Exhibit 2.1



                    AGREEMENT FOR SALE AND PURCHASE OF ASSETS
                            AND RESTRICTIVE COVENANTS

     THIS AGREEMENT is made as of Sept. 25, 1998, by and among ACCUCARE  MEDICAL
CORPORATION, a California corporation, having its principal place of business at
2900  Telegraph  Avenue,   Oakland,   California  94609  (the  "SELLER"  or  the
"CORPORATION"), ROBERT D. WALTER, MARCIA HENDRY-WALTER AND PAUL BERNOU, the sole
shareholders of Seller (the "SHAREHOLDERS" and each a "SHAREHOLDER"), INTEGRATED
OF GARDEN  TERRACE,  INC., a Delaware  corporation  (the "BUYER") and INTEGRATED
HEALTH SERVICES, INC., a Delaware corporation ("IHS").

                              W I T N E S S E T H :

     WHEREAS,  Seller  operates  a home  respiratory  care and  durable  medical
equipment business in the State of California (the "BUSINESS"); and

     WHEREAS, Shareholders are the sole shareholders of the Seller; and

     WHEREAS, Buyer is a wholly owned subsidiary of IHS; and

     WHEREAS,  Seller wishes to sell, and Buyer desires to purchase from Seller,
substantially all of the assets of the Business in exchange for voting shares of
the common  stock,  par value $.001,  of IHS (the "IHS STOCK") in a  transaction
intended to qualify as a "reorganization"  within the meaning of ss.368(a)(1)(c)
of the  Internal  Revenue  Code of  1986,  as  amended  (the  "CODE"),  it being
contemplated  by the Seller and Buyer that the  Seller  will  thereafter,  as an
integral part of the  transaction,  distribute the IHS Stock to the Shareholders
in complete  liquidation  of the Seller and dissolve;  and Buyer also desires to
acquire  from  Seller  and  each  Shareholder,  and  each  of  Seller  and  each
Shareholder  desires  to grant to  Buyer,  covenants  not to  compete  and other
restrictive  covenants as  described  in  paragraph 17 hereof (the  "RESTRICTIVE
COVENANTS"); and

     WHEREAS,  the  consent  or  approval  of  all  persons  necessary  for  the
consummation  of  the  transactions   contemplated  hereby  has  been  obtained,
including  without  limitation,  all approvals of  governmental  authorities and
parties to any contracts to be assigned to Buyer in connection herewith.

     NOW,  THEREFORE,  in consideration of the mutual promises  contained herein
and for other good and valuable  consideration,  the receipt and  sufficiency of
which is hereby acknowledged, it is hereby agreed as follows:

     1.   Sale of Assets and Restrictive Covenants.

          (a) The Assets.  As of the Closing Date referred to below in paragraph
9, Seller shall sell transfer,  convey and assign,  free and clear of all liens,
claims, security interests,  pledges,  restrictions on transfer or use and other
encumbrances of any kind or nature whatsoever ("LIENS"),  except for the Assumed
Liabilities (as defined in paragraph 6(b) herein), all of Seller's rights, title
and interest in, to or under:



                                       -1-





               (i) Accounts  Receivable.  All of the accounts  receivable of the
     Business including,  without limitation,  all accounts receivable set forth
     on the Schedule of Accounts  Receivable  Data  attached  hereto as Schedule
     1(a)(i); and

               (ii) Inventory;  Fixed Assets.  All inventory and fixed assets of
     the Business,  including,  without limitation, all of the same set forth on
     the Schedule of  Inventory  and Fixed  Assets  attached  hereto as Schedule
     1(a)(ii); and

               (iii)  Motor  Vehicles.  All  motor  vehicles  of  the  Business,
     including without limitation,  all of the same set forth on the Schedule of
     Motor Vehicles attached hereto as Schedule 1(a)(iii); and

               (iv) Property Rights. All real property,  easements and rights of
     way permitting access to the Business; and

               (v) Other  Assets.  All other  assets  of any kind,  tangible  or
     intangible,  real,  personal  or  mixed,  owned and used or held for use by
     Seller in connection with the Business,  including, without limitation, all
     of the following:  (A) the Patients' List of the Business,  as described in
     Schedule  1(a)(v)(A);  (B) the telephone  numbers listed on the Schedule of
     Telephone Numbers and Licenses attached hereto as Schedule 1(a)(v)(B);  (C)
     all personal  property,  machinery and  equipment,  whether owned or leased
     including,  without limitation,  the leasehold interests listed on Schedule
     1(a)(v)(C); (D) all of Seller's prepaid assets; (E) rights under contracts,
     agreements,   including,  without  limitation,  franchise  agreements,  and
     instruments;  and (F) all  intangible  rights of  Seller of every  kind and
     description  used in, or held for use in connection  with, the operation of
     the Business,  including, without limitation, all intangible assets, and to
     the  extent  permitted  by  applicable  law,  all  licenses,   permits  and
     authorizations.

          (b) Excluded Assets.  Notwithstanding the foregoing,  the Assets shall
not include, and Seller shall not be deemed to have sold, transferred,  conveyed
or  assigned  the  following  assets  to  Buyer:   Seller's  cash,  Articles  of
Incorporation,  qualification  to do  business  in  any  jurisdiction,  taxpayer
identification  number, minute books, stock transfer records and other documents
related   specifically  to  Seller's  corporate   organization  and  maintenance
(collectively, "EXCLUDED ASSETS").

          (c) Restrictive  Covenants.  Pursuant to paragraph 17 hereof,  each of
Seller and each Shareholder is granting to Buyer the Restrictive Covenants.

     2.   Purchase Price; Method of Payment.

          (a) Purchase  Price.  Buyer shall pay an amount for the Assets and the
Restrictive  Covenants  equal to Three  Million  Five Hundred  Thousand  Dollars
($3,500,000.00), less the amount of the Assumed Liabilities (as defined below in
paragraph  6),  which  amount of  Assumed  Liabilities  shall be  $646,500  (the
"PURCHASE  PRICE").  The Purchase Price shall be allocated  among the Assets and
the  Restrictive  Covenants in the manner set forth on the  Allocation  Schedule
attached  hereto as Schedule 2(a), and the parties hereto  expressly  consent to
the allocation stated therein.

                                      -2-


          (b) Method of Payment.  At the Closing  (as defined in  paragraph  9),
Buyer shall pay, disburse, and deliver the Purchase Price as follows:

               (i) IHS Stock having a value (using the Trade Price (as such term
     is defined  in  paragraph  4(a)) to value  such IHS  Stock)  equal to Three
     Hundred Fifty Thousand ($350,000) Dollars (the "GENERAL ESCROW AMOUNT") and
     Four Hundred  Thousand  ($400,000)  Dollars (the  "CLAW-BACK  AMOUNT") (the
     General Escrow Amount and the Claw-back  Amount shall be referred to as the
     "ESCROW FUND") shall be delivered to CoreStates Bank, N.A., as escrow agent
     ("Escrow  Agent"),  to be held by Escrow Agent during the Escrow Period (as
     defined  in  paragraph  6(d),  below)  pursuant  to the  terms  of a Escrow
     Agreement,  in the form  attached  hereto as Exhibit  2(b)(i)  (the "ESCROW
     AGREEMENT").  The entire Escrow Fund shall be subject to the  provisions of
     paragraphs 7 and 18 hereof.

               (ii) IHS Stock  having a value  (using  the Trade  Price to value
     such IHS Stock)  equal to One  Hundred  Ninety Two  Thousand  Five  Hundred
     Dollars ($192,500) (the "BROKER'S FEE") shall be paid, on behalf of Seller,
     to Steven Richards & Associates,  Inc. (the  "BROKER"),  in satisfaction of
     all fees and  compensation  due at the Closing to the Broker in  connection
     with the transactions contemplated by this Agreement.  Buyer shall also pay
     to Broker on behalf of Seller  seven  percent  (7%) of any  portion  of the
     General  Escrow Amount and the Claw-back  Amount if, when and to the extent
     released to Seller,  and any such  payment  shall be  credited  against the
     amount of the Claw-back  Amount  payable to Seller.  Seller  represents and
     warrants to Buyer that the Broker has acted as Seller's  representative and
     broker in connection with the transactions  contemplated by this Agreement,
     and  authorizes  and directs  Buyer to withhold such sums from the Purchase
     Price and  disburse  such sum directly to the Broker.  Notwithstanding  the
     foregoing, IHS and Buyer shall not be required to make any such delivery to
     the  Broker   unless  the  Broker  shall  have  executed  and  delivered  a
     Confirmation  Agreement  in the  form and  substance  of  Exhibit  2(b)(ii)
     hereto.

               (iii) IHS Stock  having a value  (using the Trade  Price to value
     such IHS Stock) equal to One Million Nine Hundred Eleven  Thousand  Dollars
     ($1,911,000) (the balance of the Purchase Price), to the Shareholders.

     3. Purchase Price  Adjustment.  The parties  acknowledge  that the Purchase
Price was determined  using a multiple of the expected Annual  Operating  Profit
(as  hereinafter  defined) of the Business after the Closing,  and such expected
Annual  Operating  Profit was based upon the Seller's  best good faith  estimate
thereof.  Accordingly,  if the average Annual Operating Profit during the period
commencing  on  September  1, 1998 and ending  August 31, 2000 (the  "APPLICABLE
PERIOD")  shall be less than  $700,000,  then the  Buyer  shall be  entitled  to
receive an amount  from the  Seller  equal to five times (5x) the amount of such
deficiency (the "CLAW-BACK PAYMENT");  provided that the Claw-back Payment shall
not  exceed  the Claw-  back  Amount.  For  purposes  hereof,  the term  "ANNUAL
OPERATING PROFIT" shall be determined as set forth on Exhibit 3 attached hereto.

     The parties further  acknowledge  that they have used their best efforts to
determine  that the Purchase  Price is consistent  with the fair market value of
the Business and its assets as of the  Closing,  based in part on the  projected
future  revenues of the Business.  The foregoing  provisions of this paragraph 3
are intended solely to adjust the Purchase Price, if necessary,  to reflect fair
market value and not to induce Seller or the  Shareholders to refer or influence
the  referral of any  prospective  client,  customer  or patient  (collectively,
"PROSPECTIVE  PATIENTS")  to the  Business or to  recommend  the Business to any
Prospective  Patients.  Accordingly,  (i) prior to the  Closing,  Seller and the
Shareholders shall not engage in any marketing activities  (including any direct
solicitation of Prospective Patients) except in the ordinary and usual course of
conducting the Business,  consistent with lawful past practices,  and (ii) after
the  Closing,  Seller and  Shareholders  shall not take any action,  directly or
indirectly,  to  induce  any  Prospective  Patients  to become  patients  of the
Business.

                                      -3-






     4. IHS Stock.  A portion or all of the  Purchase  Price shall be payable by
means of the  delivery  of shares of IHS Stock  issued to the  Shareholders  (in
contemplation  of the liquidation and dissolution of Seller),  as aforesaid,  in
accordance with the following:

          (a) Share  Value.  The  number of  shares of IHS Stock  issuable  upon
execution  of this  Agreement  (the  "EXECUTION  DATE  SHARE  COUNT")  shall  be
calculated  based  upon a price per  share of such  stock  equal to the  average
closing New York Stock  Exchange  ("NYSE")  price of such stock for the five (5)
trading day period immediately  preceding the date which is two (2) trading days
before the date hereof (the "TRADE PRICE").

