LEXINGTON HEALTHCARE GROUP INC
8-K, 1999-02-02
SKILLED NURSING 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 and Exchange Act of 1934


Date of Report (Date of earliest event reported): November 1, 1998


                        LEXINGTON HEALTHCARE GROUP, INC.
                        --------------------------------
            (Exact name of registrant as specified in its charter)


Delaware                                                             06-1468252
- --------                         -------------                       ----------
(State or other             (Commission File Number)           (I.R.S. Employer
jurisdiction of organization)                               Identification No.)

1557 New Britain Avenue
Farmington, Connecticut                                                  06032
- -----------------------                                                  -----
(Address of Principal Executive Office)                             (Zip Code)

Registrant's telephone number, including area code: (860) 674-2700

                                 Not Applicable
          -------------------------------------------------------------
          (Former name or former address; if changed since last report)
<PAGE>

ITEM 5. ENTERING INTO MANAGEMENT AGREEMENT

            On November 1, 1998, Lexington Healthcare Group, Inc. ("Lexington")
entered into a Triple Net Management Agreement (the "Agreement") with SunRise
Healthcare Corporation to manage four skilled nursing facilities located in
Connecticut. As part of the Agreement, Lexington received an option to purchase
and/or lease these four facilities and an additional facility. Pursuant to the
Agreement, Lexington intends to book all revenues and expenses of operating the
four homes.

ITEM 7. EXHIBITS

      99.1  Press Release dated August 10, 1998

      99.2  Press Release dated November 2, 1998

      99.3  Press Release dated November 17, 1998

      99.4  Triple Net Management Agreement dated October 19, 1998 among SunRise
            Healthcare Corporation and Lexington Healthcare Group, Inc.


                                        2
<PAGE>

            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 hereunder duly authorized.


                                    LEXINGTON HEALTHCARE GROUP, INC.


                                    By:  /s/ Harry Dermer
                                        ------------------------------
                                          Harry Dermer
                                          President


Dated:  February 2, 1999

                                        3



                                     August 10, 1998

FOR IMMEDIATE RELEASE

Company Contact
Harry Dermer, President
Lexington Healthcare Group, Inc. (NASDAQ: LEXI)
860-674-2700
860-674-5900 Fax

LEXINGTON HEALTHCARE GROUP ANNOUNCES THE ACQUISITION OF FIVE CONNECTICUT NURSING
FACILITIES - 600 SKILLED NURSING BEDS

Farmington, CT August 10, 1998 - Lexington Healthcare Group, Inc. (NASDAQ-LEXI),
announced today that it has signed a letter of intent to acquire five skilled
nursing facilities located in Connecticut from Sun Healthcare Group, Inc. The
five homes are located in Bloomfield, Danbury, Torrington, and Westport and have
approximately 600 skilled nursing beds.

Jack Friedler, Lexington Healthcare's CEO stated, "The acquisition of these five
nursing facilities will almost double our existing facility base in Connecticut
bringing the total number of facilities to eleven and the number of beds to
1,452." Harry Dermer, Lexington Healthcare's President, said "This transaction
implements our growth strategy of concentrating facilities and ancillary
services within a selected geographic area to enhance operating efficiencies.
The five new facilities will add approximately $50,000,000 to our existing
revenue base and will bring our combined annual revenues to approximately
$110,000,000."

In a separate development, Lexington Healthcare Group said that
previously-announced plans to acquire a nursing facility in Braintree, MA were
terminated when the owner, Pioneer Health (NASDAQ: PIHC) moved the operation
into Chapter 7 reorganization and closed the facility prior to obtaining
regulatory approvals for the sale to Lexington Healthcare Group.

Lexington Healthcare Group is a provider of management, healthcare and ancillary
services to the long term and home care industries. It operates six nursing
facilities with a total of 853 beds in Connecticut, and manages one nursing home
with a total of 136 beds in Massachusetts. It also provides medical supplies,
durable medical equipment, pharmacy and respiratory services.

This Press Release contains forward-looking statements which involve risks and
uncertainties. The Company's actual results could differ materially from those
anticipated in the forward-looking statements as a result of certain factors.



                                November 2, 1998

FOR IMMEDIATE RELEASE

Company Contact
Harry Dermer, President
Lexington Healthcare Group, Inc. (NASDAQ: LEXI)
860-674-2700
860-674-5900 Fax

LEXINGTON HEALTHCARE GROUP ANNOUNCES MANAGEMENT 
CONTRACT FOR FOUR CONNECTICUT NURSING FACILITIES 
480 SKILLED NURSING BEDS

Farmington, CT November 2, 1998 - Lexington Healthcare Group, Inc.
(NASDAQ-LEXI), announced today that it has signed a contract with Sun Healthcare
Group, Inc. to manage four skilled nursing facilities located in Connecticut.
The four homes are located in Bloomfield, Danbury, and Torrington and have
approximately 480 skilled nursing beds. The management agreement has been in
effect since Sunday November 1, 1998.

Lexington Healthcare Group is a provider of management, healthcare and ancillary
services to the long term and home care industries. It operates and manages ten
nursing facilities with a total of 1,330 beds in Connecticut, and manages one
nursing home with a total of 136 beds in Massachusetts. It also provides medical
supplies, durable medical equipment, pharmacy and respiratory services.

This Press Release contains forward-looking statements which involve risks and
uncertainties. The Company's actual results could differ materially from those
anticipated in the forward-looking statements as a result of certain factors.



FOR IMMEDIATE RELEASE

Company Contact
Harry Dermer, President or
Jack Friedler, CEO
Lexington Healthcare Group, Inc. (NASDAQ: LEXI)
860-674-2700
860-674-5900 Fax

LEXINGTON HEALTHCARE REPORTS RECORD 1Q/99 REVENUES

Farmington, CT November 17, 1998 - Lexington Healthcare Group, Inc.,
(NASDAQ:LEXI), today reported that, for the first three months of fiscal 1999
ended September 30, 1998, revenues were a record $15,698,000 or a 13% increase
from revenues of $13,931,000 during the first three months of fiscal 1998.

Net income for the first three months of fiscal 1999 totaled $104,000 or $.03
per share compared to net income of $279,000 or $.07 per share for the first
three months of fiscal 1998. During its most-recent fiscal year ended June 30,
1998, the Company had net income of $30,000 or $.01 per share. Revenue growth
continued during fiscal 1999, but that overall growth was not enough to offset
higher general expenses recorded in this accounting period.

Revenues in fiscal 1999 grew 13% largely as a result of the joint ventures
started in 1997. However, operating expenses in fiscal 1999 increased over 1998
by 14% because of the new joint ventures and the increased volume in the
ancillary businesses. Net nursing home costs decreased somewhat due to lower
occupancy, offset by higher benefit costs. Interest and corporate,
administrative and general expenses increased due to the new businesses and
acquisitions, higher rent, legal and other administrative costs.

