BALANCED CARE CORP
8-K, 1999-04-01
NURSING & PERSONAL CARE FACILITIES
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

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

                                    FORM 8-K


                                 CURRENT REPORT

                     Pursuant to Section 13 or 15(d) of the
                         Securities Exchange Act of 1934




Date of Report (Date of earliest event reported):  March 18, 1999


                            Balanced Care Corporation
             ------------------------------------------------------
             (Exact name of registrant as specified in its charter)



           Delaware                 1-13845              25-1761898
- ----------------------------    ---------------     --------------------
(State or other jurisdiction      (Commission          (IRS Employer
       of incorporation)          File Number)       Identification No.)



       5021 Louise Drive, Suite 200 Mechanicsburg, PA   17055
       -------------------------------------------     --------
         (Address of principal executive offices)     (Zip code)



Registrant's telephone number, including area code:  717-796-6100






                               Page 1 of 5 pages.
                         Exhibit Index begins on page 5.

<PAGE>

Item 2.     Acquisition or Disposition of Assets.
            -------------------------------------

            On  March  18,  1999,   Balanced   Care  at   Bloomsburg   II,  Inc.
("BCC-Bloomsburg") and Balanced Care at Saxonburg, Inc.  ("BCC-Saxonburg"),  two
wholly-owned  subsidiaries of Balanced Care Corporation,  a Delaware corporation
("BCC"),   completed  the  sale  (the   "Disposition")  of  the  real  property,
improvements, fixtures and equipment located at (1) 3298 Ridge Road, Bloomsburg,
PA 17815 (the  "Bloomsburg  Property")  and (2) 100 Bella Court,  Saxonburg,  PA
16056  (the  "Saxonburg   Property")  to  Pennsylvania   BCC  Properties,   Inc.
("BCC-Properties"),  an unrelated  Pennsylvania  corporation  and  subsidiary of
Health Care REIT, Inc. The total purchase price for the Bloomsburg  Property and
the Saxonburg  Property was $3,918,000 and $5,345,000,  respectively,  which was
paid in  cash to BCC by  BCC-Properties  less  closing  costs  of  $170,414  and
$206,231,  respectively. The total purchase price was determined by arms' length
negotiations between BCC and BCC-Properties.

            In connection with the Disposition, BCC-Bloomsburg and BCC-Saxonburg
each entered into a Lease Agreement dated as of March 15, 1999, as tenant,  with
BCC-Properties,  as  landlord.  The  Lease  Agreements  are  attached  hereto as
Exhibits 10.1 and 10.2. The Lease  Agreements  are "triple net" leases,  wherein
the tenant is responsible  for all expenses  incurred in connection with the use
and maintenance of the building,  including, without limitation,  property taxes
and insurance. The Lease Agreements have an initial term of 15 years, with three
renewal terms: two for 5 years and one for 4 years, 11 months.


Item 5.     Other Events.
            -------------

            In a separate transaction, on March 15, 1999, BCC and certain of its
wholly-owned  subsidiaries  (collectively,  the  "Borrowers"),  entered  into  a
Secured  Term  Note in favor  of HCFP  Funding,  Inc.,  a  Delaware  corporation
("Lender"),  in the original principal amount of $5,000,000.  Interest under the
Secured Term Note accrues at a fluctuating rate per annum compounded daily equal
to the Prime Rate (as  announced by Fleet  National Bank of  Connecticut,  N.A.)
plus 4%. The Secured Term Note is due and


                               Page 2 of 5 pages.
                         Exhibit Index begins on page 5.


<PAGE>

payable no later than May 15, 1999 unless  extended by Borrowers  until June 15,
1999 upon  payment of a $25,000  extension  fee and provided no event of default
has  occurred.  The  Secured  Term Note is secured by the  Borrowers'  accounts,
general  intangibles,  inventory and equipment,  together with the real property
and  improvements  located at (1) 164 Schiebel Road,  Butler,  PA 16001, (2) 120
Elliot Road,  Sarver, PA 16055, (3) 600 Newton Road,  Raleigh,  NC 27609 and (4)
498 Lisbon Road, Darlingon, PA 16115.


Item 7.     Financial Statements and Exhibits.
            ----------------------------------

            (a)   Financial statements of businesses acquired.

                  Not applicable.

            (b)   Pro forma financial information.

                  Not applicable.

            (c)   Exhibits.  The following  Exhibits are filed with this Current
                  Report on Form 8-K:

            Exhibit No.             Description
            -----------             -----------
            10.1                    Lease Agreement between Pennsylvania BCC 
                                    Properties, Inc. and Balanced Care at 
                                    Saxonburg, Inc.

            10.2                    Lease Agreement between Pennsylvania BCC 
                                    Properties, Inc. and Balanced Care at 
                                    Bloomsburg II, Inc.










                               Page 3 of 5 pages.
                         Exhibit Index begins on page 5.

<PAGE>



                                    SIGNATURE

            Pursuant to the requirements of the Securities Exchange Act of 1934,
the  registrant  has duly  caused  this report to be signed on its behalf by the
undersigned hereunto duly authorized.


                                          Balanced Care Corporation


Date:  April 2, 1999                 By:  /s/ Brad E. Hollinger
                                          -----------------------------
                                          Brad E. Hollinger
                                          Chairman of the Board,
                                          President and Chief Executive
                                          Officer





























                               Page 4 of 5 pages.
                         Exhibit Index begins on page 5.


<PAGE>


                                  EXHIBIT INDEX
                                  -------------




Exhibit No.             Description
- -----------             -----------
10.1                    Lease Agreement between Pennsylvania BCC
                        Properties, Inc. and Balanced Care at
                        Saxonburg, Inc.

10.2                    Lease Agreement between Pennsylvania BCC
                        Properties, Inc. and Balanced Care at
                        Bloomsburg II, Inc.






























                               Page 5 of 5 pages.






                                 LEASE AGREEMENT


                                     BETWEEN


                        PENNSYLVANIA BCC PROPERTIES, INC.


                                       AND


                      BALANCED CARE AT BLOOMSBURG II, INC.



                                   , 1999
                        ---------



                            BALANCED CARE, BLOOMSBURG
                            BLOOMSBURG, PENNSYLVANIA



<PAGE>


                                TABLE OF CONTENTS


SECTION                                                                     PAGE
- --------------------------------------------------------------------------------

ARTICLE 1:  LEASED PROPERTY, TERM AND DEFINITIONS............................  1
      1.1    Leased Property.................................................  1
      1.2    Term............................................................  2
      1.3    Definitions.....................................................  2


ARTICLE 2:  RENT.............................................................  8
      2.1    Base Rent.......................................................  8
      2.2    Increase of Lease Rate and Base Rent............................  9
      2.3    Additional Rent.................................................  9
      2.4    Place of Payment of Rent........................................  9
      2.5    Net Lease.......................................................  9
      2.6    No Termination, Abatement, Etc..................................  9
      2.7    Computational Method............................................ 10
      2.8    Commitment Fee.................................................. 10


ARTICLE 3:  IMPOSITIONS AND UTILITIES........................................ 10
      3.1    Payment of Impositions.......................................... 10
      3.2    Definition of Impositions....................................... 11
      3.3    Escrow of Impositions........................................... 11
      3.4    Utilities....................................................... 12
      3.5    Discontinuance of Utilities..................................... 12
      3.6    Business Expenses............................................... 12
      3.7    Permitted Contests.............................................. 12


ARTICLE 4:  INSURANCE........................................................ 13
      4.1    Property Insurance.............................................. 13
      4.2    Liability Insurance............................................. 14
      4.3    Builder's Risk Insurance........................................ 14
      4.4    Insurance Requirements.......................................... 15
      4.5    Replacement Value............................................... 15
      4.6    Blanket Policy.................................................. 16
      4.7    No Separate Insurance........................................... 16
      4.8    Waiver of Subrogation........................................... 16
      4.9    Mortgages....................................................... 16
      4.10   Escrows......................................................... 16


                                      -i-

<PAGE>

ARTICLE 5:  INDEMNITY........................................................ 17
      5.1    Tenant's Indemnification........................................ 17
      5.2    Environmental Indemnity; Audits................................. 18
      5.3    Limitation of Landlord's Liability.............................. 18


ARTICLE 6:  USE AND ACCEPTANCE OF PREMISES................................... 19
      6.1    Use of Leased Property.......................................... 19
      6.2    Acceptance of Leased Property................................... 19
      6.3    Conditions of Use and Occupancy................................. 19


ARTICLE 7:  REPAIRS AND MECHANICS'LIENS...................................... 19
      7.1    Maintenance..................................................... 19
      7.2    Required Alterations............................................ 20
      7.3    Mechanic's Liens................................................ 20
      7.4    Replacements of Fixtures and Personal Property.................. 20


ARTICLE 8:  DEFAULTS AND REMEDIES............................................ 21
      8.1    Events of Default............................................... 21
      8.2    Remedies........................................................ 23
      8.3    Right of Set-Off................................................ 25
      8.4    Performance of Tenant's Covenants............................... 25
      8.5    Late Payment Charge............................................. 25
      8.6    Interest........................................................ 25
      8.7    Litigation; Attorneys'Fees...................................... 26
      8.8    Escrows and Application of Payments............................. 26
      8.9    Remedies Cumulative............................................. 26


ARTICLE 9:  DAMAGE AND DESTRUCTION........................................... 26
      9.1    Notice of Casualty.............................................. 26
      9.2    Substantial Destruction......................................... 27
      9.3    Partial Destruction............................................. 30
      9.4    Restoration..................................................... 30
      9.5    Insufficient Proceeds........................................... 30
      9.6    Not Trust Funds................................................. 31
      9.7    Landlord's Inspection........................................... 31
      9.8    Landlord's Costs................................................ 31
      9.9    No Rent Abatement............................................... 31


ARTICLE 10:  CONDEMNATION.................................................... 31
      10.1   Total Taking.................................................... 31
      10.2   Partial Taking.................................................. 32


                                      -ii-
<PAGE>


      10.3   Condemnation Proceeds Not Trust Funds........................... 32


ARTICLE 11:  TENANT'S PROPERTY............................................... 32
      11.1   Tenant's Property............................................... 32
      11.2   Requirements for Tenant's Property.............................. 32


ARTICLE 12:  RENEWAL OPTIONS................................................. 34
      12.1   Renewal Options................................................. 34
      12.2   Effect of Renewal............................................... 34
      12.3   Effect of Non-Renewal or Expiration of Lease.................... 35


ARTICLE 13:  RIGHT OF FIRST REFUSAL.......................................... 35
      13.1   Right of First Refusal.......................................... 35
      13.2   No Exercise..................................................... 35


ARTICLE 14:  NEGATIVE COVENANTS.............................................. 36
      14.1   No Debt......................................................... 36
      14.2   No Liens........................................................ 36
      14.3   No Guaranties................................................... 36
      14.4   No Transfer..................................................... 36
      14.5   No Dissolution.................................................. 36
      14.6   No Change in Management or Operation............................ 36
      14.7   No Investments.................................................. 36
      14.8   Contracts....................................................... 37
      14.9   Subordination of Payments to Affiliates......................... 37
      14.10  Change of Location or Name...................................... 37


ARTICLE 15:  AFFIRMATIVE COVENANTS........................................... 37
      15.1   Perform Obligations............................................. 37
      15.2   Proceedings to Enjoin or Prevent Construction................... 37
      15.3   Documents and Information....................................... 37
      15.4   Compliance With Laws............................................ 39
      15.5   Broker's Commission............................................. 39
      15.6   Existence and Change in Ownership............................... 39
      15.7   Financial Covenants............................................. 39
      15.8   Transfer of License............................................. 40


ARTICLE 16:  ALTERATIONS, CAPITAL IMPROVEMENTS, AND SIGNS.................... 40
      16.1   Prohibition on Alterations and Improvements..................... 40
      16.2   Approval of Alterations......................................... 40
      16.3   Permitted Alterations........................................... 41


                                     -iii-
<PAGE>


      16.4   Requirements for Permitted Alterations.......................... 41
      16.5   Ownership and Removal of Permitted Alterations.................. 42
      16.6   Signs........................................................... 42


ARTICLE 17:  [INTENTIONALLY DELETED]......................................... 42


ARTICLE 18:  ASSIGNMENT AND SALE OF LEASED PROPERTY.......................... 42
      18.1   Prohibition on Assignment and Subletting........................ 42
      18.2   Requests for Landlord's Consent to Assignment, Sublease
             or Management Agreement......................................... 42
      18.3   Agreements with Residents....................................... 42
      18.4   Terms Applicable to all Assignments, Subleases or
             Management Agreements........................................... 43
      18.5   Collateral Assignment........................................... 43
      18.6   Effectiveness................................................... 43
      18.7   Sale of Leased Property......................................... 43
      18.8   Assignment by Landlord.......................................... 44


ARTICLE 19:  HOLDOVER AND SURRENDER.......................................... 44
      19.1   Holding Over.................................................... 44
      19.2   Surrender....................................................... 44


ARTICLE 20:  LETTER OF CREDIT................................................ 44
      20.1   Terms of Letter of Credit....................................... 44
      20.2   Replacement Letter of Credit.................................... 44
      20.3   Draws........................................................... 45
      20.4   Partial Draws................................................... 45
      20.5   Substitute Letter of Credit..................................... 46
      20.6   Reduction in Letter of Credit Amount............................ 46


ARTICLE 21:  QUIET ENJOYMENT, SUBORDINATION, ATTORNMENT AND
ESTOPPEL CERTIFICATES........................................................ 46
      21.1   Quiet Enjoyment................................................. 46
      21.2   Subordination................................................... 46
      21.3   Attornment...................................................... 47
      21.4   Estoppel Certificates........................................... 47


ARTICLE 22:  REPRESENTATIONS AND WARRANTIES.................................. 48
      22.1   Organization and Good Standing.................................. 48
      22.2   Power and Authority............................................. 48
      22.3   Enforceability.................................................. 48
      22.4   Government Authorizations....................................... 48


                                      -iv-

<PAGE>

      22.5   Financial Statements............................................ 49
      22.6   Condition of Facility........................................... 49
      22.7   Compliance with Laws............................................ 49
      22.8   No Litigation................................................... 49
      22.9   Consents........................................................ 50
      22.10  No Violation.................................................... 50
      22.11  Reports and Statements.......................................... 50
      22.12  ERISA........................................................... 50
      22.13  Chief Executive Office.......................................... 50
      22.14  Other Name or Entities.......................................... 51
      22.15  Parties in Possession........................................... 51
      22.16  Access.......................................................... 51
      22.17  Utilities....................................................... 51
      22.18  Condemnation and Assessments.................................... 51
      22.19  Zoning.......................................................... 51
      22.20  Pro Forma Statement............................................. 52
      22.21  Environmental Matters........................................... 52
      22.22  Leases and Contracts............................................ 52
      22.23  No Default...................................................... 52


ARTICLE 23:  FUTURE PROJECTS; COTERMINOUS FINANCINGS......................... 53
      23.1   Project Submissions............................................. 53
      23.2   Coterminous Financings.......................................... 53


ARTICLE 24:  SECURITY INTEREST............................................... 53
      24.1   Collateral...................................................... 53
      24.2   Additional Documents............................................ 54
      24.3   Notice of Sale.................................................. 54
      24.4   Pledge of Accounts to Others.................................... 54


ARTICLE 25:  MISCELLANEOUS................................................... 54
      25.1   Notices......................................................... 54
      25.2   Advertisement of Leased Property................................ 55
      25.3   Entire Agreement................................................ 55
      25.4   Severability.................................................... 55
      25.5   Captions and Headings........................................... 55
      25.6   Governing Law................................................... 55
      25.7   Memorandum of Lease............................................. 55
      25.8   Waiver.......................................................... 55
      25.9   Binding Effect.................................................. 55
      25.10  Power of Attorney............................................... 55

                                      -v-

<PAGE>


      25.11  No Offer........................................................ 56
      25.12  Modification.................................................... 56
      25.13  Landlord's Modification......................................... 56
      25.14  No Merger....................................................... 56
      25.15  Laches.......................................................... 57
      25.16  Limitation on Tenant's Recourse................................. 57
      25.17  Construction of Lease........................................... 57
      25.18  Counterparts.................................................... 57
      25.19  Lease Guaranty.................................................. 57
      25.20  Custody of Escrow Funds......................................... 57
      25.21  Landlord's Status as a REIT..................................... 57
      25.22  Exhibits........................................................ 58
      25.23  WAIVER OF JURY TRIAL............................................ 58
      25.24  CONSENT TO JURISDICTION......................................... 58
      25.25  Attorney's Fees and Expenses.................................... 59
      25.26  Survival........................................................ 59
      25.27  Access to Records............................................... 59


ARTICLE 26:  SUBSTITUTION OF LEASED PROPERTY................................. 59
      26.1   Right of Substitution........................................... 59
      26.2   Conditions to Substitution...................................... 59
      26.3   Conveyance of Existing Facility................................. 62
      26.4   Expenses........................................................ 63

EXHIBIT A:     LEGAL DESCRIPTION

EXHIBIT A-1:   PERSONAL PROPERTY

EXHIBIT B:     PERMITTED EXCEPTIONS

EXHIBIT C:     DOCUMENTS TO BE DELIVERED

EXHIBIT D:     TENANT'S CERTIFICATE AND FACILITY FINANCIAL REPORTS

EXHIBIT E:     GOVERNMENT AUTHORIZATIONS TO BE OBTAINED;
               ZONING PERMITS

EXHIBIT F:     PENDING LITIGATION

EXHIBIT G:     LIST OF LEASES AND CONTRACTS


                                      -vi-

<PAGE>


                                 LEASE AGREEMENT


            This Lease  Agreement  ("Lease" or "Agreement") is made effective as
of  the  _____  day of  ______________,  1999  (the  "Effective  Date")  between
PENNSYLVANIA BCC PROPERTIES, INC., a corporation organized under the laws of the
State of Pennsylvania  ("Landlord"),  having its principal office located at One
SeaGate,  Suite 1500, P.O. Box 1475,  Toledo,  Ohio 43603,  and BALANCED CARE AT
BLOOMSBURG  II, INC.,  a  corporation  organized  under the laws of the State of
Delaware  ("Tenant"),  having its chief executive  office located at 5021 Louise
Drive, Suite 200, Mechanicsburg, Pennsylvania 17055.

                                 R E C I T A L S

            A.   As of the  date  hereof, Landlord acquired the Leased  Property
(defined  below) and paid the  Acquisition  Amount  (defined  below) towards the
purchase  price for the  Leased  Property.  The  amount  paid by Tenant  for the
acquisition   costs  of  the  Leased  Property  shall  be  considered   Tenant's
contribution.

            B.   Landlord desires  to lease the  Leased  Property  to Tenant and
Tenant  desires to lease the Leased  Property  from  Landlord upon the terms set
forth in this Lease.

            NOW, THEREFORE, Landlord and Tenant agree as follows:


ARTICLE 1:  LEASED PROPERTY, TERM AND DEFINITIONS

            1.1  LEASED  PROPERTY. Landlord  hereby  leases to Tenant and Tenant
hereby leases from Landlord the following property:

                 (a)  The  land  described in  Exhibit A  attached  hereto  (the
"Land").

                 (b)  All  buildings,   structures,  and   other   improvements,
including without limitation,  sidewalks,  alleys,  utility pipes, conduits, and
lines, parking areas, and roadways, now or hereafter situated upon the Land (the
"Improvements").

                 (c)  All easements, rights and other appurtenances  relating to
the Land and Improvements (the "Appurtenances").

                 (d)  All permanently  affixed  equipment, machinery,  fixtures,
and other items of real and personal property, including all components thereof,
located  in,  or  used  in  connection  with,  and  permanently  affixed  to  or
incorporated into the Improvements,  including without limitation, all furnaces,
boilers,   heaters,   electrical   equipment,   heating,   plumbing,   lighting,
ventilating, refrigerating, incineration, air and water 


<PAGE>


pollution control, waste disposal,  air-cooling and air-conditioning systems and
apparatus,  sprinkler  systems  and fire and  theft  protection  equipment,  and
built-in  oxygen  and  vacuum  systems,  all of which,  to the  greatest  extent
permitted by law, are hereby  deemed by the parties  hereto to  constitute  real
estate, together with all replacements, modifications, alterations and additions
thereto but  specifically  excluding all items  included  within the category of
Personal Property as defined below (collectively the "Fixtures").

                 (e)  All machinery, equipment, furniture,  furnishings, movable
walls  or  partitions,  computers,  trade  fixtures,  consumable  inventory  and
supplies, and other personal property used or useful in Tenant's business on the
Leased  Property,   including  without  limitation,   all  items  of  furniture,
furnishings,  equipment,  supplies and inventory  listed on Exhibit A-1 attached
hereto and the replacements therefor,  except items, if any, included within the
definition of Fixtures (collectively the "Personal Property").

            SUBJECT,   HOWEVER,   to   all   easements,   liens,   encumbrances,
restrictions, agreements, and other title matters existing as of the date hereof
as listed on Exhibit B attached hereto (the "Permitted Exceptions").

            1.2  TERM. The initial term ("Initial Term") of this Lease commences
on the  Effective  Date  and  expires  at  12:00  Midnight  Eastern  Time on the
fifteenth   anniversary  of  the  Commencement  Date  (the  "Expiration  Date");
provided,  however,  that [i] Tenant has one or more  options to renew the Lease
pursuant to Article 12, and [ii] the Initial  Term may be extended  from time to
time pursuant to Article 23.

            1.3  DEFINITIONS.  Except as otherwise expressly  provided,  [i] the
terms defined in this section have the meanings assigned to them in this section
and include the plural as well as the singular;  [ii] all  accounting  terms not
otherwise  defined herein have the meanings  assigned to them in accordance with
generally accepted  accounting  principles as of the time applicable;  and [iii]
the words  "herein",  "hereof",  and "hereunder" and similar words refer to this
Lease as a whole and not to any particular section.

            "Acquisition Amount" means $3,918,000.00.

            "ADA" means the federal statute entitled Americans with Disabilities
Act, 42 U.S.C. ss.12101, ET SEQ.

            "Affiliate"  means any  person,  corporation,  partnership,  limited
liability  company,  trust, or other legal entity that,  directly or indirectly,
controls,  or is  controlled  by,  or is under  common  control  with  Tenant or
Guarantor.  "Control" (and the correlative meanings of the terms "controlled by"
and "under common control with") means the  possession,  directly or indirectly,
of the power to direct or cause the direction of the  management and policies of
such  entity.   "Affiliate"   includes,   without   limitation,   Balanced  Care
Corporation.

            "Annual  Facility  Budget"  means  Tenant's  projection  of what the
Annual Facility Financial Statements will be for the next fiscal year.



                                      -2-
<PAGE>



            "Annual  Financial  Statements"  means [i] for Tenant,  an unaudited
balance sheet, statement of income, and cash flow statements for the most recent
fiscal year; [ii] for the Facility,  an unaudited Facility  Financial  Statement
for the most recent fiscal year and;  [iii] for  Guarantor,  an audited  balance
sheet and statement of income for the most recent fiscal year with consolidating
schedules.

            "Base Rent" has the meaning set forth in ss.2.1,  as increased  from
time to time pursuant to ss.2.2.

            "Business Day"  means  any day  other than a  Saturday,  Sunday,  or
national holiday.

            "CERCLA"   means   the   Comprehensive    Environmental    Response,
Compensation and Liability Act of 1980, as amended from time to time.

            "Closing"  means the closing of the purchase of the Leased  Property
by Landlord and the lease of the Leased Property to Tenant.

            "Commencement  Date"  means the  Effective  Date if such date is the
first  day of a  month,  and if it is not,  the  first  day of the  first  month
following the Effective Date.

            "Commitment"  means  the  Commitment  letter  for  the  Lease  dated
September 22, 1998 as modified by the letter dated February 24, 1999.

            "Credit  Facility"  means the  credit  facility  in an amount up  to
$150,000,000.00  the terms of which are set forth in the Commitment.  The Credit
Facility consists of multiple phases of funding.

            "Current Phase" means the phase of funding under the Credit Facility
which is applicable to this Lease.  This Lease is part of the second phase.  The
Current  Phase  includes  facilities  located in  Bloomsburg,  Pennsylvania  and
Saxonburg,  Pennsylvania,  and  any  other  facilities  mutually  designated  by
Landlord and Tenant to be included in the Current Phase.

            "Earnout Lease Advances" has the meaning set forth in Article 17.

            "Effective Date" means the date of this Lease.

            "Environmental  Laws"  means all  federal,  state,  and local  laws,
ordinances  and policies the purpose of which is to protect human health and the
environment,  as amended  from time to time,  including  but not  limited to [i]
CERCLA;  [ii] the Resource  Conservation  and Recovery Act;  [iii] the Hazardous
Materials  Transportation Act; [iv] the Clean Air Act; [v] Clean Water Act; [vi]
the Toxic Substances Control Act; [vii] the Occupational  Safety and Health Act;
[viii]  the  Safe  Drinking  Water  Act;  and  [ix]  analogous  state  laws  and
regulations.


                                      -3-
<PAGE>



            "Event of Default" has the meaning set forth in ss.8.1.

            "Expiration Date" has the meaning set forth in ss.1.2.

            "Extended Term" has the meaning set forth in ss.12.3(a).

            "Facility" means the 36-unit (66-bed) skilled nursing facility known
as Balanced Care, Bloomsburg and located on the Leased Property.

            "Facility  Financial  Statement" means a financial statement for the
Facility which shall include the balance sheet,  statement of income,  statement
of  cash  flows,  statement  of  shareholders'  equity,  occupancy  census  data
(including  payor mix) and a comparison of the actual  financial data versus the
Annual Facility Budget for the applicable period.

            "Facility  Uses"  means the uses  relating to the  operation  of the
Facility as a 36-unit  (66-bed)  skilled  nursing  facility  together  with such
additional  uses as may be ancillary to or  complimentary  to a skilled  nursing
facility, and which are permitted under applicable law.

            "Fair Market Value" has the meaning set forth in ss.13.3.

            "Financial  Statements" means [i] the annual,  quarterly and year to
date  financial  statements  of Tenant  and  Guarantor;  and [ii] all  operating
statements  for the  Facility,  that were  submitted  to  Landlord  prior to the
Effective Date.

            "Government Authorizations" means all permits, licenses,  approvals,
consents,  and  authorizations  required to comply with all Legal  Requirements,
including but not limited to, [i] zoning permits, variances, exceptions, special
use permits,  conditional use permits, and consents; [ii] the permits, licenses,
provider  agreements  and  approvals  required for  licensure and operation of a
36-unit  (66-bed)  skilled  nursing  facility  certified as a provider under the
federal Medicare and state Medicaid programs;  [iii] environmental,  ecological,
coastal,  wetlands,  air, and water permits,  licenses, and consents;  [iv] curb
cut,  subdivision,  land use,  and planning  permits,  licenses,  approvals  and
consents;  [v] building,  sign,  fire,  health,  and safety  permits,  licenses,
approvals, and consents; and [vi] architectural reviews, approvals, and consents
required under restrictive covenants.

            "Guarantor" means Balanced Care Corporation, a Delaware corporation.

            "Guaranty"  means the  Unconditional  and Continuing  Lease Guaranty
entered  into by  Guarantor to  guarantee  payment and  performance  of Tenant's
Obligations  and  any  amendments   thereto  or  substitutions  or  replacements
therefor.

            "Hazardous  Materials" means any substance [i] the presence of which
poses a hazard to the health or safety of persons on or about the Land including
but not limited to asbestos containing materials; [ii] which requires removal or
remediation  under any  Environmental  Law,  including  without  limitation  any
substance  which is  toxic,  explosive,  flammable,  radioactive,  or



                                      -4-
<PAGE>


otherwise  hazardous;  or [iii] which is regulated under or classified under any
Environmental  Law as  hazardous  or  toxic  including  but not  limited  to any
substance  within the meaning of "hazardous  substance",  "hazardous  material",
"hazardous waste", "toxic substance",  "regulated substance",  "solid waste", or
"pollutant" as defined in any Environmental Law.

            "Impositions" has the meaning set forth in ss.3.2.

            "Increaser Rate" means [i] in any Lease Year in which the nationwide
Consumer Price Index for all urban  consumers  increases by a percentage that is
less than 20%, 25 basis points per year for the Initial Term and 25 basis points
per year for each  Renewal  Term;  and [ii] in all other Lease  Years,  30 basis
points per year for the Initial Term and 30 basis points for each Renewal Term.

            "Initial Term" has the meaning set forth in ss.1.2.

            "Issuer" means a financial  institution  reasonably  satisfactory to
Landlord issuing the Letter of Credit and such Issuer's  successors and assigns.
Any "Issuer" shall have a Lace Financial Service Rating of "C+" or higher at all
times throughout the Term.

            "Landlord  Affiliate"  means any person,  corporation,  partnership,
limited  liability  company,  trust,  or other legal  entity  that,  directly or
indirectly,  controls,  or is  controlled  by, or is under  common  control with
Landlord.  "Control" (and the correlative  meanings of the terms "controlled by"
and "under common control with") means the  possession,  directly or indirectly,
of the power to direct or cause the direction of the  management and policies of
such entity.  "Landlord  Affiliate"  includes,  without  limitation,  HCRI Texas
Properties, Ltd., HCRI Pennsylvania Properties, Inc., HCRI Overlook Green, Inc.,
HCRI Nevada Properties, Inc., HCRI Louisiana Properties, L.P., Health Care REIT,
Inc., HCRI Tennessee Properties,  Inc., HCRI Tennessee Properties, L.P., and HCN
BCC Holdings, Inc.

            "Lease Advance" means [i] the first Lease Advance by Landlord in the
Acquisition  Amount;  or [ii] any other  advance of funds by  Landlord to Tenant
pursuant to the term of this Lease.

            "Lease Advance  Amount"  means the amount of any Lease Advance.  The
Acquisition Amount is the first Lease Advance Amount.

            "Lease  Advance Date" means the date on which Landlord makes a Lease
Advance.

            "Lease  Amount"  is an  aggregate  concept  and means the sum of the
Lease Advance Amounts outstanding at the applicable time.

            "Lease Documents" means [i] this Lease; and [ii] all other documents
executed by Tenant and Landlord in connection with the Lease.



                                      -5-
<PAGE>


            "Lease  Payments"  means  the  sum of the  Base  Rent  payments  (as
increased from time to time) for the applicable period.

            "Lease Rate" means the annual rate used to  determine  Base Rent for
each Lease  Advance.  The Lease Rate for the Initial  Term is the greater of [i]
10.25% or [ii] the sum of the Rate Index  plus the Rate  Spread,  each  computed
using the 365/360 method. The Lease Rate includes any accrued Increaser Rate. On
each  Renewal  Date,  the Lease  Rate will be reset for the Lease  Amount as set
forth in ss.12.2(c).

            "Lease  Year"  means  each  consecutive  period  of 365 or 366  days
throughout the Term. The first Lease Year commences on the Commencement Date and
expires on the day before the first anniversary of the Commencement Date.

            "Leased  Property"  means,  collectively,  the  Land,  Improvements,
Appurtenances, Fixtures and Personal Property.

            "Legal  Requirements" means all laws,  regulations,  rules,  orders,
writs, injunctions, decrees, certificates,  requirements, agreements, conditions
of participation and standards of any federal, state, county, municipal or other
governmental  entity,   administrative  agency,  insurance  underwriting  board,
architectural   control  board,   private   third-party   payor,   accreditation
organization,  or any  restrictive  covenants  applicable  to  the  development,
construction,  condition and operation of the Facility by Tenant,  including but
not  limited  to,  [i]  zoning,   building,  fire,  health,  safety,  sign,  and
subdivision   regulations  and  codes;   [ii]   certificate  of  need  laws  (if
applicable);  [iii] licensure to operate as a 36-unit  (66-bed)  skilled nursing
facility; [iv] Medicare and Medicaid certification requirements (if applicable);
[v] the ADA; [vi] any Environmental Laws; and [vii] requirements, conditions and
standards for participation in third-party payor insurance programs.

            "Letter of Credit" means an irrevocable and  transferable  Letter of
Credit in an amount  initially  equal to 5% of the Lease  Amount and  subject to
reduction as provided in Section 20.6,  issued by Issuer in favor of Landlord as
security for the Lease and in form  reasonably  acceptable to Landlord,  and any
amendments thereto or replacements or substitutions therefor.

            "Manager"  means BCC  Development  and Management Co., a corporation
organized under the laws of the State of Delaware.

            "Material  Obligation"  means  [i]  any  indebtedness  secured  by a
security  interest in or a lien,  deed of trust or mortgage on any of the Leased
Property  (or  any  part  thereof,  including  any  Personal  Property)  and any
agreement relating thereto; [ii] any obligation or agreement that is material to
the  construction  or  operation of the Facility or that is material to Tenant's
business or financial  condition;  [iii] any  indebtedness  or capital  lease of
Tenant that has an outstanding  principal balance of at least $50,000.00 and any
agreement relating thereto;  [iv] any obligation to or agreement with the Issuer
relating to the Letter of Credit;  and [v] any sublease of the Leased  Property,
exclusive of occupancy agreements with residents of the Leased Property.



                                      -6-
<PAGE>



            "Overdue Rate" has the meaning set forth in ss.8.6.

            "Periodic  Financial  Statements" means [i] for Tenant, an unaudited
balance  sheet and  statement  of income of Tenant for the most recent  quarter;
[ii] for the Facility,  an unaudited Facility  Financial  Statement for the most
recent month; and [iii] for Guarantor,  an unaudited balance sheet and statement
of income of Guarantor for the most recent quarter.

            "Permitted Exceptions" means the  exceptions  to title  set forth on
Exhibit B.

            "Permitted  Liens" means [i] liens  granted to Landlord;  [ii] liens
customarily  incurred by Tenant in the ordinary course of business for items not
delinquent  including  mechanic's  liens and deposits and charges under worker's
compensation  laws;  [iii]  liens  for  taxes  and  assessments  not yet due and
payable;  [iv] any lien, charge, or encumbrance which is being contested in good
faith pursuant to Section 3.7 of this Agreement;  [v] the Permitted  Exceptions;
and [vi] purchase money financing and capitalized or operating  equipment leases
for the  acquisition  of personal  property  provided,  however,  that  Landlord
obtains a  nondisturbance  agreement from the purchase money lender or equipment
lessor in form and  substance as may be reasonably  satisfactory  to Landlord if
the original cost of the equipment exceeds $75,000.00.

            "Phase  Facility"  means each  facility  leased by  Landlord  or any
Landlord Affiliate to Tenant or any Affiliate pursuant to a Phase Lease, whether
now or hereafter existing.

            "Phase  Lease"  means  each  lease  now or  hereafter  made  between
Landlord or any  Landlord  Affiliate  and Tenant or any  Affiliate  and which is
included within the Current Phase as amended, modified, extended or renewed from
time to time.

            "Phase  Tenant" means Tenant or any Affiliate that is a tenant under
a Phase Lease.

            "Pro Forma  Statement"  means a financial  forecast for the Facility
for the  next 5 year  period  prepared  in  accordance  with the  standards  for
forecasts established by the American Institute of Certified Public Accountants.

            "Rate  Determination Date" means the date on which the value for the
Rate Index is  established  for computing any Lease Rate. For any Lease Advances
made during the Initial Term, the Rate  Determination  Date is the Lease Advance
Date. For any Renewal Date, the Rate Determination Date is the last Business Day
of the current Term.

            "Rate Index"  means the yield  quoted in the Wall Street  Journal on
the  applicable  Rate  Determination  Date for the most  actively  traded United
States  Treasury  Notes  having  the  nearest  equivalent  maturity  date to the
Expiration  Date. For any Lease Advance other than the first Lease Advance,  the
yield shall be computed based upon the remainder of the Initial Term.



                                      -7-
<PAGE>


            "Rate   Spread"  means  the  rate  spread  from time to time used to
calculate  the Lease Rate  applicable  to any Lease  Advance  during the Initial
Term. The Rate Spread is 340 basis points for the Initial Term.

            "Receivables"  means [i] all of Tenant's  rights to receive  payment
for providing resident care and services as set forth in any accounts,  contract
rights,  and  instruments,  and [ii] those documents,  chattel paper,  inventory
proceeds, provider agreements,  participation agreements,  ledger sheets, files,
records, computer programs, tapes, and agreements relating to Tenant's rights to
receive payment for providing resident care services.

            "Renewal Date" means the first day of each Renewal Term.

            "Renewal Option" has the meaning set forth in ss.12.1.

            "Renewal Rate" means the Lease Rate established for any Renewal Date
as set forth in ss.12.2(c).

            "Renewal Term" has the meaning set forth in ss.12.1.

            "Rent" has the meaning set forth in ss.2.3.

            "Seller" means Tenant.

            "State" means the Commonwealth of Pennsylvania.

            "Tenant's Obligations" means all payment and performance obligations
of Tenant under this Lease and all  documents  executed by Tenant in  connection
with this Lease.

            "Tenant's   Organizational   Documents"   means  the   Articles   of
Incorporation  of Tenant  certified  by the  Secretary  of State of the state of
organization,  as amended to date, and the Bylaws of Tenant certified by Tenant,
as amended to date.

            "Tenant's Property" has the meaning set forth in ss.11.1.

            "Term" means the Initial Term and each Renewal Term.

                                 ARTICLE 2: RENT

            2.1  BASE RENT. Tenant shall pay Landlord base rent ("Base Rent") in
advance in  consecutive  monthly  installments  payable on the first day of each
month during the Term commencing on the Commencement Date. If the Effective Date
is not the first day of a month,  Tenant  shall  pay  Landlord  Base Rent on the
Effective  Date for the partial  month,  i.e. for the period  commencing  on the
Effective Date and ending on the day before the Commencement Date. The Base Rent
for the Initial Term will be computed monthly and will be equal to 1/12th



                                      -8-
<PAGE>

of the sum of the products of each Lease  Advance  times the Lease Rate for each
Lease  Advance.  The  Base  Rent for  each  Renewal  Term  will be  computed  in
accordance with ss.12.2.

            2.2  INCREASE OF LEASE RATE AND BASE RENT.  Commencing  on the first
anniversary  of  the  Commencement  Date  and  on  each  anniversary  thereafter
throughout the Term  (including any Renewal Term and Extended  Term),  the Lease
Rate will increase by the applicable Increaser Rate. On each date that the Lease
Rate is increased, the Base Rent will be increased accordingly and will be equal
to 1/12th of the sum of the products of each Lease  Advance times the Lease Rate
(including the applicable Increaser Rate) for each Lease Advance.

            2.3  ADDITIONAL RENT. In addition to Base Rent, Tenant shall pay all
other amounts, liabilities,  obligations and Impositions which Tenant assumes or
agrees to pay under this Lease and any fine, penalty,  interest, charge and cost
which may be added for  nonpayment  or late payment of such items  (collectively
the  "Additional  Rent").  The Base  Rent and  Additional  Rent are  hereinafter
referred to as "Rent".  Landlord shall have all legal, equitable and contractual
rights,  powers  and  remedies  provided  either in this  Lease or by statute or
otherwise in the case of nonpayment of the Rent.

            2.4  PLACE OF PAYMENT OF RENT.  Tenant  shall make  all payments  of
rent at the Landlord's address set forth in the first paragraph of this Lease or
at such other place as Landlord may designate from time to time.

            2.5  NET LEASE.  This Lease shall be deemed and  construed  to be an
"absolute  net  lease",  and  Tenant  shall pay all Rent and other  charges  and
expenses in connection  with the Leased  Property  throughout the Term,  without
abatement, deduction or set-off.

            2.6  NO   TERMINATION,   ABATEMENT,  ETC.   Except    as   otherwise
specifically  provided in this Lease, Tenant shall remain bound by this Lease in
accordance  with its terms.  Tenant shall not,  without the consent of Landlord,
modify,  surrender  or  terminate  the Lease,  nor seek nor be  entitled  to any
abatement,  deduction,  deferment or reduction of Rent,  or set-off  against the
Rent.  Except as expressly  provided in this Lease,  the obligations of Landlord
and Tenant shall not be affected by reason of [i] any damage to, or  destruction
of, the Leased  Property or any part thereof from  whatever  cause or any Taking
(as hereinafter  defined) of the Leased  Property or any part thereof;  [ii] the
lawful or unlawful  prohibition  of, or  restriction  upon,  Tenant's use of the
Leased  Property,  or any part thereof,  the  interference  with such use by any
person,  corporation,  partnership or other entity,  or by reason of eviction by
paramount title; [iii] any claim which Tenant has or might have against Landlord
or by reason of any default or breach of any  warranty  by  Landlord  under this
Lease or any other agreement  between Landlord and Tenant,  or to which Landlord
and  Tenant  are  parties;  [iv]  any  bankruptcy,  insolvency,  reorganization,
composition,  readjustment,   liquidation,  dissolution,  winding  up  or  other
proceeding affecting Landlord or any assignee or transferee of Landlord;  or [v]
any other cause,  whether  similar or dissimilar to any of the foregoing,  other
than a discharge of Tenant from any such  obligations as a matter of law. Except
as otherwise  specifically  provided in this Lease,  Tenant hereby  specifically
waives all rights,  arising  from any  occurrence  whatsoever,  which may now or
hereafter be conferred upon it by law [a] to modify, surrender or terminate this
Lease or 



                                      -9-
<PAGE>


quit or surrender the Leased Property or any portion  thereof;  or [b] entitling
Tenant to any abatement, reduction, suspension or deferment of the Rent or other
sums  payable  by Tenant  hereunder.  The  obligations  of  Landlord  and Tenant
hereunder  shall be separate and  independent  covenants and  agreements and the
Rent and all other sums payable by Tenant hereunder shall continue to be payable
in all  events  unless  the  obligations  to pay the same  shall  be  terminated
pursuant to the express provisions of this Lease or by termination of this Lease
other than by reason of an Event of Default.

            2.7  COMPUTATIONAL METHOD.  Landlord and Tenant acknowledge that all
rates  under  this  Lease will be  computed  based on the actual  number of days
elapsed over a 360-day year (365/360 method).

            2.8  COMMITMENT  FEE.  On the  Effective  Date,  Tenant  shall pay a
commitment fee to Landlord in an amount equal to 1% of the Acquisition Amount.

                      ARTICLE 3: IMPOSITIONS AND UTILITIES

            3.1  PAYMENT OF  IMPOSITIONS. Tenant shall pay, as Additional  Rent,
all  Impositions  that may be levied or become a lien on the Leased  Property or
any part  thereof at any time  (whether  prior to or during  the Term),  without
regard to prior  ownership of said Leased  Property,  before any fine,  penalty,
interest,  or cost is  incurred;  provided,  however,  Tenant  may  contest  any
Imposition in accordance  with ss.3.7.  Tenant shall deliver to Landlord [i] not
more than 5 days after the due date of each  Imposition,  copies of the  invoice
for such  Imposition and the check delivered for payment  thereof;  and [ii] not
more than 30 days after the due date of each Imposition,  a copy of the official
receipt  evidencing  such  payment  or other  proof of payment  satisfactory  to
Landlord. Tenant's obligation to pay such Impositions shall be deemed absolutely
fixed upon the date such  Impositions  become a lien upon the Leased Property or
any part thereof. Tenant, at its expense, shall prepare and file all tax returns
and reports in respect of any  Imposition  as may be  required  by  governmental
authorities.  Tenant  shall be  entitled  to any  refund  due  from  any  taxing
authority  if  no  Event  of  Default  shall  have  occurred  hereunder  and  be
continuing.  Landlord shall be entitled to any refund from any taxing  authority
if an Event of Default has occurred and is continuing.  Any refunds  retained by
Landlord  due to an Event of Default  shall be applied  as  provided  in ss.8.8.
Landlord and Tenant  shall,  upon request of the other,  provide such data as is
maintained  by the party to whom the request is made with  respect to the Leased
Property as may be necessary to prepare any required returns and reports. In the
event  governmental  authorities  classify any property covered by this Lease as
personal  property,  Tenant shall file all personal property tax returns in such
jurisdictions where it may legally so file. Landlord, to the extent it possesses
the same,  and Tenant,  to the extent it  possesses  the same,  will provide the
other party,  upon request,  with cost and  depreciation  records  necessary for
filing  returns for any  property so  classified  as  personal  property.  Where
Landlord is legally required to file personal property tax returns,  Tenant will
be provided  with copies of assessment  notices  indicating a value in excess of
the reported value in sufficient time for Tenant to file a protest.  Tenant may,
upon  notice to  Landlord,  at  Tenant's  option and at  Tenant's  sole cost and
expense, protest, appeal, or institute such other proceedings as Tenant may deem
appropriate  to  effect  a  reduction  of  real  estate  or  personal   property
assessments  and  Landlord,  at  Tenant's



                                      -10-
<PAGE>


expense as aforesaid, shall fully cooperate with Tenant in such protest, appeal,
or other action. Tenant shall reimburse Landlord for all personal property taxes
paid by Landlord within 30 days after receipt of billings  accompanied by copies
of a bill  therefor and payments  thereof which  identify the personal  property
with respect to which such payments are made.  Impositions imposed in respect to
the  tax-fiscal  period during which the Term  terminates  shall be adjusted and
prorated between Landlord and Tenant,  whether or not such Imposition is imposed
before or after such  termination,  and Tenant's  obligation to pay its prorated
share thereof shall survive such termination.

            3.2  DEFINITION OF IMPOSITIONS.  "Impositions"  means, collectively,
[i] taxes (including without  limitation,  all capital stock and franchise taxes
of Landlord imposed by the State or any governmental  entity in the State due to
this lease  transaction or Landlord's  ownership of the Leased  Property and the
income arising therefrom,  or due to Landlord being considered as doing business
in the State  because of  Landlord's  ownership of the Leased  Property or lease
thereof to Tenant but only to the extent Tenant would have been obligated to pay
such taxes if Tenant rather than Landlord was the owner of the Leased Property),
all real estate and  personal  property ad valorem,  sales and use,  business or
occupation,  single business,  gross receipts,  transaction  privilege,  rent or
similar taxes; [ii] assessments  (including without limitation,  all assessments
for public improvements or benefits, whether or not commenced or completed prior
to the date  hereof and  whether or not to be  completed  with the Term);  [iii]
ground rents, water, sewer or other rents and charges,  excises, tax levies, and
fees (including without limitation,  license, permit, inspection,  authorization
and similar fees);  [iv] all taxes imposed on Tenant's  operations of the Leased
Property, including without limitation, employee withholding taxes, income taxes
and  intangible  taxes;  [v] all taxes imposed by the State or any  governmental
entity in the State with  respect to the  conveyance  of the Leased  Property by
Landlord  to  Tenant  or  Tenant's  designee,   including  without   limitation,
conveyance  taxes and  capital  gains  taxes;  and [vi] all  other  governmental
charges, in each case whether general or special, ordinary or extraordinary,  or
foreseen or unforeseen,  of every character in respect of the Leased Property or
any part thereof and/or the Rent  (including all interest and penalties  thereon
due to any failure in payment by Tenant),  which at any time prior to, during or
in respect of the Term  hereof may be assessed or imposed on or in respect of or
be a lien upon [a] Landlord or Landlord's interest in the Leased Property or any
part thereof;  [b] the Leased Property or any part thereof or any rent therefrom
or  any  estate,  right,  title  or  interest  therein;  or [c]  any  occupancy,
operation,  use or possession of, or sales from, or activity conducted on, or in
connection with the Leased Property or the leasing or use of the Leased Property
or any part thereof.  Tenant shall not, however,  be required to pay any tax [y]
based on income or assets imposed on Landlord by any  governmental  entity other
than the capital stock and franchise  taxes described in clause [i] above or [z]
based on the transfer of Landlord's interest in the Leased Property or equity of
Landlord to a party other than Guarantor  unless the transfer occurs pursuant to
an Event of Default.

            3.3  ESCROW OF IMPOSITIONS.  If an Event of Default occurs and while
it remains uncured, Tenant shall, at Landlord's election,  deposit with Landlord
on the first day of each month a sum equal to 1/12th of the Impositions assessed
against the Leased Property for the preceding tax year, which sums shall be used
by Landlord toward payment of such Impositions.  Tenant, on demand, shall pay to
Landlord any additional  funds necessary to pay and discharge



                                      -11-
<PAGE>


the  obligations  of Tenant  pursuant to the  provisions  of this  section.  The
receipt by Landlord of the payment of such  Impositions by and from Tenant shall
only  be  as  an  accommodation  to  Tenant,  the  mortgagees,  and  the  taxing
authorities,  and shall not be construed as rent or income to Landlord, Landlord
serving, if at all, only as a conduit for delivery purposes.

            3.4  UTILITIES.  Tenant shall pay, as  Additional  Rent,  all taxes,
assessments,  charges,  deposits,  and bills for  utilities,  including  without
limitation  charges for water, gas, oil, sanitary and storm sewer,  electricity,
telephone  service,  and trash  collection,  which may be  charged  against  the
occupant of the Improvements  during the Term. If an Event of Default occurs and
while it remains  uncured,  Tenant shall, at Landlord's  election,  deposit with
Landlord  on the first day of each  month a sum equal to 1/12th of the amount of
the annual utility  expenses for the preceding  Lease Year,  which sums shall be
used by Landlord to pay such utilities. Tenant shall, on demand, pay to Landlord
any additional amount needed to pay such utilities.  Landlord's  receipt of such
payments shall only be an accommodation to Tenant and the utility  companies and
shall  not  constitute  rent or income to  Landlord.  Tenant  shall at all times
maintain that amount of heat  necessary to ensure  against the freezing of water
lines.  Tenant hereby  agrees to indemnify  and hold Landlord  harmless from and
against any liability or damages to the utility  systems and the Leased Property
that may  result  from  Tenant's  failure  to  maintain  sufficient  heat in the
Improvements.

            3.5  DISCONTINUANCE  OF  UTILITIES.  Landlord will not be liable for
damages to person or property or for injury to, or interruption of, business for
any  discontinuance  of  utilities  nor will such  discontinuance  in any way be
construed  as an eviction of Tenant or cause an  abatement of rent or operate to
release Tenant from any of Tenant's obligations under this Lease.

            3.6  BUSINESS  EXPENSES. Tenant shall  promptly pay all expenses and
costs  incurred in  connection  with the operation of the Facility on the Leased
Property, including without limitation, employee benefits, employee vacation and
sick pay, consulting fees, and expenses for inventory and supplies.

            3.7  PERMITTED  CONTESTS.  Tenant,  on  its  own  or  on  Landlord's
behalf (or in  Landlord's  name),  but at  Tenant's  expense,  may  contest,  by
appropriate  legal  proceedings  conducted in good faith and with due diligence,
the amount or validity or application, in whole or in part, of any Imposition or
any Legal Requirement or insurance  requirement or any lien,  attachment,  levy,
encumbrance,  charge  or  claim  provided  that  [i] in the  case  of an  unpaid
Imposition,   lien,  attachment,   levy,  encumbrance,   charge  or  claim,  the
commencement and  continuation of such proceedings  shall suspend the collection
thereof  from  Landlord  and from the Leased  Property;  [ii] neither the Leased
Property nor any Rent  therefrom nor any part thereof or interest  therein would
be in any immediate danger of being sold, forfeited,  attached or lost; [iii] in
the case of a Legal  Requirement,  Landlord would not be in any immediate danger
of civil or  criminal  liability  for  failure to comply  therewith  pending the
outcome of such proceedings;  [iv] in the case of a Legal Requirement  and/or an
Imposition,  lien, encumbrance or charge, in excess of $50,000.00,  Tenant shall
give such reasonable  security as may be demanded by Landlord to insure ultimate
payment of the same and to prevent any sale or forfeiture of the affected Leased
Property or the Rent by reason of such  nonpayment or  noncompliance;  provided,



                                      -12-
<PAGE>


however,  the provisions of this section shall not be construed to permit Tenant
to contest the payment of Rent (except as to contests  concerning  the method of
computation  or the  basis  of  levy  of any  Imposition  or the  basis  for the
assertion  of any other  claim) or any other sums  payable by Tenant to Landlord
hereunder; [v] in the case of an insurance requirement, the coverage required by
Article 4 shall be  maintained;  and [vi] if such  contest be  finally  resolved
against  Landlord or Tenant,  Tenant shall,  as Additional  Rent due  hereunder,
promptly  pay the amount  required to be paid,  together  with all  interest and
penalties  accrued thereon,  or comply with the applicable Legal  Requirement or
insurance requirement.  Landlord, at Tenant's expense, shall execute and deliver
to Tenant such  authorizations and other documents as may be reasonably required
in any such contest,  and, if  reasonably  requested by Tenant or if Landlord so
desires,  Landlord  shall  join as a party  therein.  Tenant  hereby  agrees  to
indemnify and save Landlord  harmless  from and against any  liability,  cost or
expense of any kind that may be imposed  upon  Landlord in  connection  with any
such contest and any loss resulting therefrom.