          (b)  Registration  Rights.  IHS will  prepare  and use its  reasonable
commercial efforts to cause to be filed within one-hundred and twenty (120) days
following the Closing Date,  and will use its reasonable  commercial  efforts to
have  declared  effective  by  the  Securities  and  Exchange   Commission  (the
"COMMISSION"),  a  registration  statement  covering the resale of the IHS Stock
issued to the  Shareholders in connection with this  transaction,  including the
shares, if any, issuable as a share adjustment pursuant to paragraph 4(c), under
the Securities  Act of 1933, as amended (the  "SECURITIES  ACT"),  and IHS shall
maintain the  effectiveness of such  registration  statement for a period of one
(1) year  following  the date it became  effective  (the  "REGISTRATION  DATE"),
except to the extent that an exemption from registration may be available.

          (c) Share Adjustment. Promptly following the Share Adjustment Date (as
hereinafter  defined),  the number of shares deliverable as part of the Purchase
Price  (including  the shares  delivered to the Broker,  but excluding any other
shares that have  previously  been  transferred  by the  Shareholders)  shall be
re-calculated  to be the  number of shares of IHS  Stock  that  would  have been
delivered in lieu of such retained shares had the Recalculated Value (as defined
below) been used on the date  hereof in lieu of the Trade Price with  respect to
the portion of the Purchase  Price  represented  by such  retained  shares.  For
purposes hereof,  the  "RECALCULATED  VALUE" shall mean the average closing NYSE
price for IHS Stock for the 5-trading day period ending on the Share  Adjustment
Date (as defined  below).  If the number of shares as  re-calculated  under this
subparagraph  (c) (the "ADJUSTED  SHARE COUNT") exceeds the Execution Date Share
Count,  IHS promptly shall deliver over to the  Shareholders,  and the Broker an
additional  number of shares of IHS Stock as shall be equal to such excess,  and
such  additional  shares  shall be included in the  aforementioned  registration
statement by means of a pre-effective  amendment thereto.  If the Execution Date
Share Count exceeds the Adjusted Share Count, the  Shareholders,  and the Broker
promptly will return to the Buyer that number of shares of IHS Stock as shall be
equal to such excess;  provided,  however, that the Adjusted Share Count may not
exceed twice the  Execution  Date Share Count;  and provided  further,  that the
Adjusted  Share Count shall not be less than one-half the  Execution  Date share
Count. For purposes hereof, "SHARE ADJUSTMENT DATE" shall mean the date which is
two trading days before the Registration Date.

          (d) Registration Expenses.  Shareholders shall not be responsible for,
and Buyer  shall  bear,  all of the  reasonable  expenses of IHS 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
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
IHS Stock and the costs and expenses  (including fees and  disbursements  of its
counsel)  incurred in connection with the  qualification  of IHS Stock under the
Blue Sky laws of various jurisdictions. Buyer, however, shall not be required to
pay underwriter's or brokerage discounts, commissions or expenses, or to pay any
costs or expenses arising out of  Shareholders'  or any transferee's  failure to
comply with its obligations under this Article 4.



                                       -4-






          (e)  Resale Limitations.

               The aggregate sales by the Shareholders, and Broker shall not, at
     any time,  exceed 75,000 shares in the aggregate  during any 30 consecutive
     day period,  and all such sales shall be effected  solely  through  Salomon
     Smith Barney, Inc.

          (f) Registration Procedures,  etc. In connection with the registration
rights granted to the Shareholders  with respect to the IHS Stock as provided in
this Article 4, Buyer covenants and agrees as follows:

               (i) At  Buyer's  expense,  Buyer will keep the  registration  and
     qualification  under this Article 4 effective  (and in compliance  with the
     Securities Act) by such action as may be necessary or appropriate until the
     first  anniversary of the Registration  Date,  except to the extent that an
     exemption from  registration  may be available.  Buyer will promptly notify
     the Representative (as hereinafter  defined), at any time when a prospectus
     relating to a registration statement under this Article 4 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 such  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.

               (ii) Buyer shall furnish the  Representative  with such number of
     prospectuses as shall reasonably be requested.

               (iii) Buyer shall take all necessary action which may be required
     in qualifying or registering IHS Stock included in a registration statement
     for offering and sale under the  securities or Blue Sky laws of such states
     as  reasonably  are  requested by the  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
     registration  statement  filed  pursuant to this Article 4 will not, at the
     time any such 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
     necessary  to  correct  any  statement  in  any  earlier   filing  of  such
     registration   statement  or  any  amendments  thereto.   The  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,  their successors and assigns, and each person,
     if any, who controls  such  Shareholder  within the meaning of ss.15 of the
     Securities  Act or  ss.20(a) of the  Securities  Exchange  Act of 1934,  as
     amended  ("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
     registration  statement executed by Buyer or based upon written information
     furnished by Buyer filed in any  jurisdiction in order to qualify 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  the
     Shareholder expressly for use in such registration statement, any amendment
     or supplement thereto or any application, as the case may be. If any action
     is  brought  against  the  Shareholders  or any  controlling  person of any
     Shareholder in respect of which indemnity may be sought

                                      -5-




     against Buyer pursuant to this subparagraph  4(f)(iv),  such Shareholder or
     such  controlling  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
     actions,  including  the  employment  and  payment of  reasonable  fees and
     expenses of counsel  (reasonably  satisfactory  to the  Shareholder or such
     controlling  person).  Notwithstanding  anything contained in the foregoing
     sentence,  the failure of such Shareholder or controlling person to provide
     Buyer with notice of such action  within  thirty (30) days will not have an
     adverse affect on the rights of such  Shareholder or controlling  person to
     seek indemnity  against Buyer except to the extent that Buyer is prejudiced
     by the failure to give such notice.  The  Shareholders or such  controlling
     person  shall have the right to employ its or their own counsel in any such
     case,  but the fees and expenses of such counsel shall be at the expense of
     the  Shareholders 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 have  employed
     counsel  to  have  charge  of the  defense  of  such  action,  or (C)  such
     indemnified party or parties shall have reasonably  concluded (after notice
     to Buyer)  that  there may be  defenses  available  to 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.  Except
     as  expressly  provided in the previous  sentence,  in the event that Buyer
     shall not previously have assumed the defenses of any such action or claim,
     Buyer  shall  not  thereafter  be  liable  to  the   Shareholders  or  such
     controlling person in investigating, preparing or defending any such action
     or claim.

               (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, or expense or liability (including all expenses reasonably incurred
     in  investigating,  preparing or defending against any claim whatsoever) to
     which they may become subject under the Securities Act, the Exchange Act or
     any other  statute,  common law or  otherwise,  arising  from  incorrect or
     incomplete  information furnished by or on behalf of such Shareholders,  or
     their  successors  or assigns for specific  inclusion in such  registration
     statement.

          (g)  Notice of Sale.

                    (i)  Prior to any  proposed  sale or other  transfer  of any
interest in any of the shares of IHS Stock issued to any Shareholder pursuant to
this Agreement, such Shareholder shall give notice (a "PROPOSED SALE NOTICE") to
Buyer of any  such  proposed  transfer  describing  in  reasonable  detail  such
Shareholder's  intention  to effect  the  proposed  transfer,  the manner of the
proposed  transfer,  the number of shares  proposed  to be  transferred  and the
mailing address and the telefacsimile number, if any, for such Shareholder. Each
Proposed Sale Notice also shall contain a certification  to the effect that such
Shareholder  shall comply with the volume  limitations  and other  provisions of
this  Agreement  relating to the transfer of such  interest in the shares.  Each
Proposed Sale Notice may be sent by telefacsimile transmission to

                        Integrated Health Services, Inc.
                             10065 Red Run Boulevard
                          Owings Mills, Maryland 21117
      Attention: Marc Levin, Executive Vice President -- Investor Relations
                           fax number: (410) 998-8714
                          phone number: (410) 998-8428

                                      -6-






                                 with a copy to:

                        Integrated Health Services, Inc.
                             10065 Red Run Boulevard
                          Owings Mills, Maryland 21117
             Attention: Elizabeth B. Kelly, Executive Vice President
                           fax number: (410) 902-2110

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 transfer shall comply with all of the provisions of this Agreement and such
Shareholder   shall  have  received  notice  from  Buyer's  Investor   Relations
Department  (which notice may be given orally or by telefacsimile  transmission)
that the registration statement covering such proposed transfer is effective and
"current",  or, if such  transfer is not to be made  pursuant to a  registration
statement,  that Buyer has  determined  (with the advice of legal  counsel after
receipt of the legal  opinion  referred to below) that the proposed  transfer of
shares of IHS Stock may be made without  registration  under the  Securities Act
and all applicable state securities laws. If an applicable Shareholder shall not
have been otherwise notified (orally, by telefacsimile  transmission or by other
method) by the close of business on the third  trading day following the date on
which Buyer's Investor  Relations  Department shall have received the applicable
Proposed Sale Notice, then the Investor Relations  Department shall be deemed to
have consented to such transfer.

                    (ii)  If the  transfer  is to be  pursuant  to an  effective
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 said  Shareholder  that the  registration
statement  relating to the 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  registration  statement  as may be  necessary  to  bring it
current  and to give prompt  notice to such  Shareholder  when the  registration
statement has again become current.

                    (iii)  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(e)  above,  be entitled  to transfer  said shares of IHS
Stock in accordance with the terms of the notice and opinion of their counsel.

          (h)  Furnish  Information.  It shall be a condition  precedent  to the
obligations  of Buyer to take any  action  pursuant  to this  Article 4 that the
Shareholders  and the  Broker  shall  each  furnish  to Buyer  such  information
regarding  themselves,  the IHS Stock held by them,  and the intended  method of
disposition of such  securities as shall be required to effect the  registration
of its IHS Stock. In that  connection,  each  transferee of Shareholders  and/or
Broker (whose shares would be included in a Registration  other than transferees
pursuant to an effective registration  statement) shall be required to represent
to Buyer that all such information  which is given is both complete and accurate
in all material respects.  The Shareholders and the Broker shall each deliver to
Buyer a statement in writing from the beneficial  owners of such securities that
they bona fide intend to sell, transfer or otherwise dispose of such securities.
Each  transferee  (whose shares would be included in a  Registration  other than
transferees pursuant to an effective  registration  statement) will,  severally,
promptly  notify Buyer at any time when a prospectus  relating to a registration
statement covering such transferee's  shares under this Article 4 is required to
be delivered  under the  Securities  Act, of the happening of any event known to
such  transferee  as  a  result  of  which  the  prospectus   included  in  such
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
statements as then existing.

                                      -7-






          (i)  Investment  Representations.  The  Shareholders  and  the  Broker
represent  and warrant to Buyer that the IHS Stock being  issued  hereunder  are
being acquired,  and will be acquired,  by the  Shareholders  and the Broker 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 the applicable  state  securities  law; the  Shareholders  and the Broker
acknowledge that the IHS Stock constitutes  restricted securities under Rule 144
promulgated by the Commission pursuant to the Securities Act, and may have to be
held  indefinitely,  and the Shareholders and the Broker agree that no IHS Stock
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 and the Broker have
knowledge  and  experience  in financial  and business  matters,  are capable of
evaluating  the  merits  and risks of the  investment,  and are able to bear the
economic risk of such  investment.  The Shareholders and the Broker have had the
opportunity to make inquiries of and obtain from  representatives  and employees
of Buyer such other  information  about IHS as they deem necessary in connection
with such investment.

          (j) Legend. It is understood that the certificates  evidencing the IHS
Stock shall bear a legend substantially as follows:

               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.

          (k) Certain  Transferees.  Prior to the effective date of registration
of the IHS Stock,  Shareholders  and the Broker shall not transfer any shares of
IHS  Stock to any  person  or  entity  except  as  expressly  permitted  by this
Agreement and unless such transferee shall have agreed in writing to be bound by
the provisions  applicable to the Shareholders and the Broker under this Article
4. IHS shall not  unreasonably  withhold  its  consent to the  inclusion  in the
registration statement covering the Shareholders' shares of IHS Stock of resales
by permitted  transferees  of the shares of IHS Stock  acquired by them from the
Shareholders so long as such transferees (or the Shareholders) reimburse IHS for
all of its expenses and costs arising out of such inclusion.

