ELDERTRUST
10-K, 2000-04-12
REAL ESTATE
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<PAGE>

                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM 10-K
(Mark One)
           [ X ] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE
                         SECURITIES EXCHANGE ACT OF 1934
                      for the year ended December 31, 1999

          [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE
                         SECURITIES EXCHANGE ACT OF 1934
                   for the transition period from ___ to ___

                          Commission File No. 001-13807

                                   ElderTrust
             (Exact name of registrant as specified in its charter)

          Maryland                                        23-2932973
(State or other jurisdiction of                  (I.R.S. Employer Identification
 incorporation or organization)                            Number)

            101 East State Street, Suite 100, Kennett Square PA  19348
                 (Address of principal executive offices)     (Zip Code)


                                 (610) 925-4200
              (Registrant's telephone number, including area code)

           Securities registered pursuant to Section 12(b) of the Act:

                                                          Name of each exchange
         Title of Each Class                               on which registered
- ------------------------------------                     -----------------------
Common shares of beneficial interest                     New York Stock Exchange
     $.01 par value per share

           Securities registered pursuant to Section 12(g) of the Act:
                                      None

Indicate by check mark whether the Registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the registrant was
required to file such reports); and (2) has been subject to such filing
requirements for the past 90 days. Yes [X] No [ ]

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405
of Regulation S-K is not contained herein, and will not be contained, to the
best of Registrant's knowledge, in definitive proxy or information statements
incorporated by reference in Part III of this Form 10-K or any amendment of this
Form 10-K. [ ]

The aggregate market value of voting shares held by non-affiliates of the
Registrant on February 29, 2000 was $31,468,918 based on the reported closing
sales price of such shares on the New York Stock Exchange for that date. As of
February 29, 2000, there were 7,119,000 total common shares outstanding.

                       DOCUMENTS INCORPORATED BY REFERENCE

Portions of the Registrant's definitive proxy statement for the annual
shareholders' meeting to be held on May 23, 2000 are incorporated by reference
into Part III of this Form 10-K.

<PAGE>





                                   ELDERTRUST
                          1999 FORM 10-K ANNUAL REPORT

                                TABLE OF CONTENTS

                                                                            Page
                                                                            ----

Cautionary Statements Regarding Forward-Looking Statements                    1

                                     PART I

Item  1. Business                                                             1
Item  2. Properties                                                          51
Item  3. Legal Proceedings                                                   54
Item  4. Submission of Matters to a Vote of Security Holders                 54

                                   PART II

Item  5. Market for the Registrant's Common Equity and
              Related Stockholder Matters                                    54
Item  6. Selected Financial Data                                             55
Item  7. Management's Discussion and Analysis of Financial
              Condition and Results of Operations                            56
Item 7A. Quantitative and Qualitative Disclosures About Market Risk          78
Item  8. Financial Statements and Supplementary Data                         80
Item  9. Changes in and Disagreements with Accountants on
              Accounting and Financial Disclosure                           107

                                   PART III

Item 10. Directors and Executive Officers of the Registrant                 107
Item 11. Executive Compensation                                             107
Item 12. Security Ownership of Certain Beneficial Owners
               and Management                                               107
Item 13. Certain Relationships and Related Transactions                     107

                                    PART IV

Item 14. Exhibits, Financial Statement Schedules and
               Reports on Form 8-K                                          107

                                       i

<PAGE>

           Cautionary Statements Regarding Forward-Looking Statements

         This Form 10-K contains certain "forward-looking statements" within the
meaning of Section 27A of the Securities Act of 1933, as amended, and Section
21E of the Securities Exchange Act of 1934 with respect to results of operations
and businesses of ElderTrust and its consolidated subsidiaries (collectively,
"ElderTrust" or the "Company"). All statements, other than statements of
historical facts, included in this Form 10-K, are forward-looking statements
within the meaning of the Securities and Exchange Acts. In general, these
statements are identified by the use of forward-looking words or phrases,
including "intended," "will," "should," "could," "may," "continues,"
"continued," "estimate," "estimated," "expects," "expected," "believes,"
"anticipates" and "anticipated" or the negative or variations thereof or similar
terminology. Because forward-looking statements involve risks and uncertainties,
the Company's actual results could differ materially from those expressed or
implied by these forward-looking statements.

         The statements set forth under the caption "Business - Risk Factors"
and elsewhere in this Form 10-K, including statements contained in "Business"
concerning the Company's credit facility, investments and business strategies,
the Company's transactions with Genesis Health Ventures, Inc. and its
subsidiaries, the ability of Genesis Health Ventures, Inc. and The Multicare
Companies, Inc. to restructure their operations and continue to make lease and
loan payments to the Company, government regulation and the impact of Medicare
and Medicaid Prospective Payment programs on the Company's lessees and
borrowers, certain statements contained in "Management's Discussion and Analysis
of Financial Condition and Results of Operations" concerning the Company's
ability to meet its liquidity needs and other statements contained herein
regarding matters that are not historical facts identify important factors with
respect to these forward-looking statements that could cause actual results to
differ materially from those in these forward-looking statements. These
forward-looking statements represent the Company's judgment as of the date of
this Form 10-K. Although the Company believes that the expectations reflected in
these forward-looking statements are reasonable, there can be no assurance that
such expectations will prove to be correct. All subsequent written and oral
forward-looking statements attributable to the Company are expressly qualified
in their entirety by the cautionary statements. The Company disclaims, however,
any intent or obligation to update its forward-looking statements.

                                     PART I
ITEM 1. BUSINESS

General

         The Company is a self-managed and self-administered real estate
investment trust ("REIT") that invests principally in senior housing and other
healthcare facilities, primarily skilled nursing facilities, assisted and
independent living facilities (or "senior living centers") and medical office


                                       1

<PAGE>

and other buildings. ElderTrust was formed in the State of Maryland on September
23, 1997 and began operations upon the completion of its initial public offering
on January 30, 1998 (the "Offering"), pursuant to which it issued 6,957,500
common shares. Net proceeds to ElderTrust of approximately $114.2 million from
the Offering were contributed to a 94% owned subsidiary, ElderTrust Operating
Limited Partnership (the "Operating Partnership"), which principally used the
proceeds to fund the initial property acquisitions and other investments.
ElderTrust is the sole general partner of the Operating Partnership and conducts
all of its operations through the Operating Partnership.

         The Company had no real estate investments prior to January 30, 1998.
The Company's consolidated assets consist primarily of the assets of the
Operating Partnership and its consolidated subsidiaries. As of December 31,
1999, skilled nursing facilities and senior living centers comprised
approximately 93% of the Company's consolidated investments in real estate
properties and loans. At December 31, 1999, the Company's consolidated assets
primarily consisted of:

         o  a diversified portfolio of 22 healthcare properties aggregating
            $171.7 million in assets, consisting of seven assisted living
            facilities, eight skilled nursing facilities, one independent living
            facility and six medical office and other buildings, which are
            leased back to the prior owners or other third parties;

         o  term loans totaling $27.4 million collateralized by five assisted
            living facilities on which construction had been recently completed
            but which were still in transition to stabilized occupancy levels;
            and

         o  construction loans totaling $21.2 million collateralized by three
            assisted living facilities.

         Additionally, at December 31, 1999 the Company's investments in
unconsolidated entities in which it accounts for its investments using the
equity method of accounting (the Company's "Equity Investees") consisted of:

         o  a 95% nonvoting equity interest in an entity which owns a $7.8
            million second mortgage note;

         o  a 99% limited partnership interest in an entity which holds
            leasehold and purchase option rights for seven skilled nursing
            facilities; and

         o  a 99% limited member interest in two entities which each hold an
            assisted living facility.

         See "Business - Investments."

                                       2

<PAGE>

         Genesis Health Ventures, Inc. was a co-registrant in the Company's
Offering. Approximately 70% of the Company's consolidated assets at December 31,
1999 consisted of real estate properties leased to or managed by and loans on
real estate properties made to Genesis Health Ventures, Inc. or its consolidated
subsidiaries (unless the context otherwise requires, collectively, "Genesis") or
entities in which Genesis accounts for its investment using the equity method of
accounting ("Genesis Equity Investees"), under agreements as manager, tenant or
borrower. Revenues recorded by the Company in connection with these leases and
borrowings aggregated $18.4 million in 1999. In addition, the Company's Equity
Investees have also leased properties to Genesis or Genesis Equity Investees. As
a result of these relationships, the Company's revenues and ability to meet its
obligations depends, in significant part, upon:

         o  the ability of Genesis and Genesis Equity Investees to meet their
            lease and loan obligations;

         o  the revenues derived from, and the successful operation of, the
            facilities leased to or managed by Genesis or Genesis Equity
            Investees; and

         o  the ability of these entities to successfully complete the
            development projects securing the construction loans made by the
            Company to these entities.

Genesis and Multicare Announce Commencement of Debt Restructuring Discussions
with their Senior Lenders

         On March 21, 2000, Genesis and The Multicare Companies, a 43.6% owned
consolidated subsidiary of Genesis ("Multicare"), announced the beginning of
debt restructuring discussions with their senior lenders with the intention of
revising their respective capital structures. Genesis also announced that it did
not make a $3.8 million interest payment to its senior debt lenders due March
20, 2000. Both Genesis and Multicare announced their intention not to make
interest and principal payments on senior debt and have been prohibited by their
senior lenders from making any scheduled interest payments on their publicly
traded subordinated debt while discussions were ongoing. Each company cited
their inability to sell assets due to the lack of long-term care market
financing and the continuing effect of reduced Medicare payments as the causes
of these actions. The senior lenders have given Genesis and Multicare a 60-day
forbearance period to develop a restructuring plan.

         Shortly after the announcement, Moody's Investors Service issued a
press release announcing that it had downgraded the debt ratings of Genesis and
Multicare. In its press release, Moody's indicated that the ratings outlook for
both companies was negative. Moody's stated that its rating action reflected the
deterioration in the companies' operating results and financial condition which
has stemmed from the impact of the prospective payment system ("PPS") for
Medicare combined with high leverage. Moody's noted that despite cost cutting
efforts, operating margins for both companies remain depressed, and planned
asset divestitures have not materialized as anticipated. Moody's also stated
that restructuring efforts could be adversely impacted by the currently
difficult state of the long-term care sector, with several large providers
already filing for bankruptcy in recent months. Standard & Poor's also
downgraded the debt ratings of Genesis and Multicare.


                                       3

<PAGE>
         Management of Genesis and Multicare have advised the Company that they
expect Genesis and Multicare to continue to make all lease and loan payments to
the Company. The Company has no control over Genesis or Multicare, however, and
can make no assurance that either of these entities will have sufficient income
or assets to enable them to satisfy their obligations under the leases or loans
made by the Company to them. Any failure by Genesis or Multicare to continue
making payments to the Company could have a significant adverse effect on the
Company's financial condition, results of operations and cash available for
distribution, could adversely affect the ability of the Company to maintain
distributions at current levels or at all and could adversely affect the ability
of the Company to meet its own debt obligations.

         If Genesis and Multicare were to cease making lease and loan payments
to the Company, the Company may be required to restructure or terminate the
underlying leases and may foreclose on the loans, in which event, the Company
might be required to find new operators to operate the properties underlying the
leases and loans. Under these circumstances, the Company's net income could
decline as a result of such restructuring with Genesis or Multicare or could
decline due to rents obtainable from any new operator. Depending on the
magnitude of the reduction in the Company's net income, the Company would seek
to offset the effect of such reduction in net income on the Company's ability to
meet its debt service requirements by further reducing the cash distributions
paid to the Company's shareholders and minority interests, through asset sales
or through other available means. The Company believes that it has the ability
to, and, if necessary, intends to, take these actions available to it and, as a
result, believes it will be able to continue to satisfy its debt and operating
obligations as they come due over the next twelve months. Based on the current
quarterly cash distribution rate of $0.30 per common share announced in November
1999, annualized distributions to shareholders and minority interests would
approximate $9.2 million during 2000, based on the number of common shares and
units currently outstanding. During 1999, the Company's cash flow from
operations exceeded its debt service requirements and distributions paid to
shareholders and minority interests by $1.2 million. Giving effect to the
current quarterly cash distribution rate and year 2000 debt service requirements
as of December 31, 1999, the Company's cash flow from operations during 1999
would have exceeded its debt service requirements and distributions paid to
shareholders and minority interests by $3.9 million. See "Business - Proposed
Restructurings and Related Matters," "Business - Transactions with Genesis,"
"Business - Risk Factors" and "Management's Discussion and Analysis of Financial
Condition and Results of Operations - Summary Condensed Consolidated Financial
Data of Genesis."

Credit Facility; Mortgage Refinancings

         On January 3, 2000, the term of the Company's bank credit facility (the
"Credit Facility") with Deutsche Bank Securities ("Deutsche Bank") was extended
from January 1, 2000 to June 30, 2001 through an amendment which also reduced
borrowings available under the Credit Facility to $45.4 million. At December 31,
1999, the Company had $39.7 million outstanding under the Credit Facility. The
Company used the Credit Facility principally for working capital and
construction loan funding purposes during 1999.

         The Company paid financing fees and other related costs of
approximately $2.0 million for various amendments to the Credit Facility, $1.5
million of which were amortized during 1999 and included as a component of 1999
interest expense.

         The Credit Facility contains various financial and other covenants,
including, but not limited to, minimum net asset value, minimum tangible net
worth, a total leverage ratio and minimum interest coverage ratio. The Company's
owned properties and properties underlying loans receivable with an aggregate
cost of $79.2 million are included in the Credit Facility borrowing base and
pledged as collateral at December 31, 1999. The terms require the Company to
make monthly payments of principal equal to .22% of the outstanding balance on
the first day of the prior calendar month. In addition, the Company is required
to pay a monthly facility fee in an amount equal to .0625% of the outstanding
balance. Re-borrowings are not permitted after repayment, except for the $5.75
million revolving credit portion of the Credit Facility. As of the date of the
agreement, the Company has available the entire $5.75 million, however,
availability is restricted to certain specified purposes, including dividend
distributions. Dividend distributions over the term of the loan are limited to
$3.0 million plus 95% of the Company's funds from operations, as defined by the
National Association of Real Estate Investment Trusts ("NAREIT") prior to
January 1, 2000.

         Amounts outstanding under the Credit Facility bear interest at floating
rates ranging from 2.75% to 3.25% over one-month LIBOR, as determined by the
percentage of the Credit Facility outstanding as compared to the borrowing base.

                                       4
<PAGE>

The interest rate on borrowings outstanding under the Credit Facility at
December 31, 1999 was 9.25%, 2.75% over one-month LIBOR.

         On September 9, 1999, the Company completed a $32.7 million financing
of five properties arranged by J.P. Morgan Mortgage Capital Inc. ("J.P.
Morgan"). One of the loans is collaterized by two of the properties.
Approximately $19.2 million of the debt proceeds were used to pay-down the
Company's outstanding Credit Facility. The remaining $13.5 million was used to
pay-off an existing mortgage secured by two of the properties of $10.4 million,
and a prepayment penalty of $1.2 million on the existing mortgage, with the
balance of $1.9 million used to pay expenses, interest and required reserves.
These mortgage loans have a ten-year term, a twenty-five year amortization
period and a fixed weighted average interest rate of 8.37%. The Company incurred
approximately $634,000 in financing costs on this transaction, which is being
amortized over the mortgages' ten-year life.

         On October 5, 1999, the Company completed an $8.5 million financing of
two medical office buildings arranged by J.P. Morgan. Approximately $7.9 million
of the debt proceeds were used to pay-down the Company's Credit Facility. The
remaining $592,000 of proceeds was used to pay expenses, interest and required
reserves. These mortgage loans have a ten-year term, a twenty-five year
amortization period and a fixed interest rate of 8.35%. The Company incurred
approximately $242,000 in financing costs on this transaction, which is being
amortized over the mortgages' ten-year life.

         On November 24, 1999, the Company completed a $30 million financing of
four properties arranged by J.P. Morgan. One of the loans is collateralized by
two of the properties. Approximately $28 million of the debt proceeds were used
to pay-down the Company's outstanding Credit Facility. The remaining $2 million
was used to pay transaction-related expenses and required reserves. These
mortgages have a three-year term, are interest-only and have a variable interest
rate of 3.00% over one-month LIBOR (9.5% at December 31, 1999). The variable
interest rates are capped at 17.50%, 13.08%, and 11.98% on the individual
mortgages of $4.6 million, $14.9 million and $10.5 million, respectively. The
Company incurred approximately $552,000 in financing costs and $53,000 in
interest rate cap fees on this transaction, which are being amortized over the
mortgages' three-year life. The Company can at its option extend the term of the
loans for one two-year period upon payment of a 50 basis point extension fee.

         The Company expects net cash provided by operations and funds available
under the Credit Facility to be sufficient to enable it to meet its short-term
cash flow requirements through December 31, 2000, including the funding of
$352,000 of construction commitments.

                                       5

<PAGE>

         The Credit Facility currently matures on June 30, 2001. If the Company
is unable to pay-off or obtain replacement financing by June 30, 2001, or is
unable to negotiate a further extension of the current credit facility at that
time, or for any reason the Company were to be in default under the Credit
Facility prior to its maturity, Deutsche Bank could exercise its right to
foreclose on the collateral securing the Credit Facility, which would have a
significant adverse affect on the Company's ability to continue its operations
and meet its obligations, including payment of quarterly shareholder
distributions. Moreover, if the Company is unable to raise additional capital
through equity financing, or is unable to increase its borrowing capacity, the
Company may be limited in its ability to fully fund its long-term capital needs.

         The interest rate, loan extension fee and loan principal amortization
under the terms of the Credit Facility extension, as well as the higher interest
expense under the new mortgage financing, will reduce the Company's cash flows
and could affect its ability to maintain distributions to its shareholders at
current levels. Future increases in interest rates, as well as any defaults by
tenants or borrowers on their leases or loans, also could adversely affect the
Company's cash flow and its ability to pay its obligations and make
distributions at current levels. There can be no assurance that the Company will
be able to continue making distributions to its common shareholders at current
levels or at all. See "Business - Genesis and Multicare Announce Commencement of
Debt Restructuring Discussions with their Senior Lenders," "Business -
Transactions with Genesis," "Business - Risk Factors" and "Management's
Discussion and Analysis of Financial Condition and Results of Operations -
Liquidity and Capital Resources."

         To qualify as a REIT, the Company must distribute to its shareholders
each year at least 95% (90% for taxable years beginning after December 31, 2000)
of its net taxable income, excluding any net capital gain. If the Company is
unable to make required shareholder distributions, then the Company may be
unable to qualify as a REIT and be subject to federal income taxes. See
"Management's Discussion and Analysis of Financial Condition and Results of
Operations - Liquidity and Capital Resources" and "Business - Risk Factors."

Investments

         Investment Policies

         In determining whether to invest in a facility or fund term or
construction loans, the Company focuses on:

         o  the experience of the operator;
         o  the financial and operational feasibility of the property;
         o  the net short and long-term supply/demand balance within the
            marketplace for the proposed investment;
         o  the financial strength of the borrower or lessee;
         o  the security available to support the financing; and
         o  the amount of capital committed to the property by the borrower or
            lessee.

         The Company conducts market research and analysis for potential
investments. In addition, the Company reviews the value of the properties,
interest rates and debt service coverage requirements of debt to be assumed and
the anticipated sources for repayment of such debt.

         The Company's investments primarily have taken the form of senior
housing and other healthcare facilities leased to operators under long-term
operating leases, term loans and construction financing. The

                                       6

<PAGE>

Company typically provides construction financing up to the lesser of 80% of the
estimated value of the property or 90% of its cost. The Company's policy is to
structure long-term financings to maximize returns. Subject to the availability
of capital, the Company believes that appropriate new investments will be
available in the future regardless of interest rate fluctuations. However, there
can be no assurance that suitable investments will be identified or that such
investments can be consummated on acceptable terms. See "Business - Business
Strategy" and "Business - Risk Factors."

         Term loans and operating leases are normally secured by the underlying
real estate, guarantees and/or cash deposits. As of December 31, 1999, cash
deposits aggregating approximately $3.3 million were held by the Company as
security for operating leases, term loans and construction loan obligations. In
addition, the leases are generally cross-defaulted with any other leases or
other agreements between the operator or any affiliate of the operator and the
Company, which were entered into simultaneously. Economic terms of the Company's
operating leases include fixed and minimum rent leases, which normally include
annual rate increases, and percentage rent leases. Percentage rent leases
require rents based upon a fixed percentage of facility revenues throughout the
lease term. See "Business - Investments - Owned Properties - Operating Leases."

         The Company monitors its investments through a variety of methods. The
monitoring process includes a review and analysis of the facility, borrower or
lessee, and guarantor financial statements; periodic site visits; property
reviews; and meetings with operators. Such reviews of operators and facilities
generally encompass licensure and regulatory compliance materials and reports,
contemplated building improvements and other material developments. The
Company's lessees and borrowers are subject to various regulations. See
"Business - Government Regulation" and "Business - Risk Factors."

         There are no limitations on the amount or percentage of the Company's
total assets that may be invested in any one property. Additionally, no limits
have been set on the concentration of investments in any one location, operator
or facility type.

         The Company may participate with other entities in property ownership
through joint ventures or other types of co-ownership. Equity investments may be
subject to existing mortgage financing and other indebtedness, or such financing
or indebtedness may be incurred in connection with acquiring investments. Any
such financing or indebtedness will have priority over the Company's equity
interest in such property.

         The Company does not intend to invest in the securities of others for
the purpose of exercising control. Where appropriate, and subject to REIT
qualification rules, the Company may sell certain of its properties.

         Subject to the gross income and asset tests necessary for REIT
qualification, the Company also may invest in securities of entities engaged in

                                       7

<PAGE>

real estate activities or securities of other issuers. The Company may acquire
all or substantially all of the securities or assets of other REITs or similar
entities where such investments would be consistent with the Company's
investment policies. In any event, the Company does not intend that its
investments in securities will require ElderTrust or its consolidated
subsidiaries to register as investment companies under the Investment Company
Act of 1940, as amended.

         To the extent that the Company's board of trustees determines it
necessary to obtain additional capital, the Company may raise such capital
through additional equity offerings, debt financing or retention of cash flow,
subject to provisions of the Internal Revenue Code of 1986, as amended (the "Tax
Code"), concerning the taxability of undistributed REIT income, or a combination
of these methods. See "Business - Financing Policies" for further information
concerning the Company's policies regarding debt financing.

         The Company may sell some or all of its investments in the future.
Under lease agreements with Genesis or Genesis Equity Investees, these entities
have the right of first refusal on offers the Company receives to purchase or
lease any of its properties it desires to sell. See "Business - Risk Factors."
The Company may consider offering purchase money financing in connection with
the sale of properties where the provision of such financing will increase the
value received by the Company for the property sold.

         The Company may, but does not presently intend to, make investments
other than as described above. The Company will have the authority and may
determine it necessary to offer its common shares or other equity or debt
securities in exchange for property and to repurchase or otherwise reacquire its
common shares or any other securities and may engage in such activities in the
future. Similarly, the Company may offer additional units of the Operating
Partnership or other equity interests in the Operating Partnership that are
exchangeable into common or preferred shares of ElderTrust in exchange for
property. The Company also may make loans to joint ventures in which it may
participate in the future. The Company will not engage in trading, underwriting
or the agency distribution or sale of securities of other issuers. At all times,
the Company intends to make investments in such a manner as to be consistent
with the requirements of the Tax Code to qualify as a REIT unless, because of
circumstances or changes in the Tax Code (or the regulations promulgated
thereunder), the board of trustees determines that it is no longer in the best
interests of the Company to qualify as a REIT.

         The board of trustees may change the investment policies and activities
of the Company at any time without a vote of shareholders. There can be no
assurance that the Company's investment objectives will be realized. See
"Business - Risk Factors."

                                       8

<PAGE>

         Investment Portfolio

         The Company is a self-managed and self-administered real estate
investment trust that invests principally in senior housing and other healthcare
facilities. As such, the Company has one reportable business segment. All of the
Company's facilities and business activities are contained within the United
States. The Company has significant transactions with Genesis and Genesis Equity
Investees. See "Business - Genesis and Multicare Announce Commencement of Debt
Restructuring Discussions with their Senior Lenders" and "Business -
Transactions with Genesis."

         The Company's consolidated investments in real estate properties and
loans at December 31, 1999 are reflected in the following table:
<TABLE>
<CAPTION>
- --------------------------------------------------------------------------------------------------------------------
                                           Percentage     Number     Number   Investment      Number       Number
                                               of           of         of         per           of           of
    Type of Facility       Investments(1)  Portfolio    Facilities   Beds(2)     Bed(3)     Operators(4)   States(5)
- --------------------------------------------------------------------------------------------------------------------
                                              (dollars in thousands)
<S>                            <C>             <C>           <C>       <C>      <C>              <C>         <C>
Owned Properties:
   Assisted Living
     Facilities                $ 83,860        35.3%         7         671      $125             2            2
   Independent Living
     Facilities                   4,164         1.7          1          72       58              1            1
   Skilled Nursing
     Facilities                  84,379        35.5          8       1,187       71              3            2
   Medical Office and
     Other Buildings             16,652         7.0          6           -        -              3            4
                               --------------------------------------------
   Total Owned Properties       189,055        79.5         22       1,930
                               --------------------------------------------

Term and Construction Loans:
   Assisted Living
     Facilities                  48,646        20.5          8         567       86              3            3
                               --------------------------------------------
   Total Term and
     Construction Loans          48,646        20.5          8         567
                               --------------------------------------------

       Totals                  $237,701       100.0%        30       2,497
                               ============================================
</TABLE>
- -----------
(1) Includes investments in real estate properties and loans on real estate
    properties aggregating $230.5 million, before reductions for accumulated
    depreciation, and credit enhancements on several owned properties, which
    aggregated $7.2 million.

(2) Based upon the number of private and semi-private beds/units currently in
    service.

(3) Investment per Bed was computed by using the respective facility investment
    amount divided by number of beds/units currently in service for each
    respective facility.

(4) Genesis or Genesis Equity Investees managed 18 of the owned properties and
    seven of the properties underlying the term and construction loans, under
    management agreements with the tenants. See "Business - Transactions with
    Genesis" and "Item 2 - Properties."

(5) The Company has investments in properties located in eight states, occupied
    by nine different tenants or borrowers.

                                       9

<PAGE>

         Owned Properties

              Assisted Living Facilities

         Assisted living facilities provide services to aid in activities of
daily living, such as bathing, meals, security, transportation, recreation,
medication supervision and limited therapeutic programs. More intensive medical
needs of the resident are often met within assisted living facilities by home
health providers, close coordination with the resident's physician and skilled
nursing facilities.

              Independent Living Facilities

         Independent living facilities offer specially designed residential
units for active and ambulatory elderly residents and provide various ancillary
services. These facilities offer residents an opportunity for an independent
lifestyle with a range of social and health services.

              Skilled Nursing Facilities

         Skilled nursing facilities provide inpatient skilled nursing and
custodial services as well as rehabilitative, restorative and transitional
medical services. In some instances, nursing facilities supplement hospital care
by providing specialized care for medically complex patients whose conditions
require intense medical and therapeutic services, but who are medically stable
enough to have these services provided in facilities that are less expensive
than acute care hospitals.

              Medical Office and Other Buildings

         The medical office and other buildings provide office space primarily
to practicing physicians and other healthcare professionals, principally in
connection with services rendered by these physicians at an adjacent acute care
or long-term facility.

              Operating Leases

         Each of the Company's skilled nursing and senior housing facilities,
which includes the land (if owned), buildings, improvements and related rights,
is leased pursuant to a long-term lease. These leases generally have a fixed
term of 5 to 12 years and contain multiple five to ten-year renewal options.
Some of these leases provide for rents based on a specified percentage of
facility operating revenues with no required minimum rent ("percentage rent
leases"). Other leases provide for base rent, increasing each year by the lesser
of 5% of the increase in facility revenues for the immediately preceding year or
one-half of the percentage increase in the Consumer Price Index for the
immediately preceding year ("minimum rent leases"). Both types of leases are
triple net leases that require the lessees to pay all operating expenses, taxes,
insurance, maintenance and other costs, including a portion of capitalized
expenditures. The base rents for the renewal periods are generally fixed rents

                                       10

<PAGE>

set at a spread above the Treasury yield for the corresponding period. The
remaining leases ("fixed rent leases") are with tenants in the medical office
and other buildings and provide for specified annual rents, subject to annual
increases in some of the leases. Generally, these leases are for a five-year
period. Some of the lessees subject to fixed rent leases are required to repair,
rebuild and maintain the leased properties.

         The net consolidated carrying value of the Company's leased properties
aggregated $171.7 million at December 31, 1999, excluding credit enhancements
aggregating $7.2 million on various properties. Credit enhancements consisted of
$3.8 million in bond and operating reserve funds required in connection with
outstanding debt issues on three facilities, security deposits of $1.8 million
on various facilities, letters of credit aggregating $1 million on two
facilities and mortgage escrow accounts of $0.6 million.

         See "Proposed Loan Restructurings and Related Matters" below for
additional information.

         Term and Construction Loans

              Term Loans

         At December 31, 1999, the Company had investments in five term loans.
All of the $27.4 million of term loans as of December 31, 1999 were first
mortgage loans. The borrower under each of these loans is Genesis or Genesis
Equity Investees. The interest rate on the Company's investments in term loans
for operating facilities ranges from 9.5% to 10.5% per annum on the outstanding
balances. The yield to the Company on term loans depends upon a number of
factors, including the stated interest rate, average principal amount
outstanding during the term of the loan, the amount of the commitment fee
charged at the inception of the loan, and any interest rate adjustments. The
term loans for operating facilities at December 31, 1999 generally had initial
two-year terms and provided for one-year extension periods and a balloon payment
of the outstanding principal balance at the end of the term. Three of the loans
are subject to an extension fee of 50 basis points for each extension period.
See "Proposed Loan Restructurings and Related Matters" below for additional
information.

              Construction Loans

         At December 31, 1999, the Company had made construction loans totaling
$21.2 million secured by three healthcare facilities under development. The
borrower under two of the loans is Genesis. The Company has the option to
purchase and leaseback the facility underlying the remaining loan from an
unaffiliated company for $13.0 million upon

                                       11

<PAGE>

maturity of the loan. One construction loan was sold to a commercial bank during
1999. The interest rate on the Company's investments in construction loans
ranges from 9% to 10.5% per annum on the outstanding balances. The rates on the
outstanding balances of the Company's construction financings generally range
from 350 to 400 basis points over the three-year Treasury rates in effect at the
time the loan is executed. The construction financing period commences upon
initial funding and terminates upon the earlier of the term of the construction
loan, generally two to three years, or achievement of average monthly occupancy
of at least 90% for three consecutive months. During the term of the
construction financing, funds are advanced pursuant to draw requests made by the
operator in accordance with the terms and conditions of the applicable financing
agreement. These terms may require, among other things, a site visit by a
Company representative or designee prior to the advancement of funds. Monthly
interest payments are made on the total amount of the proceeds advanced during
the development period. During the construction financing period, the Company
generally requires additional security and collateral in the form of either
payment and performance bonds and/or completion guarantees by either one or a
combination of the operator's general contractor or parent entity, other
affiliates of the operator, or one or more of the individual principals of the
operator. See "Proposed Loan Restructurings and Related Matters" below for
additional information.

         At December 31, 1999, the Company was committed to providing additional
construction funding of approximately $352,000 on one ongoing project for which
it had outstanding construction loans. Construction on facilities underlying all
other construction loans was substantially completed during 1999. The following
is a rollforward of the Company's construction loan commitments during 1999:

                                                        Development    Ongoing
                                                         Projects      Projects
                                                        -----------    --------
                                                              (in thousands)
Construction loan commitments, January 1, 1999               -         $ 7,707
Commitments entered into during 1999                         -               -
Commitments funded during 1999                               -          (6,708)
Commitments which expired during 1999                        -            (647)
                                                          -----        -------
Construction loan commitments, December 31, 1999 (a)         -         $   352
                                                          =====        =======
- ----------
(a) This amount is expected to be funded during 2000 using available cash flow
    or by borrowing under the Credit Facility.

              Proposed Loan Restructurings and Related Matters

         The Company previously was obligated to purchase and leaseback, upon
the maturity of the related loan or the facility reaching stabilized occupancy,
five assisted living facilities (Mifflin, Coquina Place, Lehigh, Berkshire and
Harbor Place) securing term loans and two assisted living facilities (Oaks and
Sanatoga) securing construction loans made by the Company in January 1998. Of
these seven loans, which had an aggregate principal balance at December 31, 1999
of $39.1 million, three loans, secured by the Mifflin, Coquina Place and Oaks
facilities, were made to wholly-owned subsidiaries of Genesis, three loans,

                                       12

<PAGE>

secured by the Lehigh, Berkshire and Sanatoga facilities, were made to
wholly-owned subsidiaries of Multicare and one loan, secured by the Harbor Place
facility, was made to a Genesis Equity Investee. The Company believes it is no
longer bound by the purchase and leaseback obligations contained in the loan
documents because the borrowers have, from time to time, not complied with all
loan provisions.

         The Company and the borrowers have extended the maturity date of the
five term loans through April 28, 2000 to permit them to negotiate and document
a proposed restructuring of the relationships among the parties. The terms of
the transaction being contemplated do not indicate that the Company's mortgage
loans are impaired at December 31, 1999. Under the proposed restructuring, the
Company would acquire the Lehigh, Berkshire and Sanatoga facilities in exchange
for the release of the Company's loans to the subsidiaries of Multicare. The
Company would then net lease these properties to subsidiaries of Genesis for an
initial lease term of 14 years, with three five-year renewal options. In
addition, the maturity date on the loans for Mifflin, Coquina Place, Oaks and
Harbor Place would be extended to April 1, 2001.

         As part of the proposed restructuring, the Company also would transfer
to Genesis the Company's Phillipsburg skilled nursing facility and certain other
assets in exchange for the improvements Genesis is making on the Company's
Rittenhouse skilled nursing facility. The existing Rittenhouse lease would be
amended to, among other things, increase the annual rent to an amount which
equals the sum of the annual rents on the current separate leases for
Phillipsburg and Rittenhouse. In addition, the Heritage Woods percentage rent
lease would be converted into a minimum rent lease, and the Willowbrook lease
would be set permanently as a minimum rent lease. Finally, if Genesis refinances
the Oaks, Harbor Place, Coquina and Mifflin loans with a third party and does
not receive sufficient loan proceeds to cover the existing loan balances, and
once the Credit Facility is fully repaid, the parties would agree that any
shortfall would be applied against amounts owed by an Equity Investee of the
Company to Genesis under an $8.5 million note given to Genesis as part of the
purchase price for interests in seven properties acquired from Genesis in 1998.

         The proposed restructuring is subject to approval by the Boards of the
Company, Genesis and Multicare and by each company's principal lenders. No
assurance can be given that the proposed restructurings will be completed. See
"Business - Genesis and Multicare Announce Commencement of Debt Restructuring
Discussions with their Senior Lenders" and "Business - Risk Factors."

                                       13

<PAGE>

         Investments in the Company's Equity Investees

         The Company's Equity Investees represent entities in which the
controlling interest is owned by Mr. D. Lee McCreary, the Company's President,
Chief Executive Officer and Chief Financial Officer. As a result, the Company
records its investments in, and results of operations from, these entities using
the equity method of accounting in its consolidated financial statements
included in this Form 10-K.

              ET Capital Corp.

         The Company has a nonvoting 95% equity interest in ET Capital Corp.
("ET Capital"). The remaining voting 5% equity interest in ET Capital is owned
by Mr. McCreary. As of December 31, 1999, ET Capital owned a $7.8 million second
trust mortgage note executed by AGE Institute of Florida, which it acquired from
Genesis during 1998. This note is secured by a second lien on 11 Florida skilled
nursing facilities owned by AGE Institute of Florida and a second lien on
accounts receivable and other working capital assets. The facilities are managed
by subsidiaries of Genesis. This note matures on September 30, 2008 with
payments of interest only, at a fixed annual rate of 13% due quarterly until the
note is paid in full. ET Capital recorded interest income on the note of $1.0
million during 1999. The borrower made all required interest payments during
1999 in accordance with the terms of the note.

         In September 1999, the senior lender on the $40.0 million first trust
mortgage to the AGE Institute of Florida, which is guaranteed by Genesis,
notified the borrower that it was in default of the loan due to the borrowers'
failure to meet certain financial covenants. In November 1999, ET Capital
notified the borrower that it was in default of the $7.8 million second trust
mortgage loan held by ET Capital because of the default in the $40.0 million
first trust mortgage loan. Subsequently, the senior lender extended the maturity
date of the first mortgage trust loan from September 30, 1999 to March 28, 2000
to permit the AGE Institute of Florida time to obtain refinancing of the loan. A
letter agreement dated December 22, 1999 made certain modifications and defined
certain rights of the senior lender and ET Capital related to their respective
loans to the AGE Institute of Florida. The AGE Institute of Florida has been
working to obtain replacement financing of the $40.0 million first trust
mortgage loan and is seeking a further extension of the loan maturity date from
the senior lender.

         In January 2000, the AGE Institute of Florida received a tax
determination letter confirming its tax-exempt status. The Company understands
from the AGE Institute of Florida that it is continuing to pursue tax-exempt and
other financing sources to refinance the first and second trust mortgages. If
the AGE Institute of Florida is unable to refinance the $40.0 million first
trust loan, or is otherwise unable to reach acceptable extension terms with the
senior lender, the senior lender may take actions to recover its investment in
such first trust loan. ET Capital has no control over the actions of the senior
lender and such actions could be unfavorable to ET Capital. Based on the
Company's assessment of the fair value of the facilities securing the underlying
loans, the Company believes that ET Capital's $7.8 million second trust loan is
not impaired at December 31, 1999.

         In addition to the AGE Institute of Florida second trust mortgage note,
ET Capital has notes receivable aggregating $4.6 million at December 31, 1999
from two of the Company's Equity Investees and one of the Company's consolidated
subsidiaries. These loans mature at various dates from April 2008 to December
2011 and bear interest at 14% per annum with interest and principal payable
monthly. ET Capital's long-term debt includes two demand promissory notes
payable to the Company aggregating $5.9 million at December 31, 1999 in
connection with the above second mortgage note transaction. These notes bear
interest at a weighted average rate of 12.1% per annum with interest only
payable quarterly. In addition, ET Capital has loans payable to the Company
aggregating $3.7 million, bearing interest at 15% and maturing at various dates
from April 2008 to December 2011.

                                       14

<PAGE>


         The Company recorded $1.3 million in interest income for the year ended
December 31, 1999 on the notes payable from ET Capital. The Company also
recorded income of $236,000 related to the portion of its equity interest in ET
Capital's results of operations for the year ended December 31, 1999. See Note 6
of the Company's consolidated financial statements included in this Form 10-K.

              ET Sub-Meridian Limited Partnership, L.L.P.

         The Company has a 99% limited partnership interest in ET Sub-Meridian
Limited Partnership, L.L.P. ("ET Sub-Meridian"). The 1% general partner interest
is owned by a limited liability company of which Mr. McCreary is the sole
member. ET Sub-Meridian owns the leasehold and purchase option rights to seven
skilled nursing facilities located in Maryland and New Jersey, which it
purchased from Genesis for $35.5 million in cash and issuance of $8.5 million in
term loans during September 1998. The purchase options are exercisable by ET
Sub-Meridian in September 2008 for a cash exercise price of $66.5 million. ET
Sub-Meridian subleased the facilities to Genesis for an initial ten-year period
with a ten-year renewal option. Genesis has guaranteed the subleases.