                              ARTICLE 4: INSURANCE

            4.1  PROPERTY INSURANCE.  At Tenant's expense, Tenant shall maintain
in full force and effect a property  insurance  policy or policies  insuring the
Leased Property against the following:

                  (a)  Loss  or  damage  commonly  covered  by  a "Special Form"
policy insuring against physical loss or damage to the Improvements and Personal
Property,  including  but not  limited  to,  risk of loss  from  fire and  other
hazards,  collapse,  transit coverage,  vandalism,  malicious  mischief,  theft,
earthquake (if the Leased  Property is in earthquake  zone 1 or 2) and sinkholes
(if usually recommended in the area of the Leased Property). The policy shall be
in the  amount of the full  replacement  value (as  defined  in  ss.4.5)  of the
Improvements  and  Personal  Property  and  shall  contain a  deductible  amount
acceptable to Landlord.  Landlord shall be named as an additional  insured.  The
policy shall include a stipulated value endorsement or agreed amount endorsement
and  endorsements  for  contingent  liability for  operations of building  laws,
demolition costs, and increased cost of construction.

                  (b)  If applicable,  loss or  damage  by  explosion  of  steam
boilers,  pressure vessels, or similar apparatus,  now or hereafter installed on
the Leased Property, in commercially reasonable amounts acceptable to Landlord.

                  (c)  Consequential  loss of rents and income coverage insuring
against  all  "Special  Form" risk of  physical  loss or damage  with limits and
deductible amounts acceptable to Landlord covering risk of loss during the first
9 months of reconstruction, and containing an endorsement for extended period of
indemnity of at least 6 months, and shall be written with a stipulated amount of
coverage if available at a reasonable premium.

                  (d)  If the Leased Property is located,  in  whole or in part,
in a federally  designated  100-year flood plain area,  flood  insurance for the
Improvements in an amount equal to the lesser of [i] the full replacement  value
of the Improvements;  or [ii] the maximum amount 



                                      -13-
<PAGE>

of insurance  available for the Improvements under all federal and private flood
insurance programs.

                  (e)  Loss or damage caused by the  breakage  of plate glass in
commercially reasonable amounts acceptable to Landlord.

                  (f)  Loss   or  damage  commonly  covered by   blanket   crime
insurance including employee dishonesty, loss of money orders or paper currency,
depositor's  forgery,  and loss of property  of patients  accepted by Tenant for
safekeeping, in commercially reasonable amounts acceptable to the Landlord.

            4.2  LIABILITY INSURANCE. At Tenant's expense, Tenant shall maintain
liability insurance against the following:

                  (a)  Claims for personal  injury or property  damage  commonly
covered by  comprehensive  general  liability  insurance with  endorsements  for
incidental  malpractice,   contractual,   personal  injury,  owner's  protective
liability,  voluntary medical payments, products and completed operations, broad
form property damage, and extended bodily injury,  with commercially  reasonable
amounts for bodily  injury,  property  damage,  and voluntary  medical  payments
acceptable  to  Landlord,  but with a  combined  single  limit of not less  than
$5,000,000.00 per occurrence.

                  (b)  Claims for personal injury and property  damage  commonly
covered by comprehensive automobile liability insurance,  covering all owned and
non-owned automobiles,  with commercially  reasonable amounts for bodily injury,
property damage, and for automobile medical payments acceptable to Landlord, but
with a combined single limit of not less than $5,000,000.00 per occurrence.

                  (c)  Claims for personal  injury  commonly  covered by medical
malpractice insurance in commercially reasonable amounts acceptable to Landlord.

                  (d)  Claims  commonly   covered    by   worker's  compensation
insurance  for all  persons  employed  by Tenant on the  Leased  Property.  Such
worker's compensation  insurance shall be in accordance with the requirements of
all applicable local, state, and federal law.

            4.3  BUILDER'S RISK INSURANCE.  In connection with any construction,
Tenant shall maintain in full force and effect a builder's  completed value risk
policy  ("Builder's  Risk Policy") of insurance in a nonreporting  form insuring
against all "Special Form" risk of physical loss or damage to the  Improvements,
including  but not  limited  to,  risk of loss  from  fire  and  other  hazards,
collapse, transit coverage, vandalism, malicious mischief, theft, earthquake (if
Leased  Property  is in  earthquake  zone  1 or 2)  and  sinkholes  (if  usually
recommended in the area of the Leased Property). The Builder's Risk Policy shall
include endorsements  providing coverage for building materials and supplies and
temporary premises. The Builder's Risk Policy shall be in the amount of the full
replacement   value  of  the  Improvements   and  shall  contain  a   deductible


                                      -14-
<PAGE>


amount acceptable to Landlord. Landlord shall be named as an additional insured.
The  Builder's  Risk Policy  shall  include an  endorsement  permitting  initial
occupancy.

            4.4  INSURANCE  REQUIREMENTS. The following provisions  shall  apply
to all insurance coverages required hereunder:

                  (a)  The form and substance of all policies shall  be  subject
to the approval of Landlord, which approval will not be unreasonably withheld.

                  (b)  The carriers of  all policies  shall have a Best's Rating
of "A" or better  and a Best's  Financial  Category  of X or higher and shall be
authorized to do insurance business in the State.

                  (c)  Tenant shall be the "named insured" and Landlord shall be
an "additional  insured" on each liability  policy. On all property and casualty
policies, Landlord and Tenant shall be joint loss payees.

                  (d)  Tenant shall deliver to Landlord certificates or policies
showing the required coverages and endorsements. The policies of insurance shall
provide  that the policy may not be  canceled  or not  renewed,  and no material
change or  reduction  in coverage  may be made,  without at least 30 days' prior
written notice to Landlord.

                  (e)  The policies  shall  contain a  severability  of interest
and/or cross-liability endorsement, provide that the acts or omissions of Tenant
or Landlord  will not  invalidate  the coverage of the other party,  and provide
that Landlord shall not be responsible for payment of premiums.

                  (f)  All loss adjustment  shall require the written consent of
Landlord and Tenant, as their interests may appear.

                  (g)  At   least  10  days  prior  to  the  expiration  of each
insurance policy, Tenant shall deliver to Landlord a certificate showing renewal
of such  policy  and  payment  of the  annual  premium  therefor  and a  current
Certificate  of  Compliance  (in the  form  delivered  at the  time of  Closing)
completed and signed by Tenant's insurance agent.

            4.5  REPLACEMENT VALUE. The term "full replacement  value" means the
actual  replacement  cost thereof from time to time including  increased cost of
construction  endorsement,  with no reductions or deductions.  Tenant shall,  in
connection   with  each   annual   policy   renewal,   deliver  to   Landlord  a
redetermination  of the full replacement  value by the insurer or an endorsement
indicating that the Leased Property is insured for its full  replacement  value.
If Tenant makes any Permitted Alterations (as hereinafter defined) to the Leased
Property, Landlord may have such full replacement value redetermined at any time
after  such  Permitted  Alterations  are  made,  regardless  of  when  the  full
replacement value was last determined.



                                      -15-
<PAGE>


            4.6  BLANKET  POLICY.   Notwithstanding  anything  to  the  contrary
contained in this section,  Tenant may [i] carry the insurance  required by this
Article under a blanket policy of insurance, provided that the coverage afforded
Tenant will not be reduced or  diminished  or otherwise  be different  from that
which would exist under a separate  policy  meeting all of the  requirements  of
this Lease;  and [ii] Tenant may meet the limits of liability  for  insurance by
maintaining a portion thereof as "excess" insurance under an umbrella policy.

            4.7  NO  SEPARATE  INSURANCE.  Tenant  shall not take  out  separate
insurance  concurrent  in form or  contributing  in the  event of loss with that
required  in  this  Article,  or  increase  the  amounts  of any  then  existing
insurance,  by securing an additional policy or additional policies,  unless all
parties  having an insurable  interest in the subject  matter of the  insurance,
including  Landlord  and any  mortgagees,  are  included  therein as  additional
insureds or loss payees,  the loss is payable  under said  insurance in the same
manner as losses are payable under this Lease, and such additional  insurance is
not prohibited by the existing  policies of insurance.  Tenant shall immediately
notify  Landlord of the taking out of such separate  insurance or the increasing
of any of the amounts of the existing insurance by securing an additional policy
or additional policies.

            4.8  WAIVER OF  SUBROGATION. Each party hereto hereby waives any and
every claim  which  arises or may arise in its favor and against the other party
hereto  during  the  Term  for any and all loss of,  or  damage  to,  any of its
property located within or upon, or constituting a part of, the Leased Property,
which loss or damage is covered by valid and collectible  insurance policies, to
the extent that such loss or damage is  recoverable  under such  policies.  Said
mutual waiver shall be in addition to, and not in  limitation or derogation  of,
any other waiver or release  contained in this Lease with respect to any loss or
damage to property  of the parties  hereto.  Inasmuch as the said  waivers  will
preclude  the  assignment  of any  aforesaid  claim  by way of  subrogation  (or
otherwise)  to an  insurance  company (or any other  person),  each party hereto
agrees  immediately  to give  each  insurance  company  which  has  issued to it
policies of insurance,  written notice of the terms of said mutual waivers,  and
to have such insurance policies properly endorsed, if necessary,  to prevent the
invalidation  of said insurance  coverage by reason of said waivers,  so long as
such endorsement is available at a reasonable cost.

            4.9  MORTGAGES. The following provisions shall apply if Landlord now
or hereafter  places a mortgage on the Leased Property or any part thereof:  [i]
Tenant shall obtain a standard form of lender's loss payable clause insuring the
interest of the  mortgagee;  [ii] Tenant shall deliver  evidence of insurance to
such  mortgagee;  [iii]  loss  adjustment  shall  require  the  consent  of  the
mortgagee; and [iv] Tenant shall provide such other information and documents as
may be required by the mortgagee.

            4.10  ESCROWS.  After an Event of Default occurs  hereunder,  Tenant
shall make such  periodic  payments of  insurance  premiums in  accordance  with
Landlord's requirements after receipt of notice thereof from Landlord.



                                      -16-
<PAGE>


                              ARTICLE 5: INDEMNITY

            5.1  TENANT'S INDEMNIFICATION.  Tenant hereby indemnifies and agrees
to hold harmless Landlord, any successors or assigns of Landlord, and Landlord's
and such successor's and assign's directors, officers, employees and agents from
and against any and all demands,  claims,  causes of action,  fines,  penalties,
damages (including consequential damages), losses, liabilities (including strict
liability),  judgments, and expenses (including, without limitation,  reasonable
attorneys'  fees,  court costs,  and the costs set forth in ss.8.7)  incurred in
connection with or arising from: [i] the use or occupancy of the Leased Property
by Tenant or any persons  claiming  under Tenant;  [ii] any  activity,  work, or
thing done, or permitted or suffered by Tenant in or about the Leased  Property;
[iii] any acts, omissions,  or negligence of Tenant or any person claiming under
Tenant, or the contractors,  agents, employees,  invitees, or visitors of Tenant
or any such person; [iv] any breach,  violation,  or nonperformance by Tenant or
any  person  claiming  under  Tenant  or  the  employees,  agents,  contractors,
invitees, or visitors of Tenant or of any such person, of any term, covenant, or
provision of this Lease or any law,  ordinance,  or governmental  requirement of
any  kind  including,  without  limitation,  any  failure  to  comply  with  any
applicable  requirements  under the ADA; [v] any injury or damage to the person,
property or business of Tenant, its employees,  agents,  contractors,  invitees,
visitors,  or any other person entering upon the Leased  Property;  and [vi] any
construction, alterations, changes or demolition of the Facility performed by or
contracted  for  Tenant  or its  employees,  agents  or  contractors;  provided,
however, in no event shall Landlord be indemnified or held harmless if the claim
or loss has resulted from the grossly  negligent or willful acts or omissions of
Landlord,  its  employees  and agents.  If any action or  proceeding  is brought
against Landlord, its employees,  or agents by reason of any such claim, Tenant,
upon  notice from  Landlord,  will  defend the claim at  Tenant's  expense  with
counsel  reasonably  satisfactory  to Landlord.  All amounts payable to Landlord
under this section shall be payable on written demand and any such amounts which
are not paid  within 10 days  after  demand  therefor  by  Landlord  shall  bear
interest at the Overdue Rate. In case any action,  suit or proceeding is brought
against  Tenant  by  reason of any such  occurrence,  Tenant  shall use its best
efforts to defend such action, suit or proceeding.

            5.1.1  NOTICE OF CLAIM. Landlord  shall notify  Tenant in writing of
any claim or action brought  against  Landlord in which  indemnity may be sought
against  Tenant  pursuant  to this  section.  Such  notice  shall  be  given  in
sufficient  time to allow  Tenant  to  defend or  participate  in such  claim or
action,  but the  failure  to give such  notice  in  sufficient  time  shall not
constitute a defense  hereunder nor in any way impair the  obligations of Tenant
under this  section  unless the failure to give such notice  precludes  Tenant's
defense of any such action.

            5.1.2  SURVIVAL OF COVENANTS.  The covenants of Tenant  contained in
this section shall remain in full force and effect after the termination of this
Agreement until the expiration of the period stated in the applicable statute of
limitations  during  which a claim or cause of action may be brought and payment
in full or the satisfaction of such claim or cause of action and of all expenses
and charges  incurred by Landlord  relating to the enforcement of the provisions
herein specified.



                                      -17-
<PAGE>

            5.1.3  REIMBURSEMENT OF EXPENSES.  Unless  prohibited by law, Tenant
hereby  agrees  to pay to  Landlord  all of the  reasonable  fees,  charges  and
reasonable  out-of-pocket  expenses related to the Facility and required hereby,
or incurred by Landlord in enforcing the provisions of this Agreement.

            5.2    ENVIRONMENTAL INDEMNITY; AUDITS.

            5.2.1  INDEMNIFICATION.  Tenant  hereby  indemnifies  and  agrees to
hold harmless Landlord, any successors to Landlord's interest in this Lease, and
Landlord's and such successors' directors,  officers,  employees and agents from
and against any  losses,  claims,  damages  (including  consequential  damages),
penalties,  fines,  liabilities  (including strict liability),  costs (including
cleanup and recovery costs), and expenses  (including expenses of litigation and
reasonable  consultants'  and attorneys' fees) incurred by Landlord or any other
indemnitee  or assessed  against  the Leased  Property by virtue of any claim or
lien by any governmental or  quasi-governmental  unit,  body, or agency,  or any
third party, for cleanup costs or other costs pursuant to any Environmental Law.
Tenant's  indemnity  shall  survive the  termination  of this  Lease.  Provided,
however, Tenant shall have no indemnity obligation with respect to [i] Hazardous
Materials first  introduced to the Leased  Property  subsequent to the date that
Tenant's  occupancy of the Leased Property shall have fully terminated;  or [ii]
Hazardous  Materials  introduced to the Leased Property by Landlord,  its agent,
employees,  successors or assigns.  If at any time during the Term of this Lease
any  governmental  authority  notifies  Landlord or Tenant of a violation of any
Environmental  Law or Landlord  reasonably  believes that a Facility may violate
any Environmental Law, Landlord may require one or more environmental  audits of
the Leased Premises, in such form, scope and substance as specified by Landlord,
at Tenant's  expense.  Tenant shall,  within 30 days after receipt of an invoice
from  Landlord,  reimburse  Landlord  for all costs  and  expenses  incurred  in
reviewing any  environmental  audit,  including without  limitation,  reasonable
attorneys' fees and costs.

            5.3    LIMITATION OF LANDLORD'S  LIABILITY.  Except for the  grossly
negligent or willful acts or  omissions  of Landlord,  its  employees or agents,
Landlord,  its agents,  and employees,  will not be liable for any loss, injury,
death, or damage  (including  consequential  damages) to persons,  property,  or
Tenant's  business  occasioned by theft,  act of God, public enemy,  injunction,
riot, strike, insurrection, war, court order, requisition, order of governmental
body or authority, fire, explosion, falling objects, steam, water, rain or snow,
leak or flow of water (including water from the elevator  system),  rain or snow
from the Leased Property or into the Leased  Property or from the roof,  street,
subsurface  or from any  other  place,  or by  dampness  or from  the  breakage,
leakage,  obstruction,  or  other  defects  of  the  pipes,  sprinklers,  wires,
appliances,  plumbing,  air  conditioning,  or  lighting  fixtures of the Leased
Property, or from construction,  repair, or alteration of the Leased Property or
from any acts or  omissions  of any other  occupant  or  visitor  of the  Leased
Property, or from any other cause beyond Landlord's control.



                                      -18-
<PAGE>



                    ARTICLE 6: USE AND ACCEPTANCE OF PREMISES

            6.1  USE OF LEASED PROPERTY.  Tenant shall use and occupy the Leased
Property  exclusively  for the  Facility  Uses and for all lawful  and  licensed
ancillary  uses, and for no other purpose  without the prior written  consent of
the  Landlord.  Tenant  shall  obtain and  maintain (or cause to be obtained and
maintained) all approvals,  licenses, and consents needed to use and operate the
Leased Property as herein  permitted.  Tenant shall deliver to Landlord complete
copies  of  surveys,  examinations,  certification  and  licensure  inspections,
compliance  certificates,  and  other  similar  reports  issued to Tenant by any
governmental agency within 10 days after Tenant's receipt of each item.

            6.2  ACCEPTANCE OF LEASED  PROPERTY.  Tenant  acknowledges  that [i]
Tenant and its agents have had an  opportunity  to inspect the Leased  Property;
[ii] Tenant has found the Leased  Property fit for Tenant's use;  [iii] Landlord
will deliver the Leased Property to Tenant in "as-is"  condition;  [iv] Landlord
is not obligated to make any improvements or repairs to the Leased Property; and
[v]  the  roof,  walls,  foundation,  heating,  ventilating,  air  conditioning,
telephone, sewer, electrical, mechanical, elevator, utility, plumbing, and other
portions of the Leased  Property are in good working  order.  Tenant  waives any
claim or action  against  Landlord  with respect to the  condition of the Leased
Property.  LANDLORD MAKES NO WARRANTY OR REPRESENTATION,  EXPRESS OR IMPLIED, IN
RESPECT OF THE LEASED PROPERTY OR ANY PART THEREOF, EITHER AS TO ITS FITNESS FOR
USE,  DESIGN OR CONDITION FOR ANY PARTICULAR USE OR PURPOSE OR OTHERWISE,  OR AS
TO QUALITY OF THE MATERIAL OR WORKMANSHIP  THEREIN,  LATENT OR PATENT,  IT BEING
AGREED THAT ALL SUCH RISKS ARE TO BE BORNE BY TENANT.

            6.3  CONDITIONS OF USE AND  OCCUPANCY. Tenant agrees that during the
Term it shall use and keep the Leased  Property  in a  careful,  safe and proper
manner;  not  commit or suffer  waste  thereon;  not use or  occupy  the  Leased
Property for any  unlawful  purposes;  not use or occupy the Leased  Property or
permit  the same to be used or  occupied,  for any  purpose or  business  deemed
extrahazardous on account of fire or otherwise; keep the Leased Property in such
repair and  condition as may be required by the Board of Health,  or other city,
state or federal authorities,  free of all cost to Landlord; not permit any acts
to be done which will cause the cancellation, invalidation, or suspension of any
insurance  policy;  and permit  Landlord and its agents to enter upon the Leased
Property at all reasonable times to examine the condition thereof.

                     ARTICLE 7: REPAIRS AND MECHANICS' LIENS

            7.1  MAINTENANCE.  Tenant shall  maintain,  repair,  and replace the
Leased Property,  including without limitation, all structural and nonstructural
repairs and  replacements  to the roof,  foundations,  exterior  walls,  parking
areas,  sidewalks,  water, sewer, and gas connections,  pipes, and mains. Tenant
shall pay,  as  Additional  Rent,  the full cost of  maintenance,  repairs,  and
replacements.  Tenant shall maintain all drives,  sidewalks,  parking areas, and
lawns on or about the Leased Property in a clean and orderly condition,  free of
accumulations  of dirt,  rubbish,  snow and ice. Tenant shall permit Landlord to
inspect the Leased  



                                      -19-
<PAGE>


Property at all reasonable times, and shall implement all reasonable suggestions
of the Landlord as to the maintenance and replacement of the Leased Property.

            7.2  REQUIRED ALTERATIONS.  Tenant shall,  at Tenant's sole cost and
expense, make any additions,  changes, improvements or alterations to the Leased
Property,  including  structural  alterations,  which  may  be  required  by any
governmental  authorities,  including  those  required to maintain  licensure or
certification  under the  Medicare  and  Medicaid  programs  (if so  certified),
whether  such  changes  are  required  by  Tenant's  use,  changes  in the  law,
ordinances, or governmental regulations, defects existing as of the date of this
Lease, or any other cause whatever. All such additions, changes, improvements or
alterations  shall be deemed to be Permitted  Alterations  and shall comply with
all laws requiring such alterations and with the provisions of ss.16.4.

            7.3  MECHANIC'S  LIENS.  Tenant shall have no authority to permit or
create a lien against  Landlord's  interest in the Leased  Property,  and Tenant
shall  post  notices  or file  such  documents  as may be  required  to  protect
Landlord's  interest in the Leased Property against liens.  Tenant hereby agrees
to defend, indemnify, and hold Landlord harmless from and against any mechanic's
liens  against  the  Leased  Property  by reason  of work,  labor,  services  or
materials  supplied  or  claimed  to  have  been  supplied  on or to the  Leased
Property.  Subject to Tenant's  right to contest such lien pursuant to ss.3.7 of
this Lease,  Tenant shall remove,  bond-off,  or otherwise obtain the release of
any mechanic's  lien filed against the Leased  Property within 10 days after the
filing thereof. Tenant shall pay all expenses in connection therewith, including
without limitation,  damages,  interest,  court costs and reasonable  attorneys'
fees.

            7.4  REPLACEMENTS OF  FIXTURES AND  PERSONAL  PROPERTY. Tenant shall
not remove  Fixtures and Personal  Property from the Leased  Property  except to
replace the  Fixtures  and  Personal  Property by other  similar  items of equal
quality  and value.  Items  being  replaced  by Tenant may be removed  and shall
become the property of Tenant and items  replacing  the same shall be and remain
the  property of  Landlord.  Tenant shall  execute,  upon  written  request from
Landlord,  any and all documents necessary to evidence  Landlord's  ownership of
the Personal Property and replacements therefor. Tenant may finance replacements
for the  Fixtures  and  Personal  Property by  equipment  lease or by a security
agreement and financing statement if [i] Landlord has consented to the terms and
conditions of the equipment lease or security agreement, which consent shall not
be unreasonably  withheld,  conditioned,  or delayed;  and [ii] for Fixtures and
Personal Property having a cost in excess of $75,000.00, the equipment lessor or
lender has entered into a nondisturbance  agreement with Landlord upon terms and
conditions reasonably acceptable to Landlord,  including without limitation, the
following:  [a] Landlord shall have the right (but not the obligation) to assume
such security  agreement or equipment  lease upon the  occurrence of an Event of
Default  under this  Lease;  [b] the  equipment  lessor or lender  shall  notify
Landlord  of any  default  by  Tenant  under  the  equipment  lease or  security
agreement and give Landlord a reasonable  opportunity to cure such default;  and
[c]  Landlord  shall  have the right to assign its  rights  under the  equipment
lease, security agreement, or nondisturbance agreement.  Tenant shall, within 30
days after receipt of an invoice from Landlord, reimburse Landlord for all costs
and expenses  incurred in reviewing and approving the equipment lease,  security
agreement,   and  nondisturbance   agreement,   including  



                                      -20-
<PAGE>

without limitation,  reasonable  attorneys' fees and costs. Tenant shall use its
best efforts to obtain the  provisions  listed in this section from an equipment
lessor,  and Landlord  shall be  commercially  reasonable  in  negotiating  such
nondisturbance agreement.

                        ARTICLE 8: DEFAULTS AND REMEDIES

            8.1  EVENTS OF  DEFAULT.  The  occurrence  of any one or more of the
following shall be an event of default ("Event of Default") hereunder:

                  (a)  Tenant fails to pay in full any installment  of Rent,  or
any other monetary obligation payable by Tenant under this Lease, within 10 days
after such payment is due.

                  (b)  Landlord gives  Tenant  three  or  more  notices of  non-
payment of Rent (after expiration of the 10 day grace period) in any Lease Year.

                  (c)  Tenant or  Guarantor (where  applicable)  fails to comply
with any  covenant  set forth in Article 14,  ss.15.6,  ss.15.7 or Article 20 of
this Lease.

                  (d)  Tenant fails to observe and  perform any other  covenant,
condition or  agreement  under this Lease to be performed by Tenant and [i] such
failure  continues for a period of 30 days after written notice thereof is given
to Tenant by Landlord;  or [ii] if, by reason of the nature of such default, the
same  cannot be  remedied  within  said 30 days,  Tenant  fails to proceed  with
diligence  reasonably  satisfactory  to Landlord  after receipt of the notice to
cure the same or, in any event,  fails to cure such default within 75 days after
receipt of the notice.  The foregoing notice and cure provisions do not apply to
any Event of Default otherwise specifically described in any other subsection of
ss.8.1.

                  (e) Tenant  abandons  or vacates  the Leased  Property  or any
material part thereof or ceases to do business or ceases to exist for any reason
for any five or more days.

                  (f) [i] The filing by Tenant of a petition under 11 U.S.C.  or
the  commencement  of a bankruptcy  or similar  proceeding  by Tenant;  [ii] the
failure by Tenant within 60 days to dismiss an involuntary  bankruptcy  petition
or other  commencement  of a bankruptcy,  reorganization  or similar  proceeding
against Tenant,  or to lift or stay any execution,  garnishment or attachment of
such  consequence  as will impair its ability to carry on its  operation  at the
Leased  Property;  [iii]  the entry of an order for  relief  under 11 U.S.C.  in
respect  of  Tenant;  [iv] any  assignment  by  Tenant  for the  benefit  of its
creditors;  [v] the entry by Tenant into an  agreement of  composition  with its
creditors;  [vi] the approval by a court of competent jurisdiction of a petition
applicable to Tenant in any proceeding for its  reorganization  instituted under
the provisions of any state or federal bankruptcy,  insolvency, or similar laws;
[vii]  appointment by final order,  judgment,  or decree of a court of competent
jurisdiction of a receiver of a whole or any substantial  part of the properties
of Tenant  (provided  such  receiver  shall not have been removed or  discharged
within 60 days of the date of his qualification).



                                      -21-
<PAGE>


                  (g)  [i] Any receiver,  administrator,   custodian  or   other
person takes  possession or control of any of the Leased  Property and continues
in possession for 60 days;  [ii] any writ against any of the Leased  Property is
not released within 60 days; [iii] any final nonappealable  judgment is rendered
or proceedings are instituted against the Leased Property or Tenant which affect
the Leased  Property or any part  thereof,  which is not  dismissed  for 60 days
(except as otherwise  provided in this section);  [iv] all or a substantial part
of the assets of Tenant or Guarantor are attached,  seized,  subjected to a writ
or distress  warrant,  or are levied upon,  or come into the  possession  of any
receiver,  trustee,  custodian,  or assignee for the benefit of  creditors;  [v]
Tenant or Guarantor is enjoined,  restrained,  or in any way  prevented by court
order, or any proceeding is filed or commenced seeking to enjoin, restrain or in
any way prevent Tenant from conducting all or a substantial part of its business
or affairs; or [vi] except as otherwise permitted  hereunder,  a final notice of
lien,  levy or  assessment is filed of record with respect to all or any part of
the Leased Property or any property of Tenant located at the Leased Property and
is not dismissed, discharged, or bonded-off within 30 days.

                  (h)  Any   representation   or   warranty  made  by  Tenant or
Guarantor in this Lease or any other document  executed in connection  with this
Lease,  any  guaranty  of or other  security  for  this  Lease,  or any  report,
certificate,  application,  financial statement or other instrument furnished by
Tenant  or  Guarantor  pursuant  hereto  or  thereto  shall  prove to be  false,
misleading or incorrect in any material respect as of the date made.

                  (i)  Tenant, any Guarantor,  or any Affiliate  defaults on any
indebtedness  or  obligation  to  Landlord  or any  Landlord  Affiliate,  or any
agreement with Landlord or any Landlord Affiliate including, without limitation,
any lease with  Landlord or any Landlord  Affiliate,  or Tenant or any Guarantor
defaults on any Material  Obligation,  and any  applicable  grace or cure period
with respect to default under such  indebtedness  or obligation  expires without
such default having been cured. This provision applies to all such indebtedness,
obligations  and  agreements  as they may be  amended,  modified,  extended,  or
renewed from time to time.

                  (j)  The  occurrence  of  any  change  in  Tenant's  leasehold
interest in the Leased Property, without the prior written consent of Landlord.

                  (k)  Guarantor  dissolves,  terminates,  files a  petition  in
bankruptcy,  or is adjudicated insolvent under 11 U.S.C. or any other insolvency
law (provided,  however,  in the case of an involuntary  bankruptcy  petition or
other  commencement of bankruptcy,  reorganization or similar proceeding against
Guarantor,  Guarantor  shall have 60 days to dismiss such  action),  or fails to
comply with any  covenant or  requirement  of such  Guarantor  set forth in this
Lease or in the Guaranty of such Guarantor.

                  (l)  The license  for the  Facility  or any  other  Government
Authorization,  is  canceled,  suspended  or  otherwise  invalidated,  notice of
impending  revocation  proceedings  is received and Tenant  fails to  diligently
contest such proceeding,  or any reduction occurs in the number of licensed beds
or units at the Facility.



                                      -22-
<PAGE>


            8.2  REMEDIES. Landlord may  exercise  any   one  or   more  of  the
following remedies upon the occurrence of an Event of Default:

                  (a)  Landlord may re-enter and take  possession  of the Leased
Property  without  terminating the Lease,  and lease the Leased Property for the
account of  Tenant,  holding  Tenant  liable  for all costs of the  Landlord  in
reletting the Leased  Property and for the difference in the amount  received by
such reletting and the amounts payable by Tenant under the Lease.

                  (b)  Landlord may terminate  this Lease,  exclude  Tenant from
possession of the Leased  Property and use efforts to lease the Leased  Property
to others, holding Tenant liable for the difference in the amounts received from
such reletting and the amounts payable by Tenant under the Lease.

                  (c)  Landlord  may  re-enter  the  Leased  Property  and have,
repossess and enjoy the Leased  Property as if the Lease had not been made,  and
in such event, Tenant and its successors and assigns shall remain liable for any
contingent  or  unliquidated  obligations  or  sums  owing  at the  time of such
repossession.

                  (d)  Landlord may have access to and inspect, examine and make
copies of the books and  records and any and all  accounts,  data and income tax
and other returns of Tenant insofar as they pertain to the Leased Property.

                  (e)  Landlord may  accelerate all of the unpaid Rent hereunder
so that  the  aggregate  Rent  for the  unexpired  term  of this  Lease  becomes
immediately  due and payable,  subject to  Landlord's  obligations  under law to
leave Tenant in possession of the Leased Property.

                  (f)  Landlord may take  whatever  action at law or  in  equity
as may appear  necessary  or  desirable  to collect  the Rent and other  amounts
payable  under the Lease then due and  thereafter  to become  due, or to enforce
performance and observance of any obligations, agreements or covenants of Tenant
under this Lease.

                  (g)  With respect to the Collateral  and  Landlord's  security
interest therein, Landlord may exercise all of its rights as secured party under
Article 9 of the Uniform  Commercial Code as adopted in the State.  Landlord may
sell the  Collateral  by public or private  sale upon 10 days  notice to Tenant.
Tenant  agrees  that a  commercially  reasonable  manner of  disposition  of the
Collateral shall include,  without  limitation and at the option of Landlord,  a
sale of the Collateral,  in whole or in part,  concurrently with the sale of the
Leased Property.

                  (h)  Landlord   may  obtain   control  over  and  collect  the
Receivables  and  apply the  proceeds  of the  collections  to  satisfaction  of
Tenant's  Obligations  unless prohibited by law. Tenant appoints Landlord or its
designee as attorney for Tenant with powers [i] to receive,  to endorse, to sign
and/or to deliver,  in Tenant's  name or  Landlord's  name,  any and all checks,
drafts,  and  other  instruments  for  the  payment  of  money  relating  to the
Receivables, and to waive demand, presentment,  notice of dishonor, protest, and
any other notice with respect to any such instrument; [ii] to sign Tenant's name
on any invoice or bill of lading  relating  to any  Receivable,  



                                      -23-
<PAGE>


drafts against account  debtors,  assignments and  verifications of Receivables,
and notices to account  debtors;  [iii] to send  verifications of Receivables to
any account debtor;  and [iv] to do all other acts and things necessary to carry
out this Lease.  Except for willful  acts or  omissions,  Landlord  shall not be
liable for any omissions,  commissions,  errors of judgment, or mistakes in fact
or law made in the exercise of any such powers.  At  Landlord's  option,  Tenant
shall [i] provide  Landlord a full accounting of all amounts received on account
of  Receivables  with such  frequency  and in such form as Landlord may require,
either with or without  applying all  collections  on  Receivables in payment of
Tenant's  Obligations or [ii] deliver to Landlord on the day of receipt all such
collections  in the form  received and duly  endorsed by Tenant.  At  Landlord's
request,  Tenant  shall  institute  any  action  or enter  into  any  settlement
determined  by Landlord to be necessary  to obtain  recovery or redress from any
account  debtor in  default  of  Receivables.  Landlord  may give  notice of its
security  interest  in  the  Receivables  to any or  all  account  debtors  with
instructions to make all payments on Receivables  directly to Landlord,  thereby
terminating  Tenant's  authority  to  collect  Receivables.   After  terminating
Tenant's  authority to enforce or collect  Receivables,  Landlord shall have the
right to take  possession of any or all  Receivables  and records thereof and is
hereby  authorized to do so, and only  Landlord  shall have the right to collect
and enforce the Receivables.  Prior to the occurrence of an Event of Default, at
Tenant's cost and expense, but on behalf of Landlord and for Landlord's account,
Tenant shall collect or otherwise  enforce all amounts unpaid on Receivables and
hold all such  collections in trust for Landlord,  but Tenant may commingle such
collections with Tenant's own funds,  until Tenant's authority to do so has been
terminated,  which may be done only after an Event of  Default.  Notwithstanding
any other provision hereof, Landlord does not assume any of Tenant's obligations
under any  Receivable,  and Landlord shall not be responsible in any way for the
performance of any of the terms and conditions thereof by Tenant.

                  (i)  Without waiving any prior or subsequent Event of Default,
Landlord may waive any Event of Default or, with or without waiving any Event of
Default, remedy any default.

                  (j)  Landlord may terminate its  obligation to disburse  Lease
Advances.

                  (k)  Landlord  may enter and take  possession  of the Land and
Facility without terminating the Lease and complete  construction and renovation
of the  Improvements (or any part thereof) and perform the obligations of Tenant
under the Lease Documents.  Without limiting the generality of the foregoing and
for  the  purposes  aforesaid,   Tenant  hereby  appoints  Landlord  its  lawful
attorney-in-fact  with  full  power  to do any of the  following:  [i]  complete
construction,  renovation  and  equipping  of the  Improvements  in the  name of
Tenant;  [ii] use unadvanced  funds remaining  under the Lease Amount,  or funds
that may be reserved,  escrowed,  or set aside for any purposes hereunder at any
time,  or to  advance  funds in excess  of the Lease  Amount,  to  complete  the
Improvements;  [iii] make changes in the plans and specifications  that shall be
necessary or desirable to complete the Improvements in substantially  the manner
contemplated by the plans and specifications;  [iv] retain or employ new general
contractors,  subcontractors,  architects, engineers, and inspectors as shall be
required for said purposes;  [v] pay,  settle,  or compromise all existing bills
and claims, which may be liens or security interests, or to avoid such bills and
claims becoming liens against the Facility or security interest



                                      -24-
<PAGE>


against  fixtures or  equipment,  or as may be necessary  or  desirable  for the
completion  of the  construction  and equipping of the  Improvements  or for the
clearance of title; [vi] execute all applications and certificates,  in the name
of Tenant,  that may be required in connection with any  construction;  [vii] do
any and every act that  Tenant  might do in its own  behalf,  to  prosecute  and
defend all actions or  proceedings  in  connection  with the  Improvements;  and
[viii] to execute,  deliver and file all  applications  and other  documents and
take any and all actions necessary to transfer the operations of the Facility to
Landlord or Landlord's designee.  This power of attorney is a power coupled with
an interest and cannot be revoked.

            8.3  RIGHT OF SET-OFF.  Landlord  may, and is hereby  authorized  by
Tenant to, at any time and from time to time  without  advance  notice to Tenant
(any such notice being  expressly  waived by Tenant),  set-off and apply any and
all sums held by  Landlord,  any  indebtedness  of Landlord  to Tenant,  and any
claims by Tenant against  Landlord,  against any obligations of Tenant hereunder
and  against  any  claims  by  Landlord  against  Tenant,  whether  or not  such
obligations  or claims of Tenant are  matured and  whether or not  Landlord  has
exercised  any other  remedies  hereunder.  The  rights of  Landlord  under this
section are in  addition  to any other  rights and  remedies  Landlord  may have
against Tenant.

            8.4   PERFORMANCE  OF TENANT'S COVENANTS.  Landlord  may perform any
obligation  of Tenant  which  Tenant has  failed to perform  within 5 days after
Landlord  has sent a  written  notice  to Tenant  informing  it of its  specific
failure.  Tenant shall reimburse Landlord on demand, as Additional Rent, for any
expenditures  thus  incurred by Landlord and shall pay  interest  thereon at the
Overdue Rate (as defined in ss.8.6).

            8.5  LATE PAYMENT CHARGE. Tenant acknowledges  that  any  default in
the payment of any installment of Rent payable hereunder will result in loss and
additional expense to Landlord in servicing any indebtedness of Landlord secured
by the Leased Property, handling such delinquent payments, and meeting its other
financial obligations, and because such loss and additional expense is extremely
difficult and impractical to ascertain, Tenant agrees that in the event any Rent
payable to  Landlord  hereunder  is not paid  within 10 days after the due date,
Tenant  shall pay a late charge of 5% of the amount of the overdue  payment as a
reasonable estimate of such loss and expenses,  unless applicable law requires a
lesser  charge,  in which event the maximum  rate  permitted  by such law may be
charged by Landlord. The 10 day grace period set forth in this section shall not
extend the time for  payment  of Rent or the  period  for curing any  default or
constitute a waiver of such default.

            8.6  INTEREST.  In addition to the late payment charge,  any payment
not made by Tenant  within  10 days  after the due date  shall  thereafter  bear
interest at the rate (the "Overdue Rate") of the greater of [i] 18.5% per annum;
or [ii] 2.5% per annum above the Lease Rate then in effect;  provided,  however,
that at no time will Tenant be  required  to pay  interest at a rate higher than
the  maximum  legal rate and,  provided  further,  that if a court of  competent
jurisdiction  determines  that any other  charges  payable  under this Lease are
deemed to be  interest,  the  Overdue  Rate shall be adjusted to ensure that the
aggregate  interest payable under this Lease does not accrue at a rate in excess
of the maximum legal rate. Tenant shall not be required to pay interest upon any
late payment fees assessed pursuant to ss.8.5.



                                      -25-
<PAGE>



            8.7  LITIGATION;  ATTORNEYS'  FEES.  Within 5 days after  Tenant has
knowledge of any litigation or other  proceeding that may be instituted  against
Tenant,  against the Leased Property to secure or recover possession thereof, or
that may affect the title to or the interest of Landlord in the Leased Property,
Tenant  shall give  written  notice  thereof to  Landlord.  Tenant shall pay all
reasonable  costs and expenses  incurred by Landlord in enforcing or  preserving
Landlord's  rights  under this  Lease,  whether  or not an Event of Default  has
actually occurred or has been declared and thereafter  cured,  including without
limitation,  [i] the fees, expenses, and costs of any litigation,  receivership,
administrative,   bankruptcy,  insolvency  or  other  similar  proceeding;  [ii]
reasonable attorney,  paralegal,  consulting and witness fees and disbursements,
whether in house counsel or outside counsel;  and [iii] the expenses,  including
without  limitation,  lodging,  meals, and  transportation,  of Landlord and its
employees,  agents,  attorneys,  and  witnesses  in  preparing  for  litigation,
administrative,   bankruptcy,   insolvency  or  other  similar  proceedings  and
attendance at hearings,  depositions,  and trials in connection  therewith.  All
such costs,  charges and fees payable by Tenant shall be deemed to be Additional
Rent under this Lease.

            8.8  ESCROWS  AND  APPLICATION  OF  PAYMENTS.  As  security  for the
performance of its obligations hereunder,  Tenant hereby assigns to Landlord all
its right, title, and interest in and to all monies escrowed with Landlord under
this Lease and all  deposits  with utility  companies,  taxing  authorities  and
insurance  companies;  provided,  however,  that Landlord shall not exercise its
rights hereunder until an Event of Default has occurred.  Any payments  received
by  Landlord  under  any  provisions  of this  Lease  during  the  existence  or
continuance  of an Event of Default shall be applied to Tenant's  obligations in
the order which Landlord may determine.

            8.9  REMEDIES  CUMULATIVE.  Except as otherwise provided herein, the
remedies  of  Landlord  herein  are  cumulative  to and not in lieu of any other
remedies  available  to  Landlord  at law or in  equity,  and the use of any one
remedy shall not be taken to exclude or waive the right to use any other remedy.

                        ARTICLE 9: DAMAGE AND DESTRUCTION

            9.1  NOTICE OF CASUALTY.  If the Leased Property shall be destroyed,
in whole or in part, or damaged by fire,  flood,  windstorm or other casualty (a
"Casualty"), Tenant shall give written notice thereof to the Landlord within one
business  day after the  occurrence  of the  Casualty.  Within 15 days after the
occurrence  of the  Casualty  or as  soon  thereafter  as  such  information  is
reasonably available to Tenant,  Tenant shall provide the following  information
to  Landlord:  [i] the date of the  Casualty;  [ii] the nature of the  Casualty;
[iii]  a  description  of the  damage  or  destruction  caused  by the  Casualty
including the type of Leased Property  damaged and the area of the  Improvements
damaged; [iv] a preliminary estimate of the cost to repair, rebuild,  restore or
replace the Leased  Property;  [v] a  preliminary  estimate  of the  schedule to
complete  the  repair,  rebuilding,  restoration  or  replacement  of the Leased
Property;  [vi]  a  description  of the  anticipated  property  insurance  claim
including the name of the insurer, the insurance coverage limits, the deductible
amount, the expected  settlement  amount, and the expected  settlement date; and
[vii]  a  description  of  the   business   interruption  claim  including   the



                                      -26-
<PAGE>


name of the insurer,  the insurance  coverage limits, the deductible amount, the
expected  settlement amount, and the expected  settlement date. Within five days
after  request from  Landlord,  Tenant will provide  Landlord with copies of all
correspondence to the insurer and any other information  reasonably requested by
Landlord.

            9.2  SUBSTANTIAL DESTRUCTION.

            9.2.1  If the Improvements are  substantially  destroyed at any time
other than during the final 18 months of the Initial  Term or any Renewal  Term,
Tenant shall promptly rebuild and restore the Leased Property in accordance with
ss.9.4 and Landlord  shall make the insurance  proceeds  available to Tenant for
such  restoration.   The  term  "substantially  destroyed"  means  any  casualty
resulting  in the  loss of use of 50% or more  of the  licensed  beds at any one
Facility.

            9.2.2  If the Improvements  are  substantially  destroyed during the
final 18 months of the Initial Term or any Renewal  Term,  Landlord may elect to
terminate this Lease or terminate this Lease and all Phase Leases, at Landlord's
option,  and retain the insurance proceeds unless Tenant exercises its option to
renew as set forth in ss.9.2.3. If Landlord elects to terminate,  Landlord shall
give notice  ("Termination  Notice") of its election to terminate this Lease (or
this Lease and all Phase  Leases,  if elected by Landlord)  within 30 days after
receipt of Tenant's notice of the damage. If Tenant does not exercise its option
to renew under ss.9.2.3 or its option to purchase under ss.9.2.4  within 15 days
after  delivery  of the  Termination  Notice,  this Lease (or this Lease and all
Phase  Leases,  if elected by  Landlord)  shall  terminate on the 15th day after
delivery of the Termination  Notice.  If this Lease (or this Lease and all Phase
Leases,  if elected by  Landlord)  is so  terminated,  Tenant shall be liable to
Landlord for all Rent and all other obligations accrued under this Lease through
the  effective  date of  termination  and each Phase  Tenant  shall be liable to
Landlord for all Rent and all other  obligations  accrued  under its  respective
Phase Lease through the effective date of termination.

            9.2.3  If the Improvements  are  substantially  destroyed during the
final 18 months of the  Initial  Term or the second  Renewal  Term and  Landlord
gives the Termination Notice,  Tenant shall have the option to renew this Lease.
Tenant shall give Landlord irrevocable notice of Tenant's election to renew, and
each Phase Tenant shall give irrevocable notice of renewal, within 15 days after
delivery of the  Termination  Notice.  If Tenant and each Phase  Tenant elect to
renew,  the Renewal  Term will be in effect for the balance of the then  current
Term plus a 5 year  period.  The  Renewal  Term will  commence  on the third day
following  Landlord's  receipt of  Tenant's  and each Phase  Tenant's  notice of
renewal.  All  other  terms  of this  Lease  for the  Renewal  Term  shall be in
accordance  with Article 12. The Leased  Property  will be restored by Tenant in
accordance with the provisions of this Article 9 regarding partial destruction.

            9.2.4  If the Improvements  are  substantially  destroyed during the
final 18 months of the Initial Term or any Renewal  Term and Landlord  gives the
Termination  Notice,  Tenant  shall  have the  option  to  purchase  the  Leased
Property.  Tenant shall give Landlord  notice of Tenant's  election to purchase,
and if required by Landlord, each Phase Tenant shall give notice of its election
to purchase its respective Phase Facility,  within 15 days after delivery of the



                                      -27-
<PAGE>


Termination  Notice.  If Tenant and each Phase  Tenant  elect to purchase  their
respective  Leased  Property,  the purchase price will be the greater of [i] the
Lease  Amount or [ii] the Fair Market  Value and the Fair  Market  Value will be
determined in accordance  with ss.9.2.5.  For purposes of  determining  the Fair
Market Value,  the Leased  Property will be valued as if it had been restored to
be equal  in value to the  Leased  Property  existing  immediately  prior to the
occurrence of the damage.  All other terms of the option to purchase shall be in
accordance with ss.9.2.5.  Landlord shall hold the insurance  proceeds until the
closing of the purchase of the Leased  Property and at closing shall deliver the
proceeds to Tenant.

            9.2.5  Fair Market Value.  The fair market  value (the "Fair  Market
Value") of the Leased Property shall be determined as follows:

             (a)  The parties shall attempt to  determine  the Fair Market Value
by mutual agreement within 15 days after giving the purchase notice. However, if
the parties do not agree on the Fair Market Value within such 15 day period, the
following provisions shall apply.

             (b)  Landlord  and Tenant shall each give the other party notice of
the name of an acceptable appraiser 15 days after giving of the purchase notice.
The two  appraisers  will then select a third  appraiser  within an additional 5
days.  Each appraiser must  demonstrate to the reasonable  satisfaction  of both
Landlord and Tenant that it has significant  experience in appraising properties
similar to the Leased Property. Within 5 days after designation,  each appraiser
shall  submit a resume to Landlord  and Tenant  setting  forth such  appraiser's
qualifications  including  education and experience with similar  properties.  A
notice of  objections  to the  qualifications  of any  appraiser  shall be given
within 10 days after  receipt of such resume.  If a party fails to timely object
to the qualifications of an appraiser,  then the appraiser shall be conclusively
deemed  satisfactory.  If a party  gives a timely  notice  of  objection  to the
qualifications  of an  appraiser,  then  the  disqualified  appraiser  shall  be
replaced  by an  appraiser  selected  by the  qualified  appraisers  or,  if all
appraisers  are  disqualified,  then by an  appraiser  selected by a  commercial
arbitrator acceptable to Landlord and Tenant.

            (c)  The Fair Market Value  shall be  determined  by the  appraisers
within 45 days after the  selection of the  appraisers  as follows.  Each of the
appraisers shall be instructed to prepare an appraisal of the Leased Property in
accordance with the following instructions:

             The Leased  Property  is to be valued  upon the three  conventional
approaches  to estimate  value known as the Income,  Sales  Comparison  and Cost
Approaches.  Once the  approaches are  completed,  the appraiser  correlates the
individual approaches into a final value conclusion.

The three approaches to estimate value are summarized as follows:

            INCOME APPROACH:  This valuation approach  recognizes that the value
            of the operating tangible and intangible asset can be represented by
            the expected  economic  viability of the business  giving returns on
            and of the assets.



                                      -28-
<PAGE>



            SALES COMPARISON APPROACH: This valuation approach is based upon the
            principle of  substitution.  When a facility is  replaceable  in the
            market,  the market  approach  assumes that value tends to be set at
            the price of acquiring  an equally  desirable  substitute  facility.
            Since healthcare market conditions change and frequently are subject
            to regulatory  and financing  environments,  adjustments  need to be
            considered.   These   adjustments   also   consider  the   operating
            differences such as services and demographics.

            COST APPROACH:  This valuation  approach  estimates the value of the
            tangible  assets only.  Value is  represented by the market value of
            the land plus the depreciated  reproduction cost of all improvements
            and equipment.

In general,  the Income and Sales Comparison  Approaches are considered the best
representation of value because they cover both tangibles and intangible assets,
consider  the  operating  characteristics  of the  business  and  have  the most
significant influence on attracting potential investors.

The  appraised  values  submitted by the three  appraisers  shall be ranked from
highest value to middle value to lowest value,  the appraised  value (highest or
lowest)  which is furthest from the middle  appraised  value shall be discarded,
and the remaining  two appraised  values shall be averaged to arrive at the Fair
Market Value.

            (d)  Tenant shall pay,  or  reimburse  Landlord  for,  all costs and
expenses in connection with the appraisals.

            (e)  The purchase of the Leased  Property by Tenant shall close on a
date agreed to by Landlord and Tenant which shall be not less than 60 days after
Landlord's  receipt of the  purchase  notice and not more than 60 days after the
Fair Market Value of the Leased Property has been  determined.  Such date may be
extended by mutual agreement of the parties to accommodate  Tenant's  financing.
At the  closing,  Tenant  shall pay the Option  Price and all  closing  costs in
immediately  available  funds and  Landlord  shall  convey  title to the  Leased
Property to Tenant by a transferable  and recordable  special  warranty deed and
special warranty bill of sale.

            (f)  If Tenant for any reason fails to purchase the Leased  Property
after Tenant has given the purchase  notice,  then Tenant shall pay Landlord all
costs and  expenses  incurred  by  Landlord  as a result of the failure to close
including costs of unwinding swap transactions or other interest rate protection
devices and preparing for the closing.  Tenant shall continue to be obligated as
lessee  hereunder for the remainder of the Term  (including the Extended Term as
set forth in ss.12.3).





                                      -29-
<PAGE>




            9.3  PARTIAL   DESTRUCTION. If   the   Leased    Property   is   not
substantially destroyed,  then Tenant shall comply with the provisions of ss.9.4
and  Landlord  shall make the  insurance  proceeds  available to Tenant for such
restoration.

            9.4  RESTORATION.  Tenant shall promptly repair, rebuild, or restore
the Leased Property,  at Tenant's expense,  so as to make the Leased Property at
least equal in value to the Leased Property  existing  immediately prior to such
occurrence  and as nearly  similar  to it in  character  as is  practicable  and
reasonable.  Before  beginning  such  repairs  or  rebuilding,  or  letting  any
contracts in connection with such repairs or rebuilding,  Tenant will submit for
Landlord's approval,  which approval Landlord will not unreasonably  withhold or
delay,  plans and  specifications  meeting the  requirements of ss.16.2 for such
repairs or rebuilding. Promptly after receiving Landlord's approval of the plans
and  specifications  and receiving the proceeds of insurance,  Tenant will begin
such repairs or  rebuilding  and will  prosecute  the repairs and  rebuilding to
completion with diligence,  subject, however, to strikes, lockouts, acts of God,
embargoes,   governmental   restrictions,   and  other  causes  beyond  Tenant's
reasonable  control.  Landlord will make available to Tenant the net proceeds of
any fire or other  casualty  insurance  paid to  Landlord  for  such  repair  or
rebuilding as the same  progresses,  after deduction of any costs of collection,
including  attorneys'  fees.  Payments will be made against  properly  certified
vouchers  of a  competent  architect  in  charge  of the  work and  approved  by
Landlord. Prior to commencing the repairing or rebuilding,  Tenant shall deliver
to Landlord  for  Landlord's  approval a schedule  setting  forth the  estimated
monthly draws for such work.  Landlord  will  contribute to such payments out of
the  insurance  proceeds an amount  equal to the  proportion  that the total net
amount  received by Landlord from insurers bears to the total  estimated cost of
the  rebuilding or repairing,  multiplied by the payment by Tenant on account of
such work. Landlord may, however,  withhold 10% from each payment until the work
is completed and proof has been  furnished to Landlord that no lien or liability
has attached or will attach to the Leased  Property or to Landlord in connection
with such  repairing or  rebuilding.  Upon the  completion of rebuilding and the
furnishing  of such  proof,  the balance of the net  proceeds of such  insurance
payable to Tenant on account of such  repairing  or  rebuilding  will be paid to
Tenant.  Tenant  will  obtain and  deliver  to  Landlord  a  temporary  or final
certificate  of  occupancy  before the Leased  Property  is  reoccupied  for any
purpose.  Tenant shall  complete  such repairs or  rebuilding  free and clear of
mechanic's  or other liens,  and in accordance  with the building  codes and all
applicable laws, ordinances,  regulations, or orders of any state, municipal, or
other  public  authority  affecting  the  repairs  or  rebuilding,  and  also in
accordance  with all  requirements  of the  insurance  rating  organization,  or
similar body. Any remaining proceeds of insurance after such restoration will be
Tenant's property.

