form of therapy contract to which the Company or its Subsidiaries is a party. No
therapy or rehabilitation or respiratory  services contract with Communi-Care of
America,  Inc. or with any other third party  deviates in any  material  respect
from such standard contract, except as set forth on Schedule 5.7(b).

                  (B)  Except  as listed  on  Schedule  5.7(b),  no  Company  or
Subsidiary  has any  continuing  rights  or  obligations  under any  written  or
express, oral or implied:

                      (I) contract,  agreement or commitment  for the employment
or retention of, or collective bargaining,  severance or termination of or with,
any director, officer, employee,  consultant, sales representative,  or agent or
group of employees, or any non-competition, non-solicitation, confidentiality or
similar  agreement with any such person or persons  (provided that the foregoing
shall  not  require  the  disclosure  of  immaterial  oral  agreements  or  oral
commitments such as "at will" contracts);

                      (II)   contract,   agreement   or   arrangement   for  the
acquisition or  disposition of any assets,  property or rights having a value in
excess of $10,000 or in excess of $25,000 in any series of related  transactions
or requiring the consent of any party to the transfer and assignment of any such
assets,  property or rights (by purchase or sale of assets,  purchase or sale of
stock, merger or otherwise), including without limitation, option agreements;



                                       31



                      (III) contract, agreement,  instrument or commitment which
contains any provisions  requiring the Company or any Subsidiary to indemnify or
act for any other person or entity or to guaranty or act as surety for any other
person or entity;

                      (IV)  contract,  agreement or commitment  restricting  the
Company or any Subsidiary from, or in favor of the Company or any Subsidiary and
restricting any other person or entity from, conducting business anywhere in the
world  for any  period  of  time or  restricting  the use or  disclosure  of any
confidential  or  proprietary  information or prohibiting  the  solicitation  of
business or of employees, agents or others;

                      (V) partnership,  joint venture or management  contract or
similar  arrangement,  or agreement  which  involves a right to share profits or
future  payments  with  respect to the  Business or any  portion  thereof or the
business of any other person or entity;

                      (VI) licensing,  distributor,  dealer, franchise, sales or
manufacturer's representative,  agency or other similar contract, arrangement or
commitment that involves annual payments in excess of $10,000;

                      (VII)  contract,   agreement  or  arrangement  granting  a
leasehold  or  other  interest  in  personal  property  to  the  Company  or any
Subsidiary,  including without limitation,  subleases,  licenses and sublicenses
that involves annual payments in excess of $10,000;

                      (VIII)  contract,  agreement  or  arrangement  granting  a
leasehold  or other  interest in real  property  by any  Company or  Subsidiary,
including without limitation,  subleases,  licenses and sublicenses,  other than
ordinary and customary rights of residents and patients of the Facilities;

                      (IX)  contract,   agreement  or  arrangement   granting  a
leasehold  or other  interest in real  property  to any  Company or  Subsidiary,
including without limitation, all Tenancy Leases (as defined in Section 5.11(b))
and Managed Leases (as defined in Section 5.11(c));

                      (X) management agreement with respect to any Facility (the
"MANAGEMENT AGREEMENTS");

                      (XI) profit sharing,  thrift, bonus,  incentive,  deferred
compensation,  stock option, stock purchase, severance pay, pension, retirement,
hospitalization,  insurance or other  similar  plan,  agreement  or  arrangement
applicable to any employee, consultant or agent of the Company or any Subsidiary
not covered by clause (i) above;

                      (XII) agreement,  consent order, plea bargain,  settlement
or stipulation or similar arrangement with any Governmental Authority;

                      (XIII)  agreement  with respect to the  settlement  of any
litigation or other proceeding with any third person or entity;



                                       32



                      (XIV)  agreement  relating  to  the  ownership,  transfer,
voting or exercise of other  rights with  respect to any equity in the  Company,
any Subsidiary or any other entity,  including without limitation,  registration
rights agreements, voting trust agreements and shareholder and proxy agreements;
or

                      (XV)  agreement not made in the ordinary and normal course
of business and consistent with past practice,  or that is not terminable by the
Company or the  applicable  subsidiary  at any time within thirty (30) days at a
cost of not more than $10,000 or that involves  annualized payments of in excess
of $50,000 that is not set forth in subsections (i) through (xiv) above.

         5.8          FINANCIAL STATEMENTS.

                      (A) Attached  hereto as Schedule  5.8(a) are the unaudited
financial statements of the Company and the Subsidiaries on a consolidated basis
for the fiscal  quarters ended March 31, 1997,  June 30, 1997, and September 30,
1997,  and for the eleven (11) month period ended November 30, 1997, the audited
financial statements of the Company and the Subsidiaries on a consolidated basis
for  the  fiscal  year  ended  December  31,  1995,  and the  audited  financial
statements of the Company and the  Subsidiaries on a consolidated  basis for the
fiscal year ended December 31, 1996 (the "FINANCIAL STATEMENTS").  The Financial
Statements  (including  any related  notes  thereto) are true and correct in all
material  respects and present  fairly the  financial  condition  and results of
operations of the Company as, at and for the periods therein  specified and were
prepared  in  accordance  with GAAP  except as  expressly  set forth on Schedule
5.8(a).  Each of the Financial  Statements  has been  accompanied by the written
certification  of the Chief  Financial  Officer of the Company and the Principal
Shareholders' to be true and correct in all material respects, to present fairly
the  financial  condition  and  results of  operations  of the  Company  and the
Subsidiaries  on a  consolidated  basis  as,  at and  for  the  periods  therein
specified, and to have been prepared in accordance with GAAP except as expressly
set forth on  Schedule  5.8(a).  The books of  account  of the  Company  and the
Subsidiaries  from  which the  Financial  Statements  were  prepared  accurately
reflect all of the items of income and expense, assets, liabilities and accruals
of the  Company  and the  Subsidiaries.  The income  statements  included in the
Financial  Statements do not contain any items of special or nonrecurring income
or  expense  or any other  income not  earned or  expense  not  incurred  in the
ordinary  course of business  except as expressly  specified  therein,  and such
financial  statements  include all  adjustments,  which  consist  only of normal
recurring accruals, necessary for such fair presentation.

                      (B) The  unaudited  balance  sheet (the  "BALANCE  SHEET")
contained in the  Financial  Statements  as of September  30, 1997 (the "BALANCE
SHEET DATE")  reflects all  liabilities as of the date thereof,  and none of the
Company and the Subsidiaries has any liabilities that are not reflected thereon,
except for such current  liabilities as have been incurred since the date of the
Balance Sheet in the ordinary course of business  consistent with past practice,
and  liabilities  for the items and in the amounts  listed on  Schedule  5.8(b).
Except to the extent set forth or reserved against on the Balance Sheet there is
no basis for the  assertion  against  the  Company  or any  Subsidiaries  of any
liability  of any  nature or in any amount  (other  than  current  or  scheduled
liabilities as aforesaid).



                                       33



                      (C) Attached  hereto as Schedule  5.8(c) are the unaudited
financial  statements of the SCHM  Subsidiaries on a consolidated  basis for the
fiscal year ended June 30, 1997 and the five (5) month period ended November 30,
1997 (the "SCHM  SUBSIDIARY  FINANCIAL  STATEMENTS").  The Financial  Statements
(including  any related  notes  thereto)  are true and  correct in all  material
respects and present fairly the financial condition and results of operations of
the SCHM  Subsidiaries  as, at and for the periods  therein  specified  and were
prepared in accordance with GAAP. The books of account of the SCHM  Subsidiaries
from which the SCHM Subsidiary  Financial  Statements  were prepared  accurately
reflect all of the items of income and expense, assets, liabilities and accruals
of the SCHM Subsidiaries.  The income statements included in the SCHM Subsidiary
Financial  Statements do not contain any items of special or nonrecurring income
or  expense  or any other  income not  earned or  expense  not  incurred  in the
ordinary  course of business  except as expressly  specified  therein,  and such
financial  statements  include all  adjustments,  which  consist  only of normal
recurring accruals, necessary for such fair presentation.

                      (D) Attached as Schedule  5.8(d) are the unaudited  income
statements of the Dade County  Facilities on a  consolidated  basis for the nine
(9)  month  period  ended  September  30,  1997  (the  "DADE  COUNTY   FINANCIAL
STATEMENTS").  The Dade County Financial Statements (including any related notes
thereto)  are true and correct in all material  respects and present  fairly the
financial  condition and results of operations of the Dade County Facilities for
the periods  therein  specified and were prepared in accordance  with GAAP.  The
books of  account  of the Dade  County  Facilities  from  which the Dade  County
Financial Statements were prepared accurately reflect all of the items of income
and expense, assets, liabilities and accruals of the Dade County Facilities. The
Dade  County  Financial  Statements  do not  contain  any  items of  special  or
nonrecurring  income or  expense or any other  income not earned or expense  not
incurred  in the  ordinary  course of  business  except as  expressly  specified
therein,  and such financial  statements include all adjustments,  which consist
only of normal recurring accruals, necessary for such fair presentation.

          5.9          MATERIAL  CHANGES.  Except as  specifically  described on
Schedule  5.9  hereto,  since the  Balance  Sheet  Date,  there has not been any
material adverse change in the condition or prospects  (financial or otherwise),
of  the  assets,  properties  or  operations  of  the  Company  or  any  of  its
Subsidiaries, and each of the Company and each of the Subsidiaries has conducted
its business only in the ordinary  course,  consistent  with past practice.  The
Company has identified and  communicated to Buyer all material  information that
is peculiar  or unique to the  Business  (but not  applicable  generally  to all
persons or  entities in such  business)  with  respect to any fact or  condition
that, to the knowledge of the Group, might adversely affect the future prospects
(financial or otherwise) of any of the Business.

         5.10         LICENSES;  PERMITS;  CERTIFICATES  OF NEED.  Schedule 5.10
sets forth a  description  of each  license,  approval,  permit,  right or other
authorization,  other than immaterial local business licenses, that is necessary
for the operation of any part of the Business  (collectively,  the  "LICENSES").
The Company has delivered to Buyer true,  correct and complete  copies of all of
the  Licenses and the  applications  therefor.  Schedule  5.10 also sets forth a
description of each accreditation of the Business, copies of which the Principal
Shareholders have delivered to Buyer. The Company or one of the Subsidiaries, as
applicable, owns, possesses or has the legal right to use the Licenses, free and
clear of all Liens. None of the Company and the Subsidiaries is in default



                                       34



under,  and none of the Company and the  Subsidiaries has received any notice of
any claim or  default or any other  claim or  proceeding  relating  to, any such
License.  Except as set forth on Schedule 5.10, none of the Licenses will expire
prior to the first  anniversary  of the Closing Date or which may not be renewed
in the  ordinary  course  of  business.  The  Business  is,  as it is  currently
conducted,  licensed by all  Governmental  Authorities  from which  Licenses are
required to carry on the Business. No stockholder, director or officer, employee
or former employee of the Company or any Subsidiary,  or any other person,  firm
or entity owns or has any  proprietary,  financial or other interest,  direct or
indirect,  in whole or in part in any License,  except for the  licensors to the
Company or  Subsidiary,  and except  for  licenses  of  employees  described  on
Schedule 5.10 as such.

        5.11      THE FACILITIES.

                  (A) Schedule  5.11(a) is a list of all of the Facilities,  and
sets forth for each Facility all of the following information:

                      (I) the name of such Facility;

                      (II) the owner of the fee simple  title to such  Facility,
the lessee of such  Facility (if  applicable),  and the manager of such Facility
(if applicable);

                      (III) (A) the number of  licensed  long-term  care beds at
the  Facility,  (B) the current rates charged by the Facility to its patients or
residents,  (C) the  number  of beds or units  presently  occupied  in,  and the
occupancy  percentage at, the Facility,  (D) the number of patients or residents
at the Facility: (x) who receive reimbursement from, or are participants in, any
federal or state  Medicare  or Medicaid  program or (y) for whom  payment is not
made by Medicare of Medicaid; and

                      (IV)  whether  said  Facility  is subject to a Short Lease
(and if so,  the Short  Lease  Extension  Allocation  applicable  to such  Short
Lease), a Bishop Lease, or the New Greenville Lease, or is a Southeast  Facility
or a Salem Facility.

                  (B)  The  Company  or one of its  Subsidiaries  has  good  and
marketable  title to the  Facility  that it  listed  as owned by it on  Schedule
5.11(a)(ii) (the "OWNED FACILITY"),  and has a good and valid leasehold interest
for the term specified in the applicable lease (each a "TENANCY LEASE") for each
Facility that it listed as leased by it on Schedule  5.11(a)(ii) (each a "LEASED
FACILITY"), the Company does not have knowledge that any person or entity listed
as the owner of any Leased Facility or of any Facility that is listed as managed
by the  Company  or one of its  Subsidiaries  on  Schedule  5.11(a)(ii)  (each a
"MANAGED  FACILITY")  does not have good and marketable  title to such Leased or
Managed  Facility,  and the Company does not have  knowledge  that any person or
entity  listed as the tenant of any  Managed  Facility  does not have a good and
valid leasehold  interest for a term that is at least as long as the term of the
applicable  Management Contract for such Managed Facility, in each case, subject
to no Liens other than Permitted Liens;



                                       35



                  (C)  To  the  best  knowledge  of  the  Company  (but  without
independent  investigation),  with  respect  to each  Managed  Facility  that is
managed  by the  Company or any of its  Subsidiaries  pursuant  to a  Management
Agreement  on behalf of an  operator  (each,  a  "LESSEE/OPERATOR")  that leases
(rather than owns) such Managed  Facility (each, a "MANAGED  LEASED  FACILITY"),
neither said Lessee/Operator nor the applicable landlord is in default of any of
its obligations  under the lease (each, a "MANAGED  LEASE") with respect to such
Managed  Leased  Facility,  and there has not  occurred any event which with the
passage of time or the giving of notice (or both) would  constitute a default or
breach by either of them under said Managed Lease;  and a true and complete copy
of each Managed Lease has been  delivered to Buyer,  and each such Managed Lease
is,  to  the  best   knowledge   of  the  Company   (but   without   independent
investigation), in full force and effect; and

                  (D)  Except as set  forth on  Schedule  5.11(d),  there are no
leases or other agreements of the Company as lessor or operator, granting to any
third party the right to use, occupy or manage any Facility (except the ordinary
and customary  rights of the patients and residents of the  Facilities),  and no
person has any ownership interest or option or right of first refusal to acquire
any ownership interest in any Facility or any building or improvements thereon.

                  (E) No written  notices of violation have been received by the
Company or any Subsidiary,  or to the best knowledge of the Company (but without
independent  investigation),  by  any  owner  of  any  Leased  Facility  or  any
Lessee/Operator of any Managed Leased Facility,  from any Governmental Authority
that  remains in effect which  prohibits  or  restricts  the existing use of the
structures presently comprising the Facilities;

                  (F)  Except  as set  forth on  Schedule  5.11(f),  to the best
knowledge of the Company,  there is no plan, study or effort by any Governmental
Authority that would in any material way affect the present use or zoning of any
Facility or any part thereof,  and to the best  knowledge of the Company,  there
are no assessments or proposed assessments and there is no existing, proposed or
contemplated  plan to widen,  modify or  realign  any  street or  highway or any
existing,  proposed or contemplated eminent domain proceedings that would in any
material way affect any Facility;

                  (G) Except to the extent set forth on the engineering  reports
attached  hereto as  Schedule  5.11(g),  the  buildings  and other  improvements
comprising each Facility and all of their systems, including without limitation,
the  heating,  ventilating  and air  conditioning  systems,  and  the  plumbing,
electrical,  mechanical  and drainage  systems,  and roofs are in good operating
condition, repair and working order, normal wear and tear excepted;

                  (H) No  assessment  for  public  improvements  has  been  made
against  any  Facility  that  remains  unpaid  and for which the  Company or any
Subsidiary  is  liable,  and  all  public  improvements  ordered,  commenced  or
completed  with respect to any Facility  prior to the date of this Agreement and
for which the Company or any Subsidiary is liable,  shall be paid for in full by
the Company prior to the Closing; and



                                       36



                  (I) None of the Company and the  Subsidiaries has received any
written  notice  of  material  noncompliance  from  any  Governmental  Authority
regarding  any of the  improvements  constructed  at any  Facility or the use or
occupancy thereof which remains uncured.