         As part of the transaction, the Company agreed to indemnify the
property owners for any loss of deferral of tax benefits prior to August 31,
2008 due to a default under a sublease or if a cure of a default by the Genesis
subsidiary leasing the facilities resulted in a taxable event to the owners. The
Company also agreed to indemnify Genesis for any amounts expended by Genesis
under the back-up indemnity provided by Genesis to the current owners for the
same loss.

         The Company recorded a loss of $2.3 million related to the portion of
its equity interest in ET Sub-Meridian's results of operations for the year
ended December 31, 1999. ET Sub-Meridian has real estate investments and
long-term debt of $106.5 million and $106.9 million, respectively, at December
31, 1999. See Note 6 of the Company's consolidated financial statements included
in this Form 10-K. At December 31, 1999, ET Sub-Meridian had a $17.6 million
subordinated demand loan bearing interest at 12% per annum payable to the
Company in connection with the above transaction. The Company recorded $2.1
million in interest income on this loan for the year ended December 31, 1999.

              ET Sub-Heritage Andover, LLC
              ET Sub-Vernon Court, LLC
              ET Sub-Cabot Park, LLC
              ET Sub-Cleveland Circle, LLC

         The Company, through four limited liability companies (ET Sub-Heritage
Andover, LLC, ET Sub-Vernon Court, LLC, ET Sub-Cabot Park, LLC, and ET
Sub-Cleveland Circle, LLC), has member interests in three assisted living
facilities and one independent living facility, which it acquired during
December 1998 from an unrelated third party. A Genesis Equity Investee leases
each of the facilities.

                                       15

<PAGE>

         The Company is the sole member of ET Sub-Heritage Andover, LLC, which,
accordingly, is consolidated into the Company's consolidated financial
statements at December 31, 1999. In each of the remaining three limited
liability companies, the Company has a 99% member interest. The 1% managing
member interest in these three companies is owned by a limited liability company
of which Mr. McCreary is the sole member. The Company currently has the option
to acquire the 1% managing member interest in ET Sub-Vernon Court, LLC from Mr.
McCreary. The option exercise price is $3,200. As the Company has the ability to
acquire the 1% managing member interest in ET Sub-Vernon Court, LLC for a
nominal amount, this company is consolidated into the Company's consolidated
financial statements at December 31, 1999.

         Three of these limited liability companies have subordinated demand
loans in the aggregate amount of $5.1 million with the Company at December 31,
1999, bearing interest at 12% per annum. The Company recorded $381,000 in
interest income for the year ended December 31, 1999 in connection with the
demand loans, aggregating $3.1 million at December 31, 1999, payable to the
Company by the two unconsolidated limited liability companies. Additionally,
three of the limited liability companies have loans payable to ET Capital
aggregating $4.6 million at December 31, 1999, maturing at various dates from
April 2008 to December 2011 and bearing interest at 14% per annum with interest
and principal payable monthly.

         The Company recorded an aggregate loss of $401,000 related to the
portion of its equity interest in ET-Sub-Cabot Park, LLC's and ET Sub-Cleveland
Circle, LLC's results of operations for the year ended December 31, 1999. These
two entities have real estate investments and aggregate long-term debt of $31.2
million and $30.7 million, respectively, at December 31, 1999. See Note 6 of the
Company's consolidated financial statements included in this Form 10-K.

         Right of First Refusal Agreement

         The Company and Genesis have entered into a three-year agreement which
expires January 30, 2001, subject to annual renewals thereafter. The agreement
provides Genesis with a right of first refusal to lease or manage any assisted
living, independent living or skilled nursing facility financed or acquired by
the Company within Genesis' markets unless the facility will be leased or
managed by the seller or an affiliate of the seller.

         The agreement also provides the Company with the following:

         o  a right of first refusal to purchase and leaseback any assisted
            living, independent living or skilled nursing facilities which
            Genesis determines to sell and leaseback as part of a sale/leaseback
            transaction or transactions, excluding sale/leaseback transactions
            with commercial banking institutions;

                                       16

<PAGE>

         o  a right to offer financing to Genesis and other developers of
            assisted and independent living facilities which, once developed,
            will be operated by Genesis; and

         o  a right to offer financing to Genesis with respect to any new
            off-balance sheet financing of skilled nursing facilities currently
            owned by Genesis.

         Due, among other things, to a lack of available capital, the Company
does not anticipate purchasing any additional facilities under this agreement.

Business Strategy

         The Company's principal business objective is to maximize growth in
cash available for distribution and to enhance the value of its portfolio in
attempting to maximize total return to shareholders. The Company's business
strategies to achieve this are:

         o  to invest in a portfolio of healthcare-related properties and
            mortgages that are;

            -- operated or managed by established operators; and

            -- located in close proximity to complementary healthcare
            services and facilities;

         o  to pursue new investment opportunities through traditional and/or
            innovative financing techniques; and

         o  to provide shareholders the opportunity for increased annual
            distributions funded by income from new investments or annual
            increases in rental and interest income from existing assets.

         The Company believes its strategy of investing in facilities that are
managed by established operators, such as Genesis, and that are located near
other complementary healthcare services and facilities will result in a
marketing advantage for operators of its facilities, which may result in higher
occupancy rates and revenues. Substantially all of the Company's senior living
centers and development projects are located in close proximity to complementary
healthcare services and facilities, such as skilled nursing facilities operated
by Genesis and other healthcare providers. Genesis intends for residents of
assisted living facilities owned by the Company to have access to long-term care
at a Genesis managed skilled nursing facility located near the assisted living

                                       17

<PAGE>

facility. In addition, complementary healthcare providers, such as Genesis, will
be available to provide ancillary services (such as pharmacy, physical therapy,
nursing and physician services) needed from time to time by residents of the
facilities leased to or managed by Genesis. The Company's ability to grow its
business has been adversely impacted in recent periods by the unavailability of
capital, which has also affected most, if not all, other publicly traded
healthcare REITs. While the Company intends to seek to diversify its investment
portfolio by operator, geography, type of healthcare facilities and form of
financing, it is currently limited in its ability to do so by a lack of
available capital to grow its business. See "Business - Risk Factors."

         The board of trustees may change the Company's business strategy at any
time without a vote of shareholders. There can be no assurance that the
Company's business objectives will be realized. See "Business - Risk Factors."

Financing Policies

         The Company does not have a policy limiting the amount of indebtedness
that the Company may incur. In addition, the declaration of trust and bylaws of
the Company do not limit the amount or percentage of indebtedness that the
Company may incur. The Company has not established any limit on the number or
amount of mortgages that may be placed on any single property or on its
portfolio as a whole. The board of trustees will consider a number of factors
when evaluating the Company's level of indebtedness and when making decisions
regarding the incurrence of indebtedness, including the purchase price of
properties to be acquired with debt financing, the estimated market value of its
properties upon refinancing and the ability of particular properties and the
Company as a whole to generate sufficient cash flow to cover expected debt
service. See "Business - Risk Factors" and "Management's Discussion and Analysis
of Financial Condition and Results of Operations - Liquidity and Capital
Resources."

Transactions with Genesis

         At December 31, 1999, the Company and its Equity Investees had the
following investments in real estate properties and loans leased to, managed by
or made to Genesis or Genesis Equity Investees:
<TABLE>
<CAPTION>
                                                Genesis (1)                Genesis Equity Investees (2)
                                       -------------------------------    --------------------------------
                                         Number of        Investment        Number of        Investment
                                       Properties(3)       Amount(3)       Properties(3)      Amount(3)
                                       -------------      ----------       -------------     ----------
                                                             (dollars in thousands)
<S>                                         <C>            <C>                  <C>            <C>
ElderTrust                                  18             $120,432             7              $79,944

ElderTrust Equity Investees (4)              7              106,547             2               31,244
</TABLE>
- ----------
(1) Represents Genesis and its consolidated subsidiaries.

(2) Represents entities in which Genesis accounts for its investment using the
    equity method of accounting.

                                       18

<PAGE>

(3) Represents investments in or loans on real estate properties, before
    reductions for accumulated depreciation, owned by the Company or entities in
    which it accounts for its investment using the equity method of accounting.

(4) Represents entities in which the Company accounts for its investment using
    the equity method of accounting.

         Below is a description of the loan and lease transactions which
comprised the information in the above table.

         Transactions between the Company and Genesis

         At December 31, 1999, the Company leased eight properties to Genesis
under percentage and minimum rent leases, each for an initial ten-year period
with two five-year renewals. Genesis also leased space under fixed rent leases
in three medical office and other buildings. The terms of these leases are for
up to five years, subject to renewal. Additionally, Genesis managed one property
leased by the Company to an unrelated third party. The Company received lease
payments of $7.7 million in 1999 on properties leased to or managed by Genesis.

         Genesis has guaranteed the leases for eight properties that are leased
by wholly-owned subsidiaries of Genesis. In the event Genesis assigns one or
more of the leases to a non-wholly-owned subsidiary or a third party, Genesis
will no longer guarantee the applicable lease. Any such assignment would require
the consent of the Company which may not be unreasonably withheld. See "Business
- - Risk Factors."

         At December 31, 1999, the Company had four term loans and two
construction loans with Genesis. The term and construction loans had original
maturities of between two and three years, subject to extension by the borrower
for one to four one-year periods, with a weighted average interest rate of
10.0%. The Company recorded interest income on these loans of $3.3 million in
1999. See "Business - Investments - Proposed Loan Restructurings and Related
Matters."

         The Company entered into a right of first refusal agreement with
Genesis, whereby the Company was granted a right of first refusal to purchase
and leaseback to Genesis any assisted living, independent living or skilled
nursing facility which Genesis determines to sell and leaseback. See "Business -
Investments - Right of First Refusal Agreement."


                                       19

<PAGE>

         Transactions between the Company and Genesis Equity Investees

         At December 31, 1999, the Company leased six properties to Genesis
Equity Investees under minimum rent leases, each for an initial term of ten to
twelve years. The Company received lease payments of $7.0 million in 1999 from
Genesis Equity Investees.

         At December 31, 1999, the Company had one term loan with a Genesis
Equity Investee. The term loan had an original maturity of two years, subject to
extension by the borrower for one one-year period, with an interest rate of
9.5%. The Company recorded interest income on this loan of $412,000 in 1999. See
"Business - Investments - Proposed Loan Restructurings and Related Matters."

         Transactions between the Company's Equity Investees and Genesis

         At December 31, 1999, ET Sub-Meridian, an Equity Investee of the
Company, subleased seven properties to Genesis under minimum rent leases, each
for an initial ten-year period with a ten-year renewal option. ET Sub-Meridian
received sublease payments of $9.8 million in 1999 from Genesis. See "Business -
Investments - Investments in the Company's Equity Investees."


                                       20

<PAGE>

         Transactions between the Company's Equity Investees and Genesis Equity
Investees

         At December 31, 1999, ET Sub-Cabot Park, LLC and ET Sub-Cleveland
Circle, LLC, Equity Investees of the Company, each leased one property to a
Genesis Equity Investee under a minimum rent lease, with an initial term of ten
years and a ten-year renewal option. ET Sub-Cabot Park, LLC and ET Sub-Cleveland
Circle, LLC received aggregate lease payments of $3.0 million in 1999 from
Genesis Equity Investees. See "Business - Investments - Investments in the
Company's Equity Investees."

Reimbursement

         Health Care Reform

         The healthcare industry is subject to extensive federal, state and
local regulation. The Company is affected by government regulation of the
healthcare industry in that the Company receives rent and debt payments from
lessees and borrowers and the Company's additional rents are generally based on
its lessees' gross revenue from operations. The underlying value of certain of
the Company's facilities depends on the revenue and profit that a facility is
able to generate. Aggressive efforts by health insurers and governmental
agencies to limit the cost of healthcare services and to reduce utilization of
hospital and other healthcare facilities may further reduce revenues or slow
revenue growth from these healthcare facilities and shift or reduce utilization.

         In recent years, a number of laws have been enacted that have effected
major changes in the healthcare system, both nationally and at the state level.
The Balanced Budget Act of 1997 (the "Balanced Budget Act"), signed into law on
August 5, 1997, sought to achieve a balanced federal budget by, among other
things, significantly reducing federal spending on the Medicare and Medicaid
programs. The Medicare Balanced Budget Refinement Act ("Refinement Act"), signed
into law in November 1999, made certain amendments to the Medicare reimbursement
reductions resulting from the Balanced Budget Act. The Company anticipates that
Congress and state legislatures will continue to review and assess alternative
healthcare delivery and payment systems and will continue to propose and adopt
legislation effecting fundamental changes in these systems. Changes in the
applicable laws or new interpretations of existing laws may have a dramatic
effect on the definition of permissible or impermissible activities, the
relative cost of doing business, and the methods and amounts of payments for
medical care by both governmental and other payers, any of which could
materially adversely impact the Company's lessees and borrowers.

                                       21

<PAGE>

         Medicare and Medicaid Reimbursement

         The Company's lessees and borrowers who operate skilled nursing
facilities are reimbursed by the Medicare and Medicaid programs for their
products and services. Legislative changes have reduced reimbursement payments
under these programs, which has resulted in lower lease coverage ratios on the
skilled nursing facilities leased by the Company to its tenants. Also, the
Company's lessees and borrowers may experience increases in time periods between
submission of Medicare and Medicaid program claims and receipt of payments due
to increased regulatory action and governmental budgetary constraints. Since
Medicaid programs are funded by both the states and the federal government, the
amount of payments can be affected by changes at either the state or federal
level. There is no assurance that payments under these programs will remain at
levels comparable to present levels or be sufficient to cover costs allocable to
these patients. Both Medicare and Medicaid payments are generally below retail
rates for lessee-operated facilities. Increasingly, states have introduced
managed care contracting techniques in the administration of Medicaid programs.
Such mechanisms could have the impact of reducing utilization of and
reimbursement to the Company's lessees or borrowers. See "Business - Risk
Factors."

         Impact of Balanced Budget Act and Medicare Balanced Budget Refinement
         Act

         The Balanced Budget Act mandated establishment of PPS for Medicare
skilled nursing facilities under which such facilities are paid a federal per
diem rate for most covered nursing facility services. Pursuant to the Balanced
Budget Act, PPS began to be phased in for skilled nursing facilities commencing
with cost reporting periods beginning on or after July 1, 1998. Under PPS,
reimbursement rates were initially based on a blend of a facility's historic
reimbursement rate and a newly prescribed federal per diem rate, which resulted
in significantly reduced reimbursement rates for many operators of skilled
nursing facilities, including Genesis and Multicare. In subsequent periods, and
for facilities first receiving payments for Medicare services on or after
October 1, 1995, the federal per diem rate is used without regard to historic
reimbursement levels.

         The Refinement Act addresses certain reductions in Medicare
reimbursement resulting from the Balanced Budget Act. Under the Refinement Act,
the federal per diem rate established under PPS will be increased by 20% for 15
categories of Medicare patients in skilled nursing facilities starting April 1,
2000 and continuing until the later of October 1, 2000 or changes to PPS are
made to better account for patients in such categories. The federal rates for
all categories will be increased by 4% in fiscal years 2001 and 2002. For cost
reporting periods beginning on or after January 1, 2000, skilled nursing
facilities may elect to receive Medicare payments based 100% on the federal per
diem rate rather than partially on a federal per diem rate and partially on a
pre-PPS facility specific rate. Certain services (such as prostheses and
chemotherapy drugs) for skilled nursing facility patients will be paid by

                                       22

<PAGE>

Medicare in addition to the PPS per diem amounts starting April 1, 2000. The
caps on rehabilitation therapy services required by the Balanced Budget Act will
be suspended for 2000 and 2001.

         At the state level, the Balanced Budget Act also repealed rules which
required Medicaid payments to nursing facilities to be "reasonable and adequate"
to cover the costs of efficiently and economically operated facilities. Under
the Balanced Budget Act, states must now use a public notice and comment process
for determining Medicaid rates, rate methodology and justifications.

         The Company does not employ Medicaid and Medicare reimbursement
specialists and must rely on its lessees and borrowers to monitor and comply
with all reporting requirements and to ensure appropriate payments are being
received.

         PPS has negatively impacted many operators in the skilled nursing
industry, including Genesis and Multicare. There can be no assurances that the
Company's lessees or borrowers will not be further negatively impacted by the
provisions or interpretations of the Balanced Budget Act, including PPS, the
Refinement Act or by future changes in regulations or interpretations of such
regulations. See "Business - Genesis and Multicare Announce Commencement of Debt
Restructuring Discussions with their Senior Lenders," "Business - Government
Regulation" and "Business - Risk Factors."

                                       23

<PAGE>

Government Regulation

         The long-term care segment of the healthcare industry is highly
regulated. Operators of skilled nursing facilities are subject to federal, state
and local laws relating to the delivery and adequacy of medical care,
distribution of pharmaceuticals, equipment, personnel, operating policies, fire
prevention, rate-setting, compliance with building and safety codes and
environmental laws. Operators of skilled nursing facilities also are subject to
periodic inspection by governmental and other authorities to assure continued
compliance with various standards, the continued licensing of the facility under
state law, certification under the Medicare and Medicaid programs and the
ability to participate in other third party payment programs. Many states have
adopted Certificate of Need or similar laws which generally require that the
appropriate state agency approve certain acquisitions of skilled nursing
facilities and determine that a need exists for certain bed additions, new
services and capital expenditures or other changes prior to beds and/or new
services being added or capital expenditures being undertaken. The failure to
obtain or maintain any required regulatory approvals or licenses could prevent
an operator from offering services or adversely affect its ability to receive
reimbursement for services and could result in the denial of reimbursement,
temporary suspension of admission of new patients, suspension or decertification
from the Medicaid or Medicare program, restrictions on the ability to acquire
new facilities or expand existing facilities and, in extreme cases, revocation
of the facility's license or closure of a facility.

         Federal laws also impose civil and criminal penalties for submission of
false or fraudulent claims, including nursing home bills and cost reports, to
Medicare or Medicaid. There can be no assurance that lessees or borrowers of the
Company's skilled nursing facilities or the provision of services and supplies
by such lessees will meet or continue to meet the requirements for participation
in the Medicaid or Medicare programs or state regulatory authorities or that
regulatory authorities will not adopt changes or new interpretations of existing
regulations that would adversely affect the ability of lessees or borrowers to
make rental or loan payments to the Company.

         Both Medicare and the Pennsylvania Medicaid programs impose limitations
on the amount of reimbursement available for capital-related costs, such as
depreciation, interest and rental expenses, following a change of ownership,
including a sale and leaseback transaction. Under currently applicable Medicare
reimbursement policies, the amount of Medicare reimbursement available to a
skilled nursing facility for rental expenses following a sale and leaseback
transaction may not exceed the amount that would have been reimbursed as capital
costs had the provider retained legal title to the facility. Thus, if rental
expenses are greater than the allowable capital cost reimbursement a skilled
nursing facility would have received had the sale and leaseback transaction not
occurred and the provider retained legal title, the amount of Medicare

                                       24

<PAGE>

reimbursement received by the provider will be limited. Medicare began a
three-year phase out of separate capital cost reimbursement for skilled nursing
facilities beginning July 1, 1998 under provisions of the Balanced Budget Act
that will provide reimbursement for capital-related costs through the facility's
per diem rates for resident care without regard to the facility's actual capital
costs. The Pennsylvania Medicaid program also limits capital cost reimbursement,
basing reimbursement for capital-related costs for new owners (including rent
paid by lessees) on the appraised fair rental value of the facility to the prior
owner as determined by the Pennsylvania Department of Public Welfare. There can
be no assurance that reimbursement of the costs of the Company's skilled nursing
facilities under current or future reimbursement methodologies will be adequate
to cover the rental payments owed to the Company by the lessees of these
properties.

         Although not currently regulated at the federal level (except under
laws of general applicability to businesses, such as work place safety and
income tax requirements), assisted living facilities are increasingly becoming
subject to more stringent regulation and licensing by state and local health and
social service agencies and other regulatory authorities. In general, these
assisted living requirements address, among other things: personnel education,
training and records; facility services, including administration of medication,
assistance with self-administration of medication and limited nursing services;
monitoring of wellness; physical plant inspections; furnishing of resident
units; food and housekeeping services; emergency evacuation plans; and resident
rights and responsibilities, including in certain states the right to receive
certain healthcare services from providers of a resident's choice. In several
states, assisted living facilities also require a certificate of need before the
facility can be opened or expanded or before it can reduce its resident capacity
or make other significant capital expenditures. Some of the Company's properties
are licensed to provide independent living services, which generally involve
lower levels of resident assistance. Like skilled nursing facilities and other
healthcare facilities, assisted living facilities are subject to periodic
inspection by government authorities.

         In most states, assisted living facilities, as well as skilled nursing
and other healthcare facilities, are subject to state or local building code,
fire code and food service licensure or certification requirements. Any failure
by the Company's lessees or borrowers to meet applicable regulatory requirements
may result in the imposition of fines, imposition of a provisional or
conditional license or suspension or revocation of a license or other sanctions
or adverse consequences, including delays in opening or expanding a facility.
Any failure by the Company's lessees or borrowers to comply with such
requirements could have a material adverse effect on the Company.

         Healthcare operators also are subject to federal and state
anti-remuneration laws and regulations, such as the Federal Health Care
Programs' anti-kickback law, which govern certain financial arrangements among
healthcare providers and others who may be in a position to refer or recommend
patients to such providers. These laws prohibit, among other things, the offer,
payment, solicitation or receipt of any form of remuneration in return for the
referral of Federal Health Care Program patients (including Medicare and
Medicaid) or the purchasing, leasing, ordering (or arranging for or recommending
the purchase, lease or order) of any goods, facilities, services or items for
which payment can be made under a Federal Health Care Program. A violation of
the Federal anti-kickback law or any other anti-remuneration law could result in

                                       25

<PAGE>

the loss of eligibility to participate in Medicare or Medicaid, or in civil or
criminal penalties. The potential for issues to arise under this law may be
increased under a provision of the Balanced Budget Act which, as currently
implemented, requires skilled nursing facilities to purchase and bill for
services of ancillary care providers treating some of their Medicare residents.

         The federal government, private insurers and various state enforcement
agencies have increased their scrutiny of providers, business practices and
claims in an effort to identify and prosecute fraudulent and abusive practices.
In addition, the federal government has issued fraud alerts concerning nursing
services, double billing, home health services and the provision of medical
supplies to nursing facilities, and recently issued a model compliance plan
referencing numerous areas of business operation that it recommends be made the
subject of specific policies and procedures that nursing homes implement and
enforce. Accordingly, these areas may come under closer scrutiny by the
government. Possible sanctions for violation of any of these restrictions or
prohibitions include loss of licensure or eligibility to participate in
reimbursement programs and civil and criminal penalties. State laws vary from
state to state, are often vague and have seldom been interpreted by the courts
or regulatory agencies. There can be no assurance that these federal and state
laws will ultimately be interpreted in a manner consistent with the practices of
the Company's lessees or borrowers. The costs of complying with these laws,
and/or defending against any allegations of non-compliance that might be
brought, could be significant, and could negatively impact the ability of the
Company's lessees or borrowers to meet their financial obligations to the
Company.

Taxation

         General

         A corporation, trust or association meeting certain requirements may
elect to be treated as a REIT for federal income tax purposes. The Company
believes that, commencing with its taxable period ended December 31, 1998, it
has been organized and operated in a manner so as to qualify for taxation as a
REIT under Sections 856 to 860, inclusive, of the Tax Code. To qualify as a
REIT, the Company must satisfy a variety of complex organizational and operating
requirements each year, including share ownership tests and percentage tests
relating to the sources of its gross income, the nature of its assets and the
distribution of its income. The Company intends to operate in such manner as to
continue qualifying as a REIT for federal income tax purposes for the year ended
December 31, 1999 and in future periods, but no assurance can be given that the
Company will continue to operate in such a manner so as to qualify or remain
qualified as a REIT.

         Generally, for each taxable year during which the Company qualifies as
a REIT, it will not be taxed on the portion of its taxable income (including
capital gains) that is distributed to shareholders. This treatment substantially
eliminates the "double taxation" (at the corporate and shareholder levels) that

                                       26

<PAGE>

generally results from investment in a regular corporation. However, the Company
will be subject to federal income tax as discussed below.

         To qualify as a REIT, the Company is required to distribute dividends,
other than capital gain dividends, to its shareholders in an amount at least
equal to (1) the sum of (a) 95% (90% for taxable years beginning after December
31, 2000) of the Company's REIT taxable income, computed without regard to the
dividends paid deduction and its net capital gain, and (b) 95% (90% for taxable
years beginning after December 31, 2000) of the net income, after tax, from
foreclosure property, minus (2) the sum of specific items of non-cash income.
REIT taxable income is the taxable income of the REIT subject to adjustments,
including a deduction for dividends paid. The Company will be taxed at regular
ordinary and capital gain corporate rates on any undistributed REIT taxable
income. The Company may elect to treat any undistributed net capital gains as
having been distributed to the shareholders and will be included by them in
income as long-term capital gain. The tax paid by the Company on those gains
will be allocated among the shareholders and may be claimed as a credit on their
tax returns. The shareholders will receive an increase in the basis of their
shares in the Company equal to the difference the capital gain income and the
tax credit allocated to them. Under certain circumstances, the Company may be
subject to the "alternative minimum tax" on its items of tax preference. The
Company will be subject to tax at the highest corporate rate on its net income
from foreclosure property, regardless of the amount of its distributions. The
highest corporate tax rate is currently 35%. Subject to certain limitations, the
Company will also be subject to an additional tax equal to 100% of the net
income, if any, derived from prohibited transactions. A prohibited transaction
is defined as a sale or disposition of inventory-type property or property held
by the Company primarily for sale to customers in the ordinary course of its
trade or business, which is not property acquired on foreclosure.

         The Company may elect to treat any real property it acquires by
foreclosure as foreclosure property if certain conditions are satisfied. Income
from foreclosure property is subject to tax at the maximum corporate rate, but
the income would qualify under the REIT gross income tests. With a valid
election, the Company is permitted to directly own such property until the end
of the third taxable year after the year of acquisition so long as the
independent contractor (which would not include Genesis or its affiliates)
operates the property within 90 days after the property is acquired. For taxable
years beginning after December 31, 2000, a tenant of the Company may qualify as
an independent contractor for the foreclosure property rules if the property
that is leased to the independent contractor was under lease to the independent
contractor or a third party at the time that the Company acquired the
foreclosure property. If the property had been under lease to a third party,
then the tenant could qualify as an independent contractor only if under the
subsequent lease of the property, the Company receives a substantial or lesser
benefit in comparison to the prior lease.

         If the Company should fail to distribute during each calendar year at
least the sum of (a) 95% (90% for taxable years beginning after December 31,

                                       27

<PAGE>

2000) of its REIT ordinary income for such year, (b) 95% (90% for taxable years
beginning after December 31, 2000) of its REIT capital gain net income for such
year and (c) any undistributed taxable income from prior periods, the Company
would be subject to a 4% excise tax on the excess of such required distribution
over the amounts actually distributed. If the Company should fail to satisfy the
75% gross income test or the 95% gross income test, but has nonetheless
maintained its qualification as a REIT because certain other requirements have
been met, it will be subject to a 100% tax on an amount equal to (a) the gross
income attributable to the greater of the amount by which the Company fails the
75% or 95% (or, for taxable years beginning after December 31, 2000, 90%) test
multiplied by (b) a fraction intended to reflect the Company's profitability.

         Failure To Qualify as a REIT

         While the Company intends to operate so as to qualify as a real estate
investment trust under the Tax Code, if in any taxable year the Company fails to
qualify, and certain relief provisions do not apply, its taxable income would be
subject to tax (including alternative minimum tax) at regular corporate rates.
If that occurred, the Company might have to dispose of a significant amount of
its assets or incur a significant amount of debt in order to pay the resulting
federal income tax. Further distributions to its shareholders would not be
deductible by the Company nor would they be required to be made.

         Distributions out of the Company's current or accumulated earnings and
profits would be taxable to the Company's shareholders as dividends and would be
eligible for the dividends received deduction for corporations. No portion of
any distributions would be eligible for designation as a capital gain dividend.
Further, the Company would be unable to pass through its undistributed capital
gains and the related tax paid by the Company.

         Unless entitled to relief under specific statutory provisions, the
Company also would be disqualified from taxation as a REIT for the four taxable
years following the year during which qualification was lost.

         The foregoing is only a summary of some of the significant federal
income tax considerations affecting the Company and is qualified in its entirety
by reference to the applicable provisions of the Tax Code, the rules and
regulations promulgated thereunder, and the administrative and judicial
interpretations thereof. Shareholders of the Company are urged to consult their
own tax advisors as to the effects of these rules and regulations on them. In
particular, foreign shareholders should consult with their tax advisors
concerning the tax consequences of ownership of shares in the Company, including
the possibility that distributions with respect to the shares will be subject to
federal income tax withholding.

                                       28


<PAGE>

Competition

         The Company competes with other healthcare REITs, real estate
partnerships, healthcare providers and other investors, including but not
limited to banks and insurance companies, in the acquisition, leasing and
financing of healthcare facilities. Certain of these investors may have greater
resources than the Company. Genesis and other lessees operating properties that
the Company owns or that secure loans made by the Company compete on a local and
regional basis with operators of other facilities that provide comparable
services. Operators compete for residents based on quality of care, reputation,
physical appearance of facilities, services offered, family preferences,
physicians, staff and price. In general, regulatory and other barriers to
competitive entry in the assisted living industry are not substantial. Moreover,
if the development of new assisted living facilities outpaces demand for these
facilities in certain markets, such markets may become saturated. Such an
oversupply of facilities could cause operators of Company-owned facilities to
experience decreased occupancy, depressed margins and lower operating results,
which could have a material adverse effect on their ability to make lease or
loan payments to the Company.

Employees

         As of December 31, 1999, the Company employed six full-time employees.

                                  RISK FACTORS

         Set forth below are the risks that we believe are material to investors
who purchase or own our common shares of beneficial interest or units of limited
partnership interest in the Operating Partnership, which are redeemable by the
holder on a one-for-one basis for common shares or their cash equivalent, at our
election. As used herein, all references to "we," "us" or "our" mean ElderTrust
and its consolidated subsidiaries unless the context otherwise requires.

         We rely to a substantial degree upon contractual obligations in the
         form of leases and loans with subsidiaries of Genesis and other
         entities in which Genesis has an equity ownership interest as our
         majority source of revenues and for our ability to meet our corporate
         obligations

         Approximately 70% of our consolidated assets at December 31, 1999
consisted of real estate properties leased to or managed by and loans on real
estate properties made to Genesis or Genesis Equity Investees, under agreements
as manager, tenant or borrower. We recorded revenues in connection with these
leases and borrowings aggregating $18.4 million in 1999. In addition, our Equity
Investees have also leased properties to Genesis or Genesis Equity Investees. As
a result of these relationships, the Company's revenues and ability to meet its
obligations depends, in significant part, upon:

         o  the ability of Genesis and Genesis Equity Investees to meet their
            lease and loan obligations;

         o  the revenues derived from, and the successful operation of, the
            facilities leased to or managed by Genesis or Genesis Equity
            Investees; and

         o  the ability of these entities to successfully complete the
            development projects securing construction loans made by the Company
            to these entities.

         On March 21, 2000, Genesis and Multicare announced the beginning of
debt restructuring discussions with their senior lenders with the intention of
revising their respective capital structures. Genesis also announced that it did
not make a $3.8 million interest payment to its senior debt lenders due March
20, 2000. Both Genesis and Multicare announced their intention not to make
interest and principal payments on senior debt and have been prohibited by their
senior lenders from making any scheduled interest payments on their publicly
traded subordinated debt while discussions were ongoing. Each company cited
their inability to sell assets due to the lack of long-term care market
financing and the continuing effect of reduced Medicare payments as the causes
of these actions. The senior lenders have given Genesis and Multicare a 60-day
forbearance period to develop a restructuring plan.

         Shortly after the announcement, Moody's Investors Service issued a
press release announcing that it had downgraded the debt ratings of Genesis and
Multicare. In its press release, Moody's indicated that the ratings outlook for
both companies was negative. Moody's stated that its rating action reflected the
deterioration in the companies' operating results and financial condition which
has stemmed from the impact of PPS for Medicare combined with high leverage.
Moody's noted that despite cost cutting efforts, operating margins for both
companies remain depressed, and planned asset divestitures have not materialized
as anticipated. Moody's also stated that restructuring efforts could be
adversely impacted by the currently difficult state of the long-term care
sector, with several large providers already filing for bankruptcy in recent
months. Standard & Poor's also downgraded the debt ratings of Genesis and
Multicare.


                                       29
<PAGE>
         We have no control over Genesis or Multicare and can make no assurance
that either of these entities will have sufficient income or assets to enable
them to satisfy their obligations under the leases or loans made by us to them.
Any failure by Genesis or Multicare to continue making payments to us could have
a significant adverse effect on our financial condition, results of operations
and cash available for distribution, could adversely affect our ability to
maintain distributions at current levels or at all and could adversely affect
our ability to meet our own debt obligations.

         Any Failure by Genesis or Multicare to Continue to Make Lease and Loan
         Payments to Us Could Have a Significant Adverse Effect on Our Cash Flow
         and Could Adversely Affect Our Ability To Make Distributions to
         Shareholders

         At any time, a tenant of our properties or a borrower may seek the
protection of bankruptcy laws, which could result in rejection and termination
of the unexpired term of such tenant's lease or effectively limit our recovery
of such borrower's debt to the value of the property securing the borrower's
loan, and thereby cause a reduction in our cash flow available for distribution.
In a bankruptcy, distributions on account of damages caused by lease rejections
or of deficiencies after collateral liquidation are usually protracted and not
likely to amount to payment in full. No assurance can be given that tenants or
borrowers will not file for bankruptcy protection or, if any tenants file, that
they will assume their leases and continue to make rental payments in a timely
manner. If tenant leases are not assumed following bankruptcy, our income and
cash available for distribution may be adversely affected. Any failure by
Genesis or Multicare to continue to make lease and loan payments to us, whether
as a result of a bankruptcy filing or otherwise, could have a significant
adverse effect on our financial condition, results of operations and cash
available for distribution, could adversely affect our ability to maintain
distributions to shareholders at current levels or at all and could adversely
affect our ability to meet our own debt obligations.

         We must pay-off our existing credit facility by June 30, 2001 or obtain
         replacement financing

         On January 3, 2000, the term of our Credit Facility was extended from
January 1, 2000 to June 30, 2001 through an amendment which also reduced
borrowings available under the Credit Facility to $45.4 million. At December 31,
1999, we had $39.7 million outstanding under the Credit Facility, which is
secured by substantially all of our assets not otherwise pledged to other
mortgagees.

         The Credit Facility currently matures on June 30, 2001. If we are
unable to pay-off or obtain replacement financing by June 30, 2001, or are
unable to negotiate a further extension of the current credit facility at that
time, or for any reason the Company were to be in default under the Credit
Facility prior to its maturity, Deutsche Bank could exercise its right to
foreclose on the collateral securing the Credit Facility, which would have a
significant adverse affect on our ability to continue our operations and meet
our obligations, including payment of quarterly shareholder distributions. If we
are unable to raise additional capital through equity financing, or are unable
to increase our borrowing capacity, we may be limited in our ability to fully
fund our long-term capital needs.

         To qualify as a REIT, we must distribute at least 95% (90% for taxable
years beginning after December 31, 2000) of our net taxable income, excluding
any net capital gain. If we are unable to make required shareholder
distributions, then we may be unable to qualify as a REIT and would be subject
to federal income taxes.

         Replacement financing may have significantly greater interest costs and
         could affect our ability to maintain distributions at current levels

         If we are unable to pay-off our existing credit facility by June 30,
2001, we will need to find replacement financing or negotiate a further
extension of the current credit facility at that time. The interest rate on any
new debt may be significantly higher than the interest rate on our existing
credit facility with Deutsche Bank. Additionally, we may be required to pay
significant financing fees in the future in connection with replacement
financing or negotiating a further extension with Deutsche Bank. An increased
interest rate or significant financing fees would reduce our cash flow and
affect our ability to maintain distributions to our shareholders at current
levels. We can give no assurance that we will be able to obtain replacement
financing on acceptable terms or at all, or that, if obtained, we will be able
to maintain distributions to our common shareholders at current levels, if at
all.


                                       30
<PAGE>

         Rising interest rates could adversely affect our cash flow because of
         variable rate debt and could affect our ability to maintain
         distributions at current levels

         At December 31, 1999, we had $39.7 million of variable rate
indebtedness outstanding under our existing credit facility, with an interest
rate of one-month LIBOR plus 275 basis points (9.25% at December 31, 1999).
Amounts outstanding under the Credit Facility bear interest at floating rates
ranging from 2.75% to 3.25% over one-month LIBOR, as determined by the
percentage of the Credit Facility outstanding as compared to the borrowing base.
In addition, we have variable rate mortgages of $30 million at December 31,
1999, with an interest rate of one-month LIBOR plus 300 basis points (9.50% at
December 31, 1999). Also, we may borrow additional money with variable interest
rates in the future. We would expect significant increases in interest rates to
result in significant increases in interest expense, which could adversely
affect cash flow and our ability to meet our obligations and make distributions
to shareholders at current levels, if at all.

         Our degree of leverage could limit our ability to obtain additional
         financing and adversely affect our cash flow

         As of December 31, 1999, our debt to book capitalization ratio, which
we calculate as total debt as a percentage of total debt plus the book equity
attributed to our outstanding common shares and outstanding partnership units,
was approximately 57.3%. We do not have a stated policy limiting the amount of
debt that we may incur. If we increase our leverage it could pose risks to our
shareholders, including that:

         o  our debt service may increase, which could adversely affect our cash
            flow and, consequently, the amount available for distribution to our
            shareholders;

         o  the risk that we will default on our indebtedness may increase; and

         o  we may be unable to obtain additional financing in the future to
            fund working capital, capital expenditures, acquisitions,
            development or other general corporate purposes, or our ability to
            obtain such financing on satisfactory terms may be impaired; and we
            may be more vulnerable to a downturn in our business or the economy
            generally.

         Additionally, we may not have sufficient cash flow to repay
indebtedness outstanding if our creditors require immediate repayment of these
amounts or if the collateral underlying these amounts is insufficient to cover
the outstanding balances.

         Our ability to grow may be significantly limited until the capital and
         credit markets improve

         During 1999, the stock prices of publicly traded equity real estate
investment trusts fell on average by 4.6%, according to industry data published
by NAREIT. The stock prices of publicly traded healthcare equity real estate
investment trusts fell on average by 24.8% according to NAREIT and our stock
price fell by 47.3% during this period. This share price decline, combined with
the reduction in Medicare reimbursement levels during and after 1998, also has
resulted in a significant curtailment of banks' willingness to extend loans
secured by healthcare-related real estate, and has raised concerns about the
ability of some less well capitalized nursing home operators to continue their

                                       31
<PAGE>
operations. During 1999, four publicly-traded nursing home companies filed for
protection under the bankruptcy laws due, in part, to reductions in Medicare
reimbursement rates. All of these factors have adversely affected our ability to
access the capital and credit markets. Because we rely on these markets to fund
our growth, our ability to grow will be significantly limited until such time as
the capital and credit markets improve.