            9.5  INSUFFICIENT   PROCEEDS.  If  the  proceeds  of  any  insurance
settlement  are not  sufficient  to pay the costs of such repair,  rebuilding or
restoration  in full,  Tenant shall deposit with Landlord at Landlord's  option,
and within 10 days of  Landlord's  request,  an amount  sufficient in Landlord's
reasonable judgment to complete such repair,  rebuilding or restoration.  Tenant
shall not, by reason of the deposit or payment, be entitled to any reimbursement
from Landlord or diminution in or postponement of the payment of the Rent.



                                      -30-
<PAGE>


            9.6  NOT TRUST FUNDS.  Notwithstanding anything  herein or at law or
equity to the  contrary,  none of the  insurance  proceeds  paid to  Landlord as
herein  provided shall be deemed trust funds,  and Landlord shall be entitled to
dispose of such proceeds as provided in this Article 9. Tenant expressly assumes
all risk of loss,  including a decrease in the use,  enjoyment or value,  of the
Leased  Property  from any  casualty  whatsoever,  whether or not  insurable  or
insured against.

            9.7  LANDLORD'S  INSPECTION.  During the progress of such repairs or
rebuilding,  Landlord and its  architects  and engineers may, from time to time,
inspect the Leased  Property and will be  furnished,  if required by them,  with
copies of all plans, shop drawings, and specifications  relating to such repairs
or rebuilding.  Tenant will keep all plans, shop drawings, and specifications at
the building,  and Landlord and its architects and engineers may examine them at
all reasonable  times.  If, during such repairs or rebuilding,  Landlord and its
architects and engineers  determine that the repairs or rebuilding are not being
done in accordance  with the approved  plans and  specifications,  Landlord will
give prompt  notice in writing to Tenant,  specifying  in detail the  particular
deficiency,  omission, or other respect in which Landlord claims such repairs or
rebuilding do not accord with the approved  plans and  specifications.  Upon the
receipt of any such  notice,  Tenant  will cause  corrections  to be made to any
deficiencies,  omissions, or such other respect.  Tenant's obligations to supply
insurance,  according  to  Article  4,  will be  applicable  to any  repairs  or
rebuilding under this section.

            9.8  LANDLORD'S COSTS. Tenant shall, within 30 days after receipt of
an invoice from Landlord,  pay the costs, expenses, and fees of any architect or
engineer  employed  by Landlord  to review any plans and  specifications  and to
supervise  and approve any  construction,  or for any services  rendered by such
architect or engineer to Landlord as  contemplated  by any of the  provisions of
this Lease, or for any services performed by Landlord's  attorneys in connection
therewith.

            9.9  NO RENT  ABATEMENT. Rent will not abate  pending the repairs or
rebuilding  of the  Leased  Property,  but shall be offset  against  any  rental
insurance proceeds received by Landlord.

                            ARTICLE 10: CONDEMNATION

            10.1  TOTAL TAKING. If, by exercise of the right of  eminent  domain
or by  conveyance  made in  response to the threat of the exercise of such right
("Taking"),  the  entire  Leased  Property  is taken,  or so much of the  Leased
Property  is taken  that the  Leased  Property  cannot be used by Tenant for the
purposes for which it was used  immediately  before the Taking,  then this Lease
will end on the  earlier of the  vesting of title to the Leased  Property in the
condemning  authority or the taking of possession of the Leased  Property by the
condemning  authority.  All damages  awarded for such Taking  under the power of
eminent domain shall be the property of the Landlord, whether such damages shall
be awarded as  compensation  for diminution in value of the leasehold or the fee
of the Leased  Property.  If this Lease is terminated with respect to a Facility
subject to a taking as described in this  section,  Landlord may, at its option,
terminate each Phase Lease.




                                      -31-
<PAGE>


            10.1.1  If the entire Leased  Property is taken  during the final 18
months of the Initial Term or any Renewal Term and Landlord  elects to terminate
each Phase Lease,  Tenant shall have the option to purchase each Phase  Facility
(but not less than all Phase  Facilities).  Tenant shall give Landlord notice of
Tenant's  election  to purchase  within 15 days after  delivery of the notice of
Landlord's  intent  to  terminate.  If  Tenant  elects to  purchase  each  Phase
Facility, the Option Price will be determined in accordance with ss.13.2 and the
Fair Market Value will be determined in accordance with ss.13.3. All other terms
of the option to purchase shall be in accordance with Article 13.

            10.2  PARTIAL  TAKING.  If,  after a Taking,  so much of the  Leased
Property remains that the Leased Property can be used for substantially the same
purposes  for which it was used  immediately  before the  Taking,  then [i] this
Lease  will end as to the part taken on the  earlier of the  vesting of title to
the Leased  Property in the condemning  authority or the taking of possession of
the Leased Property by the condemning authority;  [ii] at its cost, Tenant shall
restore so much of the Leased Property as remains to a sound  architectural unit
substantially suitable for the purposes for which it was used immediately before
the Taking,  using good workmanship and new, first-class  materials;  [iii] upon
completion  of the  restoration,  Landlord will pay Tenant the lesser of the net
award made to Landlord on the account of the Taking  (after  deducting  from the
total  award,  attorneys',  appraisers',  and other fees and costs  incurred  in
connection  with the  obtaining  of the award and amounts paid to the holders of
mortgages  secured by the Leased  Property),  or Tenant's  actual  out-of-pocket
costs of restoring the Leased  Property;  and [iv] Landlord shall be entitled to
the balance of the net award.  The restoration  shall be completed in accordance
with ss.ss.9.4,  9.5, 9.7, 9.8 and 9.9 with such  provisions  deemed to apply to
condemnation instead of casualty.

            10.3  CONDEMNATION  PROCEEDS  NOT   TRUST   FUNDS.   Notwithstanding
anything  in  this  Lease  or at law or  equity  to the  contrary,  none  of the
condemnation  award paid to Landlord  shall be deemed trust funds,  and Landlord
shall be  entitled to dispose of such  proceeds as provided in this  Article 10.
Tenant  expressly  assumes  all risk of loss,  including  a decrease in the use,
enjoyment, or value, of the Leased Property from any Condemnation.

                          ARTICLE 11: TENANT'S PROPERTY

            11.1  TENANT'S PROPERTY.  Tenant  shall install,  place,  and use on
the Leased  Property such fixtures,  furniture,  equipment,  inventory and other
personal  property in addition to the Personal Property as may be required or as
Tenant may,  from time to time,  deem  necessary or useful to operate the Leased
Property  for  its  permitted  purposes.  All  fixtures,  furniture,  equipment,
inventory, and other personal property installed,  placed, or used on the Leased
Property  which is owned by Tenant or leased by Tenant  from  third  parties  is
hereinafter referred to as "Tenant's Property".

            11.2  REQUIREMENTS FOR TENANT'S  PROPERTY.  Tenant shall comply with
all of the following requirements in connection with Tenant's Property:



                                      -32-
<PAGE>



                  (a)  Tenant shall,   at   Tenant's  sole  cost  and   expense,
maintain, repair, and replace Tenant's Property.

                  (b)  Tenant shall,  at Tenant's  sole cost and  expense,  keep
Tenant's  Property  insured  against  loss or  damage  by  fire,  vandalism  and
malicious  mischief,  sprinkler  leakage,  earthquake (if Leased  Property is in
earthquake zone 1 or 2), and other physical loss perils commonly covered by fire
and extended  coverage,  boiler and  machinery,  and  difference  in  conditions
insurance  in an  amount  not less than 90% of the then  full  replacement  cost
thereof.  Tenant shall use the proceeds  from any such policy for the repair and
replacement of Tenant's  Property.  The insurance shall meet the requirements of
ss.4.3.

                  (c)  Tenant  shall  pay  all  taxes   applicable  to  Tenant's
Property.

                  (d)  If Tenant's Property is damaged or  destroyed  by fire or
any other  cause,  Tenant shall  promptly  repair or replace  Tenant's  Property
unless Landlord elects to terminate this Lease pursuant to ss.9.2.2.

                  (e)  Unless an Event of Default or any event  which,  with the
giving of notice or lapse of time, or both, would constitute an Event of Default
has occurred,  Tenant may remove Tenant's Property from the Leased Property from
time to time provided that [i] the items removed are not required to operate the
Leased  Property for the Facility Uses (unless such items are being  replaced by
Tenant);  and [ii] Tenant  repairs any damage to the Leased  Property  resulting
from the removal of Tenant's Property.

                  (f)  Tenant shall not,  without the prior  written  consent of
Landlord or as otherwise provided in this Lease, remove any Tenant's Property or
Leased Property.  Tenant shall, at Landlord's  option,  remove Tenant's Property
upon the  termination or expiration of this Lease and shall repair any damage to
the Leased Property resulting from the removal of Tenant's  Property.  If Tenant
fails to remove Tenant's Property within 30 days after request by Landlord, then
Tenant shall be deemed to have abandoned  Tenant's  Property,  Tenant's Property
shall  become the  property of  Landlord,  and  Landlord  may remove,  store and
dispose of Tenant's Property. In such event, Tenant shall have no claim or right
against  Landlord  for such  property  or the value  thereof  regardless  of the
disposition  thereof by Landlord.  Tenant shall pay Landlord,  upon demand,  all
expenses  incurred by Landlord in removing,  storing,  and disposing of Tenant's
Property and repairing any damage caused by such removal.  Tenant's  obligations
hereunder shall survive the termination or expiration of this Lease.

                  (g)  Tenant shall perform its obligations  under any equipment
lease or security agreement for Tenant's Property. For equipment loans or leases
for  equipment  having an original  cost in excess of  $75,000.00,  Tenant shall
cause such equipment lessor or lender to enter into a  nondisturbance  agreement
with  Landlord  upon terms and  conditions  acceptable  to  Landlord,  including
without  limitation,  the following:  [i] Landlord shall have the right (but not
the  obligation) to assume such equipment  lease or security  agreement upon the
occurrence  of an Event of  Default  by Tenant  hereunder;  [ii] such  equipment
lessor or lender  shall  notify  Landlord  of any  default  by Tenant  under the
equipment lease or security agreement and give Landlord a 



                                      -33-
<PAGE>


reasonable  opportunity to cure such default;  and [iii] Landlord shall have the
right to assign its interest in the  equipment  lease or security  agreement and
nondisturbance  agreement.  Tenant  shall,  within 30 days  after  receipt of an
invoice from Landlord, reimburse Landlord for all costs and expenses incurred in
reviewing   and  approving  the   equipment   lease,   security   agreement  and
nondisturbance  agreement,  including without limitation,  reasonable attorneys'
fees and costs.  Tenant  shall use its best  efforts  to obtain  the  provisions
listed  in  this  section  from an  equipment  lessor,  and  Landlord  shall  be
commercially reasonable in negotiating such nondisturbance agreement.
               
                           ARTICLE 12: RENEWAL OPTIONS

            12.1  RENEWAL  OPTIONS.  Tenant  has the  option to renew  ("Renewal
Option") this Lease for two 5-year renewal terms and one 4-year 11-month renewal
term (each a "Renewal  Term").  Tenant can exercise the Renewal Option only upon
satisfaction of the following conditions:

                  (a)  There shall be no uncured Event of Default,  or any event
which with the passage of time or giving of notice would  constitute an Event of
Default,  at the time Tenant  exercises  its Renewal  Option nor on the date the
Renewal Term is to commence.

                  (b)  Tenant shall give Landlord irrevocable  written notice of
renewal no later than the date which is [i] 90 days prior to the expiration date
of the then  current  Term;  or [ii] 15 days after  Landlord's  delivery  of the
Termination Notice as set forth in ss.9.2.3.

                  (c)  Each Phase  Tenant shall  concurrently  give  irrevocable
notice of renewal for each Affiliate Lease.

            12.2  Effect of Renewal.  The following terms and conditions will be
applicable if Tenant renews the Lease:

                  (a)  EFFECTIVE   DATE. Except  as   otherwise    provided   in
ss.9.2.3, the effective date of any Renewal Term will be the first day after the
expiration  date of the then current Term. The first day of each Renewal Term is
also referred to as the Renewal Date.

                  (b)  LEASE  AMOUNT.   Effective  as  of  the  Renewal  Date, a
single  Lease  Amount  will be computed  by summing  all Lease  Advance  Amounts
(including the Acquisition Amount).

                  (c)  LEASE RATE.  Effective  as of the Renewal  Date, a single
Lease Rate will be computed equal to the Renewal Rate. The Renewal Rate for each
Renewal Term shall be the greater of [i] the sum of [a] the Lease Rate in effect
during the then current Lease Year plus [b] the Increaser Rate, or [ii] the fair
market  rental  lease  rate for the  Facility  as  determined  according  to the
provisions of this  section.  Landlord and Tenant shall attempt to determine the
fair market  rental  lease rate for the  Facility by mutual  agreement  180 days
prior to the  expiration  date for the then current  Term. If the parties do not
agree  on  such   lease  rate  within  a  15   day  period,   appraisers   shall



                                      -34-
<PAGE>


be chosen as  provided in ss.9.2.5 to  determine  the fair market  rental  lease
rate. The appraisers shall be instructed to appraise the fair market value lease
rate as a financing  lease rate for a health  care  facility of the same type as
the Facility  and shall take into  account the lease rate then being  charged by
Landlord to tenants of comparable  creditworthiness  for comparable  facilities.
The  appraised  rates  submitted  by the three  appraisers  shall be ranked from
highest to lowest,  the rate  (highest  or lowest)  which is  furthest  from the
middle rate shall be discarded,  and the remaining two appraised  rates shall be
averaged to arrive at the fair market rental lease rate.

                  (d)  BASE RENT. Effective as of  the  Renewal  Date, the  Base
Rent will be changed to equal  1/12th of the product of [i] the Lease  Amount on
the Renewal Date times [ii] the new Lease Rate equal to the Renewal Rate.

                  (e)  OTHER TERMS AND CONDITIONS. Except for the  modifications
set forth in this  ss.12.2,  all other  terms and  conditions  of the Lease will
remain the same for the Renewal Term. The Lease Rate and Base Rent will increase
annually as set forth in ss.2.2.

            12.3  EFFECT OF  NON-RENEWAL OR EXPIRATION  OF LEASE.  The following
terms and  conditions  will be applicable if Tenant does not renew this Lease or
exercise  its Option to Purchase  by the  expiration  date for the then  current
Term:

                  (a)  EXTENSION  OF  CURRENT  TERM.  The  current  Term will be
extended  (the  "Extended  Term")  for 120  days;  provided,  however,  that the
Extended  Term  will  expire on such  earlier  date of the  closing  of the sale
pursuant to the Option to Purchase.

                  (b) LEASE  PAYMENTS.  During the Extended  Term,  Tenant shall
continue to make monthly  payments of Rent  (including Base Rent) based upon the
then existing Lease Rate.

                       ARTICLE 13: RIGHT OF FIRST REFUSAL

            13.1  RIGHT OF FIRST REFUSAL.  Tenant  shall have the right of first
refusal to purchase the Leased Property during the Term of this Lease. If at any
time during the Term,  Landlord shall receive a bona fide offer ("Offer") from a
third  person for the  purchase of the Leased  Property,  which  Offer  Landlord
desires  to accept,  Landlord  shall  promptly  deliver to Tenant a copy of such
Offer.  Tenant shall have the right for a period of 60 days  thereafter to elect
to purchase the Leased  Property on the same terms and  conditions  as those set
forth in the Offer.  If Tenant  elects to purchase the Leased  Property,  Tenant
must give  written  notice  thereof to Landlord no later than the 60th day after
the date Landlord delivers the Offer to Tenant.

            13.2  NO EXERCISE. If Tenant does not elect to exercise its right of
first refusal as set forth in ss.13.1, Landlord shall be free to sell and convey
the Leased  Property to the third party  purchaser in accordance  with the terms
and provisions of the Offer.  In the event that Landlord does not consummate the
sale of the Leased Property to such  purchaser,  Tenant's right of first refusal
under this Article 13 shall remain applicable to subsequent bonafide offers from
third persons.



                                      -35-
<PAGE>


                         ARTICLE 14: NEGATIVE COVENANTS

            Until Tenant's Obligations shall have been performed in full, Tenant
and Guarantor  covenant and agree that Tenant (and Guarantor  where  applicable)
shall not do any of the following without the prior written consent of Landlord:

            14.1  NO DEBT. Tenant shall not create, incur,  assume, or permit to
exist any indebtedness other than [i] trade debt incurred in the ordinary course
of Tenant's  business;  [ii] indebtedness  relating to the Letter of Credit; and
[iii] indebtedness that is secured by any Permitted Lien.

            14.2  NO LIENS.  Tenant shall not create, incur,  or permit to exist
any lien, charge, encumbrance,  easement or restriction upon the Leased Property
or any lien upon or pledge of any  interest  in  Tenant,  except  for  Permitted
Liens.

            14.3  NO GUARANTIES.  Tenant  shall not create,  incur,  assume,  or
permit to exist any guarantee of any loan or other  indebtedness  except for the
endorsement of negotiable  instruments  for collection in the ordinary course of
business.

            14.4  NO TRANSFER. Tenant shall not sell, lease, sublease, mortgage,
convey,  assign or otherwise  transfer  any legal or  equitable  interest in the
Leased  Property or any part thereof,  except for  transfers  made in connection
with any  Permitted  Lien without the prior written  consent of Landlord,  which
consent shall not be unreasonably withheld.

            14.5  NO  DISSOLUTION.  Tenant, Manager (if applicable) or Guarantor
shall not dissolve,  liquidate, merge, consolidate or terminate its existence or
sell,  assign,  lease, or otherwise transfer (whether in one transaction or in a
series of  transactions)  all or  substantially  all of its assets  (whether now
owned or hereafter acquired). Notwithstanding the foregoing, Guarantor may merge
with another  entity  provided that [i] Guarantor is the surviving  corporation;
and [ii] following the merger,  Guarantor can satisfy all of the  obligations of
Guarantor under the Lease Documents,  including but not limited to the financial
covenants in ss.15.7.

            14.6  NO CHANGE IN MANAGEMENT OR  OPERATION.   No  material   change
shall  occur in the  management  of Manager  or in the  management  or  licensed
operation of the Facility.  BCC  Development and Management Co. shall remain the
Manager of the Facility  and Tenant  shall  remain the licensed  operator of the
Facility.  Guarantor  shall not make a change in its President,  Chief Operating
Officer,  or Chief  Development  Officer  without giving  Landlord prior written
notice  (or in the  case of  death,  written  notice  within a  reasonable  time
thereafter).

            14.7  NO  INVESTMENTS.  Tenant  shall  not  purchase  or   otherwise
acquire,  hold, or invest in securities  (whether  capital stock or  instruments
evidencing indebtedness) of or make loans or advances to any person,  including,
without limitation, any Guarantor, any Affiliate, or any shareholder,  member or
partner  of  Tenant,  Guarantor  or any  Affiliate,  except  for  cash  balances
temporarily invested in short-term or money market securities.



                                      -36-
<PAGE>


            14.8  CONTRACTS.  Tenant  shall not  execute or modify any  material
contracts or  agreements  with respect to the Facility  except for contracts and
modifications  approved by Landlord.  Contracts  made in the ordinary  course of
business  and in an  amount  less  than  $250,000.00  shall  not  be  considered
"material" for purposes of this paragraph. The management agreement currently in
effect between Tenant and Manager is acceptable.

            14.9  SUBORDINATION OF PAYMENTS TO AFFILIATES.  After the occurrence
of an Event of Default  and until  such  Event of  Default is cured,  Tenant and
Guarantor  shall not make any  payments  or  distributions  (including,  without
limitation,  fees, principal,  interest,  dividends,  liquidating distributions,
management  fees,  cash flow  distributions  or lease  payments)  to  Guarantor,
Manager (if applicable), any Affiliate, or any shareholder, member or partner of
Tenant, Guarantor, Manager (if applicable) or any Affiliate. Notwithstanding the
foregoing,  Guarantor  shall be permitted to pay dividends to  shareholders  and
regularly  scheduled  salary and bonus  payments (but no  extraordinary  salary,
bonuses, or other compensation).

            14.10  CHANGE OF LOCATION OR NAME. Tenant shall not   change  any of
the  following:  [i] the  location of the  principal  place of business or chief
executive  office of  Tenant,  or any  office  where any of  Tenant's  books and
records  are  maintained  (other  than  the  change  to be made in May,  1999 as
previously disclosed to Landlord);  or [ii] the name under which Tenant conducts
any of its business or operations.

                        ARTICLE 15: AFFIRMATIVE COVENANTS

            15.1  PERFORM  OBLIGATIONS.  Tenant  shall  perform  or  cause to be
performed   all  of  its   obligations   under  this   Lease,   the   Government
Authorizations,  the Permitted  Exceptions,  and all Legal Requirements.  Tenant
shall take all necessary action to obtain all Government Authorizations required
for the operation of the Facility as soon as possible after the Effective Date.

            15.2  PROCEEDINGS  TO  ENJOIN  OR  PREVENT   CONSTRUCTION.   If  any
proceedings are filed seeking to enjoin or otherwise  prevent or declare invalid
or unlawful Tenant's construction,  occupancy,  maintenance, or operation of the
Facility  or any  portion  thereof,  Tenant  will cause such  proceedings  to be
vigorously  contested  in good faith,  and in the event of an adverse  ruling or
decision,  prosecute all allowable appeals therefrom, and will, without limiting
the  generality  of the  foregoing,  resist  the  entry  or seek the stay of any
temporary or permanent  injunction  that may be entered,  and use all reasonable
commercial efforts to bring about a favorable and speedy disposition of all such
proceedings and any other proceedings.

            15.3  DOCUMENTS AND INFORMATION.
                 
            15.3.1  FURNISH DOCUMENTS.  Tenant shall  periodically  during   the
term of the Lease deliver to Landlord the Annual Financial Statements,  Periodic
Financial  Statements  and other  documents  described  on  Exhibit C within the
specified time periods.  With each delivery of Annual  Financial  Statements and
Periodic  Financial  Statements  (other  than  the  monthly  Facility  Financial
Statement)  to Landlord,  Tenant  shall also  deliver to Landlord a  certificate
signed by the 



                                      -37-
<PAGE>


Chief Financial  Officer,  general partner or managing member (as applicable) of
Tenant,  an Annual Facility  Financial  Report or Quarterly  Facility  Financial
Report, as applicable, and a Quarterly Facility Accounts Receivable Aging Report
all in the form of Exhibit D. In addition,  Tenant shall deliver to Landlord the
Annual Facility  Financial Report and a Quarterly  Facility Accounts  Receivable
Aging Report (based upon internal financial statements) within 60 days after the
end of each fiscal year.

            15.3.2  FURNISH  INFORMATION.   Tenant  shall  [i]  promptly  supply
Landlord with such information  concerning its financial condition,  affairs and
property,  as  Landlord  may  reasonably  request  from time to time  hereafter,
including reporting formats used by Landlord and electronic filing and transfer;
[ii]  promptly  notify  Landlord  in  writing  of any  condition  or event  that
constitutes  a breach  or event of  default  of any term,  condition,  warranty,
representation,  or provisions of this Agreement or any other agreement,  and of
any  material  adverse  change in its  financial  condition;  [iii]  maintain  a
standard and modern  system of  accounting;  [iv] permit  Landlord or any of its
agent or  representatives  to have access to and to examine all of its books and
records  regarding the financial  condition of the Facility at any time or times
hereafter during business hours and after reasonable oral or written notice; and
[v] permit  Landlord to copy and make  abstracts  from any and all of said books
and records.

            15.3.3  FURTHER ASSURANCES AND INFORMATION. Tenant shall, on request
of Landlord from time to time, execute, deliver, and furnish documents as may be
necessary  to  fully  consummate  the  transactions   contemplated   under  this
Agreement. Within 15 days after a request from Landlord, Tenant shall provide to
Landlord  such  additional  information  regarding  Tenant,  Tenant's  financial
condition or the Facility as Landlord,  or any existing or proposed  creditor of
Landlord,  or any auditor or underwriter  of Landlord,  may require from time to
time, including, without limitation, a current Tenant's Certificate and Facility
Financial Report in the form of Exhibit D. Upon Landlord's request, but not more
than once every three  years,  Tenant  shall  provide to  Landlord,  at Tenant's
expense,  an appraisal  prepared by an MAI  appraiser  setting forth the current
fair market value of the Leased Property.

            15.3.4  MATERIAL COMMUNICATIONS.  Tenant shall transmit to Landlord,
within 5  business  days  after  receipt  thereof,  any  material  communication
affecting  a Facility,  this Lease,  the Legal  Requirements  or the  Government
Authorizations,  and Tenant will  promptly  respond to  Landlord's  inquiry with
respect to such  information.  Tenant shall promptly  notify Landlord in writing
after Tenant has knowledge of any potential,  threatened or existing  litigation
or proceeding against, or investigation of, Tenant,  Guarantor,  or the Facility
that may affect the right to operate  the  Facility or  Landlord's  title to the
Facility or Tenant's interest therein.

            15.3.5  REQUIREMENTS FOR FINANCIAL STATEMENTS.  Tenant and Guarantor
shall meet the following  requirements in connection with the preparation of the
financial statements:  [i] all audited financial statements shall be prepared in
accordance with general accepted  accounting  principles  consistently  applied;
[ii]  all  unaudited  financial   statements  shall  be  prepared  in  a  manner
substantially  consistent with prior audited and unaudited financial  statements
submitted to Landlord;  [iii] all financial  statements shall fairly present the
financial  condition  and  performance  for the relevant  period in all material
respects; [iv] the financial statements shall 



                                      -38-
<PAGE>


include  all  notes to the  financial  statements  and a  complete  schedule  of
contingent  liabilities and transactions  with  Affiliates;  and [v] the audited
financial statements shall contain an unqualified opinion.

            15.4  COMPLIANCE  WITH  LAWS.  Tenant  shall  comply  with all Legal
Requirements  and keep all Government  Authorizations  in full force and effect.
Tenant shall pay when due all taxes and  governmental  charges of every kind and
nature that are  assessed or imposed  upon Tenant at any time during the term of
the Lease, including,  without limitation, all income, franchise, capital stock,
property,  sales and use, business,  intangible,  employee withholding,  and all
taxes and charges relating to Tenant's business and operations.  Tenant shall be
solely  responsible  for compliance with all Legal  Requirements,  including the
ADA, and Landlord shall have no responsibility for such compliance.

            15.5  BROKER'S  COMMISSION.  Tenant shall  indemnify  Landlord  from
claims of brokers  arising by the execution  hereof or the  consummation  of the
transactions  contemplated  hereby and from  expenses  incurred  by  Landlord in
connection with any such claims (including attorneys' fees).

            15.6  EXISTENCE  AND  CHANGE  IN  OWNERSHIP.   Tenant,  Manager  (if
applicable)  and Guarantor  shall maintain its existence  throughout the term of
this  Agreement.   Any  change  in  the  ownership  of  Tenant  or  Manager  (if
applicable),  directly or  indirectly,  shall require  Landlord's  prior written
consent.  Landlord's  consent to a change in  ownership  of Tenant  shall not be
unreasonably withheld.

            15.7  FINANCIAL COVENANTS. The  defined  terms  used in this section
are defined in ss.15.7.1. The method of calculating Net Worth and valuing assets
shall be consistent  with the  Financial  Statements.  The  following  financial
covenants shall be met throughout the term of this Lease:

            15.7.1  DEFINITIONS.

                  (a)  "Cash Flow" means the net income of  Tenant  as reflected
on the  income  statement  of Tenant  plus [i] the amount of the  provision  for
depreciation and  amortization;  [ii] the amount of the provision for management
fees;  plus [iii] the amount of the provision  for income  taxes;  plus [iv] the
amount of the provision for Rent  payments and interest and lease  payments,  if
any;  minus [v] an imputed  management fee equal to 5% of gross revenues (net of
contractual  allowances);  and minus  [vi] an  imputed  replacement  reserve  of
$250.00 per licensed bed at the Facility, per year.

                  (b)  "Coverage  Ratio"  is the ratio of [i] Cash Flow for each
applicable  period; to [ii] the Rent payments due pursuant to this Lease and all
other debt service and lease  payments  relating to the Leased  Property for the
applicable period.

                  (c)  "Net  Worth"  has the  meaning  given   under   generally
accepted accounting principles.



                                      -39-
<PAGE>



            15.7.2  COVERAGE RATIO. Tenant  shall  maintain  for   each   fiscal
quarter a Coverage  Ratio with  respect to the Facility of not less than 1.25 to
1.00.

            15.7.3   NET WORTH. Guarantor shall maintain for each fiscal quarter
a Net  Worth of at least  $55,000,000.00  with cash and cash  equivalents  of at
least $5,000,000.00.

            15.7.4  CURRENT  RATIO.  Guarantor  shall  maintain  for each fiscal
quarter a ratio of current  assets to current  liabilities of not less than 1.25
to 1.00.

            15.7.5  DEBT TO EQUITY  RATIO.  Guarantor  shall  maintain  for each
fiscal quarter a ratio of total indebtedness to shareholders' equity of not more
than  2.50 to 1.00.  The  aggregate  lease  amount  under  all  capitalized  and
operating  leases shall be included as indebtedness  and all  subordinated  debt
shall be included as equity.

            15.8  TRANSFER  OF  LICENSE.  If this  Lease  is  terminated  due to
expiration of the Term,  pursuant to an Event of Default or for any reason other
than Tenant's  purchase of the Leased Property,  or if Tenant vacates the Leased
Property without  termination of this Lease,  Tenant shall execute,  deliver and
file all documents and  statements  requested by Landlord to effect the transfer
of the Facility license and Government Authorizations to an entity designated by
Landlord,   subject  to  any  required   approval  of  governmental   regulatory
authorities,  and Tenant shall provide to Landlord all  information  and records
required  by  Landlord  in  connection  with the  transfer  of the  license  and
Government Authorizations.

            ARTICLE 16: ALTERATIONS, CAPITAL IMPROVEMENTS, AND SIGNS

            16.1  PROHIBITION  ON  ALTERATIONS  AND  IMPROVEMENTS.   Except  for
Permitted  Alterations  (as  hereinafter  defined),  Tenant  shall  not make any
structural or nonstructural changes, alterations,  additions and/or improvements
(hereinafter collectively referred to as "Alterations") to the Leased Property.

            16.2  APPROVAL  OF  ALTERATIONS.  If Tenant  desires to perform  any
Permitted Alterations,  Tenant shall deliver to Landlord plans,  specifications,
drawings,  and such other information as may be reasonably requested by Landlord
(collectively the "Plans and  Specifications")  showing in reasonable detail the
scope and nature of the  Alterations  that Tenant desires to perform.  It is the
intent of the parties  hereto that the level of detail  shall be  comparable  to
that which is referred to in the architectural profession as "design development
drawings"  as opposed to working or biddable  drawings.  Landlord  agrees not to
unreasonably  delay its review of the Plans and  Specifications.  Within 30 days
after receipt of an invoice,  Tenant shall reimburse  Landlord for all costs and
expenses  incurred by Landlord in  reviewing  and,  if  required,  approving  or
disapproving the Plans and Specifications,  inspecting the Leased Property,  and
otherwise monitoring  compliance with the terms of this Article 16. Tenant shall
comply with the requirements of ss.16.4 in making any Permitted Alterations.



                                      -40-
<PAGE>


            16.3  PERMITTED  ALTERATIONS. Permitted Alterations means any one of
the following:  [i] Alterations approved by Landlord;  [ii] Alterations required
under ss.7.2; [iii] Alterations having a total cost of less than $250,000.00; or
[iv] repairs,  rebuilding  and  restoration  required or undertaken  pursuant to
ss.9.4.

            16.4  REQUIREMENTS  FOR PERMITTED  ALTERATIONS.  Tenant shall comply
with  all of  the  following  requirements  in  connection  with  any  Permitted
Alterations:

                  (a)  The Permitted Alterations  shall  be  made  in accordance
with the Plans and Specifications approved by Landlord, if applicable.

                  (b) The Permitted  Alterations  and the  installation  thereof
shall comply with all applicable legal requirements and insurance requirements.

                  (c)  The  Permitted  Alterations shall  be done in a good  and
workmanlike  manner,  shall not impair the value or the structural  integrity of
the Leased Property, and shall be free and clear of all mechanic's liens.

                  (d)  For  any  Permitted Alterations  having  a total  cost of
$250,000.00 or more,  Tenant shall deliver to Landlord a payment and performance
bond, with a surety acceptable to Landlord,  in an amount equal to the estimated
cost of the Permitted Alterations,  guaranteeing the completion of the work free
and clear of liens and in accordance with the approved Plans and Specifications,
and naming  Landlord  and any  mortgagee  of Landlord as joint  obligees on such
bond.

                  (e)  Tenant  shall, at  Tenant's  expense,  obtain a builder's
completed value risk policy of insurance  insuring against all risks of physical
loss, including collapse and transit coverage,  in a nonreporting form, covering
the total value of the work performed,  and equipment,  supplies, and materials,
and insuring initial occupancy.  Landlord and any mortgagee of Landlord shall be
additional insureds of such policy. Landlord shall have the right to approve the
form and substance of such policy.

                  (f)  Tenant  shall pay the  premiums required to increase  the
amount of the insurance coverages required by Article 4 to reflect the increased
value  of  the  Improvements   resulting  from  installation  of  the  Permitted
Alterations, and shall deliver to Landlord a certificate evidencing the increase
in coverage.

                  (g)  Tenant shall, not later than 60 days after  completion of
the Permitted  Alterations,  deliver to Landlord a revised  "as-built" survey of
the Leased Property if the Permitted Alterations altered the Land or "footprint"
of the  Improvements and an "as-built" set of Plans and  Specifications  for the
Permitted Alterations in form and substance satisfactory to Landlord.

                  (h)  Tenant shall, not later than 30 days after Landlord sends
an invoice, reimburse Landlord for any reasonable costs and expenses,  including
attorneys' fees and 



                                      -41-
<PAGE>


architects'  and  engineers'  fees,  incurred in connection  with  reviewing and
approving the Permitted  Alterations and ensuring  Tenant's  compliance with the
requirements of this section.  The daily fee for Landlord's  consulting engineer
is $750.00.

            16.5  OWNERSHIP AND REMOVAL OF PERMITTED ALTERATIONS.  The Permitted
Alterations shall become a part of the Leased Property,  owned by Landlord,  and
leased to Tenant subject to the terms and conditions of this Lease. Tenant shall
not be required or permitted to remove any Permitted Alterations.

            16.6  SIGNS.  Tenant  may, at its own  expense,  erect and  maintain
identification signs at the Leased Property, provided such signs comply with all
laws,  ordinances,  and regulations.  Upon the termination or expiration of this
Lease, Tenant shall, within 30 days after notice from Landlord, remove the signs
and restore the Leased Property to its original condition.

                       ARTICLE 17: [INTENTIONALLY DELETED]

               ARTICLE 18: ASSIGNMENT AND SALE OF LEASED PROPERTY

            18.1  PROHIBITION ON ASSIGNMENT AND SUBLETTING. Tenant  acknowledges
that  Landlord has entered into this Lease in reliance on the personal  services
and business expertise of Tenant and Guarantor.  Tenant may not assign,  sublet,
mortgage, hypothecate, pledge, or transfer any interest in this Lease, or in the
Leased  Property,  in whole or in part,  without  the prior  written  consent of
Landlord,  which Landlord may withhold in its sole and absolute discretion.  The
following  transactions  will be  deemed an  assignment  or  sublease  requiring
Landlord's prior written consent: [i] an assignment by operation of law; [ii] an
imposition (whether or not consensual) of a lien, mortgage,  or encumbrance upon
Tenant's interest in the Lease; [iii] an arrangement  (including but not limited
to, management  agreements,  concessions,  licenses, and easements) which allows
the use or occupancy of all or part of the Leased  Property by anyone other than
Tenant;  and [iv] a change of ownership  of Tenant.  An  assignment  or sublease
without the prior  written  consent of Landlord  will be void at the  Landlord's
option.  Landlord's  consent to one  assignment  or sublease  will not waive the
requirement of its consent to any subsequent assignment or sublease.

            18.2  REQUESTS FOR  LANDLORD'S  CONSENT TO  ASSIGNMENT,  SUBLEASE OR
MANAGEMENT  AGREEMENT.  If Tenant is required to obtain Landlord's  consent to a
specific  assignment,  sublease,  or  management  agreement,  Tenant  shall give
Landlord  [i] the  name and  address  of the  proposed  assignee,  subtenant  or
manager;  [ii] a  copy  of  the  proposed  assignment,  sublease  or  management
agreement;  [iii] reasonably satisfactory information about the nature, business
and business  history of the proposed  assignee,  subtenant,  or manager and its
proposed use of the Leased  Property;  and [iv]  banking,  financial,  and other
credit  information,  and references about the proposed  assignee,  subtenant or
manager sufficient to enable Landlord to determine the financial  responsibility
and character of the proposed assignee, subtenant or manager.

            18.3  AGREEMENTS WITH RESIDENTS.   Notwithstanding  ss.18.1,  Tenant
may enter into an occupancy  agreement  with  residents  of the Leased  Property
without the prior  written  consent of Landlord  provided that [i] the agreement
does    not    provide    for  lifecare    services;     [ii]   Tenant   may not



                                      -42-
<PAGE>


collect rent for more than one month in advance;  and [iii] all residents of the
Leased Property are accurately shown in Tenant's accounting records.

            18.4  TERMS  APPLICABLE TO ALL ASSIGNMENTS,  SUBLEASES OR MANAGEMENT
AGREEMENTS.  Any  assignment,  sublease or  management  agreement  shall contain
provisions  to the  effect  that [a] such  assignment,  sublease  or  management
agreement is subject and  subordinate to all of the terms and provisions of this
Lease and to the rights of Landlord; [b] such assignment, sublease or management
agreement may not be modified  without the prior written consent of Landlord not
to be unreasonably withheld or delayed; [c] if this Lease shall terminate before
the  expiration  of such  assignment,  sublease  or  management  agreement,  the
assignee,  subtenant or manager thereunder will, at Landlord's option, attorn to
Landlord  and waive any right the  assignee,  subtenant  or manager  may have to
terminate  the  assignment,   sublease  or  management  agreement  or  surrender
possession  thereunder as a result of the termination of this Lease;  [d] if the
assignee,  subtenant or manager  receives a written notice from Landlord stating
that Tenant is in default under this Lease,  the assignee,  subtenant or manager
shall  thereafter pay all rentals or payments under the assignment,  sublease or
management agreement directly to Landlord until such default has been cured, and
[e]  Tenant  or any  guarantor  shall  not be  released  from  its  payment  and
performance and obligations under this Lease, but rather Tenant,  any guarantor,
and Tenant's assignee or sublessee will be jointly and severally liable for such
payment  and  performance  unless  Landlord  agrees in writing  to release  such
parties from their respective obligations.

            18.5  COLLATERAL  ASSIGNMENT.  Tenant hereby collaterally assigns to
Landlord, as security for the performance of the Tenant's Obligations hereunder,
and grants a security interest to Landlord in all of Tenant's right,  title, and
interest in and to any  assignment,  sublease  or  management  agreement  now or
hereafter existing for all or part of the Leased Property.  Tenant shall, at the
request of Landlord, execute such other instruments or documents as Landlord may
request to evidence this collateral assignment.

            18.6  EFFECTIVENESS.   Any  assignment,   sublease,   or  management
agreement  shall  not be  effective  until  [i] a  fully  executed  copy  of the
instrument of assignment, sublease or management agreement has been delivered to
Landlord;  [ii]  in the  case  of an  assignment,  Landlord  has  received  such
documents,  instruments,  affidavits,  letter  of  credit  amendments,  proof of
licensure and amendments as Landlord may reasonably request in order to evidence
assignee's assumption and agreement to perform all of Tenant's obligations under
the Lease;  [iii] Tenant has paid to Landlord a fee in the amount of  $2,500.00;
and [iv] Landlord has received reimbursement from Tenant or the assignee for all
attorneys'  fees and expenses and all other  reasonable  out-of-pocket  expenses
incurred in connection with determining whether to give its consent,  giving its
consent and all matters  relating to the  assignment,  sublease,  or  management
agreement.

            18.7  SALE OF LEASED PROPERTY.  If Landlord  or any subsequent owner
of the  Leased  Property  sells  the  Leased  Property,  its  liability  for the
performance  of its agreements in this Lease will end on the date of the sale of
the  Leased  Property,  and Tenant  will look  solely to the  purchaser  for the
performance of those agreements.  For purposes of this Section,  any holder of a
mortgage or security  agreement  which affects the Leased  Property at any time,
and any landlord under any lease 



                                      -43-
<PAGE>


to which this Lease is  subordinate at any time,  will be a subsequent  owner of
the  Leased  Property  when it  succeeds  to the  interest  of  Landlord  or any
subsequent owner of the Leased Property.

            18.8  ASSIGNMENT  BY  LANDLORD.   Landlord  may  transfer,   assign,
mortgage,  collaterally  assign, or otherwise dispose of Landlord's  interest in
this Lease or the Leased Property.

                       ARTICLE 19: HOLDOVER AND SURRENDER

            19.1  HOLDING  OVER.  Should  Tenant, with or without the express or
implied  consent of  Landlord,  continue to hold and occupy the Leased  Property
after the  expiration  of the Term,  such  holding  over beyond the Term and the
acceptance or collection of Rent by the Landlord  shall operate and be construed
as creating a tenancy from month-to-month and not for any other term whatsoever.
Said  month-to-month  tenancy may be  terminated by Landlord by giving Tenant 10
days written notice,  and at any time thereafter  Landlord may re-enter and take
possession of the Leased Property.

            19.2  SURRENDER. Except for [i] Permitted  Alterations;  [ii] normal
and  reasonable  wear and tear (subject to the  obligation of Tenant to maintain
the Leased Property in good order and repair during the Term);  and [iii] damage
and  destruction  not required to be repaired by Tenant,  Tenant shall surrender
and deliver up the Leased  Property at the expiration or termination of the Term
in as good order and condition as of the Commencement Date.

                          ARTICLE 20: LETTER OF CREDIT

            20.1  TERMS OF LETTER OF CREDIT. As security for the  performance of
its  obligations  hereunder,  Tenant shall  provide  Landlord with the Letter of
Credit at the Closing.  Tenant  shall  maintain the Letter of Credit in favor of
Landlord until Tenant's  Obligations are performed in full. The Letter of Credit
shall permit partial draws and shall permit drawing upon presentation of a draft
drawn on the issuer and a certificate  signed by Landlord  stating that an Event
of Default has occurred  under this Lease.  The Letter of Credit shall be for an
initial  term of one  year and  shall  be  automatically  renewed  annually  for
successive  terms of at least one year unless Landlord  receives notice from the
Issuer,  by  certified  mail,  at least 60 days prior to the expiry date then in
effect that the Letter of Credit will not be extended for an additional one-year
period.

            20.2  REPLACEMENT   LETTER  OF  CREDIT.   Tenant  shall   provide  a
replacement Letter of Credit which satisfies the requirements of ss.20.1 from an
Issuer  acceptable to Landlord within 30 days after the occurrence of any of the
following:  [i] Landlord's  receipt of notice from the Issuer that the Letter of
Credit will not be extended for an  additional  one-year  period;  [ii] Landlord
gives notice to Tenant that the Lace  Financial  Service Rating of the Issuer is
less than a "C+"; or [iii]  Landlord  gives notice to Tenant of the admission by
Issuer in writing of its  inability  to pay its debts  generally  as they become
due,  or  Issuer's  filing of a petition  in  bankruptcy  or  petitions  to take
advantage of any  insolvency  act,  making an assignment  for the benefit of its
creditors, consenting to the appointment of a receiver of itself or of the whole
or any substantial part of its property,  or filing a petition or answer seeking
reorganization  or 



                                      -44-
<PAGE>


arrangement  under the federal  bankruptcy  laws or any other  applicable law or
statute of the United States of America or any state thereof.  Tenant's  failure
to comply with the  requirements  of this section shall be an immediate Event of
Default without any notice (other than as provided for in the section),  cure or
grace period.

            20.3  DRAWS.  Landlord  may draw under the Letter of Credit upon the
occurrence  of an Event of  Default  hereunder.  Any such draw shall not cure an
Event of Default.  Landlord  shall have the right,  but not the  obligation,  to
apply all or any portion of the proceeds from the Letter of Credit to pay all or
any  portion of [i] all Rent and other  charges and  expenses  payable by Tenant
under this  Lease;  plus [ii] all  expenses  and costs  incurred  by Landlord in
enforcing or preserving  Landlord's  rights under this Lease or any security for
the Lease,  including without limitation,  [a] the fees, expenses,  and costs of
any litigation, receivership,  administrative,  bankruptcy, insolvency, or other
similar  proceeding;  [b] attorney,  paralegal,  consulting and witness fees and
disbursements;  and [c] the expenses,  including  without  limitation,  lodging,
meals and transportation of Landlord and its employees,  agents,  attorneys, and
witnesses in preparing for litigation,  administrative,  bankruptcy, insolvency,
or similar  proceedings and attendance at hearings,  depositions,  and trials in
connection therewith.

            With respect to any portion of the Letter of Credit proceeds that is
not applied to payment of Tenant's  Obligations,  Landlord shall have the option
to either [i] deposit  the  proceeds  into an  interest-bearing  account  with a
financial institution chosen by Landlord ("LC Account");  or [ii] require Tenant
to obtain a  replacement  Letter of Credit  satisfactory  to Landlord,  with the
Letter  of  Credit   proceeds  made  available  to  Tenant  to  secure  Tenant's
reimbursement  obligation for the Letter of Credit. All interest accruing on the
LC Account  shall be paid to Landlord and may,  from time to time,  be withdrawn
from the LC  Account  by  Landlord.  At any time  and  from  time to time  until
Tenant's  Obligations  are  performed  in full,  Landlord  may  apply all or any
portion of the funds held in the LC Account to payment of all or any  portion of
Tenant's Obligations. Within 10 days after any such payment from the LC Account,
Landlord  shall  give  written  notice to Tenant  describing  the amount of such
payment and how it was applied to Tenant's Obligations.

            Upon  the  occurrence  of  either  [i]   Landlord's   receipt  of  a
replacement  Letter of Credit that satisfies the  requirements of ss.20.1 and is
issued by an Issuer  acceptable  to  Landlord;  or [ii] the date on which all of
Tenant's  Obligations  are performed in full,  Landlord  shall pay the principal
balance of the LC Account (but not any accrued interest) to Tenant.

            20.4  PARTIAL  DRAWS.  Upon the  occurrence  of a monetary  Event of
Default under this Lease,  Landlord  may, at its option,  make a partial draw on
the Letter of Credit in an amount not to exceed the amount of Tenant's  monetary
obligations  under  this Lease  then past due.  If  Landlord  then  applies  the
proceeds from such partial draw on the Letter of Credit to payment of all or any
portion of Tenant's monetary  obligations then past due, Tenant shall, within 10
days after notice from  Landlord of such  partial  draw and  payment,  cause the
amount of the Letter of Credit to be reinstated to the amount in effect prior to
such partial  draw.  Tenant's  failure to comply with the  requirements  of this
section shall be an immediate Event of Default under the Loan Documents  without
any  notice (other  than as  provided  for  in  this   section),   cure or grace



                                      -45-
<PAGE>


period.  Landlord's  rights  under this  ss.20.4 are in addition  to, and not in
limitation of, Landlord's rights under ss.20.3.

            20.5  SUBSTITUTE  LETTER OF CREDIT.  Tenant may,  from time to time,
deliver to Landlord a substitute  Letter of Credit meeting the  requirements  of
this Agreement and issued by an Issuer  acceptable to Landlord.  Upon Landlord's
approval of the substitute Letter of Credit, Landlord shall release the previous
Letter of Credit to the Tenant.

            20.6  REDUCTION IN LETTER OF CREDIT AMOUNT. The amount of the Letter
of Credit may be reduced by Tenant from 5% of the Maximum  Lease  Amount to 2.5%
of the Maximum Lease Amount after all of the following conditions have been met:
[i] the Earnout Conditions have been satisfied; and [ii] no Event of Default has
occurred and is continuing under this Lease.

ARTICLE 21: QUIET ENJOYMENT, SUBORDINATION, ATTORNMENT AND ESTOPPEL CERTIFICATES

            21.1  QUIET  ENJOYMENT.  So  long  as  Tenant  performs  all  of its
obligations  under this Lease,  Tenant's  possession of the Leased Property will
not be disturbed by Landlord.

            21.2  SUBORDINATION.  Subject  to the terms and  conditions  of this
section,  this Lease and Tenant's rights under this Lease are subordinate to any
ground lease or underlying lease, first mortgage,  first deed of trust, or other
first  lien   against  the  Leased   Property,   together   with  any   renewal,
consolidation,  extension,  modification or replacement thereof, which now or at
any subsequent  time affects the Leased  Property or any interest of Landlord in
the Leased  Property,  except to the extent that any such  instrument  expressly
provides that this Lease is superior. The foregoing  subordination  provision is
expressly  conditioned upon any lessor or mortgagee being obligated and bound to
recognize  Tenant as the tenant  under this Lease,  and such lessor or mortgagee
shall have no right to disturb  Tenant's  possession,  use and  occupancy of the
Leased Property or Tenant's  enjoyment of its rights under this Lease unless and
until an Event of Default occurs hereunder. Any foreclosure action or proceeding
by any mortgagee with respect to the Leased  Property shall not affect  Tenant's
rights under this Lease and shall not  terminate  this Lease unless and until an
Event  of  Default  occurs   hereunder.   The  foregoing   provisions   will  be
self-operative,  and no further  instrument  will be required in order to effect
them. However, Tenant shall execute, acknowledge and deliver to Landlord, at any
time and from time to time upon demand by  Landlord,  such  documents  as may be
requested  by Landlord or any  mortgagee  or any holder of any mortgage or other
instrument   described  in  this   section,   to  confirm  or  effect  any  such
subordination,  provided that any such document shall include a  non-disturbance
provision as set forth in this section  satisfactory to Tenant. Any mortgagee of
the Leased Property shall be deemed to be bound by the non-disturbance provision
set forth in this section.  If Tenant fails or refuses to execute,  acknowledge,
and deliver any such document within 20 days after written demand,  Landlord may
execute  acknowledge  and  deliver  any such  document  on  behalf  of Tenant as
Tenant's  attorney-in-fact.  Tenant hereby constitutes and irrevocably  appoints
Landlord,  its successors and assigns, as Tenant's  attorney-in-fact to execute,
acknowledge,  and deliver on behalf of Tenant any  documents  described  in this
section. This power of attorney is coupled with an interest and is irrevocable.



                                      -46-
<PAGE>


            21.3  ATTORNMENT.  If any holder of any mortgage, indenture, deed of
trust, or other similar  instrument  described in ss.21.2 succeeds to Landlord's
interest  in the  Leased  Property,  Tenant  will  pay to such  holder  all Rent
subsequently  payable  under this Lease.  Tenant  shall,  upon request of anyone
succeeding to the interest of Landlord,  automatically become the tenant of, and
attorn to, such successor in interest without changing this Lease. The successor
in interest will not be bound by [i] any payment of Rent for more than one month
in advance;  [ii] any amendment or  modification  of this Lease  thereafter made
without its consent as provided in this Lease;  [iii] any claim against Landlord
arising  prior  to the date on  which  the  successor  succeeded  to  Landlord's
interest; or [iv] any claim or offset of Rent against the Landlord. Upon request
by Landlord or such  successor  in interest and without cost to Landlord or such
successor  in  interest,  Tenant  will  execute,   acknowledge  and  deliver  an
instrument or instruments confirming the attornment.  If Tenant fails or refuses
to execute,  acknowledge,  and deliver any such instrument  within 30 days after
written demand,  then Landlord or such successor in interest will be entitled to
execute,  acknowledge,  and deliver any document on behalf of Tenant as Tenant's
attorney-in-fact.  Tenant hereby constitutes and irrevocably  appoints Landlord,
its  successors   and  assigns,   as  Tenant's   attorney-in-fact   to  execute,
acknowledge,  and deliver on behalf of Tenant any such  document.  This power of
attorney is coupled with an interest and is irrevocable.