         5.12     LEGAL  PROCEEDINGS.  Other than as set forth on Schedule 5.12,
there are no disputes,  claims,  actions, suits or proceedings,  arbitrations or
investigations, either administrative or judicial, pending, or, to the knowledge
of the  Company,  threatened  or  contemplated,  nor,  to the  knowledge  of the
Company,  is there any basis  therefor,  against or affecting  the Company,  any
Subsidiary or any of the Assets,  or the rights of the Company or any Subsidiary
therein or the  ability of any  Shareholder  or the  Company to  consummate  the
transactions contemplated herein, at law or in equity or otherwise, before or by
any Governmental Authority,  including, without limitation, any of the foregoing
relating to the infringement of Proprietary  Rights. None of the Company and the
Subsidiaries  has  received any  requests  for  information  with respect to the
transactions  contemplated  hereby  from  any  Governmental  Authority.  Without
limiting the generality of the foregoing, the investigation by the Office of the
Inspector  General  of the  United  States  of the  Facility  known  as the "St.
Petersburg Healthcare Center" does not, to the best knowledge of the Company and
each Shareholder, involve any alleged violations of Governmental Requirements by
the Company, any Subsidiaries or any Shareholder.

         5.13      EMPLOYEES.  With respect to any employee of the Company or
any  Subsidiary  receiving  an  annual  salary  of  $75,000  or  more,  Schedule
5.7(b)(i),  Schedule  5.7(b)(ix)  and  Schedule  5.13  together  contain a true,
complete and correct list of the name,  position,  current rate of  compensation
(together with a description of any specific  arrangements or rights  concerning
such persons that are not reflected in any agreement or document  referred to in
Schedule 5.7). Each of the Company and each Subsidiary is in compliance with all
Governmental  Requirements  applicable  to any and all of the  employee  benefit
plans,  agreements  and  arrangements  referred  to  on  Schedule  5.7(b)(i)  or
5.7(b)(xi),  including,  without  limitation,  the  Employee  Retirement  Income
Security Act of 1974,  as amended  ("ERISA").  No such  employee,  consultant or
agent has any  vested  or  unvested  retirement  benefits  or other  termination
benefits,  except as described on Schedule 5.7(b)(i) or 5.7(b)(xi).  The Balance
Sheet contains an adequate reserve for vacation accruals. There are no severance
obligations  or  continuing  sick pay  obligations  of any Company or Subsidiary
except as set forth on Schedule  5.13 or the  calculations  set forth on Exhibit
2.2(a)(vi)(E)  above. Each employee,  agent and consultant of the Company or any
Subsidiary has all licenses  necessary to carry on his or her  obligations as an
employee of the Company or any  Subsidiary  and to the  knowledge of the Company
(but without  independent  investigation),  each such  licensee is in compliance
with all of the  terms of all such  licenses  held by him or her.  Except as set
forth on Schedule 5.13,  none of the Company and the  Subsidiaries  has received
notice that any senior executive,  facility administrator or director of nursing
will terminate his or her employment within 180 days after the Closing Date, and
the Company has no reason to believe that any such termination will be likely by
reason of any change of control in the Company (or any Subsidiary)  contemplated
by this Agreement.



                                       37



         5.14        COLLECTIVE   BARGAINING,   LABOR   CONTRACTS,   EMPLOYMENT
PRACTICES,  ETC.  Since the date that is two (2) years prior to the date hereof,
there has been no  material  adverse  change  in the  relationship  between  the
Company or any Subsidiary and its employees nor any strike or labor  disturbance
by any of such employees  affecting the Business and there is no indication that
such a change,  strike or labor  disturbance  is likely.  Except as set forth on
Schedule 5.14, no employees of the Company or any Subsidiary are  represented by
any labor union or similar  organization in connection with their  employment by
or relationship with, the Company or any Subsidiary, and to the knowledge of the
Company,  there are no pending or threatened  activities the purpose of which is
to achieve such  representation of all or some of such employees.  Except as set
forth on  Schedule  5.14,  there are no pending  suits,  actions or  proceedings
against  the  Company or any  Subsidiary  relating to any of its past or present
employees,  and there are no threats of strikes, work stoppages or pending filed
grievances by any such employees.  Except as set forth on Schedule 5.14, none of
the Company and the  Subsidiaries  has any collective  bargaining or other labor
contracts. Except as disclosed on Schedule 5.14, no Facility has been audited by
the United  States  Department of Labor during the two (2) year period ending on
the date hereof.

         5.15         ERISA.  Except as set forth  on Schedule 5.15, none of the
Company and the Subsidiaries  maintains or make contributions to and none of the
Company  and the  Subsidiaries  has at any time in the past  maintained  or made
contributions  to any  employee  benefit  plan which is  subject to the  minimum
funding  standards  of  ERISA.  Each  plan  identified  on  Schedule  5.15 is in
compliance  with  ERISA  and is  fully  funded.  None  of the  Company  and  the
Subsidiaries  maintains or makes  contributions  to and none of them has, at any
time in the past,  maintained or made contributions to any  multi-employer  plan
subject to the terms of the  Multi-employer  Pension Plan  Amendment Act of 1980
(the "MULTI-EMPLOYER ACT").

           5.16       QUESTIONNAIRE. The healthcare law questionnaire heretofore
delivered to the Company by Buyer (the  "QUESTIONNAIRE")  and attached hereto as
Exhibit 5.16 has been fully and  accurately  completed  and does not contain any
material  misstatement of any fact and does not omit any fact that would have to
be stated in order not to render any response to such  Questionnaire  materially
misleading.

           5.17       INSURANCE  AND SURETY AGREEMENTS. Schedule 5.17 contains a
true and correct list of: (A) all policies of fire, liability and other forms of
insurance  held or owned by the Company or any  Subsidiary or otherwise in force
and  providing  coverage  for the  Business or any of the  Facilities  or Assets
(including  but not  limited to  medical  malpractice  insurance,  and any state
sponsored plan or program for worker's  compensation);  (B) all bonds, indemnity
agreements and other agreements of suretyship made for or held by the Company or
otherwise  in force and  relating to the  Business or any of the  Facilities  or
Assets, including a brief description of the character of the bond or agreement,
the name of the surety or the indemnifying  party.  Schedule 5.17 sets forth for
each such insurance policy the name of the insurer, the amount of coverage,  the
type of insurance, the policy number, the annual premium and a brief description
of the nature of  insurance  included  under each such  policy and of any claims
made  thereunder or increases in premiums  therefore  during the past two years.
Such  policies  are owned by and  payable  solely to the  Company  or one of its
Subsidiaries,  and said  policies or renewals or  replacements  thereof  will be
outstanding and duly in force at the Closing Date. All insurance policies listed
on Schedule 5.17 are in full force and effect,



                                       38



all  premiums  due on or before the Closing Date have been or will be paid on or
before the  Closing  Date,  none of the Company  and the  Subsidiaries  has been
advised by any of its insurance  carriers of an intention to terminate or modify
or  materially  raise the premiums for any such  policies,  nor have any of them
failed to  comply  with any of the  material  conditions  contained  in any such
policies.

         5.18        RELATIONSHIPS.  Except  as  disclosed  on Schedule 5.18, no
officer,  director  or  employee  of the  Company or of any  Subsidiary,  and no
Shareholder, no member of any Shareholder's immediate family or of the immediate
family of any principal or partner of any  Shareholder,  and no person or entity
which is controlled by, under common  control with, or  controlling  any of them
(each,  an  "AFFILIATE")  has,  or at any time within the last two (2) years has
had, a material ownership interest in any business, corporate or otherwise, that
is a party to, or in any property that is the subject of, business relationships
or arrangements of any kind relating to the operation of the Business. Except as
set forth on Schedule  5.18, no  Shareholder  or Affiliate is  guaranteeing  any
obligations of the Company or of any Subsidiary.

          5.19        ASSETS  COMPRISING   THE BUSINESS.  The Assets,  including
without  limitation,   all  Owned  Assets,  Leased  Assets  and  Managed  Assets
(including without  limitation,  all inventory  included  therein),  Facilities,
Contracts,  Proprietary  Rights and  Licenses  listed on the  Schedules  to this
Agreement, are all of the tangible and intangible properties (real, personal and
mixed),  including,  without limitation,  all licenses,  intellectual  property,
permits and  authorizations,  contracts,  leases and other  agreements  that are
necessary or material to the operation of the Business as now operated.

          5.20        ABSENCE OF CERTAIN EVENTS. Except as set forth on Schedule
5.20,  since the Balance  Sheet Date,  none of the Company and the  Subsidiaries
has:

                      (A) sold, assigned, transferred or disposed of any Assets,
except in the ordinary course of business consistent with past practice;

                      (B)  mortgaged,  pledged or  subjected  to any Lien of any
nature whatsoever any of the Assets, other than Permitted Liens;

                      (C) entered  into any  Contract,  or made or suffered  any
termination of any Contract,  or made or suffered any  modification or amendment
of any  Contract  except  for  terminations,  modifications  and  amendments  of
Contracts made in the ordinary course of business  consistent with past practice
and which would not adversely affect earnings or otherwise be material, and none
of the Company and the  Subsidiaries  has received  notice or has knowledge that
any Contract has been  terminated  or will be  terminated or modified or amended
(as aforesaid);

                      (D) except in the ordinary course of business,  consistent
with past practice, or otherwise to comply with any applicable minimum wage law,
increased the salaries or other  compensation  of any of its employees,  or made
any  increase  in, or any  additions  to,  other  benefits  to which any of such
employees may be entitled;



                                       39



                      (E)  discharged or satisfied any Lien or  encumbrance,  or
satisfied, paid or prepaid any material liabilities,  other than in the ordinary
course of business consistent with past practice,  or failed to pay or discharge
when due any liabilities, the failure to pay or discharge of which has caused or
may cause any actual damage or risk of loss to the Company or any  Subsidiary or
the Business or the Assets;

                      (F) incurred any  liabilities,  other than trade  payables
and other operating  liabilities that would be reflected on the date incurred as
current liabilities on a balance sheet of the Company and the Subsidiaries, on a
consolidated  basis,  in  accordance  with GAAP,  and in the ordinary  course of
business consistent with past practice;

                      (G) failed to collect accounts  receivable in the ordinary
course of business consistent with past practice;

                      (H) changed any of the accounting  principles  followed by
it or the methods of applying such principles;

                      (I) canceled,  modified or waived any debts or claims held
by it,  other  than in the  ordinary  course of  business  consistent  with past
practice,  or waived  any  rights of  substantial  value,  whether or not in the
ordinary course of business; or

                      (J) issued any capital  stock,  or declared or paid or set
aside or reserved any amounts for payment of any dividend or other  distribution
in  respect  of  any  equity  interest  or  other  securities,  or  redeemed  or
repurchased any of its capital stock or other securities, or made any payment to
any  Affiliate  except for payments of  compensation  in the ordinary  course of
business consistent with past practice and disclosed to Buyer as such;

                      (K) failed to collect,  withhold  and/or pay to any proper
Governmental  Authority,  any Taxes (as  hereinafter  defined in  Section  5.22)
required by applicable  Governmental  Requirement  to be so collected,  withheld
and/or paid;

                      (L)   instituted,   settled   or  agreed  to  settle   any
litigation,  action or proceeding before any Governmental  Authority relating to
it or its property or received any threat  thereof,  except for  settlements  of
cost  report  claims in the  ordinary  course of business  consistent  with past
practice and that have not had a material  adverse  effect on the Company or the
Business;

                      (M) entered  into any material  transaction  other than in
the ordinary course of business consistent with past practice; or

                      (N) agreed or otherwise  become  committed to do any thing
described in any of subsections (a) through and including (m) above.

         5.21         COMPLIANCE WITH LAWS.

                      (A) The Company and each Subsidiary is in compliance with,
and to the Group's knowledge, each of their respective licensed employees are in
material compliance with, all Governmental  Requirements applicable to them, the
Assets or the operation of the Business.



                                       40



None of the Company and the  Subsidiaries  has received any claim or notice that
any of the  Facilities  or  Assets  is not in  compliance  with  any  applicable
Governmental  Requirement.  The Company  shall report to Buyer,  within five (5)
days after its receipt  thereof,  any written or oral claims or notices that any
of the licensed employees of it or any Subsidiary, any of the Facilities, or any
of the Assets is not in compliance with any of the foregoing.

                      (B)  Except  as set  forth  on the  environmental  reports
identified  on  Schedule  5.21(b),  at all times,  each of the  Company and each
Subsidiary has complied, and is complying in all respects with all environmental
and related Governmental Requirements applicable to it, the Facilities,  and its
Assets,  including,  but not limited to, the Resource  Conservation and Recovery
Act of 1976, as amended, the Comprehensive  Environmental  Response Compensation
and Liability Act of 1980, as amended,  the Federal Water Pollution Control Act,
as amended by the Clean Water Act, and subsequent amendments,  the Federal Toxic
Substances  Control  Act,  as  amended,  with  respect to the  environmental  or
healthful   state,   condition   or  quality  of  any   property   (collectively
"ENVIRONMENTAL LAWS"). The foregoing  representation and warranty applies to all
aspects of the operation of the Business and the use and ownership of the Assets
including,  but  not  limited  to,  the  use,  handling,   treatment,   storage,
transportation  and  disposal  of any  hazardous,  toxic  or  infectious  waste,
material or substance  (including  medical  waste),  and to petroleum  products,
material or waste  whether  performed  on any of the Leased  Properties,  at any
Facility,  or at any other  location.  No uncured  notice from any  Governmental
Authority  has been  served upon the  Company or any  Subsidiary,  or any of its
agents or  representatives  claiming any violation of any Environmental  Law, or
requiring or calling attention to the need for any work, repairs, or demolition,
on or in  connection  with any of such  properties  in order to comply  with any
Environmental Law.

        5.22          TAXES.  Except for Taxes that have accrued in the ordinary
course of business since the Balance Sheet Date, the Balance Sheet  sufficiently
provides for all accrued,  deferred and unpaid federal, state, local and foreign
net or gross income, profits, property, sales, use, excise, license,  franchise,
severance,  stamp,  occupation,  premium,  windfall profits tax, alternative and
add-on minimum taxes,  customs duty, added value,  payroll,  employer's  income,
withholding and social  security taxes,  excise or other taxes ("TAXES") and any
penalties, interest,  governmental charges, assessments and deficiencies related
thereto,  payable by the  Company or any  Subsidiary.  All Taxes  payable by the
Company or any  Subsidiary,  and all interest  and  penalties  thereon,  whether
disputed or not, have been paid in full when due, all tax returns,  declarations
of estimated tax and other reports required to be filed in connection  therewith
("TAX  RETURNS") have been  accurately  prepared and completed on an appropriate
basis  and  duly  and  timely  filed  in   accordance   with  all   Governmental
Requirements,  all computations and taxable income correctly and accurately made
and  reported  in  accordance   with  all  Government   Requirements,   and  all
withholdings  and deposits  required by Governmental  Requirements to be made by
the Company or any Subsidiary with respect to employee's  withholding taxes have
been duly made.  Except as set forth on Schedule  5.22,  neither the Company nor
any of the Subsidiaries has any tax deficiency or claim outstanding, proposed or
assessed  against  it, and there is no basis for any such  deficiency  or claim.
There is not now in force  any  extension  of time with  respect  to the date on
which any Tax Return was or is due to be filed by or with respect to the Company
or any  Subsidiary  or any waiver or agreement by the Company or any  Subsidiary
for the extension of time for assessment of any Tax. None of the Company and the
Subsidiaries  is a party  to any  pending  action  or  proceeding,  and,  to the
knowledge of the Company,  no action or  proceeding  has been  threatened by any
Governmental  Authority for  assessment or collection of any Taxes,  nor has any
claim for assessment or collection of Taxes been



                                       41



asserted  against  the  Company or any  Subsidiary.  None of the Company and the
Subsidiaries is a party to any tax sharing  agreement or  arrangement.  True and
complete  copies of all  Federal  and State Tax  Returns of the  Company and the
Subsidiaries  for the tax  years  ending  December  31,  1996 and 1995 have been
delivered to Buyer.

                  5.23  ENCUMBRANCES  CREATED  BY THIS  AGREEMENT.  Neither  the
execution  and delivery of this  Agreement nor the execution and delivery of any
of the Transaction  Documents by the Company or any Shareholder creates, and the
consummation of the transactions contemplated hereby or thereby will not create,
any Liens on any of the Assets in favor of third parties.

                  5.24   QUESTIONABLE   PAYMENTS.   None   of   the   Company's,
Subsidiaries  and  Shareholders  has, and to the  knowledge  of the Company,  no
director,  officer,  agent or employee of the Company or any Subsidiary has made
or  received  any  illegal  or  unlawful  payment,  bribe,  kickback,  political
contribution  or  other  similar  questionable  payment  for  any  referrals  or
otherwise  in  connection  with the  ownership  or  operation  of the  Business,
including, without limitation, any of the same that would constitute a violation
of the Foreign Corrupt Practices Act of 1977, as amended.