         We depend upon external sources of capital

         To qualify as a REIT, we must distribute to our shareholders each year
at least 95% (90% for taxable years beginning after December 31, 2000) of our
net taxable income, excluding any net capital gain. Because of these
distribution requirements, it is not likely that we will be able to fund future
capital needs, including those for acquisitions, from income from operations.
We, therefore, rely on third-party sources of capital which may or may not be
available on favorable terms or at all. Our access to third-party sources of
capital depends on a number of things, including the market's perception of our
growth potential and our current and potential future earnings. Moreover,
additional equity offerings may result in substantial dilution of security
holders' interests, and additional debt financing may substantially increase our
leverage.

                                       32

<PAGE>

         Operators of our skilled nursing facilities rely on government and
         other third party reimbursement to make lease and loan payments to us

         A significant portion of the revenues derived from the eight skilled
nursing facilities owned by us is attributable to government reimbursement under
Medicare and Medicaid operators.

         During 1998, Medicare reimbursements payable to nursing home operators
were significantly reduced due to the implementation of a new reimbursement
methodology for nursing care, ancillary services and capital costs which is
being phased-in over a three year period. Medicare now reimburses nursing home
operators at a flat per diem rate. In the past, a cost-based system of
reimbursement was used. This change in the Medicare reimbursement methodology
adversely affected the revenues of many nursing homes.

                                       33
<PAGE>

Assisted living services currently are not generally reimbursable under
government reimbursement programs, such as Medicare and Medicaid.

         Although lease and loan payments to us are not directly linked to the
level of government reimbursement, to the extent that changes in these programs
have a material adverse effect on the revenues derived from the skilled nursing
facilities owned by us or that secure mortgages and loans to us, these changes
could have a material adverse impact on the ability of the lessees or borrowers
of the skilled nursing facilities that we own or receive debt payments from to
make lease and loan payments to us. Healthcare facilities also have experienced
increasing pressures from private payers attempting to control healthcare costs
that in some instances have reduced reimbursement to levels approaching that of
government payers. We can make no assurance that future actions by governmental
or other third party payers will not result in further reductions in
reimbursement levels, or that future reimbursements from any payer will be
sufficient to cover the costs of the facilities' operations. If reimbursement
levels do not cover lease or loan payments, the possibility exists that one or
more of our lessees or borrowers could default on their leases or loans to us.

         Genesis is not obligated to guarantee leases of its wholly-owned
         subsidiaries if Genesis assigns one or more of these leases to a
         non-wholly-owned subsidiary or to a third party

         Genesis currently guarantees the lease obligations of its wholly-owned
subsidiaries. Under these leases, any assignment of these leases would require
our consent, which we may not unreasonably withhold. If Genesis assigns one or
more of the leases to a non-wholly-owned subsidiary or a third party, Genesis
would no longer be obligated to guarantee the applicable leases. While we would
evaluate the creditworthiness of any assignee in determining whether to provide
our consent, any transferee could be less creditworthy than Genesis.

         Genesis' right of first refusal to lease acquired facilities not
         operated by the seller may discourage third parties from entering into
         transactions with us and result in less favorable lease terms to us

         At the time of our initial public offering, we entered into the right
of first refusal agreement with Genesis. Under the right of first refusal
agreement, for three years from January 30, 1998, subject to annual renewals
thereafter:

         o  Genesis has a right of first refusal to lease or manage any assisted
            living, independent living or skilled nursing facility we finance or
            acquire within Genesis' markets unless the facility will be leased
            or managed by the seller or an affiliate of the seller.

                                       34
<PAGE>

         o  We have:

            --a right of first refusal to purchase and leaseback to Genesis any
            assisted living, independent living or skilled nursing facilities
            which Genesis determines to sell and leaseback, other than
            sale/leaseback transactions with commercial banking institutions;

            --a right to offer financing to Genesis and other developers of
            assisted and independent living facilities which, once developed,
            will be operated by Genesis; and

            --a right to offer financing to Genesis with respect to any new
            off-balance sheet financing of skilled nursing facilities owned by
            Genesis as of January 30, 1998.

         Genesis' right of first refusal to lease or manage facilities financed
or acquired by us in the future could discourage third parties who compete with
Genesis and did not wish to lease or manage the property following its sale to
us, from entering into transactions with us. Genesis' right of first refusal
also could result in lease terms with Genesis that are less favorable to us than
we could achieve with a third party had the right of first refusal agreement not
been entered into. Further, there can be no assurance that Genesis will decide
to sell and leaseback to us any additional facilities, engage in any new
off-balance sheet financing of skilled nursing facilities owned by it as of
January 30, 1998 or develop any additional facilities for which we would be able
to offer financing to Genesis under the right of first refusal agreement.

         Additionally, under our lease agreements with subsidiaries of Genesis,
Genesis has a right of first refusal on offers we receive to purchase or lease
any facility subject to a percentage rent lease or a minimum rent lease with
subsidiaries of Genesis during the term of the lease, including extensions, and
for one year thereafter. The existence of this right of first refusal may
discourage third parties from offering to purchase or lease any of these
facilities.

         We experience ongoing competition from and conflicts with Genesis

         Our facilities, whether or not operated by Genesis, compete with
facilities owned and operated by Genesis in some markets. As a result, Genesis
has a conflict of interest due to its ownership of competing facilities and its
operation and management of a substantial portion of the facilities we own.
Because the percentage rent leases with Genesis provide for lower operating
margins for Genesis than minimum rent leases with Genesis, Genesis may also have
a conflict of interest to the extent that it is involved in the placement of
private pay residents with acuity levels equally suited to an assisted living
facility or a skilled nursing facility.

                                       35
<PAGE>

         Because Michael Walker serves as chairman and chief executive officer
         of Genesis and chairman of ElderTrust, he has a conflict of interest in
         matters involving Genesis and ElderTrust

         Michael R. Walker, ElderTrust's chairman of the board, is chairman of
the board and chief executive officer of Genesis. At December 31, 1999, Mr.
Walker beneficially owned approximately 2.7% of the common shares of Genesis and
approximately 7.4% of the common shares of ElderTrust. Because he serves as
chairman of both Genesis and ElderTrust, Mr. Walker has a conflict of interest
with respect to ElderTrust enforcing:

         o  the loan, purchase and right of first refusal agreements relating to
            the properties and other assets acquired by us from subsidiaries of
            Genesis or entities in which its has an interest or which may be
            acquired from these entities in the future; and

         o  the leases we entered into with Genesis.

         The failure by us to enforce material terms of these agreements could
result in a monetary loss to us, which could have a material adverse effect on
our financial condition, revenues and earnings. Our ongoing relationships with
Genesis as a lessee and manager of a substantial portion of our properties may
also deter us from vigorously enforcing the terms of these agreements.

         Holders of units of limited partnership interest in the Operating
         Partnership have different interests than shareholders and may exercise
         their voting rights in the Operating Partnership in a manner that
         conflicts with the interests of shareholders

         As the sole general partner of the Operating Partnership, we have
fiduciary obligations to the other limited partners in the Operating
Partnership, the discharge of which may conflict with the interests of our
shareholders. In addition, those persons holding beneficial interests in units
of limited partnership interest in the Operating Partnership, including Messrs.
Walker and D. Lee McCreary, Jr., have the right, as limited partners, to vote on
amendments to the partnership agreement of the operating partnership, most of
which require approval by a majority in interest of the limited partners,
including ElderTrust, and such individuals may exercise their voting rights in a
manner that conflicts with the interests of our shareholders.

         Additionally, if we prepay or refinance debt securing some of our
properties or sell properties, Mr. Walker and other holders of units of limited
partnership interest in the operating partnership, may incur adverse tax
consequences which are different from the tax consequences to us and our
shareholders. Consequently, persons holding directly or indirectly units of
limited partnership interest, including Mr. Walker, may have different
objectives regarding the appropriate timing of such actions. While we have the
exclusive authority as general partner under

                                       36
<PAGE>

the partnership agreement to determine whether, when and on what terms to prepay
or refinance debt or to sell a property, any of these actions would require the
approval of our board of trustees. As a trustee of ElderTrust, Mr. Walker has
substantial influence with respect to any of these actions, and could exercise
his influence in a manner inconsistent with the interests of some, or a
majority, of ElderTrust's shareholders.

         We depend on our key personnel whose continued service is not
         guaranteed

         We depend on the efforts of our executive officer, Mr. McCreary. The
loss of his services could have a significant adverse effect on our operations.
While we believe that the employment agreement we have with Mr. McCreary
provides us with some protection, it does not guarantee Mr. McCreary's continued
employment.

         Our board of trustees may change investment policies without
         shareholder approval

         Our board of trustees may change our investment, financing and other
policies without shareholder approval. Any changes in these policies may have
adverse consequences on our business and operations.

         Healthcare industry regulation may adversely affect the operations of
         our lessees and borrowers and their ability to make loan and lease
         payments to us

         Any failure by our lessees or borrowers to comply with applicable
government regulations could adversely affect their ability to make lease or
loan payments to us. The long-term care segment of the healthcare industry is
highly regulated. Operators of skilled nursing facilities are subject to
regulation under various federal, state and local laws, including those relating
to:

         o  delivery and adequacy of medical care;

         o  distribution of pharmaceuticals;

         o  equipment utilized in their facilities;

                                       37
<PAGE>

         o  personnel;

         o  operating policies;

         o  fire prevention;

         o  rate-setting;

         o  compliance with building and safety codes;

         o  compliance with environmental laws;

         o  periodic inspection by governmental and other authorities to ensure
            compliance with various standards;

         o  licensing of facilities under state law;

         o  certification for participation under the Federal Health Care
            Program, including Medicare and Medicaid; and

         o  ability to participate in other third party payment programs.

         In addition, many states have adopted certificate of need or similar
laws which generally require that the appropriate state agency approve
acquisitions of skilled nursing facilities and determine that a need exists for
certain bed additions, new services, capital expenditures or other changes.

         The failure to obtain or maintain any required regulatory approvals or
licenses could prevent an operator of one or more of our facilities from
offering services or adversely affect its ability to receive reimbursement for
services. It also could result in the denial of reimbursement, temporary
suspension of admission of new patients, suspension or decertification from a
Federal Health Care Program, restrictions on the ability to expand existing
facilities and, in extreme cases, revocation of the facility's license or
closure of a facility. Federal law also imposes civil and criminal penalties for
submission of false or fraudulent claims, including nursing home bills and cost
reports, to Medicare or Medicaid. There can be no assurance that our lessees or
borrowers will meet or continue to meet the requirements for participation in
the Medicaid or Medicare programs or of state licensing authorities. Nor can
there be any assurance that regulatory authorities will not adopt changes or new
interpretations of existing regulations that would adversely affect the ability
of our lessees or borrowers to make their rental or loan payments to us.

         Although not currently regulated at the federal level, except under
laws of generally applicable to businesses, assisted living facilities are
increasingly becoming subject to more stringent regulation and licensing by
state and local health and social service agencies and other regulatory
authorities. In general, these assisted living requirements address:

                                       38
<PAGE>

         o  personnel education;

         o  training and records;

         o  facility services, including administration of medication,
            assistance with self-administration of medication and the provision
            of limited nursing services;

         o  monitoring of wellness;

         o  physical plant inspections;

         o  furnishing of resident units;

         o  food and housekeeping services;

         o  emergency evacuation plans; and

         o  resident rights and responsibilities, including in certain states
            the right to receive certain healthcare services from providers of a
            resident's choice.

         In several states, assisted living facilities also require a
certificate of need before the facility can be opened, expand or reduce its
resident capacity or make significant capital expenditures. Several of our
properties are licensed to provide independent living services, which generally
involve lower levels of resident assistance. Like skilled nursing facilities and
other healthcare facilities, assisted living facilities are subject to periodic
inspection by government authorities. In most states, assisted living
facilities, as well as skilled nursing and other healthcare facilities, also are
subject to state or local building code, fire code and food service licensure or
certification requirements. Any failure by our lessees or borrowers to meet
applicable regulatory requirements may result in the imposition of fines,
imposition of a provisional or conditional license or suspension or revocation
of a license or other sanctions or adverse consequences, including delays in
opening or expanding a facility. Any failure by our lessees or borrowers to
comply with these requirements could have a material adverse effect on their
ability to make loan or lease payments to us.

         Operators of our facilities also must comply with federal and state
         anti-remuneration laws

         Healthcare operators also are subject to federal and state
anti-remuneration laws and regulations, such as the Federal Health Care Program
anti-kickback law. These laws govern financial arrangements among healthcare
providers and others that may be in a position to refer or recommend patients to
providers. These laws prohibit, among other things, the offer, payment,
solicitation or receipt of any form of remuneration in return for the referral
of Federal Health Care Program patients or for purchasing, leasing, ordering

                                       39
<PAGE>

(or arranging for or recommending the purchase, lease or order) of any goods,
facilities, services or items for which payment can be made under a Federal
Health Care Program. A violation of the federal anti-kickback law could result
in the loss of eligibility to participate in Medicare or Medicaid or in civil or
criminal penalties. The federal government, private insurers and various state
enforcement agencies have increased their scrutiny of providers, business
practices and claims in an effort to identify and prosecute fraudulent and
abusive practices. In addition, the federal government has issued fraud alerts
concerning nursing services, double billing, home health services and the
provision of medical supplies to nursing facilities, and recently issued a model
compliance plan referencing numerous areas of business operation that it
recommends be made the subject of specific policies and procedures that nursing
homes implement and enforce. Accordingly, these areas have come under closer
scrutiny by the government. Further, some states restrict certain business
corporations from providing, or holding themselves out as a provider of, medical
care. Sanctions for violation of any of these laws can include loss of licensure
or eligibility to participate in reimbursement programs and civil and criminal
penalties. State laws vary from state to state, are often vague and have seldom
been interpreted by the courts or regulatory agencies. There can be no assurance
that these federal and state laws will ultimately be interpreted in a manner
consistent with the practices of our lessees. The costs of complying with these
laws, and/or defending against any allegations of non-compliance that might be
brought, could be significant, and could negatively impact the ability of the
Company's lessees or borrowers to meet their financial obligations to the
Company.

         We may encounter delays in substituting lessees or operators because
         the facility licenses are held by our lessees and borrowers and not by
         us

         A loss of license or Medicare/Medicaid certification or default by one
or more of our lessees or borrowers could result in us having to obtain another
lessee or substitute operator for the affected facility or facilities. Because
the facility licenses for our properties are held by our lessees or borrowers
and not by us and because under the REIT tax rules we would have to find a new
"unrelated" lessee to operate the properties following a default, we may
encounter delays in exercising our remedies under the leases and loans made by
us or substituting a new lessee or operator in the event of any loss of
licensure or Medical/Medicaid certification by a prior lessee or operator or a
default by the operator of one or more of our facilities. We can make no
assurance that we could contract with a new lessee or successor operator on a
timely basis or on acceptable terms and our failure do so could have a material
adverse effect on our financial condition, revenues, earnings and ability to
make distributions to our shareholders.

         Transfers of healthcare facilities require regulatory approvals and
         alternative uses of healthcare facilities are limited

         Because transfers of operations of healthcare facilities are subject to
regulatory approvals not required for transfers of other types of commercial
operations and other types of real estate, there may be delays in transferring
operations of our facilities to

                                       40
<PAGE>

successor lessees or we may be prohibited from transferring operations to a
successor lessee. In addition, substantially all of our properties are special
purpose facilities that may not be easily adapted to non-healthcare-related
uses.

         Proximity to hospitals and other healthcare facilities may affect our
         ability to renew leases and attract new lessees in the event of
         relocation or closure of a hospital or other healthcare facility

         Many of our assisted living facilities, skilled nursing facilities and
medical office buildings are in close proximity to one or more hospitals. The
relocation or closure of a hospital could make our assisted living facilities,
skilled nursing facilities or medical office buildings in the affected area less
desirable and affect our ability to renew leases and attract new tenants.

         Because we have made construction loans, we are subject to development
         and lease-up risks

         We have made construction loans. Lending on development projects is
generally considered to involve greater risks than the purchase and leaseback of
operating properties. The risks associated with lending on development projects
include that:

         o  the development activities may be abandoned;

         o  the borrower may be unable to obtain, or experience delays in
            obtaining, all necessary zoning, land-use, building, occupancy and
            other required governmental permits and authorizations;

         o  construction costs of a facility may exceed the original estimates
            possibly making the facility uneconomical;

         o  occupancy rates and rents at a completed facility may not be
            sufficient to cover loan or lease payments;

         o  permanent financing may not be available on favorable terms;

         o  the term or construction loan may not be repaid; and

         o  construction and lease-up may not be completed on schedule resulting
            in increased debt service expense and construction costs.

         In addition, construction-lending activities typically require
substantial time and attention from our management.

         Because real estate investments are illiquid, we may not be able to
         sell properties when appropriate

         Real estate investments generally cannot be sold quickly. We may not be
able to vary our portfolio promptly in response to economic or other conditions.
This inability to

                                       41
<PAGE>

respond to changes in the performance of our investments could adversely affect
our ability to service debt and make distributions to our shareholders.

         The revenues derived by us from percentage rent leases depend to a
         greater extent on the operator's ability to operate the properties
         subject to these leases successfully due the absence of minimum rent
         provisions

         We lease two assisted living facilities and one independent living
facility under percentage rent leases, which do not require the payment of
minimum rent. The revenues derived by us under these percentage rent leases,
therefore, depends to a greater extent upon the ability of these operators to
operate the properties subject to these leases successfully because of the
absence of minimum rent requirements.

         Lack of industry diversification subjects us to the risks associated
         with investments in a single industry

         While we are authorized to invest in various types of income-producing
real estate, our current strategy is to acquire and hold, as long-term
investments, only healthcare-related properties. Consequently, we currently do
not have any significant non-healthcare related real estate assets, and,
therefore, are subject to the risks associated with investments in a single
industry.

         Competition in the marketplace could adversely affect the ability of
         our lessees and borrowers to make lease and loan payments to us

          Lessees operating our owned properties or borrowers operating
properties that secure loans we have made compete on a local and regional basis
with operators of other facilities that provide comparable services. Operators
compete for residents based on a number of factors, including:

         o  quality of care;

         o  reputation;

         o  physical appearance of facilities;

         o  range and type of services offered;

         o  family preferences;

         o  physicians affiliated with the facility;

         o  staff of the facility; and

         o  price.

         There can be no assurance that operators of our facilities will be able
to compete effectively. If they are unable to do so, their ability to make lease
and loan payments to us could be adversely affected.

                                       42
<PAGE>

         Overbuilding in the assisted living industry could result in decreased
         occupancy, depressed margins and lower operating results for operators
         of our assisted living facilities

         In general, regulatory and other barriers to competitive entry in the
assisted living industry are not substantial. Moreover, if the development of
new assisted living facilities outpaces demand for these facilities, the market
may become saturated. Such an oversupply of facilities could cause our operators
to experience decreased occupancy, depressed margins and lower operating
results, which could have a material adverse effect on their ability to make
lease or loan payments to us.

         Assisted living revenues are derived from private pay sources

         Assisted living services currently are not generally reimbursable under
government reimbursement programs, such as Medicare and Medicaid. Accordingly,
substantially all of the revenues derived by operators of the assisted living
facilities owned by us come from private pay sources consisting of income or
assets of residents or their family members. In general, because of the cost
associated with building new facilities and the staffing and other costs of
providing the assisted living services at those facilities, only seniors with
income or assets meeting or exceeding the comparable median in the region where
the facilities are located can afford to pay the daily resident fees.

         An unexpectedly high resident turnover rate could adversely affect the
         revenues derived by operators of our assisted living facilities, which
         could adversely affect their ability to make lease and loan payments to
         us

         State regulations governing assisted living facilities require written
resident agreements with each resident. These regulations also require that each
resident have the right to terminate the resident agreement for any reason on
reasonable notice. Consistent with these regulations, the resident agreements
entered into with operators of our assisted living facilities allow residents to
terminate the agreement on 30 days' notice. Thus, operators of our assisted
living facilities can not contract with residents to stay for longer periods of
time, unlike typical apartment leasing arrangements that involve lease
agreements with specified leasing periods of up to one year or longer. If a
large number of residents elected to terminate their resident agreements at or
around the same time, then the revenues derived by the operator of the facility
could be adversely affected, which, in turn, would adversely affect the ability
of the operator to make lease or loan payments to us. In addition, the advanced
age of assisted living residents means that resident turnover in assisted living
facilities may be less predictable.

                                       43
<PAGE>

         New acquisitions may fail to perform as expected

         Assuming we are able to obtain capital on commercially reasonable
terms, we intend to continue to acquire assisted and independent living
facilities, skilled nursing facilities and medical office and other buildings
and to provide construction loans. Newly acquired properties and loans we make
may fail to perform as expected, which could adversely affect our earnings and
distributions to our shareholders.

         Some potential losses may not be covered by insurance

         We require our lessees and borrowers to secure and maintain,
comprehensive liability and property insurance that covers the Company, as well
as the lessees and borrowers on all of our properties. Some types of losses,
however, either may be uninsurable or too expensive to insure against. Should an
uninsured loss or a loss in excess of insured limits occur, we could lose all or
a portion of the capital we have invested in a property, as well as the
anticipated future revenue from the property. In such an event, we might
nevertheless remain obligated for any mortgage debt or other financial
obligations related to the property. We cannot assure shareholders that material
losses in excess of insurance proceeds will not occur in the future.

         Our failure to comply with tax-exempt bond requirements for our
         Highgate and Woodbridge facilities could result in termination of the
         tax-exempt status or acceleration of the bonds

         Our indebtedness at December 31, 1999 includes approximately $20.2
million of tax-exempt bonds used to finance our Highgate and Woodbridge assisted
living facilities. The bonds are subject to various requirements under the
Internal Revenue Code. In addition, the bonds impose requirements on the
operation of the facilities, including a requirement that at least 20% of the
rental units in the facilities are occupied by tenants whose adjusted gross
family income does not exceed 50% of the median gross income for the relevant
geographic area. If our lessees do not comply with these requirements, the
tax-exempt status of the bonds could be terminated or the bonds could be
accelerated. In the event of default under the bonds used to finance the
Highgate and Woodbridge facilities, our interest in the relevant property would
be subordinate to the interests of the bondholder.

         Provisions of our declaration of trust and bylaws could inhibit changes
         in control

         Various provisions of our declaration of trust and bylaws may delay or
prevent a change in control or other transactions that could provide our
shareholders with a premium over the then-prevailing market price of their
shares or which might otherwise be in the best interest of our shareholders.
These provisions include:

                                       44
<PAGE>

         o  a classified board of trustees with the trustees divided into three
            classes with terms of three years each;

         o  that the number of trustees may not be less than three nor more than
            nine, with the number of trustees fixed within this range by action
            of the board of trustees;

         o  that trustees may be removed only for cause upon the affirmative
            vote of shareholders holding at least a majority of the shares
            entitled to be cast in an election of trustees;

         o  the authority of the board of trustees to issue preferred shares of
            beneficial interest in one or more series without shareholder
            approval;

         o  the exclusive authority of the board of trustees to amend the
            bylaws;

         o  an advance notice bylaw requiring advance notice of shareholder
            nominations for trustee or new business proposals;

         o  that special meetings of shareholders may be called only by the
            chairman, the president or at least one-third of the board of
            trustees;

         o  a requirement of a vote of shareholders of not less than two-thirds
            of all the votes entitled to be cast on the matter to approve
            amendments to provisions of the declaration of trust that have an
            anti-takeover effect; and

         o  the ownership limit described below which is primarily intended to
            satisfy requirements under the Internal Revenue Code for
            qualification as a REIT.

         We also are subject to Maryland Business Combination Statute

         Provisions of Maryland law prohibit specified "business combinations"
between a Maryland real estate investment trust and any person or entity who
beneficially owns ten percent or more of the voting power of its outstanding
shares, or any affiliate of the ten percent owner, for five years. Thereafter,
the business combination must be approved by (a) 80% of the outstanding voting
shares and (b) two-thirds of the outstanding voting shares, other than shares
held by the ten percent owner, unless specified statutory conditions are met. A
business combination that is approved any time before the ten-percent owner
acquires his or her shares is not subject to these special voting requirements.
We have not "opted out" of these provisions and, accordingly, we are subject to
them.

                                       45
<PAGE>

         Our failure to qualify as a REIT would cause us to be taxed as a
         corporation

         We believe that we were organized and operated in a manner so as to
qualify as a REIT under the Internal Revenue Code of 1986, as amended,
commencing with our taxable year ended December 31, 1998. We can give no
assurance that we will maintain our qualification as a REIT. Qualification as a
REIT involves the satisfaction of numerous requirements, some on an annual and
some on a quarterly basis, established under highly technical and complex
Internal Revenue Code provisions for which there are only limited judicial and
administrative interpretations, and involves the determination of various
factual matters and circumstances not entirely within our control. For example,
in order to qualify as a REIT, at least 95% of our gross income in any year must
be derived from qualifying sources, and we must pay distributions to
shareholders aggregating annually at least 95% (90% for taxable years beginning
after December 31, 2000) of our REIT taxable income, excluding capital gains and
certain non-cash income. The complexity of these provisions and of the
applicable U.S. Treasury regulations is greater in the case of a REIT that holds
its assets in partnership form. We can make no assurances that legislation, new
regulations, administrative interpretations or court decisions will not
significantly change the tax laws with respect to qualification as a REIT or the
federal income tax consequences of qualification as a REIT.

         If we fail to qualify as a REIT or to maintain our REIT status, we will
be subject to federal income taxes at regular corporate rates, including any
alternative minimum tax. Moreover, we may be disqualified from treatment as a
REIT for the next four taxable years. If we failed to qualify as a REIT, our net
income available for investment or distribution to our shareholders would be
significantly reduced because of the additional tax liability to us for the
years involved. In addition, distributions to our shareholders would no longer
be required to be made by us.

         We have a share ownership limit primarily for REIT tax purposes

         To qualify and maintain qualification as a REIT for federal income tax
purposes, not more than 50% in value of our outstanding common shares may be
owned, directly or indirectly, by five or fewer individuals. In addition,
neither Genesis nor any person who constructively owns 10% or more of the
outstanding shares of Genesis or any other tenant may own actually or
constructively 10% or more, in value or voting rights, of our outstanding shares
of beneficial interest. Primarily to facilitate compliance with these
requirements, our declaration of trust prohibits ownership, directly or by
virtue of the attribution provisions of the Internal Revenue Code of 1986, as
amended, by any single shareholder of more than 8.6% of the issued and
outstanding common shares and generally prohibits the ownership, directly or by
virtue of these attribution rules, by any single shareholder or more than 9.9%
of any class or series of preferred shares of beneficial interest. We refer to
this as the "ownership limit." The federal tax laws include complex share
ownership rules that apply in determining whether a shareholder exceeds the
ownership limit. These rules may cause a shareholder to be treated as owning the
shares of a number of related shareholders. Absent any such exemption or

                                       46
<PAGE>

waiver by the board of trustees, shares acquired or held in violation of the
ownership limit will be transferred to a trust for the exclusive benefit of a
designated charitable beneficiary, and the shareholder's rights to distributions
and to vote would terminate. Also, the ownership limit could delay or prevent a
change in control and, therefore, could adversely affect our shareholders'
ability to realize a premium over the then-prevailing market price for their
shares.

         Special considerations apply to us because of the nature of our assets

         The manner in which we derive income from the assisted and independent
living facilities and skilled nursing facilities we own is governed by special
considerations in satisfying the requirements for REIT qualification. Because we
would not qualify as a REIT if we directly operated an assisted or independent
living facility, or a skilled nursing facility, we lease such facilities to a
healthcare provider, such as subsidiaries of Genesis, which operate the
facilities. It is essential to our qualification as a REIT that these
arrangements be respected as leases for federal income tax purposes and that the
lessees, including the subsidiaries of Genesis that lease properties from us,
not be regarded as "related parties" of us or our operating partnership, as
determined under the applicable provisions of the Internal Revenue Code.

         In the event the leases expire and are not renewed, we will have to
find a new lessee that is not related to us to lease and operate the properties
in order to continue to qualify as a REIT. For taxable years beginning after
December 31, 2000, we would be able to elect to treat property acquired as a
result of an expired lease as foreclosure property if certain conditions are
satisfied. With a valid election, we would be permitted to directly own such
property until the end of the second taxable year after the lease termination
but only if an independent contractor operates the property within 90 days after
the lease is terminated. The income from the foreclosure property would be
subject to tax at the maximum corporate rate, but the income would qualify under
the REIT gross income tests.

         In the event of a default on either a lease of, or a mortgage secured
by, an assisted or independent living facility or skilled nursing facility, to
maintain our REIT qualification, we would have to either immediately lease the
property to a lessee that is not related to us, or make a foreclosure election
and engage a new healthcare provider, which for our 2000 taxable year could not
include Genesis or its subsidiaries or Senior Life Choice, another existing
tenant, to operate the facility after we take possession of the facility.
Although with a valid election, we would be permitted to operate the facility
for 90 days after taking possession of the facility pursuant to applicable U.S.
Treasury regulations without jeopardizing our REIT status, the fact that the
facility licenses are held by lessees or borrowers may preclude us from doing so
under applicable healthcare regulatory requirements. The REIT requirements and
applicable healthcare regulatory requirements could deter us from exercising our
remedies in the event of a default even though such exercise otherwise would be
in our best interests.

         We pay some taxes

         Even if we qualify as a REIT, we are required to pay certain federal,
state and local taxes on our income and property.

                                       47
<PAGE>

         Various factors have affected and are likely to continue to affect our
         common share price

         Various factor have affected and are likely to continue to affect our
common share price, including:

         o  our financial performance and our dependence on Genesis as the
            primary operator of our facilities;

         o  the financial performance of Genesis and other lessees of our
            facilities;

         o  the extent to which a secondary market develops for our common
            shares;

         o  the extent of institutional investor interest in us;

         o  the market prices of other healthcare REITs and the attractiveness
            of their equity securities in comparison to other equity securities,
            including securities issued by other real estate-based companies;
            and

         o  general stock and bond market conditions.

         Our common share price is affected by changes in our earnings and cash
         distributions

         We believe that the market value of a REIT's equity securities is based
primarily upon the market's perception of the REIT's growth potential and its
current and potential future cash distributions, and is secondarily based upon
the real estate market value of the underlying assets. For that reason, our
shares may trade at prices that are higher or lower than the net asset value per
share. To the extent we retain operating cash flow for investment purposes,
working capital reserves or other purposes, these retained funds, while
increasing the value of our underlying assets, may not correspondingly increase
the market price of our shares. Our failure to meet the market's expectations
with regard to future earnings and cash distributions would likely adversely
affect the market price of our publicly traded securities.

         Market interest rates may have an effect on the value of our publicly
         traded securities

         One of the factors that investors consider important in deciding
whether to buy or sell shares of a REIT is the distribution rate on such shares,
considered as a percentage of the price of such shares, relative to market
interest rates. If market interest rates go up, prospective purchasers of REIT
shares may expect a higher distribution and this would likely increase our
borrowing costs and potentially decrease funds available for distribution. Thus,
higher market interest rates could cause the market price of our publicly traded
securities to go down.

                                       48
<PAGE>

         Shares available for future sale could adversely affect the market
         price of our publicly traded securities

         We have 513,475 units of limited partnership interest in our operating
partnership which are owned by minority interests. These units are redeemable by
the holder for cash or, at our election, common shares. In addition, we have
reserved a total of 779,340 common shares for issuance pursuant to our 1998
share option and incentive plan, of which 134,010 are subject to exercisable
share options as of December 31, 1999. We cannot predict the effect that future
sales of any of these common shares, or the perception that such sales could
occur, will have on the market prices of our outstanding common shares.

         Environmental problems are possible and can be costly

         Federal, state and local laws and regulations relating to the
protection of the environment may require a current or previous owner or
operator of real estate to investigate and clean up hazardous or toxic
substances or petroleum product releases at the property. If unidentified
environmental problems arise, we may have to make substantial payments, which
could adversely affect our cash flow and our ability to make distributions to
our shareholders because:

         o  we or the operator may have to pay a governmental entity or third
            parties for property damage and for investigation and clean-up costs
            incurred by them in connection with the contamination;

         o  environmental laws typically impose clean-up responsibility and
            liability without regard to whether the owner or operator knew or
            caused the presence of the contaminants;

         o  even if more that one person may have been responsible for the
            contamination, each person covered by the environmental laws may be
            held responsible for all of the clean-up costs incurred; and

         o  third parties may sue the owner or operator of a site for damages
            and costs resulting from environmental contamination emanating from
            that site.

         Environmental laws also govern the presence, maintenance and removal of
asbestos. These laws require (1) that owners or operators of buildings
containing asbestos properly manage and maintain the asbestos, (2) that they
notify and train those who may come into contact with asbestos and (3) that they
undertake special precautions, including removal or other abatement, if asbestos
would be disturbed during renovation or demolition of a building. These laws may
impose fines and penalties on building owners or operators who fail to comply
with these requirements and may allow third parties to seek recovery from owners
or operators for personal injury associated with exposure to asbestos fibers.

                                       49
<PAGE>

         Independent environmental consultants have conducted or updated
environmental assessments at the properties in which we have an interest. These
assessments included a visual inspection of the properties and the surrounding
areas, an examination of current and historical uses of the properties and the
surrounding areas and a review of relevant state, federal and historical
documents. Where appropriate, on a property by property basis, these consultants
conducted additional testing, including sampling for: asbestos, lead in drinking
water, soil contamination where underground storage tanks are or were located or
where other past site usage creates a potential for site impact and for
contamination in groundwater.

         These environmental assessments have not revealed any environmental
liabilities at the properties that we believe would have a material adverse
effect on our business, financial condition, revenues or earnings. Asbestos is
present at some of our buildings. The environmental consultants have not
recommended removal or encapsulation of the asbestos, except in connection with
the construction, remodeling, renovation or demolition of a building. For some
of our properties, the environmental assessments also note potential offsite
sources of contamination such as underground storage tanks. Additionally, for
some of our properties, the environmental assessments note previous uses, such
as the former presence of underground storage tanks, and in these cases,
documented underground storage tanks subject to regulatory requirements were
either removed, replaced or otherwise brought into compliance.

         Failure of operators to comply with environmental laws regarding the
         use and disposal of hazardous substances and infectious medical wastes
         could adversely affect their ability to make lease and loan payments to
         us

         The operation of healthcare facilities also involves the handling, use,
storage, transportation, disposal and/or discharge of hazardous, infectious,
toxic, radioactive, flammable and other hazardous materials, wastes, pollutants
or contaminants. These activities may result in:

         o  damage to individuals, property or the environment;

         o  interruption of operations and increases in costs;

         o  legal liability, damages, injunctions or fines;

         o  investigations, administrative proceedings, penalties or other
            governmental agency actions; and

         o  costs that are not covered by insurance.

         We can make no assurance that our lessees or borrowers will not incur
liability in connection with the use and disposal of hazardous substances and
infectious medical waste, which could have a material adverse effect on their
ability to make lease or loan payments to us.

         ERISA plans may be prohibited from investing in our common shares

         Depending upon the particular circumstances of an ERISA plan, an
investment by an ERISA plan in our common shares may be inappropriate under the
Employee Retirement Income Security Act of 1974. In deciding whether to purchase
our common shares on behalf of an ERISA plan, a fiduciary of an ERISA plan, in
consultation with its advisors, should carefully consider its responsibilities
under ERISA, the prohibited transaction rules of ERISA and the internal revenue
code and the effect of regulations issued by the U.S. Department of Labor
defining what constitutes assets of an ERISA Plan.

                                       50
<PAGE>


ITEM 2.  PROPERTIES

         The Company's headquarters are currently located at 101 East State
Street, Suite 100, Kennett Square, PA 19348. The Company leases its corporate
office space from Genesis under an operating lease, which expires on April 30,
2001. Under the lease agreement, the Company pays base rent plus its portion of
real estate taxes, common area maintenance and operation for the building based
upon the ratio of square footage of the leased premises to the square footage of
the building. As of December 31, 1999, the Company had no other material lease
commitments as lessee.

         The following table sets forth certain information comprising the
Company's investments in owned real estate property as of December 31, 1999.

<TABLE>
<CAPTION>
                                                       Number of                              Annualized
              Property                   State          Beds (3)        Investment (4)     Rental Income (5)
- -------------------------------------   ---------   ---------------    ----------------   -------------------
<S>                                  <C>   <C>                 <C>             <C>                    <C>
Assisted Living Facilities:                                              (dollar amounts in thousands)
    Heritage Woods *                 (1)   MA              126            $ 12,492              $ 1,053
    Willowbrook *                    (1)   PA               56               6,465                  648
    Riverview Ridge                  (1)   PA              105               6,593                  677
    Highgate at Paoli Pointe         (1)   PA               82              13,245                1,210
    The Woodbridge                         PA               90              14,116                1,280
    Heritage at North Andover        (1)   MA               97              12,126                1,148
    Heritage at Vernon Court         (1)   MA              115              18,823                1,702
                                                         -----            --------              -------
       Total Assisted Living                               671              83,860                7,718
                                                         -----            --------              -------

Independent Living Facilities:
    Pleasant View                    (1)   NH               72               4,164                  485
                                                         -----            --------              -------
       Total Independent Living                             72               4,164                  485
                                                         -----            --------              -------

Skilled Nursing Facilities:
    Rittenhouse CC *                 (1)   PA              119               9,806                  802
    Lopatcong CC                     (1)   NJ              153              15,148                1,259
    Phillipsburg CC                  (1)   NJ               94               6,799                  572
    Wayne NRC                        (2)   PA              118               8,459                  806
    Belvedere NRC                    (1)   PA              147              12,193                1,107
    Chapel NRC                       (1)   PA              240              12,661                1,176
    Harston Hall NCH                 (1)   PA              196               8,080                  832
    Pennsburg Manor NRC              (1)   PA              120              11,233                1,118
                                                         -----            --------              -------
       Total Skilled Nursing                             1,187              84,379                7,672
                                                         -----            --------              -------

Medical Office and Other Buildings:
    Professional Office Building I         PA                                4,566                  941
    DCMH Medical Office Building           PA                                8,291                1,531
    Salisbury Medical Office Bldg.   (1)   MD                                1,361                  164
    Windsor Office Building *        (1)   CT                                  328                   81
    Windsor Clinic/Trg. Facility *   (1)   CT                                1,481                  117
    Lacey Branch Office Building           NJ                                  625                   57
                                                                          --------              -------
       Total Medical Office and Other                                       16,652                2,891
                                                                          --------              -------
         Total of Owned Properties                       1,930            $189,055              $18,766
                                                         ======           =========             =======
</TABLE>

                                       51
<PAGE>
- ------------------
*        Represent properties included in the Company's borrowing base for the
         Credit Facility and pledged as collateral.

(1)      Represent properties that are leased to and managed by Genesis or
         Genesis Equity Investees. See "Business - Transactions with Genesis."

(2)      Represents property managed by Genesis but leased by an unrelated third
         party. See "Business - Transactions with Genesis."

(3)      Based upon the number of private and semi-private beds in service at
         December 31, 1999.

(4)      Includes investments in real estate properties and loans on real estate
         properties aggregating $181.9 million, before reductions for
         accumulated depreciation, and includes credit enhancements on three
         owned properties, which aggregated $7.2 million. Credit enhancements
         include bond and operating reserve funds aggregating $3.8 million,
         security deposits of $1.8 million, letters of credit aggregating $1.0
         million and mortgage escrow accounts of $0.6 million.