            21.4  ESTOPPEL  CERTIFICATES.  At the  request  of  Landlord  or any
mortgagee  or  purchaser  of  the  Leased   Property,   Tenant  shall   execute,
acknowledge,  and deliver an estoppel certificate,  in recordable form, in favor
of Landlord or any mortgagee or purchaser of the Leased Property certifying,  to
Tenant's knowledge,  the following: [i] that the Lease is unmodified and in full
force and effect, or if there have been  modifications  that the same is in full
force and effect as modified  and stating  the  modifications;  [ii] the date to
which Rent and other charges have been paid; [iii] whether Tenant or Landlord is
in default or whether there is any fact or condition which, with notice or lapse
of time,  or both,  would  constitute  a default,  and  specifying  any existing
default, if any; [iv] that Tenant has accepted and occupies the Leased Property;
[v] that Tenant has no defenses, set-offs, deductions, credits, or counterclaims
against  Landlord,  if that be the case, or specifying such that exist; and [vi]
such other  information  as may  reasonably  be  requested  by  Landlord  or any
mortgagee or  purchaser.  Any  purchaser or mortgagee  may rely on this estoppel
certificate.  If Tenant fails to deliver the estoppel  certificates  to Landlord
within 20 days after the request of the Landlord, then Tenant shall be deemed to
have  certified  that to Tenant's  knowledge  [a] the Lease is in full force and
effect and has not been  modified,  or that the Lease has been  modified  as set
forth in the  certificate  delivered  to Tenant;  [b] Tenant has not prepaid any
Rent or other charges except for the current month;  [c] Tenant has accepted and
occupies the Leased Property;  [d] neither Tenant nor Landlord is in default nor
is there any fact or  condition  which,  with notice or lapse of time,  or both,
would  constitute  a  default;  and  [e]  Tenant  has  no  defenses,   set-offs,
deductions,   credits,   or  counterclaims   against  Landlord.   Tenant  hereby
irrevocably   appoints  Landlord  as  Tenant's   attorney-in-fact   to  execute,
acknowledge,  and deliver on Tenant's  behalf any estoppel  certificate to which
Tenant does not object within 20 days after  Landlord  sends the  certificate to
Tenant.  This power of attorney is coupled with an interest and is  irrevocable.
This power of attorney is coupled  with an interest and is  irrevocable.  At the
request  of  Tenant,  Landlord  shall  execute,   acknowledge,  and  deliver  an




                                      -47-
<PAGE>



estoppel  certificate,  in recordable  form, in favor of Tenant  certifying,  to
Landlord's  knowledge,  the  following:  [i] that the Lease is unmodified and in
full force and effect, or if there have been  modifications  that the same is in
full force and effect as modified and stating the  modifications;  [ii] the date
to which Rent and other  charges have been  received by Landlord;  [iii] whether
Tenant or  Landlord  is in  default or  whether  there is any fact or  condition
which,  with notice or lapse of time, or both, would  constitute a default,  and
specifying  any existing  default,  if any;  [iv] that Landlord has no defenses,
set-offs,  deductions,  credits, or counterclaims against Tenant, if that be the
case,  or specifying  such that exist;  and [vi] such other  information  as may
reasonably  be  requested by Tenant.  If Landlord  fails to deliver the estoppel
certificate  to Tenant  within 20 days  after the  request of the  Tenant,  then
Landlord shall be deemed to have certified that to Landlord's knowledge, [a] the
Lease is in full force and effect and has not been  modified,  or that the Lease
has been  modified as set forth in the  certificate  delivered to Landlord;  [b]
Landlord  has not  received  any prepaid  Rent or other  charges  except for the
current  month;  [c] neither  Tenant nor Landlord is in default nor is there any
fact or condition which, with notice or lapse of time, or both, would constitute
a default; and [d] Landlord has no defenses, set-offs,  deductions,  credits, or
counterclaims  against Tenant.  Landlord hereby  irrevocably  appoints Tenant as
Landlord's attorney-in-fact to execute,  acknowledge,  and deliver on Landlord's
behalf any estoppel certificate to which Landlord does not object within 20 days
after  Tenant  sends the  certificate  to  Landlord.  This power of  attorney is
coupled with an interest and is irrevocable.

                   ARTICLE 22: REPRESENTATIONS AND WARRANTIES

            Tenant hereby makes the following representations and warranties, as
of the Effective  Date, to Landlord and  acknowledges  that Landlord is granting
the  Lease in  reliance  upon  such  representations  and  warranties.  Tenant's
representations  and  warranties  shall  survive the Closing and,  except to the
extent made as of a specific date, shall continue in full force and effect until
Tenant's Obligations have been performed in full.

            22.1  ORGANIZATION AND GOOD STANDING. Tenant is a corporation,  duly
organized,  validly existing and in good standing under the laws of the State of
Delaware and is qualified  to do business in and is in good  standing  under the
laws of the State.

            22.2  POWER AND  AUTHORITY.  Tenant has the power and  authority  to
execute,  deliver and perform this Lease.  Tenant has taken all requisite action
necessary to authorize  the  execution,  delivery  and  performance  of Tenant's
obligations under this Lease.

            22.3  ENFORCEABILITY.  This Lease  constitutes a legal,  valid,  and
binding obligation of Tenant enforceable in accordance with its terms.

            22.4  GOVERNMENT AUTHORIZATIONS.  The  Facility  is in compliance in
all material respects with all Legal Requirements. All Government Authorizations
are in full force and  effect.  Except as  otherwise  noted in Exhibit E, Tenant
holds all Government  Authorizations necessary for the operation of the Facility
as a 36-unit  (66-bed)  skilled  nursing  facility.  Seller  presently holds all
Government  Authorizations  necessary for the Facility's  operation as a 36-unit
(66-bed) skilled nursing facility.  Upon the Closing,  Tenant will be authorized
to operate the Facility as a 36-unit  (66-bed)  skilled nursing facility until a
license  to  operate  the  



                                      -48-
<PAGE>


Facility is issued to Tenant.  Tenant has filed all applications and reports and
taken all necessary  action to obtain all Government  Authorizations  as soon as
possible after the Effective Date, subject to governmental  approval, and Tenant
has no  knowledge  of any  fact or  circumstance  that  would  prevent  or delay
Tenant's obtaining of such Government Authorizations.

            22.5  FINANCIAL STATEMENTS. Tenant has furnished Landlord with true,
correct,  and  complete  copies  of  the  Financial  Statements.  The  Financial
Statements  fairly  present the  financial  position of Tenant and  Guarantor as
applicable,  as of the  respective  dates and the results of operations  for the
periods then ended in conformance with generally accepted accounting  principles
applied on a basis consistent with prior periods.  The Financial  Statements and
other information  furnished to Landlord are true,  complete and correct and, as
of the  Effective  Date,  no  material  adverse  change has  occurred  since the
furnishing of such  statements and  information.  As of the Effective  Date, the
Financial  Statements and other  information do not contain any untrue statement
or omission of a material fact and are not  misleading in any material  respect.
Tenant and  Guarantor are solvent,  and no  bankruptcy,  insolvency,  or similar
proceeding is pending or contemplated by or, to the knowledge of Tenant, against
Tenant or Guarantor.

            22.6  CONDITION  OF  FACILITY.  To  Tenant's  knowledge,  all of the
mechanical  and  electrical  systems,  heating  and  air-conditioning   systems,
plumbing,  water and sewer systems,  and all other items of mechanical equipment
or appliances are in good working order, condition and repair, are of sufficient
size and capacity to service the Facility for the Facility Uses and conform with
all applicable ordinances and regulations,  and with all building, zoning, fire,
safety, and other codes, laws and orders.  The Improvements,  including the roof
and foundation, are structurally sound and free from leaks and other defects.

            22.7  COMPLIANCE  WITH  LAWS.  To  Tenant's  knowledge,  there is no
violation of, or noncompliance with, [i] any laws, orders, rules or regulations,
ordinances or codes of any kind or nature whatsoever relating to the Facility or
the ownership or operation  thereof  (including  without  limitation,  building,
fire, health,  occupational safety and health, zoning and land use, planning and
environmental  laws,  orders,  rules  and  regulations);   [ii]  any  covenants,
conditions,  restrictions or agreements  affecting or relating to the ownership,
use or occupancy of the Facility; or [iii] any order, writ, regulation or decree
relating to any matter referred to in [i] or [ii] above.

            22.8  NO  LITIGATION.  As  of the  Effective   Date  and  except  as
disclosed on Exhibit F, [i] there are no actions or suits, or any proceedings or
investigations  by any  governmental  agency or regulatory  body pending against
Tenant,  Guarantor or the Facility;  [ii] Tenant has not received  notice of any
threatened  actions,  suits,   proceedings  or  investigations  against  Tenant,
Guarantor or the Facility at law or in equity, or before any governmental board,
agency or authority which, if determined adversely to Tenant or Guarantor, would
materially  and  adversely  affect the Facility or title to the Facility (or any
part thereof),  the right to operate the Facility as presently operated,  or the
financial  condition of Tenant or Guarantor;  [iii] there are no  unsatisfied or
outstanding judgments against Tenant,  Guarantor or the Facility;  [iv] there is
no labor dispute  materially  and adversely  affecting the operation or business
conducted by Tenant,  



                                      -49-
<PAGE>



Guarantor,  or the Facility; and [v] Tenant does not have knowledge of any facts
or  circumstances  which might  reasonably  form the basis for any such  action,
suit, or proceeding.

            22.9  CONSENTS. The execution,  delivery  and  performance  of  this
Lease  will  not  require  any  consent,  approval,  authorization,   order,  or
declaration  of, or any filing or  registration  with,  any court,  any federal,
state,  or local  governmental or regulatory  authority,  or any other person or
entity,  the absence of which would  materially  impair the ability of Tenant to
operate the  Facility  for the  Facility  Uses  except for the  post-acquisition
filing for licensure of the Facility.

            22.10  NO VIOLATION. The execution, delivery and performance of this
Lease [i] do not and will not conflict with, and do not and will not result in a
breach of Tenant's Organizational  Documents;  [ii] do not and will not conflict
with,  and do not and will not  result in a breach  of,  and do not and will not
constitute a default under (or an event which,  with or without  notice or lapse
of  time,  or  both,  would  constitute  a  default  under),  any of the  terms,
conditions or  provisions of any agreement or other  instrument or obligation to
which  Tenant is a party or by which its assets are bound;  and [iii] do not and
will  not  violate  any  order,  writ,  injunction,  decree,  statute,  rule  or
regulation applicable to Tenant or the Facility.

            22.11  REPORTS AND STATEMENTS. All reports, statements, certificates
and other data  furnished  by or on behalf of Tenant or Guarantor to Landlord in
connection with this Lease, and all  representations  and warranties made herein
or in any certificate or other instrument  delivered in connection  herewith and
therewith,  are true and  correct in all  material  respects  and do not omit to
state  any  material  fact or  circumstance  necessary  to make  the  statements
contained herein or therein,  in light of the circumstances under which they are
made,  not misleading as of the date of such report,  statement,  certificate or
other data. The copies of all agreements and instruments  submitted to Landlord,
including,  without  limitation,  all  agreements  relating to management of the
Facility,  the Letter of Credit,  and Tenant's working capital are true, correct
and  complete  copies and  include  all  amendments  and  modifications  of such
agreements.

            22.12  ERISA.  All plans (as defined in  ss.4021(a)  of the Employee
Retirement  Income Security Act of 1974, as amended or supplemented from time to
time  ("ERISA")) for which Tenant is an "employer" or a  "substantial  employer"
(as  defined  in  ss.ss.3(5)  and  4001(a)(2)  of  ERISA,  respectively)  are in
compliance  with  ERISA  and  the  regulations  and  published   interpretations
thereunder.  To the extent Tenant maintains a qualified  defined benefit pension
plan: [i] there exists no  accumulated  funding  deficiency;  [ii] no reportable
event and no prohibited  transaction has occurred;  [iii] no lien has been filed
or  threatened  to  be  filed  by  the  Pension  Benefit  Guaranty   Corporation
established pursuant to Subtitle A of Title IV of ERISA; and [iv] Tenant has not
been deemed to be a substantial employer.

            22.13  CHIEF EXECUTIVE OFFICE.  Tenant maintains its chief executive
office and its books and records at the  address  set forth in the  introductory
paragraph  of this  Agreement.  Tenant does not  conduct any of its  business or
operations other than at its chief executive office and at the Facility.




                                      -50-
<PAGE>



            22.14  OTHER NAME OR ENTITIES.  Except as disclosed herein,  none of
Tenant's business is conducted through any corporate subsidiary,  unincorporated
association or other entity and Tenant has not,  within the six years  preceding
the date of this  Agreement [i] changed its name,  [ii] used any name other than
the  name  stated  at the  beginning  of this  agreement,  or  [iii]  merged  or
consolidated  with, or acquired any of the assets of, any  corporation  or other
business  except  for the  acquisition  of  assets  from  Gethsemane  Retirement
Community and Rehabilitation Center, Inc. in 1997.

            22.15  PARTIES IN  POSSESSION.  Except as disclosed on Exhibit B and
except for residents of the Facility,  there are no parties in possession of any
Leased  Property  or any  portion  thereof  as  managers,  lessees,  tenants  at
sufferance, or trespassers.

            22.16  ACCESS. Except as disclosed in writing to Landlord, access to
the Land is directly from a dedicated public right-of-way  without any easement.
To the knowledge of Tenant,  there is no fact or condition which would result in
the  termination or reduction of the current access to and from the Land to such
right of way.

            22.17  UTILITIES.  There are  available  at the Land gas,  municipal
water, and sanitary sewer lines, storm sewers, electrical and telephone services
in operating condition which are adequate for the operation of the Facility at a
reasonable cost. Except as disclosed in writing to Landlord, the Land has direct
access to utility lines located in a dedicated public  right-of-way  without any
easement.  As of the Effective Date, there is no pending or, to the knowledge of
Tenant,  threatened governmental or third party proceeding which would impair or
result in the termination of such utility availability.

            22.18  CONDEMNATION AND ASSESSMENTS.  As   of   the  Effective Date,
except as disclosed in writing to Landlord,  Tenant has not received  notice of,
and there are no pending or, to Tenant's  knowledge,  threatened,  condemnation,
assessment or similar proceedings  affecting or relating to the Facility, or any
portion thereof, or any utilities, sewers, roadways or other public improvements
serving the Facility.

            22.19  ZONING. As of the Effective Date, [i] the  use  and operation
of the Facility for the Facility Uses is permitted  under the applicable  zoning
code;  [ii] except as  disclosed  on Exhibit E hereto,  no special use  permits,
conditional  use  permits,  variances,  or  exceptions  have been granted or are
needed  for such use of the  Facility;  [iii]  the  Land is not  located  in any
special districts such as historical  districts or overlay  districts;  and [iv]
except  as  disclosed  in  writing  to  the  Landlord,  the  Facility  has  been
constructed  in accordance  with and complies with all  applicable  zoning laws,
including  but  not  limited  to,  dimensional,   parking,  setback,  screening,
landscaping,  sign and curb cut requirements.  As disclosed on Exhibit E, Tenant
needs to obtain  modification  of the zoning Decree (as defined in Exhibit E) to
provide  for a  66-bed  nursing  home,  as  opposed  to a  60-bed  nursing  home
("Modified Decree"). If and when Tenant obtains the Modified Decree and provided
that no Event of Default has occurred and is continuing,  Landlord shall make an
additional Lease Advance of $367,000.00 to Tenant. Landlord acknowledges that as
of the Effective Date, Tenant has provided a Letter of Credit and a title policy
and paid a  Commitment  Fee  based on a Lease  Amount  that  includes  the Lease
Advance of  



                                      -51-
<PAGE>



$367,000.00.  Landlord  agrees  that if Tenant is unable to obtain the  Modified
Decree,  Tenant may reduce the amount of the Letter of Credit to $195,900.00 and
the amount of the title  policy to  $3,918,000.00,  and  Landlord  shall  credit
Tenant the amount of $3,670.00 for reduction of the Commitment Fee.

            22.20  PRO FORMA STATEMENT. Tenant has delivered to Landlord a true,
correct and complete copy of the Pro Forma  Statement.  The Pro Forma  Statement
shows  Tenant's  reasonable  expectation  of the most likely results of Facility
operations for the next 5 year period.

            22.21  ENVIRONMENTAL MATTERS.   During   the   period   of  Tenant's
ownership or possession of the Leased Property and, to Tenant's  knowledge after
diligent  inquiry,  for the period prior to Tenant's  ownership or possession of
the  Leased  Property,  [i]  the  Leased  Property  is in  compliance  with  all
Environmental  Laws;  [ii] there were no  releases  or  threatened  releases  of
Hazardous Materials on, from, or under the Leased Property, except in compliance
with all Environmental Laws; [iii] no Hazardous Materials have been, are or will
be used,  generated,  stored,  or disposed of at the Leased Property,  except in
compliance with all Environmental  Laws; [iv] asbestos has not been and will not
be used in the  construction of any  Improvements;  [v] no permit is or has been
required  from the  Environmental  Protection  Agency or any  similar  agency or
department of any state or local  government  for the use or  maintenance of any
Improvements;  [vi] underground storage tanks on or under the Land, if any, have
been and  currently  are  being  operated  in  compliance  with  all  applicable
Environmental  Laws;  [vii] any closure,  abandonment  in place or removal of an
underground  storage tank on or from the Land was performed in  compliance  with
applicable Environmental Laws and any such tank had no release contaminating the
Leased  Property or, if there had been a release,  the release was remediated in
compliance with applicable  Environmental Laws to the satisfaction of regulatory
authorities;  [viii] no  summons,  citation or inquiry has been made by any such
environmental  unit,  body or agency  or a third  party  demanding  any right of
recovery for payment or  reimbursement  for costs  incurred  under CERCLA or any
other  Environmental  Laws and the Land is not  subject  to the lien of any such
agency; and [ix] to the best of Tenant's knowledge, the Environmental Assessment
is true, complete and accurate. "Disposal" and "release" shall have the meanings
set forth in CERCLA.

            22.22  LEASES AND  CONTRACTS.  As  of  the Effective Date and except
as disclosed on Exhibit G, there are no leases or contracts  (including  but not
limited to, insurance contracts, maintenance contracts,  construction contracts,
employee  benefit  plans,  employment  contracts,   equipment  leases,  security
agreements,  architect agreements,  and management contracts) to which Tenant or
Guarantor  is a  party  relating  to  any  part  of  the  ownership,  operation,
possession,  construction,  management  or  administration  of the  Land  or the
Facility.

            22.23  NO DEFAULT.  As  of the   Effective  Date,  [i]  there  is no
existing  Event of Default  under  this  Lease;  and [ii] no event has  occurred
which,  with the  giving  of  notice  or the  passage  of time,  or both,  would
constitute or result in such an Event of Default.




                                      -52-
<PAGE>



               ARTICLE 23: FUTURE PROJECTS; COTERMINOUS FINANCINGS

            23.1  PROJECT SUBMISSIONS.  If Tenant,  Guarantor  or any  Affiliate
chooses  to submit  certain  future  acquisition  and  development  projects  to
Landlord as provided in the Commitment, Tenant, Guarantor or any Affiliate shall
comply with the terms of the Commitment.

            23.2  COTERMINOUS  FINANCINGS.  All Phase Leases will be coterminous
and will have identical renewal dates and option exercise periods.  Accordingly,
as each Phase Lease is closed,  the current Term,  Expiration Date, Renewal Date
and option exercise  periods under this Lease will be extended to be coterminous
with the most recently closed Phase Lease.

                          ARTICLE 24: SECURITY INTEREST

            24.1  Collateral.  Tenant  hereby  grants  to  Landlord  a  security
interest in the  following  described  property,  whether now owned or hereafter
acquired by Tenant (the "Collateral"),  to secure the payment and performance of
Tenant's Obligations:

                  (a)  All  machinery,  furniture,  equipment,  trade  fixtures,
appliances,  inventory  and all other  goods (as  "equipment,"  "inventory"  and
"goods"  are defined  for  purposes  of Article 9  ("Article  9") of the Uniform
Commercial Code as adopted in the State) and any leasehold interest of Tenant in
any of the  foregoing,  now or  hereafter  located in or on or used or usable in
connection with the Land, Improvements, or Fixtures and replacements, additions,
and accessions  thereto,  including without  limitation those items which are to
become fixtures or which are building  supplies and materials to be incorporated
into an Improvement or Fixture.

                  (b)  All  accounts,   contract  rights,  general  intangibles,
instruments,  documents,  and chattel paper [as "accounts",  "contract  rights",
"general  intangibles",  "instruments",  "documents",  and "chattel paper",  are
defined for purposes of Article 9] now or hereafter  arising in connection  with
the  business  located in or on or used or usable in  connection  with the Land,
Improvements, or Fixtures, and replacements, additions, and accessions thereto.

                  (c)  All  franchises,  permits,  licenses,  operating  rights,
certifications,   approvals,   consents,   authorizations   and  other   general
intangibles  regarding the use,  occupancy or operation of the Improvements,  or
any part thereof,  including  without  limitation,  certificates of need,  state
health care facility licenses, and Medicare and Medicaid provider agreements, to
the extent permitted by law.

                  (d)  Unless expressly  prohibited  by the terms  thereof,  all
contracts,  agreements,  contract  rights and materials  relating to the design,
construction,  operation or  management of the  Improvements,  including but not
limited to,  plans,  specifications,  drawings,  blueprints,  models,  mock-ups,
brochures, flyers, advertising and promotional materials and mailing lists.




                                      -53-
<PAGE>


                  (e)  All ledger sheets,  files,  records,  computer  programs,
tapes,  other  electronic data  processing  materials,  and other  documentation
relating  to the  preceding  listed  property  or  otherwise  used or  usable in
connection with the Land and Improvements.

                  (f)  The  products  and  proceeds  of  the  preceding   listed
property,  including without limitation cash and non-cash proceeds,  proceeds of
proceeds, and insurance proceeds.

            24.2  ADDITIONAL DOCUMENTS. At the request of Landlord, Tenant shall
execute additional security  agreements,  financing  statements,  and such other
documents as may be requested by Landlord to maintain and perfect such  security
interest.

            24.3  NOTICE OF SALE. With respect to any sale or other  disposition
of any of the Collateral  after the occurrence of an Event of Default,  Landlord
and Tenant agree that the giving of 5 days notice by Landlord, sent by overnight
delivery,  postage prepaid,  to Tenant's notice address designating the time and
place of any  public  sale or the time  after  which any  private  sale or other
intended  disposition  of such  Collateral is to be made,  shall be deemed to be
reasonable  notice  thereof  and Tenant  waives any other  notice  with  respect
thereto.

            24.4  PLEDGE OF ACCOUNTS TO OTHERS. Notwithstanding any provision to
the contrary  contained herein or in the other Lease Documents,  Tenant shall be
permitted to pledge to a lender  providing  one or more loans to  Guarantor  all
accounts and  receivables  from the Facility on a first priority lien basis,  in
which case Landlord shall execute and deliver to such lender a subordination  or
similar  agreement  in which [i]  Landlord  agrees to  subordinate  its security
interest in such  accounts and  receivables  to such lender;  and [ii]  Landlord
agrees to such further  provisions as may be  reasonably  required by the lender
and acceptable to Landlord.  Landlord's  obligation to provide the subordination
is subject to [i] Landlord's  receipt and  reasonable  approval of all financing
documents;  [ii]  execution  by  Landlord  and the  lender  of an  intercreditor
agreement on reasonable terms acceptable to Landlord, and [iii] Tenant's payment
of  all  costs  and  expenses  incurred  by  Landlord  in  connection  with  the
subordination  including,  without  limitation,  reasonable  attorney's fees and
expenses.

                            ARTICLE 25: MISCELLANEOUS

            25.1  NOTICES.  Landlord  and Tenant  hereby agree that all notices,
demands,  requests,  and consents  (hereinafter  "notices") required to be given
pursuant to the terms of this Lease shall be in writing,  shall be  addressed to
the addresses set forth in the  introductory  paragraph of this Lease, and shall
be  served  by [i]  personal  delivery;  [ii]  certified  mail,  return  receipt
requested,  postage prepaid; or [iii] nationally  recognized  overnight courier.
All notices shall be deemed to be given upon the earlier of actual  receipt or 3
days  after  mailing,  or one  business  day after  deposit  with the  overnight
courier.  Any  notices  meeting  the  requirements  of  this  section  shall  be
effective,  regardless of whether or not actually  received.  Landlord or Tenant
may change its notice  address at any time by giving the other  party  notice of
such change.



                                      -54-
<PAGE>


            25.2  ADVERTISEMENT  OF LEASED  PROPERTY.  In the event the  parties
hereto have not executed a renewal Lease within 120 days prior to the expiration
of this Lease, or Tenant has not exercised its Option to Purchase, then Landlord
or its agent shall have the right to enter the Leased Property at all reasonable
times for the purpose of exhibiting  the Leased  Property to others and to place
upon the Leased Property for and during the period  commencing 120 days prior to
the expiration of this Lease, "for sale" or "for rent" notices or signs.

            25.3  ENTIRE  AGREEMENT. This Lease  contains  the entire  agreement
between  Landlord  and Tenant with  respect to the  subject  matter  hereof.  No
representations, warranties, and agreements have been made by Landlord except as
set forth in this Lease.

            25.4  SEVERABILITY.  If  any term or provision of this Lease is held
or deemed by Landlord to be invalid or  unenforceable,  such  holding  shall not
affect the  remainder  of this Lease and the same shall remain in full force and
effect,  unless such  holding  substantially  deprives  Tenant of the use of the
Leased  Property or Landlord of the rents herein  reserved,  in which event this
Lease shall forthwith terminate as if by expiration of the Term.

            25.5  CAPTIONS  AND   HEADINGS.  The  captions   and   headings  are
inserted only as a matter of convenience and for reference and in no way define,
limit or describe the scope of this Lease or the intent of any provision hereof.

            25.6  GOVERNING LAW.  This  Lease  shall be construed under the laws
 of the State.

            25.7  MEMORANDUM OF LEASE. Tenant  shall   not   record  this Lease.
Tenant may, however,  record a memorandum of lease approved by Landlord,  in its
reasonable discretion.

            25.8  WAIVER.  No waiver by  Landlord of any  condition  or covenant
herein contained,  or of any breach of any such condition or covenant,  shall be
held or  taken to be a waiver  of any  subsequent  breach  of such  covenant  or
condition,  or to permit or excuse its  continuance or any future breach thereof
or of any condition or covenant, nor shall the acceptance of Rent by Landlord at
any time when  Tenant is in  default in the  performance  or  observance  of any
condition or covenant  herein be construed  as a waiver of such  default,  or of
Landlord's  right to terminate  this Lease or exercise any other remedy  granted
herein on account of such existing default.

            25.9  BINDING  EFFECT.  This Lease will be binding upon and inure to
the benefit of the heirs, successors,  personal  representatives,  and permitted
assigns of Landlord and Tenant.

            25.10  POWER OF  ATTORNEY.  Effective  upon [i] the  occurrence  and
during the continuance of an Event of Default, or [ii] termination of this Lease
for any reason  other than  Tenant's  purchase  of the Leased  Property,  Tenant
hereby  irrevocably  and  unconditionally   appoints  Landlord,   or  Landlord's
authorized  officer,  agent,  employee or designee,  as Tenant's true and lawful
attorney-in-fact,  to act for Tenant in  Tenant's  name,  place,  and stead,  to
execute,  deliver  and file all  applications  and any and all  other  necessary
documents  and  statements  to effect  the  issuance,  transfer,  reinstatement,
renewal  and/or   extension  of  the  Facility   license  and  




                                      -55-
<PAGE>



all  Governmental  Authorizations  issued to Tenant or applied  for by Tenant in
connection  with Tenant's  operation of the Facility,  to permit any designee of
Landlord or any other  transferee to operate the Facility under the Governmental
Authorizations,  and to do any  and  all  other  acts  incidental  to any of the
foregoing.  Tenant  irrevocably  and  unconditionally  grants to Landlord as its
attorney-in-fact  full power and authority to do and perform every act necessary
and proper to be done in the exercise of any of the foregoing powers as fully as
Tenant  might or could do if  personally  present or acting,  with full power of
substitution,  hereby  ratifying and  confirming  all that said  attorney  shall
lawfully  do or cause to be done by virtue  hereof.  This power of  attorney  is
coupled with an interest and is  irrevocable  prior to Tenant's  purchase of the
Leased Property. Except in the case of an emergency,  Landlord shall give Tenant
three  business  days prior  written  notice  before  acting on behalf of Tenant
pursuant to this power of attorney.

            25.11  NO OFFER. Landlord's  submission  of this  Lease to Tenant is
not an offer to lease the  Leased  Property,  or an  agreement  by  Landlord  to
reserve the Leased  Property  for Tenant.  Landlord  will not be bound to Tenant
until  Tenant has duly  executed  and  delivered  duplicate  original  leases to
Landlord,  and Landlord has duly executed and  delivered one of these  duplicate
original leases to Tenant.

            25.12  MODIFICATION.  This Lease may only be  modified  by a writing
signed by both Landlord and Tenant.  All  references  to this Lease,  whether in
this  Lease  or in  any  other  document  or  instrument,  shall  be  deemed  to
incorporate all amendments, modifications and renewals of this Lease, made after
the date  hereof.  If  Tenant  requests  Landlord's  consent  to any  change  in
ownership, merger or consolidation of Tenant or Guarantor, any assumption of the
Lease,  or any  modification  of the Lease,  Tenant shall  provide  Landlord all
relevant information and documents sufficient to enable Landlord to evaluate the
request. In connection with any such request, Tenant shall pay to Landlord a fee
in the amount of $2,500.00 and shall pay all of Landlord's reasonable attorney's
fees and  expenses  and other  reasonable  out-of-pocket  expenses  incurred  in
connection with Landlord's  evaluation of Tenant's  request,  the preparation of
any documents and amendments,  the subsequent amendment of any documents between
Landlord  and its  collateral  pool  lenders  (if  applicable),  and all related
matters.

            25.13  LANDLORD'S  MODIFICATION.  Tenant  acknowledges that Landlord
may,  subject to Article  21,  mortgage  the Leased  Property  or use the Leased
Property as collateral for a collateralized  mortgage obligations or Real Estate
Mortgage  Investment  Companies  (REMICS).  If any  mortgage  lender of Landlord
desires  any  modification  of  this  Lease,  Tenant  agrees  to  consider  such
modification  in good faith and to execute an  amendment of this Lease if Tenant
finds such modification acceptable.

            25.14  NO  MERGER.  The surrender  of this  Lease by  Tenant  or the
cancellation  of  this  Lease  by  agreement  of  Tenant  and  Landlord  or  the
termination of this Lease on account of Tenant's default will not work a merger,
and will,  at  Landlord's  option,  terminate  any  subleases  or  operate as an
assignment to Landlord of any subleases.  Landlord's option under this paragraph
will be  exercised  by notice to Tenant and all known  subtenants  of the Leased
Property.


                                      -56-
<PAGE>



            25.15  LACHES.  No delay or  omission  by  either  party  hereto  to
exercise any right or power  accruing upon any  noncompliance  or default by the
other party with  respect to any of the terms hereof shall impair any such right
or power or be construed to be a waiver thereof.

            25.16  LIMITATION  ON  TENANT'S  RECOURSE.  Tenant's  sole  recourse
against  Landlord,  and any  successor to the interest of Landlord in the Leased
Property, is to the interest of Landlord, and any such successor,  in the Leased
Property.  Tenant will not have any right to satisfy any  judgment  which it may
have  against the  Landlord,  or any such  successor,  from any other  assets of
Landlord,  or any such  successor.  In this section,  the terms  "Landlord"  and
"successor" include the shareholders,  venturers, and partners of "Landlord" and
"successor"  and  the  officers,  directors,  and  employees  of the  same.  The
provisions  of this  section are not  intended to limit  Tenant's  right to seek
injunctive relief or specific performance.

            25.17  CONSTRUCTION  OF  LEASE.  This  Lease  has been  prepared  by
Landlord  and  its  professional   advisors  and  reviewed  by  Tenant  and  its
professional  advisors.  Landlord,  Tenant, and their advisors believe that this
Lease is the product of all their efforts,  that it expresses  their  agreement,
and agree that it shall not be interpreted in favor of either Landlord or Tenant
or  against  either  Landlord  or Tenant  merely  because  of their  efforts  in
preparing it.

            25.18  COUNTERPARTS.   This  Lease  may  be  executed  in  multiple
counterparts, each of which shall be deemed an original hereof.

            25.19  LEASE  GUARANTY. The payment of Rent and the  performance  of
Tenant's  obligations under this Lease are guaranteed by Guarantor pursuant to a
Lease Guaranty of even date.

            25.20  CUSTODY OF ESCROW FUNDS.   Any  funds  paid  to  Landlord  in
escrow  hereunder  may be held by  Landlord  or, at  Landlord's  election,  by a
financial  institution,  the  deposits  or  accounts  of which  are  insured  or
guaranteed  by a federal or state  agency.  The funds  shall not be deemed to be
held in trust,  may be  commingled  with the  general  funds of Landlord or such
other institution, and shall not bear interest.

            25.21  LANDLORD'S  STATUS  AS  A  REIT.   Tenant   acknowledges that
Landlord (or a Landlord  Affiliate) has now and may hereafter  elect to be taxed
as a real estate investment trust ("REIT") under the Internal Revenue Code.



                                      -57-
<PAGE>




            25.22  EXHIBITS.  The  following  exhibits are  attached  hereto and
incorporated herein:

            Exhibit A:        Legal Description
            Exhibit A-1:      Personal Property
            Exhibit B:        Permitted Exceptions
            Exhibit C:        Documents to be Delivered
            Exhibit D:        Certificate and Facility Financial Reports
            Exhibit E:        Government Authorizations to be Obtained; 
                              Zoning Permits
            Exhibit F:        Pending Litigation
            Exhibit G:        List of Leases and Contracts

            25.23  WAIVER OF JURY  TRIAL.   LANDLORD  AND  TENANT WAIVE TRIAL BY
JURY IN ANY ACTION, PROCEEDING OR COUNTERCLAIM BROUGHT BY ANY ONE EITHER OF THEM
AGAINST  ONE OR BOTH OF THE OTHERS ON ALL  MATTERS  ARISING OUT OF THIS LEASE OR
THE USE AND OCCUPANCY OF THE LEASED PROPERTY  (EXCEPT CLAIMS FOR PERSONAL INJURY
OR PROPERTY DAMAGE). IF LANDLORD COMMENCES ANY SUMMARY PROCEEDING FOR NONPAYMENT
OF RENT,  TENANT  WILL NOT  INTERPOSE,  AND WAIVES THE RIGHT TO  INTERPOSE,  ANY
COUNTERCLAIM IN ANY SUCH PROCEEDING.

            25.24  CONSENT TO JURISDICTION. TENANT  HEREBY  IRREVOCABLY  SUBMITS
AND CONSENTS TO THE NON-EXCLUSIVE JURISDICTION AND VENUE OF ANY STATE OR FEDERAL
COURT  HAVING   JURISDICTION  OVER  LUCAS  COUNTY,   OHIO  OR  COLUMBIA  COUNTY,
PENNSYLVANIA  FOR ANY  ACTION OR  PROCEEDING  TO  ENFORCE  OR DEFEND  ANY MATTER
ARISING  FROM OR RELATED TO [I] THE  COMMITMENT;  [II] THIS LEASE;  OR [III] ANY
DOCUMENT  EXECUTED  BY  TENANT IN  CONNECTION  WITH THIS  LEASE.  TENANT  HEREBY
IRREVOCABLY  WAIVES,  TO THE FULLEST  EXTENT TENANT MAY  EFFECTIVELY  DO SO, THE
DEFENSE  OF AN  INCONVENIENT  FORUM TO THE  MAINTENANCE  OF ANY SUCH  ACTION  OR
PROCEEDING. TENANT AGREES THAT A FINAL JUDGMENT IN ANY SUCH ACTION OR PROCEEDING
SHALL BE CONCLUSIVE AND MAY BE ENFORCED IN ANY OTHER JURISDICTION BY SUIT ON THE
JUDGMENT OR IN ANY OTHER MANNER PROVIDED BY LAW.

            TENANT  AGREES  NOT TO  INSTITUTE  ANY LEGAL  ACTION  OR  PROCEEDING
AGAINST  LANDLORD  OR ANY  DIRECTOR,  OFFICER,  EMPLOYEE,  AGENT OR  PROPERTY OF
LANDLORD,  CONCERNING ANY MATTER  ARISING OUT OF OR RELATING TO THE  COMMITMENT,
THIS LEASE OR ANY  RELATED  DOCUMENT  IN ANY COURT OTHER THAN A STATE OR FEDERAL
COURT  HAVING   JURISDICTION  OVER  LUCAS  COUNTY,   OHIO  OR  COLUMBIA  COUNTY,
PENNSYLVANIA.

            TENANT  HEREBY  CONSENTS  TO SERVICE OF PROCESS BY  LANDLORD  IN ANY
MANNER AND IN ANY JURISDICTION  PERMITTED BY LAW. 




                                      -58-
<PAGE>



NOTHING HEREIN SHALL AFFECT OR IMPAIR LANDLORD'S RIGHT TO SERVE LEGAL PROCESS IN
ANY  MANNER  PERMITTED  BY LAW,  OR  LANDLORD'S  RIGHT TO BRING  ANY  ACTION  OR
PROCEEDING  AGAINST  TENANT OR THE PROPERTY OF TENANT IN THE COURTS OF ANY OTHER
JURISDICTION.

            25.25  ATTORNEY'S FEES AND  EXPENSES.  Tenant  shall pay to Landlord
all reasonable  costs and expenses  incurred by Landlord in  administering  this
Lease and the security for this Lease, enforcing or preserving Landlord's rights
under  this  Lease  and the  security  for this  Lease,  and in all  matters  of
collection, whether or not an Event of Default has actually occurred or has been
declared and  thereafter  cured,  including  but not limited to, [a]  reasonable
attorney's and paralegal's fees and disbursements;  [b] the fees and expenses of
any litigation,  administrative,  bankruptcy,  insolvency,  receivership and any
other similar  proceeding;  [c] court costs;  [d] the expenses of Landlord,  its
employees,   agents,  attorneys  and  witnesses  in  preparing  for  litigation,
administrative,  bankruptcy,  insolvency and other  proceedings and for lodging,
travel, and attendance at meetings,  hearings,  depositions, and trials; and [e]
consulting  and  witness  fees  incurred  by  Landlord  in  connection  with any
litigation or other proceeding.

            25.26  SURVIVAL. The following  provisions shall survive termination
of the Lease:  Article 9 (Damage and  Destruction),  Article 10  (Condemnation);
Article 16 (Alterations); and ss.25.26 (Survival).

            25.27  ACCESS TO RECORDS.  To the extent  required by law,  Landlord
shall (and, if Landlord carries out any of the duties under this Lease,  whether
on  Landlord's  or  Tenant's  behalf,  through  a  subcontract  with  a  related
organization  and such  subcontract has a value or cost of Ten Thousand  Dollars
($10,000) or more during any twelve (12) month period,  such  subcontract  shall
contain  a  clause  to the  effect  that  the  subcontractor  shall)  until  the
expiration of four (4) years after the  furnishing of services  pursuant to this
Lease,  make  available,  upon  request  by the  Secretary  of Health  and Human
Services  or upon the  request  by the  U.S.  Comptroller  General,  or any duly
authorized representative of either of them, the books, documents and records of
Landlord  (or such  subcontractor)  that are  necessary to verify the nature and
extent of such costs in connection with said services.


                   ARTICLE 26: SUBSTITUTION OF LEASED PROPERTY

            26.1  RIGHT OF  SUBSTITUTION. Subject to the conditions set forth in
this Article 26, Tenant will have the right to substitute one or more comparable
health care  facilities  (individually  and  collectively  called a  "Substitute
Facility") for the Facility ("Existing Facility").

            26.2  CONDITIONS  TO   SUBSTITUTION.    The   following   are    the
"Substitution Conditions":

                  (a)  SUBSTITUTION NOTICE.  Landlord must receive from Tenant a
written  notice  ("Substitution  Notice") of the intent to exercise the right of
substitution  at least 90 days prior to the proposed date of  substitution.  The
Substitution Notice shall include all material information



                                      -59-
<PAGE>



concerning the substitution  including,  but not limited to, the following:  [i]
the  reason  for  the  proposed  substitution;  [ii]  the  proposed  date of the
substitution;  [iii]  information  regarding  the proposed  Substitute  Facility
("Proposed  Facility") including name, address,  city, state, type, units, beds,
current owner,  current  operator,  historical  financial  statements,  proforma
financial statements, Medicaid and Medicare cost reports, and rate letters; [iv]
copy of acquisition documents, if any; and [v] the proposed Tenant.

                  (b)  COMMITMENT FEE. Tenant shall  pay   Landlord a commitment
fee in an  amount  equal  to 1% of the  acquisition  amount  for the  Substitute
Facility.

                  (c)  NO DEFAULTS. As of the applicable  substitution  date, no
Event of Default shall have occurred (excluding any default which has been cured
in accordance with the terms of this Lease or which has been waived, in writing,
by  Landlord),  nor any event  which with the giving of notice or the passage of
time or both, would constitute such a default.

                  (d)  ENGINEERING AND INSPECTION  REPORTS.  Landlord shall have
received  engineering and inspection  reports relating to the Proposed Facility,
reasonably satisfactory in all respects to Landlord.

                  (e)  MAI APPRAISAL. Tenant shall have delivered to Landlord an
MAI  appraisal of the  Proposed  Facility  prepared by an appraiser  selected by
Tenant and approved by Landlord,  in form and substance reasonably  satisfactory
to Landlord.

                  (f)  SURVEY. Tenant  shall have  delivered to Landlord an ALTA
survey of the premises upon which the Proposed Facility is located acceptable to
Landlord and the Title Company.

                  (g)  COMPLIANCE  WITH LAWS.  Landlord shall be satisfied as to
compliance   with  [i]  all  applicable  land  use,   zoning,   subdivision  and
environmental  laws and regulations,  [ii] all applicable  health care licensure
laws and regulations and [iii] such other matters as Landlord  reasonably  deems
relevant (including,  without limitation, whether the conveyance of the Proposed
Facility to Landlord may be avoided under the Bankruptcy Code).

                  (h)  TITLE COMMITMENT. Tenant shall have delivered to Landlord
a valid and binding owner's title insurance  commitment  issued by Lawyers Title
Insurance  Corporation  through its agent,  Saunie  Risinger in Mansfield,  Ohio
("Title Company"), in an amount equal to the acquisition amount for the Proposed
Facility, with such endorsements and affirmative coverages, and in such form, as
Landlord may reasonably  require  insuring  Landlord's fee title to the Proposed
Facility,  subject  to no  encumbrances  except  those  approved  or  assumed by
Landlord.  Arrangements  satisfactory  to Landlord  shall have been made for the
issuance of a title insurance policy as of the substitution closing date.

                  (i)  ENVIRONMENTAL ASSESSMENT.  Tenant shall have delivered an
environmental  site  assessment  report for the Proposed  Facility,  in form and
substance  reasonably  



                                      -60-
<PAGE>



acceptable to Landlord and prepared by an  environmental  consultant  reasonably
acceptable to Landlord.

                  (j)  TAX OPINION. Landlord  shall have  obtained,  at Tenant's
cost, an opinion of  Landlord's  counsel,  in form and  substance  acceptable to
Landlord,  confirming that [i] the substitution of the Proposed Facility for the
Existing  Facility will qualify as an exchange solely of property of a like-kind
under Section 1031 of the Internal Revenue Code ("Code"),  in which,  generally,
except  for  "boot"  such  as  cash  needed  to  equalize  values  or  discharge
indebtedness,  no gain or loss is recognized to Landlord;  [ii] the substitution
or sale will not result in ordinary  recapture  income to  Landlord  pursuant to
Code Section  1250(d)(4) or any other Code provision;  [iii] the substitution or
sale will result in income,  if any, to  Landlord  of a type  described  in Code
Section 856(c)(2) or (3) and will not result in income of the types described in
Code  Section  856(c)(4)  or  result  in the  tax  imposed  under  Code  Section
857(b)(6);   and  [iv]  the  substitution  or  sale,  together  with  all  other
substitutions  and sales  made or  requested  by Tenant,  pursuant  to any other
leases with  Landlord or a Landlord  Affiliate  during the relevant time period,
will not jeopardize the  qualification  of Landlord as a real estate  investment
trust under Code Section 856-860.

                  (k)  LEGAL OPINION. Landlord  shall have received  opinions of
Tenant's  counsel as to [i] the  compliance  of the Proposed  Facility with land
use,  zoning,  subdivision  and  environmental  laws and  regulations;  [ii] the
compliance of Tenant,  the proposed  substitution and the Proposed Facility with
applicable  health  care  laws and  regulations;  [iii]  the due  authorization,
execution and enforceability of the Substitution Documents;  and [iv] such other
matters are reasonably requested, in form and substance reasonably acceptable to
Landlord.

                  (l)  SUBSTITUTION  DOCUMENTS.  Tenant and Guarantor shall have
executed and delivered,  or caused to be executed and delivered,  such documents
as  are  reasonably   required  by  Landlord  to  effectuate  the   substitution
(collectively, the "Substitution Documents"), including, without limitation, [i]
a deed and bill of sale  with full  warranties  (or such  other  deed form as is
customary in such  geographic  area) conveying to Landlord title to the Proposed
Facility free and clear of all liens and encumbrances,  except those approved or
assumed  by  Landlord;   [ii]  a  Lease  ("Substitute   Lease")  duly  executed,
acknowledged  and delivered by Tenant,  containing the same terms and conditions
as are  contained  in the Lease for the  Existing  Facility  except that [a] the
legal  description  of the land shall refer to the  Proposed  Facility,  [b] the
acquisition  amount for the  Proposed  Facility  shall be an amount equal to the
Lease Amount for the Existing Facility increased or decreased by any adjustments
agreed to by Landlord and Tenant  ("Cash  Adjustment"),  [c] the rent  inflation
adjustment  (Increaser  Rate) under the  Substitute  Lease in all respects shall
provide  Landlord  with a  substantially  equivalent  yield  at the  time of the
substitution  to that received from the Existing  Facility,  taking into account
the Cash Adjustment,  if any, and any other relevant factors, and [d] such other
changes therein as may be necessary or appropriate under the circumstances shall
be made; and [iii] UCC financing statements. The Substitution Documents shall be
based upon and  contain  the same terms and  conditions  as are set forth in the
Lease  Documents in effect prior to the  substitution,  except that such changes
shall  be  made  as  may  be  necessary  or  reasonably  appropriate  under  the
circumstances  to effectuate  the  substitution  and 



                                      -61-
<PAGE>

secure the  protection  and  priority of the  property  and  security  interests
conveyed and/or granted to Landlord.

                  (m)  OTHER INFORMATION.  Without  limiting any other provision
contained herein, Tenant shall have delivered to Landlord such other information
and  materials  relating to Tenant and the  Proposed  Facility  as Landlord  may
reasonably  request,  including,  without limitation,  leases,  receipted bills,
management  agreements and other contracts,  provider agreements,  cost reports,
permits, evidence of legal and actual access to the Proposed Facility,  evidence
of  the  availability  and  sufficiency  of  utilities  servicing  the  Proposed
Facility,  historical and current  operating  statements,  detailed  budgets and
financial  statements and Landlord shall have found the same to be  satisfactory
in all respects.

                  (n) TENANT. The Proposed Facility shall be leased by Tenant or
an Affiliate  that is acceptable  to Landlord;  provided,  however,  that in the
event  that the  Proposed  Facility  is leased by any such  Affiliate,  [i] said
Affiliate shall execute and deliver to Landlord such  Substitution  Documents as
may be reasonably required by Landlord; and [ii] Landlord shall be provided with
such evidence as it may  reasonably  require to determine that the conveyance of
the Proposed  Facility to Landlord does not  constitute a fraudulent  conveyance
under applicable federal or state law.

                  (o)  INSURANCE  CERTIFICATES.  Tenant shall have  delivered to
Landlord insurance certificates  evidencing compliance with all of the insurance
requirements set forth in this Lease.

                  (p)  RENT.  Landlord  shall  have  received  all  Rent due and
payable under the Existing Lease through the substitution closing date.

                  (q)  VALUATION.  The  acquisition  amount  for  the   Proposed
Facility shall not exceed 90% of the appraised  value of the Proposed  Facility.
If the equity  value of the  Existing  Facility  exceeds the equity value of the
Proposed Facility, then an adjustment will be made in the option price set forth
in the Substitute Lease so that Landlord will receive its bargained-for share of
appreciation in the value of the Existing Facility.

                  (r)  LANDLORD'S APPROVAL.  Landlord shall have determined that
the Proposed  Facility  satisfies all of Landlord's  customary due diligence and
underwriting requirements based upon the standards then being applied to similar
customers and facilities.

            26.3  CONVEYANCE  OF EXISTING  FACILITY.  Upon  satisfaction  of the
Substitution  Conditions and  concurrently  with the closing of the substitution
transaction, Landlord will convey the Existing Facility to the respective Tenant
or Tenant's designee by quitclaim deed and quitclaim bill of sale. The date that
the  Existing  Facility  is  conveyed  by  Landlord is referred to herein as the
"Conveyance  Date." In the event that [i] Tenant is  contractually  obligated to
convey the  Existing  Facility  to an  unrelated  purchaser  ("Purchaser")  by a
specified closing date ("Contract Date"); [ii] the Substitution  Conditions have
not been fully  satisfied  by the Contract  Date;  and [iii] Tenant has used its
best efforts to extend the Contract Date, including an offer to pay a reasonable
extension



                                      -62-
<PAGE>



fee,  but the  Contract  Date  has not  been  extended  to a date by  which  the
Substitution  Conditions  are fully  satisfied,  Tenant  shall have the right to
require Landlord to convey the Existing Facility to the Purchaser subject to the
following terms and conditions:

                  (a)  Tenant shall irrevocably identify the Substitute Facility
and notify  Landlord  thereof within 35 days after the Conveyance  Date.  Tenant
shall satisfy all Substitution  Conditions and cause the Substitute  Facility to
be conveyed to Landlord within 180 days after the Conveyance Date.

                  (b)  Tenant acknowledges  that Landlord intends to qualify the
sale of the Existing Facility as a like-kind  exchange pursuant to Code ss.1031.
Tenant shall  cooperate  with  Landlord in  effectuating  a qualifying  deferred
like-kind exchange and shall require the Purchaser, pursuant to the terms of the
Purchase and Sale Agreement with  Purchaser,  to so cooperate and to execute all
documents  reasonably  requested by Landlord to effectuate a qualifying deferred
like-kind exchange.

                  (c)  All  proceeds from  the  sale of  the  Existing  Facility
("Sale Proceeds") shall be deposited with a qualified  intermediary specified by
Landlord to facilitate the  accomplishment of the deferred  like-kind  exchange.
Upon conveyance of the Substitute Facility to Landlord,  the Sale Proceeds shall
be disbursed  for payment of the  Substitute  Facility  purchase  price with the
balance,  if any, disbursed in accordance with the Cash Adjustment made pursuant
to ss.26.2(l).

                  (d)  To compensate  Landlord  for  the  lost  Rent  during the
period  from the  Conveyance  Date to the date that the  Substitute  Facility is
conveyed to Landlord  ("Deferred  Period"),  Tenant  shall pay to the  qualified
intermediary,  on a  monthly  basis,  an  amount  equal to the Base Rent for the
Existing Facility that would otherwise be payable during the Deferred Period.

                  (e)  If Tenant does not comply with the deadlines set forth in
ss.26.3(a),  Tenant shall pay Landlord an early  termination fee equal to 10% of
the Lease  Amount for the  Existing  Facility  that was  conveyed  by  Landlord,
payable within ten days following the missed deadline date.

            26.4  EXPENSES.   Whether  or  not  any  proposed   substitution  is
consummated,  Tenant shall pay all of the out-of-pocket expenses and other costs
incurred or expended by Landlord in  connection  with any proposed  substitution
(collectively  the  "Substitution  Expenses"),  including,  without  limitation,
Landlord's   reasonable   attorneys'   fees  and  expenses,   appraisal   costs,
out-of-pocket  travel expenses,  inspection  fees, title insurance  premiums and
other title fees, survey expenses,  mortgage taxes, transfer,  documentary stamp
and other  taxes,  search  charges of any nature,  recording,  registration  and
filing  costs,  brokers' fees and  commissions,  if any,  escrow fees,  fees and
expenses,  if any, incurred in qualifying  Landlord and maintaining its right to
do  business in the state where the  Proposed  Facility is located,  the cost of
obtaining,  preparing and recording a release of the Existing  Facility from the
lien of any mortgage  (other than the amount  necessary to payoff such mortgage)
and any other costs  expended or  incurred  by Landlord in  connection  with the
preparation, documentation and closing of the proposed substitution.