     5.     Indemnity  Against  Creditors  Claims; No Assumption of Liabilities.
Seller has  requested  that Buyer waive the  requirements  of the bulk sales and
transfer  laws of the State of  California.  Seller  and  Shareholders  agree to
indemnify Buyer and save and hold Buyer harmless against all Damages (as defined
in  paragraph  17(c))  arising out of any claims made by  creditors  (including,
without limitation, any Federal, state or local taxing authority) of Seller that
relate to the  Business,  or that arise out of the failure to comply with any of
such laws.

     6.    Closing Date Liabilities.

          (a) Seller and the  Shareholders  represent  and warrant  that, to the
best of Seller's and Shareholders'  knowledge and belief after diligent inquiry,
all of Seller's  liabilities,  as of the Closing Date are listed on the Schedule
of Liabilities attached hereto as Schedule 6(a) (the "LISTED LIABILITIES"). For

                                      -8-




purposes  of this  Agreement  "LIABILITIES"  shall mean and  include all claims,
lawsuits,  liabilities,  obligations or debts of any kind or nature  whatsoever,
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,  whether or not asserted as of the date  hereof,  and
whether or not of a type which would be  reflected  as a liability  on a balance
sheet  (including,  without  limitation,  federal,  state and local taxes of any
nature)  in  accordance   with   generally   accepted   accounting   principles,
consistently  applied ("GAAP"),  including without  limitation,  any liabilities
relating to any Excluded  Assets,  malpractice or other tort claims,  claims for
breach  of  contract,  any  claims  of any kind  asserted  by  patients,  former
patients,  employees and former  employees of Seller or any other party that are
based on acts or  omissions by Seller  occurring on or before the Closing  Date,
amounts  due or that may  become due in  connection  with the  participation  of
Seller in the  Medicare  or Medicaid  programs  or due to any other  health care
reimbursement or payment intermediary, or that may be due by Seller to any other
third party payor,  accounts  payable,  notes  payable,  trade  payables,  lease
obligations,  indebtedness for borrowed money, accrued interest, and contractual
obligations. Seller and Shareholders acknowledge that the Purchase Price for the
Assets is based on the  accuracy of Seller's and  Shareholders'  representations
and  warranties  contained  in this  Agreement,  including,  but not limited to,
Seller's and  Shareholders'  representations  and  warranties  contained in this
paragraph 6(a).

          (b) At the  Closing,  Buyer  shall  undertake  to pay,  discharge  and
perform,  as and when due,  the Listed  Liabilities  to the extent  indicated as
being  assumed on  Schedule  6(a) of the  Seller  (the  "ASSUMED  LIABILITIES");
provided,  however,  that  Buyer  shall  not  assume,  be  liable  for,  or have
responsibility  for Assumed  Liabilities in an aggregate amount in excess of Six
Hundred  Forty Six  Thousand  Five  Hundred  ($646,500)  Dollars  (the  "ASSUMED
LIABILITY  CAP").  In the event that,  at any time  following  the Closing Date,
Buyer shall have paid any amounts in excess of the Assumed  Liability  Cap, such
amount  shall  constitute  a  Liabilities  Deficiency  under the  provisions  of
paragraph 7 hereof.  Except for the Assumed  Liabilities,  Buyer will not assume
any, and Seller shall remain liable for each, liability of Seller arising out of
any facts,  circumstances,  matters or  occurrences  existing on or prior to the
Closing Date (whether or not known) ("CLOSING DATE LIABILITIES").

          (c) Without  limiting the generality of the provisions of subparagraph
(a) above,  Buyer  shall not assume the  Contracts  (as  hereinafter  defined in
paragraph  14(b)),  if any, set forth on Schedule 6(b), or any liabilities  with
respect thereto.

     7.   Right of Offset Against the Escrow Fund.

          (a)   Event of Deficiency. If:

               (i) Buyer  pays for any  liabilities  in  excess  of the  Assumed
     Liabilities  Cap,  then  Seller and the  Shareholders  shall,  jointly  and
     severally,  reimburse Buyer for such payment (a "LIABILITIES  DEFICIENCY");
     or

               (ii)  the  aggregate  value  of  the  Corporation's   collectible
     accounts  receivable  as of the Closing Date is  determined to be less than
     $470,000,  as determined by actual net cash collections of such receivables
     during the twelve (12) month period immediately following the Closing Date,
     then Seller and Shareholders, jointly and severally, shall pay to Buyer the
     amount of such deficiency ("ASSET VALUE DEFICIENCY"); or

               (iii) Buyer is entitled  to any payment  pursuant to  paragraph 3
     above (an "ADJUSTMENT CLAIM");

                                      -9-




               (iv) Buyer shall be entitled  to be  indemnified  for any Damages
     pursuant to this Agreement ("INDEMNIFICATION CLAIMS", and together with any
     Liabilities  Deficiencies,  Asset Value  Deficiencies and Adjustment Claims
     collectively "CLAIMS" and each, a "CLAIM"); or

then, and in any of such events,  Buyer may provide  written notice to Seller of
the Claim,  in which case Buyer  shall be entitled to recover the amount of such
Claim in accordance with the following procedure.

          (b) Procedure if Seller Fails to Pay. If Seller fails to pay any Claim
in full to Buyer within ten (10) days from the date of such written notice (said
ten (10) day period hereinafter referred to as the "NOTICE PERIOD"), Buyer shall
have the right to make offset  against the Escrow Fund, in  accordance  with the
terms and conditions of the Escrow Agreement, in amounts from time to time equal
to the amount of such Claim (subject,  however,  in the case of a "DISPUTE",  to
the provisions of paragraph 18 hereof applicable thereto),  and Seller agrees to
any such offset.  Buyer's right to proceed  against the Escrow Fund shall not be
exclusive of any other rights or remedies that it may have under this Agreement,
law, equity or otherwise.

          (c) Escrow Period.

               (i) The "ESCROW PERIOD" shall terminate  twenty-four  (24) months
following the Closing Date.

               (ii) (A) On the first  anniversary  of the Closing  Date,  Seller
shall  receive an amount  equal to the Escrow  Fund,  less (x) the amount of any
Claims paid out of the Escrow Fund  pursuant to  paragraph  7(a) above,  (y) any
amounts withheld pursuant to clause (iii) below, and (z) the Claw-Back Amount.

                    (B) The balance,  if any, of the Escrow Fund  remaining (the
"REMAINING ESCROW FUNDS") at the close of business on the last day of the Escrow
Period,  shall be disbursed to Seller within forty-five (45) days after the last
day of the Escrow Period.

               (iii) Notwithstanding  anything to the contrary contained in this
subparagraph  (c), if any Claim made by Buyer is in dispute at the time that any
amounts are  otherwise to be  disbursed to Seller,  then there shall be withheld
from such amount to be disbursed and there shall be retained in the Escrow Fund,
an amount such that there will be  remaining in the Escrow Fund at least one and
one-half  times  the  amount  of the  Claim  asserted  by Buyer  until the final
settlement of such Claim or Claims.

          (e)  Valuation  of  Shares.  The  value  of any  shares  of IHS  Stock
delivered to Buyer in respect of any Claim shall be the Recalculated Value.

          (f) Sales from Escrow. At the request of the Shareholders, Buyer shall
sell any shares of IHS Stock held in the Escrow Fund in the open market pursuant
to an effective  registration  statement  provided that Buyer shall be satisfied
that proper procedures shall be undertaken to assure Buyer that at all times the
shares of IHS Stock  being  sold or the  proceeds  thereof  shall be held by the
Buyer pursuant to the Escrow Agreement, subject to no Liens.

     8. Employees.  It is expressly  understood and agreed that Buyer's purchase
of the Assets does not involve  any  undertaking  on the part of Buyer to retain
any of the employees of the Seller, although Buyer shall have the right to offer
employment to any such employees.  Seller shall remain fully responsible for any
severance,  benefits,  costs or  liabilities  arising out of the  termination by
Seller of any of its employees, all of which

                                      -10-







liabilities  shall  constitute   Closing  Date   Liabilities.   Seller  and  the
Shareholders  shall also remain fully  responsible  for any  benefits,  costs or
liabilities  incurred or accrued  prior to Closing with respect to each employee
retained by Buyer.

     9. Closing Date. The consummation of the transactions  contemplated by this
Agreement is sometimes referred to as the "CLOSING",  and the date on which such
consummation occurs, including,  without limitation,  the execution and delivery
of this Agreement by each of the parties hereto, is sometimes referred to as the
"CLOSING  DATE".  Notwithstanding  the  foregoing,  the  Effective  Date for the
transactions contemplated by this Agreement shall be September 25, 1998.

     10. Asset Condition and Quality.  Seller and the Shareholders,  jointly and
severally,  represent,  warrant and covenant  that, as of the Closing Date,  all
physical  Assets of Seller  are free of  material  defects  and in good  working
order,  condition and repair,  except for ordinary wear and tear, and conform in
all material respects with all applicable  ordinances,  regulations,  zoning and
other laws.

     11. Instruments of Conveyance and Transfer. At the Closing:

          (a) Seller  will  deliver  to Buyer  such bills of sale,  assignments,
motor vehicle  certificates of title, and other good and sufficient  instruments
of conveyance and transfer in form  sufficient to sell,  assign and transfer the
Assets  to  Buyer  as of the  Closing  Date,  such  documents  to  contain  full
warranties  of title,  and which  documents  shall be effective to vest in Buyer
good,  absolute,  and  marketable  title to the  Assets  of the  Business  being
transferred  to Buyer by  Seller,  free and clear of all  Liens,  except for the
Assumed Liabilities.

          (b) Simultaneously  with such delivery,  Seller will take all steps as
may be requisite to put Buyer in actual possession, operation and control of the
Assets to be transferred hereunder.

          (c) Seller will deliver to Buyer an opinion,  dated the Closing  Date,
of its counsel, in substantially the form attached hereto as Schedule 11(c).

          (d)  Seller  will  deliver a  certificate  of its  Secretary  or other
officer  certifying as of the Closing Date a copy of resolutions of its board of
directors  and, if  applicable,  its  stockholders,  authorizing  the execution,
delivery and full  performance of this Agreement and the  Transaction  Documents
(as defined in paragraph 14(a) below), and the incumbency of its officers.

     12. Sales and Transfer Taxes;  Fees. All applicable sales,  transfer,  use,
filing  and other  taxes and fees that may be due or  payable as a result of the
conveyance, assignment, transfer or delivery of the Assets of the Business to be
conveyed and transferred as provided herein,  whether levied on Seller or Buyer,
shall be borne by Seller.

     13.  Restrictions  on  Operations of Seller.  Seller and the  Shareholders,
jointly and severally, represent, warrant and covenant that, except as expressly
disclosed on Schedules  hereto,  since the most recent Financial  Statement Date
referred to in paragraph 14(o) below,  through the Closing Date,  there has been
no  material  adverse  change  in the  condition  (financial  or  otherwise)  or
prospects of the Seller or the Business, and Seller has not:

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

                                      -11-





          (ii)  subjected  any  Assets  to any  Liens,  except  in the  case  of
acquisitions in the ordinary course of business;

          (iii)  entered into any contract or  transaction  binding the Business
other than  contracts or  transactions  entered  into in the ordinary  course of
business, consistent with past practice;

          (iv)  incurred  any  liabilities  or  indebtedness  other  than in the
ordinary course of business, consistent with past practice;

          (v) except in the ordinary  course of business,  consistent  with past
practice,  or otherwise to comply with any applicable minimum wage law, paid any
bonuses,  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;

          (vi)  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 Corporation or the Assets;

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

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

          (ix)  canceled,  modified or waived any debts or claims held by it, or
waived any rights of  substantial  value  other than in the  ordinary  course of
business, consistent with past practice; or

          (x) 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 of its
affiliates  except  for  payments  of  compensation  in the  ordinary  course of
business, consistent with past practice and disclosed to Buyer as such;

          (xi) instituted, settled or agreed to settle any litigation, action or
proceeding  before  any  Governmental  Authority  (as such  term in  defined  in
paragraph  14(d)  below)  relating to it or its  property or received any threat
thereof; or

          (xii) entered into any material transaction other than in the ordinary
course of business, consistent with past practice.