Effective November 1, 1998 the Company began managing four skilled nursing
facilities (with approximately 480 skilled nursing beds) located in Connecticut
for Sun Healthcare Group, Inc. On November 12, 1998 the Company signed formal
agreements to purchase and/or lease these facilities plus an additional facility
with 120 beds located in Westport, CT. The purchase or lease transactions are
expected to close during the first six months of 1999. In total, the Company
will acquire the operation of approximately 600 skilled nursing beds which will
add approximately $48,000,000 in annual revenues.

Jack Friedler, CEO, said "We were able to immediately provide these managed
facilities with our ancillary services which will further increase revenues and
profitability overall."

Lexington Healthcare Group is a provider of management, healthcare and ancillary
services to the long term and home care industries. It operates, manages or has
under contract to acquire eleven nursing facilities with a total of 1,450 beds
in Connecticut, and manages one nursing home with a total of 136 beds in
Massachusetts. It also provides medical supplies, durable medical equipment,
pharmacy and respiratory services.
<PAGE>

Lexington Healthcare Group, Inc.
November 16, 1998
Page 2.

This Press Release contains forward-looking statements which involve risks and
uncertainties. The Company's actual results could differ materially from those
anticipated in the forward-looking statements as a result of certain factors.

                        LEXINGTON HEALTHCARE GROUP, INC.
                              FINANCIAL HIGHLIGHTS

                                                 Three months ended
                                                 ------------------
                                       September 30, 1998    September 30, 1997
                                       ------------------    ------------------

$$ in thousands, except per share data

Net revenues                                 $15,698               $13,931

Net income                                      $104                  $279

Basic earnings per share                       $0.03                 $0.07

Weighted average shares outstanding        4,125,000             4,125,000

                                                         As of
                                                         -----
                                       September 30, 1998       June 30, 1998
                                       ------------------       -------------

Working capital                               $3,201                $3,074



                         TRIPLE NET MANAGEMENT AGREEMENT

      THIS TRIPLE NET MANAGEMENT AGREEMENT (hereinafter "Agreement") is dated as
of October 19, 1998, among SunRise Healthcare Corporation, a New Mexico
corporation ("Owner") and Lexington Healthcare Group, Inc., a Delaware
corporation ("Manager").

                                    RECITALS

      A. Owner is the lessee and operator of the Facilities (as defined below)
pursuant to the Leases (as defined below).

      B. Pursuant to an Agreement for Assignment and Assumption of Leases, dated
October 19, 1998, (the "Assignment Agreement"), Owner shall assign to Manager
all of owner's interests as lessee under Mediplex of Greater Hartford
(Bloomfield Manor), Litchfield Hills, and Adams House. Pursuant to a purchase
agreement between Tor Associates, an Illinois limited partnership, and Manager,
(the "Purchase Agreement"), Manager shall purchase Heritage Heights Care Center.

      C. Owner and Manager are desirous of permitting Manager to assume
operational responsibility for the Facilities pending the closing of the
assignments pursuant to the Assignment Agreement and pending the purchase of
Heritage Heights Care Center pursuant to the Purchase Agreement.

      D. Owner and Manager are desirous of documenting the terms and conditions
under which Manager will assume operational responsibility for the Facilities.

      NOW, THEREFORE, in consideration of the mutual promises and covenants
contained herein, Owner and Manager hereby agree as follows:

                                    AGREEMENT

A.    FACILITY MANAGEMENT

1.    Definitions.  As used in this  Agreement,  the following  terms shall have
the following meanings:

      "Adams House" means the 90 bed nursing home facility located at 80 Fern
      Drive, Torrington, Connecticut;

      "Closing Date" shall mean the date both the transactions contemplated by
      the Assignment Agreement and the transaction contemplated by the Purchase
      Agreement have closed as, respectively, set forth therein;

      "Commencement Date" means October 28, 1998;

      "Facilities" means collectively  Mediplex of Greater Hartford  (Bloomfield
      Manor), Litchfield 


                                      -1-
<PAGE>

      Hills, Adams House, and Heritage Heights Care Center;

      "Heritage Heights Care Center" means the 150 bed long-term care facility
      located at 22 Hospital Avenue, Danbury, Connecticut;

      "Leases" shall collectively mean the following leases:

            Lease Agreement, dated October 1, 1997, between Adams Connecticut
            Associates Limited Partnership as "Lessor" and Owner as "Lessee" for
            Adams House;

            Lease Agreement, dated March 1, 1996, between Tor Associates, an
            Illinois limited partnership as "Lessor" and Owner as "Lessee" for
            Heritage Heights Care Center;

            Lease and Security Agreement, dated September 28, 1994 between
            Nationwide Health Properties, Inc., a Maryland corporation
            ("Nationwide") as "Lessor" and Owner as "Lessee" for Mediplex of
            Greater Hartford (Bloomfield Manor); and

            Assignment and Assumption of Lease with Consent of Lessor, dated
            November 1, 1990, between Nationwide as "Lessor" and Owner as
            "Lessee" for Litchfield Hills;

      "Litchfield Hills" means the 120 bed skilled nursing facility also known
      as "Torrington Extend-A-Care" located at 225 Wyoming Avenue, Torrington,
      Connecticut

      "Management Fee" shall be as defined in Section A.4.

      "Mediplex of Greater Hartford (Bloomfield Manor)" means the 113 bed
      skilled care nursing facility, located at 160 Coventry Street, Bloomfield,
      Connecticut;

      "Operating Account" shall be as defined in Section A.4.3;

      "Owner's Expenses" shall be as defined in Section A.4.3;

      "Reconciliation Statement" shall be as defined in Section A.4.1;

      "Term" shall mean the term of this Agreement as defined in Section A.2.1.

      "Termination Date" shall mean the last day of the Term;


                                      -2-
<PAGE>

2.    Term/Delegation of Duties.

      2.1 The term of this Agreement ("Term") shall begin on the Commencement
      Date and end on the earlier of (a) the Closing Date, (b) thirty (30) days
      after the date on which either the Purchase Agreement or the Assignment
      Agreement is terminated for any of the reasons provided for therein, or
      (c) pursuant to Section E, below. Without limiting the foregoing, this
      Agreement shall terminate, at Owner's election, as to all of the
      Facilities or as to only the affected Facility (y) thirty (30) days after
      the date on which either Manager or Owner is informed that the certificate
      of need for any Facility has been revoked, rescinded or otherwise not in
      effect or (z) upon damage or destruction to any Facility and Owner elects
      pursuant to Section D.14, below, not to restore the same.

      2.2 As of the Commencement Date and continuing until the last day of the
      Term, Manager does hereby assume responsibility for the day to day
      operations of the Facility on the terms and conditions set forth herein.

      2.3 By entering into this Agreement, Owner does not delegate to Manager
      any powers, duties or responsibilities which it is prohibited by law from
      delegating. Owner also retains such other authority as shall not have been
      expressly delegated to Manager pursuant to this Agreement.