(5)      Reflects contract rate of annual base rent under fixed and minimum rent
         leases and estimated rent under percentage rent leases assuming rental
         income for these properties consistent with 1999.

         The Company holds a fee interest in each of its properties except for
the land underlying the Windsor Clinic and Training Facility, the Professional
Office Building I and the DCMH Medical Office Building (in which the Company
owns a condominium unit), which are leasehold interests subject to long-term
ground leases from Genesis and other unaffiliated companies.

         Each of the Company's skilled nursing and senior housing facilities,
which includes the land (if owned), buildings, improvements and related rights,
are leased principally to healthcare providers pursuant to long-term triple net
leases. The leases generally have fixed terms of 5 to 12 years and contain
multiple five to ten-year renewal options. These properties are leased
principally under percentage and minimum rent leases. These lessees are required
to insure, repair, rebuild and maintain the leased properties. The leases with
tenants in the medical office and other buildings are generally fixed rent
leases, which provide for specified annual rents, subject to annual increases in
some of the leases. Generally, these leases are for a five-year period. Some of
the lessees are required to insure, repair, rebuild and maintain the leased
properties. See "Business - Investments - Owned Property - Operating Leases."
The Company believes that its leased properties are adequately insured under
insurance policies maintained by the lessees.

         The above properties are encumbered by mortgage loans and bonds
aggregating $109.0 million at December 31, 1999, bearing interest at a weighted
average rate of 8.4%. These mortgage loans mature from December 2002 through
September 2025. See Note 8 to the Company's Consolidated Financial Statements
included in this Form 10-K. Additionally, five of the Company's properties, not
already subject to mortgage loans, are

                                       52
<PAGE>

included in the borrowing base for the Credit Facility and are pledged as
collateral for outstanding borrowings. See Note 7 to the Company's consolidated
financial statements included in this Form 10-K.

         The following table sets forth certain information regarding the
Company's term and construction loans on real estate property investments as of
December 31, 1999.

<TABLE>
<CAPTION>
                                                      Number of                             Interest Rate
    Term and Construction Loans           State        Beds (3)        Investment (4)        on Loans (4)
- -------------------------------------    ---------  ---------------    ----------------   -------------------
                                                                         (dollars in
                                                                          thousands)
             Term Loans
- -------------------------------------
<S>                                  <C>    <C>          <C>                <C>                   <C>
Assisted Living Facilities:
    Harbor Place *                   (1)    FL            92              $ 4,828                 9.5%
    Mifflin *                        (1)    PA            67                5,164                 9.5
    Coquina Place *                  (1)    FL            60                4,577                 9.5
    Lehigh *                         (1)    PA            70                6,665                10.5
    Berkshire *                      (1)    PA            64                6,167                10.5
                                                         ----             --------
       Total Assisted Living                             353               27,401
                                                         ----             --------
         Total Term Loans                                353               27,401
                                                         ----             --------

         Construction Loans
- -------------------------------------
Assisted Living Facilities:
    Oaks *                           (1)    PA            52                5,033                 9.0
    Montchanin *                     (2)    DE            92                9,496                10.5
    Sanatoga *                       (1)    PA            70                6,716                10.5
                                                         ----             --------
       Total Assisted Living                             214               21,245
                                                         ----             --------
         Total Construction Loans                        214               21,245
                                                         ----             --------
           Total Term and Construction Loans             567              $48,646
                                                         ====             ========
</TABLE>

- ----------------
*        Represent loans included in the Company's borrowing base for the Credit
         Facility and pledged as collateral.

(1)      Represent properties that are managed by Genesis or Genesis Equity
         Investees. See "Business - Investments - Proposed Loan Restructurings
         and Related Matters."

(2)      The Company has the option to purchase and leaseback this facility to
         the borrower for $13.0 million upon maturity of the loan. See "Business
         - Investments - Investment Portfolio - Term and Construction Loans."
         The Company may be limited in its ability to fund any exercise of this
         option. See "Management's Discussion and Analysis of Financial
         Condition and Results of Operations - Liquidity and Capital Resources."

(3)      Based upon the number of private and semi-private beds in service at
         December 31, 1999.

(4)      Represents principal balance and related rate of interest at December
         31, 1999. See Note 3 to the Company's consolidated financial statements
         included in this Form 10-K.

                                       53

<PAGE>

ITEM 3. LEGAL PROCEEDINGS

         None.

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

         No matters were submitted to a vote of security holders during the
three months ended December 31, 1999, through the solicitation of proxies or
otherwise.

                                     PART II

ITEM 5. MARKET FOR THE REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER
        MATTERS

         The following table sets forth, from January 27, 1998, the date the
Company's common shares began trading, through the periods indicated, the high
and low sales prices of the Company's common stock on the New York Stock
Exchange and the distributions paid per share. There were 91 shareholders of
record of the Company's common shares as of February 29, 2000. The number of
shareholders of record does not include an indeterminate number of shareholders
whose shares are held by brokers in "street name." Management believes there are
in excess of 4,000 beneficial shareholders of the Company's common shares.

                                                Distributions Per
           Quarter ended      High      Low          Share
        ------------------   ------   ------    -----------------

        March 31, 1998 (1)   $19.50   $17.38              -
        June 30, 1998         18.00    14.88         $0.243
        September 30, 1998    17.75    11.63          0.365
        December 31, 1998     14.50     9.25          0.365
        March 31, 1999        11.63     7.75          0.365
        June 30, 1999         10.38     8.44          0.365
        September 30, 1999    10.06     7.13          0.365
        December 31, 1999      7.63     5.44          0.365(2)
        ----------
     (1) Represents the period from January 27, 1998 through March 31, 1998.
     (2) Effective with the quarterly distribution paid in February 2000, the
         quarterly distribution was reduced from $0.365 per share to $0.30 per
         share.

         In order to qualify as a REIT for Federal income tax purposes, the Tax
Code generally requires that a REIT distribute annually at least 95% (90% for
taxable years beginning after December 31, 2000) of its net taxable income to
its shareholders. for See "Business - Taxation." The Company believes that,

                                       54
<PAGE>

commencing with its taxable period ended December 31, 1998, it has been
organized and operated in a manner so as to qualify for taxation as a REIT and
intends to continue qualifying as a REIT for the year ended December 31, 1999
and in future periods. Accordingly, the Company expects to continue to make
required distributions to its shareholders. The amount and timing of future
distributions, however, will depend upon various factors, including the
Company's cash available for distribution and limitations or restrictions under
the Credit Facility on payment of dividends. See "Business - Genesis and
Multicare Announce Commencement of Debt Restructuring Discussions with their
Senior Leaders," "Business - Risk Factors" and "Management's Discussion and
Analysis of Financial Condition and Results of Operations - Liquidity and
Capital Resources." Distributions by the Company are at the discretion of the
board of trustees. There can be no assurance that distributions will continue to
be made at current levels.

ITEM 6. SELECTED FINANCIAL DATA

         The following selected consolidated financial data for the year ended
December 31, 1999 and for the period from January 30, 1998 through December 31,
1998, and as of December 31, 1999 and 1998, is derived from the consolidated
financial statements of the Company. The following data should be read in
conjunction with the Company's consolidated financial statements and related
notes, and other financial information included in this Form 10-K, including
"Management's Discussion and Analysis of Financial Condition and Results of
Operations."
<TABLE>
<CAPTION>
                                                                 1999                        1998
                                                               --------                     -------
                                                              (in thousands, except per share data)
<S>                                                            <C>                          <C>
    Operating Data:
        Revenues                                               $ 28,141                     $21,233
        Expenses:
           Property expenses                                      1,124                         975
           Interest expense                                      13,136                       6,256
           Depreciation                                           5,788                       4,460
           General and administrative, separation
             agreement and start-up expenses                      5,412                       4,648
                                                               --------                     --------
                 Total expenses                                  25,460                      16,339
                                                               --------                     --------
        Equity in losses of unconsolidated entities, net         (2,482)                       (648)
        Minority interest                                           (19)                       (273)
                                                               --------                     --------
        Net income before extraordinary item                        180                       3,973
        Extraordinary item, net of minority interest             (1,210)                          -
                                                               --------                     --------
        Net income (loss)                                       ($1,030)                    $ 3,973
                                                               ========                     ========

    Per share information:
        Basic and diluted net income per share before
             extraordinary item                                   $0.03                     $  0.54
                                                               ========                     =========
        Basic and diluted net income (loss) per share            ($0.14)                    $  0.54
                                                               ========                     ========
        Weighted average basic and diluted common
             shares outstanding                                   7,198                       7,369
                                                               ========                     ========
        Distributions per share                                $   1.46                     $  0.97
                                                               ========                     ========
</TABLE>

                                       55
<PAGE>
<TABLE>
<CAPTION>
                                                    December 31, 1999            December 31, 1998
                                                    -----------------            -----------------
                                                                     (in thousands)
<S>                                                      <C>                         <C>
    Balance Sheet Data:
        Real estate properties, net                      $171,681                    $176,129
        Real estate loans receivable                       48,646                      47,899
        Credit Facility                                    39,670                      90,204
        Mortgages, bonds and notes payable                110,084                      53,728
        Total liabilities                                 155,053                     149,162
        Total shareholders' equity                       $103,440                    $113,296

                                                           1999                        1998
                                                    -----------------            -----------------
                                                                    (in thousands)
    Other data:
        Funds from Operations (1)                        $ 12,672                     $12,356
                                                    -----------------            -----------------
</TABLE>
- ----------

(1) The White Paper on Funds from Operations approved by the Board of Governors
    of NAREIT in March 1995 defines Funds from Operations as net income (loss),
    computed in accordance with generally accepted accounting principles,
    excluding gains (or losses) from debt restructuring and sales of properties,
    plus real estate related depreciation and after comparable adjustments for
    the Company's portion of these items related to unconsolidated partnerships
    and joint ventures. The Company believes that Funds from Operations is
    helpful to investors as a measure of the performance of an equity REIT
    because, along with cash flow from operating activities, financing
    activities and investing activities, it provides investors with an
    indication of the ability of the Company to incur and service debt, to make
    capital expenditures and to fund other cash needs. The Company computes
    Funds from Operations using standards established by NAREIT which may not be
    comparable to Funds from Operations reported by other REITs that do not
    define the term using the current NAREIT definition or that interpret the
    current NAREIT definition differently than the Company. Funds from
    Operations does not represent cash generated from operating activities using
    generally accepted accounting principles and should not be considered as an
    alternative to net income as an indication of the Company's financial
    performance, or to cash flow from operating activities as a measure of the
    Company's liquidity, nor is it indicative of funds available to fund the
    Company's cash needs, including its ability to make cash distributions.
    Effective January 1, 2000, Funds from Operations will include both recurring
    and non-recurring results of operations, except those results defined as
    "extraordinary items" under generally accepted accounting principles and
    gains and losses from sales of depreciable property.

ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS

General

         The Company is a self-managed and self-administered real estate
investment trust that invests principally in senior housing and other healthcare
facilities, including skilled nursing facilities, assisted and independent

                                       56

<PAGE>

living facilities and medical office and other buildings. The Company conducts
primarily all of its operations through the Operating Partnership, of which
ElderTrust is the sole general partner. The Company's consolidated assets
consist primarily of the assets of the Operating Partnership and its
consolidated subsidiaries. As of December 31, 1999, skilled nursing, assisted
and independent living facilities comprised approximately 93% of the Company's
consolidated investments in real estate properties and loans.

         Approximately 70% of the Company's consolidated assets at December 31,
1999 consisted of real estate properties leased to or managed by and loans on
real estate properties made to Genesis or Genesis Equity Investees. Revenues
recorded by the Company in connection with these leases and borrowings
aggregated $18.4 million in 1999. In addition, the Company's Equity Investees
have also leased properties to Genesis or Genesis Equity Investees. As a result
of these relationships, the Company's revenues and ability to meet its
obligations depends, in significant part, upon:

         o  the ability of Genesis and Genesis Equity Investees to meet their
            lease and loan obligations;

         o  the revenues derived from, and the successful operation of, the
            facilities leased to or managed by Genesis or Genesis Equity
            Investees; and

         o  the ability of these entities to successfully complete the
            development projects securing the construction loans made by the
            Company to these entities.

         On March 21, 2000, Genesis and Multicare announced the beginning of
debt restructuring discussions with their senior lenders with the intention of
revising their respective capital structures. Genesis also announced that it did
not make a $3.8 million interest payment to its senior debt lenders due March
20, 2000. Both Genesis and Multicare announced their intention not to make
interest and principal payments on senior debt and have been prohibited by their
senior lenders from making any scheduled interest payments on their publicly
traded subordinated debt while discussions were ongoing. Each company cited
their inability to sell assets due to the lack of long-term care market
financing and the continuing effect of reduced Medicare payments as the causes
of these actions. The senior lenders have given Genesis and Multicare a 60-day
forbearance period to develop a restructuring plan.

         Shortly after the announcement, Moody's Investors Service issued a
press release announcing that it had downgraded the debt ratings of Genesis and
Multicare. In its press release, Moody's indicated that the ratings outlook for
both companies was negative. Moody's stated that its rating action reflected the
deterioration in the companies' operating results and financial condition which
has stemmed from the impact of PPS for Medicare combined with high leverage.
Moody's noted that despite cost cutting efforts, operating margins for both
companies remain depressed, and planned asset divestitures have not materialized
as anticipated. Moody's also stated that restructuring efforts could be
adversely impacted by the currently difficult state of the long-term care
sector, with several large providers already filing for bankruptcy in recent
months. Standard & Poor's also downgraded the debt ratings of Genesis and
Multicare.

         Management of Genesis and Multicare have advised the Company that they
expect Genesis and Multicare to continue to make all lease and loan payments to
the Company. The Company has no control over Genesis or Multicare, however, and
can make no assurance that either of these entities will have sufficient income
or assets to enable them to satisfy their obligations under the leases or loans
made by the Company to them. Any failure by Genesis or Multicare to continue
making payments to the Company could have a significant adverse effect on the
Company's financial condition, results of operations and cash available for
distribution, could adversely affect the ability of the Company to maintain
distributions at current levels or at all and could adversely affect the ability
of the Company to meet its own debt obligations.

         If Genesis and Multicare were to cease making lease and loan payments
to the Company, the Company may be required to restructure or terminate the
underlying leases and may foreclose on the loans, in which event, the Company
might be required to find new operators to operate the properties underlying the
leases and loans. Under these circumstances, the Company's net income could
decline as a result of such restructuring with Genesis or Multicare or could
decline due to rents obtainable from any new operator. Depending on the
magnitude of the reduction in the Company's net income, the Company would seek
to offset the effect of such reduction in net income on the Company's ability to
meet its debt service requirements by further reducing the cash distributions
paid to the Company's shareholders and minority interests, through asset sales

                                       57

<PAGE>

or through other available means. The Company believes that it has the ability
to, and, if necessary, intends to, take these actions available to it and, as a
result, believes it will be able to continue to satisfy its debt and operating
obligations as they come due over the next twelve months. Based on the current
quarterly cash distribution rate of $0.30 per common share announced in November
1999, annualized distributions to shareholders and minority interests would
approximate $9.2 million during 2000, based on the number of common shares and
units currently outstanding. During 1999, the Company's cash flow from
operations exceeded its debt service requirements and distributions paid to
shareholders and minority interests by $1.2 million. Giving effect to the
current quarterly cash distribution rate and year 2000 debt service requirements
as of December 31, 1999, the Company's cash flow from operations during 1999
would have exceeded its debt service requirements and distributions paid to
shareholders and minority interests by $3.9 million. See "Summary Condensed
Consolidated Financial Data of Genesis."

         The Company has incurred indebtedness to acquire its assets and may
incur additional short and long-term indebtedness, and related interest expense,
from time to time. The Company has unfunded construction loan commitments at
December 31, 1999 of approximately $352,000 which it expects to fund with cash
flows from operations and funds available under the Credit Facility. The Company
also was obligated, or has an option, to purchase eight assisted living
facilities underlying term or construction loans, which will generally be leased
back to the sellers pursuant to long-term leases. The Company is currently
negotiating with Genesis to restructure seven of these relationships. See
"Liquidity and Capital Resources."

         The Company intends to declare and pay distributions to its
shareholders in amounts not less than the amounts required to maintain REIT
status. The amount and timing of distributions will depend upon various factors,
however, including the Company's cash available for distribution. See "Liquidity
and Capital Resources."

         Substantially all of the Company's revenues are derived from:

         o  rents received under long-term leases of healthcare-related real
            estate;

         o  interest earned from term and construction loans; and

         o  interest earned from the temporary investment of funds in short-term
            instruments.

         The Company has incurred operating and administrative expenses, which
principally include compensation expense for its executive officers and other
employees, office rental and related occupancy costs.

         The Company is self-administered and managed by its executive officers
and staff, and has not engaged a separate advisor or paid an advisory fee for
administrative or investment services, although the Company has engaged legal,
accounting, tax and financial advisors as needed from time to time.

                                       58

<PAGE>

         The primary non-cash expenses of the Company are the depreciation of
its healthcare facilities, amortization of its deferred loan origination costs
and deferred financing costs.

Investments in Equity Investees

         The Company's Equity Investees represent entities in which the
controlling interest is owned by Mr. D. Lee McCreary, the Company's President,
Chief Executive Officer and Chief Financial Officer. As a result, the Company
records its investments in, and results of operations from, these entities using
the equity method of accounting in its consolidated financial statements
included in this Form 10-K.

         ET Capital Corp.

         The Company has a nonvoting 95% equity interest in ET Capital. The
remaining voting 5% equity interest in ET Capital is owned by Mr. McCreary. As
of December 31, 1999, ET Capital owned a $7.8 million second trust mortgage note
executed by AGE Institute of Florida, which it acquired from Genesis during
1998. This note is secured by a second lien on 11 Florida skilled nursing
facilities owned by AGE Institute of Florida and a second lien on accounts
receivable and other working capital assets. The facilities are managed by
subsidiaries of Genesis. This note matures on September 30, 2008 with payments
of interest only, at a fixed annual rate of 13% due quarterly until the note is
paid in full. ET Capital recorded interest income on the note of $1.0 million
and $882,000 during 1999 and 1998, respectively. The borrower made all required
interest payments during 1999 in accordance with the terms of the note.

         In September 1999, the senior lender on the $40.0 million first trust
mortgage to the AGE Institute of Florida, which is guaranteed by Genesis,
notified the borrower that it was in default of the loan due to the borrowers'
failure to meet certain financial covenants. In November 1999, ET Capital
notified the borrower that it was in default of the $7.8 million second trust
mortgage loan held by ET Capital because of the default in the $40.0 million
first trust mortgage loan. Subsequently, the senior lender extended the maturity
date of the first mortgage trust loan from September 30, 1999 to March 28, 2000
to permit the AGE Institute of Florida time to obtain refinancing of the loan. A
letter agreement dated December 22, 1999 made certain modifications and defined
certain rights of the senior lender and ET Capital related to their respective
loans to the AGE Institute of Florida. The AGE Institute of Florida has been
working to obtain replacement financing of the $40.0 million first trust
mortgage loan and is seeking a further extension of the loan maturity date from
the senior lender.

         In January 2000, the AGE Institute of Florida received a tax
determination letter confirming its tax-exempt status. The Company understands
from the AGE Institute of Florida that it is continuing to pursue tax-exempt and
other financing sources to refinance the first and second trust mortgages. If
the AGE Institute of Florida is unable to refinance the $40.0 million first
trust loan, or is otherwise unable to reach acceptable extension terms with the
senior lender, the senior lender may take actions to recover its investment in
such first trust loan. ET Capital has no control over the actions of the senior
lender and such actions could be unfavorable to ET Capital. Based on the
Company's assessment of the fair value of the facilities securing the underlying
loans, the Company believes that ET Capital's $7.8 million second trust loan is
not impaired at December 31, 1999.

         In addition to the AGE Institute of Florida second trust mortgage note,
ET Capital has notes receivable aggregating $4.6 million at December 31, 1999
from two of the Company's Equity Investees and one of the Company's consolidated
subsidiaries. These loans mature at various dates from April 2008 to December
2011 and bear interest at 14% per annum with interest and principal payable
monthly. ET Capital's long-term debt includes two demand promissory notes
payable to the Company aggregating $5.9 million at December 31, 1999 in
connection with the above second mortgage note transaction. These notes bear
interest at a weighted average rate of 12.1% per annum with interest only
payable quarterly. In addition, ET Capital has loans

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<PAGE>

payable to the Company aggregating $3.7 million, bearing interest at 15% and
maturing at various dates from April 2008 to December 2011.

         The Company recorded $1.3 million and $687,000 in interest income for
the year ended December 31, 1999 and the period from January 30, 1998 to
December 31, 1998, respectively, on the notes payable from ET Capital. The
Company also recorded income of $236,000 and $156,000 related to the portion of
its equity interest in ET Capital's results of operations for the year ended
December 31, 1999 and the period from January 30, 1998 to December 31, 1998,
respectively. See Note 6 of the Company's consolidated financial statements
included in this Form 10-K.

         ET Sub-Meridian Limited Partnership, L.L.P.

         The Company has a 99% limited partnership interest in ET Sub-Meridian.
The 1% general partner interest is owned by a limited liability company of which
Mr. McCreary is the sole member. ET Sub-Meridian owns the leasehold and purchase
option rights to seven skilled nursing facilities located in Maryland and New
Jersey, which it purchased from Genesis for $35.5 million in cash and issuance
of $8.5 million in term loans during September 1998. The purchase options are
exercisable by ET Sub-Meridian in September 2008 for a cash exercise price of
$66.5 million. ET Sub-Meridian subleased the facilities to Genesis for an
initial ten-year period with a ten-year renewal option. Genesis has guaranteed
the subleases.

         As part of the transaction, the Company agreed to indemnify the
property owners for any loss of deferral of tax benefits prior to August 31,
2008 due to a default under a sublease or if a cure of a default by the Genesis
subsidiary leasing the facilities resulted in a taxable event to the owners. The
Company also agreed to indemnify Genesis for any amounts expended by Genesis
under the back-up indemnity provided by Genesis to the current owners for the
same loss.

         The Company recorded losses of $2.3 million and $752,000 related to the
portion of its equity interest in ET Sub-Meridian's results of operations for
the year ended December 31, 1999 and the period from January 30, 1998 to
December 31, 1998, respectively. ET Sub-Meridian has real estate investments and
long-term debt of $106.5 million and $106.9 million, respectively, at December
31, 1999. See Note 6 of the Company's consolidated financial statements included
in this Form 10-K. At December 31, 1999, ET Sub-Meridian had a $17.6 million
subordinated demand loan bearing interest at 12% per annum payable to the
Company in connection with the above transaction. The Company recorded $2.1
million and $710,000 in interest income on this loan for the year ended December
31, 1999 and the period January 30, 1998 to December 31, 1998, respectively.

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<PAGE>


         ET Sub-Heritage Andover, LLC
         ET Sub-Vernon Court, LLC
         ET Sub-Cabot Park, LLC
         ET Sub-Cleveland Circle, LLC

         The Company, through four limited liability companies (ET Sub-Heritage
Andover, LLC, ET Sub-Vernon Court, LLC, ET Sub-Cabot Park, LLC, and ET
Sub-Cleveland Circle, LLC), has member interests in three assisted living
facilities and one independent living facility, which it acquired during
December 1998 from an unrelated third party. A Genesis Equity Investee leases
each of the facilities.

         The Company is the sole member of ET Sub-Heritage Andover, LLC, which,
accordingly, is consolidated into the Company's consolidated financial
statements at December 31, 1999. In each of the remaining three limited
liability companies, the Company has a 99% member interest. The 1% managing
member interest in these three companies is owned by a limited liability company
of which Mr. McCreary is the sole member. The Company currently has the option
to acquire the 1% managing member interest in ET Sub-Vernon Court, LLC from Mr.
McCreary. The option exercise price is $3,200. As the Company has the ability to
acquire the 1% managing member interest in ET Sub-Vernon Court, LLC for a
nominal amount, this company is consolidated into the Company's consolidated
financial statements at December 31, 1999.

         Three of these limited liability companies have subordinated demand
loans in the aggregate amount of $5.1 million with the Company at December 31,
1999, bearing interest at 12% per annum. The Company recorded $381,000 and
$50,000 in interest income for the year ended December 31, 1999 and the period
from January 30, 1998 to December 31, 1998, respectively, in connection with the
demand loans, aggregating $3.1 million at December 31, 1999, payable to the
Company by the two unconsolidated limited liability companies. Additionally,
three of the limited liability companies have loans payable to ET Capital
aggregating $4.6 million at December 31, 1999, maturing at various dates from
April 2008 to December 2011 and bearing interest at 14% per annum with interest
and principal payable monthly.

         The Company recorded aggregate losses of $401,000 and $52,000 related
to the portion of its equity interest in ET-Sub-Cabot Park, LLC's and ET
Sub-Cleveland Circle, LLC's results of operations for the year ended December
31, 1999 and the period from January 30, 1998 to December 31, 1998,
respectively. These two entities have real estate investments and aggregate
long-term debt of $31.2 million and $30.7 million, respectively, at December 31,
1999. See Note 6 of the Company's consolidated financial statements included in
this Form 10-K.

Results of Operations

         The Company had no real estate investment operations prior to
consummation of its initial public offering on January 30, 1998. Thus, results

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of operations for the period from January 30, 1998 to December 31, 1998
represent only eleven months of operations. Additionally, the Company acquired
its real estate investments at various times during 1998 through acquisitions of
senior housing and other healthcare-related properties and term and construction
loans. The Company also made investments in its Equity Investees at various
times during 1998. The revenues and expenses generated by the Company's
investments were included in its results of operations from the dates of
acquisition or investment. Accordingly, the operating results for the year ended
December 31, 1999 are not comparable to those of the prior year.

         Year ended December 31, 1999 compared with the period from
              January 30, 1998 to December 31, 1998

              Revenues

         Rental revenues of $18.6 million were generated for the year ended
December 31, 1999. This represented a 30.7% increase from $14.2 million for the
corresponding period in 1998. This increase was a result of 1998 including only
eleven months of operations and due to acquisitions of senior housing and other
healthcare-related properties at various times during 1998.

         Interest income of $5.7 million, net of amortization of deferred loan
costs of $227,000, was earned for the year ended December 31, 1999. This
represented a 26.8% increase from $4.5 million for the corresponding period in
1998. This increase was a result of 1998 including only eleven months of
operations and due to additional funding of construction loans at various times
during 1998 and 1999. The increase was comprised of an increase of $1.1 million
in interest on term and construction loans and an increase of $206,000 in
interest earned on excess invested funds and bond and operating reserve funds,
offset, in part, by a decrease of $73,000 in connection with a mortgage loan
receivable that was collected in December 1998.

         Interest from unconsolidated Equity Investees of $3.8 million was
earned for the year ended December 31, 1999. This represented a 163.4% increase
from $1.4 million for the corresponding period in 1998. This increase was a
result of a large increase in the average loan balance with these unconsolidated
Equity Investees from 1998 to 1999, primarily in connection with two
transactions that occurred in September and December 1998.

              Expenses

         Property operating expenses principally relate to medical office
buildings, which are not subject to leases that require the lessees to pay all
operating expenses of the related property. Property operating expenses for
these leased properties were $1.1 million for the year ended December 31, 1999.
This represented a 15.3% increase from $975,000 for the corresponding period in
1998. This increase was a result of 1998 including less than eleven months of
operations for the Company's medical office buildings due to one of these

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buildings being acquired by the Company during the last half of February 1998.
Property operating expenses as a percentage of medical office building rental
revenues decreased to 42.9% for the year ended December 31, 1999 as compared to
44.7% for the corresponding period in 1998.

         Interest expense, which included amortization of deferred financing
costs of $1.6 million, was $13.1 million for the year ended December 31, 1999.
This represented a 110.0% increase in interest expense from $6.3 million for the
corresponding period in 1998. This increase was primarily due to 1998 including
only eleven months of operations, increased amortization of deferred financing
costs of $1.5 million, increases in third-party debt at various times during
1998 and 1999 to fund operating, investing and financing activities, and a
higher interest rate on the Credit Facility. Third-party debt, which includes
the Credit Facility and mortgages and notes payable to third parties, increased
from $142.8 million at December 31, 1998 to $148.7 million at December 31, 1999.
The weighted average interest rate on outstanding third-party debt increased
from 7.2% at December 31, 1998 to 8.4% at December 31, 1999. The Company's
interest expense increased as a result of the increase in the interest rate on
the Credit Facility in June 1999 from a margin of 1.80% over the one-month LIBOR
to 2.75%. The Company's interest rate on the Credit Facility was 9.25% at
December 31, 1999 versus 7.36% at December 31, 1998.

         Depreciation was $5.8 million for the year ended December 31, 1999.
This represented a 29.8% increase from $4.5 million for the corresponding period
in 1998. This increase was a result of 1998 including only eleven months of
operations and increases in real estate properties and other depreciable assets
that were placed in service at various times during 1998 and 1999.

         General and administrative expenses were $2.6 million for the year
ended December 31, 1999. This represented a 61.1% increase from $1.6 million for
the corresponding period in 1998. This increase was a result of 1998 including
only eleven months of operations and additional expenses as the Company
established its current internal infrastructure. General and administrative
expenses increased as a percentage of total rental revenues to 9.3% for the year
ended December 31, 1999 as compared to 7.6% for the corresponding period in
1998. This increase was due to the growth in the Company's infrastructure which
began in late 1998. These expenses consisted principally of management salaries
and benefits and legal and other administrative costs.

         Separation agreement expenses of $2.8 million were recorded for the
year ended December 31, 1999 in connection with Mr. Romanov's resignation from
the Company. These expenses are comprised of cancellation of indebtedness
payable by Mr. Romanov to the Company of $2.6 million and $200,000 in costs
payable to third parties in connection with a separation agreement with Mr.
Romanov.

         Start-up expenses were $3.0 million for the period ended December 31,
1998. These expenses were principally comprised of nonrecurring compensation

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expense of $2.0 million recorded in connection with the issuance of units of
beneficial interest of the operating partnership to certain officers of the
Company and approximately $700,000 of amounts reimbursed to Genesis for certain
formation expenses.

         An extraordinary loss of $1.2 million, net of a minority interest
benefit of $86,000, was recorded for the year ended December 31, 1999 in
connection with the prepayment of an existing mortgage loan.

         Period from January 30, 1998 to December 31, 1998

              Revenues

         Rental revenues of $12.3 million were generated during the period from
January 30, 1998 to December 31, 1998 from the immediate leaseback or assumption
of existing leases of 18 healthcare facilities purchased with proceeds of the
Offering on January 30, 1998. The acquisition of two additional facilities was
delayed pending receipt of necessary consents to transfer the properties to the
Company. The Delaware County Memorial Hospital Medical Office Building, which
was purchased during February 1998, generated $1.2 million in lease revenues.
The Riverview Ridge assisted living facility, which was acquired during March
1998, generated $504,000 in lease revenues. The Company also acquired two
assisted living facilities during December 1998, ET Sub-Heritage Andover, LLC
and ET Sub-Vernon Court, LLC, which generated $236,000 in lease revenues.

         Interest income of $4.5 million, net of amortization of deferred loan
costs of $220,000, was earned during the period from January 30, 1998 to
December 31, 1998. Interest income was comprised of $3.9 million from term and
construction loans and a mortgage which matured December 1, 1998, with the
remainder resulting from interest on excess invested funds, bond reserve funds
and related party notes receivable.

         Interest on advances to unconsolidated Equity Investees of $1.4 million
was earned during the period from January 30, 1998 to December 31, 1998.

         Fee income of $1.0 million was earned for financial services rendered
in connection with certain financial service transactions during the period from
January 30, 1998 to December 31, 1998.



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<PAGE>

             Expenses

         Property operating expenses of $975,000 for the period from January 30,
1998 to December 31, 1998 represented 6.9% of rental revenues.

         Interest expense of $6.3 million for the period from January 30, 1998
to December 31, 1998 was comprised principally of interest of $2.6 million on
mortgage indebtedness and $3.4 million on the Credit Facility, with the
remainder resulting from amortization of deferred financing costs and interest
on tenant security deposits.

         Depreciation of $4.5 million for the period from January 30, 1998 to
December 31, 1998 was recorded in connection with depreciation of the Company's
properties placed in service during the period.

         General and administrative expenses of $1.6 million for the period from
January 30, 1998 to December 31, 1998 represented 11.3% of rental revenues.
These expenses consisted principally of management salaries and benefits, legal
and other administrative costs since the Offering.

         Start-up expenses were $3.0 million for the period from January 30,
1998 to December 31, 1998. These expenses were comprised principally of
nonrecurring compensation expense of $2.0 million recorded in connection with
the issuance of units of beneficial interest of the Operating Partnership to
certain officers of the Company in connection with its formation and
approximately $700,000 of amounts reimbursed to Genesis for other formation
expenses.

         The Company recorded a loss of $648,000 for the period from January 30,
1998 to December 31, 1998 in connection with its portion of the losses incurred
by the Company's Equity Investees.

         The Company recorded a reduction in net income of $273,000 for the
period from January 30, 1998 to December 31, 1998 for the portion of its
consolidated operations which relate to minority interest owners of the
Operating Partnership and other consolidated entities.

Liquidity and Capital Resources

         Net cash provided by operating activities was $16.7 million for the
year ended December 31, 1999 compared to $13.7 million for 1998. Net cash used
in financing activities was $10.5 million for the year ended December 31, 1999
compared to net cash provided by financing activities of $193.9 million for
1998. Net cash used in financing activities for 1999 principally included
borrowings under the Credit Facility of $9.5 million and new mortgages payable
issued of $71.1 million reduced by (a) $60.1 million in payments on the Credit
Facility, (b) $3.0 million in deferred financing fees and other related costs in
connection with amendments to the Credit Facility and new mortgages payable
during the period, (c) $10.5 million in distributions to shareholders, (d) $14.7
million in payments on mortgage loans and notes payable, (e) $923,000 in common
share repurchases, and (f) a $1.2 million prepayment penalty on a mortgage loan.
Net cash provided by financing activities for 1998 included $114.2 million of
net proceeds from the Company's initial public offering and borrowings under the
Credit Facility of $90.2 million, partially offset by distributions to
shareholders of $7.2 million and common share repurchases of $1.7 million.

         Net cash used in investing activities was $4.9 million for the year
ended December 31, 1999 compared to $205.4 million for 1998. The Company used
its net cash provided by operating and financing activities for the year ended
December 31, 1999 principally to fund its investing activities, including (a)
$5.1 million in construction loans, (b) $3.6 million in bond and operating
reserve funds and deposits and (c) $1.3 million in purchases of equipment and
building renovations, partially offset by $4.3 million in payments received on
term and construction loans receivable and $815,000 of proceeds received from
unconsolidated entities. Net cash provided by operating and financing activities
during the period ended December 31, 1998 was principally used to fund investing
activities, including (a) $116.4 million for the acquisition of real estate
properties, (b) $50.2 million of term and construction loans made and (c) $38.2
million of investments in the Company's Equity Investees.



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<PAGE>
        At December 31, 1999, the Company's consolidated net real estate
investments in properties and loans aggregated $220.3 million. Working capital,
excluding the current portion of the balance outstanding under the Credit
Facility of approximately $0.9 million and $90.2 million as of December 31, 1999
and 1998, respectively, was $3.5 million and $3.0 million at December 31, 1999
and December 31, 1998, respectively. Cash and cash equivalents were $3.6 million
and $2.3 million, at December 31, 1999 and December 31, 1998, respectively.

         As of December 31, 1999, the Company had shareholders' equity of $103.4
million and Credit Facility borrowings and mortgages, bonds and notes payable to
third parties aggregating $148.7 million, which represents a debt to equity
ratio of 1.44 to 1. This was an increase from 1.26 to 1 at December 31, 1998.
This increase was due primarily to a net increase of $5.9 million in such
indebtedness and a net decrease in shareholders' equity of $9.9 million. The net
increase in third-party indebtedness primarily resulted from new mortgages
issued of $71.1 million offset, in part, by repayments of third-party
indebtedness aggregating $14.7 million and repayments under the Credit Facility
of $50.5 million. The net decrease in shareholders' equity primarily resulted
from the declaration and payment of $10.5 million in dividends to shareholders,
the repurchase of common shares for $923,000 and a net loss aggregating $1.0
million for the year ended December 31, 1999.

         The Company funded $5.1 million in construction loan commitments for
the year ended December 31, 1999. One construction loan was sold to a commercial
bank during 1999. The remaining unfunded portions of construction loan
commitments made by the Company are approximately $352,000 at December 31, 1999.
The Company expects to continue to fund its remaining construction loan
commitments during 2000 with cash flows from operations and funds available
under the Credit Facility.

         The Company previously was obligated to purchase and leaseback, upon
the maturity of the related loan or the facility reaching stabilized occupancy,
five assisted living facilities (Mifflin, Coquina Place, Lehigh, Berkshire and
Harbor Place) securing term loans and two assisted living facilities (Oaks and
Sanatoga) securing construction loans made by the Company in January 1998. Of
these seven loans, which had an aggregate principal balance at December 31, 1999
of $39.1 million, three loans, secured by the Mifflin, Coquina Place and Oaks
facilities, were made to wholly-owned subsidiaries of Genesis, three loans,
secured by the Lehigh, Berkshire and Sanatoga facilities, were made to
wholly-owned subsidiaries of Multicare and one loan, secured by the Harbor Place
facility, was made to a Genesis Equity Investee. The Company believes it is no
longer bound by the purchase and leaseback obligations contained in the loan
documents because the borrowers have, from time to time, not complied with all
loan provisions. The Company is in discussions with Genesis and Multicare about
a possible restructuring of transactions between the companies. See "Proposed
Loan Restructurings and Related Matters".




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<PAGE>

         The Company also has the option to purchase and leaseback one facility
from an unaffiliated company for $13.0 million upon maturity of the related
construction loan.

         On January 3, 2000, the term of the Credit Facility was extended from
January 1, 2000 to June 30, 2001 through an amendment which also reduced
borrowings available under the Credit Facility to $45.4 million. At December 31,
1999, the Company had $39.7 million outstanding under the Credit Facility.

         The Company paid financing fees and other related costs of
approximately $2.0 million for various amendments to the Credit Facility, $1.5
million of which were amortized during 1999 and included as a component of 1999
interest expense.

         The Credit Facility contains various financial and other covenants,
including, but not limited to, minimum net asset value, minimum tangible net
worth, a total leverage ratio and minimum interest coverage ratio. The Company's
owned properties and properties underlying loans receivable with an aggregate
cost of $79.2 million are included in the Credit Facility borrowing base and
pledged as collateral at December 31, 1999. The terms require the Company to
make monthly payments of principal equal to .22% of the outstanding balance on
the first day of the prior calendar month. In addition, the Company is required
to pay a monthly facility fee in an amount equal to .0625% of the outstanding
balance. Re-borrowings are not permitted after repayment, except for the $5.75
million revolving credit portion of the Credit Facility. As of the date of the

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<PAGE>

agreement, the Company has available the entire $5.75 million, however,
availability is restricted to certain specified purposes, including dividend
distributions. Dividend distributions over the term of the loan are limited to
$3.0 million plus 95% of the Company's funds from operations, as defined by
NAREIT prior to January 1, 2000.