                                      -63-
<PAGE>


All  Substitution  Expenses  due and  payable at the time of the  closing of the
substitution  transaction  shall be paid by Tenant at closing.  Any Substitution
Expenses that are not paid at closing shall be a demand  obligation of Tenant to
Landlord and, if not paid within 15 days after demand,  shall thereafter (to the
extent  permitted by applicable law) bear interest at the Overdue Rate until the
date of payment.

            [THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK]



                                      -64-
<PAGE>



            IN WITNESS  WHEREOF,  the parties hereto have executed this Lease or
caused the same to be executed by their  respective duly authorized  officers as
of the date first set forth above.

Signed and acknowledged
in the presence of                          PENNSYLVANIA BCC PROPERTIES, INC.

Signature                                   By:
         -------------------------------        --------------------------------
Print Name                                     Title:
          ------------------------------             ---------------------------

Signature                                       
         -------------------------------        
Print Name
          ------------------------------

Signed and acknowledged
in the presence of                          BALANCED CARE AT BLOOMFIELD II, INC.

Signature                                   By:
         -------------------------------       ---------------------------------
Print Name                                     Title:
          ------------------------------             ---------------------------

Signature                                       
         -------------------------------        
Print Name
          ------------------------------    Tax I.D. No.:
                                                         -----------------------



                                 LEASE AGREEMENT


                                     BETWEEN


                        PENNSYLVANIA BCC PROPERTIES, INC.


                                       AND


                        BALANCED CARE AT SAXONBURG, INC.



                                              , 1999
                                  ------------


                       OUTLOOK POINTE COMMONS AT SAXONBURG
                             SAXONBURG, PENNSYLVANIA



<PAGE>


                                TABLE OF CONTENTS


SECTION                                                                     PAGE
- --------------------------------------------------------------------------------

ARTICLE 1:  LEASED PROPERTY, TERM AND DEFINITIONS............................  1
      1.1    Leased Property.................................................  1
      1.2    Term............................................................  2
      1.3    Definitions.....................................................  2


ARTICLE 2:  RENT.............................................................  8
      2.1    Base Rent.......................................................  8
      2.2    Increase of Lease Rate and Base Rent............................  8
      2.3    Additional Rent.................................................  9
      2.4    Place of Payment of Rent........................................  9
      2.5    Net Lease.......................................................  9
      2.6    No Termination, Abatement, Etc..................................  9
      2.7    Computational Method............................................ 10
      2.8    Commitment Fee.................................................. 10


ARTICLE 3:  IMPOSITIONS AND UTILITIES........................................ 10
      3.1    Payment of Impositions.......................................... 10
      3.2    Definition of Impositions....................................... 11
      3.3    Escrow of Impositions........................................... 11
      3.4    Utilities....................................................... 11
      3.5    Discontinuance of Utilities..................................... 12
      3.6    Business Expenses............................................... 12
      3.7    Permitted Contests.............................................. 12


ARTICLE 4:  INSURANCE........................................................ 13
      4.1    Property Insurance.............................................. 13
      4.2    Liability Insurance............................................. 14
      4.3    Builder's Risk Insurance........................................ 14
      4.4    Insurance Requirements.......................................... 15
      4.5    Replacement Value............................................... 15
      4.6    Blanket Policy.................................................. 16
      4.7    No Separate Insurance........................................... 16
      4.8    Waiver of Subrogation........................................... 16
      4.9    Mortgages....................................................... 16
      4.10   Escrows......................................................... 16


                                      -i-



<PAGE>
                                     
ARTICLE 5:  INDEMNITY........................................................ 17
      5.1    Tenant's Indemnification........................................ 17
      5.2    Environmental Indemnity; Audits................................. 17
      5.3    Limitation of Landlord's Liability.............................. 18


ARTICLE 6:  USE AND ACCEPTANCE OF PREMISES................................... 19
      6.1    Use of Leased Property.......................................... 19
      6.2    Acceptance of Leased Property................................... 19
      6.3    Conditions of Use and Occupancy................................. 19


ARTICLE 7:  REPAIRS AND MECHANICS'LIENS...................................... 19
      7.1    Maintenance..................................................... 19
      7.2    Required Alterations............................................ 20
      7.3    Mechanic's Liens................................................ 20
      7.4    Replacements of Fixtures and Personal Property.................. 20


ARTICLE 8:  DEFAULTS AND REMEDIES............................................ 21
      8.1    Events of Default............................................... 21
      8.2    Remedies........................................................ 23
      8.3    Right of Set-Off................................................ 25
      8.4    Performance of Tenant's Covenants............................... 25
      8.5    Late Payment Charge............................................. 25
      8.6    Interest........................................................ 25
      8.7    Litigation; Attorneys'Fees...................................... 26
      8.8    Escrows and Application of Payments............................. 26
      8.9    Remedies Cumulative............................................. 26


ARTICLE 9:  DAMAGE AND DESTRUCTION........................................... 26
      9.1    Notice of Casualty.............................................. 26
      9.2    Substantial Destruction......................................... 27
      9.3    Partial Destruction............................................. 30
      9.4    Restoration..................................................... 30
      9.5    Insufficient Proceeds........................................... 30
      9.6    Not Trust Funds................................................. 30
      9.7    Landlord's Inspection........................................... 30
      9.8    Landlord's Costs................................................ 30
      9.9    No Rent Abatement............................................... 30


ARTICLE 10:  CONDEMNATION.................................................... 31
      10.1   Total Taking.................................................... 31
      10.2   Partial Taking.................................................. 32


                                      -ii-

<PAGE>


      10.3   Condemnation Proceeds Not Trust Funds........................... 32


ARTICLE 11:  TENANT'S PROPERTY............................................... 32
      11.1   Tenant's Property............................................... 32
      11.2   Requirements for Tenant's Property.............................. 32


ARTICLE 12:  RENEWAL OPTIONS................................................. 34
      12.1   Renewal Options................................................. 34
      12.2   Effect of Renewal............................................... 34
      12.3   Effect of Non-Renewal or Expiration of Lease.................... 35


ARTICLE 13:  RIGHT OF FIRST REFUSAL.......................................... 35
      13.1   Right of First Refusal.......................................... 35
      13.2   No Exercise..................................................... 35


ARTICLE 14:  NEGATIVE COVENANTS.............................................. 36
      14.1   No Debt......................................................... 36
      14.2   No Liens........................................................ 36
      14.3   No Guaranties................................................... 36
      14.4   No Transfer..................................................... 36
      14.5   No Dissolution.................................................. 36
      14.6   No Change in Management or Operation............................ 36
      14.7   No Investments.................................................. 36
      14.8   Contracts....................................................... 36
      14.9   Subordination of Payments to Affiliates......................... 36
      14.10  Change of Location or Name...................................... 36


ARTICLE 15:  AFFIRMATIVE COVENANTS........................................... 36
      15.1   Perform Obligations............................................. 36
      15.2   Proceedings to Enjoin or Prevent Construction................... 36
      15.3   Documents and Information....................................... 36
      15.4   Compliance With Laws............................................ 39
      15.5   Broker's Commission............................................. 39
      15.6   Existence and Change in Ownership............................... 39
      15.7   Financial Covenants............................................. 39
      15.8   Transfer of License............................................. 40


ARTICLE 16:  ALTERATIONS, CAPITAL IMPROVEMENTS, AND SIGNS.................... 40
      16.1   Prohibition on Alterations and Improvements..................... 40
      16.2   Approval of Alterations......................................... 41
      16.3   Permitted Alterations........................................... 41
    



                                     -iii-

<PAGE>

      16.4   Requirements for Permitted Alterations.......................... 41
      16.5   Ownership and Removal of Permitted Alterations.................. 41
      16.6   Signs........................................................... 41


ARTICLE 17:  EARNOUT LEASE ADVANCES.......................................... 42
      17.1   First Earnout Lease Advance..................................... 42
      17.2   Second Earnout Lease Advance.................................... 43


ARTICLE 18:  ASSIGNMENT AND SALE OF LEASED PROPERTY.......................... 43
      18.1   Prohibition on Assignment and Subletting........................ 43
      18.2   Requests for  Landlord's  Consent to  Assignment, Sublease
             or Management Agreement......................................... 44
      18.3   Agreements with Residents....................................... 44
      18.4   Terms Applicable to all Assignments, Subleases or
             Management Agreements........................................... 44
      18.5   Collateral Assignment........................................... 44
      18.6   Effectiveness................................................... 45
      18.7   Sale of Leased Property......................................... 45
      18.8   Assignment by Landlord.......................................... 45


ARTICLE 19:  HOLDOVER AND SURRENDER.......................................... 45
      19.1   Holding Over.................................................... 45
      19.2   Surrender....................................................... 45


ARTICLE 20:  LETTER OF CREDIT................................................ 45
      20.1   Terms of Letter of Credit....................................... 45
      20.2   Replacement Letter of Credit.................................... 46
      20.3   Draws........................................................... 46
      20.4   Partial Draws................................................... 47
      20.5   Substitute Letter of Credit..................................... 47
      20.6   Reduction in Letter of Credit Amount............................ 47


ARTICLE 21:  QUIET ENJOYMENT, SUBORDINATION, ATTORNMENT AND 
             ESTOPPEL CERTIFICATES........................................... 47
      21.1   Quiet Enjoyment................................................. 47
      21.2   Subordination................................................... 47
      21.3   Attornment...................................................... 48
      21.4   Estoppel Certificates........................................... 48


ARTICLE 22:  REPRESENTATIONS AND WARRANTIES.................................. 49
      22.1   Organization and Good Standing.................................. 50


                                      -iv-

<PAGE>


      22.2   Power and Authority............................................. 50
      22.3   Enforceability.................................................. 50
      22.4   Government Authorizations....................................... 50
      22.5   Financial Statements............................................ 50
      22.6   Condition of Facility........................................... 50
      22.7   Compliance with Laws............................................ 51
      22.8   No Litigation................................................... 51
      22.9   Consents........................................................ 51
      22.10  No Violation.................................................... 51
      22.11  Reports and Statements.......................................... 51
      22.12  ERISA........................................................... 52
      22.13  Chief Executive Office.......................................... 52
      22.14  Other Name or Entities.......................................... 52
      22.15  Parties in Possession........................................... 52
      22.16  Access.......................................................... 52
      22.17  Utilities....................................................... 52
      22.18  Condemnation and Assessments.................................... 52
      22.19  Zoning.......................................................... 53
      22.20  Pro Forma Statement............................................. 53
      22.21  Environmental Matters........................................... 53
      22.22  Leases and Contracts............................................ 53
      22.23  No Default...................................................... 53


ARTICLE 23:  FUTURE PROJECTS; COTERMINOUS FINANCINGS......................... 54
      23.1   Project Submissions............................................. 54
      23.2   Coterminous Financings.......................................... 54


ARTICLE 24:  SECURITY INTEREST............................................... 54
      24.1   Collateral...................................................... 54
      24.2   Additional Documents............................................ 55
      24.3   Notice of Sale.................................................. 55
      24.4   Pledge of Accounts to Others.................................... 55


ARTICLE 25:  MISCELLANEOUS................................................... 55
      25.1   Notices......................................................... 55
      25.2   Advertisement of Leased Property................................ 56
      25.3   Entire Agreement................................................ 56
      25.4   Severability.................................................... 56
      25.5   Captions and Headings........................................... 56
      25.6   Governing Law................................................... 56
      25.7   Memorandum of Lease............................................. 56
      25.8   Waiver.......................................................... 56
      25.9   Binding Effect.................................................. 56
    
                                      -v-

<PAGE>

      25.10  Power of Attorney............................................... 56
      25.11  No Offer........................................................ 57
      25.12  Modification.................................................... 57
      25.13  Landlord's Modification......................................... 57
      25.14  No Merger....................................................... 57
      25.15  Laches.......................................................... 58
      25.16  Limitation on Tenant's Recourse................................. 58
      25.17  Construction of Lease........................................... 58
      25.18  Counterparts.................................................... 58
      25.19  Lease Guaranty.................................................. 58
      25.20  Custody of Escrow Funds......................................... 58
      25.21  Landlord's Status as a REIT..................................... 58
      25.22  Exhibits........................................................ 59
      25.23  WAIVER OF JURY TRIAL............................................ 59
      25.24  CONSENT TO JURISDICTION......................................... 59
      25.25  Attorney's Fees and Expenses.................................... 60
      25.26  Survival........................................................ 60
      25.27  Access to Records............................................... 60


ARTICLE 26:  SUBSTITUTION OF LEASED PROPERTY................................. 60
      26.1   Right of Substitution........................................... 60
      26.2   Conditions to Substitution...................................... 60
      26.3   Conveyance of Existing Facility................................. 63
      26.4   Expenses........................................................ 64


EXHIBIT A:     LEGAL DESCRIPTION

EXHIBIT A-1:   PERSONAL PROPERTY

EXHIBIT B:     PERMITTED EXCEPTIONS

EXHIBIT C:     DOCUMENTS TO BE DELIVERED

EXHIBIT D:     TENANT'S CERTIFICATE AND FACILITY FINANCIAL REPORTS

EXHIBIT E:     GOVERNMENT AUTHORIZATIONS TO BE OBTAINED;
               ZONING PERMITS

EXHIBIT F:     PENDING LITIGATION

EXHIBIT G:     LIST OF LEASES AND CONTRACTS



- -vi-

<PAGE>



                                 LEASE AGREEMENT


            This Lease  Agreement  ("Lease" or "Agreement") is made effective as
of  the        day of                 ,  1999  (the  "Effective  Date")  between
         -----          --------------
PENNSYLVANIA BCC PROPERTIES, INC., a corporation organized under the laws of the
State of Pennsylvania  ("Landlord"),  having its principal office located at One
SeaGate,  Suite 1500, P.O. Box 1475,  Toledo,  Ohio 43603,  and BALANCED CARE AT
SAXONBURG, INC., a corporation organized under the laws of the State of Delaware
("Tenant"),  having its chief  executive  office  located at 5021 Louise  Drive,
Suite 200, Mechanicsburg, Pennsylvania 17055.

                                 R E C I T A L S

            A.  As of the date hereof,  Landlord  acquired  the Leased  Property
(defined  below) and paid the  Acquisition  Amount  (defined  below) towards the
purchase  price for the  Leased  Property.  The  amount  paid by Tenant  for the
acquisition   costs  of  the  Leased  Property  shall  be  considered   Tenant's
contribution.

            B.  Landlord  desires  to lease the  Leased  Property  to Tenant and
Tenant  desires to lease the Leased  Property  from  Landlord upon the terms set
forth in this Lease.

            NOW, THEREFORE, Landlord and Tenant agree as follows:


                ARTICLE 1: LEASED PROPERTY, TERM AND DEFINITIONS

            1.1  LEASED  PROPERTY. Landlord  hereby  leases to Tenant and Tenant
hereby leases from Landlord the following property:

                 (a)  The  land  described  in Exhibit  A  attached  hereto (the
"Land").

                 (b)  All   buildings,   structures,  and  other   improvements,
including without limitation,  sidewalks,  alleys,  utility pipes, conduits, and
lines, parking areas, and roadways, now or hereafter situated upon the Land (the
"Improvements").

                 (c)  All  easements, rights  and other  appurtenances  relating
to the Land and Improvements (the "Appurtenances").

                 (d)  All permanently affixed  equipment,  machinery,  fixtures,
and other items of real and personal property, including all components thereof,
located  in,  or  used  in  connection  with,  and  permanently  affixed  to  or
incorporated into the Improvements,  including without limitation, all furnaces,
boilers,   heaters,   electrical   equipment,   heating,   plumbing,   lighting,
ventilating, refrigerating, incineration, air and water 


<PAGE>



pollution control, waste disposal,  air-cooling and air-conditioning systems and
apparatus,  sprinkler  systems  and fire and  theft  protection  equipment,  and
built-in  oxygen  and  vacuum  systems,  all of which,  to the  greatest  extent
permitted by law, are hereby  deemed by the parties  hereto to  constitute  real
estate, together with all replacements, modifications, alterations and additions
thereto but  specifically  excluding all items  included  within the category of
Personal Property as defined below (collectively the "Fixtures").

                 (e)  All machinery, equipment, furniture,  furnishings, movable
walls  or  partitions,  computers,  trade  fixtures,  consumable  inventory  and
supplies, and other personal property used or useful in Tenant's business on the
Leased  Property,   including  without  limitation,   all  items  of  furniture,
furnishings,  equipment,  supplies and inventory  listed on Exhibit A-1 attached
hereto and the replacements therefor,  except items, if any, included within the
definition of Fixtures (collectively the "Personal Property").

            SUBJECT,   HOWEVER,   to   all   easements,   liens,   encumbrances,
restrictions, agreements, and other title matters existing as of the date hereof
as listed on Exhibit B attached hereto (the "Permitted Exceptions").

            1.2  TERM. The initial term ("Initial Term") of this Lease commences
on the  Effective  Date  and  expires  at  12:00  Midnight  Eastern  Time on the
fifteenth   anniversary  of  the  Commencement  Date  (the  "Expiration  Date");
provided,  however,  that [i] Tenant has one or more  options to renew the Lease
pursuant to Article 12, and [ii] the Initial  Term may be extended  from time to
time pursuant to Article 23.

            1.3  DEFINITIONS.  Except as otherwise expressly  provided,  [i] the
terms defined in this section have the meanings assigned to them in this section
and include the plural as well as the singular;  [ii] all  accounting  terms not
otherwise  defined herein have the meanings  assigned to them in accordance with
generally accepted  accounting  principles as of the time applicable;  and [iii]
the words  "herein",  "hereof",  and "hereunder" and similar words refer to this
Lease as a whole and not to any particular section.

            "Acquisition Amount" means $5,345,000.00.

            "ADA" means the federal statute entitled Americans with Disabilities
Act, 42 U.S.C. ss.12101, et seq.

            "Affiliate"  means any  person,  corporation,  partnership,  limited
liability  company,  trust, or other legal entity that,  directly or indirectly,
controls,  or is  controlled  by,  or is under  common  control  with  Tenant or
Guarantor.  "Control" (and the correlative meanings of the terms "controlled by"
and "under common control with") means the  possession,  directly or indirectly,
of the power to direct or cause the direction of the  management and policies of
such  entity.   "Affiliate"   includes,   without   limitation,   Balanced  Care
Corporation.

            "Annual  Facility  Budget"  means  Tenant's  projection  of what the
Annual Facility Financial Statements will be for the next fiscal year.



                                      -2-
<PAGE>




            "Annual  Financial  Statements"  means [i] for Tenant,  an unaudited
balance sheet, statement of income, and cash flow statements for the most recent
fiscal year; [ii] for the Facility,  an unaudited Facility  Financial  Statement
for the most recent fiscal year;  and [iii] for  Guarantor,  an audited  balance
sheet and statement of income for the most recent fiscal year with consolidating
schedules.

            "Base Rent" has the meaning set forth in ss.2.1,  as increased  from
time to time pursuant to ss.2.2.

            "Business  Day"  means any day other  than a  Saturday,  Sunday,  or
national holiday.

            "CERCLA"   means   the   Comprehensive    Environmental    Response,
Compensation and Liability Act of 1980, as amended from time to time.

            "Closing"  means the closing of the purchase of the Leased  Property
by Landlord and the lease of the Leased Property to Tenant.

            "Commencement  Date"  means the  Effective  Date if such date is the
first  day of a  month,  and if it is not,  the  first  day of the  first  month
following the Effective Date.

            "Commitment"  means  the  Commitment  letter  for  the  Lease  dated
September 22, 1998 as modified by the letter dated February 24, 1999.

            "Credit  Facility"  means  the  credit  facility  in an amount up to
$150,000,000.00  the terms of which are set forth in the Commitment.  The Credit
Facility consists of multiple phases of funding.

            "Current Phase" means the phase of funding under the Credit Facility
which is applicable to this Lease.  This Lease is part of the second phase.  The
Current  Phase  includes  facilities  located  in  Bloomsburg  Pennsylvania  and
Saxonburg,  Pennsylvania,  and  any  other  facilities  mutually  designated  by
Landlord and Tenant to be included in the Current Phase.

            "Earnout Lease Advances" has the meaning set forth in Article 17.

            "Effective Date" means the date of this Lease.

            "Environmental  Laws"  means all  federal,  state,  and local  laws,
ordinances  and policies the purpose of which is to protect human health and the
environment,  as amended  from time to time,  including  but not  limited to [i]
CERCLA;  [ii] the Resource  Conservation  and Recovery Act;  [iii] the Hazardous
Materials  Transportation Act; [iv] the Clean Air Act; [v] Clean Water Act; [vi]
the Toxic Substances Control Act; [vii] the Occupational  Safety and Health Act;
[viii]  the  Safe  Drinking  Water  Act;  and  [ix]  analogous  state  laws  and
regulations.



                                      -3-
<PAGE>



            "Event of Default" has the meaning set forth in ss.8.1.

            "Expiration Date" has the meaning set forth in ss.1.2.

            "Extended Term" has the meaning set forth in ss.12.3(a).

            "Facility"  means the 77-unit  (123-bed)  assisted living  (personal
care boarding home)  facility known as Outlooke  Pointe Commons at Saxonburg and
located on the Leased Property.

            "Facility  Financial  Statement" means a financial statement for the
Facility which shall include the balance sheet,  statement of income,  statement
of  cash  flows,  statement  of  shareholders'  equity,  occupancy  census  data
(including  payor mix) and a comparison of the actual  financial data versus the
Annual Facility Budget for the applicable period.

            "Facility  Uses"  means the uses  relating to the  operation  of the
Facility as a 77-unit  (123-bed)  assisted living  (personal care boarding home)
facility  together  with  such  additional  uses  as  may  be  ancillary  to  or
complimentary  to an assisted  living  facility,  and which are permitted  under
applicable law.

            "Fair Market Value" has the meaning set forth in ss.13.3.

            "Financial  Statements" means [i] the annual,  quarterly and year to
date  financial  statements  of Tenant  and  Guarantor;  and [ii] all  operating
statements  for the  Facility,  that were  submitted  to  Landlord  prior to the
Effective Date.

            "Government Authorizations" means all permits, licenses,  approvals,
consents,  and  authorizations  required to comply with all Legal  Requirements,
including but not limited to, [i] zoning permits, variances, exceptions, special
use permits,  conditional use permits, and consents; [ii] the permits, licenses,
provider  agreements  and  approvals  required for  licensure and operation of a
77-unit  (123-bed)  assisted  living  (personal  care  boarding  home)  facility
certified as a provider under the federal Medicare and state Medicaid  programs;
[iii]  environmental,  ecological,  coastal,  wetlands,  air, and water permits,
licenses,  and  consents;  [iv] curb cut,  subdivision,  land use,  and planning
permits, licenses, approvals and consents; [v] building, sign, fire, health, and
safety  permits,  licenses,  approvals,  and  consents;  and [vi]  architectural
reviews, approvals, and consents required under restrictive covenants.

            "Guarantor" means Balanced Care Corporation, a Delaware corporation.

            "Guaranty"  means the  Unconditional  and Continuing  Lease Guaranty
entered  into by  Guarantor to  guarantee  payment and  performance  of Tenant's
Obligations  and  any  amendments   thereto  or  substitutions  or  replacements
therefor.

            "Hazardous  Materials" means any substance [i] the presence of which
poses a hazard to the health or safety of persons on or about the Land including
but not limited to asbestos 


                                      -4-
<PAGE>


containing  materials;  [ii] which  requires  removal or  remediation  under any
Environmental  Law,  including without  limitation any substance which is toxic,
explosive,  flammable,  radioactive,  or otherwise hazardous;  or [iii] which is
regulated under or classified under any  Environmental Law as hazardous or toxic
including  but not limited to any  substance  within the  meaning of  "hazardous
substance",   "hazardous   material",   "hazardous  waste",  "toxic  substance",
"regulated  substance",   "solid  waste",  or  "pollutant"  as  defined  in  any
Environmental Law.

            "Impositions" has the meaning set forth in ss.3.2.

            "Increaser Rate" means [i] in any Lease Year in which the nationwide
Consumer Price Index for all urban  consumers  increases by a percentage that is
less than 20%, 25 basis points per year for the Initial Term and 25 basis points
per year for each  Renewal  Term;  and [ii] in all other Lease  Years,  30 basis
points per year for the Initial Term and 30 basis points for each Renewal Term.

            "Initial Term" has the meaning set forth in ss.1.2.

            "Issuer" means a financial  institution  reasonably  satisfactory to
Landlord issuing the Letter of Credit and such Issuer's  successors and assigns.
Any "Issuer" shall have a Lace Financial Service Rating of "C+" or higher at all
times throughout the Term.

            "Landlord  Affiliate"  means any person,  corporation,  partnership,
limited  liability  company,  trust,  or other legal  entity  that,  directly or
indirectly,  controls,  or is  controlled  by, or is under  common  control with
Landlord.  "Control" (and the correlative  meanings of the terms "controlled by"
and "under common control with") means the  possession,  directly or indirectly,
of the power to direct or cause the direction of the  management and policies of
such entity.  "Landlord  Affiliate"  includes,  without  limitation,  HCRI Texas
Properties, Ltd., HCRI Pennsylvania Properties, Inc., HCRI Overlook Green, Inc.,
HCRI Nevada Properties, Inc., HCRI Louisiana Properties, L.P., Health Care REIT,
Inc., HCRI Tennessee Properties,  Inc., HCRI Tennessee Properties, L.P., and HCN
BCC Holdings, Inc.

            "Lease Advance" means [i] the first Lease Advance by Landlord in the
Acquisition  Amount;  or [ii] any other  advance of funds by  Landlord to Tenant
pursuant to the term of this Lease including any Earnout Lease Advance.

            "Lease Advance  Amount" means the amount of any Lease  Advance.  The
Acquisition Amount is the first Lease Advance Amount.

            "Lease  Advance Date" means the date on which Landlord makes a Lease
Advance.

            "Lease  Amount"  is an  aggregate  concept  and means the sum of the
Lease Advance Amounts outstanding at the applicable time.



                                      -5-
<PAGE>



            "Lease Documents" means [i] this Lease; and [ii] all other documents
executed by Tenant and Landlord in connection with the Lease.

            "Lease  Payments"  means  the  sum of the  Base  Rent  payments  (as
increased from time to time) for the applicable period.

            "Lease Rate" means the annual rate used to  determine  Base Rent for
each Lease  Advance.  The Lease Rate for the Initial  Term is the greater of [i]
10.25% or [ii] the sum of the Rate Index  plus the Rate  Spread,  each  computed
using the 365/360 method. The Lease Rate includes any accrued Increaser Rate. On
each  Renewal  Date,  the Lease  Rate will be reset for the Lease  Amount as set
forth in ss.12.2(c).

            "Lease  Year"  means  each  consecutive  period  of 365 or 366  days
throughout the Term. The first Lease Year commences on the Commencement Date and
expires on the day before the first anniversary of the Commencement Date.

            "Leased  Property"  means,  collectively,  the  Land,  Improvements,
Appurtenances, Fixtures and Personal Property.

            "Legal  Requirements" means all laws,  regulations,  rules,  orders,
writs, injunctions, decrees, certificates,  requirements, agreements, conditions
of participation and standards of any federal, state, county, municipal or other
governmental  entity,   administrative  agency,  insurance  underwriting  board,
architectural   control  board,   private   third-party   payor,   accreditation
organization,  or any  restrictive  covenants  applicable  to  the  development,
construction,  condition and operation of the Facility by Tenant,  including but
not  limited  to,  [i]  zoning,   building,  fire,  health,  safety,  sign,  and
subdivision   regulations  and  codes;   [ii]   certificate  of  need  laws  (if
applicable);  [iii] licensure to operate as a 77-unit (123-bed)  assisted living
(personal care boarding home) facility; [iv] Medicare and Medicaid certification
requirements  (if  applicable);  [v] the ADA; [vi] any  Environmental  Laws; and
[vii]  requirements,  conditions and standards for  participation in third-party
payor insurance programs.

            "Letter of Credit" means an irrevocable and  transferable  Letter of
Credit in an amount  initially  equal to 5% of the Lease  Amount and  subject to
reduction as provided in Section 20.6,  issued by Issuer in favor of Landlord as
security for the Lease and in form  reasonably  acceptable to Landlord,  and any
amendments thereto or replacements or substitutions therefor.

            "Manager"  means BCC  Development  and Management Co., a corporation
organized under the laws of the State of Delaware.

            "Material  Obligation"  means  [i]  any  indebtedness  secured  by a
security  interest in or a lien,  deed of trust or mortgage on any of the Leased
Property  (or  any  part  thereof,  including  any  Personal  Property)  and any
agreement relating thereto; [ii] any obligation or agreement that is material to
the  construction  or  operation of the Facility or that is material to Tenant's
business or financial  condition;  [iii] any  indebtedness  or capital  lease of
Tenant that has an outstanding



                                      -6-
<PAGE>


principal  balance of at least  $50,000.00 and any agreement  relating  thereto;
[iv] any  obligation to or agreement  with the Issuer  relating to the Letter of
Credit;  and [v] any  sublease of the Leased  Property,  exclusive  of occupancy
agreements with residents of the Leased Property.

            "Overdue Rate" has the meaning set forth in ss.8.6.

            "Periodic  Financial  Statements" means [i] for Tenant, an unaudited
balance  sheet and  statement  of income of Tenant for the most recent  quarter;
[ii] for the Facility,  an unaudited Facility  Financial  Statement for the most
recent month; and [iii] for Guarantor,  an unaudited balance sheet and statement
of income of Guarantor for the most recent quarter.

            "Permitted  Exceptions"  means the  exceptions to title set forth on
Exhibit B.

            "Permitted  Liens" means [i] liens  granted to Landlord;  [ii] liens
customarily  incurred by Tenant in the ordinary course of business for items not
delinquent  including  mechanic's  liens and deposits and charges under worker's
compensation  laws;  [iii]  liens  for  taxes  and  assessments  not yet due and
payable;  [iv] any lien, charge, or encumbrance which is being contested in good
faith pursuant to Section 3.7 of this Agreement;  [v] the Permitted  Exceptions;
and [vi] purchase money financing and capitalized or operating  equipment leases
for the  acquisition  of personal  property  provided,  however,  that  Landlord
obtains a  nondisturbance  agreement from the purchase money lender or equipment
lessor in form and  substance as may be reasonably  satisfactory  to Landlord if
the original cost of the equipment exceeds $75,000.00.

            "Phase  Facility"  means each  facility  leased by  Landlord  or any
Landlord Affiliate to Tenant or any Affiliate pursuant to a Phase Lease, whether
now or hereafter existing.

            "Phase  Lease"  means  each  lease  now or  hereafter  made  between
Landlord or any  Landlord  Affiliate  and Tenant or any  Affiliate  and which is
included within the Current Phase as amended, modified, extended or renewed from
time to time.

            "Phase  Tenant" means Tenant or any Affiliate that is a tenant under
a Phase Lease.

            "Pro Forma  Statement"  means a financial  forecast for the Facility
for the  next 5 year  period  prepared  in  accordance  with the  standards  for
forecasts established by the American Institute of Certified Public Accountants.

            "Rate  Determination Date" means the date on which the value for the
Rate Index is  established  for computing any Lease Rate. For any Lease Advances
made during the Initial Term, the Rate  Determination  Date is the Lease Advance
Date. For any Renewal Date, the Rate Determination Date is the last Business Day
of the current Term.

            "Rate Index"  means the yield  quoted in the Wall Street  Journal on
the  applicable  Rate  Determination  Date for the most  actively  traded United
States  Treasury  Notes  having  the  nearest  equivalent  maturity  date to the
Expiration  Date. For any Lease Advance other than the first Lease Advance,  the
yield shall be computed based upon the remainder of the Initial Term.



                                      -7-
<PAGE>


            "Rate  Spread"  means  the rate  spread  from  time to time  used to
calculate  the Lease Rate  applicable  to any Lease  Advance  during the Initial
Term. The Rate Spread is 340 basis points for the Initial Term.

            "Receivables"  means [i] all of Tenant's  rights to receive  payment
for providing resident care and services as set forth in any accounts,  contract
rights,  and  instruments,  and [ii] those documents,  chattel paper,  inventory
proceeds, provider agreements,  participation agreements,  ledger sheets, files,
records, computer programs, tapes, and agreements relating to Tenant's rights to
receive payment for providing resident care services.

            "Renewal Date" means the first day of each Renewal Term.

            "Renewal Option" has the meaning set forth in ss.12.1.

            "Renewal Rate" means the Lease Rate established for any Renewal Date
as set forth in ss.12.2(c).

            "Renewal Term" has the meaning set forth in ss.12.1.

            "Rent" has the meaning set forth in ss.2.3.

            "Seller" means Tenant.

            "State" means the Commonwealth of Pennsylvania.

            "Tenant's Obligations" means all payment and performance obligations
of Tenant under this Lease and all  documents  executed by Tenant in  connection
with this Lease.

            "Tenant's   Organizational   Documents"   means  the   Articles   of
Incorporation  of Tenant  certified  by the  Secretary  of State of the state of
organization,  as amended to date, and the Bylaws of Tenant certified by Tenant,
as amended to date.

            "Tenant's Property" has the meaning set forth in ss.11.1.

            "Term" means the Initial Term and each Renewal Term.

                                 ARTICLE 2: RENT

            2.1 BASE RENT.  Tenant shall pay Landlord base rent ("Base Rent") in
advance in  consecutive  monthly  installments  payable on the first day of each
month during the Term commencing on the Commencement Date. If the Effective Date
is not the first day of a month,  Tenant  shall  pay  Landlord  Base Rent on the
Effective  Date for the partial  month,  i.e. for the period  commencing  on the
Effective Date and ending on the day before the Commencement Date. The Base Rent
for the Initial Term will be computed monthly and will be equal to 1/12th




                                      -8-
<PAGE>


of the sum of the products of each Lease  Advance  times the Lease Rate for each
Lease  Advance.  The  Base  Rent for  each  Renewal  Term  will be  computed  in
accordance with ss.12.2.

            2.2  INCREASE OF LEASE RATE AND BASE RENT.  Commencing  on the first
anniversary  of  the  Commencement  Date  and  on  each  anniversary  thereafter
throughout the Term  (including any Renewal Term and Extended  Term),  the Lease
Rate will increase by the applicable Increaser Rate. On each date that the Lease
Rate is increased, the Base Rent will be increased accordingly and will be equal
to 1/12th of the sum of the products of each Lease  Advance times the Lease Rate
(including the applicable Increaser Rate) for each Lease Advance.

            2.3  ADDITIONAL RENT. In addition to Base Rent, Tenant shall pay all
other amounts, liabilities,  obligations and Impositions which Tenant assumes or
agrees to pay under this Lease and any fine, penalty,  interest, charge and cost
which may be added for  nonpayment  or late payment of such items  (collectively
the  "Additional  Rent").  The Base  Rent and  Additional  Rent are  hereinafter
referred to as "Rent".  Landlord shall have all legal, equitable and contractual
rights,  powers  and  remedies  provided  either in this  Lease or by statute or
otherwise in the case of nonpayment of the Rent.

            2.4  PLACE OF PAYMENT OF RENT. Tenant shall  make  all  payments  of

Rent at the Landlord's address set forth in the first paragraph of this Lease or
at such other place as Landlord may designate from time to time.

            2.5  NET LEASE. This Lease  shall be deemed and  construed  to be an
"absolute  net  lease",  and  Tenant  shall pay all Rent and other  charges  and
expenses in connection  with the Leased  Property  throughout the Term,  without
abatement, deduction or set-off.

            2.6  NO  TERMINATION,   ABATEMENT,  ETC.    Except   as    otherwise
specifically  provided in this Lease, Tenant shall remain bound by this Lease in
accordance  with its terms.  Tenant shall not,  without the consent of Landlord,
modify,  surrender  or  terminate  the Lease,  nor seek nor be  entitled  to any
abatement,  deduction,  deferment or reduction of Rent,  or set-off  against the
Rent.  Except as expressly  provided in this Lease,  the obligations of Landlord
and Tenant shall not be affected by reason of [i] any damage to, or  destruction
of, the Leased  Property or any part thereof from  whatever  cause or any Taking
(as hereinafter  defined) of the Leased  Property or any part thereof;  [ii] the
lawful or unlawful  prohibition  of, or  restriction  upon,  Tenant's use of the
Leased  Property,  or any part thereof,  the  interference  with such use by any
person,  corporation,  partnership or other entity,  or by reason of eviction by
paramount title; [iii] any claim which Tenant has or might have against Landlord
or by reason of any default or breach of any  warranty  by  Landlord  under this
Lease or any other agreement  between Landlord and Tenant,  or to which Landlord
and  Tenant  are  parties;  [iv]  any  bankruptcy,  insolvency,  reorganization,
composition,  readjustment,   liquidation,  dissolution,  winding  up  or  other
proceeding affecting Landlord or any assignee or transferee of Landlord;  or [v]
any other cause,  whether  similar or dissimilar to any of the foregoing,  other
than a discharge of Tenant from any such  obligations as a matter of law. Except
as otherwise  specifically  provided in this Lease,  Tenant hereby  specifically
waives all rights,  arising  from any  occurrence  whatsoever,  which may now or
hereafter be conferred upon it by law [a] to modify, surrender or terminate this
Lease or



                                      -9-
<PAGE>


quit or surrender the Leased Property or any portion  thereof;  or [b] entitling
Tenant to any abatement, reduction, suspension or deferment of the Rent or other
sums  payable  by Tenant  hereunder.  The  obligations  of  Landlord  and Tenant
hereunder  shall be separate and  independent  covenants and  agreements and the
Rent and all other sums payable by Tenant hereunder shall continue to be payable
in all  events  unless  the  obligations  to pay the same  shall  be  terminated
pursuant to the express provisions of this Lease or by termination of this Lease
other than by reason of an Event of Default.

            2.7  COMPUTATIONAL METHOD.  Landlord and Tenant acknowledge that all
rates  under  this  Lease will be  computed  based on the actual  number of days
elapsed over a 360-day year (365/360 method).

            2.8  COMMITMENT  FEE.  On the  Effective  Date,  Tenant  shall pay a
commitment fee to Landlord in an amount equal to 1% of the Acquisition Amount.

                      ARTICLE 3: IMPOSITIONS AND UTILITIES

            3.1  PAYMENT OF  IMPOSITIONS. Tenant shall pay, as Additional  Rent,
all  Impositions  that may be levied or become a lien on the Leased  Property or
any part  thereof at any time  (whether  prior to or during  the Term),  without
regard to prior  ownership of said Leased  Property,  before any fine,  penalty,
interest,  or cost is  incurred;  provided,  however,  Tenant  may  contest  any
Imposition in accordance  with ss.3.7.  Tenant shall deliver to Landlord [i] not
more than 5 days after the due date of each  Imposition,  copies of the  invoice
for such  Imposition and the check delivered for payment  thereof;  and [ii] not
more than 30 days after the due date of each Imposition,  a copy of the official
receipt  evidencing  such  payment  or other  proof of payment  satisfactory  to
Landlord. Tenant's obligation to pay such Impositions shall be deemed absolutely
fixed upon the date such  Impositions  become a lien upon the Leased Property or
any part thereof. Tenant, at its expense, shall prepare and file all tax returns
and reports in respect of any  Imposition  as may be  required  by  governmental
authorities.  Tenant  shall be  entitled  to any  refund  due  from  any  taxing
authority  if  no  Event  of  Default  shall  have  occurred  hereunder  and  be
continuing.  Landlord shall be entitled to any refund from any taxing  authority
if an Event of Default has occurred and is continuing.  Any refunds  retained by
Landlord  due to an Event of Default  shall be applied  as  provided  in ss.8.8.
Landlord and Tenant  shall,  upon request of the other,  provide such data as is
maintained  by the party to whom the request is made with  respect to the Leased
Property as may be necessary to prepare any required returns and reports. In the
event  governmental  authorities  classify any property covered by this Lease as
personal  property,  Tenant shall file all personal property tax returns in such
jurisdictions where it may legally so file. Landlord, to the extent it possesses
the same,  and Tenant,  to the extent it  possesses  the same,  will provide the
other party,  upon request,  with cost and  depreciation  records  necessary for
filing  returns for any  property so  classified  as  personal  property.  Where
Landlord is legally required to file personal property tax returns,  Tenant will
be provided  with copies of assessment  notices  indicating a value in excess of
the reported value in sufficient time for Tenant to file a protest.  Tenant may,
upon  notice to  Landlord,  at  Tenant's  option and at  Tenant's  sole cost and
expense, protest, appeal, or institute such other proceedings as Tenant may deem
appropriate  to  effect  a  reduction  of  real  estate  or  personal   property
assessments  and  Landlord,  at  Tenant's  



                                      -10-
<PAGE>




expense as aforesaid, shall fully cooperate with Tenant in such protest, appeal,
or other action. Tenant shall reimburse Landlord for all personal property taxes
paid by Landlord within 30 days after receipt of billings  accompanied by copies
of a bill  therefor and payments  thereof which  identify the personal  property
with respect to which such payments are made.  Impositions imposed in respect to
the  tax-fiscal  period during which the Term  terminates  shall be adjusted and
prorated between Landlord and Tenant,  whether or not such Imposition is imposed
before or after such  termination,  and Tenant's  obligation to pay its prorated
share thereof shall survive such termination.

            3.2  DEFINITION OF IMPOSITIONS. "Impositions"  means,  collectively,
[i] taxes (including without  limitation,  all capital stock and franchise taxes
of Landlord imposed by the State or any governmental  entity in the State due to
this lease  transaction or Landlord's  ownership of the Leased  Property and the
income arising therefrom,  or due to Landlord being considered as doing business
in the State  because of  Landlord's  ownership of the Leased  Property or lease
thereof to Tenant but only to the extent Tenant would have been obligated to pay
such taxes if Tenant rather than Landlord was the owner of the Leased Property),
all real estate and  personal  property ad valorem,  sales and use,  business or
occupation,  single business,  gross receipts,  transaction  privilege,  rent or
similar taxes; [ii] assessments  (including without limitation,  all assessments
for public improvements or benefits, whether or not commenced or completed prior
to the date  hereof and  whether or not to be  completed  with the Term);  [iii]
ground rents, water, sewer or other rents and charges,  excises, tax levies, and
fees (including without limitation,  license, permit, inspection,  authorization
and similar fees);  [iv] all taxes imposed on Tenant's  operations of the Leased
Property, including without limitation, employee withholding taxes, income taxes
and  intangible  taxes;  [v] all taxes imposed by the State or any  governmental
entity in the State with  respect to the  conveyance  of the Leased  Property by
Landlord  to  Tenant  or  Tenant's  designee,   including  without   limitation,
conveyance  taxes and  capital  gains  taxes;  and [vi] all  other  governmental
charges, in each case whether general or special, ordinary or extraordinary,  or
foreseen or unforeseen,  of every character in respect of the Leased Property or
any part thereof and/or the Rent  (including all interest and penalties  thereon
due to any failure in payment by Tenant),  which at any time prior to, during or
in respect of the Term  hereof may be assessed or imposed on or in respect of or
be a lien upon [a] Landlord or Landlord's interest in the Leased Property or any
part thereof;  [b] the Leased Property or any part thereof or any rent therefrom
or  any  estate,  right,  title  or  interest  therein;  or [c]  any  occupancy,
operation,  use or possession of, or sales from, or activity conducted on, or in
connection with the Leased Property or the leasing or use of the Leased Property
or any part thereof.  Tenant shall not, however,  be required to pay any tax [y]
based on income or assets imposed on Landlord by any  governmental  entity other
than the capital stock and franchise  taxes described in clause [i] above or [z]
based on the transfer of Landlord's interest in the Leased Property or equity of
Landlord to a party other than Guarantor  unless the transfer occurs pursuant to
an Event of Default.

            3.3  ESCROW OF IMPOSITIONS.  If an Event of Default occurs and while
it remains uncured, Tenant shall, at Landlord's election,  deposit with Landlord
on the first day of each month a sum equal to 1/12th of the Impositions assessed
against the Leased Property for the preceding tax year, which sums shall be used
by Landlord toward payment of such Impositions.  Tenant, on demand, shall pay to
Landlord any additional  funds necessary to pay and discharge



                                      -11-
<PAGE>



the  obligations  of Tenant  pursuant to the  provisions  of this  section.  The
receipt by Landlord of the payment of such  Impositions by and from Tenant shall
only  be  as  an  accommodation  to  Tenant,  the  mortgagees,  and  the  taxing
authorities,  and shall not be construed as rent or income to Landlord, Landlord
serving, if at all, only as a conduit for delivery purposes.

            3.4  UTILITIES.  Tenant shall pay, as  Additional  Rent,  all taxes,
assessments,  charges,  deposits,  and bills for  utilities,  including  without
limitation  charges for water, gas, oil, sanitary and storm sewer,  electricity,
telephone  service,  and trash  collection,  which may be  charged  against  the
occupant of the Improvements  during the Term. If an Event of Default occurs and
while it remains  uncured,  Tenant shall, at Landlord's  election,  deposit with
Landlord  on the first day of each  month a sum equal to 1/12th of the amount of
the annual utility  expenses for the preceding  Lease Year,  which sums shall be
used by Landlord to pay such utilities. Tenant shall, on demand, pay to Landlord
any additional amount needed to pay such utilities.  Landlord's  receipt of such
payments shall only be an accommodation to Tenant and the utility  companies and
shall  not  constitute  rent or income to  Landlord.  Tenant  shall at all times
maintain that amount of heat  necessary to ensure  against the freezing of water
lines.  Tenant hereby  agrees to indemnify  and hold Landlord  harmless from and
against any liability or damages to the utility  systems and the Leased Property
that may  result  from  Tenant's  failure  to  maintain  sufficient  heat in the
Improvements.

            3.5  DISCONTINUANCE  OF  UTILITIES.  Landlord will not be liable for
damages to person or property or for injury to, or interruption of, business for
any  discontinuance  of  utilities  nor will such  discontinuance  in any way be
construed  as an eviction of Tenant or cause an  abatement of rent or operate to
release Tenant from any of Tenant's obligations under this Lease.

            3.6  BUSINESS EXPENSES.  Tenant shall  promptly pay all expenses and
costs  incurred in  connection  with the operation of the Facility on the Leased
Property, including without limitation, employee benefits, employee vacation and
sick pay, consulting fees, and expenses for inventory and supplies.

            3.7  PERMITTED CONTESTS.  Tenant, on its own or on Landlord's behalf
(or in Landlord's  name), but at Tenant's expense,  may contest,  by appropriate
legal proceedings conducted in good faith and with due diligence,  the amount or
validity or  application,  in whole or in part,  of any  Imposition or any Legal
Requirement or insurance requirement or any lien, attachment, levy, encumbrance,
charge or claim  provided  that [i] in the case of an unpaid  Imposition,  lien,
attachment,   levy,   encumbrance,   charge  or  claim,   the  commencement  and
continuation  of such  proceedings  shall  suspend the  collection  thereof from
Landlord and from the Leased Property;  [ii] neither the Leased Property nor any
Rent  therefrom  nor any  part  thereof  or  interest  therein  would  be in any
immediate danger of being sold,  forfeited,  attached or lost; [iii] in the case
of a Legal  Requirement,  Landlord would not be in any immediate danger of civil
or criminal  liability  for failure to comply  therewith  pending the outcome of
such proceedings;  [iv] in the case of a Legal Requirement and/or an Imposition,
lien,  encumbrance or charge,  in excess of  $50,000.00,  Tenant shall give such
reasonable security as may be demanded by Landlord to insure ultimate payment of
the same and to prevent any sale or forfeiture of the affected  Leased  Property
or  the  Rent  by   reason   of   such  nonpayment or  noncompliance;  provided,



                                      -12-
<PAGE>



however,  the provisions of this section shall not be construed to permit Tenant
to contest the payment of Rent (except as to contests  concerning  the method of
computation  or the  basis  of  levy  of any  Imposition  or the  basis  for the
assertion  of any other  claim) or any other sums  payable by Tenant to Landlord
hereunder; [v] in the case of an insurance requirement, the coverage required by
Article 4 shall be  maintained;  and [vi] if such  contest be  finally  resolved
against  Landlord or Tenant,  Tenant shall,  as Additional  Rent due  hereunder,
promptly  pay the amount  required to be paid,  together  with all  interest and
penalties  accrued thereon,  or comply with the applicable Legal  Requirement or
insurance requirement.  Landlord, at Tenant's expense, shall execute and deliver
to Tenant such  authorizations and other documents as may be reasonably required
in any such contest,  and, if  reasonably  requested by Tenant or if Landlord so
desires,  Landlord  shall  join as a party  therein.  Tenant  hereby  agrees  to
indemnify and save Landlord  harmless  from and against any  liability,  cost or
expense of any kind that may be imposed  upon  Landlord in  connection  with any
such contest and any loss resulting therefrom.

                              ARTICLE 4: INSURANCE

            4.1  PROPERTY INSURANCE. At Tenant's expense,  Tenant shall maintain
in full force and effect a property  insurance  policy or policies  insuring the
Leased Property against the following:

                  (a)  Loss  or  damage  commonly  covered  by  a "Special Form"
policy insuring against physical loss or damage to the Improvements and Personal
Property,  including  but not  limited  to,  risk of loss  from  fire and  other
hazards,  collapse,  transit coverage,  vandalism,  malicious  mischief,  theft,
earthquake (if the Leased  Property is in earthquake  zone 1 or 2) and sinkholes
(if usually recommended in the area of the Leased Property). The policy shall be
in the  amount of the full  replacement  value (as  defined  in  ss.4.5)  of the
Improvements  and  Personal  Property  and  shall  contain a  deductible  amount
acceptable to Landlord.  Landlord shall be named as an additional  insured.  The
policy shall include a stipulated value endorsement or agreed amount endorsement
and  endorsements  for  contingent  liability for  operations of building  laws,
demolition costs, and increased cost of construction.

                  (b)  If applicable,  loss or  damage  by  explosion  of  steam
boilers,  pressure vessels, or similar apparatus,  now or hereafter installed on
the Leased Property, in commercially reasonable amounts acceptable to Landlord.

                  (c)  Consequential  loss of rents and income coverage insuring
against  all  "Special  Form" risk of  physical  loss or damage  with limits and
deductible amounts acceptable to Landlord covering risk of loss during the first
9 months of reconstruction, and containing an endorsement for extended period of
indemnity of at least 6 months, and shall be written with a stipulated amount of
coverage if available at a reasonable premium.

                  (d)  If the Leased Property is located,  in  whole or in part,
in a federally  designated  100-year flood plain area,  flood  insurance for the
Improvements in an amount equal to the lesser of [i] the full replacement  value
of the Improvements;  or [ii] the maximum amount 





                                      -13-
<PAGE>


of insurance  available for the Improvements under all federal and private flood
insurance programs.

                  (e)  Loss or damage  caused by the breakage  of plate glass in
commercially reasonable amounts acceptable to Landlord.

                  (f)  Loss   or   damage   commonly   covered  by blanket crime
insurance including employee dishonesty, loss of money orders or paper currency,
depositor's  forgery,  and loss of property  of patients  accepted by Tenant for
safekeeping, in commercially reasonable amounts acceptable to the Landlord.

            4.2  LIABILITY INSURANCE. At Tenant's expense, Tenant shall maintain
liability insurance against the following:

                  (a)  Claims for personal  injury or property  damage  commonly
covered by  comprehensive  general  liability  insurance with  endorsements  for
incidental  malpractice,   contractual,   personal  injury,  owner's  protective
liability,  voluntary medical payments, products and completed operations, broad
form property damage, and extended bodily injury,  with commercially  reasonable
amounts for bodily  injury,  property  damage,  and voluntary  medical  payments
acceptable  to  Landlord,  but with a  combined  single  limit of not less  than
$5,000,000.00 per occurrence.

                  (b)  Claims for personal injury and property  damage  commonly
covered by comprehensive automobile liability insurance,  covering all owned and
non-owned automobiles,  with commercially  reasonable amounts for bodily injury,
property damage, and for automobile medical payments acceptable to Landlord, but
with a combined single limit of not less than $5,000,000.00 per occurrence.

                  (c)  Claims for personal  injury  commonly  covered by medical
malpractice insurance in commercially reasonable amounts acceptable to Landlord.

                  (d) Claims commonly covered by worker's compensation insurance
for all  persons  employed  by  Tenant on the  Leased  Property.  Such  worker's
compensation  insurance  shall be in  accordance  with the  requirements  of all
applicable local, state, and federal law.

            4.3  BUILDER'S RISK INSURANCE.  In connection with any construction,
Tenant shall maintain in full force and effect a builder's  completed value risk
policy  ("Builder's  Risk Policy") of insurance in a nonreporting  form insuring
against all "Special Form" risk of physical loss or damage to the  Improvements,
including  but not  limited  to,  risk of loss  from  fire  and  other  hazards,
collapse, transit coverage, vandalism, malicious mischief, theft, earthquake (if
Leased  Property  is in  earthquake  zone  1 or 2)  and  sinkholes  (if  usually
recommended in the area of the Leased Property). The Builder's Risk Policy shall
include endorsements  providing coverage for building materials and supplies and
temporary premises. The Builder's Risk Policy shall be in the amount of the full
replacement   value   of the  Improvements  and   shall  contain   a  deductible



                                      -14-
<PAGE>

amount acceptable to Landlord. Landlord shall be named as an additional insured.
The  Builder's  Risk Policy  shall  include an  endorsement  permitting  initial
occupancy.