      2.4 In the event this Agreement is terminated pursuant to Section
      A.2.1(b), A.2.1(c), A.2.1(y) or A.2.1(z): (i) Manager shall cooperate with
      Owner in a smooth transition of operational responsibility for the
      Facilities or the affected Facility, as the case may be, back to Owner or
      its designee subject to Owner's obligation to reimburse Manager for any
      prepaid expenses in accordance with the provisions of Section A.3.2.4
      hereof and to account for any accounts receivable of Manager which relate
      to the Term in accordance with the provisions of Section A.6.7 hereof;
      (ii) all such accounts receivable shall be remitted and/or retained by
      Owner until all amounts due from Manager to Owner are paid in full; and
      (iii) Manager shall have the right to seek reimbursement for any
      reasonable and necessary expenditure that would be considered a capital
      expenditure under generally acceptable accounting principles (each, a
      "Capital Cost") if Manager obtained the prior written consent of Owner for
      each such Capital Cost prior to expenditure.

3.    Covenants of Manager. In conjunction with the management of the Facility,
      throughout the Term hereof Manager covenants and agrees as follows:

      3.1 To pay any and all costs and monetary penalties imposed by any
      authority having jurisdiction over the Facilities or over the continued
      licensure of the Facilities in Owner's name, as a result of any
      deficiencies during the Term in Manager's operation of the Facilities;
      provided, however, that Manager acknowledges and agrees that it shall be
      responsible for such costs and penalties even if the same are imposed
      after the Term.

      3.2 To operate the Facility in a manner that maintains in good standing
      and full force its licenses and, if applicable, certification under the
      Medicare and/or Medicaid programs and under applicable state law.

      3.3 To pay and be responsible for any and all direct and indirect expenses
      incurred on or 


                                      -3-
<PAGE>

      after the Commencement Date in the operation of the Facilities which
      relate to the period covered by the Term, including, without limitation,
      payroll, insurance, utilities, equipment leases, taxes and maintenance.
      Manager will reimburse Owner for all prepaid expenses paid by Owner prior
      to the date of this Agreement which relate to the period covered by the
      Term and, in the event of the termination of this Agreement in accordance
      with Sections A.2.1(b), (c), (y) or (z), subject to prior approval of
      Capital Costs as set forth above, Owner will reimburse Manager for all
      prepaid expenses relating to the period after expiration of the Term.

      Notwithstanding the foregoing, Owner and Manager further agree as follows:

            (a) All expenses incurred for the period prior to the Commencement
            Date shall be the responsibility of Owner.

            (b) All vacation and sick pay earned or accrued prior to the
            Commencement Date and payable after the Commencement Date shall be
            the responsibility of Owner but shall be paid by Manager as and when
            due from amount delivered by Owner to Manager on the Commencement
            Date in accordance with the provisions of Section A.7 hereof. All
            vacation and sick pay earned after the Commencement Date shall be
            the responsibility of Manager and shall be paid from the revenues of
            the Facility collected by Manager in accordance with the terms of
            this Agreement or from any working capital provided by Manager in
            order to meet the operating expenses of the Facility.

            (c) The Owner's Expenses (as defined below) shall be paid by Owner.

      3.4 To maintain complete and accurate records of all transactions relating
      to the Facility, including patient trust accounts or resident security
      deposits and other funds held by Manager for any patients or residents,
      and make such records available for inspection by Owner or any of its
      representatives at all reasonable times upon reasonable notice from Owner
      to Manager.

      3.5 To comply with all applicable federal, state and local government
      laws, rules and regulations with respect to the operation and maintenance
      of the Facilities and performance by Manager under this Agreement.

      3.6 To keep the Facilities and personal property therein in good repair,
      reasonable wear and tear excepted.

      3.7 To maintain the supplies, inventory, food and perishables located at
      the Facilities at the levels required to be maintained by Owner under the
      terms of the Leases.

      3.8 To advise Owner as to any and all significant issues related to the
      Facility including, but not limited to, survey results, changes in the
      administrator/executive director, union organizing activities, material
      damage to any Facility and the commencement or threatened commencement of
      any administrative action by any governmental authority.

      3.9 To be fully responsible for taking any and all action which may be
      necessary in the event of any action to revoke or rescind any Facility's
      license or, if applicable, its Medicare or 


                                      -4-
<PAGE>

      Medicaid provider agreements.

      3.10 Not to take any action during the Term which would jeopardize any
      Facility's license, or Medicare or Medicaid provider agreements.

      3.11 To the extent that, after the Commencement Date, Owner receives any
      premium adjustments which require the payment of an additional premium
      with respect to its workers compensation coverage for the period prior to
      the Commencement Date or covered by the Term, which adjustments Owner is
      able to demonstrate are attributable to the loss experience of the
      Facility during the Term, Manager shall, upon demand of Owner, promptly
      remit an amount equal to said additional premium payments to Owner.

      3.12 To negotiate employment contracts with all unions representing the
      employees of the Facilities (with such negotiations and contracts to be
      subject to the prior approval of Owner as to each Facility and with Owner
      having the right but not the obligation to participate in all such
      negotiations and discussions).

      3.13 To provide Owner on a timely basis with all information necessary to
      file cost reports, and to assist Owner in connection with and respond to
      any audit or survey of any of the Facilities by any governmental or
      quasi-governmental agency.

      3.14 Except to the extent of any nondelegatable duties hereunder, to
      perform all obligations on Owner's part to be performed under the Leases,
      including, without limitation, compliance with all local, state and
      federal, statutes, ordinances, and regulations, maintenance and repair of
      the Facilities, and repair and replacement of personal property in the
      normal course.

      3.15 To the extent any repairs, alterations or replacements are to be made
      to any Facility exceeding $2,500, in any one instance, Manager shall
      obtain the prior written approval of Vice President of Owner.


                                      -5-
<PAGE>

4.    Management Fee/Occupancy Fee.

      4.1 In consideration for the services provided under this Management
      Agreement (the "Management Fee"), Manager shall (A) be entitled to retain
      the excess of any revenues earned by Manager during the term hereof over
      expenses incurred by Manager during the Term and (B) be responsible for
      any excess of expenses incurred over revenues earned, in the operation of
      the Facilities during the Term. For purposes hereof, the expenses for
      which Manager shall be responsible shall include all direct and direct
      expenses arising from or in connection with the operation, use, and
      management of the Facilities; provided, however, such expenses shall not
      include and only not include (i) any facility rent payments due under the
      Leases or under any master lease or ground lease senior to any of the
      Leases and (ii) the costs of any alterations, additions or improvements to
      the extent made by Owner pursuant to Section D.13 (collectively, "Owner's
      Expenses"). Except with respect to the Owner's Expenses, Owner shall have
      no responsibility for any expenses related to the ownership or operation
      of the Facilities during the Term, all of which shall be borne directly by
      Manager. The Management Fee shall be paid in arrears on a monthly basis as
      follows: Within the first twelve (12) business days of each month
      following the Commencement Date Manager shall provider Owner with a
      detailed reconciliation of income and expenses for each Facility, together
      with supporting documentation, including invoices of expenditures (each, a
      "Reconciliation Statement"). Within ten (10) business days following
      receipt of the Reconciliation Statement, Owner shall review and either
      approve or disapprove the Reconciliation Statement or portion thereof. To
      the extent the Reconciliation Statement is disapproved, Manager shall
      review and address Owner's objections, and resubmit the Reconciliation
      Statement or portion thereof in accordance with this Section.