                  5.25  REIMBURSEMENT  MATTERS.  Except as set forth on Schedule
5.25, each of the Company, each Subsidiary and, to the Company's knowledge, each
operator of any Managed Facility (each, a "MANAGED FACILITY  OPERATOR"),  to the
extent  necessary  to conduct  its  business  in a manner  consistent  with past
practice,  is qualified for participation in the Medicare and Medicaid programs,
and each other third party reimbursement source in which it participates. Except
as set forth on Schedule  5.25,  none of the  Company,  any  Subsidiary  and any
Managed Facility  Operator has any liability with respect to recoupment from the
Medicare or Medicaid  programs  or any other  third party  reimbursement  source
(inclusive  of managed  care  organizations)  that would  exceed the reserves or
allowances  made  therefor  as set forth on the Balance  Sheet,  and there is no
basis for the assertion of any such recoupment  claim,  and none of the Company,
any Subsidiary and any Managed Facility  Operator has received any notice of any
such assertion, including without limitation, any notice of denial or recoupment
from the Medicare or Medicaid programs,  or any other third party  reimbursement
source that arose out of any  transactions  completed  prior to the date hereof,
and no Medicare or Medicaid  investigation,  survey,  or audit is pending or, to
the  knowledge of the Company,  threatened  with respect to the operation of the
business of any Facility.  None of the Company,  any  Subsidiary and any Managed
Facility Operator nor, to the knowledge of the Company,  any of their respective
licensed  employees has been convicted of, or pled guilty or nolo  contendere to
any  criminal  offense  related to any Medicare or Medicaid  program  while such
person was an employee of any of them or after the  termination of such person's
employment by any of them for acts committed while employed by any of them, and,
to the  knowledge of the  Company,  none of such  employees  has  committed  any
offense which may serve as the basis for suspension,  restriction,  or exclusion
of the  Company,  any  Subsidiary  or any  Managed  Facility  Operator  from the
Medicare and Medicaid programs,  or any other third party reimbursement  source.
Except as set  forth on  Schedule  5.25,  since  January  1,  1998,  none of the
Company,  the Subsidiaries  and the Managed Facility  Operators has received any
notice  from  the  Medicare  or  Medicaid  programs  or any  other  third  party
reimbursement  source  to the  effect  that  the  basis  on  which  it  receives
reimbursement  for its services is to be changed in any manner that could have a
material  adverse effect on the Company and the  Subsidiaries  taken as a whole.
The Company has made available to Buyer true, complete and correct copies of the
most  recent  surveys  and  inspection  reports  from,  and plans of  correction
provided by, the Company, any Subsidiary or any Managed Facility Operator



                                       42



to, any governmental health care regulatory agency, intermediary or authority or
any other licensing  organization and any and all  correspondence  between or on
behalf of any such  regulatory  agency,  intermediary  or authority or licensing
organization concerning any and all deficiencies, inadequacies or non-compliance
with regulations or standards applicable to any Facility. Except as set forth on
Schedule  5.25,  there  are no  violations,  orders  or  deficiencies  issued or
recommended by any such Governmental  Authority (including,  without limitation,
licensing  organizations),  and except as set forth on Schedule 5.25,  there are
(and  within the past three (3) years  there has been) no  inspections,  license
reviews, investigations or proceedings of any sort pending by or before any such
Governmental  Authority  that relate to any Facility.  All such  violations  and
deficiencies have been fully remedied by the applicable  Company,  Subsidiary or
Managed Facility Operator or withdrawn by the applicable Governmental Authority.
During  the  twelve-month  period  immediately  preceding  the date  hereof,  no
Facility has been placed on "Vendor Hold" or similar status or become subject to
any other disciplinary or punitive action, or been cited for any violations that
are likely to lead to the  Facility  being  placed on  "Vendor  Hold" or similar
status or subject to any other  disciplinary or punitive  action.  Except as set
forth on Schedule  5.25,  none of the Company,  any  Subsidiary  and any Managed
Facility  Operator  has been  served  with any  notice  which (x)  requires  the
performance  of any  work or  alterations  on any  Facility,  or in the  streets
bounding thereon,  or (y) orders the  installation,  repair or alteration of any
public  improvements on or about any Facility or the streets  bounding  thereon.
Each Facility is in material  compliance  with all  "Conditions and Standards of
Participation" in the Medicare or Medicaid  Programs.  Each of the Company,  the
Subsidiaries  and the Managed  Facility  Operators has timely filed all required
cost reports with  respect to Medicare and  Medicaid,  and has provided to Buyer
its audited and  unaudited  cost reports for Medicare and Medicaid and all other
rate compensation and reimbursement  reports,  audits and schedules  prepared or
issued  by, or filed  with,  any  Governmental  Authority  with  respect  to the
operations of any Facility for the last three (3) years, and each such report is
complete and accurate in all material respects.

                  5.26 CAPITAL STOCK OF THE COMPANY.  Schedule 5.26 sets forth a
complete  list and  description  of all of the  authorized  capital stock of the
Company,  the number of shares issued and  outstanding of such capital stock and
the  identity  of each holder  thereof,  in each case  indicating  the number of
shares held. No shares of the  Company's  capital stock are held in the treasury
of  the  Company.  The  Company  has  only  one  class  of  capital  stock.  The
Shareholders  are the lawful record and beneficial  owners of all of the Subject
Shares as indicated on Schedule  5.26,  free and clear of all Liens,  and all of
such   stock  is  duly   authorized,   validly   issued,   and  fully  paid  and
non-assessable.  Each  Shareholder  has the full  legal  power to  transfer  and
deliver the Subject Shares listed as owned by him, her or it on Schedule 5.26 in
accordance  with this  Agreement,  and delivery of such Subject  Shares to Buyer
pursuant hereto will convey good and marketable title thereto, free and clear of
all Liens.  Except for the stock options  granted as set forth on Schedule 5.26,
there are not now any and, on the Closing  Date there will be no,  subscription,
participation,  preemptive  or first  refusal  rights to purchase  or  otherwise
acquire  shares  of  capital  stock  of the  Company  from  the  Company  or any
Shareholder  or any one else pursuant to any provision of law or the Articles of
Incorporation or ByLaws of the Company or by agreement or otherwise.  Except for
the Angell Options granted as set forth on Schedule 5.26,  there are not now any
and, on the Closing Date there shall not be any, outstanding warrants,  options,
or other  rights to  subscribe  for or  purchase  from the Company any shares of
capital stock of the Company or any  Shareholder  or any one else, nor are there
and  there  shall  not  be  outstanding  on the  Closing  Date,  any  securities
convertible into or exchangeable for any



                                       43



such  shares.  Except  as  described  on  Schedule  5.26,  there  are no  voting
agreements,  arrangements, trusts or restrictions relating to any of the Subject
Shares.  The consent of each member of the Angell Group to the  consummation  of
the transactions  contemplated by this Agreement has been obtained if and to the
extent such consent is required.

                  5.27   FINDERS.   No  broker  or  finder  has  acted  for  any
Shareholder or the Company in connection with the  transactions  contemplated by
this Agreement other than  Robinson-Humphrey  Company, Inc. (the "BROKER"),  and
other than the Broker,  no other broker or finder is entitled to any broker's or
finder's  fee or  other  commission  in  respect  thereof  based  in any  way on
agreements, understandings or arrangements with any Shareholder or the Company.

                  5.28 SHAREHOLDER UNTRUE STATEMENT. None of the representations
and  warranties  of the Company or any  Shareholder  made in or pursuant to this
Agreement  contains any untrue  statement  of material  fact or omits to state a
material fact necessary,  in light of the circumstance  under which it was made,
in order to make any such representation not misleading in any material respect.

                  5.29 MANATEE,  KANSAS AND ILLINOIS  SUBSIDIARIES.  None of the
Kansas  or  Illinois   Subsidiaries  has  any  material  liabilities  or  assets
(including rights such as options), and except as set forth on Schedule 5.29, no
items of revenue,  income or expense  from any of them or from Manatee or any of
its subsidiaries was included in any of the Financial Statements.

           ARTICLE VI: REPRESENTATIONS AND WARRANTIES OF THE MINORITY
                                  SHAREHOLDERS

                  Each Minority  Shareholder  hereby  severally  represents  and
warrants to Buyer as follows:

                  6.1 AUTHORITY.  Such  Shareholder has the full legal power and
capacity to make,  execute,  deliver and perform this  Agreement  (including all
Schedules and Exhibits hereto), and all Transaction  Documents to be executed or
delivered  by  him,  her,  or it,  and  to  consummate  all of the  transactions
contemplated  hereby and thereby.  Such  execution,  delivery,  performance  and
consummation have been made in the exercise of each such Shareholder's free will
and volition,  and any  necessary  consents of holders of  indebtedness  of such
Shareholder  to the  transactions  contemplated  by  this  Agreement  have  been
obtained.

                  6.2  BINDING  EFFECT.  This  Agreement  constitutes,  and when
delivered at or prior to the Closing, each Transaction Document executed by such
Shareholder will  constitute,  the legal,  valid and binding  obligation of such
Shareholder  enforceable  against  it,  him or  her,  as the  case  may  be,  in
accordance with their respective terms.



                                       44



                  6.3 ABSENCE OF CONFLICTING  AGREEMENTS.  Neither the execution
or  delivery  of this  Agreement  or any of the  Transaction  Documents  by such
Shareholder  nor  the  performance  by  such  Shareholder  of  the  transactions
contemplated hereby and thereby, conflicts with, or constitutes a breach of or a
default  under  or  the  termination  of  (A)  any  Shareholder  that  is not an
individual person, its Certificate of Incorporation or other Governing Document;
or  (B)  any  Governmental  Requirements  applicable  to  it,  him or her or the
operation  of the  Business or the  ownership  of any of the Assets;  or (C) any
agreement,  indenture, contract or instrument to which such Shareholder is now a
party or by which it, him or her or any of its, his or her respective  assets is
bound.

                  6.4  CONSENTS.  Except  as  set  forth  on  Schedule  6.4,  no
authorization,  consent,  approval,  license,  filing  or  registration  by such
Shareholder  with  any  Governmental  Authority  is  or  will  be  necessary  in
connection  with the entry into,  execution,  delivery and  performance  of this
Agreement or any of the Transaction  Documents by such  Shareholder,  or for the
consummation of the transactions contemplated hereby and thereby.

                  6.5 CAPITAL STOCK.  Such  Shareholder is the lawful record and
beneficial  owner of all of the shares of Company Stock as indicated on Schedule
5.26,  free and clear of all Liens,  and all of such  stock is duly  authorized,
validly issued, and fully paid and non-assessable. Such Shareholder has the full
legal power to transfer and deliver the Subject  Shares  listed as owned by him,
her or it on Schedule 5.26 in accordance  with this  Agreement,  and delivery of
such Subject  Shares to Buyer  pursuant  hereto will convey good and  marketable
title  thereto,   free  and  clear  of  all  Liens.   Such  Shareholder  has  no
subscription,  participation,  preemptive or first refusal rights to purchase or
otherwise acquire shares of capital stock of the Company from the Company or any
other  Shareholder  or any one  else  pursuant  to any  provision  of law or the
Articles  of  Incorporation  or  By-Laws  of  the  Company  or by  agreement  or
otherwise.  There are not now any and, on the  Closing  Date there shall not be,
outstanding any warrants,  options, or other rights to subscribe for or purchase
from the  Company  any shares of capital  stock of the  Company in favor of such
Shareholder,  nor does  such  Shareholder  have  any  rights  in any  securities
convertible into or exchangeable for any such shares.  Such Shareholder is not a
party to any voting agreement, arrangement, trust or restriction relating to any
of the Subject Shares.

                  6.6 UNTRUE STATEMENTS.  To such Shareholder's actual knowledge
without  investigation other than pursuant to such Shareholder's  responsibility
as an  officer  or  employee  of the  Company,  all of the  representations  and
warranties set forth in Section 2.2(d)(ii) and 2.2(e)(ii),  and in Article V are
true and correct in all material respects. The foregoing,  however, shall not be
deemed to apply to the Manatee Liability.

              ARTICLE VII: REPRESENTATIONS AND WARRANTIES OF BUYER

                  Buyer   represents   and  warrants  to  the  Company  and  the
Shareholders as follows:

                  7.1  ORGANIZATION  AND STANDING.  Buyer is a corporation  duly
organized,  validly existing and in good standing under the laws of the State of
Delaware.



                                       45



                  7.2 POWER AND  AUTHORITY.  Buyer has the  corporate  power and
authority to execute, deliver and perform this Agreement, and as of the Closing,
Buyer will have the  corporate  power and  authority  to execute and deliver the
Transaction  Documents  required  to be  executed  and  delivered  by it to  the
Shareholders at the Closing.

                  7.3 BINDING  AGREEMENT.  This Agreement has been duly executed
and  delivered by Buyer.  This  Agreement is, and when executed and delivered by
Buyer at the Closing,  each of the Transaction  Documents executed by Buyer will
be, the legal, valid and binding obligation of Buyer,  enforceable against Buyer
in accordance with their respective terms.

                  7.4 SEC  DOCUMENTS.  Buyer has  furnished  the Company and the
Shareholders with a correct and complete copy of its report on Form 10-K for its
fiscal years ended December 31, 1996, its proxy statement prepared in connection
with its annual meeting held on June 20, 1997,  and its special  meeting held on
October 21, 1997 and each press release or other schedule or report  required by
it to be publicly disclosed or filed with the Securities and Exchange Commission
(the  "SEC")  pursuant  to the  Exchange  Act  since  January  1, 1997 (the "SEC
DOCUMENTS").  As of their respective dates, none of the SEC Documents  contained
any untrue  statements,  or omitted to make any disclosures,  which, in light of
the circumstances would render any of such documents materially misleading,  and
the SEC  Documents  complied  when filed in all material  respects with the then
applicable  requirements  of the  Exchange  Act,  and the rules and  regulations
promulgated by the Commission thereunder.

                  7.5 ABSENCE OF CONFLICTING  AGREEMENTS.  Neither the execution
or delivery of this  Agreement  and, as of the Closing  Date,  the execution and
delivery of the Transaction Documents,  by Buyer nor the performance by Buyer of
the transactions  contemplated hereby and thereby conflicts with, or constitutes
a breach of or a default under (A) the Certificate of  Incorporation  or By-laws
of Buyer, or (B) any law, rule, judgment,  order, writ, injunction, or decree of
any court  currently  in effect  applicable  to Buyer,  or (C) any  Governmental
Requirement  applicable to Buyer, or (d) any agreement,  indenture,  contract or
instrument  to which the  Buyer is now a party or by which any of the  assets of
Buyer is bound.

                  7.6 CAPITAL STOCK.  Buyer has duly authorized and reserved for
issuance the shares of IHS Stock to be issued in connection herewith,  and, when
issued in  accordance  with the terms of Article  III,  such shares of IHS Stock
will be validly  issued,  fully paid, and  nonassessable  and free of preemptive
rights.

                  7.7  MATERIAL  CHANGES.  Except as set forth in SEC  Documents
delivered to the Shareholders'  Representative,  or as set forth on Schedule 7.7
hereto, since September 30, 1997, there has not been any material adverse change
in  the  condition  or  prospects  (financial  or  otherwise),  of  the  assets,
properties  or operations of the Buyer and its  subsidiaries.  Each  Stockholder
acknowledges  that the  information  set  forth on  Schedule  7.7 is not  public
information and is confidential.  Accordingly,  each Stockholder  agrees to hold
such information confidential, and to refrain from making any purchases or sales
of shares of IHS Stock  until  such  time as Buyer  notifies  the  Shareholders'
Representative that such information has become publicly available.



                                       46



                  7.8 NO UNTRUE STATEMENTS. To the Buyer's knowledge, all of the
representations  and  warranties  set  forth  in this  Article  VII are true and
correct in all material respects.