         Amounts outstanding under the Credit Facility bear interest at floating
rates ranging from 2.75% to 3.25% over one-month LIBOR, as determined by the
percentage of the Credit Facility outstanding as compared to the borrowing base.
The interest rate on borrowings outstanding under the Credit Facility at
December 31, 1999 was 9.25%, 2.75% over one-month LIBOR. The interest rate on
borrowings outstanding under the Credit Facility at December 31, 1998 was 7.36%,
1.80% over one-month LIBOR.

         On September 9, 1999, the Company completed a $32.7 million financing
of five properties arranged by J.P. Morgan. One of the loans is collaterized by
two of the properties. Approximately $19.2 million of the debt proceeds were
used to pay-down the Company's outstanding Credit Facility to a balance of $75.9
million. The remaining $13.5 million was used to pay-off an existing mortgage
secured by two of the properties of $10.4 million, and a prepayment penalty of
$1.2 million on the existing mortgage, with the balance of $1.9 million used to
pay expenses, interest and required reserves. These mortgages have a ten-year
term, a twenty-five year amortization period and a fixed weighted average
interest rate of 8.37%. The Company incurred approximately $634,000 in financing
costs on this transaction, which is being amortized over the mortgages' ten-year
life.

         On October 5, 1999, the Company completed an $8.5 million financing of
two medical office buildings arranged by J.P. Morgan. Approximately $7.9 million
of the debt proceeds were used to pay-down the Company's Credit Facility. These
remaining $592,000 of proceeds was used to pay expenses, interest and required
reserves. These mortgage loans have a ten-year term, a twenty-five year
amortization period and a fixed interest rate of 8.35%. The Company incurred
approximately $242,000 in financing costs on this transaction, which is being
amortized over the mortgages' ten-year life.

         On November 24, 1999, the Company completed a $30 million financing of
four properties arranged by J.P. Morgan. One of the loans is collateralized by
two of the properties. Approximately $28 million of the debt proceeds were used
to pay-down the Company's outstanding Credit Facility. The remaining $2 million
was used to pay transaction-related expenses and required reserves. These
mortgages have a three-year term, are interest-only and have a variable interest
rate of 3.00% over one-month LIBOR (9.5% at December 31, 1999). The variable
interest rates are capped at 17.50%, 13.08%, and 11.98% on the individual

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<PAGE>

mortgages of $4.6 million, $14.9 million and $10.5 million, respectively. The
Company incurred approximately $552,000 in financing costs and $53,000 in
interest rate cap fees on this transaction, which are being amortized over the
mortgages' three-year life. The Company can at its option extend the term of the
loans for one two-year period upon payment of a 50 basis point extension fee.

         The Company expects net cash provided by operations and funds available
under the Credit Facility to be sufficient to enable it to meet its short-term
cash flow requirements through December 31, 2000, including the funding of
$352,000 of construction commitments and shareholder distributions. Any failure
by Genesis or Multicare to continue making lease or loan payments to the Company
could have a significant adverse effect on the Company's financial condition,
results of operations and cash available for distribution, could adversely
affect the ability of the Company to maintain distributions at current levels or
at all and could adversely affect the ability of the Company to meet its own
debt obligations. See "Summary Condensed Consolidated Financial Data of
Genesis."

         The Credit Facility currently matures on June 30, 2001. If the Company
is unable to pay-off or obtain replacement financing by June 30, 2001, or is
unable to negotiate a further extension of the current credit facility at that
time, or for any reason the Company were to be in default under the Credit
Facility prior to its maturity, Deutsche Bank could exercise its right to
foreclose on the collateral securing the Credit Facility, which would have a
significant adverse affect on the Company's ability to continue its operations
and meet its obligations, including payment of quarterly shareholder
distributions. Moreover, if the Company is unable to raise additional capital
through equity financing, or is unable to increase its borrowing capacity, the
Company may be limited in its ability to fully fund its long-term capital needs.

         The interest rate, loan extension fee and loan principal amortization
under the terms of the Credit Facility extension, as well as the higher interest
expense under the new mortgage financing, will reduce the Company's cash flows
and could affect its ability to maintain distributions to its shareholders at
current levels. Future increases in interest rates, as well as any defualts by
tenants or borrowers on their leases or loans, also could adversely affect the
Company's cash flow and its ability to pay its obligations and make
distributions at current levels. See "Item 7. Quantitative and Qualitative
Disclosures About Market Risk." There can be no assurance that the Company will
be able to continue making distributions to its common shareholders at current
levels or at all.

         To qualify as a REIT, the Company must distribute to its shareholders
each year at least 95% (90% for taxable years beginning after December 31, 2000)
of its net taxable income, excluding any net capital gain. If the Company is
unable to make required shareholder distributions, then the Company may be
unable to qualify as a REIT and be subject to federal income taxes.

         Facilities owned by the Company and leased to third parties under
percentage and minimum rent triple net leases require the lessee to pay
substantially all expenses associated with the operation of such facilities.
Facilities owned by the Company and subject to percentage and minimum rent
leases represent approximately 92% of the Company's investments in owned
facilities at December 31, 1999. As a result of these arrangements, the Company
does not believe it will be responsible for significant expenses in connection
with the facilities during the terms of the leases. The Company anticipates
entering into similar leases with respect to additional properties acquired.

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However, there can be no assurance the Company will not be responsible for
significant expenses of its leased properties in the event one or more of its
lessees default on their leases with the Company.

         In August 1998, the Company implemented a share repurchase program.
Under the share repurchase program, the Company was authorized from time to time
to repurchase shares in open market transactions up to an amount equal to the
Company's excess cash flow on a quarterly and cumulative basis. In March 1999,
in light of the Company's cash position and Credit Facility negotiations, the
Company suspended the share repurchase program. In November 1999, the Company
reinstituted the share repurchase program on a limited basis. The Company
completed this limited share repurchase program in December 1999 with the
repurchase of 82,100 common shares at an average price of $6.08. The Company
repurchased and effectively retired 125,800 and 147,800 common shares for an
aggregate purchase price of $923,000 and $1.7 million for the years ended
December 31, 1999 and 1998, respectively. These shares are reflected as a
reduction of shares issued and outstanding in the accompanying financial
statements.

Distributions to Shareholders Subsequent to Year End

         The board of trustees declared a cash distribution on January 13, 2000.
The cash distribution of $0.30 per share was paid on February 15, 2000 to common
shareholders of record on January 28, 2000, and reflects a reduction from the
quarterly distribution rate of $0.365 per share paid in prior periods.

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Funds from Operations

       The White Paper on Funds from Operations approved by the Board of
Governors of NAREIT in March 1995 defines Funds from Operations as net income
(loss), computed in accordance with generally accepted accounting principles,
excluding gains (or losses) from debt restructuring and sales of properties,
plus real estate related depreciation and after comparable adjustments for the
Company's portion of these items related to unconsolidated partnerships and
joint ventures. The Company believes that Funds from Operations is helpful to
investors as a measure of the performance of an equity REIT because, along with
cash flow from operating activities, financing activities and investing
activities, it provides investors with an indication of the ability of the
Company to incur and service debt, to make capital expenditures and to fund
other cash needs. The Company computes Funds from Operations using standards
established by NAREIT which may not be comparable to Funds from Operations
reported by other REITs that do not define the term using the current NAREIT
definition or that interpret the current NAREIT definition differently than the
Company. Funds from Operations does not represent cash generated from operating
activities using generally accepted accounting principles and should not be
considered as an alternative to net income as an indication of the Company's
financial performance, or to cash flow from operating activities as a measure of
the Company's liquidity, nor is it indicative of funds available to fund the
Company's cash needs, including its ability to make cash distributions.
Effective January 1, 2000, Funds from Operations will include both recurring and
non-recurring results of operations, except those results defined as
"extraordinary items" under generally accepted accounting principles and gains
and losses from sales of depreciable property.

                                       71

<PAGE>

         The following table presents the Company's Funds from Operations for
the year ended December 31, 1999 and for the period from the Company's Offering
on January 30, 1998 to December 31, 1998:
<TABLE>
<CAPTION>
                                                       1999                   1998
                                                     --------               -------
                                                               (in thousands)
<S>                                                   <C>                   <C>
Funds from Operations:
    Net income (loss)                                 ($1,030)              $ 3,973
    Minority interest                                     (67)                  273
                                                     --------               -------
    Net income (loss) before minority
      interest                                         (1,097)                4,246

    Adjustments to derive funds from
      operations:
     Add:
      Real estate depreciation and
        amortization:
          Consolidated entities                         5,963                 4,664
          Unconsolidated entities                       4,492                 1,243
      Nonrecurring items - start-up
        expenses                                            -                 3,027
      Nonrecurring items - separation
        agreement expenses                              2,800                     -
      Nonrecurring items - unamortized
        financing costs                                   129                     -
      Extraordinary loss on debt
        extinguishment                                  1,296                     -
                                                     --------               -------
    Funds from Operations before allocation
      to minority interest                             13,583                13,180
    Less:
      Funds from Operations allocable to
        minority interest                                (911)                 (824)
                                                     --------               -------
      Funds from Operations attributable to
        the common shareholders                      $ 12,672               $12,356
                                                     ========               =======
</TABLE>
Impact of Inflation

         Earnings of the Company are primarily from long-term investments with
fixed interest rates and fixed and percentage rental streams. These investments
are mainly financed with a combination of equity, long-term mortgages and
borrowings under the revolving lines of credit. During inflationary periods,

                                       72

<PAGE>

which generally are accompanied by rising interest rates, the Company's ability
to grow may be adversely affected because the yield on new investments may
increase at a slower rate than new borrowing costs.

Recent Accounting Pronouncements

         See the Company's consolidated financial statements and related notes
for information relating to the impact on the Company of new accounting
pronouncements.

Year 2000 Considerations

         The Company completed its assessment of Year 2000 issues related to
both its corporate offices and properties. Total expenditures for Year 2000
issue costs did not exceed $5,000. To the date of this report, the Company has
not encountered any business interruptions or adverse financial consequences
related to the Year 2000 issue. However, there can be no assurance that Year
2000 computer problems which may impact the Company or its lessees or borrowers
or other third parties will not have a material adverse effect on the Company's
financial condition or results of operations subsequent to the date of this
report.

Summary Condensed Consolidated Financial Data of Genesis

         As leases with and loans to Genesis represent a significant portion of
the Company's consolidated assets and revenues, the Company has included certain
summary condensed consolidated financial data of Genesis for the periods
discussed below. The summary condensed consolidated financial data of Genesis
was extracted from Genesis' annual report on Form 10-K for the year ended
September 30, 1999 as filed with the Securities and Exchange Commission (the
"Commission") under the Securities Exchange Act of 1934, as amended, (the
"Exchange Act") and the Genesis quarterly report on Form 10-Q for the quarter
ended December 31, 1999 as filed with the Commission.

         The Genesis financial data presented includes only the most recent
interim and fiscal year end reporting periods. The Company can make no
representation as to the accuracy and completeness of Genesis' public filings.
It should be noted that Genesis has no duty, contractual or otherwise, to advise
the Company of any events subsequent to such dates which might affect the
significance or accuracy of such information.

         Genesis is subject to the information filing requirements of the
Exchange Act, and in accordance therewith, is obligated to file periodic
reports, proxy statements and other information with the Commission relating to
its business, financial condition and other matters. Such reports, proxy
statements and other information may be inspected at the offices of the
Commission at 450 Fifth Street, N.W., Washington, D.C. 20549, and should also be
available at the following Regional Offices of the Commission: 7 World Trade
Center, New York, N.Y. 10048, and 500 West Madison Street, Suite 1400, Chicago,
IL 60661. Such reports and other information concerning Genesis can also be
inspected at the offices of the New York Stock Exchange, Inc., 20 Broad Street,

                                       73

<PAGE>

Room 1102, New York, New York 10005. The SEC also maintains an Internet web site
that contains reports, proxy statements and other information regarding issuers,
like Genesis, that file electronically with the SEC. The address of that site is
http://www.sec.gov.

         The following table sets forth certain summary condensed consolidated
financial data for Genesis as of and for the periods indicated.
<TABLE>
<CAPTION>
                                                      For the three
                                                      months ended          For the years ended
                                                      December 31,              September 30,
                                                     --------------      -----------------------------
                                                          1999              1999               1998
                                                     --------------      ----------         ----------
                                                        (in thousands, except per share data)
               Operations Data
- -----------------------------------------------
<S>                                                    <C>               <C>                <C>
Net revenues                                           $  586,884        $1,866,426         $1,405,305
Operating income before restructuring and
    capital costs (1)                                      65,750            85,879            134,690
Multicare joint venture restructuring charge              420,000                 -                  -
Depreciation and amortization                              29,118            74,955             52,385
Lease expense                                               9,527            26,653             31,182
Interest expense, net                                      52,776           119,220             82,088
Loss before income taxes, equity in net
    income (loss) of unconsolidated
    affiliates, extraordinary items and
    cumulative effect of accounting change               (445,671)         (134,949)           (30,965)
Income taxes                                               (7,280)          (44,711)            (8,158)
Loss before equity in net income (loss) of
    unconsolidated affiliates and
    extraordinary items                                  (438,391)          (90,238)           (22,807)
Minority interest                                           6,927                 -                  -
Equity in net income (loss) of
    unconsolidated affiliates                                   -          (178,235)               486
Extraordinary items, net of tax                                 -            (2,100)            (1,924)
Cumulative effect of accounting change(3)                 (10,412)                -                  -
Net loss                                                 (441,876)         (270,573)           (24,245)
    Net loss available to common
      shareholders(2)                                   ($450,182)        ($290,050)          ($25,900)
</TABLE>

                                       74

<PAGE>

<TABLE>
<CAPTION>
                                                For the three
                                                months ended             For the years ended
                                                December 31,                September 30,
                                                -------------          -----------------------
                                                    1999                1999             1998
                                                -------------          ------           ------
                                                     (in thousands, except per share data)
<S>                                               <C>                  <C>              <C>
Per common share data:
  Basic
    Loss before extraordinary items and
       cumulative effect of accounting
       change                                     ($10.37)             ($8.11)          ($0.68)
    Net loss                                      ($10.62)             ($8.17)          ($0.74)
    Weighted average shares of
       common stock and equivalents                42,390              35,485           35,159
  Diluted
    Loss before extraordinary items and
       cumulative effect of accounting
       change                                     ($10.37)             ($8.11)          ($0.68)
    Net loss                                      ($10.62)             ($8.17)          ($0.74)
    Weighted average shares of
       common stock and equivalents                42,390              35,485           35,159
</TABLE>
- ----------
(1) Capital costs include depreciation and amortization, lease expense and
    interest expense.
(2) Net income (loss) reduced by preferred stock dividends.
(3) Cumulative effect of accounting change relates to October 1, 1999 adoption
    of American Institute of Certified Public Accountant's Statement of Position
    98-5 "Reporting on the Costs of Start-Up Activities", which requires
    start-up costs to be expensed as incurred.
<TABLE>
<CAPTION>
                                    December 31,     September 30,       September 30,
                                       1999              1999                1998
                                   -------------     -------------       -------------
                                                 (dollars in thousands)
 Balance Sheet Data
<S>                                 <C>                <C>                 <C>
    Working capital                 $  301,345         $  235,704          $  243,461
    Total assets                     3,546,350          2,429,914           2,627,368
    Long-term debt                   2,242,754          1,484,510           1,358,595
    Shareholders' equity            $  187,445         $  587,890          $  875,072
</TABLE>

         Multicare

         On October 8, 1999, Genesis entered into an agreement to restructure
its 1997 investment in Multicare. Genesis initially acquired a 43.6% interest in
Multicare and was to become sole owner of Multicare at a later date through a
cash payment or the issuance of additional Genesis common shares at equivalent
value. In the restructuring, Genesis completed the Multicare acquisition through
the issuance of convertible preferred shares. The restructuring also included a
$50 million cash investment in Genesis by the Multicare financial partners in
exchange for Genesis common shares and warrants. This transaction was approved
by Genesis' shareholders on November 11, 1999. Prior to the restructuring
transaction, Genesis accounted for its investment in Multicare using the equity
method of accounting. Under the terms of the restructuring agreement, Genesis
has managerial, operational and financial control of Multicare. Accordingly,
Multicare's assets, liabilities, revenues and expenses are now consolidated by
Genesis. The non-Genesis shareholders' remaining 56.4% interest in Multicare is
carried as minority interest.

                                       75
<PAGE>

         Genesis and Multicate Debt Restructuring Discussions

         On March 21, 2000, Genesis and Multicare announced the beginning of
debt restructuring discussions with their senior lenders with the intention of
revising their respective capital structures. Genesis also announced that it did
not make a $3.8 million interest payment to its senior debt lenders due March
20, 2000. Both Genesis and Multicare announced their intention not to make
interest and principal payments on senior debt and have been prohibited by their
senior lenders from making any scheduled interest payments on their publicly
traded subordinated debt while discussions were ongoing. Each company cited
their inability to sell assets due to the lack of long-term care market
financing and the continuing effect of reduced Medicare payments as the causes
of these actions. The senior lenders have given Genesis and Multicare a 60-day
forbearance period to develop a restructuring plan.

         Shortly after the announcement, Moody's Investors Service issued a
press release announcing that it had downgraded the debt ratings of Genesis and
Multicare. In its press release, Moody's indicated that the ratings outlook for
both companies was negative. Moody's stated that its rating action reflected the
deterioration in the companies' operating results and financial condition which
has stemmed from the impact of PPS for Medicare combined with high leverage.
Moody's noted that despite cost cutting efforts, operating margins for both
companies remain depressed, and planned asset divestitures have not materialized
as anticipated. Moody's also stated that restructuring efforts could be
adversely impacted by the currently difficult state of the long-term care
sector, with several large providers already filing for bankruptcy in recent
months. Standard & Poor's also downgraded the debt ratings of Genesis and
Multicare.

         Management of Genesis and Multicare have advised the Company that they
expect Genesis and Multicare to continue to make all lease and loan payments to
the Company. The Company has no control over Genesis or Multicare, however, and
can make no assurance that either of these entities will have sufficient income
or assets to enable them to satisfy their obligations under the leases or loans
made by the Company to them. Any failure by Genesis or Multicare to continue
making payments to the Company could have a significant adverse effect on the
Company's financial condition, results of operations and cash available for
distribution, could adversely affect the ability of the Company to maintain
distributions at current levels or at all and could adversely affect the ability
of the Company to meet its own debt obligations.

         Proposed Loan Restructurings and Related Matters

         The Company previously was obligated to purchase and leaseback, upon
the maturity of the related loan or the facility reaching stabilized occupancy,
five assisted living facilities (Mifflin, Coquina Place, Lehigh, Berkshire and
Harbor Place) securing term loans and two assisted living facilities (Oaks and
Sanatoga) securing construction loans made by the Company in January 1998. Of
these seven loans, which had an aggregate principal balance at December 31, 1999
of $39.1 million, three loans, secured by the Mifflin, Coquina Place and Oaks
facilities, were made to wholly-owned subsidiaries of Genesis, three loans,
secured by the Lehigh, Berkshire and Sanatoga facilities, were made to
wholly-owned subsidiaries of Multicare and one loan, secured by the Harbor Place
facility, was made to a Genesis Equity Investee. The Company believes it is no
longer bound by the purchase and leaseback obligations contained in the loan
documents because the borrowers have, from time to time, not complied with all
loan provisions.

         The Company and the borrowers have extended the maturity date of the
five term loans through April 28, 2000 to permit them to negotiate and document
a proposed restructuring of the relationships among the parties. The terms of
the transaction being contemplated do not indicate that the Company's mortgage
loans are impaired at December 31, 1999. Under the proposed restructuring, the
Company would acquire the Lehigh, Berkshire and Sanatoga facilities in exchange
for the release of the Company's loans to the subsidiaries of Multicare. The
Company would then net lease these properties to subsidiaries of Genesis for an
initial lease term of 14 years, with three five-year renewal options. In
addition, the maturity date on the loans for Mifflin, Coquina Place, Oaks and
Harbor Place would be extended to April 1, 2001.

                                       76
<PAGE>


         As part of the proposed restructuring, the Company also would transfer
to Genesis the Company's Phillipsburg skilled nursing facility and certain other
assets in exchange for the improvements Genesis is making on the Company's
Rittenhouse skilled nursing facility. The existing Rittenhouse lease would be
amended to, among other things, increase the annual rent to an amount which
equals the sum of the annual rents on the current separate leases for
Phillipsburg and Rittenhouse. In addition, the Heritage Woods percentage rent
lease would be converted into a minimum rent lease, and the Willowbrook lease
would be set permanently as a minimum rent lease. Finally, if Genesis refinances
the Oaks, Harbor Place, Coquina and Mifflin loans with a third party and does
not receive sufficient loan proceeds to cover the existing loan balances, and
once the Credit Facility is fully repaid, the parties would agree that any
shortfall would be applied against amounts owed by an Equity Investee of the
Company to Genesis under an $8.5 million note given to Genesis as part of the
purchase price for interests in seven properties acquired from Genesis in 1998.

         The proposed restructuring is subject to approval by the Boards of the
Company, Genesis and Multicare and by each company's principal lenders. No
assurance can be given that the proposed restructuring will be completed.

                                       77

<PAGE>

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

         The Company's investments in real estate loans receivable bear interest
at fixed rates. Changes in interest rates generally affect the fair market value
of the underlying fixed interest rate loans receivable, but not earnings or cash
flows. Based on the repayment terms and additional commitments of the loans
receivable existing at December 31, 1999, a one-percent increase in the interest
rates would change the fair value of these loans receivable by approximately
$337,000. The fair value of the Company's real estate loans receivable at
December 31, 1999 approximates its carrying value of $48.6 million.

         The Company's bonds and most of the Company's mortgages payable bear
interest at fixed rates. The Company is exposed to market risks related to
fluctuations in interest rates on its Credit Facility and variable rate
mortgages. The Company utilizes interest rate cap agreements to limit the impact
that interest rate fluctuations have on its variable rate mortgages. Interest
rate cap agreements are used for hedging purposes rather than for trading
purposes. The Company does not utilize interest rate swaps, forward or option
contracts on foreign currencies or commodities, or any other type of derivative
financial instrument, other than interest rate cap agreements.

         For fixed rate debt, changes in interest rates generally affect the
fair market value of the underlying indebtedness, but not earnings or cash
flows. The Company generally cannot prepay fixed rate debt prior to maturity.
Therefore, interest rate risk and changes in fair market value should not have a
significant impact on the fixed rate debt until the Company would be required to
refinance such debt. The maturity schedule for the Company's fixed rate
mortgages and bonds payable is as follows (in thousands):

                     2000             $   986
                     2001               1,148
                     2002               1,243
                     2003               1,338
                     2004               1,437
                     Thereafter        72,853
                                      -------
                                      $79,005
                                      =======

         At December 31, 1999, the fair value of the Company's fixed rate
mortgages and bonds payable approximates its carrying value of $79.0 million.

         For variable rate debt, changes in interest rates generally do not
impact fair market value, but do affect future earnings and cash flows. At
December 31, 1999, the fair value of the Company's variable rate debt
approximates its carrying value of $69.7 million. The weighted average interest
rate on borrowings outstanding under the Credit Facility and variable rate
mortgages was 9.36% at December 31, 1999. Assuming the Credit Facility and
variable rate mortgage balances outstanding at December 31, 1999 of $69.7
million remains constant, each one percentage point increase in interest rates
from 9.36% at December 31, 1999 would result in an increase in interest expense
for the coming year of approximately $697,000, based on the current interest
rate terms. Amounts outstanding under the Credit Facility bear interest at
floating rates ranging from 2.75% to 3.25% over one-month LIBOR, as determined
by the percentage of the Credit Facility outstanding as compared to the
borrowing base. Variable-rate mortgages bear interest at 3.00% over one-month
LIBOR. The fair value of the Company's interest rate cap agreements at December
31, 1999 approximates its carrying value of approximately $52,000.


                                       78
<PAGE>


         The Company may borrow additional money with variable interest rates in
the future. Increases in interest rates, therefore, would result in increases in
interest expenses, which could adversely affect the Company's cash flow and its
ability to pay its obligations and make distributions to shareholders at current
levels. See "Management's Discussion and Analysis of Financial Condition and
Results of Operations - Liquidity and Capital Resources."
























                                       79
<PAGE>



ITEM 8.  FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

                          Independent Auditors' Report



The Board of Trustees and Shareholders
ElderTrust:

We have audited the accompanying consolidated balance sheets of ElderTrust and
subsidiaries as of December 31, 1999 and 1998 and the consolidated statements of
operations, shareholders' equity and cash flows for the year ended December 31,
1999 and the period from January 30, 1998 to December 31, 1998. We also have
audited the related financial statement schedules III and IV as listed in the
accompanying index for Item 14(a) 2 on page 108. These consolidated financial
statements and schedules are the responsibility of the Company's management. Our
responsibility is to express an opinion on these consolidated financial
statements and schedules based upon our audits.

We conducted our audits in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the consolidated financial statements referred to above present
fairly, in all material respects, the financial position of ElderTrust and
subsidiaries as of December 31, 1999 and 1998, and the results of their
operations and their cash flows for the year ended December 31, 1999 and the
period from January 30, 1998 to December 31, 1998 in conformity with generally
accepted accounting principles. Also, in our opinion, the related financial
statement schedules when considered in relation to the basic consolidated
financial statements taken as a whole, present fairly, in all material respects,
the information set forth therein.


                                                             /s/ KPMG LLP
McLean, VA
January 14, 2000, except as to Note 5
     which is as of March 21, 2000

                                       80
<PAGE>


                                   ELDERTRUST
                           CONSOLIDATED BALANCE SHEETS
               (in thousands, except share and per share amounts)
<TABLE>
<CAPTION>

                                                                      December        December
                                                                         31,             31,
                                                                        1999            1998
                                                                     ------------    -----------
<S>                                                                 <C>               <C>
                              ASSETS
Assets:
     Real estate properties, at cost                                    $165,206       $163,918
     Less - accumulated depreciation                                     (10,180)        (4,444)
     Land                                                                 16,655         16,655
                                                                     ------------    -----------
            Net real estate properties                                   171,681        176,129
     Real estate loans receivable                                         48,646         47,899
     Cash and cash equivalents                                             3,605          2,272
     Restricted cash                                                       7,194          3,549
     Accounts receivable                                                     629          4,412
     Accounts receivable from unconsolidated entities                      1,068            987
     Prepaid expenses                                                      1,000          1,002
     Investment in and advances to unconsolidated entities                31,129         34,426
     Other assets, net of accumulated amortization and
         depreciation of $2,148 and $358, respectively                     1,530            641
                                                                     ------------    -----------
                Total assets                                            $266,482       $271,317
                                                                     ============    ===========

               LIABILITIES AND SHAREHOLDERS' EQUITY

Liabilities:
     Bank credit facility                                               $ 39,670       $ 90,204
     Accounts payable and accrued expenses                                 1,535          1,571
     Accounts payable to unconsolidated entities                              13             14
     Mortgages and bonds payable                                         109,005         49,594
     Notes payable                                                             -          3,000
     Notes payable to unconsolidated entities                              1,079          1,134
     Other liabilities                                                     3,751          3,645
                                                                     ------------    -----------
           Total liabilities                                             155,053        149,162
                                                                     ------------    -----------

Minority interest                                                          7,989          8,859

Shareholders' Equity:
     Preferred shares, $.01 par value; 20,000,000 shares
         authorized; none outstanding                                          -              -
     Common shares, $.01 par value; 100,000,000 shares
         authorized; 7,119,000 and 7,244,800 shares issued and
         outstanding, respectively                                            71             72
     Capital in excess of par value                                      119,106        120,028
     Distributions in excess of earnings                                 (14,747)        (3,204)
     Note receivable from former officer for common shares sold
                                                                            (990)        (3,600)
                                                                     ------------    -----------
           Total shareholders' equity                                    103,440        113,296
                                                                     ------------    -----------
                Total liabilities and shareholders' equity              $266,482       $271,317
                                                                     ============    ===========
</TABLE>

         The accompanying notes to consolidated financial statements are
                     an integral part of these statements.

                                       81
<PAGE>


                                   ELDERTRUST
                      CONSOLIDATED STATEMENTS OF OPERATIONS
                    (in thousands, except per share amounts)

<TABLE>
<CAPTION>
                                                                                        Period from
                                                                                        January 30,
                                                                      Year ended          1998 to
                                                                     December 31,       December 31,
                                                                         1999               1998
                                                                     ------------       ------------
<S>                                                                   <C>               <C>
Revenues:
     Rental revenues                                                    $18,552            $14,198
     Interest, net of amortization of deferred loan
        origination costs                                                 5,653              4,458
     Interest from unconsolidated equity investees                        3,809              1,446
     Fee income                                                               -              1,018
     Other income                                                           127                113
                                                                        -------            -------
        Total revenues                                                   28,141             21,233
                                                                        -------            -------
Expenses:
     Property operating expenses                                          1,124                975
     Interest expense, including amortization of deferred
       finance costs                                                     13,136              6,256
     Depreciation                                                         5,788              4,460
     General and administrative                                           2,612              1,621
     Separation agreement expenses                                        2,800                  -
     Start-up expenses                                                        -              3,027
                                                                        -------            -------
        Total expenses                                                   25,460             16,339
                                                                        -------            -------
Net income before equity in losses of unconsolidated entities,
     minority interest and extraordinary item                             2,681              4,894

Equity in losses of unconsolidated entities, net                         (2,482)              (648)
Minority interest                                                           (19)              (273)
                                                                        -------            -------
Net income before extraordinary item                                        180              3,973

Extraordinary item:
     Loss on extinguishment of debt                                      (1,296)                 -
     Minority interest in extraordinary item                                 86                  -
                                                                        -------            -------
Net income (loss)                                                       ($1,030)           $ 3,973
                                                                        =======            =======
Basic and diluted weighted average number of common shares
     outstanding                                                          7,198              7,369
                                                                        =======            =======
Net income per share before extraordinary item - basic and
     diluted                                                              $0.03              $0.54
                                                                        =======            =======
Net income (loss) per share - basic and diluted                          ($0.14)             $0.54
                                                                        =======            =======
</TABLE>



         The accompanying notes to consolidated financial statements are
                     an integral part of these statements.

                                       82

<PAGE>


                                   ELDERTRUST
                 CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY
                        Year Ended December 31, 1999 and
                   Period from January 30 to December 31, 1998
                                 (in thousands)


<TABLE>
<CAPTION>
                                                                                      Note
                                                        Capital In   Distributions  Receivable         Total
                                 Shares      Common     Excess of    In Excess of   From Former     Shareholders'
                               Outstanding   Shares     Par Value     Earnings       Officer          Equity
                               ------------ ----------  -----------  ------------  ------------  -----------------
<S>                             <C>              <C>      <C>            <C>           <C>                <C>
Balances at December 31, 1997            -       $  -     $      -       $     -       $     -       $      -
  Issuance of common shares, net     7,393         74      121,770             -             -        121,844
  Repurchase of common shares         (148)        (2)      (1,742)            -             -         (1,744)
  Net income                             -          -            -         3,973             -          3,973
  Distributions                          -          -            -        (7,177)            -         (7,177)
  Loan to officer                        -          -            -             -        (3,600)        (3,600)
                                     -----       ----     --------      --------       -------       --------
Balances at December 31, 1998        7,245       $ 72     $120,028       ($3,204)      ($3,600)      $113,296
  Repurchase of common shares         (126)        (1)        (922)            -             -           (923)
  Net loss                               -          -            -        (1,030)            -         (1,030)
  Distributions                          -          -            -       (10,513)            -        (10,513)
  Forgiveness of loan to
     former officer                      -          -            -             -         2,600          2,600
  Loan repayment from
     former officer                      -          -            -             -            10             10
                                     -----       ----     --------      --------       -------       --------
Balances at December 31, 1999        7,119       $ 71     $119,106      ($14,747)        ($990)      $103,440
                                     =====       ====     ========      ========       =======       ========

</TABLE>










         The accompanying notes to consolidated financial statements are
                     an integral part of these statements.


                                       83
<PAGE>


                                   ELDERTRUST
                      CONSOLIDATED STATEMENTS OF CASH FLOWS
                                 (in thousands)
<TABLE>
<CAPTION>
                                                                                                            Period from
                                                                                                            January 30,
                                                                                             Year ended       1998 to
                                                                                              December      December 31,
                                                                                              31, 1999          1998
                                                                                             ------------   ------------
<S>                                                                                             <C>           <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
     Net income (loss)                                                                            ($1,030)        $3,973
     Adjustments to reconcile net income (loss) to net cash provided by operating
      activities:
         Depreciation and amortization                                                              7,526          4,802
         Extraordinary loss on extinguishment of debt                                               1,296              -
         Non-cash separation expense from debt forgiveness to officer                               2,600              -
         Non-cash compensation expense to officers                                                      -          2,018
         Non-cash expense in connection with issuance of stock to trustees                              -            179
         Non-cash expense in connection with write-off of unamortized deferred financing
              costs                                                                                   129              -
         Minority interest and equity in losses from unconsolidated entities                        2,415            921
         Other                                                                                          -              4
           Net changes in assets and liabilities:
           Accounts receivable and prepaid expenses                                                 3,704         (3,385)
           Accounts payable and accrued expenses                                                     (37)          1,585
           Other                                                                                      124          3,645
                                                                                             ------------   ------------
                 Net cash provided by operating activities                                         16,727         13,742
                                                                                             ------------   ------------

CASH FLOWS FROM INVESTING ACTIVITIES:
     Acquisition and cost of real estate investments                                                    -       (116,388)
     Investment in real estate loans receivable                                                    (5,095)       (50,213)
     Investment in and advances to unconsolidated entities                                              -        (38,226)
     Capital expenditures                                                                          (1,330)          (243)
     Proceeds from collection on advances to unconsolidated entities                                  815          1,462
     Payments received on real estate loans receivable                                              4,348          2,314
     Net increase in reserve funds and deposits - restricted cash                                  (3,645)        (3,549)
     Other                                                                                             52           (559)
                                                                                             ------------   ------------
                 Net cash used in investing activities                                             (4,855)      (205,402)
                                                                                             ------------   ------------

CASH FLOWS FROM FINANCING ACTIVITIES:
     Proceeds from initial public offering, net of offering costs                                       -        114,213
     Payment of deferred financing fees                                                            (2,965)          (364)
     Borrowings under Credit Facility                                                               9,518         90,204
     Payments under Credit Facility                                                               (60,052)             -
     Proceeds from mortgages payable                                                               71,145              -
     Payments on mortgages payable                                                                (11,734)          (734)
     Payments on notes payable                                                                     (3,000)             -
     Distributions to shareholders                                                                (10,513)        (7,177)
     Distributions to minority interests                                                             (750)          (469)
     Repurchases of common shares                                                                    (923)        (1,744)
     Prepayment penalty on mortgage loan                                                           (1,157)             -
     Other                                                                                           (108)             3
                                                                                             ------------   ------------
                   Net cash provided by (used in) financing activities                            (10,539)       193,932
                                                                                             ------------   ------------

Net increase in cash and cash equivalents                                                           1,333          2,272
Cash and cash equivalents, beginning of period                                                      2,272              -
                                                                                             ------------   ------------
Cash and cash equivalents, end of period                                                           $3,605         $2,272
                                                                                             ============   ============
</TABLE>


         The accompanying notes to consolidated financial statements are
                     an integral part of these statements.

                                       84
<PAGE>



                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                           December 31, 1999 and 1998


1.  Organization and Operations

         ElderTrust was formed in the State of Maryland on September 23, 1997
and began operations upon the completion of its initial public offering on
January 30, 1998 (the "Offering") pursuant to which it issued 6,957,500 common
shares. Net proceeds to ElderTrust were approximately $114.2 million.

         ElderTrust had no operations prior to January 30, 1998. At December 31,
1999 and 1998, ElderTrust's total assets consisted primarily of a 93% owned
subsidiary, ElderTrust Operating Limited Partnership (the "Operating
Partnership") and its wholly-owned subsidiaries and controlled partnerships
(collectively, "ElderTrust" or the "Company"). At December 31, 1999 and 1998,
the Company's assets primarily consisted of (i) a diversified portfolio of 22
healthcare properties, consisting primarily of assisted living and skilled
nursing facilities which are leased back to the prior owners or other third
parties, (ii) construction loans totaling $21.2 million and $20.4 million,
respectively, collateralized by healthcare properties under construction, (iii)
term loans totaling $27.4 million and $27.5 million, respectively,
collateralized by healthcare properties on which construction has been recently
completed but which are still in transition to stabilized occupancy levels, (iv)
a 95% non-voting equity interest in an unconsolidated entity (ET Capital Corp.)
which owns a $7.8 million second mortgage note, (v) a 99% non-voting limited
partnership interest in an unconsolidated entity (ET Sub-Meridian Limited
Partnership, LLP) which holds leasehold and purchase option rights for seven
skilled nursing facilities, and (vi) a 99% non-voting limited member interest in
two unconsolidated entities (ET Sub-Cabot Park, LLC and ET Sub-Cleveland Circle,
LLC) which each own an assisted living facility.

         Genesis Health Ventures, Inc. was co-registrant in the Company's
Offering. Approximately 70% of the Company's consolidated assets at December 31,
1999 and 1998 consisted of real estate properties leased to or managed by and
loans on real estate properties made to Genesis Health Ventures, Inc. or its
consolidated subsidiaries (unless the context otherwise requires, collectively,
"Genesis") or entities in which Genesis accounts for its investment using the
equity method of accounting ("Genesis Equity Investees"). In addition, the
Company has investments in unconsolidated entities that have also leased
properties to Genesis or Genesis Equity Investees. As such, the Company's
consolidated revenues and ability to make expected distributions to shareholders
depends, in significant part, upon the revenues derived from Genesis. See Note
5. Additionally, Michael R. Walker serves as Chairman of the Board and Chief
Executive Officer of Genesis and of ElderTrust.


                                       85
<PAGE>


                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (continued)

Basis of Presentation

         The consolidated financial statements of ElderTrust include all the
accounts of ElderTrust, the Operating Partnership, and the Operating
Partnership's wholly-owned subsidiaries and controlled partnerships. All
significant intercompany balances and transactions have been eliminated. Certain
amounts included in the consolidated financial statements as of December 31,
1998 and for the period from January 30, 1998 to December 31, 1998 have been
reclassified for comparative purposes to conform to the presentation for 1999.

2.  Summary of Significant Accounting Policies

Use of Estimates

         The preparation of financial statements in conformity with generally
accepted accounting principles requires management to make estimates and
assumptions that affect the reported amounts of assets and liabilities and
disclosure of contingent assets and liabilities at the date of the financial
statements and the reported amounts of revenues and expenses during the
reporting period. Actual results could vary from those estimates.

Cash and Cash Equivalents

         The Company considers all short-term, highly liquid investments that
are readily convertible to cash and have an original maturity of three months or
less at the time of purchase to be cash equivalents.

Restricted Cash

         Restricted cash represents bond and operating reserve funds required in
connection with outstanding debt issues, security deposits, letters of credit
and mortgage escrow accounts.

Real Estate Properties

         Real estate properties are recorded at cost. Acquisition costs and
transaction fees, including legal fees, title insurance, transfer taxes,
external due diligence costs and market interest rate adjustments on assumed
debt directly related to each property are capitalized as a cost of the
respective property. The cost of real estate properties acquired is allocated
between land and buildings and improvements based upon estimated market values
at the time of acquisition. Depreciation is provided for on a straight-line
basis over an estimated composite useful life of twenty-eight and one-half years
for buildings and improvements.