      4.2 Owner shall have the right to audit all books and records maintained
      by Manager for the Facilities during the Term and for a period of two (2)
      years after the Termination Date. All audits shall be at Owner's cost,
      shall be conducted during normal business hours and shall be conducted at
      the Facility or, of such books and records are maintained by Manager at a
      central business office, then at such office; provided, however, if a
      material error is discovered, the cost of such audit shall be borne
      exclusively by Manager, and Manager shall in such event promptly reimburse
      Owner for such audit. A "material error" shall be an error in payment
      exceeding two percent (2%) of the correct payment due.

      4.3 In connection with its activities hereunder, Manager shall collect all
      operating revenues for each Facility and shall deposit the same in a
      separate bank account for each Facility (the "Operating Account"). Manager
      shall not commingle any other funds with those maintained in other
      operating accounts and shall not withdraw any amounts therefrom except as
      provided herein. Additionally, Manager agrees to maintain an appropriate
      amount of working capital for each Facility, which amount shall be
      designated by Owner and subject to the approval of Manager, which approval
      shall not be unreasonably withheld, conditioned or delayed. Manager shall
      pay out of the Operating Account first all operating expenses, and,
      second, its Management Fee pursuant to Section 4.1, above, to the extent
      revenue exceeds operating income.

      4.4 Manager shall keep complete books of accounts, ledgers, files, and
      other records (including for state and federal reimbursement) as Owner
      shall reasonably deem necessary 


                                      -6-
<PAGE>

      for the management of each Facility as a skilled nursing or long term care
      facility in accordance with industry standards and generally accepted
      accounting principles consistently applied.

5.    Covenants of Owner. Owner covenants and agrees as follows:

      5.1 Not to take any action during the Term which would jeopardize any
      Facility's license under which Manager is operating the Facility or
      interfere with Manager's operations thereat or be inconsistent with
      Owner's obligations under the Leases.

      5.2 Effective as of the Commencement Date, to take such commercially
      reasonable action as may be necessary to add a waiver of subrogation
      provision in favor of Manager to its property insurance policies and, upon
      request, to provide Manager with evidence thereof.

      5.3 Effective as of the Commencement Date to take such commercially
      reasonable action as may be necessary to add Manager as an additional
      insured on its general/professional liability and property insurance
      policies and to provide Manager with evidence thereof.

      5.4 Not to take any action which would cause the cancellation or
      termination of the general/professional liability insurance in effect with
      respect to any of the Facilities or a reduction in the amount of coverage
      afforded thereunder as of the Commencement Date, it being understood and
      agreed that Owner shall have no liability hereunder in the event said
      coverage is adversely affected as a result of the failure by Manager to
      pay the premiums due with respect thereto during the Term in accordance
      with the provisions of Section A.3.4.

      5.5 Effective as of the Commencement Date, to use its commercially
      reasonable efforts to secure endorsements to the policies of
      general/professional liability and property insurance which reflect that
      they are primary insurance coverage and to provide Manager with evidence
      thereof.

      5.6 To pay and be responsible for any and all expenses incurred in
      connection with the operation of the Facility, whether due before or after
      the Commencement Date, which relate only to the period prior to the
      Commencement Date, including, without limitation, payroll, insurance,
      utilities, principal and interest payments due under any mortgage debt
      secured by the Facilities as of the Commencement Date, equipment leases,
      taxes and maintenance.

      5.7 To pay as and when due all of the Owner's Expenses (as defined above).

6.    Accounts Receivable/Cost Reports.

      6.1 Manager shall purchase the "Accounts Receivable" from Owner as of the
      "Calculation Date" (as those terms are defined in Paragraph 6 of the
      Assignment Agreement) and which purchase shall be pursuant to Paragraph 6
      of the Assignment Agreement. In the event the "Assignment Date" occurs
      under the Assignment Agreement, the Accounts Receivable for the Facilities
      shall be allocated, if at all, pursuant to the Assignment Agreement and
      the "Operations Transfer Agreement" attached as Exhibit D thereto.


                                      -7-
<PAGE>

      6.2 If overpayments or under payments are assessed or paid for the entire
      calendar year 1998, then the amount due or owing shall be allocated
      between Owner and Manager to reflect the number of days in 1998 during
      which the affected Facility was operated by Owner and the number of days
      in 1998 during which the affected Facility was operated by Manager. In the
      event the federal or state agencies making payments to Owner for services
      performed prior to Commencement Date make any claim for reimbursement of
      overpayments occurring for any such period, then Owner agrees to save,
      indemnify and hold Manager harmless from and against any and all loss,
      damage, injury or expense incurred by Manager because of any such claim.
      No delay by Manager in tendering such claims to Owner shall affect Owner's
      obligations hereunder unless Owner is actually harmed as a result of said
      delay. The provisions of this Section 6.2 shall survive termination of
      this Agreement.

      6.3 If, following the Commencement Date, Manager receives payment from any
      federal or state agency or other third party payor which payment
      represents reimbursement with respect to payment for services rendered by
      Owner prior to the Commencement Date and which services are not included
      as part of the Accounts Receivable, or, if this Agreement is terminated
      pursuant to Sections A.2.1(a), A.2.1(c), A.2.1(y) or A.2.1(z), after the
      Termination Date, then Manager shall promptly forward such payments to
      Owner in accordance with the following provisions:

            6.3.1 If such payments either specifically indicate on the
            accompanying remittance advice, or if the parties agree, that they
            relate to the period prior to the Commencement Date, a copy of the
            applicable remittance advice shall be forwarded to Owner by Manager
            and the payment received by Manager shall be deposited directly in
            Owner's operating account at the nearest branch of Owner's
            designated bank, it being understood and agreed that Owner shall
            provide Manager with such authority as may be needed to effect such
            deposits and in the absence of such authority that Manager shall be
            deemed to have fulfilled its obligations hereunder by remitting the
            payment to Owner along with the remittance advice; and

            6.3.2 If such payments indicate on the accompanying remittance
            advice, or if the parties agree, that they relate to the period on
            or after the Commencement Date, they shall be accounted in the next
            Reconciliation Statement.

            6.3.3 If such payments indicated on the accompanying remittance
            advice, or if the parties agree, that they relate to periods both
            prior to and after the Commencement Date, the portion thereof which
            relates to the period on and after the Commencement Date shall be
            accounted in the next Reconciliation Statement, and the balance
            shall be deposited by Manager or remitted to Owner in accordance
            with the provisions of Section A.4.1.