     14.  Representations  and Warranties by Seller and the  Shareholders.  As a
material  inducement to Buyer to execute and perform its obligations  under this
Agreement,  Seller and Shareholder hereby, jointly and severally,  represent and
warrant to Buyer as follows as of the Closing Date:

          (a) Organization of Seller; Enforceability.

                                      -12-





               (i) Seller is a  corporation,  organized,  and in good  standing,
respectively, in the State of California, and is qualified to do business and is
in good  standing in each other  State  where the nature of its  business or the
assets held by it requires such qualification, and has requisite corporate power
and authority to carry on its Business as presently  being  conducted,  to enter
into this  Agreement,  and to carry out and perform the terms and  provisions of
this  Agreement.  Each  of  this  Agreement  and  each  agreement,   instrument,
certificate and document in connection  with this Agreement or the  transactions
contemplated hereby ("TRANSACTION  DOCUMENTS")  constitutes the legal, valid and
binding  obligations of Seller,  enforceable  against it in accordance  with its
respective terms, subject to and limited by the effect of applicable bankruptcy,
insolvency,  reorganization,   moratorium  and  other  similar  laws  and  court
decisions of general  application or of legal and equitable  principles relating
to, limiting or affecting the enforcement of creditors' rights generally. Seller
does not have any subsidiaries.

               (ii) This Agreement and each  Transaction  Document to which each
Shareholder is a party constitutes the legal,  valid and binding  obligations of
each  Shareholder,  enforceable  against each Shareholder in accordance with its
terms,  subject  to  and  limited  by  the  effect  of  applicable   bankruptcy,
insolvency,  reorganization,   moratorium  and  other  similar  laws  and  court
decisions of general  application or of legal and equitable  principles relating
to, limiting or affecting the enforcement of creditors' rights generally.

          (b) Consents. No authorization,  consent, approval, license, exemption
by, filing or registration  with any  Governmental  Authority or of any party to
any  contract,   agreement,   instrument,   commitment,   lease,   indenture  or
understanding (written, oral or implied) by which Seller or any of the Assets is
bound  ("CONTRACTS") or by which any Shareholder or any Shareholder's  assets is
bound  ("SHAREHOLDER  CONTRACTS") is necessary in connection with the execution,
delivery and performance of this Agreement or any of the  Transaction  Documents
by Seller or Shareholder.

          (c) Litigation.  Except as set forth on Schedule  14(c),  there are no
actions,  suits or proceedings  affecting  Seller or any of the Assets which are
pending or  threatened  against  Seller or affecting  any of its  properties  or
rights,  at  law  or  in  equity,  or  before  any  Governmental  Authority  (as
hereinafter  defined),  nor is  Seller  or any of  its  respective  officers  or
directors  or  Shareholder  aware of any facts which to them or their  knowledge
might reasonably be expected to result in any such action, suit or proceeding.

          (d) Compliance with Laws and Contracts. Seller is not in violation of,
or in default under:  any term or provision of its Articles of  Incorporation or
By-Laws; or 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");  or of any Contract. The execution and delivery by
Seller and each  Shareholder  of, and the  performance and compliance by each of
them with this  Agreement,  and the Transaction  Documents and the  transactions
contemplated  hereby and thereby,  does not and will not result in the violation
of or conflict  with or constitute a default under any such term or provision or
result in the creation of any Lien on any of the  properties or assets of Seller
or any  Shareholder  pursuant  to any  such  term or  provision  or any  term or
provision of any  Governmental  Requirement by which any Shareholder is bound or
of any Shareholder Contract.

          (e)  Corporate  Acts and  Proceedings.  The  execution,  delivery  and
performance of this  Agreement and each of the  Transaction  Documents,  and the
transactions contemplated hereby and thereby, including the sale and transfer of
the Assets by Seller as provided for in this  Agreement,  have been approved and
consented  to by the Board of  Directors  of Seller and, if  applicable,  by the
requisite  number of holders of its  outstanding  capital stock,  and all action
required by any  applicable  Governmental  Requirement  by the  stockholders  of
Seller with regard thereto have been appropriately authorized and accomplished.

                                      -13-






          (f) Title to Assets.  Seller has good and  marketable  title to all of
the Assets, free and clear of all Liens except for the Assumed Liabilities.

          (g)  Contracts.  Set forth on Schedule  14(g)  hereto is a list of all
material Contracts of Seller including, without limitation, each:

               (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;

               (ii) contract,  agreement or arrangement  for the  acquisition or
disposition  of any assets,  property or rights  outside the ordinary  course of
business 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),  that is executory or that was entered into
during the three (3) year period ending on the date hereof;

               (iii)  contract,  agreement  or  commitment  which  contains  any
provisions  requiring  the Seller or the  Business 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 Seller or
the  Business  from,  or in favor of either of the  Seller or the  Business  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;

               (vii) contract,  agreement or arrangement granting a leasehold or
other  interest  in real  property,  including  without  limitation,  subleases,
licenses and sublicenses (the "LEASES");

               (viii)  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 Seller or the Business
not covered by clause (i) above;

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

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



                                      -14-






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

               (xii)  contract,  agreement or commitment to provide  services or
products, or

               (xiii)  agreement  not made in the ordinary and normal  course of
business and consistent with past practice, or involving consideration in excess
of $25,000 in each case,  that is not set forth in subsections (i) through (xii)
above.

     To the  best of  Seller's  and  Shareholders'  knowledge,  no  party to any
Contract  other  than  Seller is in  default  under  any  Contract.  Seller  has
delivered  to Buyer true and  complete  copies of each  written  Contract  (or a
description of each oral Contract) requested by Buyer.

          (h) Brokers.  Seller has been represented solely by the Broker, and as
a result a brokerage  commission payable by Seller to the Broker as set forth in
paragraph  2(b)(ii)  above is due,  and no broker or finder is  entitled  to any
additional broker's or finder's fee or other commission in respect thereof based
in any way on agreements, understandings or arrangements with Seller.

          (i)  Employment  Contracts;  Employees.  There  are  no  Contracts  of
employment  between  Seller and any officer or other  employee of the  Business,
except as set forth on Schedule 14(g)(i) above. The name, position, current rate
of  compensation  and any vacation or holiday  pay,  sick pay,  personal  leave,
severance and any other  compensation  arrangements or fringe benefits,  of each
current  employee,  sales  representative,  consultant  and agent of the Seller,
contained on the Schedule of Personnel  Payrates and Advances attached hereto as
Schedule 14(i) is accurate and complete. No employee, consultant or agent of the
Seller has any  vested or  unvested  retirement  benefits  or other  termination
benefits,  except as described on Schedule 14(i). Since the date that is two (2)
years prior to the Closing Date,  there has been no material  adverse  change in
the relationship  between the Seller 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.  No
employees  of  the  Seller  are  represented  by  any  labor  union  or  similar
organization  in  connection  with their  employment  by or  relationship  with,
Seller, and to the knowledge of the Seller and Shareholder, there are no pending
or threatened  activities the purpose of which is to achieve such representation
of all or some of such  employees,  and there are no  threats of  strikes,  work
stoppages or pending  grievances by any such  employees.  Seller is not party to
any collective bargaining or other labor contracts.

          (j) Employee  Benefit  Plans.  Except as set forth on Schedule  14(j),
Seller has no pension, bonus,  profit-sharing,  or retirement plans for officers
or employees of the Business,  nor is Seller  required to contribute to any such
plan. Without limiting the generality of the foregoing, Seller does not maintain
or make  contributions to and has not at any time in the past maintained or made
contributions  to any  employee  benefit  plan which is  subject to the  minimum
funding  standards of the Employee  Retirement  Income  Security Act of 1974, as
amended  ("ERISA"),  or to any  multi-employer  plan subject to the terms of the
Multi-Employer Pension Plan Amendment Act of 1980 (the "MULTI-EMPLOYER ACT").

          (k) Insurance.  All  inventories,  buildings and fixed assets owned or
leased by the Seller are and will be adequately  insured  against fire and other
casualty through the Closing Date. The information  contained on the Schedule of
Insurance Policies, attached hereto as Schedule 14(k), is accurate and complete.
Schedule  14(k)  also sets  forth any  claims  made  under any of the  insurance
policies referred to above or increases

                                      -15-






in premiums therefore during the past two years. True and complete copies of all
policies of fire,  liability  and other forms of insurance  held or owned by the
Seller or otherwise in force and  providing  coverage for the Business or any of
the Assets (including but not limited to medical malpractice insurance,  and any
state sponsored plan or program for worker's  compensation)  have been delivered
to Buyer. Such policies are owned by and payable solely to the Seller,  and said
policies or renewals or  replacements  thereof will be  outstanding  and duly in
force at the Closing Date, and all premiums due on or before the Closing Date in
respect thereof have been paid.

          (l)  Disclosure.  No  representation  or  warranty  by  Seller  or any
Shareholder  in this  Agreement  or in any  Transaction  Document,  contains any
untrue  statement of material fact or omits to state any material fact, of which
any Shareholder or Seller or any of its officers,  directors or stockholders has
knowledge or notice, required to make the statements herein or therein contained
not misleading.

          (m) Officers,  Directors and Shareholders of Seller. As of the Closing
Date, the  Shareholders  are the sole  shareholders  of Seller and the following
individuals are all of the officers and directors of Seller:

         Name                                 Office/Position
         ----                                 ---------------

         Robert D. Walter                     President
         Marcia Hendry-Walter                 Vice President/Treasurer
         Paul A. Bernou                       Secretary

          (n)  Inventory  and Fixed  Assets.  The  information  contained on the
Schedule of Inventory and Fixed Assets as of the most recent Financial Statement
Date, attached hereto as Schedule 1(a)(ii), is accurate and complete.

          (o) Tax Returns and Financial  Statements.  Seller has furnished Buyer
with its tax returns (the "TAX RETURNS") for the period(s)  ended  September 30,
1997,  and has furnished  Buyer with its financial  statements  (the  "FINANCIAL
STATEMENTS")  for the periods ended  September 30, 1996,  September 30, 1997 and
June 30, 1998 (the "FINANCIAL  STATEMENT  DATES"),  copies of which are attached
hereto as Schedule 14(o). The Financial  Statements:  (i) are in accordance with
the books and records of the Seller; (ii) fairly present the financial condition
of the Seller at such date and the  results of its  operations  for the  periods
specified;  (iii)  were  prepared  in  accordance  with GAAP  applied on a basis
consistent with prior accounting periods;  (iv) with respect to all Contracts of
the Seller,  reflect adequate reserves for all reasonably anticipated losses and
costs in excess of  anticipated  income;  and (v) with  respect  to any  balance
sheets, disclose all of the liabilities of the Seller at the Financial Statement
Dates and  include  the  appropriate  reserves  for all taxes and other  accrued
liabilities,  except that certain  contingent  liabilities,  if not disclosed on
such  balance  sheets,  shall be  considered  to be  disclosed  pursuant to this
subparagraph,  if  expressly  disclosed  on an Schedule to this  Agreement.  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,  consistent  with past
practice,  except as expressly specified therein,  and such Financial Statements
include  all  adjustments,  which  consist  only of normal  recurring  accruals,
necessary for such fair presentation.