                                       86
<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (continued)



Impairment of Long-Lived Assets and Long-Lived Assets to be Disposed of

         The Company reviews its long-lived assets, which includes real estate
properties, and certain identifiable intangibles for impairment whenever events
or changes in circumstances indicate that the carrying amount of an asset may
not be recoverable. Recoverability of assets held and used is measured by a
comparison of the carrying amount of an asset to future net cash flows expected
to be generated by the asset. If such assets are considered to be impaired, the
impairment to be recognized is measured by the amount by which the carrying
amount of the assets exceeds the fair value of the assets. Assets to be disposed
of are reported at the lower of the carrying amount or fair value less cost to
sell.

Real Estate Loans Receivable

         Real estate loans receivable are recorded at cost, less the related
allowance for impaired notes receivable, if any. Management, considering current
information and events regarding the borrowers' ability to repay their
obligations, considers a note to be impaired when it is probable that the
Company will be unable to collect all amounts due according to the contractual
terms of the note agreement. When a loan is considered to be impaired, the
amount of the impairment is measured based on the present value of expected
future cash flows discounted at the note's effective interest rate. Impairment
losses are included in the allowance for doubtful accounts through a charge to
bad debt expense. Cash receipts on the impaired notes receivable are applied to
reduce the principal amount of such notes until the principal has been recovered
and are recognized as interest income, thereafter. No loans were considered
impaired as of December 31, 1999 or 1998.

         Real estate loans receivable consist of term loans on assisted living
facilities in the lease-up phase and construction loans on assisted living or
independent living facilities. Interest income on the loans is recognized as
earned based upon the principal amount outstanding. The loans are generally
fully collateralized by the real estate and may include guarantees.

Deferred Loan Costs

         Deferred loan costs are incurred in the process of acquiring financing
for the properties. The Company amortizes these costs over the term of the loan
using a method that approximates the interest method.


                                       87
<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (continued)


Federal Income Taxes

         The Company believes that, commencing with its taxable period ended
December 31, 1998, it has been organized and operated in a manner so as to
qualify for taxation as a real estate investment trust ("REIT") under Sections
856 through 860 of the Internal Revenue Code of 1986, as amended. As a result,
the Company generally will not be subject to income tax on its taxable income at
corporate rates to the extent it distributes annually at least 95% (90% for
taxable years beginning after December 31, 2000) of its taxable income to its
shareholders and complies with certain other requirements. The Company believes
it will continue to qualify as a REIT and, accordingly, no provision has been
made for income taxes in the accompanying consolidated financial statements.

Leases and Rental Income

         Real estate properties are leased to operators primarily on a long-term
triple net-lease basis. Some of these leases provide for rents based on a
specific percentage of facility operating revenues with no required minimum rent
("percentage rent leases"). Other leases provide for base rent, increasing each
year by the lesser of 5% of the increase in facility revenues for the
immediately preceding year or one-half of the percentage increase in the
Consumer Price Index for the immediately preceding year ("minimum rent leases").
Both types of leases are triple net leases that require the lessees to pay all
operating expenses, taxes, insurance, maintenance and other costs, including a
portion of capitalized expenditures. The remaining leases ("fixed rent leases")
are with tenants in the medical office and other buildings and provide for
specific annual rents, subject to annual increases in some of the leases. Some
of the lessees subject to fixed rent leases are required to repair, rebuild and
maintain the leased properties.

         Lease payments are recognized as revenue as earned. Certain of the
leases provide for scheduled annual rent increases. The Company reports base
rental revenue on these leases using the straight-line method over the terms of
the respective leases. The Company records an unbilled rent receivable or
payable representing the amount that the straight-line rental revenue exceeds or
reduces the rent currently collectible under the lease agreements.

Share Option Plans

         The Company applies the intrinsic value-based method of accounting
prescribed by the Accounting Principles Board Opinion No. 25, "Accounting for
Stock Issued to Employees," and related interpretations, in accounting for its
fixed plan share options. As such, compensation expense would be recorded only
if the current market price of the underlying shares on the date of grant
exceeded the exercise price.


                                       88
<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (continued)


Investments in Unconsolidated Entities

         The Company has several investments in entities in which the
controlling voting interest is owned by Mr. D. Lee McCreary, Jr., the Company's
President, Chief Executive Officer and Chief Financial Officer. As a result, the
Company accounts for these investments using the equity method of accounting.

Hedging Transactions

         The Company utilizes interest rate cap agreements to limit the impact
that interest rate fluctuations have on its variable rate mortgages. Cap fees
are amortized over the term of the underlying debt instruments using a method
that approximates the interest method.

Net Income per Share

         Basic income per share is calculated by dividing net income by the
weighted average number of common shares outstanding. Diluted income per share
is calculated by dividing net income by the addition of weighted average common
shares and common share equivalents outstanding.

Segment Reporting

         The Company is a real estate investment trust whose primary objective
is to invest in healthcare facilities. The Company has one reportable segment,
investments in healthcare facilities.

Start-up Expenses

         Start-up activities, including organizational costs, are expensed as
incurred. Start-up activities are defined as those one-time activities related
to opening a new facility, introducing a new product or service, conducting
businesses in a new territory, conducting business with a new process in an
existing facility, or commencing a new operation. The Company expensed $3.0
million of start-up expenses in 1998.

Recent Accounting Pronouncements

         Derivative Instruments and Hedging Activities

         In June 1998, the FASB issued SFAS No. 133, "Accounting for Derivative
Instruments and Hedging Activities." SFAS No. 133 establishes accounting and
reporting standards for derivative instruments, including certain derivative
instruments embedded in other contracts, and for hedging activities. SFAS No.
133 requires that an entity recognize all derivatives as either assets or
liabilities in the statement of financial position and measure the instrument at
fair value. The accounting for changes in the fair value of a derivative depends
on the intended use of the derivative and the resulting designation. SFAS No.
133 is effective for the Company on January 1, 2001. The Company does not expect
the adoption of Statement 133 to have a material adverse impact on the Company's
financial condition or results of operations because the Company does not use
derivative instruments other than interest rate cap agreements.

                                       89

<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (continued)



3.  Real Estate Loans Receivable

         The following is a summary of real estate loans receivable (dollars in
thousands):
<TABLE>
<CAPTION>

                                                                      Scheduled      Balance at      Balance at
                                           Type of       Interest      Maturity     December 31,    December 31,
               Property                      Loan          Rate          Date           1999            1998
- --------------------------------------- --------------- ------------ ------------- --------------- ---------------
<S>                  <C>                  <C>             <C>           <C>            <C>             <C>
Harbor Place        Melbourne, FL         Term            9.5%          4/2000         $  4,828        $ 4,828
Mifflin             Shillington, PA       Term            9.5%          4/2000            5,164          5,164
Coquina Place       Ormond Beach, FL      Term            9.5%          4/2000            4,577          4,577
Lehigh              Macungie, PA          Term           10.5%          4/2000            6,665          6,665
Berkshire           Reading, PA           Term           10.5%          4/2000            6,167          6,269
Oaks                Wyncote, PA           Construction    9.0%          1/2001            5,033          2,410
Montchanin          Wilmington, DE        Construction   10.5%          8/2000            9,496          9,216
Mallard Landing     Salisbury, MD         Construction   15.0%               -                -          2,054
Sanatoga            Pottstown, PA         Construction   10.5%          1/2001            6,716          6,716
                                                                                       --------       --------
                                                                                       $ 48,646       $ 47,899
                                                                                       ========       ========
</TABLE>

         The unfunded portion of construction loan commitments amounted to
$352,000 and $7.7 million at December 31, 1999 and 1998, respectively. The
construction loan on the Mallard Landing assisted living facility was sold to a
commercial bank during 1999.

         The Company previously was obligated to purchase and leaseback, upon
the maturity of the related loan or the facility reaching stabilized occupancy,
five assisted living facilities (Mifflin, Coquina Place, Lehigh, Berkshire and
Harbor Place) securing term loans and two assisted living facilities (Oaks and
Sanatoga) securing construction loans made by the Company in January 1998. Of
these seven loans, which had an aggregate principal balance at December 31, 1999
of $39.1 million, three loans, secured by the Mifflin, Coquina Place and Oaks
facilities, were made to wholly-owned subsidiaries of Genesis, three loans,
secured by the Lehigh, Berkshire and Sanatoga facilities, were made to
wholly-owned subsidiaries of The Multicare Companies, Inc., a 43.6% owned
consolidated subsidiary of Genesis ("Multicare") and one loan, secured by the
Harbor Place facility, was made to a Genesis Equity Investee. The Company
believes it is no longer bound by the purchase and leaseback obligations
contained in the loan documents because the borrowers have, from time to time,
not complied with all loan provisions.

                                       90
<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (continued)


         The Company and the borrowers have extended the maturity date of the
five term loans through April 28, 2000 to permit them to negotiate and document
a proposed restructuring of the relationships among the parties. The terms of
the transaction being contemplated do not indicate that the Company's mortgage
loans are impaired at December 31, 1999. Under the proposed restructuring, the
Company would acquire the Lehigh, Berkshire and Sanatoga facilities in exchange
for the release of the Company's loans to the subsidiaries of Multicare. The
Company would then net lease these properties to subsidiaries of Genesis for an
initial lease term of 14 years, with three five-year renewal options. In
addition, the maturity date on the loans for Mifflin, Coquina Place, Oaks and
Harbor Place would be extended to April 1, 2001.

         As part of the proposed restructuring, the Company also would transfer
to Genesis the Company's Phillipsburg skilled nursing facility and certain other
assets in exchange for the improvements Genesis is making on the Company's
Rittenhouse skilled nursing facility. The existing Rittenhouse lease would be
amended to, among other things, increase the annual rent to an amount which
equals the sum of the annual rents on the current separate leases for
Phillipsburg and Rittenhouse. In addition, the Heritage Woods percentage rent
lease would be converted into a minimum rent lease, and the Willowbrook lease
would be set permanently as a minimum rent lease. Finally, if Genesis refinances
the Oaks, Harbor Place, Coquina and Mifflin loans with a third party and does
not receive sufficient loan proceeds to cover the existing loan balances, and
once the Credit Facility is fully repaid, the parties would agree that any
shortfall would be applied against amounts owed by an equity investee of the
Company to Genesis under an $8.5 million note given to Genesis as part of the
purchase price for interests in seven properties acquired from Genesis in 1998.

         The proposed restructuring is subject to approval by the Boards of the
Company, Genesis and Multicare and by each company's principal lenders. No
assurance can be given that the proposed restructurings will be completed.

         The Company also has the option to purchase and leaseback to an
unaffiliated borrower the facility securing the Montchanin construction loan.
This option expires in September 2000. The borrower has the right to extend the
maturity for two one-year periods, upon the payment by the borrower to the
Company of a 0.5% fee. The option agreement provides for a $13.0 million cash
purchase price.

4.  Real Estate Investments

         As of December 31, 1999 and 1998, the Company had investments in 22
real estate properties located in six states. The properties include seven
assisted living facilities and one independent living facility with a total of
743 beds, eight skilled nursing facilities with a total of 1,187 beds, and six
medical office and other buildings. The Company leases its properties to
operators pursuant to long-term triple net leases.

                                       91
<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (continued)

         At December 31, 1999, future minimum lease payments receivable are as
follows (dollars in thousands):

                          2000                              $ 19,275
                          2001                                18,962
                          2002                                18,019
                          2003                                17,019
                          2004                                15,708
                          Thereafter                          60,854
                                                            --------
                                                            $149,837
                                                            ========
5.  Concentration of Risk

         Revenues recorded by the Company under leases with and loans to Genesis
or Genesis Equity Investees were approximately $18.4 million and $14.0 million
in 1999 and 1998, respectively. The Company's equity in net losses of
unconsolidated entities (see Note 6) derived from arrangements with Genesis or
Genesis Equity Investees totaled approximately $2.7 million and $804,000 in 1999
and 1998, respectively. The Company's consolidated revenues and ability to make
expected distributions to shareholders depends, in significant part, upon the
revenues derived from Genesis.

         On March 21, 2000, Genesis and Multicare announced the beginning of
debt restructuring discussions with their senior lenders with the intention of
revising their respective capital structures. Genesis also announced that it did
not make a $3.8 million interest payment to its senior debt lenders due March
20, 2000. Both Genesis and Multicare announced their intention not to make
interest and principal payments on senior debt and have been prohibited by their
senior lenders from making any scheduled interest payments on their publicly
traded subordinated debt while discussions were ongoing. Each company cited
their inability to sell assets due to the lack of long-term care market
financing and the continuing effect of reduced Medicare payments as the causes
of these actions. The senior lenders have given Genesis and Multicare a 60-day
forbearance period to develop a restructuring plan.

         Shortly after the announcement, Moody's Investors Service issued a
press release announcing that it had downgraded the debt ratings of Genesis and
Multicare. In its press release, Moody's indicated that the ratings outlook for
both companies was negative. Moody's stated that its rating action reflected the
deterioration in the companies' operating results and financial condition which
has stemmed from the impact of the prospective payment system ("PPS") for
Medicare combined with high leverage. Moody's noted that despite cost cutting
efforts, operating margins for both companies remain depressed, and planned
asset divestitures have not materialized as anticipated. Moody's also stated
that restructuring efforts could be adversely impacted by the currently
difficult state of the long-term care sector, with several large providers
already filing for bankruptcy in recent months. Standard & Poor's also
downgraded the debt ratings of Genesis and Multicare.



                                       92

<PAGE>



                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (continued)


         Management of Genesis and Multicare have advised the Company that they
expect Genesis and Multicare to continue to make all lease and loan payments to
the Company. The Company has no control over Genesis or Multicare, however, and
can make no assurance that either of these entities will have sufficient income
or assets to enable them to satisfy their obligations under the leases or loans
made by the Company to them. Any failure by Genesis or Multicare to continue
making payments to the Company could have a significant adverse effect on the
Company's financial condition, results of operations and cash available for
distribution, could adversely affect the ability of the Company to maintain
distributions at current levels or at all and could adversely affect the ability
of the Company to meet its own debt obligations.

         If Genesis and Multicare were to cease making lease and loan payments
to the Company, the Company may be required to restructure or terminate the
underlying leases and may foreclose on the loans, in which event, the Company
might be required to find new operators to operate the properties underlying the
leases and loans. Under these circumstances, the Company's net income could
decline as a result of such restructuring with Genesis or Multicare or could
decline due to rents obtainable from any new operator. Depending on the
magnitude of the reduction in the Company's net income, the Company would seek
to offset the effect of such reduction in net income on the Company's ability to
meet its debt service requirements by further reducing the cash distributions
paid to the Company's shareholders and minority interests, through asset sales
or through other available means. The Company believes that it has the ability
to, and, if necessary, intends to, take these actions available to it and, as a
result, believes it will be able to continue to satisfy its debt and operating
obligations as they come due over the next twelve months. Based on the current
quarterly cash distribution rate of $0.30 per common share announced in November
1999, annualized distributions to shareholders and minority interests would
approximate $9.2 million during 2000, based on the number of common shares and
units currently outstanding. During 1999, the Company's cash flow from
operations exceeded its debt service requirements and distributions paid to
shareholders and minority interests by $1.2 million. Giving effect to the
current quarterly cash distribution rate and year 2000 debt service requirements
as of December 31, 1999, the Company's cash flow from operations during 1999
would have exceeded its debt service requirements and distributions paid to
shareholders and minority interests by $3.9 million.



                                       93
<PAGE>


                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (continued)

         The Company and Genesis have entered into a three-year agreement that
expires January 30, 2001, subject to annual renewals thereafter. The agreement
provides Genesis with a right of first refusal to lease or manage any assisted
living, independent living or skilled nursing facility financed or acquired by
the Company within Genesis' markets unless the facility will be leased or
managed by a seller or an affiliate of a seller. The agreement also provides the
Company with (a) a right of first refusal to purchase and leaseback any assisted
living, independent living or skilled nursing facilities which Genesis
determines to sell and leaseback as part of a sale/leaseback transaction or
transactions, excluding sale/leaseback transactions with commercial banking
institutions; (b) a right to offer financing to Genesis and other developers of
assisted and independent living facilities which, once developed, will be
operated by Genesis; and (c) a right to offer financing to Genesis with respect
to any new off-balance sheet financing of skilled nursing facilities currently
owned by Genesis. Due, among other things, to a lack of available capital, the
Company does not anticipate purchasing any additional facilities under this
agreement.


6.  Investments in Unconsolidated Entities

         Summary combined financial information for unconsolidated entities
accounted for by the equity method is as follows (dollars in thousands):

                 As of and for the year ended December 31, 1999
<TABLE>
<CAPTION>

                                     ET                          ET Sub-          ET
                                Sub-Meridian,    ET Capital       Cabot      Sub-Cleveland
                                     LLP           Corp.        Park, LLC     Circle, LLC       Total
                               --------------  -------------  ------------- --------------  ------------
<S>                                  <C>           <C>             <C>             <C>          <C>
Current assets                       $ 124         $ 352           $   2           $  2         $ 480
Real estate properties (1)         106,547             -          17,115         14,129       137,791
Notes receivable                         -        12,358               -              -        12,358
Other assets                         1,110           117             514            490         2,231
Current liabilities                  1,260           414             504            463         2,641
Long-term debt (2)                 106,919         9,424          16,920         13,791       147,054
Total equity                        (2,106)        2,991             (61)           140           964
Rental revenue                       9,800             -           1,617          1,423        12,840
Interest income                         16         1,687              26             27         1,756
Interest expense                     8,633         1,289           1,387          1,070        12,379
Depreciation/amortization            3,514            14             560            462         4,550
Net income (loss)                   (2,341)          249            (313)           (91)       (2,496)
Percent ownership                      99%           95%             99%            99%

</TABLE>
                                       94

<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (continued)


                As of and for the period ended December 31, 1998
<TABLE>
<CAPTION>

                                     ET                          ET Sub-           ET
                                Sub-Meridian,   ET Capital        Cabot      Sub-Cleveland
                                     LLP           Corp.        Park, LLC      Circle, LLC     Total
                               -------------- -------------   -------------- -------------- -------------
<S>                                   <C>           <C>            <C>             <C>           <C>
Current assets                        $  -          $ 57           $   -           $  6          $ 63
Real estate properties (1)         110,024             -          17,670         14,646       142,340
Notes receivable                         -        12,537               -              -        12,537
Other assets                         1,169           127             504            474         2,274
Current liabilities                  1,458            21             496            577         2,552
Long-term debt (2)                 107,400         9,714          17,151         14,088       148,353
Total equity                           702         2,986             252            231         4,171
Rental revenue                       3,266             -             137            121         3,524
Interest income                          3           939               -              -           942
Interest expense                     2,859           687             127             98         3,771
Depreciation/amortization            1,170            11              46             39         1,266
Net income (loss)                     (760)          164             (36)           (16)         (648)
Percent ownership                      99%           95%             99%            99%
</TABLE>

    (1)  Includes properties under capital lease.
    (2)  Includes capital lease obligations.


         In connection with ET Sub-Meridian's acquisition of seven skilled
nursing facilities from Genesis, the Company agreed to indemnify the property
owners for any loss of deferral of tax benefits prior to August 31, 2008 due to
a default under a sublease or if a cure of a default by the Genesis subsidiary
leasing the facilities resulted in a taxable event to the owners. The Company
also agreed to indemnify Genesis for any amounts expended by Genesis under the
back-up indemnity provided by Genesis to the current owners for the same loss.

         As of December 31, 1999, ET Capital Corp. ("ET Capital") owned a $7.8
million second trust mortgage note executed by AGE Institute of Florida, which
it acquired from Genesis during 1998. This note is secured by a second lien on
11 Florida skilled nursing facilities owned by AGE Institute of Florida and a
second lien on accounts receivable and other working capital assets. The
facilities are managed by subsidiaries of Genesis. This note matures on
September 30, 2008 with payments of interest only, at a fixed annual rate of 13%
due quarterly until the note is paid in full. ET Capital recorded interest
income on the note of $1.0 million and $882,000 during 1999 and 1998,
respectively. The borrower made all required interest payments during 1999 in
accordance with the terms of the note.




                                       95


<PAGE>



                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (continued)


         In September 1999, the senior lender on the $40.0 million first trust
mortgage to the AGE Institute of Florida, which is guaranteed by Genesis,
notified the borrower that it was in default of the loan due to the borrowers'
failure to meet certain financial covenants. In November 1999, ET Capital
notified the borrower that it was in default of the $7.8 million second trust
mortgage loan held by ET Capital because of the default in the $40.0 million
first trust mortgage loan. Subsequently, the senior lender extended the maturity
date of the first mortgage trust loan from September 30, 1999 to March 28, 2000
to permit the AGE Institute of Florida time to obtain refinancing of the loan. A
letter agreement dated December 22, 1999 made certain modifications and defined
certain rights of the senior lender and ET Capital related to their respective
loans to the AGE Institute of Florida. The AGE Institute of Florida has been
working to obtain replacement financing of the $40.0 million first trust
mortgage loan and is seeking a further extension of the loan maturity date from
the senior lender.

         In January 2000, the AGE Institute of Florida received a tax
determination letter confirming its tax-exempt status. The Company understands
from the AGE Institute of Florida that it is continuing to pursue tax-exempt and
other financing sources to refinance the first and second trust mortgages. If
the AGE Institute of Florida is unable to refinance the $40.0 million first
trust loan, or is otherwise unable to reach acceptable extension terms with the
senior lender, the senior lender may take actions to recover its investment in
such first trust loan. ET Capital has no control over the actions of the senior
lender and such actions could be unfavorable to ET Capital. Based on the
Company's assessment of the fair value of the facilities securing the underlying
loans, the Company believes that ET Capital's $7.8 million second trust loan is
not impaired at December 31, 1999.

7.  Credit Facility

         On January 3, 2000, the term of the Company's bank credit facility (the
"Credit Facility") was extended from January 1, 2000 to June 30, 2001 through an
amendment which also reduced borrowings available under the Credit Facility to
$45.4 million. At December 31, 1999 and 1998, the Company had $39.7 million and
$90.2 million, respectively, outstanding under the Credit Facility.

         The Company paid financing fees and other related costs of
approximately $2.0 million for various amendments to the Credit Facility, $1.5
million of which were amortized during 1999 and included as a component of 1999
interest expense.

         The Credit Facility contains various financial and other covenants,
including, but not limited to, minimum net asset value, minimum tangible net
worth, a total leverage ratio and minimum interest coverage ratio. The Company's
owned properties and properties underlying loans receivable with an aggregate
cost of $79.2 million are included in the Credit Facility borrowing base and
pledged as collateral at December 31, 1999. The terms require the Company to
make monthly payments of principal equal to .22% of the outstanding balance on
the first day of the prior calendar month. In addition, the Company is required
to pay a monthly facility fee in an amount equal to .0625% of the outstanding
balance. Re-borrowings are not permitted after repayment, except for the $5.75
million revolving credit portion of the Credit Facility. As of the date of the
agreement, the Company has available the entire $5.75 million, however,
availability is restricted to certain specified purposes, including dividend
distributions. Dividend distributions over the term of the loan are limited to
$3.0 million plus 95% of the Company's funds from operations, as defined by the
National Association of Real Estate Investment Trusts ("NAREIT") prior to
January 1, 2000.

         Amounts outstanding under the Credit Facility bear interest at floating
rates ranging from 2.75% to 3.25% over one-month LIBOR, as determined by the
percentage of the Credit Facility outstanding as compared to the borrowing base.
The interest rate on borrowings outstanding under the Credit Facility at
December 31, 1999 was 9.25%, 2.75% over one-month LIBOR. The interest rate on
borrowings outstanding under the Credit Facility at December 31, 1998 was 7.36%,
1.80% over one-month LIBOR.


                                       96

<PAGE>
                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                  (continued)

8.       Mortgages and Bonds Payable

         The following is a summary of mortgages and bonds payable at December
31, 1999 and 1998 (dollars in thousands):

<TABLE>
<CAPTION>
                                   Effective                   Balance at     Balance at
                                   Interest       Maturity      December       December
           Property                  Rate           Date        31, 1999       31, 1998
  ---------------------------    ------------   ------------  ------------  ------------
<S>                                  <C>          <C>             <C>              <C>
  Wayne NRC                          LIBOR
                                    +3.00%        12/2002         $4,600       $     -
  Pennsburg Manor NRC/               LIBOR
     Harston Hall NCH               +3.00%        12/2002         14,900             -
  Lopatcong Care Center              LIBOR
                                    +3.00%        12/2002         10,500             -
  DCMH Medical Office
     Building                        8.35%        11/2009          5,855             -
  Professional Office
     Building I                      8.35%        11/2009          2,581             -
  Pleasant View                      8.26%        10/2009          3,890             -
  Salisbury Medical Office
     Building                        8.16%        10/2009          1,047             -
  Heritage at North
     Andover                         8.26%        10/2009          8,747             -
  The Woodbridge
     Bonds due 2005                  7.81%  *      9/2005            833           889
     Bonds due 2025                  7.81%  *      9/2025          9,500         9,724
  Belvedere NRC/
     Chapel NRC                      8.46%        10/2009         18,928             -
  Belvedere NRC/
     Chapel NRC                      7.81%  *      7/2009              -        10,949
  Highgate at Paoli Pointe
     Series A Bonds                  7.81%  *      9/2025          9,878         9,963
  Riverview Ridge                    7.81%  *      1/2020          2,890         2,944
  Vernon Court                       5.80%  *      5/2025         14,357        14,618
  Lacey Branch Office Bldg.          7.81%  *     10/2022            499           507
                                                                --------       -------
       Total                                                    $109,005       $49,594
                                                                ========       =======
</TABLE>
- -------------------
* The stated interest rates on these mortgages are higher than the effective
  interest rates because they were adjusted to market rates when the loans were
  acquired by the Company.

         On September 9, 1999, the Company completed a $32.7 million financing
of five properties, Pleasant View, Salisbury Medical Office Building, Heritage
at North Andover, Belvedere NRC and Chapel NRC. One of the loans is
collateralized by two of the properties. These mortgages have a ten-year term, a
twenty-five year amortization period and a fixed weighted average interest rate
of 8.37%. The Company incurred

                                       97
<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                  (continued)

approximately $634,000 in financing costs on this transaction, which is being
amortized over the mortgages' ten-year life.

         On October 5, 1999, the Company completed an $8.5 million financing of
two properties, DCMH Medical Office Building and Professional Office Building I.
These mortgage loans have a ten-year term, a twenty-five year amortization
period and a fixed interest rate of 8.35%. The Company incurred approximately
$242,000 in financing costs on this transaction, which is being amortized over
the mortgages' ten-year life.

         On November 24, 1999, the Company completed a $30 million financing of
four properties, Wayne NRC, Pennsburg Manor NRC, Harston Hall NCH and Lopatcong
Care Center. One of the loans is collateralized by two of the properties. These
mortgages have a three-year term, are interest-only and have a variable interest
rate of 3.00% over one-month LIBOR (9.5% at December 31, 1999.) The variable
interest rates are capped at 17.50%, 13.08%, and 11.98% on the individual
mortgages of $4.6 million, $14.9 million and $10.5 million, respectively. The
Company incurred approximately $552,000 in financing costs and $53,000 in
interest rate cap fees on this transaction, which are being amortized over the
mortgages' three-year life. The Company can at its option extend the term of the
loan for one two-year period upon payment of a 50 basis point extension fee.

         During 1999, the Company recorded an extraordinary loss of $1.2
million, net of a minority interest benefit of $86,000, in connection with the
prepayment of the Belvedere NRC/Chapel Hill NRC mortgage loan acquired during
1998.

         The Company's weighted average effective interest rate on mortgages and
bonds payable was 8.4% and 7.2% at December 31, 1999 and 1998, respectively.

         Scheduled principal payments and bond sinking fund requirements are as
follows (dollars in thousands):

                         2000                        $    986
                         2001                           1,148
                         2002                          31,243
                         2003                           1,338
                         2004                           1,437
                         Thereafter                    72,853
                                                     --------
                                                     $109,005
                                                     ========
9.       Notes Payable

         The Company has issued five $600,000 promissory notes to the sellers of
the Heritage at North Andover property which the Company acquired on December 1,
1998. Interest only was paid monthly on these notes at an interest rate of 7%.
The notes matured and were repaid on June 30, 1999.

                                       98
<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                  (continued)

10.      Operating Lease

         The Company leases its corporate office space from Genesis under an
operating lease, which expires on April 30, 2001. Under the lease agreement, the
Company pays base rent plus its portion of real estate taxes, common area
maintenance and operation for the building based upon the ratio of square
footage of the leased premises to the square footage of the building. The
following is a schedule of future minimum rental payments under the operating
lease (dollars in thousands):

              Year ending December 31:
                     2000                                     $ 44
                     2001                                       15
                                                              ----
              Total minimum payments required                 $ 59
                                                              ====

11.      Share Option and Incentive Plan and Other Retirement Arrangements

         The Company established the 1998 share option and incentive plan (the
"1998 Plan") for the purpose of attracting and retaining key executive officers
and employees, as well as non-employee trustees. A total of 779,340 common
shares were reserved for issuance under the 1998 Plan at December 31, 1999. In
conjunction with the Offering, the Company granted options with respect to
504,000 common shares to officers, employees and trustees. The exercise price
for such options is the Offering price of $18.00. The term of such options is
ten years from the date of grant. Of these options, 150,000 vested immediately,
322,500 vest ratably over three years from the date of grant and 31,500 vest
ratably over five years from date of grant. Additional options with respect to
7,500 and 25,000 common shares were granted to a trustee and officer of the
Company, respectively, during 1998 at an exercise price of $17.75 and $15.125
per share, respectively. These options vest ratably over three and five years
respectively, and terminate ten years from the date of grant. Additional options
of 231,500 were granted during 1999 to a key executive officer and employees of
the Company at exercise prices ranging from $5.31 to $6.69 per share. These
options vest over three to four years and terminate ten years from the date of
grant or three month's after termination of employment. During 1999, options of
307,500 were cancelled upon the resignations of a former executive officer and a
trustee.

                                       99
<PAGE>
                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                  (continued)

         The following summarizes the activity in the 1998 Plan for the years
ended December 31, 1999 and 1998:

<TABLE>
<CAPTION>
                                                      1999                  1998
                                                          Weighted               Weighted
                                                           Average                Average
                                                          Exercise               Exercise
                                               Shares      Price      Shares      Price
                                              -------------------------------------------
<S>                                            <C>        <C>           <C>        <C>
Options outstanding, beginning of year         536,500    $ 17.86           -          -
    Options granted                            231,500       6.50     536,500    $ 17.86
    Options exercised                                -          -           -          -
    Options forfeited                         (307,500)     17.99           -          -
                                              ------------------------------------------
Options outstanding, end of year               460,500    $ 12.06     536,500    $ 17.86
                                              ==========================================
Options exercisable, end of year               134,010    $ 16.73     252,300    $ 17.97
                                              ==========================================

Weighted average fair value of options
    granted during the year (calculated as
    of the grant date):                                   $  0.07                $  1.69
</TABLE>

         Information regarding stock options outstanding and exercisable as of
December 31, 1999 is as follows:

<TABLE>
<CAPTION>
                                                               Exercise Price Range
                                                       --------------------------------------
                                                         $5.31-$6.69         $15.13-$18.81
                                                       -----------------    -----------------
<S>                                                             <C>                  <C>
Options outstanding at December 31, 1999:
     Shares                                                 231,500              229,000
     Weighted average exercise price                           6.50                17.69
     Weighted average remaining contractual life          9.8 years            8.1 years

Options exercisable at December 31, 1999:
     Shares                                                  11,859              122,151
     Weighted average exercise price                           5.31                17.83
</TABLE>

         No compensation expense has been recognized for options granted under
the 1998 Plan as the Company adopted the disclosure-only provisions of SFAS No.
123, "Stock Based Compensation" during 1998. Under SFAS No. 123, compensation
expense of $106,000 and $443,000 would have been recorded in 1999 and 1998,
respectively, for the 1998 Plan based upon the fair value of the option awards.
Earnings per share would have been ($0.16) and $0.48 in 1999 and 1998,
respectively, had the Company adopted the fair value provisions of SFAS No. 123.
The fair value determination was calculated using the Black-Scholes
option-pricing model to value all stock options granted in 1999 and 1998 using
the following assumptions:

                                       100
<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                  (continued)

<TABLE>
<CAPTION>
                                                                1999          1998
                                                            -------------------------
<S>                                                               <C>           <C>
        Weighted average risk free interest rate                  6.2%          5.9%
        Expected volatility                                      21.0%         17.7%
        Expected dividend yield                                  11.4%          8.1%
        Weighted average expected life of options           3.89 years    3.65 years
</TABLE>

         During 1999, the Company established the 1999 share option and
incentive plan (the "1999 Plan") for the purpose of encouraging and enabling the
officers, employees, non-employee trustees and other key persons of the Company
to acquire a proprietary interest in the Company. As of December 31, 1999, a
total of 350,000 common shares were reserved for issuance under the 1999 Plan.
No shares were granted during 1999.

         The Company has established a defined contribution retirement plan
covering all eligible employees. Under this plan, eligible employees may make
contributions up to the Internal Revenue Service maximum, and the Company is
required to make certain minimum contributions. Company contributions to this
Plan were $16,000 and $14,000 in 1999 and 1998, respectively.

12.       Shareholder's Rights Plan

         On October 13, 1999, the Company adopted a Shareholder Rights Plan (the
"Rights Plan"). The Rights Plan is designed to deter coercive and unfair hostile
takeover tactics. Under the Rights Plan, the Company authorized and declared a
distribution of one right for each of its outstanding common shares held on the
record date of October 29, 1999. Each right entitles the holder to purchase from
the Company one one-thousandth of a Series A Junior Participating Preferred
Share, $.01 par value per share, of the Company (which is intended to be the
economic equivalent of one common share) at an initial purchase price of $35.

         The rights are neither exercisable nor traded separately from the
common shares and will expire on October 13, 2009, unless exchanged or redeemed
earlier. The rights will be exercisable only if a person or group in the future
becomes the beneficial owner of 15% or more of the common shares of the Company,
or announces a tender or exchange offer which, if consummated, would result in
that person or group owning at least 15% of the common shares, subject to
certain exceptions. The Company generally may redeem the rights for $.0005 per
right at any time until ten days following the public disclosure that the 15%
position has been met. A total of 16,000 preferred shares are reserved for
issuance under the rights.

13.      Distributions

         The Company must distribute at least 95% (90% for taxable years
beginning after December 31, 2000) of its taxable income in order to continue to
qualify as a REIT. Distributions in a given year may exceed the Company's
earnings and profits due to non-

                                       101
<PAGE>
                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                  (continued)

cash expenses such as depreciation and amortization. Per share distributions on
the Company's common shares include the following categories for income tax
purposes:

                                                               1999       1998
                                                             -------     ------
               Ordinary income                               $0.1232     $0.973
               Capital gains                                       -          -
               Return of capital                              1.3368          -
                                                             -------     ------
                                                             $1.4600     $0.973
                                                             =======     ======

         On January 13, 2000, the Board of Trustees declared a distribution of
$0.30 per share for the period October 1, 1999 through December 31, 1999. The
distribution was paid on February 15, 2000 to shareholders of record on January
28, 2000.

14.      Earnings Per Share

         The following table sets forth the computation of basic and diluted
earnings per share (in thousands, except per share data):

                                                            1999        1998
                                                          -------     -------

         Net income (loss) available for basic and
           diluted earnings per share                     ($1,030)     $3,973
                                                          =======     =======

         Shares for basic and diluted net
           earnings per share                               7,198       7,369
                                                          =======     =======

         Basic and diluted net income
           (loss) per share                                ($0.14)      $0.54
                                                          =======     =======

         The effect of outstanding share options is antidilutive and thus not
reflected in the determination of weighted average common shares outstanding.
The Operating Partnership units are not included in the determination of
weighted average common shares outstanding since they are not considered to be
common share equivalents as they are redeemable for cash at the Company's
discretion.

15.      Repurchase of Common Shares

         In August 1998, the Company implemented a share repurchase program.
Under the share repurchase program, the Company was authorized from time to time
to repurchase shares in open market transactions up to an amount equal to the
Company's excess cash flow on a quarterly and cumulative basis. In March 1999,
in light of the Company's cash position and Credit Facility negotiations, the
Company suspended the share repurchase program. In November 1999, the Company
reinstituted the share repurchase program on a limited basis. The Company
completed this limited share

                                      102
<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                  (continued)

repurchase program in December 1999 with the repurchase of 82,100 common shares
at an average price of $6.08. The Company repurchased and effectively retired
125,800 and 147,800 common shares for an aggregate purchase price of $923,000
and $1.7 million for the years ended December 31, 1999 and 1998, respectively.
These shares are reflected as a reduction of shares issued and outstanding in
these consolidated financial statements.

16.      Disclosure About Fair Value of Financial Instruments

         The carrying amount of cash and cash equivalents, restricted cash and
accounts receivable approximates fair value based on the short-term nature of
these investments. The carrying amount of real estate loans receivable at
December 31, 1999 approximates fair value because all of the loans mature within
one year. The carrying amount of real estate loans receivable at December 31,
1998 approximated fair value as all the loans were acquired in 1998 and were
priced at market rates based on their relative credit risk at that time.

         The carrying amounts of the Company's Credit Facility and variable rate
mortgages payable at December 31, 1999 approximate fair value because the
borrowings are interest rate variable. The fair value of the Company's fixed
rate mortgages and bonds payable at December 31, 1999 is estimated using
discounted cash flow analysis and the Company's current incremental borrowing
rates for similar types of borrowing arrangements. The difference between the
carrying amount and the fair value of the Company's fixed rate mortgages and
bonds payable at December 31, 1999 is not significant. At December 31, 1998, the
carrying amount of the Company's Credit Facility approximated fair value because
the borrowings were interest rate variable. The carrying amount of the Company's
fixed rate mortgages and bonds payable at December 31, 1998 approximated fair
value because they were all acquired in 1998 and restated to a market interest
rate at the time of acquisition based on their relative credit risk at that
time. The notes payable carrying amount at December 31, 1998 approximated fair
value because of their short term nature.

         The carrying amounts of the Company's interest rate cap agreements at
December 31, 1999 approximate fair value based on quoted market prices.