          ARTICLE VIII: INFORMATION AND RECORDS CONCERNING THE COMPANY

                  8.1      ACCESS TO INFORMATION AND RECORDS BEFORE CLOSING.

                  Prior to the  Closing  Date,  Buyer may  make,  or cause to be
made,  such  investigation  of the financial and legal condition of the Company,
the  Subsidiaries  and the  Facilities as Buyer deems  necessary or advisable to
familiarize  itself  therewith  and/or with matters relating to their history or
operation.  The Company  shall permit Buyer and its  authorized  representatives
(including legal counsel and accountants),  to have full access to the books and
records of the Company,  the  Subsidiaries  and the Facilities  upon  reasonable
notice and during normal business hours, and the Company will furnish,  or cause
to  be  furnished,  to  Buyer  such  financial  and  operating  data  and  other
information  and copies of  documents  with respect to the  products,  services,
operations  and assets of the Company and the  Subsidiaries  as Buyer shall from
time to time reasonably request.  The documents to which Buyer shall have access
shall  include,  but not be limited to, the Tax Returns and related  work papers
since inception of the Company and the Subsidiaries; and the Company shall make,
or cause to be  made,  extracts  thereof  as  Buyer or its  representatives  may
request from time to time to enable Buyer and its representatives to investigate
the  affairs  of the  Company  and  the  Subsidiaries  and the  accuracy  of the
representations  and warranties made in this Agreement.  The Company shall cause
its  accountants  to cooperate  with Buyer and to disclose the results of audits
relating to the Company and the  Subsidiaries  and to produce the working papers
relating thereto. Without limiting any of the foregoing, it is agreed that Buyer
will have full access to any and all  agreements  between and among the previous
and current  shareholders  regarding their ownership of shares or the management
or operation of the Company and the Subsidiaries.  The Company will,  subject to
mutually   acceptable   conditions   and   schedules,   permit   Buyer  (or  its
representatives) to meet with and interview the employees and representatives of
the Company and the  Subsidiaries  that are responsible for the responses to, or
have information with respect to, the questions set forth on the  Questionnaire.
Notwithstanding  anything to the contrary contained in this Section 8.1, none of
the Company and the Subsidiaries shall be required to disclose or make available
to Buyer prior to Closing any  information if it reasonably  believes,  based on
the opinion of its legal counsel,  that the  disclosure  thereof can not be made
without waiving the  attorney/client  privilege with respect thereto;  provided,
however,  that the  failure  to  disclose  such  information  by  reason of this
sentence  shall  not be  deemed  to  limit  or  modify  any  representations  or
warranties of the Company, any Subsidiary or any Shareholder.

              ARTICLE IX: OBLIGATIONS OF THE PARTIES UNTIL CLOSING

                  9.1 CONDUCT OF BUSINESS PENDING  CLOSING.  Between the date of
this  Agreement  and the  Closing,  the  Company  shall,  and shall  cause  each
Subsidiary to, maintain its existence and conduct its business in good faith and
in the customary and ordinary course of business consistent with past practice.



                                       47



                  9.2  NEGATIVE  COVENANTS  OF THE  COMPANY.  Without  the prior
written  approval of Buyer,  the Company  shall not (and the Company shall cause
each Subsidiary not to), between the date hereof and the Closing (or the earlier
termination of this Agreement):

                      (A)  cause  or  permit  to  occur  any  of the  events  or
occurrences  described  in Section  5.20  (Absence  of  Certain  Events) of this
Agreement;

                      (B) dissolve, reorganize, merge, consolidate or enter into
a share exchange with or into any other entity;

                      (C) enter into any contract or agreement with any union or
other collective bargaining representative  representing any employees (provided
that the  foregoing  shall not  prohibit  the  Company  or any  Subsidiary  from
negotiating  in good faith with any union to the extent  required by  applicable
Governmental  Requirements and Buyer shall not unreasonably withhold its consent
to any such contract or agreement);

                      (D) sell or  dispose of any  Assets  other than  supplies,
inventory  and  obsolete  equipment  sold,  consumed  or used in the  usual  and
ordinary  course of business and consistent  with past practice;  the Company or
such Subsidiary shall replace all items thus disposed of with Assets of at least
the same quality,  type and quantity having an aggregate value at least equal to
the aggregate value of the items sold or otherwise disposed of;

                      (E)  make  any  change  to  its  by-laws  or  articles  of
incorporation; 

                      (F)  perform,  take or fail to take any action or incur or
permit to exist any of the acts,  transactions,  events or occurrences of a type
which would have been  inconsistent  with the  representations,  warranties  and
covenants set forth in this  Agreement  had the same occurred  prior to the date
hereof;  provided however,  that the foregoing shall not prohibit the Company or
any  Subsidiary  from  acquiring  or disposing  of assets,  or  incurring  trade
payables,  or entering into  contracts or taking any other action that is in the
ordinary   course  of  business  and  consistent  with  past  practice  and  all
Governmental Requirements,  in each case, to the extent not otherwise prohibited
by this Agreement;

                      (G) enter into any agreement,  contract, commitment, lease
or instrument, except for agreements, in each case which are entered into in the
ordinary  and  customary  course of business  with  unrelated  third  parties on
customary  terms and conditions and for customary  prices as disclosed to Buyer;
or

                      (H) except as permitted pursuant to Section 13.1(b) below,
take any action that would prevent consummation of the transactions contemplated
by this Agreement.



                                       48



         9.3          AFFIRMATIVE  COVENANTS.  Between  the date  hereof and the
Closing, the Company shall (and shall cause each Subsidiary to):

                      (A)  maintain  the  Assets in  substantially  the state of
repair,  order and condition as on the date hereof,  reasonable wear and tear or
loss by casualty excepted;

                      (B)  maintain  in  full  force  and  effect  all  Licenses
currently in effect with respect to its business;

                      (C)  maintain  in full  force  and  effect  the  insurance
policies and binders currently in effect, or the replacements thereof;

                      (D) use its  reasonable  efforts  to  preserve  intact the
present  business  organization  of  the  Company  and  the  Subsidiaries;  keep
available  the services of the present  employees  and agents of the Company and
the  Subsidiaries;  and maintain the  relations  and  goodwill  with  suppliers,
landlords,  lessors, managed facility operators,  employees,  affiliated medical
personnel  and  any  others  having  business  relating  to the  Company  or any
Subsidiary;

                      (E)  maintain  all of the books and records in  accordance
with its past practices;

                      (F) comply in all material respects with all provisions of
the Contracts  and with any other  material  agreements  that the Company or any
Subsidiary enters into in the ordinary course of business after the date of this
Agreement,  and  comply in all  material  respects  with the  provisions  of all
Governmental  Requirements  applicable  to the  business  of the  Company or any
Subsidiary;

                      (G) cause to be paid when due, all Taxes,  imposed upon it
or on any of its properties or which it is required to withhold and pay over;

                      (H)  promptly  advise  Buyer in  writing  of the threat or
commencement against the Company or any Subsidiary of any claim, action, suit or
proceeding,   arbitration  or  investigation  or  any  other  event  that  could
materially adversely affect the operations,  properties,  assets or prospects of
the Company or any Subsidiary;

                      (I)   promptly   notify   the  Buyer  in  writing  of  the
termination of any material Contract; and

                      (J) promptly notify the Buyer in writing of any act, event
or occurrence that  constitutes,  or that will constitute on the Closing Date, a
breach by the  Company of any  Shareholder  of any  representation,  warranty or
covenant made pursuant to this Agreement; and



                                       49



                      (K)  promptly  notify  the Buyer in  writing  of any event
involving  the  Company  or any  Subsidiary  which has had or may be  reasonably
expected  to  have a  material  adverse  effect  on the  business  or  financial
condition  of the  Company  or  any  Subsidiary  or  may  involve  the  loss  of
relationships with any of the customers of the Company or any Subsidiary.

                  9.4      PURSUIT OF CONSENTS AND APPROVALS.

                      (A) Prior to the Closing,  the Company  shall use its best
efforts  to  obtain  all  consents  and  approvals  of all  parties  other  than
Governmental  Authorities,  including  without  limitation,  any  landlords  and
mortgagees,   necessary  for  the  lawful   consummation  of  the   transactions
contemplated  hereby and the lawful use, occupancy and enjoyment of the business
of the Company and the Subsidiaries by Buyer in accordance  herewith  ("REQUIRED
NON-GOVERNMENTAL   APPROVALS").   Buyer  shall   cooperate   with  and  use  its
commercially  reasonable  efforts to assist the  Company in  obtaining  all such
approvals.

                      (B) Prior to the  Closing,  the  Buyer  shall use its best
efforts  to obtain  all  consents  and  approvals  of  Governmental  Authorities
necessary for the lawful  consummation of the transactions  contemplated  hereby
and the lawful use,  occupancy  and enjoyment of the business of the Company and
the  Subsidiaries  by  Buyer  in  accordance  herewith  ("REQUIRED  GOVERNMENTAL
APPROVALS",  and together  with the  Required  Non-Governmental  Approvals,  the
"REQUIRED APPROVALS"). The Company and each Shareholder shall cooperate with and
use its,  his or her  commercially  reasonable  efforts  to assist  the Buyer in
obtaining all such approvals.

                      (C) The Buyer,  on the one hand, and the  Shareholders  on
the other hand,  each shall bear fifty percent (50%) of the filing fees required
pursuant to the H-S-R Act (as defined in Section 10.9).

                  9.5  PURSUIT  OF   NONDISTURBANCE   AGREEMENTS   AND  ESTOPPEL
CERTIFICATES.  Prior to the Closing,  the Company  shall use its best efforts to
obtain nondisturbance agreements (the "NONDISTURBANCE AGREEMENTS") (on terms and
conditions reasonably satisfactory to Buyer) from all applicable mortgagees with
respect to all Leased  Facilities  and Managed  Leased  Facilities  that will be
subject to mortgages after the Closing, and to obtain estoppel certificates (the
"ESTOPPEL  CERTIFICATES") from all applicable landlords,  mortgagees and Managed
Facility  Operators with respect to all Leased Facilities and Managed Facilities
to the effect that there are no breaches of any  representations,  warranties or
covenants  under any of the Tenancy Leases,  Management  Agreements or mortgages
affecting  any of the Leased  Facilities  or  Managed  Facilities.  Buyer  shall
cooperate to assist the Company in obtaining all such approvals.

                  9.6  SUPPLEMENTARY  FINANCIAL  INFORMATION.  Within forty-five
(45)  days  after  the end of  each  calendar  month  between  the  date of this
Agreement  and the Closing Date,  the Company  shall provide to Buyer  unaudited
financial  statements  (including at a minimum,  income statements and a balance
sheet) for such month then ended that shall  present  fairly the  results of the
operations of the Company and the Subsidiaries, on a consolidated basis, at such
date and for the period covered  thereby,  all in accordance  with GAAP, in each
case, certified as true and correct by the Company's chief financial officer and
the Principal Shareholders.



                                       50



                  9.7 EXCLUSIVITY.  Until the earlier of the Closing Date or the
termination of this Agreement  pursuant to Section 12.1, no Shareholder  nor the
Company, nor any of their respective Affiliates,  shall solicit or entertain any
offers or engage in any  discussions or negotiations or enter into any agreement
or letter of intent  directly or  indirectly  with any other party in respect of
the  sale  of  any  capital  stock  of  the  Company  or  any  Subsidiary  or of
substantially all of the assets of the Company or any Subsidiary,  or in respect
of any  merger,  consolidation  or  other  sale  of the  Company  (any  of  said
transactions  being  referred  to herein  as a  "PROHIBITED  TRANSACTION").  The
Company  shall  promptly  advise  Buyer  of any  offer or  solicitation  that it
receives for a Prohibited Transaction,  including,  without limitation, the name
of the person making such offer or  solicitation  and the terms of such offer or
solicitation.

                  9.8  SPIN-OFFS.   Notwithstanding  anything  to  the  contrary
contained  in Section 9.2 or 9.3 above,  prior to the Closing the Company  shall
sell, without recourse:  (x) all of the capital stock of each of Manatee and its
subsidiaries to the Principal  Shareholders for approximately  $750,000; and (y)
the Kansas Subsidiaries and the Illinois  Subsidiaries for nominal consideration
to the Principal Shareholders or their Affiliates (other than the Subsidiaries).

                  9.9 CERTAIN BONUSES.  Notwithstanding anything to the contrary
contained in Section 9.2 or 9.3 above,  prior to the Closing the Company may pay
bonuses  to the  Principal  Shareholders  in an  aggregate  amount not to exceed
$100,000.

                  9.10 SPECIAL COUNSEL.  Promptly following the date hereof, and
in any event within five (5) business  days,  the Company  shall retain  special
legal  counsel  (the  "SPECIAL  COUNSEL")  reasonably  acceptable  to  Buyer  to
represent  the  Company  and  its  Subsidiaries  (other  than  Manatee  and  its
subsidiaries) with respect to any alleged Manatee  Liability,  including without
limitation,  any alleged criminal liability with respect thereto.  In connection
therewith,  the Company shall,  and it shall cause each  Subsidiary  (other than
Manatee  and  its  subsidiaries)  to  provide  such  Special  Counsel  with  all
information  relating thereto in the possession of the Company or any Subsidiary
(other than Manatee and its  subsidiaries) or to which the Company or any of its
Subsidiaries  (other than Manatee and its subsidiaries)  has access,  including,
without  limitation,  any  information  with respect to which the Company or any
such  Subsidiary  (other than  Manatee and its  subsidiaries,  or any  Principal
Shareholder)  may be entitled to assert the  attorney  client  privilege  or the
attorney work product  doctrine or any other  applicable  privilege  ("PROTECTED
INFORMATION").  To the extent permitted by applicable Governmental Requirements,
immediately prior to Closing, the Company may transfer any Protected Information
to Manatee  (together with any privileges  associated  therewith) if Buyer shall
have been provided with a legal opinion from the Special Counsel in the form and
substance  of  paragraph  7 of  Exhibit  10.28  hereto;  provided  that any such
transfer  shall be made  subject  to the  right  of the  Company,  in the  event
necessary to defend against any investigation by any Governmental  Authority, to
review and utilize such Protected  Information on terms and  conditions,  to the
extent possible,  reasonably  designed to preserve such  privileges,  in writing
reasonably  satisfactory  to  Manatee  and the  Company.  Access of the  Special
Counsel to such Protected  Information  and delivery of such legal opinion shall
not be intended to waive any previously asserted privilege.



                                       51



         9.11      ACQUISITION  OF  CHRISTOPHER  MANOR OF ST.  PETERSBURG,  INC.
Notwithstanding  anything to the contrary contained in Section 9.2 or 9.3 above,
prior to the Closing,  the Company shall purchase for nominal  consideration and
free and clear of all Liens all of the issued and outstanding  shares of capital
stock of Christopher Manor of St.  Petersburg,  Inc. not owned by it legally and
beneficially as of the date hereof.

        9.12       UPDATING.  The  Company  and   Principal  Shareholders  shall
notify  Buyer of any  changes or  additions  to any of their  Schedules  to this
Agreement  by the  delivery of updates  thereof,  if any, not later than two (2)
business  days prior to the  Closing.  No such  updates  made  pursuant  to this
Section  shall be deemed to cure any breach of any  representation  or  warranty
made in this  Agreement,  nor  shall  any such  notification  be  considered  to
constitute  or give rise to a waiver by Buyer of any condition set forth in this
Agreement.

             ARTICLE X: CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS

                  Buyer's obligation to consummate the transactions contemplated
by this Agreement is subject to the satisfaction, prior to or at the Closing, of
each of the  following  conditions,  any one or more of which  may be  waived by
Buyer, with any such waiver to be effective only if in writing.  Upon failure of
any of the following conditions,  Buyer may terminate this Agreement pursuant to
and in accordance with Article XII herein.

            10.1      REPRESENTATIONS  AND WARRANTIES.  The  representations and
warranties of Company and each Shareholder made pursuant to this Agreement shall
be true and correct in all material respects (except those  representations  and
warranties that are qualified by materiality, which shall be true and correct in
all  respects) at and as of the date hereof,  and at and as of the Closing Date,
as though such  representations  and warranties were made at and as of such time
(as updated by the revising of Schedules  contemplated  by Section  9.12, to the
extent Buyer shall have accepted such updates in writing).

            10.2      PERFORMANCE OF COVENANTS. Each of the Shareholders and the
Company  shall have  performed or complied in all material  respects  with their
respective  agreements and covenants  required by this Agreement to be performed
or complied with by them prior to or at the Closing.

            10.3      DELIVERY OF CLOSING CERTIFICATE.  Each of the Shareholders
and the  Company's  President  shall  have  executed  and  delivered  to Buyer a
certificate  dated the Closing Date, upon which Buyer may rely,  certifying that
the conditions  contemplated  by Sections 10.1 and 10.2  applicable to them have
been satisfied.


            10.4      OPINIONS OF COUNSEL. The Shareholders shall have delivered
to Buyer an opinion,  dated the Closing Date, of their counsel,  in the form and
substance of Exhibit 10.4.  Said opinion shall be addressed to and may be relied
upon by Buyer.



                                       52



            10.5      LEGAL MATTERS.  No preliminary or permanent  injunction or
other  order  (including  a  temporary  restraining  order) of any  Governmental
Authority  which  prohibits or prevents  the  consummation  of the  transactions
contemplated by this Agreement shall have been issued and remain in effect.