            6.3.4 Any payments received by Manager after the Commencement Date
            from private pay patients which indicate the service period to which
            they relate shall be applied in accordance with the direction of the
            patient. Any payments received by Manager during the first forty
            five (45) days after the Commencement Date from or on behalf of
            private pay patients with outstanding balances as of the
            Commencement Date which fail to designate the period to which they
            relate, will first be applied by Manager to reduce the patient's
            pre-Commencement Date balances, with any excess 


                                      -8-
<PAGE>

            applied to balances due for services rendered by Manager after the
            Commencement Date. Thereafter all non-designated payments will first
            be applied to any post-Commencement Date balances, with the excess,
            if any, remitted to Owner.

      6.4 In the event after the Commencement Date, Owner receives any payments
      from any federal or state agency which represents reimbursement for
      services rendered by Manager after the Commencement Date but before the
      Termination Date, Owner shall credit such payments to Manager as part of
      the calculation of the Management Fee pursuant to Section A.4.1, above.

      6.5 Nothing herein shall be deemed to limit in any way Owner's rights and
      remedies to recover accounts receivable due and owing Owner under the
      terms of this Agreement or any other agreement with patients, patients'
      representatives and third party payors.

      6.6 In the event the parties mutually determine that any payment hereunder
      was misapplied by the parties, the party which erroneously received said
      payment shall remit the same to the other within ten (10) days after said
      determination is made.

      6.7 Owner shall have the right to inspect all receipts of Manager in order
      to confirm Manager's compliance with the obligations imposed on it under
      this Section and in order to confirm the accuracy of any Reconciliation
      Statement.

      6.8 If any third party payor conducts an audit relating to any period
      prior to the Termination Date, Owner shall have the exclusive option of
      contesting, at Owner's expense, the results of such audit in whatever
      manner may be provided by state or federal law, but Owner shall not have
      the right to settle such audit on terms which would require a payment by
      Manager for any period covered by the Term without the prior written
      consent of Manager, which consent shall not be unreasonably withheld,
      conditioned, or delayed.

      6.9 If this Agreement is terminated by reason of Sections A.2.1(b),
      A.2.1(c), A.2.1(y) or A.2.1(z), then Manager shall not be excused from the
      purchase of the Accounts Receivable pursuant to the Assignment Agreement;
      however, the following provisions shall apply:

            6.9.1 If and to the extent any Facility participates in Medicare or
            Medicaid, Owner shall prepare and file with the appropriate Medicare
            and Medicaid agencies its final cost reports in respect to its
            operation of such Facility or Facilities as soon as practicable
            after the Termination Date. Owner shall, upon request by Manager,
            promptly provide Manager with copies of such reports. Manager shall
            provide Owner with such information for the period from the
            Commencement Date to the Termination Date as Owner may need to
            complete such final cost reports.

            6.9.2 With respect to the accounts receivable of Manager which
            relate to the services rendered by Manager during the Term such
            amounts shall be credited pursuant to Section 4, above.

7. Employees/Employee Benefits. From and after the Commencement Date through the
Termination Date, the employees of the Facilities shall become the employees of
Manager and shall be entitled to all benefits afforded by Manager its employees,
which benefits shall be paid by 


                                      -9-
<PAGE>

Manager subject to Owner's obligation on the Commencement Date to provide
Manager with a schedule of all earned and accrued vacation and sick pay as of
the Calculation Date and to credit the amounts owed by Manager under this
Agreement, under the Assignment Agreement, and under the Operations Transfer
Agreement (attached as Exhibit D to the Assignment Agreement) in the amount
shown on such schedule. Manager shall pay such vacation and sick pay as and when
used by the employees of the Facilities. On the Termination Date all of the then
employees of the Facility shall remain employees of Manager effective as of the
Termination Date; provided, however, that in the event the Termination Date
occurs as a result of the termination of this Agreement in accordance with the
provisions of Section A.2.1(b), A.2.1(c), A.2.1(y), or A.2.1(z), then the
employees shall become the employees of Owner, and Owner shall be required to
hire all of such employees effective as of the Termination Date, and Manager
shall have no further obligations with respect to such employees, other than
those obligations that arose before the Termination Date (including, without
limitation, vacation and sick pay). Notwithstanding the foregoing, consistent
with the provisions of Section A.3.4 hereof, payroll shall be prorated as of
12.01 AM. on the Commencement Date and shall be prorated again, if applicable,
as of 12.01 AM on the Termination Date in the event this Agreement is terminated
pursuant to Section A.2.1(b), A.2.1(c), A.2.1(y), or A.2.1(z).

8. Default. Either party may terminate this Agreement in the event of a default
("Event of Default") by the other party.

      8.1   With respect to Manager, it shall be an "Event of Default"
            hereunder:

            8.1.1 If Manager shall fail to keep, observe or perform any material
            agreement, term or provision of this Agreement and such default
            shall continue for a period of ten (10) days (or such longer cure
            period as may be agreed upon by Owner and Manager in light of the
            nature of the default) after notice thereof shall have been given to
            Manager by Owner, which notice shall specify the event or events
            constituting the default.

            8.1.2 If Manager shall be dissolved or shall apply for or consent to
            the appointment of a receiver, trustee or liquidator of Manager of
            all or a substantial part of its assets, file a voluntary petition
            in bankruptcy, or admit in writing its inability to pay its debts as
            they become due, make a general assignment for the benefit of
            creditors, file a petition or an answer seeking reorganization or
            arrangement with creditors or taking advantage of any insolvency
            law, or if an order judgment or decree shall be entered by a court
            of competent jurisdiction, on the application of a creditor,
            adjudicating Manager, a bankrupt or insolvent or approving a
            petition seeking reorganization of Manager, or appointing a
            receiver, trustee or liquidator of Manager, of all or a substantial
            part of its assets.

      8.2   With respect to Owner, it shall be an Event of Default hereunder:

            8.2.1 If Owner shall fail to keep, observe or perform any material
            agreement, term or provision of this Agreement and such default
            shall continue for a period of ten (10) days (or such longer period
            as may be agreed upon by Owner and Manager in light of the nature of
            the default) after notice, which notice shall specify an event or
            events constituting the default thereof by Manager to Owner.


                                      -10-
<PAGE>

            8.2.2 If Owner shall fail to make payments, or fail to keep any
            covenants, owing to any third party which are beyond the control of
            Manager to make or keep, and which would cause Owner to lose
            possession of any Facility.

            8.2.3 If Owner shall be dissolved or shall apply for or consent to
            the appointment of a receiver, trustee or liquidator of Owner or of
            all or a substantial part of its assets, file a voluntary petition
            in bankruptcy, or admit in writing its inability to pay its debts as
            they become due, make a general assignment for the benefit or
            creditors, file a petition or an answer seeking reorganization or
            arrangement with creditors or taking advantage of any insolvency
            law, or if an order, judgment or decree shall be entered by a court
            of competent jurisdiction, on the application of a creditor,
            adjudicating Owner a bankrupt or insolvent or approving a petition
            seeking reorganization of Owner or appointing a receiver, trustee or
            liquidator of Owner of all or a substantial part of its assets.