                                      103
<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                  (continued)

17.      Quarterly Financial Information (Unaudited)

         The following quarterly financial data summarize the unaudited
quarterly results for the years ended December 31, 1999 and 1998 (in thousands,
except per share amounts):

<TABLE>
<CAPTION>


                                                                  Quarter ended
                                       -----------------------------------------------------------
                1999                   December 31    September 30      June 30         March 31
- -------------------------------------- -----------    ------------    ------------    ------------
<S>                                      <C>             <C>            <C>              <C>
Revenues                                 $ 6,949         $ 7,022        $ 7,122          $ 7,048
Net income (loss) before                                  (1,832)
   extraordinary item                        436             617                             959
Net income (loss)                            436            (593)        (1,832)             959
Net income (loss) per share  before
   extraordinary item - basic and
   diluted                                  0.06            0.09          (0.25)            0.13
Net income (loss) per share - basic
   and diluted                              0.06           (0.08)         (0.25)            0.13
Distributions per share                    0.365           0.365          0.365            0.365
</TABLE>

<TABLE>
<CAPTION>


                                                                  Quarter ended
                                       -----------------------------------------------------------
                1998                   December 31    September 30      June 30         March 31
- -------------------------------------- -----------    ------------    ------------    ------------
<S>                                      <C>             <C>            <C>              <C>
Revenues                                 $ 6,336         $ 6,302        $ 5,366          $ 3,230
Net income (loss)                            967           2,352          2,008           (1,354)
Net income (loss) per share - basic
   and diluted                              0.13            0.32           0.27            (0.18)
Distributions per share                    0.365           0.365          0.243                -
</TABLE>

18.      Related Party Transactions

         In connection with the Offering, the Company issued and sold to Edward
B. Romanov, Jr., the Company's President, Chief Executive Officer, 200,000
common shares in a private placement at a per share price equal to the Offering
price of $18.00 per share. Mr. Romanov paid for these shares with a 10-year
recourse promissory note in favor of the Company, with interest only payable
until maturity at an annual rate of 7%.

         In addition, Mr. Romanov, owned 118,750 units in the Operating
Partnership at December 31, 1999 and 1998, which represented an interest of
approximately 1.6% and 1.5%, respectively. Mr. Romanov received cash
distributions from the Operating Partnership in the amount of $173,400 and
$115,500 during 1999 and 1998, respectively.

         During the second quarter of 1999, Mr. Romanov resigned all positions
with the Company and its subsidiaries, including President, Chief Executive
Officer and a trustee of the Company, in order to pursue other business
interests. In connection with Mr. Romanov's resignation, the Company, among
other things, cancelled indebtedness in the amount of $2.6 million owed by Mr.
Romanov to the Company. The Company recorded a nonrecurring charge of $2.8
million during 1999 in connection with the cancellation of

                                      104
<PAGE>
                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                  (continued)

the $2.6 million of indebtedness and $200,000 in costs payable to third parties
in connection with a separation agreement. Mr. Romanov's employment agreement
was terminated concurrent with his resignation. Also, Mr. Romanov transferred
his controlling interest in several entities to Mr. D. Lee McCreary as discussed
below.

         Mr. McCreary acquired the controlling interest in ET Capital Corp. and
ET Sub-Meridian, LLP from Mr. Romanov during 1999. As a result, Mr. D. Lee
McCreary owns all of the voting interest in ET Capital Corp., representing a 5%
equity interest. Additionally, Mr. McCreary also owns a 1% general partner
interest in ET Sub-Meridian, through a limited liability company which he is the
sole member. Also, after obtaining final approval from the Massachusetts Housing
Finance Agency and the U.S. Department of Housing and Urban Development in
January 2000, Mr. McCreary owns a 1% managing member interest in ET Sub-Vernon
Court, LLC, ET Sub-Cabot Park, LLC and ET Sub-Cleveland Circle, LLC.

         In addition, Mr. McCreary owns 12,000 units in the Operating
Partnership at December 31, 1999 and 1998, which represented an interest of
approximately 0.2%, and received cash distributions of $17,500 and $11,700
during 1999 and 1998, respectively.

19.      Minority Interest

         Immediately after the Offering the Company owned approximately 93.9% of
the equity of the Operating Partnership. Subsequent to the Offering, an
additional 31,445 Operating Partnership units were issued resulting in the
Company owning approximately 93.3% and 93.4% at December 31, 1999 and 1998,
respectively. The remaining ownership interests include interests owned directly
or indirectly by directors and officers of the Company and Genesis. As of
December 31, 1999 and 1998, there are 513,475 units owned by minority interests.

         Subject to certain limitations in the Operating Partnership Agreement
the limited partners that hold units in the Operating Partnership have the right
to require the redemption of their units at any time after March 30, 1999 ("Unit
Redemption Rights"). The Operating Partnership's obligation with respect to the
Unit Redemption Rights is that the limited partner will receive cash from the
Operating Partnership in an amount equal to the market value of the units to be
redeemed. However, in lieu of the Operating Partnership acquiring the units for
cash, the Company has the right to elect to acquire the units directly from the
limited partner, either for cash or common shares of ElderTrust at the Company's
discretion.

                                       105
<PAGE>

                                   ELDERTRUST
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                  (continued)

20.      Supplemental Cash Flow Information:

         Supplemental cash flow information for the year ended December 31, 1999
and period ended December 31, 1998 is as follows (amounts in thousands):

<TABLE>
<CAPTION>
                                                                                    1999        1998
                                                                                ---------------------
<S>                                                                             <C>          <C>
Cash Paid For:
    Interest                                                                    $  11,814    $  5,412
                                                                                =====================
Non-Cash Investing and Financing Transactions:
    Note receivable relating to officer share purchase                          $       -    $  3,600
                                                                                =====================
    Assumption of debt in connection with acquisition
      of real estate properties                                                 $       -    $ 50,328
                                                                                =====================
    Units issued in connection with acquisition
      of real estate properties                                                 $       -    $ 10,511
                                                                                =====================
    Notes issued in connection with acquisition
      of real estate properties                                                 $       -    $  4,134
                                                                                =====================
    Non-cash transaction relating to the sale of partnership units:
        Accounts receivable                                                     $       -    $  3,000
                                                                                =====================
        Reduction in advances to unconsolidated entities                        $       -    $  1,690
                                                                                =====================
        Issuance of partnership units                                           $       -    $    375
                                                                                =====================
        Reduction in cost of real estate investments                            $       -    $    935
                                                                                =====================
</TABLE>

                                       106
<PAGE>

ITEM 9.  CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
         FINANCIAL DISCLOSURE

         None.

                                    PART III

ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT

         The information required by this Item is incorporated herein by
reference to the information under the heading "Election of Trustees" in the
Company's proxy statement to be filed with respect to the 2000 annual meeting of
shareholders (the "Proxy Statement").

ITEM 11. EXECUTIVE COMPENSATION

         The information required by this Item is incorporated herein by
reference to the information under the heading "Executive Compensation and Other
Information" in the Proxy Statement.

ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

         The information required by this Item is incorporated herein by
reference to the information under the heading "Securities Owned by Management
and Principal Shareholders" in the Proxy Statement.

ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

         The information required by this Item is incorporated herein by
reference to the information under the heading "Certain Relationships and
Related Transactions" in the Proxy Statement.

ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K

(a)      The following documents are included in Part II, Item 8 of this report:

         (1)   Financial Statements:                                Page Number
                                                                    -----------
               Independent Auditors' Report                              80
               Consolidated Balance Sheets as of December 31,
                  1999 and 1998                                          81
               Consolidated Statements of Operations for the
                  year ended December 31, 1999 and the period
                  from January 30 to December 31, 1998                   82


                                       107
<PAGE>

               Consolidated Statements of Shareholders' Equity
                  for the year ended December 31, 1999 and the
                  period from January 30 to December 31, 1998            83
               Consolidated Statements of Cash Flows for the
                  year ended December 31, 1999 and the period
                  from January 30 to December 31, 1998                   84
               Notes to Consolidated Financial Statements                85

         (2)   The following Financial Statement Schedules are
               included in Item 14 (d):

               Separate Financial Statements and Schedule for
                  ET Sub-Meridian Limited Partnership, L.L.P.
               Schedule III - Real Estate and Accumulated
                  Depreciation
               Schedule IV - Mortgage Loans on Real Estate

               All other schedules for which provision is made in
               the applicable accounting regulation of the Securities
               and Exchange Commission are not required under the
               related instructions or are inapplicable and
               therefore have been omitted.

         (3)   Exhibits:

               The exhibits filed with this report are listed
               in the exhibit index on page 110.

(b)      Current Reports on Form 8-K:

               The Company filed a report on Form 8-K dated
               October 13, 1999 announcing the adoption of the
               Shareholder's Rights Plan.

               The Company filed a report on Form 8-K dated
               November 24, 1999 announcing the adoption of a
               new distribution policy.

(c)      Exhibits:

               The exhibits listed in Item 14(a)(3) above are
               filed with this Form 10-K.

(d)      Financial Statement Schedules:

               Financial statement schedules are included on
               pages S-1 through S-15.


                                       108
<PAGE>

                                   SIGNATURES

              Pursuant to the requirements of Section 13 or 15(d) of the
Securities Exchange Act of 1934, the registrant has duly caused this report to
be signed on its behalf by the undersigned, thereunto duly authorized, on April
10, 2000.

                                                  ElderTrust
                                  -------------------------------------------
                                                  Registrant

                              By: /s/ D. Lee McCreary, Jr.
                                  -------------------------------------------
                                  President, Chief Executive Officer and Chief
                                    Financial Officer

         Pursuant to the requirements of the Securities Exchange Act of 1934,
this report has been signed below by the following persons on behalf of the
registrant and in the capacities indicated on April 10, 2000.

                              By:  /s/ D. Lee McCreary, Jr.
                                   ------------------------------------------
                                   D. Lee McCreary, Jr.
                                   President, Chief Executive Officer, Chief
                                   Financial Officer and Trustee
                                   (Principal Executive, Financial and
                                   Accounting Officer)

                              By:  /s/ Michael R. Walker
                                   ------------------------------------------
                                   Michael R. Walker
                                   Chairman of the Board


                              By:
                                   ------------------------------------------
                                   Rodman W. Moorhead, III
                                   Trustee


                                       109

<PAGE>



                                  EXHIBIT INDEX

Exhibit No.    Description
- -----------    -----------
(a) 3.1        Amended and Restated Declaration of Trust of the Company
(a) 3.2        Amended and Restated Bylaws of the Company
(h) 4.1        Rights Agreement between ElderTrust and First Union
               National Bank, as Rights Agent
    4.2        Articles Supplementary for Classifying and Designating
               Series A Junior Participating Preferred Shares
(a) 10.1       Second Amended and Restated Agreement of Limited Partnership of
               the Operating Partnership
(a) 10.2       Registration Rights Agreement between the Company and the persons
               named therein
(a) 10.3       1998 Share Option and Incentive Plan *
    10.4       1999 Share Option and Incentive Plan *
(a) 10.5       Non-Competition Agreement between the Company and Michael R.
               Walker*
(b) 10.6       Indemnification Agreement between the Company and each of its
               officers and trustees *
(b) 10.7       Form of Asset Transfer Agreement between the Operating
               Partnership and Genesis (Heritage Woods, Willowbrook, Riverview
               Ridge, Pleasant View, Rittenhouse, Lopatcong, Phillipsburg,
               Wayne, POB 1, Lacey Bank Building, Belvedere, Chapel Manor and
               Pennsburg Manor)
(b) 10.8       Plan of Asset Transfer and Contribution Agreement between the
               Operating Partnership and Senior LifeChoice dated as of
               September 25, 1997
(b) 10.9       Form of Asset Transfer Agreement between the Operating
               Partnership and certain limited partners in Senior LifeChoice
               of Paoli, L.P. and Senior LifeChoice of Kimberton, L.P. who are
               selling partnership interests for cash
(b) 10.10      Plan of Asset Transfer and Contribution Agreement among the
               Operating Partnership, GHV Associates and the partners in GHV
               Associates dated as of September 25, 1997
(b) 10.11      Plan of Asset Transfer and Contribution Agreement among the
               Operating Partnership and certain partners in Salisbury Medical
               Office Building General Partnership dated as of September 25,
               1997
(b) 10.12      Asset Transfer Agreement between the Operating Partnership and
               certain parties in Salisbury Medical Office Building General
               Partnership who are selling partnership interests for cash
(b) 10.13      Form of Term Loan Agreement (Mifflin and Coquina Center
               (Genesis))
(b) 10.13.1    Form of Secured Note (Mifflin and Coquina Center (Genesis))
(b) 10.13.2    Form of Mortgage and Security Agreement (Mifflin and Coquina
               Center (Genesis))
(b) 10.13.3    Form of Assignment of Rents and Leases (Mifflin and Coquina
               Center (Genesis))
(b) 10.13.4    Form of Collateral Assignment of Agreements Affecting Real Estate
               (Mifflin and Coquina Center (Genesis))
(b) 10.13.5    Form of Guaranty and Suretyship Agreement (Mifflin and Coquina
               Center (Genesis))
(b) 10.14      Form of Construction Loan Agreement (Oaks (Genesis))
(b) 10.14.1    Form of Secured Note (Oaks (Genesis))
(b) 10.14.2    Form of Mortgage and Security Agreement (Oaks (Genesis))
(b) 10.14.3    Form of Assignment of Rents and Leases (Oaks (Genesis))
(b) 10.14.4    Form of Collateral Assignment of Agreements Affecting Real Estate
               (Oaks (Genesis))
(b) 10.14.5    Form of Guaranty and Suretyship Agreement (Oaks (Genesis))

                                       110

<PAGE>

(b) 10.15      Form of Assignment and Assumption Agreement between the Operating
               Partnership and Genesis (Montchanin Construction Loan)
(a) 10.16      Assignment and Assumption Agreement between ET Capital Corp. and
               Genesis
(a) 10.16.1    Amendment of Working Capital Loan and Security Agreement among ET
               Capital Corp., Genesis and AGE Institute of Florida
(a) 10.16.2    Intercreditor Agreement among ET Capital Corp., Genesis and AGE
               Institute of Florida
    10.16.3    Intercreditor Agreement among ET Capital Corp., AGE Institute of
               Florida and Bank of America, N.A.
(a) 10.17      Right of First Refusal Agreement between the Operating
               Partnership and Genesis
(a) 10.18      Option Agreement to purchase Holton Point facility between the
               Operating Partnership and Genesis
(b) 10.19      Form of Minimum Rent Lease between the Operating Partnership and
               Genesis (Heritage Woods, Highgate at Paoli Pointe, Rittenhouse,
               Lopatcong, Phillipsburg and Wayne)
(b) 10.20      Form of Percentage Rent Lease between the Operating Partnership
               and Genesis (Willowbrook, Riverview Ridge and Pleasant View)
(b) 10.21      Form of Fixed Rent Lease between the Operating Partnership and
               Genesis (Salisbury Medical Office Building, Windsor Office
               Building and Windsor Clinic and Training Facility)
(a) 10.22      Credit Facility
(e) 10.23      First Amendment to Credit Facility
(a) 10.24      Cross Indemnification and Contribution Agreement between the
               Company and Genesis
(c) 10.25      Subordinated Promissory Note of ET Sub-Meridian payable to the
               Operating Partnership in the amount of $18.5 million
(c) 10.26      Agreement of Limited Partnership of ET Sub-Meridian
(c) 10.27      Indemnification Agreement dated September 3, 1998 in favor of the
               persons and entities listed on Exhibit B thereto
(c) 10.28      Indemnification Consent and Acknowledgment Agreement dated
               September 3, 1998 between the Operating Partnership and Genesis
(c) 10.29      Guarantee Agreement dated September 3, 1998 between Operating
               Partnership and ET Sub-Meridian
(c) 10.30      Subordinated Promissory Note of ET Sub-Meridian payable to
               Genesis in the amount of $8.5 million
(d) 10.31      Purchase and Sale Agreement dated as of June 12, 1998 by and
               among ElderTrust Operating Limited Partnership, Genesis Health
               Ventures, Inc., collectively "the Purchasers" and Cabot Park
               Limited Partnership, Cleveland Circle Assisted Living Limited
               Partnership, Heritage at the Falls Assisted Living Limited
               Partnership, Vernon Court Associated Partnership, and North
               Andover Assisted Living Limited Partnership, collectively "the
               Seller"
(d) 10.32      Amendment to the Purchase and Sale Agreement dated July 22, 1998
               by and among ElderTrust Operating Limited Partnership, Genesis
               Health Ventures, Inc. and Robert A. Fishman, counsel for the
               Seller and the NDNE/ADS Entities
(d) 10.33      Second Amendment to the Purchase and Sale Agreement dated July
               22, 1998 by and among ElderTrust Operating Limited Partnership,
               Genesis Health Ventures, Inc. and Robert A. Fishman, counsel for
               the Seller and the NDNE/ADS Entities
(d) 10.34      Amendment to the Purchase and Sale Agreement dated November 30,
               1998 by and among ElderTrust Operating Limited Partnership,
               Genesis Health Ventures, Inc. and Robert A. Fishman, counsel for
               the Seller and the NDNE/ADS Entities

                                       111

<PAGE>

(d) 10.35      Assignment and Assumption of the Purchase and Sale Agreement by
               and between ElderTrust Operating Limited Partnership and Genesis
               Health Ventures, Inc. dated November 23, 1998
(e) 10.36      Operating Agreement of ET-Sub Vernon Court, L.L.C.
(e) 10.37      Operating Agreement of ET-Sub Cabot Park, L.L.C.
(e) 10.38      Operating Agreement of ET-Sub Cleveland Circle, L.L.C.
    10.39      Option Agreement by and between D. Lee McCreary, Jr. and the
               Operating Partnership to purchase Mr. McCreary's controlling
               ownership interest in ET-Sub Vernon Court, L.L.C.
(f) 10.40      Certificate of Designation for Class C (LIHTC) Units of
               ElderTrust Operating Limited Partnership
(f) 10.41      Second Amendment to Credit Agreement
(g) 10.42      Separation Agreement and Release dated July 29, 1999, by and
               among ElderTrust, ElderTrust Operating Limited Partnership and
               Edward B. Romanov, Jr.*
    10.43      Third Amendment to Credit Agreement
    10.44      Second Amendment to Second Amended and Restated Agreement of
               Limited Partnership of ElderTrust Operating Limited Partnership
    10.45      Employment Agreement between the Company and D. Lee McCreary, Jr.
               dated as of October 13, 1999*
    11.1       Computation of basic and diluted earnings per share for the year
               ended December 31, 1999 and the period from January 30, 1998
               through December 31, 1998
    21.1       Subsidiaries of the Registrant
    23.1       Consent of KPMG LLP
    27.1       Financial Data Schedule

- ----------

*   Represents management contract or compensatory plan

(a) Incorporated by reference to the Company's Form 10-K for the year ended
    December 31, 1997.
(b) Incorporated by reference to the Company's Form S-11 Registration Statement
    (No. 333-37451).
(c) Incorporated by reference to the Company's Form 8-K filed on September 18,
    1998.
(d) Incorporated by reference to the Company's Form 8-K filed on December 16,
    1998.
(e) Incorporated by reference to the Company's Form 10-K for the year ended
    December 31, 1998.
(f) Incorporated by reference to the Company's Quarterly Report on Form 10-Q for
    the quarter ended March 31, 1999.
(g) Incorporated by reference to the Company's Form 8-K filed on July 29, 1999.
(h) Incorporated by reference to the Company's Form 8-K filed on October 13,
    1999.

                                       112



<PAGE>


                          Independent Auditors' Report



The Partners
ET Sub-Meridian Limited Partnership, L.L.P.:

We have audited the accompanying balance sheet of ET Sub-Meridian Limited
Partnership, L.L.P. (the Partnership) as of December 31, 1999, and the related
statements of operations, partners' capital and cash flows for the year ended
December 31, 1999. We also have audited the related financial statement schedule
III. These financial statements and schedule are the responsibility of the
Partnership's management. Our responsibility is to express an opinion on these
financial statements and schedule based on our audit.

We conducted our audit in accordance with generally accepted auditing standards.
Those standards require that we plan and perform the audit to obtain reasonable
assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audit provides a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in
all material respects, the financial position of ET Sub-Meridian Limited
Partnership, L.L.P. as of December 31, 1999, and the results of its operations
and its cash flows for the year then ended in conformity with generally accepted
accounting principles. Also, in our opinion, the related financial statement
schedule III when considered in relation to the basic financial statements taken
as a whole, presents fairly, in all material respects, the information set forth
therein.


                                                             /s/ KPMG LLP
McLean, VA
January 14, 2000, except as to Note 4
  which is as of March 21, 2000













                                      S-1
<PAGE>

                   ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P.
                                  BALANCE SHEET
                                 (in thousands)

<TABLE>
<CAPTION>
                                                                          December
                                                                             31,
                                                                            1999
                                                                       --------------
<S>                                                                   <C>
                                     ASSETS
Assets:
     Property under capital lease, less accumulated
         amortization                                                     $106,547
     Cash and cash equivalents                                                 124
     Restricted cash                                                         1,110
                                                                          ---------
                Total assets                                              $107,781
                                                                          =========

                   LIABILITIES AND PARTNERS' CAPITAL (DEFICIT)
Liabilities:
     Accounts payable and accrued expenses                                     126
     Accounts payable to related parties                                       317
     Rent received in advance                                                  817
     Capital lease obligations                                              64,373
     Notes payable                                                          24,970
     Note payable to related party                                          17,576
     Other liabilities                                                       1,708
                                                                          ---------
           Total liabilities                                               109,887

Partners' capital (deficit)                                                 (2,106)
                                                                          ---------
                Total liabilities and partners' capital (deficit)         $107,781
                                                                          =========
</TABLE>











             The accompanying notes to financial statements are an
                       integral part of these statements.

                                       S-2
<PAGE>




                   ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P.
                             STATEMENT OF OPERATIONS
                                 (in thousands)
<TABLE>
<CAPTION>





                                                                    Year ended
                                                                   December 31,
                                                                       1999
                                                                 -----------------
<S>                                                               <C>
Revenues:
     Rental revenues                                                       $9,800
     Other income                                                              16
                                                                         ---------
        Total revenues                                                      9,816
                                                                         ---------

Expenses:
     Interest expense                                                       6,495
     Interest expense - related party                                       2,138
     Amortization expense                                                   3,514
     General and administrative                                                 2
     Management fee - related party                                             8
                                                                         ---------
        Total expenses                                                     12,157
                                                                         ---------

Net loss                                                                  ($2,341)
                                                                         =========
</TABLE>





              The accompanying notes to financial statements are an
                       integral part of these statements.



                                       S-3
<PAGE>




                   ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P.
                    STATEMENT OF PARTNERS' CAPITAL (DEFICIT)
                          Year Ended December 31, 1999
                                  (in thousands)








<TABLE>
<CAPTION>
                                                                        General           General
                                                                        Partner           Partner
                                                                     -------------      ------------
                                                    Limited          Toughkenamon,      ET Meridian,
                                                    Partner              L.L.C             L.L.C.         Total
                                                   ---------         -------------      ------------     -------
<S>                                                  <C>               <C>                <C>             <C>
Balances at January 1, 1999                        $   690               $   -            $  12          $   702
  Capital contributions                                  -                   -                -                -
  Net loss                                          (2,318)                (12)             (11)          (2,341)
  Distributions                                       (449)                (18)               -             (467)
  Transfer of general partner interest                   -                   1               (1)               -
                                                   --------              ------           ------         --------
Balances at December 31, 1999                     ($ 2,077)             ($  29)           $   -         ($  2,106)
                                                   ========              ======           ======         ========
</TABLE>




              The accompanying notes to financial statements are an
                       integral part of these statements.












                                       S-4

<PAGE>



                   ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P.
                             STATEMENT OF CASH FLOWS
                                 (in thousands)
<TABLE>
<CAPTION>




                                                                                                Year
                                                                                                ended
                                                                                               December
                                                                                               31, 1999
                                                                                             ------------
<S>                                                                                           <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
     Net loss                                                                                 ($2,341)
     Adjustments to reconcile net loss to net cash provided by operating activities:
       Amortization                                                                             3,514
       Net changes in assets and liabilities:
           Accounts payable and accrued expenses                                                 (198)
           Accrued interest on capital lease obligations                                          (93)
           Other                                                                                   75
                                                                                              -------
                 Net cash provided by operating activities                                        957
                                                                                              -------

CASH FLOWS FROM INVESTING ACTIVITIES:
     Acquisition and cost of real estate investments                                              (37)
     Net decrease in reserve funds and deposits -restricted cash                                   59
                                                                                              -------
                 Net cash provided by investing activities                                         22
                                                                                              -------

CASH FLOWS FROM FINANCING ACTIVITIES:
     Distributions to partners                                                                   (467)
     Payments of principal on notes payable                                                      (388)
                                                                                              -------
                 Net cash used in financing activities                                           (855)
                                                                                              -------

Net increase in cash and cash equivalents                                                         124
Cash and cash equivalents, beginning of period                                                      -
                                                                                              -------
Cash and cash equivalents, end of period                                                        $ 124
                                                                                              =======

Supplemental cash flow information:
Cash paid for interest                                                                         $8,898

</TABLE>



              The accompanying notes to financial statements are an
                       integral part of these statements.

                                       S-5


<PAGE>


                   ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P.
                          NOTES TO FINANCIAL STATEMENTS
                                December 31, 1999


1.  Organization and Operations

         ET Sub-Meridian Limited Partnership, L.L.P. (the "Partnership") was
formed pursuant to the Virginia Revised Uniform Limited Partnership Act, as
amended, on August 7, 1998 by and among ET Meridian, L.L.C., a Delaware limited
liability company as the general partner, and ElderTrust Operating Limited
Partnership as the limited partner (the "Limited Partner"). During 1999, ET
Meridian, L.L.C. sold its general partner interest in the Partnership to
Toughkenamon, L.L.C. (the "General Partner").

         The Partnership owns the leasehold and purchase option rights to seven
skilled nursing facilities located in Maryland and New Jersey, which it
purchased from a wholly-owned subsidiary of Genesis Health Ventures, Inc.
("Genesis") in September 1998 for $35.5 million in cash and issuance of $8.5
million in term loans. The owners of the skilled nursing facilities provided
$17.7 million of financing to the Partnership in connection with this
transaction. The purchase options are exercisable by the Partnership in
September 2008 for a cash exercise price of $66.5 million. The Partnership
subleased the facilities to Genesis for an initial ten-year period with a
ten-year renewal option. Genesis has guaranteed the subleases.

         All of the Partnership's assets at December 31, 1999 consisted of real
estate properties under capital lease, which were subleased to Genesis. As such,
the Partnership's revenues and ability to make distributions to partners'
depend, in significant part, upon the revenues derived from Genesis. See Note 4.
Additionally, Michael R. Walker serves as Chairman of the Board of Genesis and
of ElderTrust.

2.  Summary of Significant Accounting Policies

Use of Estimates

         The preparation of financial statements in conformity with generally
accepted accounting principles requires management to make estimates and
assumptions that affect the reported amounts of assets and liabilities and
disclosure of contingent assets and liabilities at the date of the financial
statements and the reported amounts of revenues and expenses during the
reporting period. Actual results could vary from those estimates.

Cash and Cash Equivalents

         The Partnership considers all short-term, highly liquid investments
that are readily convertible to cash and have an original maturity of three
months or less at the time of purchase to be cash equivalents.

                                       S-6
<PAGE>



                   ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P.
                          NOTES TO FINANCIAL STATEMENTS
                                   (continued)




Restricted Cash

         Restricted cash represents future lease payments on the capital lease
obligations and principal and interest payments on third party note payable to
owners of the skilled nursing facilities required to be maintained in lockbox.

Properties Under Capital Lease

         Properties under capital lease consist of real estate properties, which
are recorded at cost. Acquisition costs and transaction fees, including legal
fees, title insurance, transfer taxes, external due diligence costs and market
interest rate adjustments on assumed debt directly related to each property are
capitalized as a cost of the respective property. The cost of real estate
properties acquired is allocated between land and buildings and improvements
based upon estimated market values at the time of acquisition. Amortization of
properties under capital lease is provided for on a straight-line basis over an
estimated composite useful life of 28.5 years for buildings and improvements.

Impairment of Long-Lived Assets and Long-Lived Assets to be Disposed of

         The Partnership reviews its long-lived assets, which includes leased
properties under capital lease, for impairment whenever events or changes in
circumstances indicate that the carrying amount of an asset may not be
recoverable. Recoverability of assets held and used is measured by a comparison
of the carrying amount of an asset to future net cash flows expected to be
generated by the asset. If such assets are considered to be impaired, the
impairment to be recognized is measured by the amount by which the carrying
amount of the assets exceeds the fair value of the assets. Assets to be disposed
of are reported at the lower of the carrying amount or fair value less cost to
sell.

Federal Income Taxes

         No provision for Federal income taxes is necessary in the financial
statements of the Partnership because, as a partnership, it is not subject to
Federal income tax and the tax effect of its activities accrues to the partners.

Subleases and Rental Income

         Real estate properties under capital lease are subleased to operators
on a long-term triple net-lease basis. Triple net leases require lessees to pay
all operating expenses, taxes, insurance, maintenance and other costs, including
a portion of capitalized expenditures. Subleases provide for minimum rent, based
on the lesser of stated amounts in the sublease agreement or minimum rent for
the prior year multiplied by two times the cumulative Consumer Price Index
("minimum rent leases"). Sublease payments are recognized as revenue as earned.



                                       S-7

<PAGE>


                   ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P.
                          NOTES TO FINANCIAL STATEMENTS
                                   (continued)



3.  Properties Under Capital Lease

         The Partnership conducts all of its operations from properties, which
are classified as capital leases. As of December 31, 1999, properties under
capital lease consisted of seven skilled nursing facilities with a total of
1,176 beds located in two states. All of the leases are for 10 years and expire
in 2008.

         The following is an analysis of properties under capital lease at
December 31, 1999 by major class (dollars in thousands):
<TABLE>
<S>                                                 <C>
         Real estate properties, at cost                     $ 100,108
         Less-accumulated depreciation                          (4,684)
         Land                                                   11,123
                                                             ----------
              Net real estate properties                     $ 106,547
                                                             ==========
</TABLE>

         The following is a schedule by years of future minimum lease payments
under capital lease together with the present value of the minimum lease
payments as of December 31, 1999 (dollars in thousands):

                       2000                                           $ 4,245
                       2001                                             4,245
                       2002                                             4,245
                       2003                                             4,245
                       2004                                             4,245
                       Thereafter                                      83,177
                                                                      --------
                       Total minimum lease payments                   104,402
                       Less: amount representing interest
                             at 7.06% per annum                        40,029
                                                                      --------
                       Present value of minimum lease payments        $64,373
                                                                      ========

         The Partnership subleases these properties to operators pursuant to
long-term triple net leases. At December 31, 1999, future minimum sublease
payments receivable are as follows (dollars in thousands):

                       2000                        $ 9,800
                       2001                          9,800
                       2002                          9,800
                       2003                          9,800
                       2004                          9,800
                       Thereafter                   35,933
                                                   -------
                                                   $84,933
                                                   =======
                                       S-8




<PAGE>



                   ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P.
                          NOTES TO FINANCIAL STATEMENTS
                                   (continued)




4.  Concentration of Risk

         Revenues recorded by the Partnership under leases with Genesis
aggregated $9.8 million in 1999. The Partnership's revenues and ability to make
distributions to partners' depends, in significant part, upon the revenues
derived from Genesis.

         On March 21, 2000, Genesis announced the beginning of debt
restructuring discussions with its senior lenders with the intention of revising
its capital structure. Genesis also announced that it did not make a $3.8
million interest payment to its senior debt lenders due March 20, 2000. Genesis
does not intend to make interest and principal payments on senior debt and has
been prohibited by its senior lenders from making any scheduled interest
payments on its publicly traded subordinated debt while discussions were
ongoing. Genesis cited its inability to sell assets due to the lack of long-term
care market financing and the continuing effect of reduced Medicare payments as
the causes of these actions. The senior lenders have given Genesis a 60-day
forbearance period to develop a restructuring plan.

         Shortly after the announcement, Moody's Investors Service issued a
press release announcing that it had downgraded the debt ratings of Genesis. In
its press release, Moody's indicated that the ratings outlook for Genesis was
negative. Moody's stated that its rating action reflected the deterioration in
the company's operating results and financial condition which has stemmed from
the impact of the prospective payment system ("PPS") for Medicare combined with
high leverage. Moody's noted that despite cost cutting efforts, operating
margins for Genesis remain depressed, and planned asset divestitures have not
materialized as anticipated. Moody's also stated that restructuring efforts
could be adversely impacted by the currently difficult state of the long-term
care sector, with several large providers already filing for bankruptcy in
recent months. Standard & Poor's also downgraded the debt ratings of Genesis.

         Management of Genesis have advised the Partnership that they expect
Genesis to continue to make all sublease payments to the Partnership. The
Partnership has no control over Genesis, however, and can make no assurance that
Genesis will have sufficient income or assets to enable it to satisfy its
obligations under the subleases. Any failure by Genesis to continue making
payments to the Partnership could have a significant adverse effect on the
Partnership's financial condition, results of operations and cash available for
distribution and could adversely affect the ability of the Partnership to meet
its own debt obligations.

         If Genesis was to cease making sublease payments to the Partnership,
the Partnership may be required to restructure or terminate the underlying
subleases, in which event, the Partnership might be required to find new
operators to operate the properties underlying the subleases. Under these
circumstances, the Partnership's net income could decline as a result of such
restructuring with Genesis or could decline due to rents obtainable from any new
operator. Depending on the magnitude of the reduction in the Partnership's net
income, the Partnership would seek to offset the effect of such reduction in net
income on the Partnership's ability to meet its debt service requirements
through asset sales or through other available means. The Partnership believes
that it has the ability to, and, if necessary, intends to, take these actions
available to it and, as a result, believes it will be able to continue to
satisfy its debt and operating obligations as they come due over the next twelve
months.


                                      S-9

<PAGE>


                   ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P.
                          NOTES TO FINANCIAL STATEMENTS
                                   (continued)



5. Notes Payable

         The Partnership partially financed the acquisition of properties under
capital lease with notes payables of $8.5 million to Genesis, $17.7 million to
the owners of the skilled nursing facilities and $17.6 million to the Limited
Partner. The $8.5 million promissory note bears interest at an annual rate of
8.0% for the first year, 9.0% for the second year and 10.0% for remainder of the
term of the note, with interest payable monthly through September 3, 2003. The
note is guaranteed by the Limited Partner. The $17.7 million promissory note
bears interest at 7.06% annually, with principal and interest payable monthly
through September 1, 2008. The $17.6 million subordinated demand loan payable to
the Limited Partner bears interest at 12% per annum and is due on demand. Under
the terms of a modification to the $8.5 million promissory note agreement, the
principal payment due on September 3, 1999 was extended until the maturity date
of September 3, 2003 and the interest rate on the note was increased to 10%
effective September 3, 1999.

6.  Partners' Capital

         The Partnership percentage interests of the partners are as follows:


                 General Partner                                     1%
                 Limited Partner                                    99%
                                                                   ----
                                                                   100%
                                                                   ====

                                      S-10

<PAGE>



                   ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P.
                          NOTES TO FINANCIAL STATEMENTS
                                   (continued)




Distribution of Cash:

         Cash flow, as defined in the partnership agreement, shall be
distributed to the partners in proportion to their percentage interests.

         At December 31, 1999, distributions due but not paid to the Limited
Partner totaled $836,000.

Distribution of Income or Loss:

         Net income or net loss of the partnership shall be distributed to the
partners in proportion to their percentage interests.

7.  Disclosure About Fair Value of Financial Instruments

         The carrying amount of cash and cash equivalents and restricted cash
approximates fair value based on the short-term nature of these investments.

         The fair value of the Partnership's notes payable at December 31, 1999
is estimated using discounted cash flow analysis and currently prevailing rates.
The difference between the carrying amount and the fair value of the
Partnership's notes payable at December 31, 1999 is not significant.

8.  Related Party Transactions

         During 1999, the Partnership paid management fees of $8,000 to the
Limited Partner for administrative services provided to the Partnership. The
Limited Partner is a 93% owned subsidiary of ElderTrust.

         At December 31, 1999, Mr. D. Lee McCreary, the President, Chief
Executive Officer and Chief Financial Officer of ElderTrust, was the sole member
of the limited liability company which owned the 1% general partner interest in
the Partnership. Mr. McCreary acquired the controlling interest in the
Partnership from Mr. Edward B. Romanov, Jr., the former President and Chief
Executive Officer of ElderTrust, during 1999 for $20,000.



                                      S-11
<PAGE>

                   ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P.
                                  SCHEDULE III
                    REAL ESTATE AND ACCUMULATED DEPRECIATION
                                December 31, 1999
                             (dollars in thousands)
<TABLE>
<CAPTION>


                                     Initial Cost to Company                  Gross Amount at Which Carried at Close of Period
                                     -----------------------        Cost      ------------------------------------------------
                                                                 Capitalized
                                                  Buildings and  Subsequent to         Buildings and              Accum.
    Description      Encumbrances        Land     Improvements   Acquisition   Land    Improvements   Total (1)  Deprec. (2)
- -----------------------------------------------------------------------------------------------------------------------------
<S>                  <C>                <C>       <C>            <C>           <C>     <C>            <C>        <C>
Skilled Nursing Facilities:
   La Plata, MD            $9,208       $1,306      $11,751         $4        $1,306      $11,755      $13,061        $550
   Voorhees, NJ            12,173        1,745       15,699          6         1,745       15,705       17,450         735
   Centerville, MD         10,033        1,424       12,809          5         1,424       12,814       14,238         600
   Dundalk, MD             13,484        1,916       17,241          6         1,916       17,247       19,163         807
   Towson, MD               3,883          546        4,912          2           546        4,914        5,460         230
   Severna Park, MD        12,958        1,841       16,567          6         1,841       16,573       18,414         775
   Westfield, NJ           16,484        2,345       21,092          8         2,345       21,100       23,445         987
                    --------------------------------------------------   ------------------------------------- -----------
Grand Total               $78,223      $11,123     $100,071       $ 37       $11,123     $100,108     $111,231      $4,684
                     =============   =================================   ===================================== ===========
</TABLE>



                               [RESTUBBED TABLE]


<TABLE>
<CAPTION>
                           Orig. Construct./   Date
    Description            Renovation Date    Acquired
- -------------------------------------------------------
<S>                        <C>                <C>
Skilled Nursing Facilities:
   La Plata, MD                      1983       Sep-98
   Voorhees, NJ                 1986/1988       Sep-98
   Centerville, MD         1977/1983/1991       Sep-98
   Dundalk, MD                       1981       Sep-98
   Towson, MD                   1972-1973       Sep-98
   Severna Park, MD                  1982       Sep-98
   Westfield, NJ           1970/1980/1994       Sep-98

Grand Total
</TABLE>


(1) The aggregate cost for Federal income tax purposes is $3,177.
(2) Depreciation expense is calculated using a 28.5 year composite life for
    buildings.