            10.6      AUTHORIZATION  DOCUMENTS.  Buyer  shall  have  received  a
certificate  of the Secretary or other  officer of the Company  certifying as of
the Closing Date a copy of  resolutions  of its Boards of Directors  authorizing
the  execution  and  full  performance  of this  Agreement  and the  Transaction
Documents and the incumbency of its officers.

            10.7      MATERIAL  CHANGE.  Since the date hereof,  there shall not
have been any material adverse change in the condition  (financial or otherwise)
of the  assets,  properties,  operations  or  prospects  of the  Company and the
Subsidiaries,  taken as a whole  (except to the extent  covered by the condition
set forth in Section 10.30 below).

            10.8      REQUIRED APPROVALS.

                      (A) Subject to Section 2.4 hereof,  all Required Approvals
shall have been granted;

                      (B) None of the foregoing  consents or approvals (i) shall
have been conditioned upon the modification,  cancellation or termination of any
material lease, contract,  commitment,  agreement,  license,  easement, right or
other  authorization  with  respect to the Business or any business of Buyer (or
any of its  subsidiaries or  affiliates),  or (ii) shall impose on Buyer (or any
subsidiary  or  affiliate  of Buyer) any  material  condition  or  provision  or
requirement  with  respect  to the  Business  or any  business  of  Buyer or the
respective operation thereof that is more restrictive than or different from the
conditions imposed upon such operation prior to Closing.

           10.9      HART-SCOTT  RODINO  ACT.  All  applicable  waiting  periods
under the Hart-  Scott-Rodino  Antitrust  Improvements  Act of 1976 (the  "H-S-R
ACT") shall have expired or been terminated, and no action shall have been taken
or formal protest made by the United States Department of Justice or the Federal
Trade  Commission  or any other  person or entity to prohibit  the  transactions
contemplated by this Agreement by reason of a claimed violation of any antitrust
laws. Without limiting the foregoing, no obligation arising out of the H-S-R Act
shall have been imposed on Buyer to divest any material  portion of its business
or to  restrict  any of its  business  conduct  by  reason  of the  transactions
contemplated by this Agreement.

           10.10      SURVEYS.  Buyer shall have received, at Buyer's expense, a
standard  real estate  boundary and as built survey of each Facility in form and
substance reasonably satisfactory to Buyer, prepared by a land surveyor licensed
in the State in which  such  Facility  is  located  and  approved  by Buyer that
confirms the condition of the property.  If any such survey  indicates  that any
Liens exist that do not constitute  Permitted  Liens,  the parties shall in good
faith  agree  upon  a   reasonable   adjustment   to  the  Base   Amount   (and,
correspondingly,  to the  Series  A  Merger  Consideration  and  Series B Merger
Consideration  on a  proportionate  basis) to reflect any damages that the Buyer
might sustain by reason  thereof,  and upon such  adjustment  being made,  Buyer
shall be deemed to have been wholly  compensated  for any such damages and shall
not be entitled to indemnification with



                                       53



respect thereto.  Nothing  contained in this subsection shall be deemed to limit
Buyer's right to terminate  this Agreement by reason of the failure of any other
condition, including, without limitation, Section 10.1 above.

           10.11      TERMITE INSPECTIONS. Buyer shall have received, at Buyer's
expense, reports from qualified inspectors approved by Buyer with respect to any
termite,  wood boring insect or other pest infestation at each Facility,  and/or
resultant damage that has not been corrected in all material  respects.  If such
reports  shall  indicate  any  matters  that  would  constitute  a breach of any
representation  or warranty by any Shareholder or the Company,  then the parties
shall in good faith agree upon a reasonable  adjustment to the Base Amount (and,
correspondingly,   the  Series  A  Merger  Consideration  and  Series  B  Merger
Consideration  on a  proportionate  basis) to reflect any damages that the Buyer
might sustain by reason  thereof,  and upon such  adjustment  being made,  Buyer
shall be deemed to have been wholly  compensated  for any such damages and shall
not be entitled to  indemnification  with respect thereto.  Nothing contained in
this  subsection  shall be  deemed  to limit  Buyer's  right to  terminate  this
Agreement by reason of the failure of any other  condition,  including,  without
limitation, Section 10.1 above.

          10.12       ZONING  REPORT.  Buyer  shall  have  received,  at Buyer's
expense,  reports,  from  qualified  zoning  inspectors  approved  by Buyer with
respect  to  the  compliance  of  each  Facility  with  all  applicable   zoning
requirements,  and if  such  reports  shall  indicate  any  matters  that  would
constitute a breach of any  representation or warranty by any Shareholder or the
Company then the parties shall in good faith agree upon a reasonable  adjustment
to the Base Amount (and,  correspondingly,  to the Series A Merger Consideration
and Series B Merger  Consideration  on a  proportionate  basis) to  reflect  any
damages that the Buyer might sustain by reason thereof, and upon such adjustment
being made,  Buyer shall be deemed to have been wholly  compensated for any such
damages and shall not be  entitled  to  indemnification  with  respect  thereto.
Nothing  contained in this subsection  shall be deemed to limit Buyer's right to
terminate  this  Agreement  by reason  of the  failure  of any other  condition,
including, without limitation, Section 10.1 above.

           10.13      TITLE  INSURANCE.   Buyer  shall  have  obtained,  at  its
expense,  at normal rates, a title  commitment  from a reputable title insurance
company  selected by Buyer (the "TITLE  COMPANY")  for an owner's  title  policy
(owner's ALTA Policy Form B, as amended  10/17/70),  insuring that title to each
Owned Facility and the leasehold interest in each Leased Facility and any option
to purchase any Managed Facility shall be good and marketable and free and clear
of all Liens and other title objections (including any lien or future claim from
materials  or labor  supplied  for  improvement  of such  property),  except for
Permitted Liens, the standard  exceptions  normally contained in the ALTA Form B
Title Policy and schedules thereto.  If any such title commitment  indicates any
matter that would constitute a breach of any  representation  or warranty by any
Shareholder  or the  Company,  then the parties  shall  agree upon a  reasonable
adjustment  to the Base  Amount  (and,  correspondingly,  to the Series A Merger
Consideration  and Series B Merger  Consideration  on a proportionate  basis) to
reflect any damages  that the Buyer might  sustain by reason  thereof,  and upon
such  adjustment  being  made,  Buyer  shall  be  deemed  to  have  been  wholly
compensated  for any such  damages and shall not be entitled to  indemnification
with respect  thereto.  Nothing  contained in this subsection shall be deemed to
limit Buyer's right to terminate  this Agreement by reason of the failure of any
other  condition,  including,  without  limitation,  Section 10.1 above.  At the
request of Buyer,  the Principal  Shareholders  shall provide such affidavits to
the Title



                                       54



Company  or take such other  reasonable  actions  (at no  expense to Buyer,  the
Company  or any of the  Subsidiaries)  that would  enable  the Title  Company to
remove any of such standard exceptions (provided that the foregoing shall not be
deemed to require the Company or any Subsidiary to obtain any survey).

         10.14        NON-COMPETITION  AGREEMENTS.  Each  Principal  Shareholder
shall have entered into a  Non-competition  Agreement in the form and  substance
respectively   of   Exhibit   10.14-   A-1  and   Exhibit   10.14-A-2   (each  a
"NON-COMPETITION AGREEMENT"), for no further consideration, with Buyer, pursuant
to which such Shareholder shall agree that after the Closing Date for the period
set forth below (the "NON-COMPETE PERIOD"),  such Shareholder will not, directly
or  indirectly,  for  herself,  himself,  or  itself,  or on behalf of any other
person,  firm,  entity or other  enterprise,  be  employed  by,  be an  officer,
director  or manager  of,  act as a  consultant  for,  be a partner  in,  have a
proprietary interest in, or loan money to any person,  enterprise,  partnership,
limited  liability  company,  association,  corporation,  joint venture or other
entity which is directly or indirectly  in the business of owning,  operating or
managing any skilled nursing facility  business,  located in the States of South
Carolina, Georgia and Florida. The Non-Competition Agreements shall not prohibit
the  ownership  of less  than 2% of the  issued  and  outstanding  stock  of any
competitive  business whose stock is listed on a national securities exchange or
traded  on the  NASDAQ  national  market  system,  and shall  not  prohibit  any
Shareholder  from  carrying on certain  other  activities  as more  particularly
provided on Exhibit 10.14-A.  Each Non-Competition  Agreement also shall contain
confidentiality and non-solicitation  provisions reasonably acceptable to Buyer.
The  Non-Compete  Period for each  Principal  Shareholder  shall commence on the
Closing  Date and end five  (5)  years  from the  Closing  Date.  Each  Minority
Shareholder shall have entered into a Non-Solicitation  Agreement in the form of
Exhibit 10.14-B hereto.

         10.15        COST AND EXPENSES.  The  Shareholders  shall have paid (or
assumed the liability with respect to) all costs,  fees and expenses  (including
without  limitation,  filing fees,  transfer taxes,  stamp taxes, legal fees and
broker,  audit  and  appraisal  fees)  incurred  by  the  Company  or any of its
Subsidiaries in connection with the transactions contemplated by this Agreement.

         10.16        CONSENTS.  The  condition  set forth in Section  2.4 shall
have been satisfied.

         10.17        CLOSING DATE BALANCE SHEET. The Principal Shareholders and
Company shall have  furnished the Estimated  Closing Date Balance Sheet to Buyer
certified as required by Section

2.2(a) hereof.

                  10.18 RESIGNATION OF COMPANY BOARDS OF DIRECTORS AND OFFICERS.
Each  director  and  officer  of the  Company  and each  Subsidiary  shall  have
submitted his or her resignation to be effective no later than the Closing Date.

        10.19         ESTIMATED  CLOSING  DATE LONG TERM  LIABILITIES;  NEGATIVE
WORKING CAPITAL.

                      (A)  The  long-term  liabilities  of the  Company  and its
subsidiaries on a consolidated  basis as set forth on the Estimated Closing Date
Balance Sheet shall not exceed $33,000,000.



                                       55



                      (B) The  negative  working  capital of the Company and the
Subsidiaries on a consolidated  basis as set forth on the Estimated Closing Date
Balance Sheet shall not be more than $8,000,000.

         10.20       TERMINATION OF  ANGELL OPTIONS.  All of the Angell Options,
shall have been terminated, canceled and satisfied in full, and Buyer shall have
purchased all of the Angell Shares,  if any, pursuant to the terms of the Angell
Agreement.

         10.21       CLOSING  OF   MAGNOLIA/MEDI-SERVE   MERGER  AGREEMENT.  The
Closing shall have occurred under the Magnolia/Medi-Serve Merger Agreement.

         10.22       WOODRUFF  FACILITY.  The  Woodruff Facility shall be leased
to Magnolia  pursuant to a "triple-net"  lease with a term of at least 25 years,
with annual base rent of $330,000 per year  (subject to annual 2%  escalations),
and otherwise with terms and conditions reasonably satisfactory to Buyer.

         10.23       SHAREHOLDER  SETTLEMENTS.  All accounts receivable or other
amounts due from, and all current or other  liabilities  due to, any Shareholder
or any  Affiliate  of any  Shareholder  shall be  settled  immediately  prior to
Closing.

         10.24        SPIN-OFFS.  None of the Company and the Subsidiaries shall
be the legal or beneficial owner of any shares of the capital stock or assets of
Manatee, any Kansas Subsidiary or any Illinois Subsidiary,  or be liable for any
liabilities of any of them.

         
         10.25       ESCROW  AGREEMENTS.  The  Escrow  Agreement and the Manatee
Escrow  Agreement  shall have been  executed and delivered by each party thereto
other than the Buyer.

         10.26       IHS STOCK PRICE.  The  closing  NYSE  price of IHS Stock on
the last trading day prior to the Closing Date shall not be less than $10.

         10.27       PRINCIPAL   SHAREHOLDERS'  LOANS.  All of the  transactions
contemplated by Section 2.1(c) shall have been completed.

         10.28       OPINION  OF SPECIAL COUNSEL. The Special Counsel shall have
delivered  to Buyer a legal  opinion  acceptable  to Buyer  with  respect to the
matters set forth on Exhibit 10.28 hereof.

         10.29       TERMINATION  OF RELATIONSHIP WITH MANATEE.  All contractual
relationships  between Manatee (and any of its subsidiaries) and the Company and
any of its other Subsidiaries shall have been terminated and all obligations and
liabilities  among them shall have been settled or satisfied.  Without  limiting
the foregoing, Manatee shall no longer be a party to any loan agreement to which
the  Company or any such other  Subsidiary  is a party,  and no UCC  termination
statements  filed against the Company or any such other  Subsidiary shall secure
any obligations of Manatee.



                                       56



          10.30       CHRISTOPHER OF ST. PETERSBURG, INC.

                      (A)  The  Company   shall  have   purchased   for  nominal
consideration  and free and clear of all Liens all of the issued and outstanding
shares of capital  stock of  Christopher  Manor of St.  Petersburg,  Inc.  ("ST.
PETERSBURG") not owned by it legally and beneficially as of the date hereof.

                      (B)  Buyer,  in  its  good  faith  judgement,  shall  have
determined  that since the Balance Sheet Date, no material  adverse  change with
respect to the assets, liabilities,  operations,  census, licensure requirements
or prospects of St. Petersburg or the Facility leased by it, shall have occurred
or shall be reasonably likely to occur. If the foregoing  condition shall not be
satisfied  prior to  Closing,  the  parties  shall  nevertheless  proceed to the
Closing as if such  condition had been  satisfied;  provided  however,  the Base
Amount (and,  correspondingly,  the Series A Merger  Consideration  and Series B
Consideration,  on a proportionate basis) shall be reduced by an amount equal to
$6,500,000,  and all of the capital stock of St. Petersburg shall be transferred
to the  Principal  Shareholders  at their cost and expense  (including,  without
limitation, any Taxes associated therewith) (and accordingly the liabilities and
assets of St.  Petersburg shall not be included in the  determination of working
capital or long-term  liabilities for purposes of Section 2.2(a) above). In lieu
thereof,  the parties may negotiate in good faith a reasonable  reduction in the
Base Amount (and, correspondingly,  the Series A Merger Consideration and Series
B Merger  Consideration on a proportionate  basis), in which case St. Petersburg
shall not be transferred to the Principal Shareholders.

          10.31       ARTICLES OF MERGER. The Articles of Merger shall have been
executed,  delivered, filed and accepted for filing by the Secretary of State of
North Carolina.

          10.32       OTHER DOCUMENTS.

                      (A) The  Shareholders  and  Company  shall have  furnished
Buyer with all other documents,  certificates and other instruments  required to
be  furnished  to Buyer by the  Shareholders  and Company  pursuant to the terms
hereof,   including,   without   limitation,   the  Undertaking  and  all  stock
certificates evidencing the Subject Shares.

                      (B) All stock certificates representing all of the capital
stock in each of the Subsidiaries  shall have been delivered to Buyer other than
the  shares  pledged  to  Omega  Healthcare  Corporation  as  disclosed  on  the
Disclosure Schedule hereto.

          ARTICLE XI: CONDITIONS PRECEDENT TO SHAREHOLDERS' OBLIGATIONS

                  The   obligation  of  the   Shareholders   to  consummate  the
transactions  contemplated  by this  Agreement  is subject to the  satisfaction,
prior to or at the Closing, of each of the following conditions, any one or more
of which may be waived by Shareholder's Representative,  with any such waiver to
be  effective  only  if in  writing.  Upon  failure  of  any  of  the  following
conditions,  Shareholders'  Representative may terminate this Agreement pursuant
to and in accordance with Article XIII herein.



                                       57



         11.1         REPRESENTATIONS  AND WARRANTIES.  The  representations and
warranties of Buyer made pursuant to this Agreement shall be true and correct in
all material  respects  (except those  representations  and warranties  that are
qualified by  materiality,  which shall be true and correct in all  respects) at
and as of the Closing Date as though such  representations  and warranties  were
made at and as of such time.

         11.2         PERFORMANCE  OF COVENANTS.  Buyer shall have  performed or
complied in all material  respects  with each of its  agreements  and  covenants
required by this Agreement to be performed or complied with by it prior to or at
the Closing.

         11.3         DELIVERY   OF  CLOSING   CERTIFICATE.   Buyer  shall  have
delivered to Shareholders a certificate of an officer of Buyer dated the Closing
Date upon which  Shareholders  may rely,  certifying that the statements made in
Sections 11.1 and 11.2 are true, correct and complete as of the Closing Date.

         11.4         OPINION  OF  COUNSEL.   Buyer  shall  have   delivered  to
Shareholders an opinion, dated the Closing Date, of its counsel, in the form and
substance of Exhibit 11.4.