            4.4  INSURANCE  REQUIREMENTS.  The following provisions shall  apply
to all insurance coverages required hereunder:

                  (a)  The form and substance of all policies shall  be  subject
to the approval of Landlord, which approval will not be unreasonably withheld.

                  (b)  The carriers of  all policies  shall have a Best's Rating
of "A" or better  and a Best's  Financial  Category  of X or higher and shall be
authorized to do insurance business in the State.

                  (c)  Tenant shall be the "named insured" and Landlord shall be
an "additional  insured" on each liability  policy. On all property and casualty
policies, Landlord and Tenant shall be joint loss payees.

                  (d)  Tenant shall deliver to Landlord certificates or policies
showing the required coverages and endorsements. The policies of insurance shall
provide  that the policy may not be  canceled  or not  renewed,  and no material
change or  reduction  in coverage  may be made,  without at least 30 days' prior
written notice to Landlord.

                  (e)  The  policies shall  contain a  severability  of interest
and/or cross-liability endorsement, provide that the acts or omissions of Tenant
or Landlord  will not  invalidate  the coverage of the other party,  and provide
that Landlord shall not be responsible for payment of premiums.

                  (f)  All loss adjustment  shall require the written consent of
Landlord and Tenant, as their interests may appear.

                  (g)  At least   10   days prior  to the  expiration  of   each
insurance policy, Tenant shall deliver to Landlord a certificate showing renewal
of such  policy  and  payment  of the  annual  premium  therefor  and a  current
Certificate  of  Compliance  (in the  form  delivered  at the  time of  Closing)
completed and signed by Tenant's insurance agent.

            4.5  REPLACEMENT  VALUE. The term "full replacement value" means the
actual  replacement  cost thereof from time to time including  increased cost of
construction  endorsement,  with no reductions or deductions.  Tenant shall,  in
connection   with  each   annual   policy   renewal,   deliver  to   Landlord  a
redetermination  of the full replacement  value by the insurer or an endorsement
indicating that the Leased Property is insured for its full  replacement  value.
If Tenant makes any Permitted Alterations (as hereinafter defined) to the Leased
Property, Landlord may have such full replacement value redetermined at any time
after  such  Permitted  Alterations  are  made,  regardless  of  when  the  full
replacement value was last determined.



                                      -15-
<PAGE>


            4.6  BLANKET  POLICY.   Notwithstanding  anything  to  the  contrary
contained in this section,  Tenant may [i] carry the insurance  required by this
Article under a blanket policy of insurance, provided that the coverage afforded
Tenant will not be reduced or  diminished  or otherwise  be different  from that
which would exist under a separate  policy  meeting all of the  requirements  of
this Lease;  and [ii] Tenant may meet the limits of liability  for  insurance by
maintaining a portion thereof as "excess" insurance under an umbrella policy.

            4.7  NO SEPARATE  INSURANCE.  Tenant  shall  not take  out  separate
insurance  concurrent  in form or  contributing  in the  event of loss with that
required  in  this  Article,  or  increase  the  amounts  of any  then  existing
insurance,  by securing an additional policy or additional policies,  unless all
parties  having an insurable  interest in the subject  matter of the  insurance,
including  Landlord  and any  mortgagees,  are  included  therein as  additional
insureds or loss payees,  the loss is payable  under said  insurance in the same
manner as losses are payable under this Lease, and such additional  insurance is
not prohibited by the existing  policies of insurance.  Tenant shall immediately
notify  Landlord of the taking out of such separate  insurance or the increasing
of any of the amounts of the existing insurance by securing an additional policy
or additional policies.

            4.8  WAIVER OF  SUBROGATION. Each party hereto hereby waives any and
every claim  which  arises or may arise in its favor and against the other party
hereto  during  the  Term  for any and all loss of,  or  damage  to,  any of its
property located within or upon, or constituting a part of, the Leased Property,
which loss or damage is covered by valid and collectible  insurance policies, to
the extent that such loss or damage is  recoverable  under such  policies.  Said
mutual waiver shall be in addition to, and not in  limitation or derogation  of,
any other waiver or release  contained in this Lease with respect to any loss or
damage to property  of the parties  hereto.  Inasmuch as the said  waivers  will
preclude  the  assignment  of any  aforesaid  claim  by way of  subrogation  (or
otherwise)  to an  insurance  company (or any other  person),  each party hereto
agrees  immediately  to give  each  insurance  company  which  has  issued to it
policies of insurance,  written notice of the terms of said mutual waivers,  and
to have such insurance policies properly endorsed, if necessary,  to prevent the
invalidation  of said insurance  coverage by reason of said waivers,  so long as
such endorsement is available at a reasonable cost.

            4.9  MORTGAGES. The following provisions shall apply if Landlord now
or hereafter  places a mortgage on the Leased Property or any part thereof:  [i]
Tenant shall obtain a standard form of lender's loss payable clause insuring the
interest of the  mortgagee;  [ii] Tenant shall deliver  evidence of insurance to
such  mortgagee;  [iii]  loss  adjustment  shall  require  the  consent  of  the
mortgagee; and [iv] Tenant shall provide such other information and documents as
may be required by the mortgagee.

            4.10  ESCROWS. After an Event of Default  occurs  hereunder,  Tenant
shall make such  periodic  payments of  insurance  premiums in  accordance  with
Landlord's requirements after receipt of notice thereof from Landlord.




                                      -16-
<PAGE>

                              ARTICLE 5: INDEMNITY

            5.1  TENANT'S INDEMNIFICATION.  Tenant hereby indemnifies and agrees
to hold harmless Landlord, any successors or assigns of Landlord, and Landlord's
and such successor's and assign's directors, officers, employees and agents from
and against any and all demands,  claims,  causes of action,  fines,  penalties,
damages (including consequential damages), losses, liabilities (including strict
liability),  judgments, and expenses (including, without limitation,  reasonable
attorneys'  fees,  court costs,  and the costs set forth in ss.8.7)  incurred in
connection with or arising from: [i] the use or occupancy of the Leased Property
by Tenant or any persons  claiming  under Tenant;  [ii] any  activity,  work, or
thing done, or permitted or suffered by Tenant in or about the Leased  Property;
[iii] any acts, omissions,  or negligence of Tenant or any person claiming under
Tenant, or the contractors,  agents, employees,  invitees, or visitors of Tenant
or any such person; [iv] any breach,  violation,  or nonperformance by Tenant or
any  person  claiming  under  Tenant  or  the  employees,  agents,  contractors,
invitees, or visitors of Tenant or of any such person, of any term, covenant, or
provision of this Lease or any law,  ordinance,  or governmental  requirement of
any  kind  including,  without  limitation,  any  failure  to  comply  with  any
applicable  requirements  under the ADA; [v] any injury or damage to the person,
property or business of Tenant, its employees,  agents,  contractors,  invitees,
visitors,  or any other person entering upon the Leased  Property;  and [vi] any
construction, alterations, changes or demolition of the Facility performed by or
contracted  for  Tenant  or its  employees,  agents  or  contractors;  provided,
however, in no event shall Landlord be indemnified or held harmless if the claim
or loss has resulted from the grossly  negligent or willful acts or omissions of
Landlord,  its  employees  and agents.  If any action or  proceeding  is brought
against Landlord, its employees,  or agents by reason of any such claim, Tenant,
upon  notice from  Landlord,  will  defend the claim at  Tenant's  expense  with
counsel  reasonably  satisfactory  to Landlord.  All amounts payable to Landlord
under this section shall be payable on written demand and any such amounts which
are not paid  within 10 days  after  demand  therefor  by  Landlord  shall  bear
interest at the Overdue Rate. In case any action,  suit or proceeding is brought
against  Tenant  by  reason of any such  occurrence,  Tenant  shall use its best
efforts to defend such action, suit or proceeding.

            5.1.1  NOTICE OF CLAIM.  Landlord shall notify  Tenant in writing of
any claim or action brought  against  Landlord in which  indemnity may be sought
against  Tenant  pursuant  to this  section.  Such  notice  shall  be  given  in
sufficient  time to allow  Tenant  to  defend or  participate  in such  claim or
action,  but the  failure  to give such  notice  in  sufficient  time  shall not
constitute a defense  hereunder nor in any way impair the  obligations of Tenant
under this  section  unless the failure to give such notice  precludes  Tenant's
defense of any such action.

            5.1.2  SURVIVAL OF COVENANTS.  The covenants of Tenant  contained in
this section shall remain in full force and effect after the termination of this
Agreement until the expiration of the period stated in the applicable statute of
limitations  during  which a claim or cause of action may be brought and payment
in full or the satisfaction of such claim or cause of action and of all expenses
and charges  incurred by Landlord  relating to the enforcement of the provisions
herein specified.



                                      -17-
<PAGE>


            5.1.3  REIMBURSEMENT OF EXPENSES.  Unless  prohibited by law, Tenant
hereby  agrees  to pay to  Landlord  all of the  reasonable  fees,  charges  and
reasonable  out-of-pocket  expenses related to the Facility and required hereby,
or incurred by Landlord in enforcing the provisions of this Agreement.

            5.2   ENVIRONMENTAL INDEMNITY; AUDITS.

            5.2.1  INDEMNIFICATION. Tenant hereby indemnifies and agrees to hold
harmless  Landlord,  any  successors to Landlord's  interest in this Lease,  and
Landlord's and such successors' directors,  officers,  employees and agents from
and against any  losses,  claims,  damages  (including  consequential  damages),
penalties,  fines,  liabilities  (including strict liability),  costs (including
cleanup and recovery costs), and expenses  (including expenses of litigation and
reasonable  consultants'  and attorneys' fees) incurred by Landlord or any other
indemnitee  or assessed  against  the Leased  Property by virtue of any claim or
lien by any governmental or  quasi-governmental  unit,  body, or agency,  or any
third party, for cleanup costs or other costs pursuant to any Environmental Law.
Tenant's  indemnity  shall  survive the  termination  of this  Lease.  Provided,
however, Tenant shall have no indemnity obligation with respect to [i] Hazardous
Materials first  introduced to the Leased  Property  subsequent to the date that
Tenant's  occupancy of the Leased Property shall have fully terminated;  or [ii]
Hazardous  Materials  introduced to the Leased Property by Landlord,  its agent,
employees,  successors or assigns.  If at any time during the Term of this Lease
any  governmental  authority  notifies  Landlord or Tenant of a violation of any
Environmental  Law or Landlord  reasonably  believes that a Facility may violate
any Environmental Law, Landlord may require one or more environmental  audits of
the Leased Premises, in such form, scope and substance as specified by Landlord,
at Tenant's  expense.  Tenant shall,  within 30 days after receipt of an invoice
from  Landlord,  reimburse  Landlord  for all costs  and  expenses  incurred  in
reviewing any  environmental  audit,  including without  limitation,  reasonable
attorneys' fees and costs.

            5.3  LIMITATION  OF  LANDLORD'S  LIABILITY.  Except for the  grossly
negligent or willful acts or  omissions  of Landlord,  its  employees or agents,
Landlord,  its agents,  and employees,  will not be liable for any loss, injury,
death, or damage  (including  consequential  damages) to persons,  property,  or
Tenant's  business  occasioned by theft,  act of God, public enemy,  injunction,
riot, strike, insurrection, war, court order, requisition, order of governmental
body or authority, fire, explosion, falling objects, steam, water, rain or snow,
leak or flow of water (including water from the elevator  system),  rain or snow
from the Leased Property or into the Leased  Property or from the roof,  street,
subsurface  or from any  other  place,  or by  dampness  or from  the  breakage,
leakage,  obstruction,  or  other  defects  of  the  pipes,  sprinklers,  wires,
appliances,  plumbing,  air  conditioning,  or  lighting  fixtures of the Leased
Property, or from construction,  repair, or alteration of the Leased Property or
from any acts or  omissions  of any other  occupant  or  visitor  of the  Leased
Property, or from any other cause beyond Landlord's control.



                                      -18-
<PAGE>


                    ARTICLE 6: USE AND ACCEPTANCE OF PREMISES

            6.1  USE OF LEASED  PROPERTY. Tenant shall use and occupy the Leased
Property  exclusively  for the  Facility  Uses and for all lawful  and  licensed
ancillary  uses, and for no other purpose  without the prior written  consent of
the  Landlord.  Tenant  shall  obtain and  maintain (or cause to be obtained and
maintained) all approvals,  licenses, and consents needed to use and operate the
Leased Property as herein  permitted.  Tenant shall deliver to Landlord complete
copies  of  surveys,  examinations,  certification  and  licensure  inspections,
compliance  certificates,  and  other  similar  reports  issued to Tenant by any
governmental agency within 10 days after Tenant's receipt of each item.

            6.2  ACCEPTANCE OF LEASED  PROPERTY.  Tenant  acknowledges  that [i]
Tenant and its agents have had an  opportunity  to inspect the Leased  Property;
[ii] Tenant has found the Leased  Property fit for Tenant's use;  [iii] Landlord
will deliver the Leased Property to Tenant in "as-is"  condition;  [iv] Landlord
is not obligated to make any improvements or repairs to the Leased Property; and
[v]  the  roof,  walls,  foundation,  heating,  ventilating,  air  conditioning,
telephone, sewer, electrical, mechanical, elevator, utility, plumbing, and other
portions of the Leased  Property are in good working  order.  Tenant  waives any
claim or action  against  Landlord  with respect to the  condition of the Leased
Property.  LANDLORD MAKES NO WARRANTY OR REPRESENTATION,  EXPRESS OR IMPLIED, IN
RESPECT OF THE LEASED PROPERTY OR ANY PART THEREOF, EITHER AS TO ITS FITNESS FOR
USE,  DESIGN OR CONDITION FOR ANY PARTICULAR USE OR PURPOSE OR OTHERWISE,  OR AS
TO QUALITY OF THE MATERIAL OR WORKMANSHIP  THEREIN,  LATENT OR PATENT,  IT BEING
AGREED THAT ALL SUCH RISKS ARE TO BE BORNE BY TENANT.

            6.3  CONDITIONS OF USE AND OCCUPANCY.  Tenant agrees that during the
Term it shall use and keep the Leased  Property  in a  careful,  safe and proper
manner;  not  commit or suffer  waste  thereon;  not use or  occupy  the  Leased
Property for any  unlawful  purposes;  not use or occupy the Leased  Property or
permit  the same to be used or  occupied,  for any  purpose or  business  deemed
extrahazardous on account of fire or otherwise; keep the Leased Property in such
repair and  condition as may be required by the Board of Health,  or other city,
state or federal authorities,  free of all cost to Landlord; not permit any acts
to be done which will cause the cancellation, invalidation, or suspension of any
insurance  policy;  and permit  Landlord and its agents to enter upon the Leased
Property at all reasonable times to examine the condition thereof.

                     ARTICLE 7: REPAIRS AND MECHANICS' LIENS

            7.1  MAINTENANCE.  Tenant shall  maintain,  repair,  and replace the
Leased Property,  including without limitation, all structural and nonstructural
repairs and  replacements  to the roof,  foundations,  exterior  walls,  parking
areas,  sidewalks,  water, sewer, and gas connections,  pipes, and mains. Tenant
shall pay,  as  Additional  Rent,  the full cost of  maintenance,  repairs,  and
replacements.  Tenant shall maintain all drives,  sidewalks,  parking areas, and
lawns on or about the Leased Property in a clean and orderly condition,  free of
accumulations  of dirt,  rubbish,  snow and ice. Tenant shall permit Landlord to
inspect the Leased  



                                      -19-
<PAGE>


Property at all reasonable times, and shall implement all reasonable suggestions
of the Landlord as to the maintenance and replacement of the Leased Property.

            7.2  REQUIRED ALTERATIONS.  Tenant shall,  at Tenant's sole cost and
expense, make any additions,  changes, improvements or alterations to the Leased
Property,  including  structural  alterations,  which  may  be  required  by any
governmental  authorities,  including  those  required to maintain  licensure or
certification  under the  Medicare  and  Medicaid  programs  (if so  certified),
whether  such  changes  are  required  by  Tenant's  use,  changes  in the  law,
ordinances, or governmental regulations, defects existing as of the date of this
Lease, or any other cause whatever. All such additions, changes, improvements or
alterations  shall be deemed to be Permitted  Alterations  and shall comply with
all laws requiring such alterations and with the provisions of ss.16.4.

            7.3  MECHANIC'S  LIENS.  Tenant shall have no authority to permit or
create a lien against  Landlord's  interest in the Leased  Property,  and Tenant
shall  post  notices  or file  such  documents  as may be  required  to  protect
Landlord's  interest in the Leased Property against liens.  Tenant hereby agrees
to defend, indemnify, and hold Landlord harmless from and against any mechanic's
liens  against  the  Leased  Property  by reason  of work,  labor,  services  or
materials  supplied  or  claimed  to  have  been  supplied  on or to the  Leased
Property.  Subject to Tenant's  right to contest such lien pursuant to ss.3.7 of
this Lease,  Tenant shall remove,  bond-off,  or otherwise obtain the release of
any mechanic's  lien filed against the Leased  Property within 10 days after the
filing thereof. Tenant shall pay all expenses in connection therewith, including
without limitation,  damages,  interest,  court costs and reasonable  attorneys'
fees.

            7.4  REPLACEMENTS  OF  FIXTURES   AND   PERSONAL  PROPERTY.   Tenant
shall not remove Fixtures and Personal  Property from the Leased Property except
to replace the Fixtures and Personal  Property by other  similar  items of equal
quality  and value.  Items  being  replaced  by Tenant may be removed  and shall
become the property of Tenant and items  replacing  the same shall be and remain
the  property of  Landlord.  Tenant shall  execute,  upon  written  request from
Landlord,  any and all documents necessary to evidence  Landlord's  ownership of
the Personal Property and replacements therefor. Tenant may finance replacements
for the  Fixtures  and  Personal  Property by  equipment  lease or by a security
agreement and financing statement if [i] Landlord has consented to the terms and
conditions of the equipment lease or security agreement, which consent shall not
be unreasonably  withheld,  conditioned,  or delayed;  and [ii] for Fixtures and
Personal Property having a cost in excess of $75,000.00, the equipment lessor or
lender has entered into a nondisturbance  agreement with Landlord upon terms and
conditions reasonably acceptable to Landlord,  including without limitation, the
following:  [a] Landlord shall have the right (but not the obligation) to assume
such security  agreement or equipment  lease upon the  occurrence of an Event of
Default  under this  Lease;  [b] the  equipment  lessor or lender  shall  notify
Landlord  of any  default  by  Tenant  under  the  equipment  lease or  security
agreement and give Landlord a reasonable  opportunity to cure such default;  and
[c]  Landlord  shall  have the right to assign its  rights  under the  equipment
lease, security agreement, or nondisturbance agreement.  Tenant shall, within 30
days after receipt of an invoice from Landlord, reimburse Landlord for all costs
and expenses  incurred in reviewing and approving the equipment lease,  security
agreement,   and  nondisturbance   agreement,   including  



                                      -20-
<PAGE>


without limitation,  reasonable  attorneys' fees and costs. Tenant shall use its
best efforts to obtain the  provisions  listed in this section from an equipment
lessor,  and Landlord  shall be  commercially  reasonable  in  negotiating  such
nondisturbance agreement.

                        ARTICLE 8: DEFAULTS AND REMEDIES

            8.1  EVENTS OF  DEFAULT.  The  occurrence  of any one or more of the
following shall be an event of default ("Event of Default") hereunder:

                  (a)  Tenant fails to pay in full any  installment of Rent,  or
any other monetary obligation payable by Tenant under this Lease, within 10 days
after such payment is due.

                  (b)  Landlord gives   Tenant  three  or  more  notices of non-
payment of Rent (after expiration of the 10 day grace period) in any Lease Year.

                  (c)  Tenant or  Guarantor (where  applicable)  fails to comply
with any  covenant  set forth in Article 14,  ss.15.6,  ss.15.7 or Article 20 of
this Lease.

                  (d)  Tenant fails to observe and  perform any other  covenant,
condition or  agreement  under this Lease to be performed by Tenant and [i] such
failure  continues for a period of 30 days after written notice thereof is given
to Tenant by Landlord;  or [ii] if, by reason of the nature of such default, the
same  cannot be  remedied  within  said 30 days,  Tenant  fails to proceed  with
diligence  reasonably  satisfactory  to Landlord  after receipt of the notice to
cure the same or, in any event,  fails to cure such default within 75 days after
receipt of the notice.  The foregoing notice and cure provisions do not apply to
any Event of Default otherwise specifically described in any other subsection of
ss.8.1.

                  (e)  Tenant abandons  or vacates  the Leased  Property  or any
material part thereof or ceases to do business or ceases to exist for any reason
for any five or more days.

                  (f)  [i] The filing by Tenant of a petition under 11 U.S.C. or
the  commencement  of a bankruptcy  or similar  proceeding  by Tenant;  [ii] the
failure by Tenant within 60 days to dismiss an involuntary  bankruptcy  petition
or other  commencement  of a bankruptcy,  reorganization  or similar  proceeding
against Tenant,  or to lift or stay any execution,  garnishment or attachment of
such  consequence  as will impair its ability to carry on its  operation  at the
Leased  Property;  [iii]  the entry of an order for  relief  under 11 U.S.C.  in
respect  of  Tenant;  [iv] any  assignment  by  Tenant  for the  benefit  of its
creditors;  [v] the entry by Tenant into an  agreement of  composition  with its
creditors;  [vi] the approval by a court of competent jurisdiction of a petition
applicable to Tenant in any proceeding for its  reorganization  instituted under
the provisions of any state or federal bankruptcy,  insolvency, or similar laws;
[vii]  appointment by final order,  judgment,  or decree of a court of competent
jurisdiction of a receiver of a whole or any substantial  part of the properties
of Tenant  (provided  such  receiver  shall not have been removed or  discharged
within 60 days of the date of his qualification).




                                      -21-
<PAGE>



                  (g)  [i] Any  receiver,  administrator,   custodian  or  other
person takes  possession or control of any of the Leased  Property and continues
in possession for 60 days;  [ii] any writ against any of the Leased  Property is
not released within 60 days; [iii] any final nonappealable  judgment is rendered
or proceedings are instituted against the Leased Property or Tenant which affect
the Leased  Property or any part  thereof,  which is not  dismissed  for 60 days
(except as otherwise  provided in this section);  [iv] all or a substantial part
of the assets of Tenant or Guarantor are attached,  seized,  subjected to a writ
or distress  warrant,  or are levied upon,  or come into the  possession  of any
receiver,  trustee,  custodian,  or assignee for the benefit of  creditors;  [v]
Tenant or Guarantor is enjoined,  restrained,  or in any way  prevented by court
order, or any proceeding is filed or commenced seeking to enjoin, restrain or in
any way prevent Tenant from conducting all or a substantial part of its business
or affairs; or [vi] except as otherwise permitted  hereunder,  a final notice of
lien,  levy or  assessment is filed of record with respect to all or any part of
the Leased Property or any property of Tenant located at the Leased Property and
is not dismissed, discharged, or bonded-off within 30 days.

                  (h)  Any   representation   or   warranty  made  by  Tenant or
Guarantor in this Lease or any other document  executed in connection  with this
Lease,  any  guaranty  of or other  security  for  this  Lease,  or any  report,
certificate,  application,  financial statement or other instrument furnished by
Tenant  or  Guarantor  pursuant  hereto  or  thereto  shall  prove to be  false,
misleading or incorrect in any material respect as of the date made.

                  (i)  Tenant, any Guarantor,  or any Affiliate  defaults on any
indebtedness  or  obligation  to  Landlord  or any  Landlord  Affiliate,  or any
agreement with Landlord or any Landlord Affiliate including, without limitation,
any lease with  Landlord or any Landlord  Affiliate,  or Tenant or any Guarantor
defaults on any Material  Obligation,  and any  applicable  grace or cure period
with respect to default under such  indebtedness  or obligation  expires without
such default having been cured. This provision applies to all such indebtedness,
obligations  and  agreements  as they may be  amended,  modified,  extended,  or
renewed from time to time.

                  (j)  The  occurrence  of  any  change  in  Tenant's  leasehold
interest in the Leased Property, without the prior written consent of Landlord.

                  (k)  Guarantor  dissolves,  terminates,  files a  petition  in
bankruptcy,  or is adjudicated insolvent under 11 U.S.C. or any other insolvency
law (provided,  however,  in the case of an involuntary  bankruptcy  petition or
other  commencement of bankruptcy,  reorganization or similar proceeding against
Guarantor,  Guarantor  shall have 60 days to dismiss such  action),  or fails to
comply with any  covenant or  requirement  of such  Guarantor  set forth in this
Lease or in the Guaranty of such Guarantor.

                  (l)  The license  for the  Facility  or any  other  Government
Authorization,  is  canceled,  suspended  or  otherwise  invalidated,  notice of
impending  revocation  proceedings  is received and Tenant  fails to  diligently
contest such proceeding,  or any reduction occurs in the number of licensed beds
or units at the Facility.




                                      -22-
<PAGE>


            8.2  REMEDIES. Landlord  may  exercise  any  one  or  more  of   the
following remedies upon the occurrence of an Event of Default:

                  (a)  Landlord may re-enter and take  possession  of the Leased
Property  without  terminating the Lease,  and lease the Leased Property for the
account of  Tenant,  holding  Tenant  liable  for all costs of the  Landlord  in
reletting the Leased  Property and for the difference in the amount  received by
such reletting and the amounts payable by Tenant under the Lease.

                  (b)  Landlord may terminate  this Lease,  exclude  Tenant from
possession of the Leased  Property and use efforts to lease the Leased  Property
to others, holding Tenant liable for the difference in the amounts received from
such reletting and the amounts payable by Tenant under the Lease.

                  (c)  Landlord  may  re-enter  the  Leased  Property  and have,
repossess and enjoy the Leased  Property as if the Lease had not been made,  and
in such event, Tenant and its successors and assigns shall remain liable for any
contingent  or  unliquidated  obligations  or  sums  owing  at the  time of such
repossession.

                  (d)  Landlord may have access to and inspect, examine and make
copies of the books and  records and any and all  accounts,  data and income tax
and other returns of Tenant insofar as they pertain to the Leased Property.

                  (e)  Landlord may accelerate  all of the unpaid Rent hereunder
so that  the  aggregate  Rent  for the  unexpired  term  of this  Lease  becomes
immediately  due and payable,  subject to  Landlord's  obligations  under law to
leave Tenant in possession of the Leased Property.

                  (f)  Landlord may take  whatever action at law or in equity as
may appear  necessary or desirable to collect the Rent and other amounts payable
under the Lease then due and thereafter to become due, or to enforce performance
and observance of any obligations,  agreements or covenants of Tenant under this
Lease.

                  (g)  With respect to the Collateral  and  Landlord's  security
interest therein, Landlord may exercise all of its rights as secured party under
Article 9 of the Uniform  Commercial Code as adopted in the State.  Landlord may
sell the  Collateral  by public or private  sale upon 10 days  notice to Tenant.
Tenant  agrees  that a  commercially  reasonable  manner of  disposition  of the
Collateral shall include,  without  limitation and at the option of Landlord,  a
sale of the Collateral,  in whole or in part,  concurrently with the sale of the
Leased Property.

                  (h)  Landlord   may  obtain   control  over  and  collect  the
Receivables  and  apply the  proceeds  of the  collections  to  satisfaction  of
Tenant's  Obligations  unless prohibited by law. Tenant appoints Landlord or its
designee as attorney for Tenant with powers [i] to receive,  to endorse, to sign
and/or to deliver,  in Tenant's  name or  Landlord's  name,  any and all checks,
drafts,  and  other  instruments  for  the  payment  of  money  relating  to the
Receivables, and to waive demand, presentment,  notice of dishonor, protest, and
any other notice with respect to any such instrument; [ii] to sign Tenant's name
on any invoice or bill of lading  relating  to any  Receivable,  



                                      -23-
<PAGE>


drafts against account  debtors,  assignments and  verifications of Receivables,
and notices to account  debtors;  [iii] to send  verifications of Receivables to
any account debtor;  and [iv] to do all other acts and things necessary to carry
out this Lease.  Except for willful  acts or  omissions,  Landlord  shall not be
liable for any omissions,  commissions,  errors of judgment, or mistakes in fact
or law made in the exercise of any such powers.  At  Landlord's  option,  Tenant
shall [i] provide  Landlord a full accounting of all amounts received on account
of  Receivables  with such  frequency  and in such form as Landlord may require,
either with or without  applying all  collections  on  Receivables in payment of
Tenant's  Obligations or [ii] deliver to Landlord on the day of receipt all such
collections  in the form  received and duly  endorsed by Tenant.  At  Landlord's
request,  Tenant  shall  institute  any  action  or enter  into  any  settlement
determined  by Landlord to be necessary  to obtain  recovery or redress from any
account  debtor in  default  of  Receivables.  Landlord  may give  notice of its
security  interest  in  the  Receivables  to any or  all  account  debtors  with
instructions to make all payments on Receivables  directly to Landlord,  thereby
terminating  Tenant's  authority  to  collect  Receivables.   After  terminating
Tenant's  authority to enforce or collect  Receivables,  Landlord shall have the
right to take  possession of any or all  Receivables  and records thereof and is
hereby  authorized to do so, and only  Landlord  shall have the right to collect
and enforce the Receivables.  Prior to the occurrence of an Event of Default, at
Tenant's cost and expense, but on behalf of Landlord and for Landlord's account,
Tenant shall collect or otherwise  enforce all amounts unpaid on Receivables and
hold all such  collections in trust for Landlord,  but Tenant may commingle such
collections with Tenant's own funds,  until Tenant's authority to do so has been
terminated,  which may be done only after an Event of  Default.  Notwithstanding
any other provision hereof, Landlord does not assume any of Tenant's obligations
under any  Receivable,  and Landlord shall not be responsible in any way for the
performance of any of the terms and conditions thereof by Tenant.

                  (i)  Without waiving any prior or subsequent Event of Default,
Landlord may waive any Event of Default or, with or without waiving any Event of
Default, remedy any default.

                  (j)  Landlord may terminate its  obligation to disburse  Lease
Advances.

                  (k)  Landlord  may enter and take  possession  of the Land and
Facility without terminating the Lease and complete  construction and renovation
of the  Improvements (or any part thereof) and perform the obligations of Tenant
under the Lease Documents.  Without limiting the generality of the foregoing and
for  the  purposes  aforesaid,   Tenant  hereby  appoints  Landlord  its  lawful
attorney-in-fact  with  full  power  to do any of the  following:  [i]  complete
construction,  renovation  and  equipping  of the  Improvements  in the  name of
Tenant;  [ii] use unadvanced  funds remaining  under the Lease Amount,  or funds
that may be reserved,  escrowed,  or set aside for any purposes hereunder at any
time,  or to  advance  funds in excess  of the Lease  Amount,  to  complete  the
Improvements;  [iii] make changes in the plans and specifications  that shall be
necessary or desirable to complete the Improvements in substantially  the manner
contemplated by the plans and specifications;  [iv] retain or employ new general
contractors,  subcontractors,  architects, engineers, and inspectors as shall be
required for said purposes;  [v] pay,  settle,  or compromise all existing bills
and claims, which may be liens or security interests, or to avoid such bills and
claims becoming liens against the Facility or security interest 



                                      -24-
<PAGE>


against  fixtures or  equipment,  or as may be necessary  or  desirable  for the
completion  of the  construction  and equipping of the  Improvements  or for the
clearance of title; [vi] execute all applications and certificates,  in the name
of Tenant,  that may be required in connection with any  construction;  [vii] do
any and every act that  Tenant  might do in its own  behalf,  to  prosecute  and
defend all actions or  proceedings  in  connection  with the  Improvements;  and
[viii] to execute,  deliver and file all  applications  and other  documents and
take any and all actions necessary to transfer the operations of the Facility to
Landlord or Landlord's designee.  This power of attorney is a power coupled with
an interest and cannot be revoked.

            8.3  RIGHT OF SET-OFF. Landlord  may,  and is hereby  authorized  by
Tenant to, at any time and from time to time  without  advance  notice to Tenant
(any such notice being  expressly  waived by Tenant),  set-off and apply any and
all sums held by  Landlord,  any  indebtedness  of Landlord  to Tenant,  and any
claims by Tenant against  Landlord,  against any obligations of Tenant hereunder
and  against  any  claims  by  Landlord  against  Tenant,  whether  or not  such
obligations  or claims of Tenant are  matured and  whether or not  Landlord  has
exercised  any other  remedies  hereunder.  The  rights of  Landlord  under this
section are in  addition  to any other  rights and  remedies  Landlord  may have
against Tenant.

            8.4  PERFORMANCE  OF TENANT'S  COVENANTS.  Landlord  may perform any
obligation  of Tenant  which  Tenant has  failed to perform  within 5 days after
Landlord  has sent a  written  notice  to Tenant  informing  it of its  specific
failure.  Tenant shall reimburse Landlord on demand, as Additional Rent, for any
expenditures  thus  incurred by Landlord and shall pay  interest  thereon at the
Overdue Rate (as defined in ss.8.6).

            8.5  LATE PAYMENT CHARGE. Tenant acknowledges  that  any  default in
the payment of any installment of Rent payable hereunder will result in loss and
additional expense to Landlord in servicing any indebtedness of Landlord secured
by the Leased Property, handling such delinquent payments, and meeting its other
financial obligations, and because such loss and additional expense is extremely
difficult and impractical to ascertain, Tenant agrees that in the event any Rent
payable to  Landlord  hereunder  is not paid  within 10 days after the due date,
Tenant  shall pay a late charge of 5% of the amount of the overdue  payment as a
reasonable estimate of such loss and expenses,  unless applicable law requires a
lesser  charge,  in which event the maximum  rate  permitted  by such law may be
charged by Landlord. The 10 day grace period set forth in this section shall not
extend the time for  payment  of Rent or the  period  for curing any  default or
constitute a waiver of such default.

            8.6  INTEREST.  In addition to the late payment charge,  any payment
not made by Tenant  within  10 days  after the due date  shall  thereafter  bear
interest at the rate (the "Overdue Rate") of the greater of [i] 18.5% per annum;
or [ii] 2.5% per annum above the Lease Rate then in effect;  provided,  however,
that at no time will Tenant be  required  to pay  interest at a rate higher than
the  maximum  legal rate and,  provided  further,  that if a court of  competent
jurisdiction  determines  that any other  charges  payable  under this Lease are
deemed to be  interest,  the  Overdue  Rate shall be adjusted to ensure that the
aggregate  interest payable under this Lease does not accrue at a rate in excess
of the maximum legal rate. Tenant shall not be required to pay interest upon any
late payment fees assessed pursuant to ss.8.5.




                                      -25-
<PAGE>



            8.7  LITIGATION;  ATTORNEYS'  FEES.  Within 5 days after  Tenant has
knowledge of any litigation or other  proceeding that may be instituted  against
Tenant,  against the Leased Property to secure or recover possession thereof, or
that may affect the title to or the interest of Landlord in the Leased Property,
Tenant  shall give  written  notice  thereof to  Landlord.  Tenant shall pay all
reasonable  costs and expenses  incurred by Landlord in enforcing or  preserving
Landlord's  rights  under this  Lease,  whether  or not an Event of Default  has
actually occurred or has been declared and thereafter  cured,  including without
limitation,  [i] the fees, expenses, and costs of any litigation,  receivership,
administrative,   bankruptcy,  insolvency  or  other  similar  proceeding;  [ii]
reasonable attorney,  paralegal,  consulting and witness fees and disbursements,
whether in house counsel or outside counsel;  and [iii] the expenses,  including
without  limitation,  lodging,  meals, and  transportation,  of Landlord and its
employees,  agents,  attorneys,  and  witnesses  in  preparing  for  litigation,
administrative,   bankruptcy,   insolvency  or  other  similar  proceedings  and
attendance at hearings,  depositions,  and trials in connection  therewith.  All
such costs,  charges and fees payable by Tenant shall be deemed to be Additional
Rent under this Lease.

            8.8  ESCROWS  AND  APPLICATION  OF  PAYMENTS.  As  security  for the
performance of its obligations hereunder,  Tenant hereby assigns to Landlord all
its right, title, and interest in and to all monies escrowed with Landlord under
this Lease and all  deposits  with utility  companies,  taxing  authorities  and
insurance  companies;  provided,  however,  that Landlord shall not exercise its
rights hereunder until an Event of Default has occurred.  Any payments  received
by  Landlord  under  any  provisions  of this  Lease  during  the  existence  or
continuance  of an Event of Default shall be applied to Tenant's  obligations in
the order which Landlord may determine.

            8.9  REMEDIES CUMULATIVE.  Except as otherwise  provided herein, the
remedies  of  Landlord  herein  are  cumulative  to and not in lieu of any other
remedies  available  to  Landlord  at law or in  equity,  and the use of any one
remedy shall not be taken to exclude or waive the right to use any other remedy.

                        ARTICLE 9: DAMAGE AND DESTRUCTION

            9.1  NOTICE OF CASUALTY.  If the Leased Property shall be destroyed,
in whole or in part, or damaged by fire,  flood,  windstorm or other casualty (a
"Casualty"), Tenant shall give written notice thereof to the Landlord within one
business  day after the  occurrence  of the  Casualty.  Within 15 days after the
occurrence  of the  Casualty  or as  soon  thereafter  as  such  information  is
reasonably available to Tenant,  Tenant shall provide the following  information
to  Landlord:  [i] the date of the  Casualty;  [ii] the nature of the  Casualty;
[iii]  a  description  of the  damage  or  destruction  caused  by the  Casualty
including the type of Leased Property  damaged and the area of the  Improvements
damaged; [iv] a preliminary estimate of the cost to repair, rebuild,  restore or
replace the Leased  Property;  [v] a  preliminary  estimate  of the  schedule to
complete  the  repair,  rebuilding,  restoration  or  replacement  of the Leased
Property;  [vi]  a  description  of the  anticipated  property  insurance  claim
including the name of the insurer, the insurance coverage limits, the deductible
amount, the expected  settlement  amount, and the expected  settlement date; and
[vii] a description of the business interruption claim including the 



                                      -26-
<PAGE>

name of the insurer,  the insurance  coverage limits, the deductible amount, the
expected  settlement amount, and the expected  settlement date. Within five days
after  request from  Landlord,  Tenant will provide  Landlord with copies of all
correspondence to the insurer and any other information  reasonably requested by
Landlord.

            9.2  SUBSTANTIAL DESTRUCTION.

            9.2.1  If the Improvements are  substantially  destroyed at any time
other than during the final 18 months of the Initial  Term or any Renewal  Term,
Tenant shall promptly rebuild and restore the Leased Property in accordance with
ss.9.4 and Landlord  shall make the insurance  proceeds  available to Tenant for
such  restoration.   The  term  "substantially  destroyed"  means  any  casualty
resulting  in the  loss of use of 50% or more  of the  licensed  beds at any one
Facility.

            9.2.2  If the Improvements  are  substantially  destroyed during the
final 18 months of the Initial Term or any Renewal  Term,  Landlord may elect to
terminate this Lease or terminate this Lease and all Phase Leases, at Landlord's
option,  and retain the insurance proceeds unless Tenant exercises its option to
renew as set forth in ss.9.2.3. If Landlord elects to terminate,  Landlord shall
give notice  ("Termination  Notice") of its election to terminate this Lease (or
this Lease and all Phase  Leases,  if elected by Landlord)  within 30 days after
receipt of Tenant's notice of the damage. If Tenant does not exercise its option
to renew under ss.9.2.3 or its option to purchase under ss.9.2.4  within 15 days
after  delivery  of the  Termination  Notice,  this Lease (or this Lease and all
Phase  Leases,  if elected by  Landlord)  shall  terminate on the 15th day after
delivery of the Termination  Notice.  If this Lease (or this Lease and all Phase
Leases,  if elected by  Landlord)  is so  terminated,  Tenant shall be liable to
Landlord for all Rent and all other obligations accrued under this Lease through
the  effective  date of  termination  and each Phase  Tenant  shall be liable to
Landlord for all Rent and all other  obligations  accrued  under its  respective
Phase Lease through the effective date of termination.

            9.2.3  If the Improvements  are  substantially  destroyed during the
final 18 months of the  Initial  Term or the second  Renewal  Term and  Landlord
gives the Termination Notice,  Tenant shall have the option to renew this Lease.
Tenant shall give Landlord irrevocable notice of Tenant's election to renew, and
each Phase Tenant shall give irrevocable notice of renewal, within 15 days after
delivery of the  Termination  Notice.  If Tenant and each Phase  Tenant elect to
renew,  the Renewal  Term will be in effect for the balance of the then  current
Term plus a 5 year  period.  The  Renewal  Term will  commence  on the third day
following  Landlord's  receipt of  Tenant's  and each Phase  Tenant's  notice of
renewal.  All  other  terms  of this  Lease  for the  Renewal  Term  shall be in
accordance  with Article 12. The Leased  Property  will be restored by Tenant in
accordance with the provisions of this Article 9 regarding partial destruction.

            9.2.4  If the Improvements  are  substantially  destroyed during the
final 18 months of the Initial Term or any Renewal  Term and Landlord  gives the
Termination  Notice,  Tenant  shall  have the  option  to  purchase  the  Leased
Property.  Tenant shall give Landlord  notice of Tenant's  election to purchase,
and if required by Landlord, each Phase Tenant shall give notice of its election
to purchase its respective Phase Facility,  within 15 days after delivery of the



                                      -27-
<PAGE>


Termination  Notice.  If Tenant and each Phase  Tenant  elect to purchase  their
respective  Leased  Property,  the purchase price will be the greater of [i] the
Lease  Amount or [ii] the Fair Market  Value and the Fair  Market  Value will be
determined in accordance  with ss.9.2.5.  For purposes of  determining  the Fair
Market Value,  the Leased  Property will be valued as if it had been restored to
be equal  in value to the  Leased  Property  existing  immediately  prior to the
occurrence of the damage.  All other terms of the option to purchase shall be in
accordance with ss.9.2.5.  Landlord shall hold the insurance  proceeds until the
closing of the purchase of the Leased  Property and at closing shall deliver the
proceeds to Tenant.

            9.2.5  Fair Market Value.  The fair market  value (the "Fair  Market
Value") of the Leased Property shall be determined as follows:

             (a)  The parties shall attempt to determine  the  Fair Market Value
by mutual agreement within 15 days after giving the purchase notice. However, if
the parties do not agree on the Fair Market Value within such 15 day period, the
following provisions shall apply.

             (b)  Landlord  and Tenant shall each give the other party notice of
the name of an acceptable appraiser 15 days after giving of the purchase notice.
The two  appraisers  will then select a third  appraiser  within an additional 5
days.  Each appraiser must  demonstrate to the reasonable  satisfaction  of both
Landlord and Tenant that it has significant  experience in appraising properties
similar to the Leased Property. Within 5 days after designation,  each appraiser
shall  submit a resume to Landlord  and Tenant  setting  forth such  appraiser's
qualifications  including  education and experience with similar  properties.  A
notice of  objections  to the  qualifications  of any  appraiser  shall be given
within 10 days after  receipt of such resume.  If a party fails to timely object
to the qualifications of an appraiser,  then the appraiser shall be conclusively
deemed  satisfactory.  If a party  gives a timely  notice  of  objection  to the
qualifications  of an  appraiser,  then  the  disqualified  appraiser  shall  be
replaced  by an  appraiser  selected  by the  qualified  appraisers  or,  if all
appraisers  are  disqualified,  then by an  appraiser  selected by a  commercial
arbitrator acceptable to Landlord and Tenant.

            (c)  The Fair Market  Value shall be  determined  by the  appraisers
within 45 days after the  selection of the  appraisers  as follows.  Each of the
appraisers shall be instructed to prepare an appraisal of the Leased Property in
accordance with the following instructions:

             The Leased  Property  is to be valued  upon the three  conventional
approaches  to estimate  value known as the Income,  Sales  Comparison  and Cost
Approaches.  Once the  approaches are  completed,  the appraiser  correlates the
individual approaches into a final value conclusion.

The three approaches to estimate value are summarized as follows:

            INCOME APPROACH:  This valuation approach  recognizes that the value
            of the operating tangible and intangible asset can be represented by
            the expected  economic  viability of the business  giving returns on
            and of the assets.



                                      -28-
<PAGE>



            SALES COMPARISON APPROACH: This valuation approach is based upon the
            principle of  substitution.  When a facility is  replaceable  in the
            market,  the market  approach  assumes that value tends to be set at
            the price of acquiring  an equally  desirable  substitute  facility.
            Since healthcare market conditions change and frequently are subject
            to regulatory  and financing  environments,  adjustments  need to be
            considered.   These   adjustments   also   consider  the   operating
            differences such as services and demographics.

            COST APPROACH:  This valuation  approach  estimates the value of the
            tangible  assets only.  Value is  represented by the market value of
            the land plus the depreciated  reproduction cost of all improvements
            and equipment.

In general,  the Income and Sales Comparison  Approaches are considered the best
representation of value because they cover both tangibles and intangible assets,
consider  the  operating  characteristics  of the  business  and  have  the most
significant influence on attracting potential investors.

The  appraised  values  submitted by the three  appraisers  shall be ranked from
highest value to middle value to lowest value,  the appraised  value (highest or
lowest)  which is furthest from the middle  appraised  value shall be discarded,
and the remaining  two appraised  values shall be averaged to arrive at the Fair
Market Value.

            (d)  Tenant shall pay,  or  reimburse  Landlord  for,  all costs and
expenses in connection with the appraisals.

            (e)  The purchase of the Leased  Property by Tenant shall close on a
date agreed to by Landlord and Tenant which shall be not less than 60 days after
Landlord's  receipt of the  purchase  notice and not more than 60 days after the
Fair Market Value of the Leased Property has been  determined.  Such date may be
extended by mutual agreement of the parties to accommodate  Tenant's  financing.
At the  closing,  Tenant  shall pay the Option  Price and all  closing  costs in
immediately  available  funds and  Landlord  shall  convey  title to the  Leased
Property to Tenant by a transferable  and recordable  special  warranty deed and
special warranty bill of sale.

            (f)  If Tenant for any reason fails to purchase  the Leased Property
after Tenant has given the purchase  notice,  then Tenant shall pay Landlord all
costs and  expenses  incurred  by  Landlord  as a result of the failure to close
including costs of unwinding swap transactions or other interest rate protection
devices and preparing for the closing.  Tenant shall continue to be obligated as
lessee  hereunder for the remainder of the Term  (including the Extended Term as
set forth in ss.12.3).



                                      -29-
<PAGE>


            9.3  PARTIAL  DESTRUCTION.  If  the   Leased    Property   is    not
substantially destroyed,  then Tenant shall comply with the provisions of ss.9.4
and  Landlord  shall make the  insurance  proceeds  available to Tenant for such
restoration.

            9.4  RESTORATION. Tenant shall promptly repair,  rebuild, or restore
the Leased Property,  at Tenant's expense,  so as to make the Leased Property at
least equal in value to the Leased Property  existing  immediately prior to such
occurrence  and as nearly  similar  to it in  character  as is  practicable  and
reasonable.  Before  beginning  such  repairs  or  rebuilding,  or  letting  any
contracts in connection with such repairs or rebuilding,  Tenant will submit for
Landlord's approval,  which approval Landlord will not unreasonably  withhold or
delay,  plans and  specifications  meeting the  requirements of ss.16.2 for such
repairs or rebuilding. Promptly after receiving Landlord's approval of the plans
and  specifications  and receiving the proceeds of insurance,  Tenant will begin
such repairs or  rebuilding  and will  prosecute  the repairs and  rebuilding to
completion with diligence,  subject, however, to strikes, lockouts, acts of God,
embargoes,   governmental   restrictions,   and  other  causes  beyond  Tenant's
reasonable  control.  Landlord will make available to Tenant the net proceeds of
any fire or other  casualty  insurance  paid to  Landlord  for  such  repair  or
rebuilding as the same  progresses,  after deduction of any costs of collection,
including  attorneys'  fees.  Payments will be made against  properly  certified
vouchers  of a  competent  architect  in  charge  of the  work and  approved  by
Landlord. Prior to commencing the repairing or rebuilding,  Tenant shall deliver
to Landlord  for  Landlord's  approval a schedule  setting  forth the  estimated
monthly draws for such work.  Landlord  will  contribute to such payments out of
the  insurance  proceeds an amount  equal to the  proportion  that the total net
amount  received by Landlord from insurers bears to the total  estimated cost of
the  rebuilding or repairing,  multiplied by the payment by Tenant on account of
such work. Landlord may, however,  withhold 10% from each payment until the work
is completed and proof has been  furnished to Landlord that no lien or liability
has attached or will attach to the Leased  Property or to Landlord in connection
with such  repairing or  rebuilding.  Upon the  completion of rebuilding and the
furnishing  of such  proof,  the balance of the net  proceeds of such  insurance
payable to Tenant on account of such  repairing  or  rebuilding  will be paid to
Tenant.  Tenant  will  obtain and  deliver  to  Landlord  a  temporary  or final
certificate  of  occupancy  before the Leased  Property  is  reoccupied  for any
purpose.  Tenant shall  complete  such repairs or  rebuilding  free and clear of
mechanic's  or other liens,  and in accordance  with the building  codes and all
applicable laws, ordinances,  regulations, or orders of any state, municipal, or
other  public  authority  affecting  the  repairs  or  rebuilding,  and  also in
accordance  with all  requirements  of the  insurance  rating  organization,  or
similar body. Any remaining proceeds of insurance after such restoration will be
Tenant's property.

            9.5  INSUFFICIENT   PROCEEDS.  If  the  proceeds  of  any  insurance
settlement  are not  sufficient  to pay the costs of such repair,  rebuilding or
restoration  in full,  Tenant shall deposit with Landlord at Landlord's  option,
and within 10 days of  Landlord's  request,  an amount  sufficient in Landlord's
reasonable judgment to complete such repair,  rebuilding or restoration.  Tenant
shall not, by reason of the deposit or payment, be entitled to any reimbursement
from Landlord or diminution in or postponement of the payment of the Rent.



                                      -30-
<PAGE>



            9.6  NOT TRUST FUNDS.  Notwithstanding anything  herein or at law or
equity to the  contrary,  none of the  insurance  proceeds  paid to  Landlord as
herein  provided shall be deemed trust funds,  and Landlord shall be entitled to
dispose of such proceeds as provided in this Article 9. Tenant expressly assumes
all risk of loss,  including a decrease in the use,  enjoyment or value,  of the
Leased  Property  from any  casualty  whatsoever,  whether or not  insurable  or
insured against.

            9.7  LANDLORD'S  INSPECTION.  During the progress of such repairs or
rebuilding,  Landlord and its  architects  and engineers may, from time to time,
inspect the Leased  Property and will be  furnished,  if required by them,  with
copies of all plans, shop drawings, and specifications  relating to such repairs
or rebuilding.  Tenant will keep all plans, shop drawings, and specifications at
the building,  and Landlord and its architects and engineers may examine them at
all reasonable  times.  If, during such repairs or rebuilding,  Landlord and its
architects and engineers  determine that the repairs or rebuilding are not being
done in accordance  with the approved  plans and  specifications,  Landlord will
give prompt  notice in writing to Tenant,  specifying  in detail the  particular
deficiency,  omission, or other respect in which Landlord claims such repairs or
rebuilding do not accord with the approved  plans and  specifications.  Upon the
receipt of any such  notice,  Tenant  will cause  corrections  to be made to any
deficiencies,  omissions, or such other respect.  Tenant's obligations to supply
insurance,  according  to  Article  4,  will be  applicable  to any  repairs  or
rebuilding under this section.

            9.8  LANDLORD'S COSTS. Tenant shall, within 30 days after receipt of
an invoice from Landlord,  pay the costs, expenses, and fees of any architect or
engineer  employed  by Landlord  to review any plans and  specifications  and to
supervise  and approve any  construction,  or for any services  rendered by such
architect or engineer to Landlord as  contemplated  by any of the  provisions of
this Lease, or for any services performed by Landlord's  attorneys in connection
therewith.

            9.9  NO RENT ABATEMENT.  Rent will not abate  pending the repairs or
rebuilding  of the  Leased  Property,  but shall be offset  against  any  rental
insurance proceeds received by Landlord.

                            ARTICLE 10: CONDEMNATION

            10.1  TOTAL TAKING. If,  by  exercise of the right of eminent domain
or by  conveyance  made in response to the threat of the  exercise of such right
("Taking"),  the  entire  Leased  Property  is taken,  or so much of the  Leased
Property  is taken  that the  Leased  Property  cannot be used by Tenant for the
purposes for which it was used  immediately  before the Taking,  then this Lease
will end on the  earlier of the  vesting of title to the Leased  Property in the
condemning  authority or the taking of possession of the Leased  Property by the
condemning  authority.  All damages  awarded for such Taking  under the power of
eminent domain shall be the property of the Landlord, whether such damages shall
be awarded as  compensation  for diminution in value of the leasehold or the fee
of the Leased  Property.  If this Lease is terminated with respect to a Facility
subject to a taking as described in this  section,  Landlord may, at its option,
terminate each Phase Lease.


