EXHIBIT 5 Fulbright & Jaworski L.L.P. A Registered Limited Liability Partnership 666 Fifth Avenue New York, New York, 10103-3198 Telephone: 212/318-3000 HOUSTON Facsimile: 212/752-5958 WASHINGTON, D.C. AUSTIN WRITER'S INTERNET ADDRESS: SAN ANTONIO DALLAS WRITER'S DIRECT DIAL NUMBER: NEW YORK LOS ANGELES LONDON HONG KONG April 5, 1999 The Board of Directors Integrated Health Services, Inc. 10065 Red Run Boulevard Owings Mills, Maryland 21117 Dear Sirs, We refer to the Registration Statement on Form S-3 (the "Registration Statement"), filed by Integrated Health Services, Inc. (the "Company") on behalf of the selling stockholders (the "Selling Stockholders") with the Securities and Exchange Commission under the Securities Act of 1933, as amended, relating to ________ shares of the Company's Common Stock. $.001 par value (the "Shares"), to be sold by the Selling Stockholders named therein. As counsel for the Company, we have examined such corporate records, documents and such questions of law as we have considered necessary or appropriate for the purposes of this opinion and, upon the basis of such examination, advise you that in our opinion the Shares have been duly and validly authorized and are legally issued, fully paid and non-assessable. We consent to the filing of this opinion as an exhibit to the Registration Statement and the reference to this firm under the caption "Legal Matters" in the prospectus contained therein and elsewhere in the Registration Statement and prospectus. This consent is not to be construed as an admission that we are a party whose consent is required to be filed with the Registration Statement under the provisions of the Securities Act of 1933, as amended. Very truly yours, /s/ Fulbright & Jaworski L.L.P. Fulbright & Jaworski L.L.P.