         11.5         LEGAL MATTERS. No  preliminary or permanent  injunction or
other  order  (including  a  temporary  restraining  order) of any  Governmental
Authority which prevents the  consummation of the  transactions  contemplated by
this Agreement shall have been issued and remain in effect.

        11.6          AUTHORIZATION DOCUMENTS.  Shareholders shall have received
a certificate  of the  Secretary or other officer of Buyer  certifying a copy of
resolutions of the Board of Directors of Buyer authorizing Buyer's execution and
full  performance  of this  Agreement  and  the  Transaction  Documents  and the
incumbency of the officers of Buyer.

        11.7          HART-SCOTT  RODINO ACT. All  applicable  periods under the
H-S-R Act shall have expired or been  terminated,  and no action shall have been
taken or formal  protest made by the United States  Department of Justice or the
Federal  Trade  Commission  or any  other  person  or  entity  to  prohibit  the
transactions  contemplated by this Agreement by reason of a claimed violation of
any antitrust laws.

        11.8          CLOSING OF  MAGNOLIA/MEDI-SERVE  STOCK PURCHASE AGREEMENT.
The closing shall have occurred  under the  Magnolia/Medi-Serve  Stock  Purchase
Agreement.

        11.9          ESCROW  AGREEMENTS.  The Escrow  Agreement and the Manatee
Escrow  Agreement  shall have been  executed and delivered by each party thereto
other than the Shareholders.

        11.10         TERMINATION OF  GUARANTIES.  Each  Shareholder  shall have
been  released from any guaranty by him or her of any  Permitted  Liability,  or
Buyer shall have agreed,  in form and substance  reasonably  satisfactory to the
applicable Shareholder, to indemnify and hold such Shareholder harmless from all
liabilities  arising  out of  any  guaranty  by  him  or  her  of any  Permitted
Liability.



                                       58



         11.11        IHS STOCK  PRICE.  The closing  NYSE price of IHS Stock on
the last trading day prior to the Closing Date shall not be less than $10.

         11.12        OTHER DOCUMENTS.  Buyer shall have furnished  Shareholders
with all documents,  certificates and other instruments required to be furnished
to Shareholders by Buyer pursuant to the terms hereof.

                    ARTICLE XII: SURVIVAL AND INDEMNIFICATION

         12.1         SURVIVAL   OF   REPRESENTATIONS   AND   WARRANTIES.    All
representations  and warranties made by each party in this Agreement and in each
Schedule  and  Transaction  Document  shall  survive the Closing  Date and for a
period of two (2) years after the Closing  notwithstanding  any investigation at
any  time  made  by  or  on  behalf  of  the  other  party,  provided  that  the
representations  and  warranties  contained  in Sections  5.22  (relating to Tax
matters),  5.24  (relating  to  Questionable  Payments),  and 5.25  (relating to
Medicare,  Medicaid and other reimbursement matters), shall survive until thirty
(30) days after the end of the applicable  period of  limitations  for audits by
the applicable  Governmental  Authority shall have expired,  the representations
and  warranties  contained in Sections 5.26 (relating to  capitalization)  shall
have no  expiration  date,  and the  representation  and  warranty  contained in
Section 5.3 and 6.3 insofar as they relate to the  legality,  validity,  binding
effect and  enforceability of the  Non-Competition  Agreements shall survive for
the term of the Non-Competition  Agreements.  All representations and warranties
related  to any  claim  asserted  in  writing  prior  to the  expiration  of the
applicable  survival  period shall survive (but only with respect to such claim)
until such claim shall be resolved  and  payment in respect  thereof,  if any is
owing, shall be made.

         12.2         INDEMNIFICATION    BY    SHAREHOLDERS.    The    Principal
Shareholders  and the Company  (subject to the  limitations set forth in Section
15.11 hereof) jointly and severally,  and the Minority  Shareholders (subject to
the limitations set forth in Section 15.11 hereof),  severally,  shall indemnify
and defend Buyer and each of its  officers,  directors,  agents,  employees  and
advisors,  and their respective successors and assigns ("BUYER INDEMNITEES") and
hold each of them harmless against and with respect to any and all damage, loss,
liability,   deficiency,  cost  and  expense  (including,   without  limitation,
reasonable  attorney's  fees and  expenses)  (all of the  foregoing  hereinafter
collectively  referred  to as  "LOSS")  resulting  from  or  arising  out of the
following (provided that each Minority Shareholder shall be obligated (severally
and not jointly)  only as to a breach of his or her  respective  representations
and warranties and covenants made pursuant to this Agreement,  and not as to any
other matters):

                      (A) any inaccuracy in any representation, or breach of any
warranty or  certification,  made by any Shareholder or the Company  pursuant to
this Agreement;

                      (B) the  breach  of any  covenant  or  undertaking  by any
Shareholder or the Company made pursuant to this Agreement;



                                       59



                      (C)   any   Prohibited   Liability,   including,   without
limitation, any Reimbursement Liabilities;

                      (D) any Loss arising out of the prior ownership, operation
or disposition of Manatee Medical  Products and Services,  Inc.  ("MANATEE"),  a
wholly  owned  subsidiary  of  Premiere,   including  without  limitation,   any
Reimbursement  Liability  (any of the foregoing  being referred to as a "MANATEE
LIABILITY") or arising out of the prior  ownership,  operation or disposition of
any Kansas  Subsidiary  or any Illinois  Subsidiary  (together  with any Manatee
Liability, the "SPIN- OFF LIABILITIES"); or

                      (E) any Loss  arising out of the  failure of the  Contract
identified as item 3(sss) on Schedule 5.7(b) to be enforceable; or

                      (F) any Loss  arising  out of the  guaranties  provided by
Premiere or its  Subsidiaries  (other  than  Manatee  and its  subsidiaries)  of
obligations of any Principal Shareholder; or

                      (G)  any  action,   suit,   proceeding,   demand,   claim,
assessment,  judgment,  settlement (to the extent approved by the  Shareholders'
Representative,  such  approval  not to be  unreasonably  withheld,  delayed  or
conditioned), cost or legal or other expense incident to any of the foregoing.

         12.3         INDEMNIFICATION BY BUYER. Buyer shall indemnify and defend
Shareholders  and, if there shall not be a Closing,  Company,  and hold them and
their respective  advisors and their respective  successors and assigns harmless
against and with respect to any and all Loss resulting from or arising out of:

                      (A) any inaccuracy in any representation, or breach of any
warranty or certification, made by Buyer pursuant to this Agreement;

                      (B) the breach of any  covenant  or  undertaking  by Buyer
made pursuant to this Agreement;

                      (C) any Loss  resulting  solely from Buyer's  operation of
the  Business  after the  Closing  Date and not arising out of any breach of any
representation or warranty or covenant of any Shareholder or the Company; and

                      (D)  any  action,   suit,   proceeding,   demand,   claim,
assessment, judgment, settlement (to the extent approved by Buyer, such approval
not to be unreasonably withheld, delayed or conditioned), cost or legal or other
expenses incident to any of the foregoing.

         12.4         ASSERTION OF CLAIMS. Any claims for indemnification  under
Section 12.2(a) or 12.3(a) must be asserted by written notice on or prior to the
date on which such representation or warranty expires.



                                       60



          12.5        CONTROL OF DEFENSE OF INDEMNIFICABLE CLAIMS.

                      (A) (I)  Buyer  shall  give  Shareholders'  Representative
prompt notice of each claim for which it seeks indemnification.  Failure to give
such prompt notice shall not relieve the  Shareholders of their  indemnification
obligation,  provided that such  indemnification  obligation shall be reduced by
any damages Shareholders demonstrate they have suffered resulting from a failure
to  give  prompt  notice  hereunder.  The  Shareholders  shall  be  entitled  to
participate  in the  defense  of such  claim.  If at any time  the  Shareholders
acknowledge in writing that the claim is fully  indemnifiable by them under this
Agreement,  and, if requested by Buyer,  post  adequate  bond or security,  they
shall have the right to assume control of the defense of such claim at their own
expense. If the Shareholders do assume control of the defense of any such claim,
the Buyer  agrees not to settle such claim  without  the written  consent of the
Shareholders' Representative,  which consent shall not be unreasonably withheld,
delayed or  conditioned.  Nothing  contained in this Section 12.5 shall  prevent
either  party from  assuming  control of the defense  and/or  settling any claim
against it for which indemnification is not sought under this Agreement.

                        (II)  Notwithstanding  the  foregoing  in clause (i), if
there shall be any claim for any Reimbursement Liability or tax liability, Buyer
will  diligently  and in good faith  contest or appeal such claim using at least
the same  standard of care as it would apply to contests or appeals with respect
to  reimbursement  liabilities or tax liabilities in general.  Buyer may, in its
sole and absolute discretion, at any time discontinue any such contest or appeal
prior to the final determination thereof after all administrative  appeals shall
have been  taken (a "FINAL  DETERMINATION");  provided,  however,  that if Buyer
intends to discontinue any such appeal or contest prior to Final  Determination,
then Buyer must  provide  Shareholders'  Representative  with  reasonable  prior
written  notice  of such  intent  and of the  current  status  of the  appeal or
contest, and upon request of Shareholders' Representative, Buyer shall assign to
the Principal  Shareholders all of its right,  title and interest to contest and
appeal such  Reimbursement  Liability  or tax  liability on behalf of and in the
name of Buyer; it being understood,  however,  that any recovery with respect to
any such  Reimbursement  Liability or tax liability shall belong to Buyer. Buyer
may, in its sole discretion,  elect not to so assign any of its right, title and
interest  to  contest  and  appeal  any  such  Reimbursement  Liability  or  tax
liability,  in which case,  Buyer shall not be entitled to be indemnified by the
Principal  Shareholders with respect to the otherwise  appealable or contestable
portion thereof.

                        (III)  Buyer  shall not be  entitled to settle any claim
which is the subject  matter of the Manatee Escrow  Agreement  without the prior
written  consent  of  each  Principal   Shareholder  (which  consent  shall  not
unreasonably  be  withheld,   delayed  or  conditioned)  unless  all  applicable
Governmental  Authorities  agree (A) not to seek  separate  payment  from either
Principal  Shareholder  and/or Don G. Angell,  and (B) not to impose criminal or
material civil  penalties  against either  Principal  Shareholder  and/or Don G.
Angell.

                        (B) The  Shareholders'  Representative  shall give Buyer
prompt   written  notice  of  each  claim  for  which  any   Shareholder   seeks
indemnification.  Failure to give such prompt notice shall not relieve the Buyer
of its indemnification obligation, provided that such indemnification obligation
shall be reduced by any damages  Buyer  demonstrates  it has suffered  resulting
from a failure to give prompt notice  hereunder.  The Buyer shall be entitled to
participate


                                       61



in the defense of such claim. If at any time Buyer  acknowledges in writing that
the claim is fully  indemnifiable by it under this Agreement,  and, if requested
by Shareholders'  Representative,  post adequate bond of security, it shall have
the right to assume control of the defense of such claim at its own expense.  If
the Buyer  assumes  control of the defense of any such claim,  the  Shareholders
shall not settle  such claim  without the  written  consent of the Buyer,  which
consent shall not be  unreasonably  withheld,  delayed or  conditioned.  Nothing
contained in this Section 12.5 shall prevent  either party from  assuming  total
control  of  the  defense  and/or  settling  any  claim  against  it  for  which
indemnification is not sought under this Agreement.

            12.6      LIMITATIONS ON INDEMNIFICATION OBLIGATIONS.

                      (A) Notwithstanding any other provision of this Agreement,
the aggregate indemnification obligations of the Principal Shareholders,  on the
one hand,  and Buyer,  on the other  hand,  shall not exceed an amount  equal to
Thirty Seven Million Dollars ($37,000,000).

                      (B) Notwithstanding any other provision of this Agreement,
after the Closing, the Principal Shareholders on the one hand, and Buyer, on the
other hand,  shall not have any  obligation  to indemnify the other party hereto
for any  Losses  incurred  by it or them  unless,  until and to the  extent  the
aggregate amount of such Losses equals or exceeds $250,000;  provided,  however,
that the  foregoing  shall not apply to:  (i) any  obligations  with  respect to
payments  of, or  adjustments  to, the Base Amount (and the Series A or Series B
Merger Consideration) under Article II above, (ii) claims made by Buyer pursuant
to Sections  12.2(b),  (c), (d) or (f) above, or (iii) claims arising out of any
breaches of  representations  or warranties of any Principal  Shareholder to the
extent  that  such  Principal   Shareholder  had  actual   knowledge  that  such
representation  or warranty was incorrect or inaccurate in any material  respect
at  the  time  made,   or  (iv)  claims   arising  out  of  any  breach  of  the
representations  and  warranties  contained in Section 5.26.  The limitation set
forth in this Section 12.6(b) shall not apply to any indemnification obligations
arising out of any breach of the  representations  and  warranties  contained in
Section 5.11(g) or 5.21(b).

                      (C) Upon payment in full by an  indemnifying  party of any
indemnification  claim, whether such payment is effected by setoff or otherwise,
or upon  the  payment  in full by an  indemnifying  party of any  judgment  with
respect to a third-party  claim, the indemnifying  party shall be subrogated (to
the extent  permitted  by  applicable  law) to the extent of such payment to the
rights of the indemnified  party against any landlords  (other than Magnolia and
its  subsidiaries),   vendors,  fee  mortgagees,  insurance  carrier,  workmens'
compensation  fund,   attorneys,   title  insurance  carrier,   engineers,   any
Shareholder,  surveyors,  environmental inspectors, zoning experts and the other
parties  to the  SCHM  Agreements  and  the  SV/South  Florida  Agreements.  The
foregoing  shall not be deemed to  require  any  Shareholder  to  reimburse  the
Company or any  Subsidiary  for any legal fees  previously  advanced  or for any
amounts  accrued,  in each  case,  to the  extent  set  forth  in the  Financial
Statements or the Closing Date Balance Sheet.

         12.7         WARN ACT LIABILITY. In reliance on the representations and
warranties of t he Company and the Shareholders made pursuant to this Agreement,
Buyer agrees to assume any  liability  arising under the Worker  Adjustment  and
Retraining  Notification  Act (the  "WARN  ACT") out of any  failure to give any
required notices to appropriate persons with respect to any employment 



                                       62



loss that may arise as a result of the termination by Buyer of the employment of
any  employees of the Company or any of the  Subsidiaries  following the Closing
Date,  except to the extent  that any  notifications  are  required by reason of
actions taken by the Company or any Subsidiary prior to the Closing Date.

         12.8         CERTAIN  WAIVERS.   Effective  as  of  the  Closing,  each
Shareholder  hereby  knowingly  waives  all  rights  that he or she may  have to
indemnification  against the  Company or any  Subsidiary  (other  than  Manatee)
(except to the extent of insurance proceeds actually  collectible by the Company
or a Subsidiary  with respect  thereto or except for amounts  previously paid or
advanced by the Company to Shareholders in respect thereof),  including, without
limitation any right to receive  advancement or  reimbursement  of legal fees or
costs,  or to insurance with respect to any claim against him or her arising out
of any  investigation by the Office of Inspector General of the United States or
any matter related thereto.  Effective as of the Closing,  each Shareholder also
hereby  knowingly  waives any claims that he or she may have against Magnolia or
any of its  subsidiaries on or prior to Closing arising out of the  transactions
contemplated by this Agreement or the Magnolia/Med-Serve  Merger Agreement.  The
foregoing  shall not be deemed to  require  any  Shareholder  to  reimburse  the
Company or any Subsidiary for any legal fees accrued, to the extent set forth on
the Closing Date Balance Sheet.

         12.9         CERTAIN  ASSISTANCE.  After the Closing,  for a reasonable
amount of time not to exceed  ninety (90) days,  Buyer shall  endeavor to assist
Manatee  and  its   subsidiaries   with  preparing  its  billing,   payroll  and
bookkeeping.  It will also promptly forward to Manatee any of Manatee's accounts
receivable that are delivered to it.  Notwithstanding  the foregoing,  Buyer and
the Company and the  Subsidiaries  shall have no  obligation to expend any funds
(beyond  ordinary and reasonable  wages) with respect to the foregoing and shall
have no liability with respect to any failure to perform any of the foregoing.