9.    Remedies Upon Default:

      9.1 If any Event of Default by Manager shall occur, Owner may terminate
      this Agreement and sue Manager to recover any damages which Owner may
      incur as a result of (i) physical damage to any Facility caused by Manager
      which is not covered by insurance or (ii) the loss by any Facility of its
      licensure or, if applicable, Medicare or Medicaid certification as of the
      date of said termination. The termination of this Management Agreement
      pursuant to this Section 9.1 shall have no affect on the rights and
      obligations of Manager under the Assignment Agreement; provided, however,
      Owner may, in its sole and absolute discretion, elect to terminate the
      Assignment Agreement as to all or any of the Facilities as a result of
      such Event of Default.

      9.2 If any Event of Default by Owner shall occur, Manager may either sue
      to specifically enforce Owner's obligations which are the subject of such
      breach or terminate this Agreement and sue for damages suffered as a
      result of such breach.

B.    INDEMNIFICATION

1. By Manager. Manager hereby agrees to indemnify, defend and hold harmless,
Owner, its employees and agents, from all claims, demands, liabilities, suits,
costs and expenses (including reasonable attorneys' fees) arising out of a
breach by Manager of its obligations hereunder, including, without limitation,
any claims, demands, liabilities, suits, costs and/or expenses incurred by Owner
based in whole or in part on any claims by any of the lessors under the Leases.

2. By Owner. Owner agrees to indemnify and hold harmless Manager, its employees
and agents, from all claims, demands, liabilities, suits, costs and expenses
(including reasonable attorneys' fees) arising out of a breach by Owner of its
obligations hereunder.


                                      -11-
<PAGE>

C.    REPRESENTATIONS AND WARRANTIES

1. By Manager. Manager hereby represents and warrants that it has or as of the
Commencement Date will have all necessary power and authority to operate the
Facilities and to carry on its business as it is now being conducted. Manager
has all necessary power and authority to enter into this Agreement and to
execute all documents and instruments referred to herein or contemplated hereby
and all necessary action has been taken to authorize the individual executing
this Agreement to do so. This Agreement has been duly and validly executed and
delivered by Manager and is enforceable against Manager in accordance with its
terms, except as such enforceability may be limited to applicable creditors'
rights laws or principles of equity.

2. By Owner. Owner hereby represents and warrants that it has all necessary
power and authority to enter into this Agreement and to execute all documents
and instruments referred to herein or contemplated hereby and all necessary
action has been taken to authorize the individual executing this Agreement to do
so. This Agreement has been duly and validly executed and delivered by Owner and
is enforceable against Owner in accordance with its terms, except as such
enforceability may be limited to applicable creditors' rights laws or principles
of equity.

D.    GENERAL PROVISIONS

1. Further Assurances. Each of the parties hereto agrees to execute and deliver
any and all further agreements, documents or instruments necessary to effectuate
this Agreement and the transactions referred to herein or contemplated hereby or
reasonably requested by the other party to perfect or evidence their rights
hereunder.

2. Notices. All notices to be given by either party to this Agreement to the
other party hereto shall be in writing, and shall be sent by hand delivery,
certified mail, facsimile transmission or overnight delivery to the parties at
the addresses set forth below and shall be deemed delivered upon actual receipt
or refusal of receipt thereof:

      If to Owner:      Lexington Healthcare Group, Inc.
                        1577 New Britain Avenue
                        Farmington, CT  06032
                        Attn:  Mr. Jack Friedler
                        Telephone:  (860) 674-2700
                        Fax:        (860) 674-5900


                                      -12-
<PAGE>

      with copy to:     Edwin Lassman, Esq.
                        Rogin, Nassau, Kaplan, Lassman & Hirtle
                        City Place I
                        Hartford, CT  06103-3460
                        Telephone:  (860) 278-7480
                        Fax:        (860) 808-0834

      If to Manager:    101 Sun Avenue, NE
                        Albuquerque, NM 87109
                        Attn: Warren McInteer, Vice-President
                        Telephone:  (505) 823-4103
                        Fax:        (505) 823-4133

      with copy to:     Pillsbury Madison & Sutro LLP
                        650 Town Center Drive, Seventh Floor
                        Costa Mesa, CA  92626-7122
                        Attn:  Henry R. Stiepel, Esq.
                        Telephone:  (714) 436-6800
                        Fax:        (714) 436-2800

3. Payment of Expenses. Each party hereto shall bear its own legal, accounting
and other expenses incurred in connection with the preparation and negotiation
of this Agreement and the consummation of the transaction contemplated hereby,
whether or not the transaction is consummated.

4. Entire Agreement; Amendment; Waiver. This Agreement, together with the other
agreements referred to herein, constitutes the entire understanding between the
parties with respect to the subject matter hereof, superseding all negotiations,
prior discussions and preliminary agreements. This Agreement may not be modified
or amended except in writing signed by the parties hereto. No waiver of any
term, provision or condition of this Agreement in any one or more instances,
shall be deemed to be or be construed as a further or continuing waiver of any
such term, provision or condition of this Agreement. No failure to act shall be
construed as a waiver of any term, provision, condition or rights granted
hereunder.

5. Assignment. Neither this Agreement nor the rights, duties or obligations
arising hereunder shall be assignable or delegable by either party hereto.

6. Joint Venture; Third Party Beneficiaries. Nothing contained herein shall be
construed as forming a joint venture or partnership between the parties hereto
with respect to the subject matter hereof. The parties hereto do not intend that
any third party shall have any rights under this Agreement.

7. Captions. The section headings contained herein are for convenience only and
shall not be considered or referred to in resolving questions of interpretation.

8. Counterparts. This Agreement may be executed in one or more counterparts and
all such counterparts taken together shall constitute a single original
Agreement.


                                      -13-
<PAGE>

9. Governing Law. This Agreement shall be governed in accordance with the laws
of the State of Connecticut.

10. Severability. In the event one or more of the provisions contained in this
Agreement is deemed to be invalid, illegal or unenforceable in any respect under
applicable law, the validity, legality and enforceability of the remaining
provisions hereof shall not in any way be impaired thereby.

11. Attorneys Fees. In the event of litigation or other proceedings involving
the parties to this Agreement to enforce or interpret any provision hereof, to
enforce any remedy available upon default under this Agreement or seeking a
declaration of the rights of either party under this Agreement, the prevailing
party shall be entitled to recover from the other such reasonable attorneys fees
and costs as may be actually incurred, including its costs and fees on appeal.

12. Confidentiality. In the event the transaction contemplated by this Agreement
fails to occur for any reason, Owner and Manager agree to keep confidential any
proprietary information disclosed to it by the other party during the course of
this transaction.