          (p) Supplemental Tax Information.  Seller has furnished Buyer with its
most  recent  (i) tax  registration  certificates  (if  required),  and (ii) tax
returns  required  of it by the  federal  government  and  each  state  or other
locality in which it conducts business, which tax returns in all instances where
applicable include, but shall not be limited to franchise taxes, federal,  state
and local tangible personal property tax returns,  and federal,  state and local
sales tax  returns,  which  registration  certificates  and tax  returns are set
forth, collectively,  on the Schedule of Supplemental Tax Information,  attached
hereto as Schedule 14(p).

                                      -16-






          (q)  Adverse  Business  Developments.  No notice has been  received by
Seller or  Shareholder of any new or  substantially  expanded firm or individual
engaged in a business directly competitive to Seller in its primary service area
within six (6) months before the date hereof. Neither Seller nor any Shareholder
has received,  either orally or in writing, any notice specific to it of pending
or threatened  adverse  action with respect to any Medicare,  Medicaid,  private
insurance or third party payor reimbursement method, practice or allowance as to
any business  activity  engaged in by Seller,  nor has Seller or any Shareholder
received, or been threatened with, any claim for refund specific to it in excess
of  $500.00  by a Medicare  or  Medicaid  carrier,  except as  disclosed  in the
Schedule of Proceedings attached hereto as Schedule 14(q).

          (r)  Relationships.  Except as  disclosed on Schedule  14(r),  neither
Seller, its officers, directors and employees, nor any Shareholder and no member
of any of their respective immediate families,  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
disclosed  on Schedule  14(r),  no  Affiliate  of Seller or any  Shareholder  is
guaranteeing any obligations of the Seller.

          (s) Assets Comprising the Business. The Assets are all of the tangible
and  intangible  properties  (real,  personal  and  mixed),  including,  without
limitation, all licenses, intellectual property, permits and authorizations, and
contracts that are necessary or material to the operation of the Business as now
operated.  The  quantities of inventory and supply items  included in the Assets
are reasonable in light of the present and anticipated volume of the Business of
the Seller in the ordinary course of the business of the Seller, consistent with
past  practice,  as determined by the Seller in good faith and  consistent  with
past practice.

          (t) Questionable Payments. Seller has not, and to the knowledge of the
Seller and each Shareholder, none of their Affiliates or employees have offered,
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.

          (u) Reimbursement Matters.  Seller, 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.  Except as disclosed on
Schedule 14(u), (i) Seller nor any Shareholder has received any notice of denial
or recoupment from the Medicare or Medicaid  programs,  or any other third party
reimbursement  source (inclusive of managed care  organizations) with respect to
products  or  services  provided  by it,  (ii)  to  Seller's  and  Shareholders'
knowledge,  there is no basis for the  assertion  after the Closing  Date of any
such denial or recoupment  claim,  and (iii) neither Seller nor any  Shareholder
has  received  notice from any  Medicare or Medicaid  program or any other third
party  reimbursement  source  (inclusive of managed care  organizations)  of any
pending or threatened  investigations or surveys with respect to, or arising out
of, products or services  provided by Seller or otherwise,  and to the knowledge
of  Seller  and  Shareholder,  no  such  investigation  or  survey  is  pending,
threatened or imminent.

          (v) Environmental  Compliance.  Except as disclosed on Schedule 14(v),
at all times during  Seller's  ownership of the  Business,  the Business has not
been,  and  currently  is not, in violation  of any  environmental  Governmental
Requirement and no notice has ever been served upon Shareholder or Seller, their
agents or  representatives  or any prior  owner of the  Business,  claiming  any
violation of any Governmental  Requirement  concerning the environmental  state,
condition or quality of any real or personal  property  related to the Business,
or  requiring  or  calling  attention  to the  need  for any  work,  repairs  or
demolition on or in connection  with any of the real property in order to comply
with any  governmental  requirement  concerning the  environmental  or healthful
state, condition or quality of the real property.

                                      -17-







          (w)  Questionnaires.   The  healthcare  law  questionnaire  heretofore
delivered  to the  Seller  by  Buyer  attached  hereto  as  Exhibit  14(w)  (the
"QUESTIONNAIRE")  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.

     15.  Representations  and  Warranties of Buyer and IHS.  Buyer and IHS each
represent and warrant to Seller and Shareholder that:

          (a) Due Organization. Each of Buyer and IHS is a duly organized, valid
corporation under the laws of the State of Delaware.

          (b) Due Authority. Each of Buyer and IHS is duly authorized by law and
corporate  policy  and  approval  to:  (i) enter  into this  Agreement  and each
Transaction Document;  (ii) make all warranties and representations made by each
of them herein; and (iii) deliver all consideration provided for under the terms
hereof.

          (c)  Binding  Authority.  All  signatories  and agents  designated  as
agents/officers  for Buyer and IHS for signing  purposes  have the  authority to
bind Buyer and IHS, as the case may be, to the terms of this Agreement.

          (d)  Binding  Agreement.  This  Agreement  is, and when  executed  and
delivered by Buyer and IHS at the  Closing,  each of the  Transaction  Documents
executed by Buyer and IHS will be, the legal,  valid and binding  obligation  of
Buyer and IHS,  enforceable  against  Buyer  and IHS in  accordance  with  their
respective  terms.  Each of Buyer and IHS will continue the historic business of
the Seller or will use a significant portion of the Assets in a Business.

          (e)  Brokers.  No broker  or finder  has acted for the Buyer or IHS in
connection with the transactions  contemplated by this Agreement,  and no 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 the Buyer or IHS.

          (f) IHS Stock.  IHS has duly  authorized and reserved for issuance the
IHS Stock to be issued in  connection  herewith,  and when issued in  accordance
with the terms of paragraph 4, such IHS Stock will be validly issued, fully paid
and nonassessable.

          (g) SEC Documents.  IHS has furnished the Seller and the  Shareholders
with a correct and complete  copy of its report on Form 10-K for its fiscal year
ended  December  31, 1997  (the"10-K"),  its reports on Form 10-Q for its fiscal
quarters  ended  March 31, 1998 and June 30,  1998  (the"10-QS"),  and its proxy
statement  prepared in connection  with its annual  meeting held on May 22, 1998
(the "PROXY STATEMENT"). As of their respective dates, none of the 10-Ks, 10-Qs,
and Proxy  Statements and no press release or other schedule or report  required
by IHS to be  publicly  disclosed  or filed  with the  Securities  and  Exchange
Commission  (the "SEC")  pursuant to the Exchange Act since January 1, 1998 (all
of the foregoing being 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.

                                      -18-






          (h)  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.

          (i) Consents. Except as set forth on Schedule 15(i), no authorization,
consent,  approval,  license,  exemption  by,  filing or  registration  with any
Governmental  Authority,  is  or  will  be  necessary  in  connection  with  the
execution,  delivery and performance of this Agreement or any of the Transaction
Documents by Buyer.

     16. Survival of Representations  and Warranties.  The  representations  and
warranties of Seller,  Shareholders,  and Buyer contained in or made pursuant to
this Agreement shall survive the execution of this Agreement.

     17. Restrictive Covenants.

          (a) Non-Compete. Each of Seller and each Shareholder hereby agree that
until the fifth (5th) anniversary of the Closing Date (the "RESTRICTED PERIOD"),
it, he or she will not,  directly or indirectly,  except to the extent expressly
required pursuant to any Shareholder's  obligations as an employer or contractor
of  Buyer,  own,  manage,  operate,  join,  control  or  participate,  or have a
proprietary interest in, the ownership,  management, operation or control, of or
be connected  with,  in any manner,  any home health care  business  (including,
without limitation, the provision of respiratory medications, respiratory rental
equipment,  durable medical  equipment,  respiratory  therapy services and other
health  care  products  and  services to persons at their  homes) that  provides
services or products (including, without limitation, through the mail or courier
service)  within  fifty (50) miles of any  location set forth on the Schedule of
Locations attached hereto as Schedule 17(a).

          (b)  Confidential  Information.  Certain  confidential and proprietary
information is included within the Assets ("TRADE SECRETS"),  including, without
limitation,  with  respect  to  some  or  all  of the  following  categories  of
information: (i) financial information, including but not limited to information
relating to earnings,  assets, debts, prices,  pricing structure,  reimbursement
matters, volume of purchases or sales or other financial data whether related to
Seller or generally, or to particular products,  services,  geographic areas, or
time periods; (ii) supply and service information,  including but not limited to
information relating to goods and services, suppliers' names or addresses, terms
of supply  or  service  contracts  or of  particular  transactions,  or  related
information about potential suppliers to the extent that such information is not
generally  known  to the  public,  and to the  extent  that the  combination  of
suppliers or use of a particular supplier,  though generally known or available,
may yield  advantages to the Buyer,  details of which are not  generally  known;
(iii) marketing  information,  including but not limited to information relating
to details about ongoing or proposed  marketing  programs or agreements by or on
behalf of the  Seller,  sales  forecasts,  advertising  formats  and  methods or
results of marketing efforts or information about impending  transactions;  (iv)
personnel  information,  including  but not limited to  information  relating to
employees'  personal  or  medical  histories,  compensation  or  other  terms of
employment, actual or proposed promotions,  hirings, resignations,  disciplinary
actions,  terminations or reasons therefor,  training methods,  performance,  or
other employee information; (v) customer and patient information,  including but
not limited to information relating to names,  addresses or backgrounds of past,
existing or  prospective  clients,  customers,  payors,  referral  sources,  and
patients, records of agreements and prices, proposals

                                      -19-





or  agreements  between  any of them and  Seller,  status of accounts or credit,
patients'  medical  histories or related  information as well as customer lists;
and (vi) inventions and technological information,  including but not limited to
information  related to  proprietary  technology,  trade  secrets,  research and
development  data,  processes,   formulae,  data  and  know-how,   improvements,
inventions,  techniques,  and information  that has been created,  discovered or
developed, or has otherwise become known to Seller or any Shareholder, and/or in
which property rights have been assigned or otherwise conveyed to Seller,  which
information has commercial value in the business in which the Seller is engaged.
Seller and each Shareholder  shall hold all Trade Secrets in confidence and will
not discuss, communicate or transmit to others, or make any unauthorized copy of
or use any of the Trade Secrets; and will take all reasonable actions that Buyer
deems  reasonably  necessary  or  appropriate,  to prevent  unauthorized  use or
disclosure  of or to protect the  Buyer's  interest  in the Trade  Secrets.  The
foregoing does not apply to information  that by means other than  deliberate or
inadvertent  disclosure by Seller,  any  Shareholder or any of their  respective
Affiliates,  becomes  well  known to the  public;  or  disclosure  compelled  by
judicial or  administrative  proceedings after they afford Buyer the opportunity
to  obtain  assurance  that  compelled  disclosures  will  receive  confidential
treatment.

          (c)  Non-Solicitation  and  Non-Pirating.  Each  of  Seller  and  each
Shareholder  hereby agrees that, during the Restricted Period it, he or she will
not, directly or indirectly,  for itself, himself or herself or on behalf of any
other person, firm, entity or other enterprise: (i) solicit or in any way divert
or take  away any  person or  entity  that,  prior to the  Closing  Date,  was a
patient,  client,  customer,  payor, referral source, facility or patient of the
Seller; or (ii) hire, entice away or in any other manner persuade any person who
was an employee, consultant,  representative or agent of the Seller prior to the
Closing Date, to alter, modify or terminate their relationship with the Buyer.