                                      -31-
<PAGE>



            10.1.1  If the entire Leased  Property is taken  during the final 18
months of the Initial Term or any Renewal Term and Landlord  elects to terminate
each Phase Lease,  Tenant shall have the option to purchase each Phase  Facility
(but not less than all Phase  Facilities).  Tenant shall give Landlord notice of
Tenant's  election  to purchase  within 15 days after  delivery of the notice of
Landlord's  intent  to  terminate.  If  Tenant  elects to  purchase  each  Phase
Facility, the Option Price will be determined in accordance with ss.13.2 and the
Fair Market Value will be determined in accordance with ss.13.3. All other terms
of the option to purchase shall be in accordance with Article 13.

            10.2  PARTIAL  TAKING.  If,  after a Taking,  so much of the  Leased
Property remains that the Leased Property can be used for substantially the same
purposes  for which it was used  immediately  before the  Taking,  then [i] this
Lease  will end as to the part taken on the  earlier of the  vesting of title to
the Leased  Property in the condemning  authority or the taking of possession of
the Leased Property by the condemning authority;  [ii] at its cost, Tenant shall
restore so much of the Leased Property as remains to a sound  architectural unit
substantially suitable for the purposes for which it was used immediately before
the Taking,  using good workmanship and new, first-class  materials;  [iii] upon
completion  of the  restoration,  Landlord will pay Tenant the lesser of the net
award made to Landlord on the account of the Taking  (after  deducting  from the
total  award,  attorneys',  appraisers',  and other fees and costs  incurred  in
connection  with the  obtaining  of the award and amounts paid to the holders of
mortgages  secured by the Leased  Property),  or Tenant's  actual  out-of-pocket
costs of restoring the Leased  Property;  and [iv] Landlord shall be entitled to
the balance of the net award.  The restoration  shall be completed in accordance
with ss.ss.9.4,  9.5, 9.7, 9.8 and 9.9 with such  provisions  deemed to apply to
condemnation instead of casualty.

            10.3  CONDEMNATION   PROCEEDS  NOT  TRUST   FUNDS.   Notwithstanding
anything  in  this  Lease  or at law or  equity  to the  contrary,  none  of the
condemnation  award paid to Landlord  shall be deemed trust funds,  and Landlord
shall be  entitled to dispose of such  proceeds as provided in this  Article 10.
Tenant  expressly  assumes  all risk of loss,  including  a decrease in the use,
enjoyment, or value, of the Leased Property from any Condemnation.

                          ARTICLE 11: TENANT'S PROPERTY

            11.1  TENANT'S PROPERTY. Tenant shall install, place, and use on the
Leased  Property  such  fixtures,  furniture,  equipment,  inventory  and  other
personal  property in addition to the Personal Property as may be required or as
Tenant may,  from time to time,  deem  necessary or useful to operate the Leased
Property  for  its  permitted  purposes.  All  fixtures,  furniture,  equipment,
inventory, and other personal property installed,  placed, or used on the Leased
Property  which is owned by Tenant or leased by Tenant  from  third  parties  is
hereinafter referred to as "Tenant's Property".

            11.2  REQUIREMENTS FOR TENANT'S  PROPERTY.  Tenant shall comply with
all of the following requirements in connection with Tenant's Property:




                                      -32-
<PAGE>



                  (a) Tenant  shall,   at   Tenant's   sole  cost   and expense,
maintain, repair, and replace Tenant's Property.

                  (b)  Tenant shall,  at Tenant's  sole cost and  expense,  keep
Tenant's  Property  insured  against  loss or  damage  by  fire,  vandalism  and
malicious  mischief,  sprinkler  leakage,  earthquake (if Leased  Property is in
earthquake zone 1 or 2), and other physical loss perils commonly covered by fire
and extended  coverage,  boiler and  machinery,  and  difference  in  conditions
insurance  in an  amount  not less than 90% of the then  full  replacement  cost
thereof.  Tenant shall use the proceeds  from any such policy for the repair and
replacement of Tenant's  Property.  The insurance shall meet the requirements of
ss.4.3.

                  (c)  Tenant  shall  pay  all  taxes   applicable  to  Tenant's
Property.

                  (d)  If Tenant's Property is damaged or  destroyed  by fire or
any other  cause,  Tenant shall  promptly  repair or replace  Tenant's  Property
unless Landlord elects to terminate this Lease pursuant to ss.9.2.2.

                  (e)  Unless an Event of Default or any event  which,  with the
giving of notice or lapse of time, or both, would constitute an Event of Default
has occurred,  Tenant may remove Tenant's Property from the Leased Property from
time to time provided that [i] the items removed are not required to operate the
Leased  Property for the Facility Uses (unless such items are being  replaced by
Tenant);  and [ii] Tenant  repairs any damage to the Leased  Property  resulting
from the removal of Tenant's Property.

                  (f)  Tenant shall not,  without the prior  written  consent of
Landlord or as otherwise provided in this Lease, remove any Tenant's Property or
Leased Property.  Tenant shall, at Landlord's  option,  remove Tenant's Property
upon the  termination or expiration of this Lease and shall repair any damage to
the Leased Property resulting from the removal of Tenant's  Property.  If Tenant
fails to remove Tenant's Property within 30 days after request by Landlord, then
Tenant shall be deemed to have abandoned  Tenant's  Property,  Tenant's Property
shall  become the  property of  Landlord,  and  Landlord  may remove,  store and
dispose of Tenant's Property. In such event, Tenant shall have no claim or right
against  Landlord  for such  property  or the value  thereof  regardless  of the
disposition  thereof by Landlord.  Tenant shall pay Landlord,  upon demand,  all
expenses  incurred by Landlord in removing,  storing,  and disposing of Tenant's
Property and repairing any damage caused by such removal.  Tenant's  obligations
hereunder shall survive the termination or expiration of this Lease.

                  (g)  Tenant shall perform its obligations  under any equipment
lease or security agreement for Tenant's Property. For equipment loans or leases
for  equipment  having an original  cost in excess of  $75,000.00,  Tenant shall
cause such equipment lessor or lender to enter into a  nondisturbance  agreement
with  Landlord  upon terms and  conditions  acceptable  to  Landlord,  including
without  limitation,  the following:  [i] Landlord shall have the right (but not
the  obligation) to assume such equipment  lease or security  agreement upon the
occurrence  of an Event of  Default  by Tenant  hereunder;  [ii] such  equipment
lessor or lender  shall  notify  Landlord  of any  default  by Tenant  under the
equipment lease or security agreement and give Landlord a 



                                      -33-
<PAGE>


reasonable  opportunity to cure such default;  and [iii] Landlord shall have the
right to assign its interest in the  equipment  lease or security  agreement and
nondisturbance  agreement.  Tenant  shall,  within 30 days  after  receipt of an
invoice from Landlord, reimburse Landlord for all costs and expenses incurred in
reviewing   and  approving  the   equipment   lease,   security   agreement  and
nondisturbance  agreement,  including without limitation,  reasonable attorneys'
fees and costs.  Tenant  shall use its best  efforts  to obtain  the  provisions
listed  in  this  section  from an  equipment  lessor,  and  Landlord  shall  be
commercially reasonable in negotiating such nondisturbance agreement.

                           ARTICLE 12: RENEWAL OPTIONS

            12.1  RENEWAL  OPTIONS.  Tenant  has the  option to renew  ("Renewal
Option") this Lease for two 5-year renewal terms and one 4-year 11-month renewal
term (each a "Renewal  Term").  Tenant can exercise the Renewal Option only upon
satisfaction of the following conditions:

                  (a)  There shall be no uncured Event of Default,  or any event
which with the passage of time or giving of notice would  constitute an Event of
Default,  at the time Tenant  exercises  its Renewal  Option nor on the date the
Renewal Term is to commence.

                  (b)  Tenant shall give Landlord  irrevocable written notice of
renewal no later than the date which is [i] 90 days prior to the expiration date
of the then  current  Term;  or [ii] 15 days after  Landlord's  delivery  of the
Termination Notice as set forth in ss.9.2.3.

                  (c)  Each Phase Tenant  shall  concurrently  give  irrevocable
notice of renewal for each Affiliate Lease.

            12.2  EFFECT OF RENEWAL. The following  terms and conditions will be
applicable if Tenant renews the Lease:

                  (a)  EFFECTIVE DATE. Except as otherwise provided in ss.9.2.3,
the  effective  date  of any  Renewal  Term  will be the  first  day  after  the
expiration  date of the then current Term. The first day of each Renewal Term is
also referred to as the Renewal Date.

                  (b)  LEASE AMOUNT.  Effective as of the Renewal Date, a single
Lease Amount will be computed by summing all Lease  Advance  Amounts  (including
the Acquisition Amount).

                  (c)  LEASE RATE.  Effective as of the Renewal  Date,  a single
Lease Rate will be computed equal to the Renewal Rate. The Renewal Rate for each
Renewal Term shall be the greater of [i] the sum of [a] the Lease Rate in effect
during the then current Lease Year plus [b] the Increaser Rate, or [ii] the fair
market  rental  lease  rate for the  Facility  as  determined  according  to the
provisions of this  section.  Landlord and Tenant shall attempt to determine the
fair market  rental  lease rate for the  Facility by mutual  agreement  180 days
prior to the  expiration  date for the then current  Term. If the parties do not
agree on such lease rate within a 15 day period,  appraisers  shall 



                                      -34-
<PAGE>


be chosen as  provided in ss.9.2.5 to  determine  the fair market  rental  lease
rate. The appraisers shall be instructed to appraise the fair market value lease
rate as a financing  lease rate for a health  care  facility of the same type as
the Facility  and shall take into  account the lease rate then being  charged by
Landlord to tenants of comparable  creditworthiness  for comparable  facilities.
The  appraised  rates  submitted  by the three  appraisers  shall be ranked from
highest to lowest,  the rate  (highest  or lowest)  which is  furthest  from the
middle rate shall be discarded,  and the remaining two appraised  rates shall be
averaged to arrive at the fair market rental lease rate.

                  (d)  BASE RENT. Effective as of the  Renewal  Date,  the  Base
Rent will be changed to equal  1/12th of the product of [i] the Lease  Amount on
the Renewal Date times [ii] the new Lease Rate equal to the Renewal Rate.

                  (e)  OTHER TERMS AND CONDITIONS.  Except for the modifications
set forth in this  ss.12.2,  all other  terms and  conditions  of the Lease will
remain the same for the Renewal Term. The Lease Rate and Base Rent will increase
annually as set forth in ss.2.2.

            12.3  EFFECT OF NON-RENEWAL  OR EXPIRATION  OF LEASE.  The following
terms and  conditions  will be applicable if Tenant does not renew this Lease or
exercise  its Option to Purchase  by the  expiration  date for the then  current
Term:

                  (a)  EXTENSION  OF  CURRENT  TERM.  The  current  Term will be
extended  (the  "Extended  Term")  for 120  days;  provided,  however,  that the
Extended  Term  will  expire on such  earlier  date of the  closing  of the sale
pursuant to the Option to Purchase.

                  (b)  LEASE  PAYMENTS.  During the Extended Term,  Tenant shall
continue to make monthly  payments of Rent  (including Base Rent) based upon the
then existing Lease Rate.

                       ARTICLE 13:  RIGHT OF FIRST REFUSAL

            13.1  RIGHT OF FIRST REFUSAL.  Tenant  shall have the right of first
refusal to purchase the Leased Property during the Term of this Lease. If at any
time during the Term,  Landlord shall receive a bona fide offer ("Offer") from a
third  person for the  purchase of the Leased  Property,  which  Offer  Landlord
desires  to accept,  Landlord  shall  promptly  deliver to Tenant a copy of such
Offer.  Tenant shall have the right for a period of 60 days  thereafter to elect
to purchase the Leased  Property on the same terms and  conditions  as those set
forth in the Offer.  If Tenant  elects to purchase the Leased  Property,  Tenant
must give  written  notice  thereof to Landlord no later than the 60th day after
the date Landlord delivers the Offer to Tenant.

            13.2  NO EXERCISE.  If  Tenant  does not elect to exercise its right
of first  refusal as set forth in  ss.13.1,  Landlord  shall be free to sell and
convey the Leased  Property to the third party  purchaser in accordance with the
terms  and  provisions  of the  Offer.  In the  event  that  Landlord  does  not
consummate the sale of the Leased Property to such purchaser,  Tenant's right of
first  refusal  under this  Article 13 shall  remain  applicable  to  subsequent
bonafide offers from third persons.

                                      -35-
<PAGE>

                         ARTICLE 14: NEGATIVE COVENANTS

            Until Tenant's Obligations shall have been performed in full, Tenant
and Guarantor  covenant and agree that Tenant (and Guarantor  where  applicable)
shall not do any of the following without the prior written consent of Landlord:

            14.1  NO DEBT.  Tenant shall not create, incur, assume, or permit to
exist any indebtedness other than [i] trade debt incurred in the ordinary course
of Tenant's  business;  [ii] indebtedness  relating to the Letter of Credit; and
[iii] indebtedness that is secured by any Permitted Lien.

            14.2  NO LIENS.  Tenant shall not create, incur,  or permit to exist
any lien, charge, encumbrance,  easement or restriction upon the Leased Property
or any lien upon or pledge of any  interest  in  Tenant,  except  for  Permitted
Liens.

            14.3  NO GUARANTIES.  Tenant  shall not create,  incur,  assume,  or
permit to exist any guarantee of any loan or other  indebtedness  except for the
endorsement of negotiable  instruments  for collection in the ordinary course of
business.

            14.4  NO  TRANSFER.  Tenant  shall   not   sell,   lease,  sublease,
mortgage,  convey,  assign or otherwise transfer any legal or equitable interest
in the  Leased  Property  or any part  thereof,  except  for  transfers  made in
connection  with any  Permitted  Lien  without  the  prior  written  consent  of
Landlord, which consent shall not be unreasonably withheld.

            14.5  NO DISSOLUTION.  Tenant,  Manager (if applicable) or Guarantor
shall not dissolve,  liquidate, merge, consolidate or terminate its existence or
sell,  assign,  lease, or otherwise transfer (whether in one transaction or in a
series of  transactions)  all or  substantially  all of its assets  (whether now
owned or hereafter acquired). Notwithstanding the foregoing, Guarantor may merge
with another  entity  provided that [i] Guarantor is the surviving  corporation;
and [ii] following the merger,  Guarantor can satisfy all of the  obligations of
Guarantor under the Lease Documents,  including but not limited to the financial
covenants in ss.15.7.

            14.6  NO  CHANGE  IN  MANAGEMENT  OR  OPERATION.  No material change
shall  occur in the  management  of Manager  or in the  management  or  licensed
operation of the Facility.  Balanced Care at  Saxonburg,  Inc.  shall remain the
Manager of the Facility  and Tenant  shall  remain the licensed  operator of the
Facility.  Guarantor  shall not make a change in its President,  Chief Operating
Officer,  or Chief  Development  Officer  without giving  Landlord prior written
notice  (or in the  case of  death,  written  notice  within a  reasonable  time
thereafter).

            14.7  NO  INVESTMENTS.  Tenant  shall   not  purchase  or  otherwise
acquire,  hold, or invest in securities  (whether  capital stock or  instruments
evidencing indebtedness) of or make loans or advances to any person,  including,
without limitation, any Guarantor, any Affiliate, or any shareholder,  member or
partner  of  Tenant,  Guarantor  or any  Affiliate,  except  for  cash  balances
temporarily invested in short-term or money market securities.

                                      -36-
<PAGE>

            14.8  CONTRACTS.  Tenant  shall not  execute or modify any  material
contracts or  agreements  with respect to the Facility  except for contracts and
modifications  approved by Landlord.  Contracts  made in the ordinary  course of
business  and in an  amount  less  than  $250,000.00  shall  not  be  considered
"material" for purposes of this paragraph. The management agreement currently in
effect between Tenant and Manager is acceptable.

            14.9  SUBORDINATION OF PAYMENTS TO AFFILIATES.  After the occurrence
of an Event of Default  and until  such  Event of  Default is cured,  Tenant and
Guarantor  shall not make any  payments  or  distributions  (including,  without
limitation,  fees, principal,  interest,  dividends,  liquidating distributions,
management  fees,  cash flow  distributions  or lease  payments)  to  Guarantor,
Manager (if applicable), any Affiliate, or any shareholder, member or partner of
Tenant, Guarantor, Manager (if applicable) or any Affiliate. Notwithstanding the
foregoing,  Guarantor  shall be permitted to pay dividends to  shareholders  and
regularly  scheduled  salary and bonus  payments (but no  extraordinary  salary,
bonuses, or other compensation).

            14.10  CHANGE OF LOCATION OR NAME.  Tenant  shall  not change any of
the  following:  [i] the  location of the  principal  place of business or chief
executive  office of  Tenant,  or any  office  where any of  Tenant's  books and
records  are  maintained  (other  than  the  change  to be made in May,  1999 as
previously disclosed to Landlord);  or [ii] the name under which Tenant conducts
any of its business or operations.

                        ARTICLE 15:  AFFIRMATIVE COVENANTS

            15.1  PERFORM  OBLIGATIONS.  Tenant  shall  perform  or  cause to be
performed   all  of  its   obligations   under  this   Lease,   the   Government
Authorizations,  the Permitted  Exceptions,  and all Legal Requirements.  Tenant
shall take all necessary action to obtain all Government Authorizations required
for the operation of the Facility as soon as possible after the Effective Date.

            15.2  PROCEEDINGS  TO  ENJOIN  OR  PREVENT   CONSTRUCTION.   If  any
proceedings are filed seeking to enjoin or otherwise  prevent or declare invalid
or unlawful Tenant's construction,  occupancy,  maintenance, or operation of the
Facility  or any  portion  thereof,  Tenant  will cause such  proceedings  to be
vigorously  contested  in good faith,  and in the event of an adverse  ruling or
decision,  prosecute all allowable appeals therefrom, and will, without limiting
the  generality  of the  foregoing,  resist  the  entry  or seek the stay of any
temporary or permanent  injunction  that may be entered,  and use all reasonable
commercial efforts to bring about a favorable and speedy disposition of all such
proceedings and any other proceedings.

            15.3  DOCUMENTS AND INFORMATION.

            15.3.1  FURNISH DOCUMENTS.  Tenant  shall  periodically  during  the
term of the Lease deliver to Landlord the Annual Financial Statements,  Periodic
Financial  Statements  and other  documents  described  on  Exhibit C within the
specified time periods.  With each delivery of Annual  Financial  Statements and
Periodic  Financial  Statements  (other  than  the  monthly  Facility  Financial
Statement)  to Landlord,  Tenant  shall also  deliver to Landlord a  certificate
signed by the 

                                      -37-
<PAGE>

Chief Financial  Officer,  general partner or managing member (as applicable) of
Tenant,  an Annual Facility  Financial  Report or Quarterly  Facility  Financial
Report, as applicable, and a Quarterly Facility Accounts Receivable Aging Report
all in the form of Exhibit D. In addition,  Tenant shall deliver to Landlord the
Annual Facility  Financial Report and a Quarterly  Facility Accounts  Receivable
Aging Report (based upon internal financial statements) within 60 days after the
end of each fiscal year.

            15.3.2  FURNISH  INFORMATION.   Tenant  shall  [i]  promptly  supply
Landlord with such information  concerning its financial condition,  affairs and
property,  as  Landlord  may  reasonably  request  from time to time  hereafter,
including reporting formats used by Landlord and electronic filing and transfer;
[ii]  promptly  notify  Landlord  in  writing  of any  condition  or event  that
constitutes  a breach  or event of  default  of any term,  condition,  warranty,
representation,  or provisions of this Agreement or any other agreement,  and of
any  material  adverse  change in its  financial  condition;  [iii]  maintain  a
standard and modern  system of  accounting;  [iv] permit  Landlord or any of its
agent or  representatives  to have access to and to examine all of its books and
records  regarding the financial  condition of the Facility at any time or times
hereafter during business hours and after reasonable oral or written notice; and
[v] permit  Landlord to copy and make  abstracts  from any and all of said books
and records.

            15.3.3  FURTHER ASSURANCES AND INFORMATION. Tenant shall, on request
of Landlord from time to time, execute, deliver, and furnish documents as may be
necessary  to  fully  consummate  the  transactions   contemplated   under  this
Agreement. Within 15 days after a request from Landlord, Tenant shall provide to
Landlord  such  additional  information  regarding  Tenant,  Tenant's  financial
condition or the Facility as Landlord,  or any existing or proposed  creditor of
Landlord,  or any auditor or underwriter  of Landlord,  may require from time to
time, including, without limitation, a current Tenant's Certificate and Facility
Financial Report in the form of Exhibit D. Upon Landlord's request, but not more
than once every three  years,  Tenant  shall  provide to  Landlord,  at Tenant's
expense,  an appraisal  prepared by an MAI  appraiser  setting forth the current
fair market value of the Leased Property.

            15.3.4  MATERIAL COMMUNICATIONS.  Tenant shall transmit to Landlord,
within 5  business  days  after  receipt  thereof,  any  material  communication
affecting  a Facility,  this Lease,  the Legal  Requirements  or the  Government
Authorizations,  and Tenant will  promptly  respond to  Landlord's  inquiry with
respect to such  information.  Tenant shall promptly  notify Landlord in writing
after Tenant has knowledge of any potential,  threatened or existing  litigation
or proceeding against, or investigation of, Tenant,  Guarantor,  or the Facility
that may affect the right to operate  the  Facility or  Landlord's  title to the
Facility or Tenant's interest therein.

            15.3.5  REQUIREMENTS FOR FINANCIAL STATEMENTS.  Tenant and Guarantor
shall meet the following  requirements in connection with the preparation of the
financial statements:  [i] all audited financial statements shall be prepared in
accordance with general accepted  accounting  principles  consistently  applied;
[ii]  all  unaudited  financial   statements  shall  be  prepared  in  a  manner
substantially  consistent with prior audited and unaudited financial  statements
submitted to Landlord;  [iii] all financial  statements shall fairly present the
financial  condition  and  performance  for the relevant  period in all material
respects; [iv] the financial statements shall 

                                      -38-
<PAGE>

include  all  notes to the  financial  statements  and a  complete  schedule  of
contingent  liabilities and transactions  with  Affiliates;  and [v] the audited
financial statements shall contain an unqualified opinion.

            15.4  COMPLIANCE  WITH  LAWS.  Tenant  shall  comply  with all Legal
Requirements  and keep all Government  Authorizations  in full force and effect.
Tenant shall pay when due all taxes and  governmental  charges of every kind and
nature that are  assessed or imposed  upon Tenant at any time during the term of
the Lease, including,  without limitation, all income, franchise, capital stock,
property,  sales and use, business,  intangible,  employee withholding,  and all
taxes and charges relating to Tenant's business and operations.  Tenant shall be
solely  responsible  for compliance with all Legal  Requirements,  including the
ADA, and Landlord shall have no responsibility for such compliance.

            15.5  BROKER'S  COMMISSION.  Tenant shall  indemnify  Landlord  from
claims of brokers  arising by the execution  hereof or the  consummation  of the
transactions  contemplated  hereby and from  expenses  incurred  by  Landlord in
connection with any such claims (including attorneys' fees).

            15.6  EXISTENCE  AND  CHANGE  IN  OWNERSHIP.   Tenant,  Manager  (if
applicable)  and Guarantor  shall maintain its existence  throughout the term of
this  Agreement.   Any  change  in  the  ownership  of  Tenant  or  Manager  (if
applicable),  directly or  indirectly,  shall require  Landlord's  prior written
consent.  Landlord's  consent to a change in  ownership  of Tenant  shall not be
unreasonably withheld.

            15.7  FINANCIAL COVENANTS.  The defined  terms  used in this section
are defined in ss.15.7.1. The method of calculating Net Worth and valuing assets
shall be consistent  with the  Financial  Statements.  The  following  financial
covenants shall be met throughout the term of this Lease:

                                      -39-
<PAGE>

            15.7.1  DEFINITIONS.

                  (a)  "Cash Flow" means  the  net income of Tenant as reflected
on the  income  statement  of Tenant  plus [i] the amount of the  provision  for
depreciation and  amortization;  [ii] the amount of the provision for management
fees;  plus [iii] the amount of the provision  for income  taxes;  plus [iv] the
amount of the provision for Rent  payments and interest and lease  payments,  if
any;  minus [v] an imputed  management fee equal to 5% of gross revenues (net of
contractual  allowances);  and minus  [vi] an  imputed  replacement  reserve  of
$250.00 per licensed bed at the Facility, per year.

                  (b)  "Coverage  Ratio"  is the ratio of [i] Cash Flow for each
applicable  period; to [ii] the Rent payments due pursuant to this Lease and all
other debt service and lease  payments  relating to the Leased  Property for the
applicable period.

                  (c) "Net Worth" has the meaning given under generally accepted
accounting principles.

            15.7.2  COVERAGE  RATIO.  Tenant  shall  maintain  for  each  fiscal
quarter a Coverage  Ratio with  respect to the Facility of not less than 1.25 to
1.00.

            15.7.3  NET WORTH.  Guarantor shall maintain for each fiscal quarter
a Net  Worth of at least  $55,000,000.00  with cash and cash  equivalents  of at
least $5,000,000.00.

            15.7.4  CURRENT  RATIO.  Guarantor  shall  maintain  for each fiscal
quarter a ratio of current  assets to current  liabilities of not less than 1.25
to 1.00.

            15.7.5  DEBT TO EQUITY  RATIO.  Guarantor  shall  maintain  for each
fiscal quarter a ratio of total indebtedness to shareholders' equity of not more
than  2.50 to 1.00.  The  aggregate  lease  amount  under  all  capitalized  and
operating  leases shall be included as indebtedness  and all  subordinated  debt
shall be included as equity.

            15.8  TRANSFER  OF  LICENSE.  If this  Lease  is  terminated  due to
expiration of the Term,  pursuant to an Event of Default or for any reason other
than Tenant's  purchase of the Leased Property,  or if Tenant vacates the Leased
Property without  termination of this Lease,  Tenant shall execute,  deliver and
file all documents and  statements  requested by Landlord to effect the transfer
of the Facility license and Government Authorizations to an entity designated by
Landlord,   subject  to  any  required   approval  of  governmental   regulatory
authorities,  and Tenant shall provide to Landlord all  information  and records
required  by  Landlord  in  connection  with the  transfer  of the  license  and
Government Authorizations.

            ARTICLE 16:  ALTERATIONS, CAPITAL IMPROVEMENTS, AND SIGNS

            16.1  PROHIBITION  ON  ALTERATIONS  AND  IMPROVEMENTS.   Except  for
Permitted  Alterations  (as  hereinafter  defined),  Tenant  shall  not make any
structural or nonstructural 

                                      -40-
<PAGE>

changes,  alterations,  additions and/or improvements  (hereinafter collectively
referred to as "Alterations") to the Leased Property.

            16.2  APPROVAL  OF  ALTERATIONS.  If Tenant  desires to perform  any
Permitted Alterations,  Tenant shall deliver to Landlord plans,  specifications,
drawings,  and such other information as may be reasonably requested by Landlord
(collectively the "Plans and  Specifications")  showing in reasonable detail the
scope and nature of the  Alterations  that Tenant desires to perform.  It is the
intent of the parties  hereto that the level of detail  shall be  comparable  to
that which is referred to in the architectural profession as "design development
drawings"  as opposed to working or biddable  drawings.  Landlord  agrees not to
unreasonably  delay its review of the Plans and  Specifications.  Within 30 days
after receipt of an invoice,  Tenant shall reimburse  Landlord for all costs and
expenses  incurred by Landlord in  reviewing  and,  if  required,  approving  or
disapproving the Plans and Specifications,  inspecting the Leased Property,  and
otherwise monitoring  compliance with the terms of this Article 16. Tenant shall
comply with the requirements of ss.16.4 in making any Permitted Alterations.

            16.3  PERMITTED ALTERATIONS.  Permitted Alterations means any one of
the following:  [i] Alterations approved by Landlord;  [ii] Alterations required
under ss.7.2; [iii] Alterations having a total cost of less than $250,000.00; or
[iv] repairs,  rebuilding  and  restoration  required or undertaken  pursuant to
ss.9.4.

            16.4  REQUIREMENTS  FOR PERMITTED  ALTERATIONS.  Tenant shall comply
with  all of  the  following  requirements  in  connection  with  any  Permitted
Alterations:

                  (a)  The  Permitted  Alterations  shall be  made in accordance
with the Plans and Specifications approved by Landlord, if applicable.

                  (b)  The Permitted Alterations  and the  installation  thereof
shall comply with all applicable legal requirements and insurance requirements.

                  (c)  The Permitted  Alterations  shall  be done in a good  and
workmanlike  manner,  shall not impair the value or the structural  integrity of
the Leased Property, and shall be free and clear of all mechanic's liens.

                  (d)  For any  Permitted  Alterations  having  a total  cost of
$250,000.00 or more,  Tenant shall deliver to Landlord a payment and performance
bond, with a surety acceptable to Landlord,  in an amount equal to the estimated
cost of the Permitted Alterations,  guaranteeing the completion of the work free
and clear of liens and in accordance with the approved Plans and Specifications,
and naming  Landlord  and any  mortgagee  of Landlord as joint  obligees on such
bond.

                  (e)  Tenant shall,  at  Tenant's  expense,  obtain a builder's
completed value risk policy of insurance  insuring against all risks of physical
loss, including collapse and transit coverage,  in a nonreporting form, covering
the total value of the work performed,  and equipment,  supplies, and materials,
and insuring initial occupancy.  Landlord and any mortgagee 

                                      -41-
<PAGE>

of Landlord shall be additional insureds of such policy. Landlord shall have the
right to approve the form and substance of such policy.

                  (f)  Tenant shall pay the  premiums  required to increase  the
amount of the insurance coverages required by Article 4 to reflect the increased
value  of  the  Improvements   resulting  from  installation  of  the  Permitted
Alterations, and shall deliver to Landlord a certificate evidencing the increase
in coverage.

                  (g)  Tenant shall, not later than 60 days after  completion of
the Permitted  Alterations,  deliver to Landlord a revised  "as-built" survey of
the Leased Property if the Permitted Alterations altered the Land or "footprint"
of the  Improvements and an "as-built" set of Plans and  Specifications  for the
Permitted Alterations in form and substance satisfactory to Landlord.

                  (h)  Tenant shall, not later than 30 days after Landlord sends
an invoice, reimburse Landlord for any reasonable costs and expenses,  including
attorneys' fees and architects' and engineers' fees, incurred in connection with
reviewing  and  approving  the  Permitted   Alterations  and  ensuring  Tenant's
compliance with the  requirements of this section.  The daily fee for Landlord's
consulting engineer is $750.00.

            16.5  OWNERSHIP AND REMOVAL OF PERMITTED ALTERATIONS.  The Permitted
Alterations shall become a part of the Leased Property,  owned by Landlord,  and
leased to Tenant subject to the terms and conditions of this Lease. Tenant shall
not be required or permitted to remove any Permitted Alterations.

            16.6  SIGNS.  Tenant  may, at its own  expense,  erect and  maintain
identification signs at the Leased Property, provided such signs comply with all
laws,  ordinances,  and regulations.  Upon the termination or expiration of this
Lease, Tenant shall, within 30 days after notice from Landlord, remove the signs
and restore the Leased Property to its original condition.

                       ARTICLE 17:  EARNOUT LEASE ADVANCES

            17.1  FIRST EARNOUT LEASE ADVANCE.  Prior  to  the third anniversary
of the Effective Date, Landlord shall, at Tenant's request, make a Lease Advance
to Tenant in an amount not to exceed $125,000.00 ("First Earnout Lease Advance")
upon satisfaction of the First Earnout Conditions (defined below).

            17.1.1  CONDITIONS  TO  FIRST  EARNOUT  LEASE  ADVANCE.   Landlord's
obligation to make the First Earnout  Advance  pursuant to ss.17.1 is subject to
the following conditions ("First Earnout Conditions"): [i] the Facility achieves
an Adjusted  Coverage Ratio (defined below) of 1.25 to 1.00 for four consecutive
quarters based on audited financial statements;  [ii] the Lease Amount including
the First Earnout  Lease Advance is less than 90% of the appraised  value of the
Leased  Property  and not  greater  than  replacement  costs  based on a current
appraisal;  [iii] no Event of Default shall have occurred  under any  agreements
between  Tenant,  any Affiliate,  Manager,  or Guarantor with Landlord;  [iv] no
material  adverse  change  shall  have  occurred  in the  condition  of  

                                      -42-
<PAGE>

Tenant,  Guarantor, the local market or the assisted living industry; and [v] to
the extent  available from the title company  insuring  Landlord's  title to the
Leased Property, Tenant has provided, at Tenant's expense, an endorsement to the
Title  Policy  increasing  the amount of the coverage by the amount of the First
Earnout Lease  Advance.  "Adjusted  Coverage  Ratio" means the ratio of [i] Cash
Flow for each  applicable  period;  to [ii] rent  payments  due pursuant to this
Lease  (assuming  that the First  Earnout Lease Advance was made using a Blended
Lease  Rate  (defined  below)  and all other  debt  service  and lease  payments
relating to the Leased  Property for the applicable  period.  The "Blended Lease
Rate" shall mean the rate determined by calculating the weighted  average of [i]
the existing Lease Rate and [ii] the Estimated Lease Rate. The "Estimated  Lease
Rate"  shall mean the  greater of [a] the rate  estimated  by  Landlord to be in
effect at the time that the First  Earnout  Lease  Advance is funded  based upon
Landlord's  reasonable  estimate of the yield on comparative  term United States
Treasury Notes for the remaining  years left in Term at the time that funding of
the  First  Earnout  Lease  Advance  is  anticipated;  or [b]  10.25%  plus  the
applicable inflation adjustments.

            17.2  SECOND EARNOUT LEASE ADVANCE.  Prior to  the third anniversary
of the Effective Date, Landlord shall, at Tenant's request, make a Lease Advance
to  Tenant  in an  amount  not to  exceed  $125,000.00  ("Second  Earnout  Lease
Advance") upon  satisfaction of the Second Earnout  Conditions  (defined below).
The First  Earnout  Lease  Advance and the Second  Earnout  Lease Advance may be
collectively  called "Earnout Lease Advances".  Tenant may use the Earnout Lease
Advances for any purposes.

            17.2.1  CONDITIONS  TO  SECOND  EARNOUT  LEASE  ADVANCE.  Landlord's
obligation to make the Second Earnout Advance  pursuant to ss.17.2 is subject to
the  following  conditions  ("Second  Earnout  Conditions"):  [i]  the  Facility
achieves an Adjusted  Coverage  Ratio (defined in ss.17.1.1) of 1.25 to 1.00 for
four  consecutive  quarters  following  disbursement  of the First Earnout Lease
Advance based on audited financial  statements;  [ii] the Lease Amount including
the Earnout Lease Advances is less than 90% of the appraised value of the Leased
Property and not greater than  replacement  costs based on a current  appraisal;
[iii] no Event of  Default  shall have  occurred  under any  agreements  between
Tenant,  any Affiliate,  Manager,  or Guarantor with Landlord;  [iv] no material
adverse  change shall have occurred in the condition of Tenant,  Guarantor,  the
local market or the assisted living  industry;  and [v] to the extent  available
from the title company insuring Landlord's title to the Leased Property,  Tenant
has provided, at Tenant's expense, an endorsement to the Title Policy increasing
the amount of the coverage by the amount of the Second Earnout Lease Advance.

               ARTICLE 18:  ASSIGNMENT AND SALE OF LEASED PROPERTY

            18.1  PROHIBITION ON ASSIGNMENT AND SUBLETTING.  Tenant acknowledges
that  Landlord has entered into this Lease in reliance on the personal  services
and business expertise of Tenant and Guarantor.  Tenant may not assign,  sublet,
mortgage, hypothecate, pledge, or transfer any interest in this Lease, or in the
Leased  Property,  in whole or in part,  without  the prior  written  consent of
Landlord,  which Landlord may withhold in its sole and absolute discretion.  The
following  transactions  will be  deemed an  assignment  or  sublease  requiring
Landlord's prior written consent: [i] an assignment by operation of law; [ii] an
imposition (whether or not consensual) of a lien, mortgage,  or encumbrance upon
Tenant's interest in the Lease; [iii] an arrangement  (including 

                                      -43-
<PAGE>

but not limited to, management agreements, concessions, licenses, and easements)
which  allows  the use or  occupancy  of all or part of the Leased  Property  by
anyone  other  than  Tenant;  and [iv] a  change  of  ownership  of  Tenant.  An
assignment  or sublease  without the prior  written  consent of Landlord will be
void at the Landlord's option.  Landlord's consent to one assignment or sublease
will not waive the  requirement of its consent to any  subsequent  assignment or
sublease.

            18.2  REQUESTS FOR  LANDLORD'S  CONSENT TO  ASSIGNMENT,  SUBLEASE OR
MANAGEMENT  AGREEMENT.  If Tenant is required to obtain Landlord's  consent to a
specific  assignment,  sublease,  or  management  agreement,  Tenant  shall give
Landlord  [i] the  name and  address  of the  proposed  assignee,  subtenant  or
manager;  [ii] a  copy  of  the  proposed  assignment,  sublease  or  management
agreement;  [iii] reasonably satisfactory information about the nature, business
and business  history of the proposed  assignee,  subtenant,  or manager and its
proposed use of the Leased  Property;  and [iv]  banking,  financial,  and other
credit  information,  and references about the proposed  assignee,  subtenant or
manager sufficient to enable Landlord to determine the financial  responsibility
and character of the proposed assignee, subtenant or manager.

            18.3  AGREEMENTS  WITH  RESIDENTS.  Notwithstanding  ss.18.1, Tenant
may enter into an occupancy  agreement  with  residents  of the Leased  Property
without the prior  written  consent of Landlord  provided that [i] the agreement
does not provide for  lifecare  services;  [ii] Tenant may not collect  rent for
more than one month in advance;  and [iii] all residents of the Leased  Property
are accurately shown in Tenant's accounting records.

            18.4  TERMS APPLICABLE TO ALL  ASSIGNMENTS,  SUBLEASES OR MANAGEMENT
AGREEMENTS.  Any  assignment,  sublease or  management  agreement  shall contain
provisions  to the  effect  that [a] such  assignment,  sublease  or  management
agreement is subject and  subordinate to all of the terms and provisions of this
Lease and to the rights of Landlord; [b] such assignment, sublease or management
agreement may not be modified  without the prior written consent of Landlord not
to be unreasonably withheld or delayed; [c] if this Lease shall terminate before
the  expiration  of such  assignment,  sublease  or  management  agreement,  the
assignee,  subtenant or manager thereunder will, at Landlord's option, attorn to
Landlord  and waive any right the  assignee,  subtenant  or manager  may have to
terminate  the  assignment,   sublease  or  management  agreement  or  surrender
possession  thereunder as a result of the termination of this Lease;  [d] if the
assignee,  subtenant or manager  receives a written notice from Landlord stating
that Tenant is in default under this Lease,  the assignee,  subtenant or manager
shall  thereafter pay all rentals or payments under the assignment,  sublease or
management agreement directly to Landlord until such default has been cured, and
[e]  Tenant  or any  guarantor  shall  not be  released  from  its  payment  and
performance and obligations under this Lease, but rather Tenant,  any guarantor,
and Tenant's assignee or sublessee will be jointly and severally liable for such
payment  and  performance  unless  Landlord  agrees in writing  to release  such
parties from their respective obligations.

            18.5  COLLATERAL ASSIGNMENT.  Tenant hereby collaterally  assigns to
Landlord, as security for the performance of the Tenant's Obligations hereunder,
and grants a security interest to Landlord in all of Tenant's right,  title, and
interest in and to any  assignment,  sublease  or  management  agreement  now or
hereafter existing for all or part of the Leased Property.  Tenant 


                                      -44-
<PAGE>
shall, at the request of Landlord,  execute such other  instruments or documents
as Landlord may request to evidence this collateral assignment.

            18.6  EFFECTIVENESS.   Any  assignment,   sublease,   or  management
agreement  shall  not be  effective  until  [i] a  fully  executed  copy  of the
instrument of assignment, sublease or management agreement has been delivered to
Landlord;  [ii]  in the  case  of an  assignment,  Landlord  has  received  such
documents,  instruments,  affidavits,  letter  of  credit  amendments,  proof of
licensure and amendments as Landlord may reasonably request in order to evidence
assignee's assumption and agreement to perform all of Tenant's obligations under
the Lease;  [iii] Tenant has paid to Landlord a fee in the amount of  $2,500.00;
and [iv] Landlord has received reimbursement from Tenant or the assignee for all
attorneys'  fees and expenses and all other  reasonable  out-of-pocket  expenses
incurred in connection with determining whether to give its consent,  giving its
consent and all matters  relating to the  assignment,  sublease,  or  management
agreement.

            18.7  SALE OF LEASED PROPERTY.  If  Landlord or any subsequent owner
of the  Leased  Property  sells  the  Leased  Property,  its  liability  for the
performance  of its agreements in this Lease will end on the date of the sale of
the  Leased  Property,  and Tenant  will look  solely to the  purchaser  for the
performance of those agreements.  For purposes of this Section,  any holder of a
mortgage or security  agreement  which affects the Leased  Property at any time,
and any landlord under any lease to which this Lease is subordinate at any time,
will be a  subsequent  owner of the  Leased  Property  when it  succeeds  to the
interest of Landlord or any subsequent owner of the Leased Property.

            18.8  ASSIGNMENT  BY  LANDLORD.   Landlord  may  transfer,   assign,
mortgage,  collaterally  assign, or otherwise dispose of Landlord's  interest in
this Lease or the Leased Property.

                       ARTICLE 19:  HOLDOVER AND SURRENDER

            19.1  HOLDING  OVER.  Should Tenant,  with or without the express or
implied  consent of  Landlord,  continue to hold and occupy the Leased  Property
after the  expiration  of the Term,  such  holding  over beyond the Term and the
acceptance or collection of Rent by the Landlord  shall operate and be construed
as creating a tenancy from month-to-month and not for any other term whatsoever.
Said  month-to-month  tenancy may be  terminated by Landlord by giving Tenant 10
days written notice,  and at any time thereafter  Landlord may re-enter and take
possession of the Leased Property.

            19.2  SURRENDER.  Except for [i] Permitted Alterations;  [ii] normal
and  reasonable  wear and tear (subject to the  obligation of Tenant to maintain
the Leased Property in good order and repair during the Term);  and [iii] damage
and  destruction  not required to be repaired by Tenant,  Tenant shall surrender
and deliver up the Leased  Property at the expiration or termination of the Term
in as good order and condition as of the Commencement Date.

                          ARTICLE 20:  LETTER OF CREDIT

            20.1  TERMS OF LETTER OF CREDIT.  As security for the performance of
its  obligations  hereunder,  Tenant shall  provide  Landlord with the Letter of
Credit at the Closing.  

                                      -45-
<PAGE>
Tenant shall  maintain the Letter of Credit in favor of Landlord  until Tenant's
Obligations  are  performed in full.  The Letter of Credit shall permit  partial
draws and shall permit drawing upon  presentation of a draft drawn on the issuer
and a  certificate  signed by  Landlord  stating  that an Event of  Default  has
occurred under this Lease.  The Letter of Credit shall be for an initial term of
one year and shall be automatically  renewed annually for successive terms of at
least one year unless  Landlord  receives  notice from the Issuer,  by certified
mail,  at least 60 days prior to the expiry  date then in effect that the Letter
of Credit will not be extended for an additional one-year period.

            20.2   REPLACEMENT   LETTER  OF  CREDIT.   Tenant  shall  provide  a
replacement Letter of Credit which satisfies the requirements of ss.20.1 from an
Issuer  acceptable to Landlord within 30 days after the occurrence of any of the
following:  [i] Landlord's  receipt of notice from the Issuer that the Letter of
Credit will not be extended for an  additional  one-year  period;  [ii] Landlord
gives notice to Tenant that the Lace  Financial  Service Rating of the Issuer is
less than a "C+"; or [iii]  Landlord  gives notice to Tenant of the admission by
Issuer in writing of its  inability  to pay its debts  generally  as they become
due,  or  Issuer's  filing of a petition  in  bankruptcy  or  petitions  to take
advantage of any  insolvency  act,  making an assignment  for the benefit of its
creditors, consenting to the appointment of a receiver of itself or of the whole
or any substantial part of its property,  or filing a petition or answer seeking
reorganization  or arrangement  under the federal  bankruptcy  laws or any other
applicable  law or statute of the United States of America or any state thereof.
Tenant's  failure to comply with the  requirements  of this section  shall be an
immediate Event of Default without any notice (other than as provided for in the
section), cure or grace period.

            20.3  DRAWS.  Landlord  may draw under the Letter of Credit upon the
occurrence  of an Event of  Default  hereunder.  Any such draw shall not cure an
Event of Default.  Landlord  shall have the right,  but not the  obligation,  to
apply all or any portion of the proceeds from the Letter of Credit to pay all or
any  portion of [i] all Rent and other  charges and  expenses  payable by Tenant
under this  Lease;  plus [ii] all  expenses  and costs  incurred  by Landlord in
enforcing or preserving  Landlord's  rights under this Lease or any security for
the Lease,  including without limitation,  [a] the fees, expenses,  and costs of
any litigation, receivership,  administrative,  bankruptcy, insolvency, or other
similar  proceeding;  [b] attorney,  paralegal,  consulting and witness fees and
disbursements;  and [c] the expenses,  including  without  limitation,  lodging,
meals and transportation of Landlord and its employees,  agents,  attorneys, and
witnesses in preparing for litigation,  administrative,  bankruptcy, insolvency,
or similar  proceedings and attendance at hearings,  depositions,  and trials in
connection therewith.

            With respect to any portion of the Letter of Credit proceeds that is
not applied to payment of Tenant's  Obligations,  Landlord shall have the option
to either [i] deposit  the  proceeds  into an  interest-bearing  account  with a
financial institution chosen by Landlord ("LC Account");  or [ii] require Tenant
to obtain a  replacement  Letter of Credit  satisfactory  to Landlord,  with the
Letter  of  Credit   proceeds  made  available  to  Tenant  to  secure  Tenant's
reimbursement  obligation for the Letter of Credit. All interest accruing on the
LC Account  shall be paid to Landlord and may,  from time to time,  be withdrawn
from the LC  Account  by  Landlord.  At any time  and  from  time to time  until
Tenant's  Obligations  are  performed  in full,  

                                      -46-
<PAGE>
Landlord  may apply all or any  portion  of the funds  held in the LC Account to
payment of all or any portion of Tenant's Obligations.  Within 10 days after any
such payment from the LC Account,  Landlord  shall give written notice to Tenant
describing  the  amount  of such  payment  and how it was  applied  to  Tenant's
Obligations.

            Upon  the  occurrence  of  either  [i]   Landlord's   receipt  of  a
replacement  Letter of Credit that satisfies the  requirements of ss.20.1 and is
issued by an Issuer  acceptable  to  Landlord;  or [ii] the date on which all of
Tenant's  Obligations  are performed in full,  Landlord  shall pay the principal
balance of the LC Account (but not any accrued interest) to Tenant.

            20.4  PARTIAL  DRAWS.  Upon the  occurrence  of a monetary  Event of
Default under this Lease,  Landlord  may, at its option,  make a partial draw on
the Letter of Credit in an amount not to exceed the amount of Tenant's  monetary
obligations  under  this Lease  then past due.  If  Landlord  then  applies  the
proceeds from such partial draw on the Letter of Credit to payment of all or any
portion of Tenant's monetary  obligations then past due, Tenant shall, within 10
days after notice from  Landlord of such  partial  draw and  payment,  cause the
amount of the Letter of Credit to be reinstated to the amount in effect prior to
such partial  draw.  Tenant's  failure to comply with the  requirements  of this
section shall be an immediate Event of Default under the Loan Documents  without
any notice (other than as provided for in this  section),  cure or grace period.
Landlord's  rights under this ss.20.4 are in addition to, and not in  limitation
of, Landlord's rights under ss.20.3.

            20.5  SUBSTITUTE  LETTER OF CREDIT.  Tenant may,  from time to time,
deliver to Landlord a substitute  Letter of Credit meeting the  requirements  of
this Agreement and issued by an Issuer  acceptable to Landlord.  Upon Landlord's
approval of the substitute Letter of Credit, Landlord shall release the previous
Letter of Credit to the Tenant.

            20.6  REDUCTION IN LETTER OF CREDIT AMOUNT. The amount of the Letter
of Credit may be reduced by Tenant from 5% of the Maximum  Lease  Amount to 2.5%
of the Maximum Lease Amount after all of the following conditions have been met:
[i] the Earnout Conditions have been satisfied; and [ii] no Event of Default has
occurred and is continuing under this Lease.

ARTICLE 21: QUIET ENJOYMENT, SUBORDINATION, ATTORNMENT AND ESTOPPEL CERTIFICATES

            21.1  QUIET  ENJOYMENT.  So  long  as  Tenant  performs  all  of its
obligations  under this Lease,  Tenant's  possession of the Leased Property will
not be disturbed by Landlord.

            21.2  SUBORDINATION.  Subject  to the terms and  conditions  of this
section,  this Lease and Tenant's rights under this Lease are subordinate to any
ground lease or underlying lease, first mortgage,  first deed of trust, or other
first  lien   against  the  Leased   Property,   together   with  any   renewal,
consolidation,  extension,  modification or replacement thereof, which now or at
any subsequent  time affects the Leased  Property or any interest of Landlord in
the Leased  Property,  except to the extent that any such  instrument  expressly
provides that this Lease is superior. The foregoing  subordination  provision is
expressly  conditioned upon any lessor or 

                                      -47-
<PAGE>

mortgagee being obligated and bound to recognize Tenant as the tenant under this
Lease,  and such  lessor or  mortgagee  shall have no right to disturb  Tenant's
possession,  use and occupancy of the Leased  Property or Tenant's  enjoyment of
its  rights  under  this  Lease  unless  and  until an Event of  Default  occurs
hereunder. Any foreclosure action or proceeding by any mortgagee with respect to
the Leased  Property shall not affect Tenant's rights under this Lease and shall
not terminate this Lease unless and until an Event of Default occurs  hereunder.
The foregoing provisions will be self-operative,  and no further instrument will
be required in order to effect them. However, Tenant shall execute,  acknowledge
and  deliver  to  Landlord,  at any time and from  time to time  upon  demand by
Landlord, such documents as may be requested by Landlord or any mortgagee or any
holder of any mortgage or other instrument described in this section, to confirm
or effect any such subordination,  provided that any such document shall include
a non-disturbance provision as set forth in this section satisfactory to Tenant.
Any  mortgagee  of the  Leased  Property  shall  be  deemed  to be  bound by the
non-disturbance  provision set forth in this section. If Tenant fails or refuses
to execute,  acknowledge,  and deliver  any such  document  within 20 days after
written demand,  Landlord may execute  acknowledge and deliver any such document
on behalf of Tenant as Tenant's attorney-in-fact.  Tenant hereby constitutes and
irrevocably   appoints  Landlord,   its  successors  and  assigns,  as  Tenant's
attorney-in-fact  to execute,  acknowledge,  and deliver on behalf of Tenant any
documents  described in this section.  This power of attorney is coupled with an
interest and is irrevocable.

            21.3  ATTORNMENT.  If any holder of any mortgage, indenture, deed of
trust, or other similar  instrument  described in ss.21.2 succeeds to Landlord's
interest  in the  Leased  Property,  Tenant  will  pay to such  holder  all Rent
subsequently  payable  under this Lease.  Tenant  shall,  upon request of anyone
succeeding to the interest of Landlord,  automatically become the tenant of, and
attorn to, such successor in interest without changing this Lease. The successor
in interest will not be bound by [i] any payment of Rent for more than one month
in advance;  [ii] any amendment or  modification  of this Lease  thereafter made
without its consent as provided in this Lease;  [iii] any claim against Landlord
arising  prior  to the date on  which  the  successor  succeeded  to  Landlord's
interest; or [iv] any claim or offset of Rent against the Landlord. Upon request
by Landlord or such  successor  in interest and without cost to Landlord or such
successor  in  interest,  Tenant  will  execute,   acknowledge  and  deliver  an
instrument or instruments confirming the attornment.  If Tenant fails or refuses
to execute,  acknowledge,  and deliver any such instrument  within 30 days after
written demand,  then Landlord or such successor in interest will be entitled to
execute,  acknowledge,  and deliver any document on behalf of Tenant as Tenant's
attorney-in-fact.  Tenant hereby constitutes and irrevocably  appoints Landlord,
its  successors   and  assigns,   as  Tenant's   attorney-in-fact   to  execute,
acknowledge,  and deliver on behalf of Tenant any such  document.  This power of
attorney is coupled with an interest and is irrevocable.