                            ARTICLE XIII: TERMINATION

          13.1        TERMINATION.  This Agreement may be terminated at any time
at or prior to the time of Closing by:

                      (A) Buyer,  if any condition  precedent to the obligations
of Buyer under this Agreement, including without limitation those conditions set
forth in  Article X  hereof,  have not been  satisfied  by the  Closing  Date or
pursuant to Section 14.1, or otherwise as expressly provided in this Agreement;

                      (B)   Shareholders'   Representative,   if  any  condition
precedent to the obligations of the Shareholders  hereunder,  including  without
limitation  those  conditions  set forth in  Article  XI  hereof,  have not been
satisfied  by the Closing  Date,  or  otherwise  as  expressly  provided in this
Agreement;

                      (C)  the  mutual   consent  of  Buyer  and   Shareholders'
Representative.



                                       63



         13.2         EFFECT  OF  TERMINATION.   If  a  party   terminates  this
Agreement because one of its conditions precedent has not been fulfilled,  or if
this Agreement is terminated by mutual consent, this Agreement shall become null
and void  without any  liability of any party to the other;  provided,  however,
that if such  termination  is by reason of the breach by any party of any of its
representations, warranties or obligations under this Agreement, the other party
shall be  entitled  to be  indemnified  for any Losses  incurred by it by reason
thereof in accordance with Section 12.2 or 12.3, as the case may be, hereof (and
for such  purposes  such Section 12.2 or 12.3, as the case may be, shall survive
the termination of this  Agreement).  Furthermore,  nothing in this Section 13.2
shall affect  Buyer's right to specific  performance  of the  obligations of the
Shareholders at Closing hereunder.

                       ARTICLE XIV: CASUALTY, RISK OF LOSS

         14.1         CASUALTY,  RISK OF LOSS.  Shareholders shall bear the risk
of all loss or damage to any of the Assets from all causes  which occur prior to
the  Closing.  If at any time prior to the Closing any of the Assets are damaged
or destroyed as a result of fire,  other  casualty or for any reason  whatsoever
and such  will  likely  have a  material  adverse  effect  on the  operation  or
financial  condition  of  any  Facility,   Shareholders'   Representative  shall
immediately  give notice  thereof to Buyer.  Buyer shall have the right,  in its
sole and absolute discretion, within ten (10) days of receipt of such notice, to
(1) elect not to proceed with the Closing and terminate this  Agreement,  or (2)
proceed to Closing  and  consummate  the  transactions  contemplated  hereby and
receive any and all  insurance  proceeds  received or receivable by the Company,
any  Subsidiary  or any  Shareholder  on account of any such  casualty (and such
insurance  proceeds  shall not be  included  as current  assets for  purposes of
determining   Closing  Date   Working   Capital  nor  shall  the  cost  of  such
reconstruction be included as a liability to the extent of insurance  reasonably
collectible with respect thereto).  Nothing contained in this Section 14.1 shall
limit or adversely affect the right of Buyer to receive  indemnification for any
Losses  incurred by it by reason of any breach by any Shareholder or the Company
of any representation, warranty or obligation under this Agreement in accordance
with Section 12.2 hereof (and for such  purposes such Section 12.2 shall survive
the termination of this Agreement).

                            ARTICLE XV: MISCELLANEOUS

         15.1         PERFORMANCE.  In the event of a breach by any  Shareholder
or the Company of its obligations hereunder,  the Buyer shall have the right, in
addition  to any other  remedies  which  may be  available,  to obtain  specific
performance  of the terms of this  Agreement,  and the  breaching  party  hereby
waives the defense that there may be an adequate remedy at law.

         15.2         BENEFIT AND ASSIGNMENT. This Agreement binds and inures to
the benefit of each party hereto and its successors and proper assigns. Prior to
Closing,  Shareholders,  the Company and Buyer may not assign  their  respective
interests  under this  Agreement to any other person or entity without the prior
written consent of the other parties hereto;  provided,  however, that Buyer may
assign its rights,  duties and obligations hereunder to one or more subsidiaries
or  affiliates  of Buyer;  and  further  provided  that in the  instance of such
assignment Buyer shall remain



                                       64



responsible  for  consummating  the Closing as provided in this Agreement  (such
responsibility to include,  without  limitation,  delivery of IHS Stock (and not
the stock of any other entity) as provided  herein).  Buyer shall be entitled to
assign its rights under this Agreement after the Closing.

         15.3         EFFECT AND CONSTRUCTION OF THIS AGREEMENT.  This Agreement
and  the  Exhibits  and  Schedules   hereto  embody  the  entire  agreement  and
understanding  of the  parties  and  supersede  any  and all  prior  agreements,
arrangements  and  understandings  relating  to  matters  provided  for  herein;
provided,  however that any  confidentiality  agreements among the parties shall
survive  until the  Closing,  at which time they shall  terminate  except to the
extent provided in this Agreement.  The captions used herein are for convenience
only and  shall not  control  or  affect  the  meaning  or  construction  of the
provisions  of this  Agreement.  This  Agreement  may be executed in one or more
counterparts,  and all  such  counterparts  shall  constitute  one and the  same
agreement.

          15.4        COOPERATION  - FURTHER  ASSISTANCE.  From time to time, as
and when reasonably  requested by any party hereto after the Closing,  the other
parties will (at the expense of the requesting  party)  execute and deliver,  or
cause to be executed and delivered, all such documents, instruments and consents
and will use  reasonable  efforts to take all such  action as may be  reasonably
necessary to carry out the intent and purposes of this Agreement.

          15.5        NOTICES. All notices required or permitted hereunder shall
be in writing and shall be deemed to be properly given when personally delivered
to the party or parties  entitled  to receive  the notice or three (3)  business
days after sent by certified or  registered  mail,  postage  prepaid,  or on the
business day after sent by  nationally  recognized  overnight  courier,  in each
case, properly addressed to the party or parties entitled to receive such notice
at the address stated below:

If to the Company or any Shareholder, 
to the Shareholders' Representative at:

                                   Stewart Swain
                                   115 Fieldwood Drive
                                   Advance, North Carolina 27006

with a copy to:                    George E. Hollodick, Esq.
                                   Blanco Tackabery Combs & Matamoros, P.A.
                                   110 South Stratford Road, Suite 500
                                   Winston-Salem, NC 27104

If to the Buyer:                   Integrated Health Services, Inc.
                                   10065 Red Run Boulevard
                                   Owings Mills, MD  21117
                                   Attn:  Elizabeth B. Kelly,
                                          Executive Vice President

                                              and



                                       65



with a copy to:                     Integrated Health Services, Inc.
                                    10065 Red Run Boulevard
                                    Owings Mills, MD 21117
                                    Attn: Marshall A. Elkins, General Counsel

                                                and

                                    Blass & Driggs, Esqs.
                                    461 Fifth Avenue, 19th Floor
                                    New York, NY  10017
                                    Attention: Andrew S. Bogen

         15.6         WAIVER,  DISCHARGE,  ETC.  This  Agreement  shall  not  be
released, discharged, abandoned, changed or modified in any manner, except by an
instrument in writing  executed by or on behalf of each of the parties hereto by
their duly  authorized  officer or  representative.  The failure of any party to
enforce at any time any of the provisions of this  Agreement  shall in no way be
construed  to be a waiver of any such  provision,  nor in any way to affect  the
validity  of this  Agreement  or any  part  hereof  or the  right  of any  party
thereafter to enforce each and every such provision.  No waiver of any breach of
this Agreement shall be held to be a waiver of any other or subsequent breach.

         15.7         RIGHTS  OF  PERSONS  NOT  PARTIES.   Except  as  expressly
provided  with  respect to  indemnification  rights,  nothing  contained in this
Agreement shall be deemed to create rights in persons not parties hereto,  other
than the successors and proper assigns of the parties hereto.

         15.8         GOVERNING  LAW.  This  Agreement  shall be governed by and
construed  in  accordance  with  the  laws  of  the  State  of  North  Carolina,
disregarding any contrary rules relating to the choice or conflict of laws.

         15.9         AMENDMENTS,  SUPPLEMENTS, ETC. At any time before or after
the  execution  and  delivery  of this  Agreement  by the parties  hereto,  this
Agreement may be amended or supplemented by additional  agreements,  articles or
certificates,  as may be mutually  determined  by the  parties to be  necessary,
appropriate or desirable to further the purposes of this  Agreement,  to clarify
the intention of the parties, or to add to or to modify the covenants,  terms or
conditions  hereof or thereof.  The  parties  hereto  shall make such  technical
changes to this Agreement,  not inconsistent with the purposes hereof, as may be
required to effect or facilitate any governmental approval or acceptance of this
Agreement or to effect or  facilitate  any filing or recording  required for the
consummation  of any  portion  of the  transactions  contemplated  hereby.  This
Agreement may not be amended  except by an instrument in writing  signed by each
of the parties.

         15.10        SEVERABILITY. Any provision, or distinguishable portion of
any  provision,  of this  Agreement  which  is  determined  in any  judicial  or
administrative  proceeding to be prohibited or unenforceable in any jurisdiction
shall,  as to such  jurisdiction  only,  be  ineffective  to the  extent of such
prohibition or unenforceability  without  invalidating the remaining  provisions
hereof, and any such prohibition or  unenforceability  in any jurisdiction shall
not invalidate or render unenforceable such provision in any other jurisdiction.
To the extent  permitted by  applicable  law, the parties waive any provision of
law which renders a provision hereof prohibited or unenforceable in any respect.



                                       66



         15.11        JOINT AND SEVERAL. The Principal  Shareholders and Company
(unless  there  shall be a  Closing,  in which  case the  Company  shall have no
liability  under this Agreement)  shall be jointly and severally  liable for all
representations,  warranties  and covenants made by any of them pursuant to this
Agreement.  Each  Minority  Shareholder  shall be liable only for such  Minority
Shareholder's  own  representations,  warranties  and  covenants  made  by  such
Minority  Shareholder  pursuant to this  Agreement.  The  Minority  Shareholders
acknowledge that they have no rights to the Escrow Deposit or the Manatee Escrow
Deposit.  After the Closing no Shareholder  shall have any right of contribution
or indemnity from the Company and no right of subrogation to proceed against the
Company with respect to any of the foregoing or  otherwise.  For all purposes of
this Agreement, any reference to the "knowledge" of any Principal Shareholder or
to  any  of  them  having  received  "notice"  of  any  matter  or  any  similar
qualification  shall  be  deemed  to  include  the  knowledge  of  each  of  the
Shareholders or notices to any of the Shareholders,  as the case may be. For all
purposes of this  Agreement,  any reference to the "knowledge" of the Company or
to its having received "notice" of any matter or any similar qualification shall
be deemed to  include  the  knowledge  of each of the  Shareholders,  directors,
facility administrators, directors of nursing, the director of legal affairs and
the  executive  officers of the Company or any  Subsidiary  or notices to any of
them, as the case may be.

         15.12        RECORDS. On the Closing Date,  Shareholders shall deliver,
or cause to be  delivered,  to Buyer all  records  and files not then in Buyer's
possession relating to the operations of the Company;  provided,  however,  that
the  Shareholders'  accountants and attorneys may retain duplicate copies of the
same; provided, further that such retention shall not relieve any Shareholder of
any of his or her  obligations  under any  Non-Competition  or  Non-Solicitation
Agreement.

         15.13         LATE  DELIVERY  OF  EXHIBIT  2.2(A)(VI)(E).  The  parties
acknowledge that Exhibit 2.2(a)(vi)(E) has not been delivered to Buyer as of the
date  hereof.  The  Principal  Shareholdres  agree to use their best  efforts to
deliver  such  Exhibit by no later than March 6, 1998.  Buyer shall use its best
efforts to notify the Shareholders' Representative by no later than two business
days after its receipt of such Exhibit as to whether such Exhibit is  reasonably
acceptable to Buyer. If such Exhibit is not reasonably acceptable to Buyer, then
the parties shall,  notwithstanding  anything to the contrary  contained in this
Agreement,  agree  to a  reasonable  adjustment  to the  amount  of the  accrual
referred to in Section 2.2(a)(vi)(E).



                                       67



                  IN  WITNESS  WHEREOF,  each of the  parties  hereto and in the
capacity  indicated  below has  executed  this  Agreement as of the day and year
first above written.

                                        COMPANY:

                                        PREMIERE ASSOCIATES, INC.

                                        By:
                                           -------------------------------------
                                        Its:
                                            ------------------------------------

                                        PRINCIPAL SHAREHOLDERS:


                                        ----------------------------------------
                                        W. Stewart Swain


                                        ----------------------------------------
                                        L.P. Herzog




                                        MINORITY SHAREHOLDERS:


                                        ----------------------------------------
                                        Jewell Austin


                                        ----------------------------------------
                                        Troy Curry


                                        ----------------------------------------
                                        Bruce W. Covell, Jr.


                                        ----------------------------------------
                                        M. Rebecca Muenchow



                                       68



                                        BUYER:

                                        INTEGRATED HEALTH SERVICES, INC.

                                        By:
                                           -------------------------------------
                                        ------------------------,
                                        Executive Vice President


                                        INTEGRATED HEALTH SERVICES AT
                                        HAWTHORNE NURSING CENTER, INC.


                                        By:
                                           -------------------------------------
                                        Its:
                                            ------------------------------------


                                       69



                             INDEX OF DEFINED TERMS

                                                   

"ACTUAL LONG-TERM LIABILITIES" ........................ shall have the meaning as set forth in Section 2.2(a)(iii).
"ACTUAL WORKING CAPITAL" .............................. shall have the meaning as set forth in Section 2.2(a)(iii).
"ADDITIONAL SWAIN IHS SHARES".............................shall have the meaning as set forth in Section 2.1(f)(i).
"ADJUSTED MARKET VALUE PER ADDITIONAL IHS SHARE"...................................................................
 .............................................................shall have the meaning as set forth in Section 3.1(k).
"ADJUSTMENT NOTICE"..........................................shall have the meaning as set forth in Section 3.1(k).
"AGGREGATE SCHM PURCHASE PRICE".......................shall have the meaning as set forth in Section 2.2(a)(vi)(C).
"AGREEMENT".........................................shall have the meaning as set forth in the Introduction hereto.
"ANGELL"............................................shall have the meaning as set forth in the Introduction hereto.
"ANGELL AGREEMENT"..................................shall have the meaning as set forth in the Introduction hereto.
"ANGELL GROUP"......................................shall have the meaning as set forth in the Introduction hereto.
"ANGELL GROUP MEMBER"...............................shall have the meaning as set forth in the Introduction hereto.
"ANGELL GROUP NOTES"................................shall have the meaning as set forth in the Introduction hereto.
"ANGELL OPTIONS"....................................shall have the meaning as set forth in the Introduction hereto.
"ARBITRATING ACCOUNTANTS" .............................. shall have the meaning as set forth in Section 2.2(a)(iv).
"APPLICABLE VALUATION DATE" ................................ shall have the meaning as set forth in Section 3.1(a).
"ARTICLES OF MERGER"............................................shall have the meaning as set forth in Section 1.1.
"ASSETS".....................................................shall have the meaning as set forth in Section 2.3(a).
"AUSTIN"............................................shall have the meaning as set forth in the Introduction hereto.
"BALANCE SHEET" ............................................ shall have the meaning as set forth in Section 5.8(b).
"BALANCE SHEET DATE" ....................................... shall have the meaning as set forth in Section 5.8(b).
"BASE AMOUNT".............................................shall have the meaning as set forth in Section 2.1(a)(i).
"BISHOP LEASES" ............................................ shall have the meaning as set forth in Section 2.2(c).
"BROKER" ..................................................... shall have the meaning as set forth in Section 5.27.
"BUSINESS" ................................................. shall have the meaning as set forth in Section 2.3(a).
"BUYER'S INDEMNITEES" ........................................ shall have the meaning as set forth in Section 12.2.
"BUYER'S REVIEW" ......................................... shall have the meaning as set forth in Section 2.2(iii).
"CARR FACILITIES"........................................shall have the meaning as set forth in the Section 2.2(b).
"CARR/FOSTER LEASE" ........................................ shall have the meaning as set forth in Section 2.2(b).
"CATHCART"..........................................shall have the meaning as set forth in the Introduction hereto.
"CATHCART SHARES"...................................shall have the meaning as set forth in the Introduction hereto.
"CLOSING"...................................................... shall have the meaning as set forth in Section 4.1.
"CLOSING DATE BALANCE SHEET" ............................. shall have the meaning as set forth in Section 2.2(iii).
"CLOSING SWAIN LOAN"......................................shall have the meaning as set forth in Section 2.1(f)(i).
"CLOSING HERZOG LOAN"....................................shall have the meaning as set forth in Section 2.1(f)(ii).
"CLOSING LOANS"..........................................shall have the meaning as set forth in Section 2.1(f)(ii).
"COMMISSION".................................................shall have the meaning as set forth in Section 3.1(b).
"COMPANY"...........................................shall have the meaning as set forth in the Introduction hereto.
"CONSENT CONTRACTS" ........................................... shall have the meaning as set forth in Section 2.4.
"CONTRACTS" ................................................ shall have the meaning as set forth in Section 5.7(a).
"COVELL"............................................shall have the meaning as set forth in the Introduction hereto.
"CURRY".............................................shall have the meaning as set forth in the Introduction hereto.
"DADE COUNTY FACILITIES"..................................shall have the meaning as set forth in Section 2.2(e)(i).