13. Alterations, Additions or Improvements. During the Term, Manager shall not
make or suffer to be made any alterations, additions or improvements to any of
the Facilities without first obtaining the written consent of the Owner, which
consent may be withheld in Owner's sole and absolute discretion. The cost of any
such capital alteration, addition or improvement to the extent approved by Owner
prior to expenditure and not an item of maintenance or repair (which cost shall
be borne by Manager) shall be at the sole cost and expense of Owner. Any work
undertaken by Manager with the consent of Owner shall be undertaken in
compliance with all laws, ordinances, rules and regulations of the appropriate
jurisdiction or any other authorized public authority. Further, all such work
shall be undertaken in strict accordance with the terms and conditions of the
Lease of the affected Facility. Manager further agrees to hold harmless Owner
from any liability, damage, loss or expense arising out of such alterations,
additions or improvements. Any such alteration, addition or improvement which is
affixed to the Facility shall, unless otherwise agreed by Owner and Manager at
the time such alteration, addition or improvement is approved by Owner, be and
remain the property of Owner in the event this Agreement is terminated pursuant
to Sections A.2.1(b) or A.2.1(y) or, as to Heritage Heights Care Center only,
shall be conveyed by Owner to Manager in the event this Agreement is terminated
pursuant to Section A.2.1(a), it being understood and agreed that in the event
the lessor of any Facility conditioned its approval of such alteration, addition
or improvement on the removal thereof at the end of the term of the applicable
Lease, then Manager shall be required to remove the same at its sole cost and
expense on such expiration date.

14.   Risk of Loss and Insurance.

      14.1 Owner shall maintain during the Term such property insurance with
      respect to the Facilities as it deems to be necessary and appropriate to
      comply with the terms of the Leases. Manager agrees that the cost of such
      insurance shall be treated in the Reconciliation Statements as an expense
      for which Manager is responsible under the terms of this Agreement for
      purposes of calculating the Management Fee.

      14.2 Manager, at its sole cost and expense, shall maintain during the Term
      such workers 


                                      -14-
<PAGE>

      compensation insurance as required by the State of Connecticut and the
      following coverages in the following amounts:

            Third Party Liability:            $1,000,000/$2,000,000 per location
            Professional Liability:           $1,000,000/$3,000,000 per location
            Umbrella (including professional
               liability):                    $5,000,000/$5,000,000
            Auto:                             $1,000,000 CSL
            Employer's Liability:             $1,000,000.

      During the Term, Manager shall cause Owner to be added as an additional
      insured on all such policies of covering risks of third party liabilities
      and professional negligence and as a loss payee and additional insured on
      business interruption policies. All third party liability and professional
      liability coverage shall be written on an occurrence basis. All such
      policies shall be issued by a Connecticut licensed carrier having an A.M.
      Bests Rating of A-VII or above. On the Commencement Date, Manager shall
      provide Owner with a certificate of insurance, acceptable to Owner's risk
      management department, that all such insurance is in place. Such
      certificate shall provide that Owner will be provided with at least sixty
      (60) days prior written notice of any cancellation or material change in
      any such policies.

      14.3 In the event any Facility is damaged, destroyed or taken in whole or
      in part during the Term and Owner determines in its reasonable discretion
      that such damage, destruction or taking renders the Facility unsuitable
      for its use as a skilled nursing facility or long term care facility as
      the case may be, Owner shall have the right on written notice to Manager
      delivered no later than thirty (30) days after the date of such damage,
      destruction or taking to advise Manager of its election not to rebuild the
      Facility, in which case, as set forth in Section A.2.1(z), this Agreement
      as to such Facility shall terminate as of the date of such damage,
      destruction or taking. In the event Owner elects or is deemed to have
      elected to rebuild the Facility, then Owner shall proceed with all due
      diligence to do so, and Manager's obligations under this Agreement to
      operate such Facility shall be abated until such reconstruction or repair
      is completed and the Facility is again tenantable and operational but
      Manager's financial obligations hereunder as to such Facility shall not be
      abated during such period of repair or reconstruction provided Owner
      proceeds with all due diligence to commence and complete the same.

      14.4 If a Facility is damaged, destroyed or taken in part during the Term,
      and Owner determines in its reasonable discretion that such damage,
      destruction or taking does not render the Facility unsuitable for its use
      as a skilled nursing facility or long term care facility as the case may
      be, then Owner shall be required to reconstruct or repair the Facility to
      the extent practicable, and this Agreement shall remain in full force and
      effect as to such Facility.

15. Authority. Manager shall have no right or authority, express or implied, to
commit or otherwise obligate Owner in any manner whatsoever except to the extent
specifically provided herein or specifically authorized in writing by the Owner.
Manager shall have no right, title or interest in any Facility, nor any claim,
lien, charge, encumbrance, right of lis pendens or other right of any kind or
nature whatever with reference thereto, arising out of this Agreement or the
performance of its services hereunder.

16. Independent Contractor. In performing its services hereunder, Manager shall
be an 


                                      -15-
<PAGE>

independent contractor and not an employee, agent or partner of Owner, except
that Manager shall be the authorized agent of Owner limited solely to the
performance of Manager's obligations set forth in this Agreement.

17. Lessor Consents. As a condition for Owner's and Manager's benefit to the
effectiveness of this Agreement, (i) the Lessor of each Facility shall have
approved of this Agreement by execution of documentation reasonably acceptable
to Owner and (ii) Manager shall have executed and delivered to Owner an
"Agreement for Assignment and Assumption of Leases" together with all ancillary
documentation required by Owner to assign the Leases to Manager and for Manager
to assume the Leases from Owner. If the conditions in preceding clauses (i) and
(ii) are not satisfied or waived in writing by Owner by October 28, 1998, this
Agreement shall in any event be void.

E.    LABOR STRIKES.

      In the event of a strike by the employees of the Facilities represented by
the New England Health Care Employees Union District 1199, then Manager and
Owner shall immediately thereafter in good faith negotiate an arrangement for
the sharing of the additional costs resulting from the strike. If the parties
are unable to reach such a mutually acceptable arrangement within ten (10)
business days following the first day of the strike, then both parties shall
have the right, at any time thereafter until such a mutually acceptable
arrangement is reached, to terminate this Agreement.

      IN WITNESS WHEREOF, the parties hereby execute this Agreement as of the
day and year first above written.

      Owner:                           SUNRISE HEALTHCARE CORPORATION, a  
                                       New Mexico corporation


                                       By:
                                             ---------------------------
                                             Mark Voye, Controller


      Manager:                         LEXINGTON HEALTHCARE, INC., a Delaware
                                       corporation


                                       By:
                                             ---------------------------
                                             Harry Dermer,
                                             Its:
                                                  ----------------------


                                      -16-
<PAGE>

              FIRST AMENDMENT TO TRIPLE NET MANAGEMENT AGREEMENT

      This First Amendment to Triple Net Management Agreement ("Amendment") is
made effective as of October 28, 1998 between SunRise Healthcare Corporation, a
New Mexico corporation ("Owner") and Lexington Healthcare Group, Inc., a
Delaware corporation ("Manager") with reference to the following facts:

      A. Owner and Manager entered into that certain Triple Net Management
Agreement dated October 19, 1998 ("Agreement").

      B. Owner and Manager desire to extend the outside date for satisfaction of
the conditions set forth in Section 17 of the Agreement.