            21.4  ESTOPPEL  CERTIFICATES.  At the  request  of  Landlord  or any
mortgagee  or  purchaser  of  the  Leased   Property,   Tenant  shall   execute,
acknowledge,  and deliver an estoppel certificate,  in recordable form, in favor
of Landlord or any mortgagee or purchaser of the Leased Property certifying,  to
Tenant's knowledge,  the following: [i] that the Lease is unmodified and in full
force and effect, or if there have been  modifications  that the same is in full
force and effect as modified  and stating  the  modifications;  [ii] the date to
which Rent and other charges have been 

                                      -48-
<PAGE>

paid;  [iii]  whether  Tenant or Landlord is in default or whether  there is any
fact or condition which, with notice or lapse of time, or both, would constitute
a default,  and  specifying any existing  default,  if any; [iv] that Tenant has
accepted  and  occupies  the Leased  Property;  [v] that Tenant has no defenses,
set-offs, deductions, credits, or counterclaims against Landlord, if that be the
case,  or specifying  such that exist;  and [vi] such other  information  as may
reasonably be requested by Landlord or any mortgagee or purchaser. Any purchaser
or mortgagee may rely on this estoppel  certificate.  If Tenant fails to deliver
the estoppel  certificates  to Landlord  within 20 days after the request of the
Landlord,  then  Tenant  shall be  deemed  to have  certified  that to  Tenant's
knowledge  [a] the Lease is in full force and effect and has not been  modified,
or that the Lease has been modified as set forth in the certificate delivered to
Tenant;  [b] Tenant has not  prepaid  any Rent or other  charges  except for the
current  month;  [c] Tenant has accepted and occupies the Leased  Property;  [d]
neither  Tenant nor  Landlord is in default  nor is there any fact or  condition
which,  with notice or lapse of time, or both, would  constitute a default;  and
[e] Tenant has no defenses,  set-offs,  deductions,  credits,  or  counterclaims
against  Landlord.  Tenant  hereby  irrevocably  appoints  Landlord  as Tenant's
attorney-in-fact  to execute,  acknowledge,  and deliver on Tenant's  behalf any
estoppel  certificate  to which  Tenant  does not  object  within 20 days  after
Landlord sends the certificate to Tenant. This power of attorney is coupled with
an  interest  and is  irrevocable.  This power of  attorney  is coupled  with an
interest and is irrevocable.  At the request of Tenant,  Landlord shall execute,
acknowledge,  and deliver an estoppel certificate,  in recordable form, in favor
of Tenant certifying, to Landlord's knowledge, the following: [i] that the Lease
is unmodified and in full force and effect, or if there have been  modifications
that  the  same  is in full  force  and  effect  as  modified  and  stating  the
modifications;  [ii] the date to which Rent and other charges have been received
by Landlord;  [iii] whether Tenant or Landlord is in default or whether there is
any fact or  condition  which,  with  notice  or lapse of time,  or both,  would
constitute a default,  and  specifying any existing  default,  if any; [iv] that
Landlord  has no  defenses,  set-offs,  deductions,  credits,  or  counterclaims
against  Tenant,  if that be the case, or specifying  such that exist;  and [vi]
such other  information  as may  reasonably be requested by Tenant.  If Landlord
fails to deliver the  estoppel  certificate  to Tenant  within 20 days after the
request of the Tenant,  then Landlord  shall be deemed to have certified that to
Landlord's knowledge, [a] the Lease is in full force and effect and has not been
modified,  or that the Lease has been  modified as set forth in the  certificate
delivered to  Landlord;  [b] Landlord has not received any prepaid Rent or other
charges  except for the current  month;  [c] neither  Tenant nor  Landlord is in
default nor is there any fact or condition which,  with notice or lapse of time,
or both, would constitute a default; and [d] Landlord has no defenses, set-offs,
deductions,   credits,   or  counterclaims   against  Tenant.   Landlord  hereby
irrevocably   appoints  Tenant  as  Landlord's   attorney-in-fact   to  execute,
acknowledge,  and deliver on Landlord's behalf any estoppel certificate to which
Landlord  does not object within 20 days after Tenant sends the  certificate  to
Landlord. This power of attorney is coupled with an interest and is irrevocable.

                   ARTICLE 22:  REPRESENTATIONS AND WARRANTIES

            Tenant hereby makes the following representations and warranties, as
of the Effective  Date, to Landlord and  acknowledges  that Landlord is granting
the  Lease in  reliance  upon  such  representations  and  warranties.  Tenant's
representations  and  warranties  shall  survive 

                                      -49-
<PAGE>

the Closing and, except to the extent made as of a specific date, shall continue
in full force and effect until Tenant's Obligations have been performed in full.

            22.1  ORGANIZATION AND GOOD STANDING.  Tenant is a corporation, duly
organized,  validly existing and in good standing under the laws of the State of
Delaware and is qualified  to do business in and is in good  standing  under the
laws of the State.

            22.2  POWER AND  AUTHORITY.  Tenant has the power and  authority  to
execute,  deliver and perform this Lease.  Tenant has taken all requisite action
necessary to authorize  the  execution,  delivery  and  performance  of Tenant's
obligations under this Lease.

            22.3  ENFORCEABILITY.  This Lease  constitutes a legal,  valid,  and
binding obligation of Tenant enforceable in accordance with its terms.

            22.4  GOVERNMENT AUTHORIZATIONS. The  Facility  is in  compliance in
all material respects with all Legal Requirements. All Government Authorizations
are in full force and  effect.  Except as  otherwise  noted in Exhibit E, Tenant
holds all Government  Authorizations necessary for the operation of the Facility
as a 77-unit  (123-bed)  assisted living (personal care boarding home) facility.
Seller  presently  holds  all  Government   Authorizations   necessary  for  the
Facility's  operation as a 77-unit  (123-bed)  assisted  living  (personal  care
boarding home) facility.  Upon the Closing, Tenant will be authorized to operate
the Facility as a 77-unit  (123-bed)  assisted  living  (personal  care boarding
home)  facility  until a license to operate  the  Facility  is issued to Tenant.
Tenant has filed all  applications and reports and taken all necessary action to
obtain all  Government  Authorizations  as soon as possible  after the Effective
Date, subject to governmental  approval, and Tenant has no knowledge of any fact
or  circumstance  that  would  prevent  or  delay  Tenant's  obtaining  of  such
Government Authorizations.

            22.5  FINANCIAL STATEMENTS. Tenant has furnished Landlord with true,
correct,  and  complete  copies  of  the  Financial  Statements.  The  Financial
Statements  fairly  present the  financial  position of Tenant and  Guarantor as
applicable,  as of the  respective  dates and the results of operations  for the
periods then ended in conformance with generally accepted accounting  principles
applied on a basis consistent with prior periods.  The Financial  Statements and
other information  furnished to Landlord are true,  complete and correct and, as
of the  Effective  Date,  no  material  adverse  change has  occurred  since the
furnishing of such  statements and  information.  As of the Effective  Date, the
Financial  Statements and other  information do not contain any untrue statement
or omission of a material fact and are not  misleading in any material  respect.
Tenant and  Guarantor are solvent,  and no  bankruptcy,  insolvency,  or similar
proceeding is pending or contemplated by or, to the knowledge of Tenant, against
Tenant or Guarantor.

            22.6  CONDITION  OF  FACILITY.  To  Tenant's  knowledge,  all of the
mechanical  and  electrical  systems,  heating  and  air-conditioning   systems,
plumbing,  water and sewer systems,  and all other items of mechanical equipment
or appliances are in good working order, condition and repair, are of sufficient
size and capacity to service the Facility for the Facility Uses and conform with
all applicable ordinances and regulations,  and with all building, zoning, fire,
safety, and 

                                      -50-
<PAGE>

other  codes,  laws  and  orders.  The  Improvements,  including  the  roof  and
foundation, are structurally sound and free from leaks and other defects.

            22.7  COMPLIANCE  WITH  LAWS.  To  Tenant's  knowledge,  there is no
violation of, or noncompliance with, [i] any laws, orders, rules or regulations,
ordinances or codes of any kind or nature whatsoever relating to the Facility or
the ownership or operation  thereof  (including  without  limitation,  building,
fire, health,  occupational safety and health, zoning and land use, planning and
environmental  laws,  orders,  rules  and  regulations);   [ii]  any  covenants,
conditions,  restrictions or agreements  affecting or relating to the ownership,
use or occupancy of the Facility; or [iii] any order, writ, regulation or decree
relating to any matter referred to in [i] or [ii] above.

            22.8  NO  LITIGATION.  As  of  the  Effective  Date  and  except  as
disclosed on Exhibit F, [i] there are no actions or suits, or any proceedings or
investigations  by any  governmental  agency or regulatory  body pending against
Tenant,  Guarantor or the Facility;  [ii] Tenant has not received  notice of any
threatened  actions,  suits,   proceedings  or  investigations  against  Tenant,
Guarantor or the Facility at law or in equity, or before any governmental board,
agency or authority which, if determined adversely to Tenant or Guarantor, would
materially  and  adversely  affect the Facility or title to the Facility (or any
part thereof),  the right to operate the Facility as presently operated,  or the
financial  condition of Tenant or Guarantor;  [iii] there are no  unsatisfied or
outstanding judgments against Tenant,  Guarantor or the Facility;  [iv] there is
no labor dispute  materially  and adversely  affecting the operation or business
conducted by Tenant,  Guarantor,  or the Facility;  and [v] Tenant does not have
knowledge of any facts or  circumstances  which might  reasonably form the basis
for any such action, suit, or proceeding.

            22.9  CONSENTS.  The  execution, delivery  and  performance  of this
Lease  will  not  require  any  consent,  approval,  authorization,   order,  or
declaration  of, or any filing or  registration  with,  any court,  any federal,
state,  or local  governmental or regulatory  authority,  or any other person or
entity,  the absence of which would  materially  impair the ability of Tenant to
operate the  Facility  for the  Facility  Uses  except for the  post-acquisition
filing for licensure of the Facility.

            22.10  NO  VIOLATION.  The  execution, delivery  and  performance of
this Lease [i] do not and will not conflict with, and do not and will not result
in a  breach  of  Tenant's  Organizational  Documents;  [ii] do not and will not
conflict  with,  and do not and will not  result in a breach  of, and do not and
will not  constitute a default under (or an event which,  with or without notice
or lapse of time, or both, would constitute a default under),  any of the terms,
conditions or  provisions of any agreement or other  instrument or obligation to
which  Tenant is a party or by which its assets are bound;  and [iii] do not and
will  not  violate  any  order,  writ,  injunction,  decree,  statute,  rule  or
regulation applicable to Tenant or the Facility.

            22.11  REPORTS AND STATEMENTS. All reports, statements, certificates
and other data  furnished  by or on behalf of Tenant or Guarantor to Landlord in
connection with this Lease, and all  representations  and warranties made herein
or in any certificate or other instrument  delivered in connection  herewith and
therewith,  are true and  correct in all  material  respects  and do not omit to
state  any  material  fact or  circumstance  necessary  to make  the  statements
contained herein or 

                                      -51-
<PAGE>

therein, in light of the circumstances under which they are made, not misleading
as of the date of such report, statement,  certificate or other data. The copies
of all  agreements and  instruments  submitted to Landlord,  including,  without
limitation, all agreements relating to management of the Facility, the Letter of
Credit,  and Tenant's working capital are true,  correct and complete copies and
include all amendments and modifications of such agreements.

            22.12  ERISA.  All plans (as defined in  ss.4021(a)  of the Employee
Retirement  Income Security Act of 1974, as amended or supplemented from time to
time  ("ERISA")) for which Tenant is an "employer" or a  "substantial  employer"
(as  defined  in  ss.ss.3(5)  and  4001(a)(2)  of  ERISA,  respectively)  are in
compliance  with  ERISA  and  the  regulations  and  published   interpretations
thereunder.  To the extent Tenant maintains a qualified  defined benefit pension
plan: [i] there exists no  accumulated  funding  deficiency;  [ii] no reportable
event and no prohibited  transaction has occurred;  [iii] no lien has been filed
or  threatened  to  be  filed  by  the  Pension  Benefit  Guaranty   Corporation
established pursuant to Subtitle A of Title IV of ERISA; and [iv] Tenant has not
been deemed to be a substantial employer.

            22.13  CHIEF EXECUTIVE OFFICE.  Tenant maintains its chief executive
office and its books and records at the  address  set forth in the  introductory
paragraph  of this  Agreement.  Tenant does not  conduct any of its  business or
operations other than at its chief executive office and at the Facility.

            22.14  OTHER NAME OR ENTITIES.  Except as disclosed herein,  none of
Tenant's business is conducted through any corporate subsidiary,  unincorporated
association or other entity and Tenant has not,  within the six years  preceding
the date of this  Agreement [i] changed its name,  [ii] used any name other than
the  name  stated  at the  beginning  of this  agreement,  or  [iii]  merged  or
consolidated  with, or acquired any of the assets of, any  corporation  or other
business  except for the  acquisition of assets from Butler Senior Care, Inc. in
1997.

            22.15  PARTIES IN  POSSESSION.  Except as disclosed on Exhibit B and
except for residents of the Facility,  there are no parties in possession of any
Leased  Property  or any  portion  thereof  as  managers,  lessees,  tenants  at
sufferance, or trespassers.

            22.16 ACCESS. Except as disclosed in writing to Landlord,  access to
the Land is directly from a dedicated public right-of-way  without any easement.
To the knowledge of Tenant,  there is no fact or condition which would result in
the  termination or reduction of the current access to and from the Land to such
right of way.

            22.17  UTILITIES.  There are  available  at the Land gas,  municipal
water, and sanitary sewer lines, storm sewers, electrical and telephone services
in operating condition which are adequate for the operation of the Facility at a
reasonable cost. Except as disclosed in writing to Landlord, the Land has direct
access to utility lines located in a dedicated public  right-of-way  without any
easement.  As of the Effective Date, there is no pending or, to the knowledge of
Tenant,  threatened governmental or third party proceeding which would impair or
result in the termination of such utility availability.

                                      -52-
<PAGE>

            22.18  CONDEMNATION  AND ASSESSMENTS.  As  of  the  Effective  Date,
except as disclosed in writing to Landlord,  Tenant has not received  notice of,
and there are no pending or, to Tenant's  knowledge,  threatened,  condemnation,
assessment or similar proceedings  affecting or relating to the Facility, or any
portion thereof, or any utilities, sewers, roadways or other public improvements
serving the Facility.

            22.19  ZONING. As of  the  Effective Date, [i] the use and operation
of the Facility for the Facility Uses is permitted  under the applicable  zoning
code;  [ii] except as  disclosed  on Exhibit E hereto,  no special use  permits,
conditional  use  permits,  variances,  or  exceptions  have been granted or are
needed  for such use of the  Facility;  [iii]  the  Land is not  located  in any
special districts such as historical  districts or overlay  districts;  and [iv]
except as disclosed in writing to Landlord, the Facility has been constructed in
accordance with and complies with all applicable zoning laws,  including but not
limited to, dimensional, parking, setback, screening, landscaping, sign and curb
cut requirements.

            22.20  PRO FORMA STATEMENT. Tenant has delivered to Landlord a true,
correct and complete copy of the Pro Forma  Statement.  The Pro Forma  Statement
shows  Tenant's  reasonable  expectation  of the most likely results of Facility
operations for the next 5 year period.

            22.21  ENVIRONMENTAL  MATTERS.  During   the   period   of  Tenant's
ownership or possession of the Leased Property and, to Tenant's  knowledge after
diligent  inquiry,  for the period prior to Tenant's  ownership or possession of
the  Leased  Property,  [i]  the  Leased  Property  is in  compliance  with  all
Environmental  Laws;  [ii] there were no  releases  or  threatened  releases  of
Hazardous Materials on, from, or under the Leased Property, except in compliance
with all Environmental Laws; [iii] no Hazardous Materials have been, are or will
be used,  generated,  stored,  or disposed of at the Leased Property,  except in
compliance with all Environmental  Laws; [iv] asbestos has not been and will not
be used in the  construction of any  Improvements;  [v] no permit is or has been
required  from the  Environmental  Protection  Agency or any  similar  agency or
department of any state or local  government  for the use or  maintenance of any
Improvements;  [vi] underground storage tanks on or under the Land, if any, have
been and  currently  are  being  operated  in  compliance  with  all  applicable
Environmental  Laws;  [vii] any closure,  abandonment  in place or removal of an
underground  storage tank on or from the Land was performed in  compliance  with
applicable Environmental Laws and any such tank had no release contaminating the
Leased  Property or, if there had been a release,  the release was remediated in
compliance with applicable  Environmental Laws to the satisfaction of regulatory
authorities;  [viii] no  summons,  citation or inquiry has been made by any such
environmental  unit,  body or agency  or a third  party  demanding  any right of
recovery for payment or  reimbursement  for costs  incurred  under CERCLA or any
other  Environmental  Laws and the Land is not  subject  to the lien of any such
agency; and [ix] to the best of Tenant's knowledge, the Environmental Assessment
is true, complete and accurate. "Disposal" and "release" shall have the meanings
set forth in CERCLA.

            22.22  LEASES AND CONTRACTS.  As of the Effective Date and except as
disclosed  on  Exhibit G, there are no leases or  contracts  (including  but not
limited to, insurance contracts, maintenance contracts,  construction contracts,
employee  benefit  plans,  employment  contracts,   equipment  leases,  security
agreements,  architect agreements,  and management contracts) to 

                                      -53-
<PAGE>

which  Tenant or  Guarantor  is a party  relating to any part of the  ownership,
operation, possession, construction, management or administration of the Land or
the Facility.

            22.23  NO DEFAULT.  As  of  the  Effective  Date, [i]  there  is  no
existing  Event of Default  under  this  Lease;  and [ii] no event has  occurred
which,  with the  giving  of  notice  or the  passage  of time,  or both,  would
constitute or result in such an Event of Default.

               ARTICLE 23:  FUTURE PROJECTS; COTERMINOUS FINANCINGS

            23.1  PROJECT SUBMISSIONS.  If Tenant,  Guarantor  or any  Affiliate
chooses  to submit  certain  future  acquisition  and  development  projects  to
Landlord as provided in the Commitment, Tenant, Guarantor or any Affiliate shall
comply with the terms of the Commitment.

            23.2  COTERMINOUS  FINANCINGS.  All Phase Leases will be coterminous
and will have identical renewal dates and option exercise periods.  Accordingly,
as each Phase Lease is closed,  the current Term,  Expiration Date, Renewal Date
and option exercise  periods under this Lease will be extended to be coterminous
with the most recently closed Phase Lease.

                          ARTICLE 24:  SECURITY INTEREST

            24.1  COLLATERAL.  Tenant  hereby  grants  to  Landlord  a  security
interest in the  following  described  property,  whether now owned or hereafter
acquired by Tenant (the "Collateral"),  to secure the payment and performance of
Tenant's Obligations:

                  (a)  All  machinery,  furniture,  equipment,  trade  fixtures,
appliances,  inventory  and all other  goods (as  "equipment,"  "inventory"  and
"goods"  are defined  for  purposes  of Article 9  ("Article  9") of the Uniform
Commercial Code as adopted in the State) and any leasehold interest of Tenant in
any of the  foregoing,  now or  hereafter  located in or on or used or usable in
connection with the Land, Improvements, or Fixtures and replacements, additions,
and accessions  thereto,  including without  limitation those items which are to
become fixtures or which are building  supplies and materials to be incorporated
into an Improvement or Fixture.

                  (b)  All  accounts,   contract  rights,  general  intangibles,
instruments,  documents,  and chattel paper [as "accounts",  "contract  rights",
"general  intangibles",  "instruments",  "documents",  and "chattel paper",  are
defined for purposes of Article 9] now or hereafter  arising in connection  with
the  business  located in or on or used or usable in  connection  with the Land,
Improvements, or Fixtures, and replacements, additions, and accessions thereto.

                  (c)  All  franchises,  permits,  licenses,  operating  rights,
certifications,   approvals,   consents,   authorizations   and  other   general
intangibles  regarding the use,  occupancy or operation of the Improvements,  or
any part thereof,  including  without  limitation,  certificates of need,  state
health care facility licenses, and Medicare and Medicaid provider agreements, to
the extent permitted by law.

                                      -54-
<PAGE>

                  (d)  Unless expressly  prohibited  by the terms  thereof,  all
contracts,  agreements,  contract  rights and materials  relating to the design,
construction,  operation or  management of the  Improvements,  including but not
limited to,  plans,  specifications,  drawings,  blueprints,  models,  mock-ups,
brochures, flyers, advertising and promotional materials and mailing lists.

                  (e)  All ledger sheets,  files,  records,  computer  programs,
tapes,  other  electronic data  processing  materials,  and other  documentation
relating  to the  preceding  listed  property  or  otherwise  used or  usable in
connection with the Land and Improvements.

                  (f)  The  products  and  proceeds  of  the  preceding   listed
property,  including without limitation cash and non-cash proceeds,  proceeds of
proceeds, and insurance proceeds.

            24.2  ADDITIONAL DOCUMENTS. At the request of Landlord, Tenant shall
execute additional security  agreements,  financing  statements,  and such other
documents as may be requested by Landlord to maintain and perfect such  security
interest.

            24.3  NOTICE OF SALE.  With respect to any sale or other disposition
of any of the Collateral  after the occurrence of an Event of Default,  Landlord
and Tenant agree that the giving of 5 days notice by Landlord, sent by overnight
delivery,  postage prepaid,  to Tenant's notice address designating the time and
place of any  public  sale or the time  after  which any  private  sale or other
intended  disposition  of such  Collateral is to be made,  shall be deemed to be
reasonable  notice  thereof  and Tenant  waives any other  notice  with  respect
thereto.

            24.4  PLEDGE  OF  ACCOUNTS TO OTHERS.  Notwithstanding any provision
to the contrary  contained herein or in the other Lease Documents,  Tenant shall
be permitted to pledge to a lender  providing one or more loans to Guarantor all
accounts and  receivables  from the Facility on a first priority lien basis,  in
which case Landlord shall execute and deliver to such lender a subordination  or
similar  agreement  in which [i]  Landlord  agrees to  subordinate  its security
interest in such  accounts and  receivables  to such lender;  and [ii]  Landlord
agrees to such further  provisions as may be  reasonably  required by the lender
and acceptable to Landlord.  Landlord's  obligation to provide the subordination
is subject to [i] Landlord's  receipt and  reasonable  approval of all financing
documents;  [ii]  execution  by  Landlord  and the  lender  of an  intercreditor
agreement on reasonable terms acceptable to Landlord, and [iii] Tenant's payment
of  all  costs  and  expenses  incurred  by  Landlord  in  connection  with  the
subordination  including,  without  limitation,  reasonable  attorney's fees and
expenses.

                            ARTICLE 25:  MISCELLANEOUS

            25.1  NOTICES.  Landlord  and Tenant  hereby agree that all notices,
demands,  requests,  and consents  (hereinafter  "notices") required to be given
pursuant to the terms of this Lease shall be in writing,  shall be  addressed to
the addresses set forth in the  introductory  paragraph of this Lease, and shall
be  served  by [i]  personal  delivery;  [ii]  certified  mail,  return  receipt
requested,  postage prepaid; or [iii] nationally  recognized  overnight courier.
All notices 

                                      -55-
<PAGE>

shall be deemed to be given upon the  earlier of actual  receipt or 3 days after
mailing,  or one business  day after  deposit with the  overnight  courier.  Any
notices meeting the requirements of this section shall be effective,  regardless
of whether or not  actually  received.  Landlord or Tenant may change its notice
address at any time by giving the other party notice of such change.

            25.2  ADVERTISEMENT  OF LEASED  PROPERTY.  In the event the  parties
hereto have not executed a renewal Lease within 120 days prior to the expiration
of this Lease, or Tenant has not exercised its Option to Purchase, then Landlord
or its agent shall have the right to enter the Leased Property at all reasonable
times for the purpose of exhibiting  the Leased  Property to others and to place
upon the Leased Property for and during the period  commencing 120 days prior to
the expiration of this Lease, "for sale" or "for rent" notices or signs.

            25.3  ENTIRE AGREEMENT.  This Lease  contains  the entire  agreement
between  Landlord  and Tenant with  respect to the  subject  matter  hereof.  No
representations, warranties, and agreements have been made by Landlord except as
set forth in this Lease.

            25.4  SEVERABILITY. If  any  term or provision of this Lease is held
or deemed by Landlord to be invalid or  unenforceable,  such  holding  shall not
affect the  remainder  of this Lease and the same shall remain in full force and
effect,  unless such  holding  substantially  deprives  Tenant of the use of the
Leased  Property or Landlord of the rents herein  reserved,  in which event this
Lease shall forthwith terminate as if by expiration of the Term.

            25.5  CAPTIONS AND HEADINGS.  The captions and headings are inserted
only as a matter of convenience and for reference and in no way define, limit or
describe the scope of this Lease or the intent of any provision hereof.

            25.6  GOVERNING LAW.  This Lease shall be construed under  the  laws
of the State.

            25.7  MEMORANDUM OF LEASE.  Tenant  shall  not  record  this  Lease.
Tenant may, however,  record a memorandum of lease approved by Landlord,  in its
reasonable discretion.

            25.8  WAIVER.  No waiver by  Landlord of any  condition  or covenant
herein contained,  or of any breach of any such condition or covenant,  shall be
held or  taken to be a waiver  of any  subsequent  breach  of such  covenant  or
condition,  or to permit or excuse its  continuance or any future breach thereof
or of any condition or covenant, nor shall the acceptance of Rent by Landlord at
any time when  Tenant is in  default in the  performance  or  observance  of any
condition or covenant  herein be construed  as a waiver of such  default,  or of
Landlord's  right to terminate  this Lease or exercise any other remedy  granted
herein on account of such existing default.

            25.9  BINDING  EFFECT.  This Lease will be binding upon and inure to
the benefit of the heirs, successors,  personal  representatives,  and permitted
assigns of Landlord and Tenant.

            25.10  POWER OF  ATTORNEY.  Effective  upon [i] the  occurrence  and
during the continuance of an Event of Default, or [ii] termination of this Lease
for any reason  other than  

                                      -56-
<PAGE>

Tenant's  purchase  of  the  Leased  Property,  Tenant  hereby  irrevocably  and
unconditionally  appoints Landlord,  or Landlord's  authorized  officer,  agent,
employee or designee, as Tenant's true and lawful  attorney-in-fact,  to act for
Tenant in Tenant's  name,  place,  and stead,  to execute,  deliver and file all
applications and any and all other necessary  documents and statements to effect
the issuance, transfer, reinstatement,  renewal and/or extension of the Facility
license and all Governmental  Authorizations  issued to Tenant or applied for by
Tenant in  connection  with Tenant's  operation of the  Facility,  to permit any
designee of Landlord or any other  transferee to operate the Facility  under the
Governmental Authorizations,  and to do any and all other acts incidental to any
of the foregoing.  Tenant irrevocably and unconditionally  grants to Landlord as
its  attorney-in-fact  full  power and  authority  to do and  perform  every act
necessary and proper to be done in the exercise of any of the  foregoing  powers
as fully as Tenant might or could do if personally present or acting,  with full
power of  substitution,  hereby  ratifying and confirming all that said attorney
shall lawfully do or cause to be done by virtue  hereof.  This power of attorney
is coupled with an interest and is irrevocable prior to Tenant's purchase of the
Leased Property. Except in the case of an emergency,  Landlord shall give Tenant
three  business  days prior  written  notice  before  acting on behalf of Tenant
pursuant to this power of attorney.

            25.11  NO OFFER.  Landlord's submission  of  this Lease to Tenant is
not an offer to lease the  Leased  Property,  or an  agreement  by  Landlord  to
reserve the Leased  Property  for Tenant.  Landlord  will not be bound to Tenant
until  Tenant has duly  executed  and  delivered  duplicate  original  leases to
Landlord,  and Landlord has duly executed and  delivered one of these  duplicate
original leases to Tenant.

            25.12  MODIFICATION.  This Lease may only be  modified  by a writing
signed by both Landlord and Tenant.  All  references  to this Lease,  whether in
this  Lease  or in  any  other  document  or  instrument,  shall  be  deemed  to
incorporate all amendments, modifications and renewals of this Lease, made after
the date  hereof.  If  Tenant  requests  Landlord's  consent  to any  change  in
ownership, merger or consolidation of Tenant or Guarantor, any assumption of the
Lease,  or any  modification  of the Lease,  Tenant shall  provide  Landlord all
relevant information and documents sufficient to enable Landlord to evaluate the
request. In connection with any such request, Tenant shall pay to Landlord a fee
in the amount of $2,500.00 and shall pay all of Landlord's reasonable attorney's
fees and  expenses  and other  reasonable  out-of-pocket  expenses  incurred  in
connection with Landlord's  evaluation of Tenant's  request,  the preparation of
any documents and amendments,  the subsequent amendment of any documents between
Landlord  and its  collateral  pool  lenders  (if  applicable),  and all related
matters.

            25.13  LANDLORD'S MODIFICATION.  Tenant  acknowledges  that Landlord
may,  subject to Article  21,  mortgage  the Leased  Property  or use the Leased
Property as collateral for a collateralized  mortgage obligations or Real Estate
Mortgage  Investment  Companies  (REMICS).  If any  mortgage  lender of Landlord
desires  any  modification  of  this  Lease,  Tenant  agrees  to  consider  such
modification  in good faith and to execute an  amendment of this Lease if Tenant
finds such modification acceptable.

            25.14  NO MERGER.  The  surrender  of this  Lease by  Tenant  or the
cancellation  of  this  Lease  by  agreement  of  Tenant  and  Landlord  or  the
termination of this Lease on account of 

                                      -57-
<PAGE>

Tenant's  default  will not work a  merger,  and  will,  at  Landlord's  option,
terminate  any  subleases  or  operate  as an  assignment  to  Landlord  of  any
subleases. Landlord's option under this paragraph will be exercised by notice to
Tenant and all known subtenants of the Leased Property.

            25.15  LACHES.  No delay or  omission  by  either  party  hereto  to
exercise any right or power  accruing upon any  noncompliance  or default by the
other party with  respect to any of the terms hereof shall impair any such right
or power or be construed to be a waiver thereof.

            25.16  LIMITATION  ON  TENANT'S  RECOURSE.  Tenant's  sole  recourse
against  Landlord,  and any  successor to the interest of Landlord in the Leased
Property, is to the interest of Landlord, and any such successor,  in the Leased
Property.  Tenant will not have any right to satisfy any  judgment  which it may
have  against the  Landlord,  or any such  successor,  from any other  assets of
Landlord,  or any such  successor.  In this section,  the terms  "Landlord"  and
"successor" include the shareholders,  venturers, and partners of "Landlord" and
"successor"  and  the  officers,  directors,  and  employees  of the  same.  The
provisions  of this  section are not  intended to limit  Tenant's  right to seek
injunctive relief or specific performance.

            25.17  CONSTRUCTION  OF  LEASE.  This  Lease  has been  prepared  by
Landlord  and  its  professional   advisors  and  reviewed  by  Tenant  and  its
professional  advisors.  Landlord,  Tenant, and their advisors believe that this
Lease is the product of all their efforts,  that it expresses  their  agreement,
and agree that it shall not be interpreted in favor of either Landlord or Tenant
or  against  either  Landlord  or Tenant  merely  because  of their  efforts  in
preparing it.

            25.18  COUNTERPARTS.   This  Lease  may   be  executed  in  multiple
counterparts, each of which shall be deemed an original hereof.

            25.19  LEASE GUARANTY.  The payment of Rent and the  performance  of
Tenant's  obligations under this Lease are guaranteed by Guarantor pursuant to a
Lease Guaranty of even date.

            25.20  CUSTODY OF ESCROW FUNDS. Any funds paid to Landlord in escrow
hereunder  may be held by Landlord or, at  Landlord's  election,  by a financial
institution,  the deposits or accounts of which are insured or  guaranteed  by a
federal or state agency.  The funds shall not be deemed to be held in trust, may
be commingled with the general funds of Landlord or such other institution,  and
shall not bear interest.

            25.21  LANDLORD'S  STATUS  AS  A  REIT.  Tenant   acknowledges  that
Landlord (or a Landlord  Affiliate) has now and may hereafter  elect to be taxed
as a real estate investment trust ("REIT") under the Internal Revenue Code.

                                      -58-
<PAGE>

            25.22  EXHIBITS.  The  following  exhibits are  attached  hereto and
incorporated herein:

            Exhibit A:        Legal Description
            Exhibit A-1:      Personal Property
            Exhibit B:        Permitted Exceptions
            Exhibit C:        Documents to be Delivered
            Exhibit D:        Certificate and Facility Financial Reports
            Exhibit E:        Government Authorizations to be Obtained; 
                              Zoning Permits
            Exhibit F:        Pending Litigation
            Exhibit G:        List of Leases and Contracts

            25.23  WAIVER OF JURY TRIAL.  LANDLORD  AND  TENANT  WAIVE  TRIAL BY
JURY IN ANY ACTION, PROCEEDING OR COUNTERCLAIM BROUGHT BY ANY ONE EITHER OF THEM
AGAINST  ONE OR BOTH OF THE OTHERS ON ALL  MATTERS  ARISING OUT OF THIS LEASE OR
THE USE AND OCCUPANCY OF THE LEASED PROPERTY  (EXCEPT CLAIMS FOR PERSONAL INJURY
OR PROPERTY DAMAGE). IF LANDLORD COMMENCES ANY SUMMARY PROCEEDING FOR NONPAYMENT
OF RENT,  TENANT  WILL NOT  INTERPOSE,  AND WAIVES THE RIGHT TO  INTERPOSE,  ANY
COUNTERCLAIM IN ANY SUCH PROCEEDING.

            25.24  CONSENT TO JURISDICTION.  TENANT  HEREBY  IRREVOCABLY SUBMITS
AND CONSENTS TO THE NON-EXCLUSIVE JURISDICTION AND VENUE OF ANY STATE OR FEDERAL
COURT HAVING JURISDICTION OVER LUCAS COUNTY, OHIO OR BUTLER COUNTY, PENNSYLVANIA
FOR ANY ACTION OR  PROCEEDING  TO ENFORCE OR DEFEND ANY MATTER  ARISING  FROM OR
RELATED TO [I] THE COMMITMENT;  [II] THIS LEASE; OR [III] ANY DOCUMENT  EXECUTED
BY TENANT IN CONNECTION WITH THIS LEASE.  TENANT HEREBY  IRREVOCABLY  WAIVES, TO
THE FULLEST EXTENT TENANT MAY  EFFECTIVELY DO SO, THE DEFENSE OF AN INCONVENIENT
FORUM TO THE MAINTENANCE OF ANY SUCH ACTION OR PROCEEDING.  TENANT AGREES THAT A
FINAL  JUDGMENT IN ANY SUCH ACTION OR PROCEEDING  SHALL BE CONCLUSIVE AND MAY BE
ENFORCED  IN ANY  OTHER  JURISDICTION  BY SUIT ON THE  JUDGMENT  OR IN ANY OTHER
MANNER PROVIDED BY LAW.

            TENANT  AGREES  NOT TO  INSTITUTE  ANY LEGAL  ACTION  OR  PROCEEDING
AGAINST  LANDLORD  OR ANY  DIRECTOR,  OFFICER,  EMPLOYEE,  AGENT OR  PROPERTY OF
LANDLORD,  CONCERNING ANY MATTER  ARISING OUT OF OR RELATING TO THE  COMMITMENT,
THIS LEASE OR ANY  RELATED  DOCUMENT  IN ANY COURT OTHER THAN A STATE OR FEDERAL
COURT  HAVING   JURISDICTION   OVER  LUCAS  COUNTY,   OHIO  OR  BUTLER   COUNTY,
PENNSYLVANIA.

            TENANT  HEREBY  CONSENTS  TO SERVICE OF PROCESS BY  LANDLORD  IN ANY
MANNER AND IN ANY JURISDICTION  PERMITTED BY LAW. 

                                      -59-
<PAGE>

NOTHING HEREIN SHALL AFFECT OR IMPAIR LANDLORD'S RIGHT TO SERVE LEGAL PROCESS IN
ANY  MANNER  PERMITTED  BY LAW,  OR  LANDLORD'S  RIGHT TO BRING  ANY  ACTION  OR
PROCEEDING  AGAINST  TENANT OR THE PROPERTY OF TENANT IN THE COURTS OF ANY OTHER
JURISDICTION.

            25.25  ATTORNEY'S FEES AND EXPENSES.  Tenant  shall  pay to Landlord
all reasonable  costs and expenses  incurred by Landlord in  administering  this
Lease and the security for this Lease, enforcing or preserving Landlord's rights
under  this  Lease  and the  security  for this  Lease,  and in all  matters  of
collection, whether or not an Event of Default has actually occurred or has been
declared and  thereafter  cured,  including  but not limited to, [a]  reasonable
attorney's and paralegal's fees and disbursements;  [b] the fees and expenses of
any litigation,  administrative,  bankruptcy,  insolvency,  receivership and any
other similar  proceeding;  [c] court costs;  [d] the expenses of Landlord,  its
employees,   agents,  attorneys  and  witnesses  in  preparing  for  litigation,
administrative,  bankruptcy,  insolvency and other  proceedings and for lodging,
travel, and attendance at meetings,  hearings,  depositions, and trials; and [e]
consulting  and  witness  fees  incurred  by  Landlord  in  connection  with any
litigation or other proceeding.

            25.26  SURVIVAL.  The following provisions shall survive termination
of the Lease:  Article 9 (Damage and  Destruction),  Article 10  (Condemnation);
Article 16 (Alterations); and ss.25.26 (Survival).

            25.27  ACCESS TO RECORDS.  To the extent  required by law,  Landlord
shall (and, if Landlord carries out any of the duties under this Lease,  whether
on  Landlord's  or  Tenant's  behalf,  through  a  subcontract  with  a  related
organization  and such  subcontract has a value or cost of Ten Thousand  Dollars
($10,000) or more during any twelve (12) month period,  such  subcontract  shall
contain  a  clause  to the  effect  that  the  subcontractor  shall)  until  the
expiration of four (4) years after the  furnishing of services  pursuant to this
Lease,  make  available,  upon  request  by the  Secretary  of Health  and Human
Services  or upon the  request  by the  U.S.  Comptroller  General,  or any duly
authorized representative of either of them, the books, documents and records of
Landlord  (or such  subcontractor)  that are  necessary to verify the nature and
extent of such costs in connection with said services.

                   ARTICLE 26:  SUBSTITUTION OF LEASED PROPERTY

            26.1  RIGHT OF SUBSTITUTION.  Subject to the conditions set forth in
this Article 26, Tenant will have the right to substitute one or more comparable
health care  facilities  (individually  and  collectively  called a  "Substitute
Facility") for the Facility ("Existing Facility").

            26.2  CONDITIONS   TO    SUBSTITUTION.   The   following   are   the
"Substitution Conditions":

                  (a)  SUBSTITUTION NOTICE.  Landlord must receive from Tenant a
written  notice  ("Substitution  Notice") of the intent to exercise the right of
substitution  at least 90 days prior to the proposed date of  substitution.  The
Substitution  Notice  shall  include all  material  information  concerning  the
substitution  including,  but not limited to, the following:  [i] the reason for
the 

                                      -60-
<PAGE>

proposed  substitution;  [ii]  the  proposed  date  of the  substitution;  [iii]
information  regarding the proposed Substitute  Facility  ("Proposed  Facility")
including name, address,  city, state, type, units, beds, current owner, current
operator,  historical  financial  statements,   proforma  financial  statements,
Medicaid and Medicare cost reports,  and rate letters;  [iv] copy of acquisition
documents, if any; and [v] the proposed Tenant.

                  (b)  COMMITMENT FEE.  Tenant  shall  pay Landlord a commitment
fee in an  amount  equal  to 1% of the  acquisition  amount  for the  Substitute
Facility.

                  (c)  NO DEFAULTS.  As of the applicable substitution  date, no
Event of Default shall have occurred (excluding any default which has been cured
in accordance with the terms of this Lease or which has been waived, in writing,
by  Landlord),  nor any event  which with the giving of notice or the passage of
time or both, would constitute such a default.

                  (d)  ENGINEERING AND INSPECTION  REPORTS.  Landlord shall have
received  engineering and inspection  reports relating to the Proposed Facility,
reasonably satisfactory in all respects to Landlord.

                  (e)  MAI APPRAISAL. Tenant shall have delivered to Landlord an
MAI  appraisal of the  Proposed  Facility  prepared by an appraiser  selected by
Tenant and approved by Landlord,  in form and substance reasonably  satisfactory
to Landlord.

                  (f)  SURVEY.  Tenant shall have  delivered to Landlord an ALTA
survey of the premises upon which the Proposed Facility is located acceptable to
Landlord and the Title Company.

                  (g)  COMPLIANCE  WITH LAWS.  Landlord shall be satisfied as to
compliance   with  [i]  all  applicable  land  use,   zoning,   subdivision  and
environmental  laws and regulations,  [ii] all applicable  health care licensure
laws and regulations and [iii] such other matters as Landlord  reasonably  deems
relevant (including,  without limitation, whether the conveyance of the Proposed
Facility to Landlord may be avoided under the Bankruptcy Code).

                  (h)  TITLE COMMITMENT. Tenant shall have delivered to Landlord
a valid and binding owner's title insurance  commitment  issued by Lawyers Title
Insurance  Corporation  through its agent,  Saunie  Risinger in Mansfield,  Ohio
("Title Company"), in an amount equal to the acquisition amount for the Proposed
Facility, with such endorsements and affirmative coverages, and in such form, as
Landlord may reasonably  require  insuring  Landlord's fee title to the Proposed
Facility,  subject  to no  encumbrances  except  those  approved  or  assumed by
Landlord.  Arrangements  satisfactory  to Landlord  shall have been made for the
issuance of a title insurance policy as of the substitution closing date.

                  (i)  ENVIRONMENTAL ASSESSMENT.  Tenant shall have delivered an
environmental  site  assessment  report for the Proposed  Facility,  in form and
substance  reasonably  acceptable  to Landlord and prepared by an  environmental
consultant reasonably acceptable to Landlord.

                                      -61-
<PAGE>

                  (j)  TAX OPINION.  Landlord shall have  obtained,  at Tenant's
cost, an opinion of  Landlord's  counsel,  in form and  substance  acceptable to
Landlord,  confirming that [i] the substitution of the Proposed Facility for the
Existing  Facility will qualify as an exchange solely of property of a like-kind
under Section 1031 of the Internal Revenue Code ("Code"),  in which,  generally,
except  for  "boot"  such  as  cash  needed  to  equalize  values  or  discharge
indebtedness,  no gain or loss is recognized to Landlord;  [ii] the substitution
or sale will not result in ordinary  recapture  income to  Landlord  pursuant to
Code Section  1250(d)(4) or any other Code provision;  [iii] the substitution or
sale will result in income,  if any, to  Landlord  of a type  described  in Code
Section 856(c)(2) or (3) and will not result in income of the types described in
Code  Section  856(c)(4)  or  result  in the  tax  imposed  under  Code  Section
857(b)(6);   and  [iv]  the  substitution  or  sale,  together  with  all  other
substitutions  and sales  made or  requested  by Tenant,  pursuant  to any other
leases with  Landlord or a Landlord  Affiliate  during the relevant time period,
will not jeopardize the  qualification  of Landlord as a real estate  investment
trust under Code Section 856-860.

                  (k)  LEGAL OPINION.  Landlord shall have received  opinions of
Tenant's  counsel as to [i] the  compliance  of the Proposed  Facility with land
use,  zoning,  subdivision  and  environmental  laws and  regulations;  [ii] the
compliance of Tenant,  the proposed  substitution and the Proposed Facility with
applicable  health  care  laws and  regulations;  [iii]  the due  authorization,
execution and enforceability of the Substitution Documents;  and [iv] such other
matters are reasonably requested, in form and substance reasonably acceptable to
Landlord.

                  (l)  SUBSTITUTION  DOCUMENTS.  Tenant and Guarantor shall have
executed and delivered,  or caused to be executed and delivered,  such documents
as  are  reasonably   required  by  Landlord  to  effectuate  the   substitution
(collectively, the "Substitution Documents"), including, without limitation, [i]
a deed and bill of sale  with full  warranties  (or such  other  deed form as is
customary in such  geographic  area) conveying to Landlord title to the Proposed
Facility free and clear of all liens and encumbrances,  except those approved or
assumed  by  Landlord;   [ii]  a  Lease  ("Substitute   Lease")  duly  executed,
acknowledged  and delivered by Tenant,  containing the same terms and conditions
as are  contained  in the Lease for the  Existing  Facility  except that [a] the
legal  description  of the land shall refer to the  Proposed  Facility,  [b] the
acquisition  amount for the  Proposed  Facility  shall be an amount equal to the
Lease Amount for the Existing Facility increased or decreased by any adjustments
agreed to by Landlord and Tenant  ("Cash  Adjustment"),  [c] the rent  inflation
adjustment  (Increaser  Rate) under the  Substitute  Lease in all respects shall
provide  Landlord  with a  substantially  equivalent  yield  at the  time of the
substitution  to that received from the Existing  Facility,  taking into account
the Cash Adjustment,  if any, and any other relevant factors, and [d] such other
changes therein as may be necessary or appropriate under the circumstances shall
be made; and [iii] UCC financing statements. The Substitution Documents shall be
based upon and  contain  the same terms and  conditions  as are set forth in the
Lease  Documents in effect prior to the  substitution,  except that such changes
shall  be  made  as  may  be  necessary  or  reasonably  appropriate  under  the
circumstances  to effectuate  the  substitution  and secure the  protection  and
priority of the property  and  security  interests  conveyed  and/or  granted to
Landlord.

                                      -62-
<PAGE>

                  (m)  OTHER INFORMATION.  Without  limiting any other provision
contained herein, Tenant shall have delivered to Landlord such other information
and  materials  relating to Tenant and the  Proposed  Facility  as Landlord  may
reasonably  request,  including,  without limitation,  leases,  receipted bills,
management  agreements and other contracts,  provider agreements,  cost reports,
permits, evidence of legal and actual access to the Proposed Facility,  evidence
of  the  availability  and  sufficiency  of  utilities  servicing  the  Proposed
Facility,  historical and current  operating  statements,  detailed  budgets and
financial  statements and Landlord shall have found the same to be  satisfactory
in all respects.

                  (n)  TENANT.  The  Proposed Facility shall be leased by Tenant
or an Affiliate that is acceptable to Landlord;  provided,  however, that in the
event  that the  Proposed  Facility  is leased by any such  Affiliate,  [i] said
Affiliate shall execute and deliver to Landlord such  Substitution  Documents as
may be reasonably required by Landlord; and [ii] Landlord shall be provided with
such evidence as it may  reasonably  require to determine that the conveyance of
the Proposed  Facility to Landlord does not  constitute a fraudulent  conveyance
under applicable federal or state law.

                  (o)  INSURANCE  CERTIFICATES.  Tenant shall have  delivered to
Landlord insurance certificates  evidencing compliance with all of the insurance
requirements set forth in this Lease.

                  (p)  RENT.  Landlord  shall  have  received  all  Rent due and
payable under the Existing Lease through the substitution closing date.

                  (q)  VALUATION.  The  acquisition   amount  for  the  Proposed
Facility shall not exceed 90% of the appraised  value of the Proposed  Facility.
If the equity  value of the  Existing  Facility  exceeds the equity value of the
Proposed Facility, then an adjustment will be made in the option price set forth
in the Substitute Lease so that Landlord will receive its bargained-for share of
appreciation in the value of the Existing Facility.

                  (r)  LANDLORD'S APPROVAL.  Landlord shall have determined that
the Proposed  Facility  satisfies all of Landlord's  customary due diligence and
underwriting requirements based upon the standards then being applied to similar
customers and facilities.

            26.3  CONVEYANCE  OF EXISTING  FACILITY.  Upon  satisfaction  of the
Substitution  Conditions and  concurrently  with the closing of the substitution
transaction, Landlord will convey the Existing Facility to the respective Tenant
or Tenant's designee by quitclaim deed and quitclaim bill of sale. The date that
the  Existing  Facility  is  conveyed  by  Landlord is referred to herein as the
"Conveyance  Date." In the event that [i] Tenant is  contractually  obligated to
convey the  Existing  Facility  to an  unrelated  purchaser  ("Purchaser")  by a
specified closing date ("Contract Date"); [ii] the Substitution  Conditions have
not been fully  satisfied  by the Contract  Date;  and [iii] Tenant has used its
best efforts to extend the Contract Date, including an offer to pay a reasonable
extension  fee, but the Contract  Date has not been  extended to a date by which
the Substitution Conditions are fully satisfied,  Tenant shall have the right to
require Landlord to convey the Existing Facility to the Purchaser subject to the
following terms and conditions:

                                      -63-
<PAGE>

                  (a)  Tenant   shall   irrevocably   identify  the   Substitute
Facility and notify Landlord  thereof within 35 days after the Conveyance  Date.
Tenant  shall  satisfy  all  Substitution  Conditions  and cause the  Substitute
Facility to be conveyed to Landlord within 180 days after the Conveyance Date.

                  (b)  Tenant acknowledges  that Landlord intends to qualify the
sale of the Existing Facility as a like-kind  exchange pursuant to Code ss.1031.
Tenant shall  cooperate  with  Landlord in  effectuating  a qualifying  deferred
like-kind exchange and shall require the Purchaser, pursuant to the terms of the
Purchase and Sale Agreement with  Purchaser,  to so cooperate and to execute all
documents  reasonably  requested by Landlord to effectuate a qualifying deferred
like-kind exchange.

                  (c)  All  proceeds  from  the  sale  of  the Existing Facility
("Sale Proceeds") shall be deposited with a qualified  intermediary specified by
Landlord to facilitate the  accomplishment of the deferred  like-kind  exchange.
Upon conveyance of the Substitute Facility to Landlord,  the Sale Proceeds shall
be disbursed  for payment of the  Substitute  Facility  purchase  price with the
balance,  if any, disbursed in accordance with the Cash Adjustment made pursuant
to ss.26.2(l).

                  (d)  To compensate  Landlord  for  the  lost  Rent  during the
period  from the  Conveyance  Date to the date that the  Substitute  Facility is
conveyed to Landlord  ("Deferred  Period"),  Tenant  shall pay to the  qualified
intermediary,  on a  monthly  basis,  an  amount  equal to the Base Rent for the
Existing Facility that would otherwise be payable during the Deferred Period.

                  (e)  If Tenant does not comply with the deadlines set forth in
ss.26.3(a),  Tenant shall pay Landlord an early  termination fee equal to 10% of
the Lease  Amount for the  Existing  Facility  that was  conveyed  by  Landlord,
payable within ten days following the missed deadline date.

            26.4  EXPENSES.   Whether  or  not  any  proposed   substitution  is
consummated,  Tenant shall pay all of the out-of-pocket expenses and other costs
incurred or expended by Landlord in  connection  with any proposed  substitution
(collectively  the  "Substitution  Expenses"),  including,  without  limitation,
Landlord's   reasonable   attorneys'   fees  and  expenses,   appraisal   costs,
out-of-pocket  travel expenses,  inspection  fees, title insurance  premiums and
other title fees, survey expenses,  mortgage taxes, transfer,  documentary stamp
and other  taxes,  search  charges of any nature,  recording,  registration  and
filing  costs,  brokers' fees and  commissions,  if any,  escrow fees,  fees and
expenses,  if any, incurred in qualifying  Landlord and maintaining its right to
do  business in the state where the  Proposed  Facility is located,  the cost of
obtaining,  preparing and recording a release of the Existing  Facility from the
lien of any mortgage  (other than the amount  necessary to payoff such mortgage)
and any other costs  expended or  incurred  by Landlord in  connection  with the
preparation, documentation and closing of the proposed substitution.

All  Substitution  Expenses  due and  payable at the time of the  closing of the
substitution  transaction  shall be paid by Tenant at closing.  Any Substitution
Expenses that are not paid at closing shall be a 

                                      -64-
<PAGE>

demand  obligation  of Tenant to Landlord  and, if not paid within 15 days after
demand,  shall  thereafter  (to the extent  permitted  by  applicable  law) bear
interest at the Overdue Rate until the date of payment.

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                                      -65-
<PAGE>

            IN WITNESS  WHEREOF, the parties  hereto have executed this Lease or
caused the same to be executed by their  respective duly authorized  officers as
of the date first set forth above.

Signed and acknowledged
in the presence of                          PENNSYLVANIA BCC PROPERTIES, INC.

Signature 
         ------------------------------     By:
Print Name                                     --------------------------------
          -----------------------------         Title:
                                                       ------------------------
Signature 
         ------------------------------  
Print Name
          -----------------------------  

                                            BALANCED CARE AT SAXONBURG, INC.

Signature                                   By:
          -----------------------------         -------------------------------
Print Name
          -----------------------------          Title:
                                                       ------------------------
Signature 
          -----------------------------     Tax I.D. No.:
Print Name                                               ----------------------
          -----------------------------  






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