          (d)  Necessary  Restrictions.  Each of  Seller  and  each  Shareholder
acknowledge that the restrictions contained in this Agreement are reasonable and
necessary to protect the legitimate business interests of the Buyer and that any
violation  thereof by any of them would result in irreparable harm to the Buyer,
and that  damages  in the  event of any such  breach of this  Agreement  will be
difficult, if not impossible, to ascertain.  Accordingly, each of the Seller and
each  Shareholder  agree  that  upon the  violation  of any of the  restrictions
contained  in this  Agreement,  the Buyer  shall be  entitled to obtain from any
court of competent  jurisdiction a preliminary and permanent  injunction as well
as any other relief provided at law, equity,  under this Agreement or otherwise,
without the necessity of posting any bond or other security  whatsoever.  In the
event  any  of the  foregoing  restrictions  are  adjudged  unreasonable  in any
proceeding,  then the parties agree that the period of time or the scope of such
restrictions (or both) shall be adjusted to such a manner or for such a time (or
both) as is adjudged to be reasonable.

          (e)  Remedies  For  Breach.  Each of the Seller  and each  Shareholder
acknowledges  that the covenants  contained in this  Agreement  are  independent
covenants  and that any  failure by the Buyer to perform its  obligations  under
this Agreement or any other  agreement  shall not be a defense to enforcement of
the  covenants  contained  in this  Agreement,  including  but not  limited to a
temporary or permanent injunction.

                                      -20-







     18. Indemnification; Remedies.

          (a)  Indemnification  by Seller and the  Shareholders.  Seller and the
Shareholders  shall,  jointly and severally,  indemnify and hold harmless at all
times Buyer and its stockholders,  directors,  officers,  employees,  agents and
assigns,  from and against any Damages (as hereinafter  defined) arising out of:
(i) any inaccurate  representation made by Seller or Shareholder in, pursuant to
or under this  Agreement  or any  Transaction  Document;  (ii) any breach of any
warranty  made by  Seller  or any  Shareholder  in,  pursuant  to or under  this
Agreement  or any  Transaction  Document;  (iii) any  breach or  default  in the
performance by Seller or any Shareholder of any of the covenants to be performed
by Seller or any Shareholder hereunder or in any Transaction Document;  and (iv)
any Closing Date Liabilities (other than Assumed Liabilities).

          (b)  Indemnification by Buyer. Buyer shall indemnify and hold harmless
at all times Seller or Shareholders from and against any Damages arising out of:
(i) any inaccurate  representation  made by Buyer in,  pursuant to or under this
Agreement;  (ii) any breach of any  warranty  made by Buyer in,  pursuant  to or
under this  Agreement;  and (iii) any breach or  default in the  performance  by
Buyer of any of the covenants to be performed by Buyer hereunder.

          (c)  Definition  of Damages.  The term  "DAMAGES" as used herein shall
include any  demands,  claims,  actions,  deficiencies,  losses,  delinquencies,
defaults,   assessments,  fees,  costs,  taxes,  expenses,  debts,  liabilities,
obligations, settlements, penalties, and damages, including, without limitation,
counsel fees incurred in  investigating  or in attempting to avoid or oppose the
imposition thereof.  The term "Damages" shall include,  but shall not be limited
to, any Claims, (as defined in paragraph 7 hereof).

          (d) Remedies.

               (i)  Buyer's  Remedies.  Seller and each  Shareholder  shall make
     payment of any Claim made  against it, him or her by no later than the last
     day of the Notice Period as provided in paragraph 7(b) above.

               (ii) Seller's  Remedies.  If Seller or Shareholders  make written
     request to Buyer for the payment of Damages, then Buyer shall pay to Seller
     or the  Shareholders  the amount of Damages  requested within ten (10) days
     from the date  that  such  notice  is  delivered  to Buyer  (also a "NOTICE
     PERIOD").

               (iii) Notice of Dispute. Notwithstanding the foregoing provisions
     of this  subparagraph  (d),  if a party (the  "DEMANDING  PARTY")  serves a
     request  for  payment  on the other  party  (the  "OBLIGATED  PARTY"),  the
     Obligated  Party  shall have the option to  provide  written  notice to the
     Demanding  Party (the "NOTICE OF  DISPUTE")  within the  applicable  Notice
     Period that the Obligated  Party disputes,  in good faith,  the validity or
     amount of the Damages set out in the request for payment of Damages, and if
     the affected parties cannot agree on the validity or amount of such Damages
     within ten (10) days  following  the Notice  Period,  the dispute as to the
     validity  or amount of such claim or  liability  (the  "DISPUTE")  shall be
     settled as set forth in  subparagraph  (e) of this  paragraph  18, with the
     non-prevailing party bearing the prevailing party's costs of arbitration if
     such Dispute is resolved by arbitration.

                                      -21-






               (iv)  Arbitration.  If arbitration  is required  pursuant to this
     paragraph  18,  Buyer,  on the  one  hand,  and  the  affected  Seller  and
     Shareholders, on the other hand, each shall select an arbitrator within ten
     (10)  business  days after the Notice of  Dispute is  delivered;  those two
     arbitrators will then select a third arbitrator;  and the three arbitrators
     so chosen will  determine the validity of the claim for Damages.  If Seller
     or Buyer delays in  appointing an arbitrator  when  required,  and ten (10)
     days or more has elapsed, the arbitrator appointed by the other party shall
     arbitrate the dispute.  If the Seller and the Shareholders shall be subject
     to a Dispute  with Buyer and IHS,  they shall,  unless  Buyer and IHS elect
     otherwise  in their sole and absolute  discretion,  be required to act as a
     group with  respect to any and all rights and  obligations  with respect to
     the  resolutions  of the  Dispute  as  provided  in this  paragraph  18 and
     Representative  shall have the authority to settle such Dispute  and/or any
     Claims on behalf of such group.

          (e) Settlement of Disputes.

               (i) Disputes Not Involving Third Parties.  If a Dispute  involves
     claims not  involving  any third  party,  Buyer and Seller or  Shareholders
     shall settle the Dispute by submitting the same to binding arbitration.

               (ii)  Disputes  Involving  Claims  Made by  Third  Parties.  If a
     Dispute  involves  claims made by one or more third parties (a "THIRD PARTY
     CLAIM"),  the party asserting its right to  indemnification  for such Third
     Party  Claim  shall  give  written  notice  to the  other  party as soon as
     practical  after such asserting  party receives  notice of such Third Party
     Claim;  provided,  however the failure to timely give such notice shall not
     affect such party's right to indemnification except to the extent the party
     to receive the notice is damaged by such delay.  Upon such notice to Seller
     or  Shareholder,  Buyer and Seller  and/or  Shareholders  shall  submit the
     Dispute to arbitration, and the following procedures shall apply:

                    (A) Solely for purposes of determining the party responsible
          for defending the Third Party Claim,  the arbitrators  shall deem such
          Third Party Claim to be valid (although such  consideration  shall not
          be an  admission by any party as to any  liability to any party).  The
          arbitrators  then shall  decide  which  party  shall be liable for the
          Third Party Claim if it is successfully prosecuted by such third party
          or parties,  and the decision of such arbitrators with respect to such
          liability shall be final and binding as among the parties. (Such party
          determined to be liable for such claim  sometimes shall be referred to
          herein as the "RESPONSIBLE PARTY".)

                    (B) If the Responsible  Party refuses to settle (and pay the
          settlement  amount of) the Third  Party  Claim  immediately,  then the
          Responsible  Party  immediately  shall select one of the following two
          options:

                    Option  One:  The  Responsible  Party,  at  the  Responsible
               Party's  sole  expense  and risk,  can assume the  defense of the
               Third Party Claim, provided the Responsible Party first places in
               escrow,  in favor of the other  party,  adequate  collateral  (as
               determined by the  arbitrators on  consideration  of all relevant
               facts) to protect the other party from all Damages  with  respect
               to such  Third  Party  Claim  (in  which  case  the  other  party
               immediately  shall be reimbursed by the Responsible Party for any
               amount the other party is  required  to pay with  respect to such
               Third Party Claim; or

                                      -22-






                    Option  Two:  The  Responsible  Party,  at  the  Responsible
               Party's  expense and risk,  can  co-defend  the Third Party Claim
               with the other party, with the Responsible Party also responsible
               for paying all costs  incurred by the other  Party in  connection
               with such defense, including,  without limitation, the legal fees
               and  expenses of the other  party's  counsel  for its  reasonable
               involvement  in such  defense.  If the other party is found to be
               liable for any portion of such Third Party Claim, the Responsible
               Party  immediately shall reimburse the other party for any amount
               required  to be paid by the other  party  with  respect  thereto;
               provided,  however, if the Responsible Party selects this option,
               the Responsible Party shall attempt  diligently to have the other
               party removed as a party to any legal action  involving the Third
               Party Claim (and, upon such removal, the involvement of the other
               party's  counsel shall cease unless  requested by the Responsible
               Party or the Responsible Party's counsel); and

                    (C) No party may settle any Third  Party  Claim  without the
          prior consent of the other parties hereto unless the  settlement  will
          not have a material  adverse  effect on the other  party  hereto.  The
          parties will  resolve any Dispute  with  respect to any such  proposed
          settlement in accordance with this paragraph 18.

                    (D) Any party  responsible for defending a Third Party Claim
          shall proceed with diligence and in good faith with respect thereto.

                    (E) Nothing  contained  in this  paragraph  18(e)(ii)  shall
          prevent any party from assuming control of the defense and/or settling
          any Third  Party  Claim  against it for which  indemnification  is not
          sought under this Agreement.

     19. Use of Corporate and  Fictitious  Names.  Seller and the  Shareholders,
jointly and  severally,  agree to take all actions  necessary to assist Buyer in
obtaining the rights to use the corporate name and any fictitious  names used in
its conduct of any of the  Business,  including but not limited to the execution
of any  assignments and consents to use such name. If Buyer attempts to use such
name,  Seller  shall  consent  to  Buyer's  use of such name if such  consent is
required by any state, county or local governmental authority.

     20. Prepaid Items; Deposits;  Etc. All prepaid insurance premiums, rent and
utility  deposits,  and  similar  items  paid by or owing to the  Seller  by any
person,  shall be considered  to be part of the Assets being  purchased by Buyer
and, on consummation of the transactions  contemplated by this Agreement,  shall
be the property of Buyer.

     21. Post-Closing Requirements of Seller and Buyer.

          (a) Final  Financial  Information.  Not  later  than  sixty  (60) days
following Closing,  Seller, at Seller's sole cost and expense,  shall deliver to
Buyer (to the attention of Gayle Lamson) "FINAL  FINANCIAL  INFORMATION",  which
shall include:

               (i) a balance sheet of Seller as of the  Effective  Date prepared
     in accordance with

         GAAP;

               (ii) an income  statement of Seller for the period  commencing on
     the date  succeeding  the last day of the most recent  Financial  Statement
     Date and ending on the  Effective  Date which agrees with the balance sheet
     submitted at Closing;

                                      -23-







               (iii) an inventory of fixed assets of Seller as of the  Effective
     Date which agrees with the balance sheet submitted at Closing; and

               (iv) a listing of resale  inventory of Seller as of the Effective
     Date which agrees with the balance sheet submitted at Closing.

               (v) a cash  settlement  summary of Seller in a form  provided  by
     Buyer.

          (b) Liabilities Deficiency. If all such Final Financial Information or
if any document,  instrument or agreement required to be delivered in accordance
with paragraph  10(a),  including,  without  limitation,  original motor vehicle
certificates of title property endorsed,  is not delivered to Buyer within sixty
(60) days following Closing,  Seller and Shareholder shall be liable to Buyer in
an amount  equal to $500.00 for each day after such sixty (60) day period  until
all such  Final  Financial  Information  and  such  documents,  instruments  and
agreements  are  delivered  to Buyer,  and such  liability  shall  constitute  a
Liabilities Deficiency under the provisions of paragraph 7, above.