                                       70



                                                                 

"DADE COUNTY FINANCIAL STATEMENTS"...........................shall have the meaning as set forth in Section 5.8(e).
"DELAY PAYMENT NOTICE" .................................... shall have the meaning as set forth in Section 2.2(iv).
"DESIGNATED CONTRACTS" ........................................ shall have the meaning as set forth in Section 2.4.
"EFFECTIVE DATE".............................................shall have the meaning as set forth in Section 3.1(k).
"EMPLOYMENT AGREEMENTS" .................................. shall have the meaning as set forth in Section 10.16(a).
"ENVIRONMENTAL LAWS.........................................shall have the meaning as set forth in Section 5.21(b).
"ERISA"........................................................shall have the meaning as set forth in Section 5.13.
"ESCROW DEPOSIT"......................................shall have the meaning as set forth in Section 2.1(c)(iv)(A).
"ESCROW INCOME" ............................................ shall have the meaning as set forth in Section 2.5(c).
"ESCROW RELEASE DATE"......................................shall have the meaning as set forth in Section 2.5(a)(i)
"ESCROWEE" .............................................. shall have the meaning as set forth in Section 2.5(a)(i).
"ESTIMATED CLOSING DATE BALANCE SHEET........................shall have the meaning as set forth in Section 2.2(ii)
"ESTIMATED CLOSING DATE WORKING CAPITAL"...........................................................................
 ........................................................ shall have the meaning as set forth in Section 2.2(a)(i).
"ESTOPPEL CERTIFICATES".........................................shall have the meaning as set forth in Section 9.5.
"EXCHANGE ACT"...........................................shall have the meaning as set forth in Section 3.1(e)(iv).
"FACILITIES"........................................shall have the meaning as set forth in the Introduction hereto.
"FINAL DETERMINATION"...................................shall have the meaning as set forth in Section 12.5(a)(ii).
"FINANCIAL STATEMENTS".......................................shall have the meaning as set forth in Section 5.8(a).
"FOSTER FACILITIES"..........................................shall have the meaning as set forth in Section 2.2(b).
"FOUNTAINHEAD NURSING CENTER".............................shall have the meaning as set forth in Section 2.2(e)(i).
"GAAP" ................................................. shall have the meaning as set forth in Section 2.2(a)(ii).
"GOVERNMENTAL AUTHORITIES" .................................... shall have the meaning as set forth in Section 5.4.
"GOVERNING DOCUMENTS" ...................................... shall have the meaning as set forth in Section 5.1(b).
"GOVERNMENTAL REQUIREMENTS" ................................... shall have the meaning as set forth in Section 5.4.
"GROUP MEMBER"......................................shall have the meaning as set forth in the Introduction hereto.
"GROUP PARTICIPANT".................................shall have the meaning as set forth in the Introduction hereto.
"H-S-R ACT" .................................................. shall have the meaning as set forth in Section 10.9.
"HERZOG"............................................shall have the meaning as set forth in the Introduction hereto.
"HERZOG NOTE"............................................shall have the meaning as set forth in Section 2.1(c)(ii).
"HERZOG STOCK PLEDGE AGREEMENT"..........................shall have the meaning as set forth in Section 2.1(c)(ii).
"IHS STOCK" ............................................. shall have the meaning as set forth in Section 2.1(c)(i).
"ILLINOIS SUBSIDIARIES"................................shall have the meaning as set forth in Section 2.2(a)(viii).
"INITIAL MARKET VALUE PER SHARE".............................shall have the meaning as set forth in Section 3.1(k).
"KANSAS SUBSIDIARIES"..................................shall have the meaning as set forth in Section 2.2(a)(viii).
"LEASED RELATED CONTRACT".......................................shall have the meaning as set forth in Section 2.4.
"LEASED ASSETS" ......................................... shall have the meaning as set forth in Section 5.6(a)(i).
"LEASED FACILITY"...........................................shall have the meaning as set forth in Section 5.11(b).
"LETTER OF TRANSMITTAL"......................................shall have the meaning as set forth in Section 2.1(d).
"LICENSES" ................................................... shall have the meaning as set forth in Section 5.10.
"LIENS" .................................................... shall have the meaning as set forth in Section 5.6(b).
"LOSS" ....................................................... shall have the meaning as set forth in Section 12.2.
"MAGNOLIA"..........................................shall have the meaning as set forth in the Introduction hereto.
"MAGNOLIA FACILITIES"...............................shall have the meaning as set forth in the Introduction hereto.
"MAGNOLIA/MEDI-SERVE MERGER AGREEMENT".............................................................................




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 ....................................................shall have the meaning as set forth in the Introduction hereto.
"MAGNOLIA FACILITIES"...............................shall have the meaning as set forth in the Introduction hereto.
"MAGNOLIA SHARES"...................................shall have the meaning as set forth in the Introduction hereto.
"MAGNOLIA SHAREHOLDER"..............................shall have the meaning as set forth in the Introduction hereto.
"MANAGED ASSETS" ........................................ shall have the meaning as set forth in Section 5.6(a)(i).
"MANAGED FACILITY"..........................................shall have the meaning as set forth in Section 5.11(b).
"MANAGED FACILITY OPERATOR"....................................shall have the meaning as set forth in Section 5.25.
"MANAGED LESSEE/OPERATOR....................................shall have the meaning as set forth in Section 5.11(c).
"MANAGED LEASED FACILITY"...................................shall have the meaning as set forth in Section 5.11(c).
"MANAGED LEASE".............................................shall have the meaning as set forth in Section 5.11(c).
"MANAGEMENT AGREEMENTS" ................................. shall have the meaning as set forth in Section 5.7(a)(x).
"MANATEE"...................................................shall have the meaning as set forth in Section 12.2(d).
"MANATEE ESCROW DEPOSIT"..............................shall have the meaning as set forth in Section 2.1(c)(iv)(A).
"MANATEE LIABILITY".........................................shall have the meaning as set forth in Section 12.2(d).
"MANATEE RELEASE DATE" ................................. shall have the meaning as set forth in Section 2.5(a)(ii).
"MEDI-SERVE"........................................shall have the meaning as set forth in the Introduction hereto.
"MEDI-SERVE SHARES".................................shall have the meaning as set forth in the Introduction hereto.
"MERGER TIME"...................................................shall have the meaning as set forth in Section 1.2.
"MINORITY SHAREHOLDERS".............................shall have the meaning as set forth in the Introduction hereto.
"MUENCHOW"..........................................shall have the meaning as set forth in the Introduction hereto.
"MULTI-EMPLOYER ACT" ......................................... shall have the meaning as set forth in Section 5.15.
"NCGCL".........................................................shall have the meaning as set forth in Section 1.1.
"NEWCO".............................................shall have the meaning as set forth in the Introduction hereto.
"NEW GREENVILLE FACILITY"...........................shall have the meaning as set forth in the Introduction hereto.
"NEW GREENVILLE LEASE"..............................shall have the meaning as set forth in the Introduction hereto.
"NEW HERZOG PREMIERE SHARES".............................shall have the meaning as set forth in Section 2.1(f)(ii).
"NEW PREMIERE SHARES"....................................shall have the meaning as set forth in Section 2.1(f)(ii).
"NEW SWAIN PREMIERE SHARES"...............................shall have the meaning as set forth in Section 2.1(f)(i).
"NON-COMPETITION AGREEMENT" ................................. shall have the meaning as set forth in Section 10.14.
"NON-COMPETE PERIOD" ........................................ shall have the meaning as set forth in Section 10.14.
"NON-DISTURBANCE AGREEMENTS.....................................shall have the meaning as set forth in Section 9.5.
"NORTH MIAMI NURSING AND REHABILITATION CENTER
 ..........................................................shall have the meaning as set forth in Section 2.2(e)(i).
"NYSE".......................................................shall have the meaning as set forth in Section 3.1(a).
"OPERATIONS TRANSFER AGREEMENT" ......................... shall have the meaning as set forth in Section 2.2(e)(i).
"OWNED ASSETS" .......................................... shall have the meaning as set forth in Section 5.6(a)(i).
"OWNED FACILITY"............................................shall have the meaning as set forth in Section 5.11(b).
"PERMITTED LIABILITIES" .................................... shall have the meaning as set forth in Section 2.3(b).
"PLAN OF MERGER"................................................shall have the meaning as set forth in Section 1.2.
"PLEDGED SHARES"....................................shall have the meaning as set forth in the Introduction hereto.
"PREMIERE"..........................................shall have the meaning as set forth in the Introduction hereto.
"PREMIERE MANAGED FACILITIES".......................shall have the meaning as set forth in the Introduction hereto.
"PREMIERE OWNED FACILITY"...........................shall have the meaning as set forth in the Introduction hereto.
"PREMIERE OPERATED FACILITIES"......................shall have the meaning as set forth in the Introduction hereto.
"PREMIERE SHARES"...................................shall have the meaning as set forth in the Introduction hereto.




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"PRIMARY ESCROW"......................................shall have the meaning as set forth in Section 2.1(c)(iv)(A).
"PRINCIPAL SHAREHOLDERS"............................shall have the meaning as set forth in the Introduction hereto.
"PRINCIPAL SHAREHOLDERS' NOTE"...........................shall have the meaning as set forth in Section 2.1(f)(ii).
"PRINCIPAL SHAREHOLDERS' STOCK PLEDGE AGREEMENT"...................................................................
 .........................................................shall have the meaning as set forth in Section 2.1(f)(ii).
"PROHIBITED LIABILITIES" ................................... shall have the meaning as set forth in Section 2.3(b).
"PROHIBITED TRANSACTION" ...................................... shall have the meaning as set forth in Section 9.7.
"PROPRIETARY RIGHTS" ................................... shall have the meaning as set forth in Section 5.6(a)(ii).
"PURCHASE PRICE" ........................................... shall have the meaning as set forth in Section 2.1(a).
"QUESTIONNAIRE" .............................................. shall have the meaning as set forth in Section 5.16.
"REIMBURSEMENT LIABILITIES" ................................ shall have the meaning as set forth in Section 2.3(b).
"REQUIRED APPROVALS".........................................shall have the meaning as set forth in Section 9.4(b).
"REQUIRED NON-GOVERNMENTAL APPROVALS"..............................................................................
 .............................................................shall have the meaning as set forth in Section 9.4(a).
"REQUIRED GOVERNMENTAL APPROVALS"..................................................................................
 .............................................................shall have the meaning as set forth in Section 9.4(b).
"RULE 144"...................................................shall have the meaning as set forth in Section 3.1(d).
"SEC" ......................................................... shall have the meaning as set forth in Section 7.4.
"SEC DOCUMENTS" ............................................... shall have the meaning as set forth in Section 7.4.
"SERIES A MERGER CONSIDERATION PER SHARE"..........................................................................
 .........................................................shall have the meaning as set forth in Section 2.1(a)(ii).
"SERIES B MERGER CONSIDERATION PER SHARE"..........................................................................
 .........................................................shall have the meaning as set forth in Section 2.1(a)(ii).
"SERIES C MERGER CONSIDERATION PER SHARE"..........................................................................
 .........................................................shall have the meaning as set forth in Section 2.1(a)(ii).
"SERIES D MERGER"..................................................................................................
 .........................................................shall have the meaning as set forth in Section 2.1(a)(ii).
"SERIES A PREMIERE SHARES".........................................................................................
 ....................................................shall have the meaning as set forth in the Introduction hereto.
"SERIES B PREMIERE SHARES"..........................shall have the meaning as set forth in the Introduction hereto.
"SERIES C PREMIERE SHARES"..........................shall have the meaning as set forth in the Introduction hereto.
"SERIES D PREMIERE SHARES"................................shall have the meaning as set forth in Section 2.1(f)(i).
"SHAREHOLDERS' REPRESENTATIVE" ............................. shall have the meaning as set forth in Section 2.2(f).
"SHORT LEASE EXTENSION ALLOCATION" ......................... shall have the meaning as set forth in Section 2.2(b).
"SHCM STOCK PURCHASE AGREEMENT"...........................shall have the meaning as set forth in Section 2.2(d)(i).
"SHCM AGREEMENTS".........................................shall have the meaning as set forth in Section 2.2(d)(i).
"SCHM SUBSIDIARIES".........................................shall have the meaning as set forth in Section 2.2(ii).
"SCHM ASSET PURCHASE AGREEMENT"...........................shall have the meaning as set forth in Section 2.2(d)(i).
"SCHM SUBSIDIARIES FINANCIAL STATEMENTS"...........................................................................
 .............................................................shall have the meaning as set forth in Section 5.8(d).
"SCHM PROHIBITED LIABILITIES"...............................shall have the meaning as set forth in Section 2.2(ii).
"SECURITIES ACT".............................................shall have the meaning as set forth in Section 3.1(b).
"SHAREHOLDER".......................................shall have the meaning as set forth in the Introduction hereto.
"SHELF REGISTRATION STATEMENT"...............................shall have the meaning as set forth in Section 3.1(b).
"SHORT LEASE"...............................................shall have the meaning as set forth in Section 2.2(b).




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"SKYLER LEASES"...........................................shall have the meaning as set forth in Section 2.2(e)(i).
"SOUTHEASTERN FACILITIES" ............................... shall have the meaning as set forth in Section 2.2(d)(i).
"SPECIAL COUNSEL"..............................................shall have the meaning as set forth in Section 9.10.
"SPIN-OFF LIABILITIES"......................................shall have the meaning as set forth in Section 12.2(d).
"SUBSIDIARIES"......................................shall have the meaning as set forth in the Introduction hereto.
"SUBJECT SHARES"....................................shall have the meaning as set forth in the Introduction hereto.
"SUPPLEMENTAL ESCROW DEPOSIT" ....................... shall have the meaning as set forth in Section 2.1(c)(iv)(A).
"SURVIVING CORPORATION".........................................shall have the meaning as set forth in Section 1.1.
"SV/SOUTH FLORIDA" ...................................... shall have the meaning as set forth in Section 2.2(e)(i).
"SV/SOUTH FLORIDA LIABILITIES" .......................... shall have the meaning as set forth in Section 2.2(e)(i).
"SV/SOUTH FLORIDA AGREEMENTS" ........................... shall have the meaning as set forth in Section 2.2(e)(i).
"SV/SOUTH FLORIDA TERMINATION AGREEMENTS"..........................................................................
 ........................................................ shall have the meaning as set forth in Section 2.2(e)(i).
"SWAIN".............................................shall have the meaning as set forth in the Introduction hereto.
"SWAIN NOTE"..............................................shall have the meaning as set forth in Section 2.1(f)(i).
"SWAIN PLEDGE AGREEMENT"..................................shall have the meaning as set forth in Section 2.1(f)(i).
"TAXES" ...................................................... shall have the meaning as set forth in Section 5.22.
"TAX RETURNS"..................................................shall have the meaning as set forth in Section 5.22.
"TENANCY LEASES"............................................shall have the meaning as set forth in Section 5.11(b).
"TITLE COMPANY" ............................................. shall have the meaning as set forth in Section 10.13.
"TRANSACTION DOCUMENTS" ....................................... shall have the meaning as set forth in Section 5.2.
"UNDERTAKING"................................................shall have the meaning as set forth in Section 2.3(b).
"WARN ACT".....................................................shall have the meaning as set forth in Section 12.7.
"WOODRUFF FACILITY".................................shall have the meaning as set forth in the Introduction hereto.




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                                                  SCHEDULE 2.2(B)

Facility                                             Amount

Heart of Georgia                                      $1,000,000
Old Capital                                              375,000
Heritage Inn                                             375,000
Hart Care                                                500,000
Rockmart                                                 250,000
Macon                                                  1,100,000
Dublin                                                 1,150,000
Oceanside/Savannah Beach                                 250,000



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                                              Annex A to Schedule 2.4

         Riverfront Facility                         $3,100,000

         Woodbridge Facility                         $2,000,000

         St. Petersburg Facility                     $6,500,000



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                                  SCHEDULE 7.7

         Buyer has made a decision to exit from the following  business lines in
the fourth quarter of 1997:

         Outpatient Rehabilitation Services
         Network Services
         Physician Practices
         One Home Care Management Contract.

         Buyer  anticipates  taking a fourth quarter  write-down with respect to
these business  lines to net realizable  value in an amount between $100 million
to $125 million.



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