      Therefore, for valuable consideration, the receipt and adequacy of which
are hereby acknowledged, the parties agree to amend the Agreement as follows:

      1. The reference in the last line of Section 17 of the Agreement to
"October 28, 1998" is hereby replaced with "November 15, 1998."

      2. Except as amended by this Amendment, the Agreement remains unmodified
and in full force and effect.

      Owner:                  SUNRISE HEALTHCARE CORPORATION, a New Mexico
                              corporation


                              By:
                                  -----------------------------------
                                    Mark Voye, Controller


      Manager:                LEXINGTON HEALTHCARE, INC., a Delaware
                              corporation


                              By:
                                  -----------------------------------
                                    Harry Dermer, President


                                       -1-
<PAGE>

               SECOND AMENDMENT TO TRIPLE NET MANAGEMENT AGREEMENT

      This Second Amendment to Triple Net Management Agreement ("Amendment") is
made effective as of October 30, 1998 between SunRise Healthcare Corporation, a
New Mexico corporation ("Owner") and Lexington Healthcare Group, Inc., a
Delaware corporation ("Manager") with reference to the following facts:

      A. Owner and Manager entered into that certain Triple Net Management
Agreement dated October 19, 1998, as amended by that certain First Amendment to
Triple Net Management Agreement, dated October 28, 1998 (collectively, the
"Agreement").

      B. Owner and Manager desire to further amend the Agreement as set forth
below.

      Therefore, for valuable consideration, the receipt and adequacy of which
are hereby acknowledged, the parties agree to amend the Agreement as follows:

      1. Section 17 of the Lease is hereby deleted in its entirety and replaced
with the following:

      "17. Conditions Subsequent. On or before November 16, 1998, (i) the Lessor
      of each Facility shall have approved of this Agreement by execution of
      documentation reasonably acceptable to Owner and Manager, and (ii) Manager
      shall have executed and delivered to Owner an "Agreement for Assignment
      and Assumption of Leases" together with all ancillary documentation
      required by Owner to assign or sublease, as the case may be, the Leases to
      Manager. If these conditions are both not satisfied by November 16, 1998,
      then this Agreement shall automatically terminate, and Manager shall
      return operations of the Facilities to Owner."

      2. Except as amended by this Amendment, the Agreement remains unmodified
and in full force and effect.

      Owner:                  SUNRISE HEALTHCARE CORPORATION, a New Mexico
                              corporation


                              By:
                                  -----------------------------------
                                    Mark Voye, Controller


      Manager:                LEXINGTON HEALTHCARE, INC., a Delaware
                              corporation


                              By:
                                  -----------------------------------
                                    Harry Dermer, President


                                       -1-
<PAGE>

               THIRD AMENDMENT TO TRIPLE NET MANAGEMENT AGREEMENT

      This Third Amendment to Triple Net Management Agreement ("Amendment") is
made effective as of November 1, 1998 between SunRise Healthcare Corporation, a
New Mexico corporation ("Owner") and Lexington Healthcare Group, Inc., a
Delaware corporation ("Manager") with reference to the following facts:

      A. Owner and Manager entered into that certain Triple Net Management
Agreement dated October 19, 1998, as amended by that certain First Amendment to
Triple Net Management Agreement, dated October 28, 1998, and the Second
Amendment to Triple Net Management Agreement, dated October 30, 1998
(collectively, the "Agreement").

      B. Owner and Manager desire to further amend the Agreement as set forth
below.

      Therefore, for valuable consideration, the receipt and adequacy of which
are hereby acknowledged, the parties agree to amend the Agreement as follows:

      1. The term "Commencement Date" as defined in Section A.1 of the Agreement
is hereby amended to be November 1, 1998.

      2. Except as amended by this Amendment, the Agreement remains unmodified
and in full force and effect.

     Owner:                   SUNRISE HEALTHCARE CORPORATION, a New Mexico
                              corporation


                              By:
                                  -----------------------------------
                                    Robert D. Woltil,
                                    Chief Financial Officer


     Manager:                 LEXINGTON HEALTHCARE, INC., a Delaware
                              corporation


                              By:
                                  -----------------------------------
                                    Harry Dermer, President


                                       -1-
<PAGE>

               FOURTH AMENDMENT TO TRIPLE NET MANAGEMENT AGREEMENT

      This Fourth Amendment to Triple Net Management Agreement ("Amendment") is
made effective as of November 16, 1998 between SunRise Healthcare Corporation, a
New Mexico corporation ("Owner") and Lexington Healthcare Group, Inc., a
Delaware corporation ("Manager") with reference to the following facts:

      A. Owner and Manager entered into that certain Triple Net Management
Agreement dated October 19, 1998, as amended by that certain First Amendment to
Triple Net Management Agreement, dated October 28, 1998, the Second Amendment to
Triple Net Management Agreement, dated October 30, 1998 (the "Second
Amendment"), and the Third Amendment to Triple Net Management Agreement, dated
November 1, 1998 (collectively, the "Agreement").

      B. Owner and Manager desire to further amend the Agreement as set forth
below.

      Therefore, for valuable consideration, the receipt and adequacy of which
are hereby acknowledged, the parties agree to amend the Agreement as follows:

      1. Section 17 of the Lease as amended by the Second Amendment is hereby
deleted in its entirety and replaced with the following:

      "17. Conditions Subsequent. On or before November 25, 1998, (i) the Lessor
      of each Facility shall have approved of this Agreement by execution of
      documentation reasonably acceptable to Owner and Manager, and (ii) Manager
      shall have executed and delivered to Owner an "Agreement for Assignment
      and Assumption of Leases" together with all ancillary documentation
      required by Owner to assign or sublease, as the case may be, the Leases to
      Manager. If these conditions are both not satisfied by November 25, 1998,
      then this Agreement shall automatically terminate, and Manager shall
      return operations of the Facilities to Owner."

      2. Except as amended by this Amendment, the Agreement remains unmodified
and in full force and effect.

      Owner:                  SUNRISE HEALTHCARE CORPORATION, a New Mexico
                              corporation


                              By:
                                  -----------------------------------
                                    Robert D. Woltil,
                                    Chief Financial Officer

                [SIGNATURE BLOCKS CONTINUED ON FOLLOWING PAGE]


                                       -1-
<PAGE>

      Manager:                LEXINGTON HEALTHCARE, INC., a Delaware
                              corporation


                              By:
                                  -----------------------------------
                                    Harry Dermer, President


                                       -2-



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