          (c) Wells  Fargo Bank Line of Credit.  No later than two (2)  business
days following Closing,  Seller will provide Buyer with the current  outstanding
balance  (the "Wells Fargo  Balance")  of that certain Line of Credit  Agreement
between  Seller and Wells  Fargo  Bank,  dated . Buyer shall pay the Wells Fargo
Balance no later than five (5) business  days  following the receipt from Seller
of the Wells Fargo  Balance.  In addition,  Seller shall use its best efforts to
have  UCC-3  Termination  Statements  filed  with  the  Secretary  of  State  of
California and the County Clerk in each applicable jurisdiction.

     22.  Third Party  Beneficiaries.  Nothing in this  Agreement,  expressed or
implied, is intended to confer on any person, other than the parties hereto, and
their  successors,  any rights or remedies  under or by reason of this Agreement
other the affiliates entitled to indemnification pursuant to paragraph 18.

     23. Expenses.  Except as otherwise stated herein, each of the parties shall
bear all expenses  incurred by them in  connection  with this  Agreement  and in
consummation of the transactions contemplated hereby in preparation thereof.

     24.  Notices.  All  notices,  consents,  waivers  and other  communications
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:

            to Seller:                         c/o Robert D. Walter
                                               P. O. Box 6564
                                               Incline Village, Nevada 89450

            to the Shareholders:               Robert D. Walter
                                               Marcia Hendry Walter
                                               P. O. Box 6564
                                               Incline Village, Nevada 89450



                                      -24-







                                               Paul A. Bernou
                                               2610 Otis Drive
                                               Alameda, CA 94501

                  with a copy to:              Mark T. Schieble
                                               Foley & Lardner
                                               One Maritime Plaza, Sixth Floor
                                               San Francisco, CA 94111-3404

                  to Buyer:                    c/o RoTech Medical Corporation
                                               4506 L.B. McLeod Road, Suite F
                                               Orlando, FL 32811
                                               Attention: Stephen P. Griggs

                  with copies to:              Integrated Health Services, Inc.
                                               10065 Red Run Boulevard
                                               Owings Mills, MD 21117
                                               Attn: Marshall Elkins
                                                         and

                                               Blass & Driggs
                                               461 Fifth Avenue
                                               New York, NY 10017
                                               Attn: Andrew S. Bogen

     25.  Choice  of Law.  The laws of the  State of  California  applicable  to
contracts executed, delivered and to be fully performed in such State govern the
validity  of  this  Agreement,   the   construction   of  its  terms,   and  the
interpretation of the rights and duties of the parties.

     26. Sections and Other  Headings.  Section,  paragraph,  and other headings
contained in this Agreement are for reference purposes only and shall not affect
in any way the meaning or interpretation of this Agreement.

     27.  Counterpart  Execution.  This Agreement may be executed in two or more
counterparts,  each of which  shall be  deemed  an  original,  but all of which,
together, shall constitute but one instrument.

     28.  Gender.  All gender  employed  in this  Agreement  shall  include  all
genders,  and the singular shall include the plural and the plural shall include
the singular whenever and as often as may be appropriate.

     29. Parties in Interest. This Agreement shall be binding on and shall inure
to the benefit of, and be  enforceable  by,  Seller,  Shareholder  and Buyer and
their respective  successors and assigns.  Buyer shall be entitled to assign its
rights under this  Agreement and the  Transaction  Documents  after the Closing.
Seller and the Shareholders may not assign this Agreement or any of their rights
hereunder without the prior consent of Buyer.



                                      -25-






     30. Entire Agreement.  This Agreement  including all Schedules and Exhibits
hereto,  and all Transaction  Documents  constitute the entire agreement between
the parties  hereto with respect to the subject  matter  hereof and there are no
agreements, understandings, restrictions, warranties, or representations between
the parties  with respect to the subject  matter  hereof other than as set forth
herein or as herein provided.

     31.  Performance.  In the event of a breach by Seller or any Shareholder of
any of their respective 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  each of  Seller  and  each
Shareholder  hereby  waives the defense that there may be an adequate  remedy at
law.

     32. Waiver,  Discharge,  Etc. This Agreement and the Transaction  Documents
and the obligations hereunder and thereunder 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 or any Transaction  Document 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 such Transaction  Document, as the case may be, 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 or any  Transaction
Document shall be held to be a waiver of any other or subsequent breach.

     33.  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 or delivered, all such documents,  instruments and consents and will
use reasonable efforts to take all such action as may be reasonably requested or
necessary to carry out the intent and purpose of this Agreement,  and to vest in
Buyer good title to, possession of and control of all the Assets.

     34. Joint and  Several.  Seller and the  Shareholders  shall be jointly and
severally liable for all representations, warranties and obligations, including,
without limitation,  indemnification  obligations,  and covenants made by any of
them  pursuant  to this  Agreement,  including,  without  limitation,  any  made
pursuant to any Transaction  Document.  For all purposes of this Agreement,  any
representation  or warranty that is qualified to be "to the knowledge of Seller"
or by a requirement that Seller shall have received  "notice" of any matter,  or
any  similar  qualification  shall be deemed to  include  the  knowledge  of the
Shareholder or notices to the Shareholders, as the case may be.

     35.  Independent  Legal Counsel;  Tax-Free  Qualification.  Seller and each
Shareholder  represent  and warrant that each party has had the  opportunity  to
seek the advice of  independent  legal counsel prior to signing this  Agreement,
and that the Buyer has  recommended  to Seller  and each  Shareholder  that such
party obtain legal  counsel.  In addition,  Seller and each  Shareholder  hereby
acknowledge that the Buyer has made no representations or warranties herein with
respect to the qualification of the transactions  contemplated by this Agreement
and the Transaction Documents as a "reorganization" under ss.368(a)(1)(c) of the
Code.

     36.  Representative.  Notwithstanding  anything  contained  herein  to  the
contrary, each of Seller and each Shareholder hereby designates Robert D. Walter
and each of Seller and each Shareholder hereby accepts the designation of Robert
D.  Walter  as  the   representative   of  the  Seller  and  Shareholders   (the
"REPRESENTATIVE")  to act for and on behalf of the  Seller and  Shareholders  as
provided in this Agreement.  Each of Seller and each Shareholder  shall be bound
by all actions taken or omitted by the Representative on behalf of any Seller or
Shareholder,  and each of Seller  and each  Shareholder  shall be deemed to have
received notice deemed given or payment made to the Representative in accordance
with the notice  provisions  of this  Agreement  on the date deemed given or the
date paid to the  Representative,  and Buyer  shall be  entitled  to rely on all
notices and consent given, and all settlements  entered into on behalf of Seller
or any Shareholder to the extent authorized pursuant


                                      -26-






to the terms of this Agreement notwithstanding any objections made by any Seller
or Shareholder  prior to,  concurrently  with or subsequent to the giving of any
such notice or consent or the settlement of any such matter.  The Representative
may be replaced only if and when Seller and all of the Shareholders shall notify
Buyer that a new individual  person (named in such notice) has been  unanimously
selected  by them to be to be the new  Representative,  in which  case  such new
person shall thereafter be the Representative.

     37.  Drafting.  Buyer's  counsel has drafted this  Agreement  and the other
Transaction Documents as a matter of convenience for the parties hereto; and the
parties  hereto  have  carefully  reviewed  and  negotiated  the  terms  of this
Agreement and the Transaction  Documents;  and accordingly any drafting  errors,
ambiguities or inconsistencies shall not be interpreted against Buyer.

                       [SIGNATURES ON THE FOLLOWING PAGE]



                                      -27-






     IN WITNESS  WHEREOF,  the parties have caused this Agreement to be executed
as of the date first stated above.

INTEGRATED HEALTH SERVICES, INC.                  BUYER:
                                                  INTEGRATED OF GARDEN
                                                  TERRACE, INC.

                                                  /s/ MARK KOVINSKY
                                                  ------------------------------

By: /s/ MARK KOVINSKY                             By: /s/ MARK KOVINSKY
   ------------------------------                    ---------------------------
Name: Mark Kovinsky                               Name: Mark Kovinsky
Title: SVP                                        Title: SVP


                                                  SELLER:

                                                  ACCUCARE MEDICAL
                                                  CORPORATION


                                                  By: /s/ ROBERT D. WALTER
                                                     ---------------------------
                                                  Name: Robert D. Walter
                                                  Title: President

                                                  SHAREHOLDERS:


                                                  /s/ ROBERT D. WALTER
                                                  ------------------------------
                                                  Robert D. Walter

                                                  /s/ MARCIA HENDRY-WALTER
                                                  ------------------------------
                                                  Marcia Hendry-Walter

                                                  /s/ PAUL A BERNOU
                                                  ------------------------------
                                                  Paul A. Bernou

     The  undersigned  hereby  agrees to be bound by, and jointly and  severally
liable  with Paul A.  Bernou  with  respect  to,  all of the  provisions  of the
preceding  agreement;  provided,  however,  that the Buyer  and IHS  shall  have
recourse solely to the  undersigned's  interest,  if any, in any  considerations
received or to be received  by Paul A.  Bernou  arising out of the  transactions
contemplated by such agreement,  and any proceeds of, or  distributions  made in
respect of, any of such consideration.

                                                  /s/ CARI L. BERNOU
                                                  ------------------------------
                                                  Cari L. Bernou



                                      -28-




CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
- --------------------------------------------------------------------------------

State of California
                         } ss

County of San Francisco

On  September  28,  1998,  before  me,  David  Bonner,  Notary Public personally
appeared Robert D. Walter/President and Shareholder

                                        [X] personally known to me
                                        --   proved   to  me  on  the  basis  of
                                        satisfactory evidence

                                        to   be   the  person(s)  whose  name(s)
                                        is/are   subscribed   to   the   within
                                        instrument  and  acknowledged to me that
                                        he/she/they   executed   the   same   in
[SEAL]                                  his/her/their  authorized capacity(ies),
DAVID BONNER                            and  that  by his/her/their signature(s)
COMMISSION #1192886                     on  the instrument the person(s), or the
NOTARY PUBLIC-CALIFORNIA                entity   upon   behalf   of   which  the
SAN FRANCISCO COUNTY                    person(s)    acted,     executed    the
MY COMM. EXPIRES AUG 14, 2002           instrument.

                                        WITNESS my hand and official seal.

                                        /s/ David Bonner
                                        -------------------------------------
Place Notary Seal Above                      Signature of Notary Public

- ---------------------------------  OPTIONAL ---------------------------------

Though the  information  below is not required by law, it may prove  valuable to
persons  relying  on the  document  and could  prevent  fraudulent  removal  and
reattachment of this form to another document

DESCRIPTION OF ATTACHED DOCUMENT

Title or Type of Document:_____________________________________________________

Document Date:_________________________________ Number of Pages: ______________

Signer(s) Other Than Named Above ______________________________________________

CAPACITY(IES) CLAIMED BY SIGNER
                                                               -----------------
Signer's Name: ____________________________________________    RIGHT THUMBPRINT
                                                                  OF SIGNER
[ ] Individual                                                 Top of thumb here
[ ] Corporate Officer -- Title(s):_________________________
[ ] Partner  -- [ ] Limited  [ ]  General
[ ] Attorney in Fact
[ ] Trustee
[ ] Guardian or Conservator
[ ] Other _________________________________________________

Signer is Representing: ___________________________________      ---------------

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




CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
- --------------------------------------------------------------------------------

State of California
                         } ss

County of San Francisco

On  September  28,  1998,  before  me,  David  Bonner,  Notary Public personally
appeared Marcia Hendry-Walter.

                                        [X] personally known to me
                                        --   proved   to  me  on  the  basis  of
                                        satisfactory evidence

                                        to   be   the  person(s)  whose  name(s)
                                        is/are   subscribed   to   the   within
                                        instrument  and  acknowledged to me that
                                        he/she/they   executed   the   same   in
[SEAL]                                  his/her/their  authorized capacity(ies),
DAVID BONNER                            and  that  by his/her/their signature(s)
COMMISSION #1192886                     on  the instrument the person(s), or the
NOTARY PUBLIC-CALIFORNIA                entity   upon   behalf   of   which  the
SAN FRANCISCO COUNTY                    person(s)    acted,     executed    the
MY COMM. EXPIRES AUG 14, 2002           instrument.

                                        WITNESS my hand and official seal.

                                        /s/ David Bonner
                                        -------------------------------------
Place Notary Seal Above                      Signature of Notary Public

- ---------------------------------  OPTIONAL ---------------------------------

Though the  information  below is not required by law, it may prove  valuable to
persons  relying  on the  document  and could  prevent  fraudulent  removal  and
reattachment of this form to another document

DESCRIPTION OF ATTACHED DOCUMENT

Title or Type of Document:_____________________________________________________

Document Date:_________________________________ Number of Pages: ______________

Signer(s) Other Than Named Above ______________________________________________

CAPACITY(IES) CLAIMED BY SIGNER
                                                               -----------------
Signer's Name: ____________________________________________    RIGHT THUMBPRINT
                                                                  OF SIGNER
[ ] Individual                                                 Top of thumb here
[ ] Corporate Officer -- Title(s):_________________________
[ ] Partner  -- [ ] Limited  [ ]  General
[ ] Attorney in Fact
[ ] Trustee
[ ] Guardian or Conservator
[ ] Other _________________________________________________

Signer is Representing: ___________________________________      ---------------

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




CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
- --------------------------------------------------------------------------------

State of California
                         } ss

County of San Francisco

On  September  28,  1998,  before  me,  David  Bonner,  Notary Public personally
appeared Paul A Bernou.

                                        [X] personally known to me
                                        --   proved   to  me  on  the  basis  of
                                        satisfactory evidence

                                        to   be   the  person(s)  whose  name(s)
                                        is/are   subscribed   to   the   within
                                        instrument  and  acknowledged to me that
                                        he/she/they   executed   the   same   in
[SEAL]                                  his/her/their  authorized capacity(ies),
DAVID BONNER                            and  that  by his/her/their signature(s)
COMMISSION #1192886                     on  the instrument the person(s), or the
NOTARY PUBLIC-CALIFORNIA                entity   upon   behalf   of   which  the
SAN FRANCISCO COUNTY                    person(s)    acted,     executed    the
MY COMM. EXPIRES AUG 14, 2002           instrument.

                                        WITNESS my hand and official seal.

                                        /s/ David Bonner
                                        -------------------------------------
Place Notary Seal Above                      Signature of Notary Public

- ---------------------------------  OPTIONAL ---------------------------------

Though the  information  below is not required by law, it may prove  valuable to
persons  relying  on the  document  and could  prevent  fraudulent  removal  and
reattachment of this form to another document

DESCRIPTION OF ATTACHED DOCUMENT

Title or Type of Document:_____________________________________________________

Document Date:_________________________________ Number of Pages: ______________

Signer(s) Other Than Named Above ______________________________________________

CAPACITY(IES) CLAIMED BY SIGNER
                                                               -----------------
Signer's Name: ____________________________________________    RIGHT THUMBPRINT
                                                                  OF SIGNER
[ ] Individual                                                 Top of thumb here
[ ] Corporate Officer -- Title(s):_________________________
[ ] Partner  -- [ ] Limited  [ ]  General
[ ] Attorney in Fact
[ ] Trustee
[ ] Guardian or Conservator
[ ] Other _________________________________________________

Signer is Representing: ___________________________________      ---------------

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





CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
- --------------------------------------------------------------------------------

State of California
                         } ss

County of San Francisco

On  September  28,  1998,  before  me,  David  Bonner,  Notary Public personally
appeared Cari L. Bernou.

                                        [X] personally known to me
                                        --   proved   to  me  on  the  basis  of
                                        satisfactory evidence

                                        to   be   the  person(s)  whose  name(s)
                                        is/are   subscribed   to   the   within
                                        instrument  and  acknowledged to me that
                                        he/she/they   executed   the   same   in
[SEAL]                                  his/her/their  authorized capacity(ies),
DAVID BONNER                            and  that  by his/her/their signature(s)
COMMISSION #1192886                     on  the instrument the person(s), or the
NOTARY PUBLIC-CALIFORNIA                entity   upon   behalf   of   which  the
SAN FRANCISCO COUNTY                    person(s)    acted,     executed    the
MY COMM. EXPIRES AUG 14, 2002           instrument.

                                        WITNESS my hand and official seal.

                                        /s/ David Bonner
                                        -------------------------------------
Place Notary Seal Above                      Signature of Notary Public

- ---------------------------------  OPTIONAL ---------------------------------

Though the  information  below is not required by law, it may prove  valuable to
persons  relying  on the  document  and could  prevent  fraudulent  removal  and
reattachment of this form to another document

DESCRIPTION OF ATTACHED DOCUMENT

Title or Type of Document:_____________________________________________________

Document Date:_________________________________ Number of Pages: ______________

Signer(s) Other Than Named Above ______________________________________________

CAPACITY(IES) CLAIMED BY SIGNER
                                                               -----------------
Signer's Name: ____________________________________________    RIGHT THUMBPRINT
                                                                  OF SIGNER
[ ] Individual                                                 Top of thumb here
[ ] Corporate Officer -- Title(s):_________________________
[ ] Partner  -- [ ] Limited  [ ]  General
[ ] Attorney in Fact
[ ] Trustee
[ ] Guardian or Conservator
[ ] Other _________________________________________________

Signer is Representing: ___________________________________      ---------------

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





                             SCHEDULES AND EXHIBITS

Schedule 1(a)(i)           -        Accounts Receivable
Schedule 1(a)(ii)          -        Inventory; Fixed Assets
Schedule 1(a)(iii)         -        Automobiles
Schedule 1(a)(v)(A)        -        Patients List of the Business
Schedule 1(a)(v)(B)        -        Telephone Numbers and Licenses
Schedule 2(a)              -        Allocation of Purchase Price
Schedule 6(a)              -        Closing Date Liabilities
Schedule 11(c)             -        Seller's Opinion
Schedule 14(c)             -        Litigation
Schedule 14(g)             -        Contracts
Schedule 14(i)             -        Personnel Payrates; Employee Benefits
Schedule 14(k)             -        Insurance
Schedule 14(o)             -        Tax Returns and Financial Statements
Schedule 14(p)             -        Supplemental Tax Information
Schedule 14(q)             -        Adverse Business Developments
Schedule 14(r)             -        Relationships
Schedule 14(u)             -        Reimbursement Matters
Schedule 14(v)             -        Environmental Compliance
Schedule 17(a)             -        Locations

Exhibit 2(b)(i)            -        Escrow Agreement
Exhibit 14(w)              -        Healthcare Questionnaire



                                      -31-






                                    EXHIBIT 3

                                OPERATING PROFIT

     1. General Standards.

          (a) Performance.  Except as otherwise expressly agreed in writing, the
parties intend that the financial and economic  performance to be determined and
measured pursuant to this Exhibit "3" shall be determined solely with respect to
so much of the business  operations of  Corporation  as consists of the business
enterprise   previously   conducted  by  the  Acquired   Entity  (the  "ACQUIRED
ENTERPRISE") before being acquired by Corporation.  Accordingly,  all references
herein to revenues,  expenses, costs, profits, losses, and any other transaction
or  activity,  whether by reference to  "Corporation",  or in any other  manner,
shall  mean and  refer  only to so much  thereof  as  pertains  directly  to the
Acquired Enterprise,  unless such reference specifically provides otherwise. The
parties expressly intend all such calculations to provide a determination of the
profitability  of  the  Acquired  Enterprise,  determined  as if  such  Acquired
Enterprise at all times operated as an autonomous entity.

          (b)  Determination  of Operating  Profit.  The Operating  Profit to be
determined  hereunder  shall be calculated on a pre-tax basis in accordance with
generally accepted  accounting  principles,  consistently  applied ("GAAP"),  as
further defined, limited, or explained as set forth herein.

     2. Income and Cost.

          (a) Income and Revenue.  Income shall be accounted  for on the accrual
method consistent with the prior accounting methods of the Acquired  Enterprise,
and shall consist of all direct  revenues,  defined as all "Rental  Revenue" and
"Sales Revenue", plus or minus the net change in unbilled revenue, plus or minus
gain or loss from equipment  sales,  plus or minus sales credits and allowances,
plus investment income.

          (b) Costs and Expenses. Costs shall include the following:

               (1) DIRECT EXPENSES incurred on behalf of the Acquired Enterprise
as kept on the  accrual  method,  including  salary  paid to the  Employees  and
related payroll taxes.

               (2) BAD DEBT expenses  shall be the actual bad debts written off,
plus or minus the change in  allowance  for bad debts.  For the  purpose of this
calculation,  the allowance  for bad debts is considered  equal to the amount of
all accounts receivable in excess of 120 days old.

               (3) REASONABLE TRAVEL EXPENSES of employees or representatives of
ROTECH  MEDICAL  CORPORATION  ("ROTECH")  to and from its  corporate  offices on
behalf of the  Acquired  Enterprise's  matters,  to be allocated on a reasonable
basis.

               (4)  INTEREST  on all or any net  intercorporate  borrowing  from
Integrated Health Services, Inc. ("IHS") at the cost of such funds to IHS.

               (5) GROUP OR  CONSOLIDATED  PURCHASES for items  benefitting  the
Acquired Enterprise purchased by IHS, RoTech or by Corporation,  to be allocated
at actual cost in accordance with usage. Costs to be allocated include costs, if
any, of transportation, storage, etc.

               (6)  DEPRECIATION  EXPENSES  will be  calculated  on a consistent
basis as previously and historically calculated by the Acquired Enterprise.



                                      -32-





               (7)  CORPORATION'S  OVERHEAD.  The general,  administrative,  and
overhead  costs  of  Corporation,  to  the  extent  allocable  to  the  Acquired
Enterprise on a reasonable basis.

          (c) Excluded  Items.  Costs and  expenses for purposes of  calculating
operating profits shall not include the following:

               (1) BRANCH OFFICES.  All start-up costs,  operating profits,  and
operating  losses  incurred by  Enterprise  in the initial six (6) months on the
start-up,  opening, or operation of a branch office or location opened after the
date  hereof  shall be  excluded  from  calculations  of  Operating  Profits for
purposes of this Agreement.

               (2) IHS/ROTECH OVERHEAD.  Unless otherwise mutually agreed by the
Acquired  Enterprise and Seller, IHS and RoTech corporate overhead or costs will
not beallocated to the Acquired Enterprise or considered in Operating Profits.

               (3) COSTS OF ACQUIRING THE ACQUIRED  ENTERPRISE.  The calculation
of Operating  Profits will not include cost or amortization of costs incurred in
the  acquisition  of the Acquired  Enterprise,  and any  liabilities  assumed by
RoTech and subsequently  paid off, which will be included in the  intercorporate
borrowings in paragraph 2(b)(4), above.

          (d) Acquisition of Further Enterprises. Nothing contained herein shall
be deemed to affect,  limit or  restrict  the right of RoTech or IHS to make any
acquisitions.

                                      -33-