The following represents a rollforward of the balance of properties under
capital lease and related amortization from January 1, 1999 to December 31,
1999:

<TABLE>
<CAPTION>
                                                                                     Accumulated
                                                               Cost Basis           Amortization
                                                            -----------------    --------------------
<S>                                                          <C>                 <C>
   Balance at January  1, 1999                                     $ 111,194                  $1,170

   Additions during period
        Acquisitions                                                      37                   3,514
        Improvements                                                       -                       -
                                                                   ----------                 -------
   Balance at December 31, 1999                                    $ 111,231                  $4,684
                                                                   ==========                 =======
</TABLE>



                                     S-12

<PAGE>



                                   ELDERTRUST
                                  SCHEDULE III
                    REAL ESTATE AND ACCUMULATED DEPRECIATION
                                December 31, 1999
                             (dollars in thousands)
<TABLE>
<CAPTION>

                                     Initial Cost to Company          Cost      Gross Amount at Which Carried at Close of Period
                                     -----------------------       Capitalized  ------------------------------------------------
                                                  Buildings and   Subsequent to          Buildings and              Accum.
    Description      Encumbrances         Land    Improvements    Acquisition   Land     Improvements   Total (1)   Deprec. (2)
- ----------------------------------------------------------------------------------------------------------------------------------
<S>                  <C>                  <C>     <C>             <C>           <C>       <C>           <C>         <C>
Assisted Living Facilities:
   Agawam, MA              $    - (3)   $1,249      $11,243      $    -        $1,249       $11,243     $12,492        $756
   Clark's Summit, PA           - (3)      645        5,802          18           645         5,820       6,465         391

   Wilkes-Barre, PA         2,724          662        5,932           -           662         5,932       6,594         365
   Paoli, PA                9,680        1,128       10,079           -         1,128        10,079      11,207         678
   Kimberton, PA            9,945        1,239       10,834           1         1,239        10,835      12,074         729
   North Andover, MA        8,770        1,194       10,729           3         1,194        10,732      11,926         408
   Newton, MA              13,964        1,793       16,091           5         1,793        16,096      17,889         612
                     -------------   ----------------------------------   ------------------------------------- -----------
     Subtotal              45,083        7,910       70,710          27         7,910        70,737      78,647       3,939
                     -------------   ----------------------------------   ------------------------------------- -----------

Independent Living Facility:
   Concord, NH              3,900          407        3,667           -           407         3,667       4,074         247

Skilled Nursing Facilities:
   Philadelphia, PA             - (3)      985        8,821           -           985         8,821       9,806         595
   Lopatcong, NJ           10,500        1,490       13,406           -         1,490        13,406      14,896         902
   Phillipsburg, NJ             -          679        6,110          10           679         6,120       6,799         411
   Wayne, PA                4,600          662        5,921       1,761           662         7,682       8,344         410
   Chester, PA             18,975 (4)    1,187       10,670           -         1,187        10,670      11,857         717
   Philadelphia, PA             - (4)    1,230       11,074           -         1,230        11,074      12,304         745
   Flourtown, PA           14,900 (5)      784        7,052           -           784         7,052       7,836         474
   Pennsburg, PA                - (5)    1,091        9,813           -         1,091         9,813      10,904         660
                    ---------------------------------------------------   ------------------------------------- -----------
     Subtotal              48,975        8,108       72,867       1,771         8,108        74,638      82,746       4,914
                     -------------   ----------------------------------   ------------------------------------- -----------

Medical Office and Other Buildings:
   Upland, PA               2,585            -        4,383          72             -         4,455       4,455         299
   Drexel Hill, PA          5,865            -        8,132          26             -         8,158       8,158         548
   Salisbury, MD            1,050          135        1,212           -           135         1,212       1,347          81
   Windsor, CT                  - (3)        -        1,481           -             -         1,481       1,481          94
   Windsor, CT                  - (3)       33          295           -            33           295         328          20
   Forked River, NJ           494           62          563           -            62           563         625          38
                     -------------   ----------------------------------   ------------------------------------- -----------
     Subtotal               9,994          230       16,066          98           230        16,164      16,394       1,080
                     -------------   ----------------------------------   ------------------------------------- -----------

                     -------------   ----------------------------------   ------------------------------------- -----------
Grand Total              $107,952      $16,655     $163,310      $1,896       $16,655      $165,206    $181,861     $10,180
                     =============   ==================================   ===================================== ===========
</TABLE>

(1) The aggregate cost for Federal income tax purposes is $173,345.
(2) Depreciation expense is calculated using a 28.5 year composite life for both
    building and equipment.
(3) Encumbered by the Credit Facility in the aggregate amount of $100.5 million.
(4) This is a single note which covers both properties.
(5) This is a single note which covers both properties.





                                      S-13
<PAGE>


                               [RESTUBBED TABLE]

<TABLE>
<CAPTION>
                                                   Orig. Construct./    Date
    Description                                    Renovation Date    Acquired
- -------------------------------------------------------------------------------
<S>                                                <C>                <C>
Assisted Living Facilities:
   Agawam, MA                                           1997          Jan-98
   Clark's Summit, PA                                   1996          Jan-98
   Wilkes-Barre, PA                                     1993          Mar-98
   Paoli, PA                                            1995          Jan-98
   Kimberton, PA                                        1996          Jan-98
   North Andover, MA                                    1995          Dec-98
   Newton, MA                                      1905/1995          Dec-98

     Subtotal


Independent Living Facility:
   Concord, NH                                          1926          Jan-98

Skilled Nursing Facilities:
   Philadelphia, PA                                1930/1993          Jan-98
   Lopatcong, NJ                                   1984/1992          Jan-98
   Phillipsburg, NJ                                1930/1993          Jan-98
   Wayne, PA                                       1920/1999          Jan-98
   Chester, PA                                     1960/1983          Jan-98
   Philadelphia, PA                                     1973          Jan-98
   Flourtown, PA                                   1977/1991          Jan-98
   Pennsburg, PA                                        1982          Jan-98

     Subtotal


Medical Office and Other Buildings:
   Upland, PA                                           1977          Jan-98
   Drexel Hill, PA                                 1984/1997          Feb-98
   Salisbury, MD                                        1984          Jan-98
   Windsor, CT                                          1996          Jan-98
   Windsor, CT                                     1934/1965          Jan-98
   Forked River, NJ                                     1996          Jan-98

     Subtotal



Grand Total

</TABLE>


<PAGE>


                                   ELDERTRUST
                                  SCHEDULE III
                    REAL ESTATE AND ACCUMULATED DEPRECIATION
                          December 31, 1999 (continued)
                             (dollars in thousands)



The following represents a rollforward of the balance of real estate properties
and related accumulated depreciation from January 1, 1998 to December 31, 1999:
<TABLE>
<CAPTION>
                                                                                    Accumulated
                                                             Cost Basis             Depreciation
                                                         -------------------    ---------------------
<S>                                                       <C>                   <C>
Balance at January 1, 1998                                                -                        -

Additions during period
     Acquisitions                                                 $ 180,426                  $ 4,442
     Improvements                                                       147                        2
                                                                  ----------                 --------

Balance at December 31, 1998                                        180,573                    4,444
                                                                  ----------                 --------

Additions during period
     Acquisitions                                                         -                    5,723
     Improvements                                                     1,288                       13
                                                                  ----------                 --------

Balance at December 31, 1999                                      $ 181,861                  $10,180
                                                                  ==========                 ========
</TABLE>


                                      S-14



<PAGE>
                                   ELDERTRUST
                                   SCHEDULE IV
                          MORTGAGE LOANS ON REAL ESTATE
                                December 31, 1999
                             (dollars in thousands)
<TABLE>
<CAPTION>
                                                                         Final      Periodic
                                                Number of    Interest   Maturity     Payment
Description                                        Beds       Rate        Date        Term   Prior Liens
- -------------------------------------------------------------------------------------------------------------
<S>                                                 <C>       <C>        <C>           <C>
Term Loans - Assisted Living Facilities:
Melbourne, FL                                       92        9.50%      4/2000        (2)      None
Shillington, PA                                     67        9.50%      4/2000        (2)      None
Ormond Beach, FL                                    60        9.50%      4/2000        (2)      None
Macungie, PA                                        70       10.50%      4/2000        (2)      None
Reading, PA                                         64       10.50%      4/2000        (2)      None
                                                   ---
     Subtotal                                      353
                                                   ---

Construction Loans - Assisted Living Facilities:
Wyncote, PA                                         52        9.00%      1/2001        (2)      None
Wilmington, DE                                      92       10.50%      8/2000        (3)      None
Pottstown, PA                                       70       10.50%      1/2001        (2)      None
                                                   ---
     Subtotal                                      214
                                                   ---

Grand Total                                        567
                                                   ===
</TABLE>
                           [RESTUBED FOR TABLE ABOVE]
<TABLE>
<CAPTION>
                                                                Carrying Amount       Loans Subject to
                                                Face Amount     of Mortgages at      DelinquentPrincipal
Description                                     of Mortgages  December 31, 1999(1)        or Interest
- --------------------------------------------------------------------------------------------------------
<S>                                               <C>               <C>                       <C>
Term Loans - Assisted Living Facilities:
Melbourne, FL                                     $ 4,828           $ 4,828                    -
Shillington, PA                                     5,164             5,164                    -
Ormond Beach, FL                                    4,577             4,577                    -
Macungie, PA                                        6,665             6,665                    -
Reading, PA                                         6,269             6,167                    -
                                                  -------------------------
     Subtotal                                      27,503            27,401
                                                  -------------------------

Construction Loans - Assisted Living Facilities:
Wyncote, PA                                         5,380             5,033                    -
Wilmington, DE                                      9,500             9,496                    -
Pottstown, PA                                       6,511             6,716                    -
                                                  -------------------------
     Subtotal                                      21,391            21,245
                                                  -------------------------

Grand Total                                       $48,894           $48,646
                                                  =========================
</TABLE>
(1) The aggregate cost for Federal income tax purposes is $48,646.
(2) Interest only payable to maturity date. The Company previously had the
    obligation to purchase the facility upon maturity or once stabilized
    occupancy was achieved, as described in the loan agreement.
(3) Interest only payable to maturity date. The Company has the option to
    purchase the facility at maturity as described in the loan agreement.

Mortgage loan activity for the years ended December 31, 1999 and 1998 is as
follows:

                                                 1999                1998
                                               -------             -------
    Balance, beginning of year                 $47,899             $     -
       Additions during the period:
           New mortgage loans                    5,095              50,213
           Other                                     -                   -

       Deductions during the period:
            Collections of principal            (4,348)             (2,314)
                                               -------             -------

    Balance, end of year                       $48,646             $47,899
                                               =======             =======

                                      S-15


<PAGE>

                                   ELDERTRUST




                      Articles Supplementary of ElderTrust
                     Classifying and Designating a Series of
                               Preferred Shares as
                          Series A Junior Participating
                              Preferred Shares and
                    Fixing Distribution and Other Preferences
                            and Rights of Such Series




         ElderTrust, a Maryland real estate investment trust (the "Company"),
hereby certifies to the State Department of Assessments and Taxation of Maryland
pursuant to Section 8-203 of the Annotated Code of Maryland that:

         FIRST: Pursuant to authority granted by the Articles of Amendment and
Restatement of Declaration of Trust of the Company, the Board of Trustees on
October 13, 1999 adopted a resolution designating and classifying 16,000
unissued and unclassified preferred shares of beneficial interest, par value
$.01 per share, of the Company as Series A Junior Participating Preferred
Shares.

         SECOND: The following is a description of the Series A Junior
Participating Preferred Shares, including the preferences, conversion and other
rights, voting powers, restrictions, limitations as to dividends and
distributions, qualifications, terms and conditions of redemption thereof:

         Section 1. Number of Shares and Designation. This class of preferred
shares of beneficial interest shall be designated as "Series A Junior
Participating Preferred Shares," having a par value $.01 per share, and the
number of shares which shall constitute such series shall be 16,000. Such number
may be increased or decreased from time to time by resolution of the Board of
Trustees and by the filing of articles supplementary in accordance with the
Annotated Code of Maryland; provided, that no decrease shall reduce the number
of Series A Junior Participating Preferred Shares to a number less than the
number of such shares then outstanding plus the number of such shares reserved
for issuance upon the exercise of outstanding options, rights or warrants or
upon the conversion of any outstanding securities issued by the Company
convertible into Series A Junior Participating Preferred Shares.

         Section 2. Definitions. For purposes of the Series A Junior
Participating Preferred Shares, the following terms shall have the meanings
indicated:


<PAGE>



         "Adjustment Number" shall have the meaning set forth in Section 6(A).

         "Average Market Value" shall have the meaning set forth in Section 8.

         "Board of Trustees" shall mean the Board of Trustees of the Company or
any committee authorized by such Board of Trustees to perform any of its
responsibilities with respect to the Series A Preferred Shares.

         "Business Day" shall mean any day other than a Saturday, Sunday or a
day on which state or federally chartered banking institutions in New York City,
New York are not required to be open.

         "Common Adjustment" shall have the meaning set forth in Section 6(A).

         "Parity Shares" shall have the meaning set forth in Section 5(A).

         "Quarterly Distribution Payment Date" shall mean the 15th day (or, if
such day is not a Business Day, the next Business Day thereafter) of February,
May, August and November of each year, commencing November 15, 1999.

         "Rights Declaration Date" shall mean October 13, 1999.

         "Senior Preferred Shares" shall mean preferred shares of beneficial
interest of the Company ranking prior and superior to the Series A Preferred
Shares with respect to dividends and distributions of the Company.

         "Series A Junior Liquidation Preference" means an amount per Series A
Preferred Share equal to $35,000.

         "Series A Preferred Shares" shall mean the Series A Junior
Participating Preferred Shares.

         Section 3. Dividends and Distributions.

         (A) Subject to the prior and superior rights of the holders of any
Senior Preferred Shares (or any similar shares of beneficial interest) of the
Company, the holders of Series A Preferred Shares shall be entitled to receive,
when, as and if declared by the Board of Trustees out of funds legally available
for payment of dividends or distributions, quarterly dividends or distributions
payable in cash on the Quarterly Distribution Payment Date, commencing on the
first Quarterly Distribution Payment Date after first issuance of a Series A
Preferred Share or fraction thereof, in an amount per share (rounded to the
nearest cent) equal to the greater of (a) $10.00 or (b) subject to the provision
for adjustment hereinafter set forth, one thousand (1,000) times the aggregate
per share amount of all cash dividends and distributions, and one thousand
(1,000) times the aggregate per share amount (payable in kind) of all non-cash
dividends and


                                       2

<PAGE>




         distributions (other than dividends and distributions payable in Common
         Shares of the Company, or a subdivision of the outstanding Common
         Shares (by reclassification or otherwise)) declared on the Common
         Shares, since the immediately preceding Quarterly Distribution Payment
         Date, or, with respect to the first Quarterly Distribution Payment
         Date, since the first issuance of a Series A Preferred Share or
         fraction thereof. In the event the Company shall at any time after
         October 13, 1999 (the "Rights Declaration Date") (i) declare or pay any
         dividend or distribution on Common Shares payable in Common Shares,
         (ii) subdivide the outstanding Common Shares, or (iii) combine the
         outstanding Common Shares into a smaller number of shares, then in each
         such case the amount to which holders of Series A Preferred Shares were
         entitled immediately prior to such event under clause (b) of the
         preceding sentence shall be adjusted by multiplying such amount by a
         fraction, the numerator of which is the number of Common Shares
         outstanding immediately after such event and the denominator of which
         is the number of Common Shares that were outstanding immediately prior
         to such event.

                  (B) The Company shall declare a dividend or distribution on
         the Series A Preferred Shares as provided in paragraph (A) above
         immediately after it declares a dividend or distribution on any Common
         Shares (other than a dividend or distribution payable in Common
         Shares); provided, that, in the event no dividend or distribution shall
         have been declared on the Common Shares during the period between any
         Quarterly Distribution Payment Date and the next subsequent Quarterly
         Distribution Payment Date, a dividend of $10.00 per Series A Preferred
         Share shall nevertheless be payable on such subsequent Quarterly
         Distribution Payment Date.

                  (C) Dividends and distributions shall begin to accrue and be
         cumulative on outstanding Series A Preferred Shares from the Quarterly
         Distribution Payment Date next preceding the date of issue of such
         Series A Preferred Shares, unless the date of issue of such shares is
         prior to the record date set for the first Quarterly Distribution
         Payment Date, in which case dividends and distributions on such shares
         shall begin to accrue from the date of issue of such shares, or unless
         the date of issue is a Quarterly Distribution Payment Date or is a date
         after the record date for the determination of holders of Series A
         Preferred Shares entitled to receive a quarterly distribution and
         before such Quarterly Distribution Payment Date, in either of which
         events such dividends and distributions shall begin to accrue and be
         cumulative from such Quarterly Distribution Payment Date. Accrued but
         unpaid dividends and distributions shall not bear interest. Dividends
         and distributions paid on the Series A Preferred Shares in an amount
         less than the total amount of such dividends and distributions at the
         time accrued and payable on such shares shall be allocated pro rata on
         a share-by-share basis among all such shares at the time outstanding.
         The Board of Trustees may fix a record date for the determination of
         holders of Series A Preferred Shares entitled to receive payment of a
         dividend or distribution declared thereon, which record date shall be
         no more than 60 days prior to the date fixed for the payment thereof.

         Section 4. Voting Rights. The holders of Series A Preferred Shares
shall have the following voting rights:

                                       3


<PAGE>

                  (A) Subject to the provision for adjustment hereinafter set
         forth, each Series A Preferred Share shall entitle the holder thereof
         to one thousand (1,000) votes on all matters submitted to a vote of the
         shareholders of the Company. In the event the Company shall at any time
         after the Rights Declaration Date (i) declare any dividend or
         distribution on Common Shares payable in Common Shares, (ii) subdivide
         the outstanding Common Shares, or (iii) combine the outstanding Common
         Shares into a smaller number of shares, then in each such case the
         number of votes per share to which holders of Series A Preferred Shares
         were entitled immediately prior to such event shall be adjusted by
         multiplying such number by a fraction, the numerator of which is the
         number of Common Shares outstanding immediately after such event and
         the denominator of which is the number of Common Shares that were
         outstanding immediately prior to such event.

                  (B) Except as otherwise provided by law, the holders of Series
         A Preferred Shares and the holders of Common Shares and any other
         shares of beneficial interest of the Company having general voting
         rights shall vote together as one class on all matters submitted to a
         vote of shareholders of the Company.

                  (C) Except as set forth herein, holders of Series A Preferred
         Shares shall have no special voting rights and their consent shall not
         be required (except to the extent they are entitled to vote with
         holders of Common Shares as set forth herein) for taking any corporate
         action.

         Section 5. Certain Restrictions.

                  (A) Whenever dividends or distributions payable on the Series
         A Preferred Shares as provided in Section 3 are not paid, thereafter
         and until such dividends and distributions, whether or not declared, on
         Series A Preferred Shares outstanding shall have been paid in full, the
         Company shall not:

                           (i) declare or pay dividends or distributions on, or
                  redeem or purchase or otherwise acquire for consideration, any
                  shares of beneficial interest ranking junior (either as to
                  dividends or distributions, or upon liquidation, dissolution
                  or winding up) to the Series A Preferred Shares; or

                           (ii) declare or pay dividends or distributions on any
                  shares of beneficial interest ranking on a parity (either as
                  to dividends or distributions, or upon liquidation,
                  dissolution or winding up) (the "Parity Shares") with the
                  Series A Preferred Shares, except dividends or distributions
                  paid ratably on the Series A Preferred Shares and all such
                  Parity Shares on which dividends and distributions are payable
                  in proportion to the total amounts to which the holders of all
                  such shares are then entitled; or


                                       4


<PAGE>


                           (iii) redeem or purchase or otherwise acquire for
                  consideration any Parity Shares, provided that the Company may
                  at any time redeem, purchase or otherwise acquire any such
                  Parity Shares in exchange for any Shares of the Company
                  ranking junior (either as to dividends or distributions, or
                  upon dissolution, liquidation or winding up) to the Series A
                  Preferred Shares; or

                           (iv) redeem or purchase or otherwise acquire for
                  consideration any Series A Preferred Shares, or any Parity
                  Shares, except in accordance with a purchase offer made in
                  writing or by publication (as determined by the Board of
                  Trustees) to all holders of such shares upon such terms as the
                  Board of Trustees, after consideration of the respective
                  annual dividend rates and other relative rights and
                  preferences of the respective series and classes, shall
                  determine in good faith will result in fair and equitable
                  treatment among the respective series or classes.

                  (B) The Company shall not permit any subsidiary of the Company
         to purchase or otherwise acquire for consideration any shares of
         beneficial interest of the Company unless the Company could, under
         paragraph (A) of this Section 5, purchase or otherwise acquire such
         shares at such time and in such manner.

         Section 6.        Liquidation, Dissolution or Winding Up.

                  (A) Upon any liquidation (voluntary or otherwise), dissolution
         or winding up of the Company, no dividend or distribution shall be made
         to the holders of shares of beneficial interest ranking junior (either
         as to dividends or distributions, or upon liquidation, dissolution or
         winding up) to the Series A Preferred Shares unless, prior thereto, the
         holders of Series A Preferred Shares shall have received (i) $35,000
         per share, plus (ii) any unpaid dividends and distributions accrued and
         unpaid thereon, whether or not declared, to the date of such payment
         (the "Series A Junior Liquidation Preference"). Following the payment
         of the full amount of the Series A Junior Liquidation Preference, no
         additional dividends or distributions shall be made to the holders of
         Series A Preferred Shares unless, prior thereto, the holders of Common
         Shares shall have received an amount per share (the "Common
         Adjustment") equal to the quotient obtained by dividing (i) the Series
         A Junior Liquidation Preference by (ii) 1,000 (as appropriately
         adjusted as set forth in subparagraph (C) below to reflect such events
         as share splits, share dividends and share distributions, and
         recapitalizations with respect to the Common Shares) (such number in
         clause (ii) immediately above as so adjusted being referred to as the
         "Adjustment Number"). Following the payment of the full amount of the
         Series A Junior Liquidation Preference and the Common Adjustment in
         respect of all outstanding Series A Preferred Shares and Common Shares,
         respectively, holders of Series A Preferred Shares and holders of
         Common Shares shall receive their ratable and proportionate share of
         the remaining assets to be distributed in the ratio of the Adjustment
         Number to one (1) with respect to such Series A Preferred Shares and
         Common Shares, on a per share basis, respectively.

                                       5


<PAGE>


                  (B) In the event, however, that there are not sufficient
         assets available to permit payment in full of the Series A Junior
         Liquidation Preference and the liquidation preferences of all other
         series of Preferred Shares, if any, which rank on a parity with the
         Series A Preferred Shares, then such remaining assets shall be
         distributed ratably to the holders of such parity shares in proportion
         to their respective liquidation preferences. In the event, however,
         that there are sufficient assets available to permit payment in full of
         the Common Adjustment, then such remaining assets shall be distributed
         ratably to the holders of Common Shares.

                  (C) In the event the Company shall at any time after the
         Rights Declaration Date (i) declare any dividend or distribution on
         Common Shares payable in Common Shares, (ii) subdivide the outstanding
         Common Shares, or (iii) combine the outstanding Common Shares into a
         smaller number of shares, then in each such case the Adjustment Number
         in effect immediately prior to such event shall be adjusted by
         multiplying such Adjustment Number by a fraction the numerator of which
         is the number of Common Shares outstanding immediately after such event
         and the denominator of which is the number of Common Shares that were
         outstanding immediately prior to such event.

         Section 7. Consolidation, Merger, Etc. In case the Company shall enter
into any consolidation, merger, combination or other transaction in which the
Common Shares are exchanged for or changed into other shares or securities, cash
and/or any other property, then in any such case the Series A Preferred Shares
shall at the same time be similarly exchanged or changed into such shares or
securities, cash and/or any other property in an amount per share (subject to
the provision for adjustment hereinafter set forth) equal to one thousand
(1,000) times the aggregate amount of shares, securities, cash and/or any other
property (payable in kind), as the case may be, into which or for which each
Common Shares is changed or exchanged. In the event the Company shall at any
time after the Rights Declaration Date (i) declare any dividend or distribution
on Common Shares payable in Common Shares, (ii) subdivide the outstanding Common
Shares, or (iii) combine the outstanding Common Shares into a smaller number of
shares, then in each such case the amount set forth in the preceding sentence
with respect to the exchange or change of Series A Preferred Shares (as
previously adjusted, if any prior adjustment has occurred) shall be adjusted by
multiplying such amount by a fraction, the numerator of which is the number of
Common Shares outstanding immediately after such event and the denominator of
which is the number of Common Shares that were outstanding immediately prior to
such event.

         Section 8. Redemption at the Option of the Board of Trustees. The
outstanding Series A Preferred Shares may be redeemed as a whole, but not in
part, at any time, or from time to time, at the option of the Board of Trustees,
at a cash price per share equal to 105 percent of (i) the product of the
Adjustment Number times the Average Market Value (as such term is hereinafter
defined) of the Common Shares, plus (ii) all dividends and distributions which
on the redemption date are payable on the shares to be redeemed and have not
been paid, earned or declared and a sum sufficient for the payment thereof set
apart, without interest. The "Average Market Value" of the Series A Preferred
Shares shall equal the average of the closing sale prices of the Common Shares
during the 30-day period immediately preceding the date before the

                                       6


<PAGE>




redemption date on the Composite Tape for New York Stock Exchange Listed Stocks,
or, if such shares are not quoted on the Composite Tape, on the New York Stock
Exchange, or, if such shares are not listed on such Exchange, on the principal
United States securities exchange registered under the Securities Exchange Act
of 1934, as amended, on which such shares are listed, or, if such shares are not
listed on any such exchange, the average of the closing sale prices with respect
to a Common Shares during such 30-day period, as quoted on the National
Association of Securities Dealers, Inc. Automated Quotations System or any
system then in use, or if no such quotations are available, the fair market
value of the Common Shares as determined by the Board in good faith.

         Section 9. Shares to be Retired. Any Series A Preferred Shares
purchased or otherwise acquired by the Company in any manner whatsoever shall be
retired and canceled promptly after the acquisition thereof. All such shares
shall upon their cancellation become authorized but unissued preferred shares of
beneficial interest of the Company and may be reissued as part of a new series
of preferred shares to be created by resolution or resolutions of the Board of
Trustees, subject to the conditions and restrictions on issuance set forth
herein, or reclassified as Common Shares or other shares of the Company as
provided in the Company's Declaration of Trust.

         Section 10. Ranking. Notwithstanding anything contained herein to the
contrary, the Series A Preferred Shares shall rank junior to all other series of
the Company's Preferred Shares as to voting rights, the payment of dividends and
distributions, and the distribution of assets in liquidation, unless the terms
of any such series shall provide otherwise.

         Section 11. Amendment. The Declaration of Trust of the Company shall
not be further amended, nor shall Articles Supplementary be filed or amended, in
any manner which would materially alter or change the powers, preferences or
special rights of the Series A Preferred Shares so as to affect them adversely
without the affirmative vote of the holders of at least a majority of the
outstanding Series A Preferred Shares, voting separately as a class.

         Section 11. Fractional Shares. Series A Preferred Shares may be issued
in fractions of a share which shall entitle the holders, in proportion to such
holders' fractional shares, to exercise voting rights, receive dividends,
participate in distributions and have the benefit of all other rights of holders
of Series A Preferred Shares.

                       [Page Break Intentionally Inserted]



                                       7


<PAGE>


         IN WITNESS WHEREOF, the Company has caused these Articles Supplementary
to be duly executed by its President and Chief Executive Officer and attested by
its Assistant Secretary this 13th day of October, 1999.


                               ELDERTRUST


                               By: /s/ D. Lee McCreary, Jr.
                                   ------------------------------------
                               Name:   D. Lee McCreary, Jr.
                               Title:  President and Chief Executive Officer


         I, Kelly McAteer, Assistant Secretary, hereby acknowledge on behalf of
ElderTrust that the foregoing Articles Supplementary are the act of said trust
under the penalties of perjury.


Attest:


     /s/ Kelly McAteer
- ----------------------
         Kelly McAteer


                                        8



<PAGE>

                                   ELDERTRUST


                      1999 SHARE OPTION AND INCENTIVE PLAN
<PAGE>



<TABLE>
<CAPTION>
                                TABLE OF CONTENTS

                                                                                                              Page
                                                                                                              ----

<S>                                                                                                             <C>
SECTION 1. GENERAL PURPOSE OF THE PLAN; DEFINITIONS..............................................................1


SECTION 2. ADMINISTRATION OF PLAN; ADMINISTRATOR AUTHORITY TO SELECT PARTICIPANTS AND DETERMINE AWARDS...........2


SECTION 3. SHARES ISSUABLE UNDER THE PLAN; RECAPITALIZATIONS; MERGERS; SUBSTITUTE AWARDS.........................3


SECTION 4. ELIGIBILITY...........................................................................................4


SECTION 5. SHARE OPTIONS.........................................................................................4


SECTION 6. RESTRICTED SHARE AWARDS...............................................................................6


SECTION 7. DEFERRED SHARE AWARDS.................................................................................7


SECTION 8. UNRESTRICTED SHARE AWARDS.............................................................................8


SECTION 9. PERFORMANCE SHARE AWARDS..............................................................................8


SECTION 10. DISTRIBUTION EQUIVALENT RIGHTS.......................................................................8


SECTION 11. TAX WITHHOLDING......................................................................................9


SECTION 12. TRANSFER, LEAVE OF ABSENCE, ETC......................................................................9


SECTION 13. AMENDMENTS AND TERMINATION...........................................................................9


SECTION 14. STATUS OF PLAN.......................................................................................10


SECTION 15. CHANGE OF CONTROL PROVISIONS.........................................................................10


SECTION 16. GENERAL PROVISIONS...................................................................................11


SECTION 17. EFFECTIVE DATE OF PLAN...............................................................................11


SECTION 18. GOVERNING LAW........................................................................................11
</TABLE>


                                       i



<PAGE>

                                   ELDERTRUST

                      1999 SHARE OPTION AND INCENTIVE PLAN



SECTION 1.        GENERAL PURPOSE OF THE PLAN; DEFINITIONS

         The name of the plan is the ElderTrust 1999 Share Option and Incentive
Plan (the "Plan"). The purpose of the Plan is to encourage and enable the
officers, employees, Non-Employee Trustees and other key persons of ElderTrust
(the "Company"), and the employees and other key persons of ElderTrust Operating
Limited Partnership (the "Operating Partnership") and the Company's other
Subsidiaries, upon whose judgment, initiative and efforts the Company largely
depends for the successful conduct of its business to acquire a proprietary
interest in the Company. It is anticipated that providing such persons with a
direct stake in the Company's welfare will assure a closer identification of
their interests with those of the Company, thereby stimulating their efforts on
the Company's behalf and strengthening their desire to remain with the Company.

         The following terms shall be defined as set forth below:

         "Act" means the Securities Exchange Act of 1934, as amended from time
to time.

         "Administrator" means either the Board or the Committee, to the extent
the Committee has been delegated authority pursuant to Section 2.

         "Award" or "Awards," except where referring to a particular category of
grant under the Plan, shall include Incentive Share Options, Non-Qualified Share
Options, Restricted Share Awards, Deferred Share Awards, Unrestricted Share
Awards, Performance Share Awards and Distribution Equivalent Rights.

         "Board" means the Board of Trustees of the Company as constituted from
time to time.

         "Change of Control" is defined in Section 15.

         "Code" means the Internal Revenue Code of 1986, as amended from time to
time, and any successor Code, and related rules, regulations and
interpretations.

         "Committee" means the Committee of the Board referred to in Section
2(b).

         "Company" means ElderTrust, a Maryland real estate investment trust,
and any successor thereto.

         "Deferred Share Award" means Awards granted pursuant to Section 7.

         "Distribution Equivalent Right" means Awards granted pursuant to
Section 10.

         "Effective Date" means the date on which the Plan is initially approved
by Shareholders as set forth in Section 17.

         "Fair Market Value" on any given date means the last reported sale
price at which Shares are traded on such date or, if no Shares are traded on
such date, the next preceding date on which Shares were traded, as reflected on
the principal stock exchange or, if applicable, any other national stock
exchange on which the Shares are traded or admitted to trading.

         "Incentive Share Option" means any Share Option that qualifies as and
is designated in writing in the related Option agreement as constituting an
"incentive stock option" as defined in Section 422 of the Code.


                                       1


<PAGE>


         "Non-Employee Trustee" means a member of the Board who is not also an
employee of the Company or any Subsidiary.

         "Non-Qualified Share Option" means any Share Option that is not an
Incentive Share Option.

         "Operating Partnership" means ElderTrust Operating Limited Partnership,
a Delaware limited partnership, and any successor thereto.

         "Option" or "Share Option" means any option to purchase Shares granted
pursuant to Section 5.

         "Performance Share Award" means Awards granted pursuant to Section 9.

         "Restricted Share Award" means Awards granted pursuant to Section 6.

         "Shares" means the common shares of beneficial interest, par value $.01
per share, of the Company, subject to adjustments pursuant to Section 3.

         "Subsidiary" means any corporation or other entity (other than the
Company) in any unbroken chain of corporations or other entities beginning with
the Company if each of the corporations or entities (other than the last
corporation or entity in the unbroken chain) owns Shares or other interests
possessing 50 percent or more of the economic interest or the total combined
voting power of all classes of Shares or other interests in one of the other
corporations or entities in the chain.

         "Unrestricted Share Award" means any Award granted pursuant to Section
8.


SECTION 2. ADMINISTRATION OF PLAN; ADMINISTRATOR AUTHORITY TO SELECT
PARTICIPANTS AND DETERMINE AWARDS

         (a) The Plan shall be administered by the Board, which shall have the
full power and authority to take all actions and to make all determinations
required or provided for under the Plan or any Award granted or agreement
entered into hereunder and all such other actions and determinations not
inconsistent with the specific terms and provisions of the Plan deemed by the
Board to be necessary or appropriate to the administration of the Plan or any
Award granted or agreement entered into hereunder.

         (b) The Board from time to time may appoint a Committee consisting of
two or more members of the Board who, in the sole discretion of the Board, may
be the same trustees who serve on the Compensation Committee, or may appoint the
Compensation Committee to serve as the Committee. The Board, in its sole
discretion, may provide that the role of the Committee shall be limited to
making recommendations to the Board concerning any determinations to be made and
actions to be taken by the Board pursuant to or with respect to the Plan, or the
Board may delegate to the Committee such powers and authorities related to the
administration of the Plan, as set forth in Section 2(a) above, as the Board
shall determine, consistent with the By-Laws of the Company and applicable law.
In the event that the Plan or any Award granted or agreement entered into
hereunder provides for any action to be taken by or determination to be made by
the Board, such action may be taken by or such determination may be made by the
Committee if the power and authority to do so has been delegated to the
Committee by the Board as provided for in this Section 2.


         (c) Powers of Administrator. The Administrator shall have the power and
authority to grant Awards consistent with the terms of the Plan, including the
power and authority:

                  (i) to select the individuals to whom Awards may from time to
         time be granted;

                  (ii) to determine the time or times of grant, and the extent,
         if any, of Incentive Share Options, Non-Qualified Share Options,
         Restricted Share Awards, Deferred Share Awards,


                                       2

<PAGE>



         Unrestricted Share Awards, Performance Share Awards and Distribution
         Equivalent Rights, or any combination of the foregoing, granted to any
         one or more participants;

                  (iii) to determine the number of Shares to be covered by any
         Award;

                  (iv) to determine and modify from time to time the terms and
         conditions, including restrictions, not inconsistent with the terms of
         the Plan, of any Award, which terms and conditions may differ among
         individual Awards and participants, and to approve the form of written
         instruments evidencing the Awards;

                  (v) to accelerate at any time the exercisability or vesting of
         all or any portion of any Award;

                  (vi) subject to the provisions of Section 5(a)(ii), to extend
         at any time the post-termination period in which Share Options may be
         exercised;

                  (vii) to determine at any time whether, to what extent, and
         under what circumstances Shares and other amounts payable with respect
         to an Award shall be deferred either automatically or at the election
         of the participant and whether and to what extent the Company shall pay
         or credit amounts constituting deemed interest (at rates determined by
         the Administrator) or distributions or deemed distributions on such
         deferrals; and

                  (viii) at any time to adopt, alter and repeal such rules,
         guidelines and practices for administration of the Plan and for its own
         acts and proceedings as it shall deem advisable; to interpret the terms
         and provisions of the Plan and any Award (including related written
         instruments); to make all determinations it deems advisable for the
         administration of the Plan; to decide all disputes arising in
         connection with the Plan; and to otherwise supervise the administration
         of the Plan.

         All decisions and interpretations of the Administrator shall be made in
the Administrator's sole and absolute discretion and shall be final and binding
on all persons, including the Company and Plan participants.


SECTION 3. SHARES ISSUABLE UNDER THE PLAN; RECAPITALIZATIONS; MERGERS;
SUBSTITUTE AWARDS

         (a) Shares Issuable. The maximum number of Shares reserved and
available for issuance under the Plan shall be 350,000 Shares. For purposes of
this limitation, if any portion of an Award is forfeited, canceled, reacquired
by the Company, satisfied without the issuance of Shares or otherwise
terminated, the Shares underlying such portion of the Award shall be added back
to the Shares available for issuance under the Plan. Subject to such overall
limitation, Shares may be issued up to such maximum number pursuant to any type
or types of Award; provided, however, that, Shares Options with respect to no
more than 250,000 Shares may be granted to any one individual participant during
any one calendar year period. The Shares available for issuance under the Plan
may be authorized but unissued Shares or Shares reacquired by the Company.

         (b) Recapitalizations. If, through, or as a result of any merger,
consolidation, sale of all or substantially all of the assets of the Company,
reorganization, recapitalization, reclassification, share dividend, share split,
reverse share split or other similar transaction, the outstanding Shares are
increased or decreased or are exchanged for a different number or kind of shares
or other securities of the Company, or additional shares or new or different
shares or other securities of the Company or other non-cash assets are
distributed with respect to such Shares or other securities, the Administrator
may make an appropriate or proportionate adjustment in (i) the maximum number of
Shares reserved for issuance under the Plan, (ii) the number of Share Options
that can be granted to any one individual participant, (iii) the number and kind
of shares or other securities subject to any then outstanding Awards under the
Plan, and (iv) the price for each share subject to any then outstanding Share
Options under the Plan, without changing the aggregate exercise price (i.e., the
exercise price multiplied by the number of Share Options) as to which such Share
Options remain exercisable. The adjustment by the Administrator shall be

                                       3


<PAGE>




final, binding and conclusive. No fractional Shares shall be issued under the
Plan resulting from any such adjustment, but the Administrator in its discretion
may make a cash payment in lieu of fractional shares.

         (c) Mergers. In contemplation of and subject to the consummation of a
consolidation or merger or sale of all or substantially all of the assets of the
Company in which outstanding Shares are exchanged for securities, cash or other
property of an unrelated corporation or business entity or in the event of a
liquidation of the Company (in each case, a "Transaction"), the Board, or the
board of directors of any entity assuming the obligations of the Company, may,
in its discretion, take any one or more of the following actions, as to
outstanding Awards: (i) provide that such Awards shall be assumed or equivalent
awards shall be substituted, by the acquiring or succeeding corporation (or an
affiliate thereof), and/or (ii) upon written notice to the participants, provide
that all Awards will terminate immediately prior to the consummation of the
Transaction. In the event that, pursuant to clause (ii) above, Awards will
terminate immediately prior to the consummation of the Transaction, all vested
Awards, other than Share Options, shall be fully settled in cash or in kind at
such appropriate consideration as determined by the Administrator in its sole
discretion after taking into account the consideration payable per Share
pursuant to the business combination (the "Merger Price") and all Share Options
shall be fully settled, in cash or in kind, in an amount equal to the difference
between (A) the Merger Price times the number of Shares subject to such
outstanding Share Options (to the extent then exercisable at prices not in
excess of the Merger Price) and (B) the aggregate exercise price of all such
outstanding Share Options; provided, however, that each participant shall be
permitted, within a specified period determined by the Administrator prior to
the consummation of the Transaction, to exercise all outstanding Share Options,
including those that are not then exercisable, subject to the consummation of
the Transaction.

         (d) Substitute Awards. The Administrator may grant Awards under the
Plan in substitution for Shares and Share based awards held by employees of
another corporation who become employees of the Company or a Subsidiary as the
result of a merger or consolidation of the employing corporation with the
Company or a Subsidiary or the acquisition by the Company or a Subsidiary of
property or Shares of the employing corporation. The Administrator may direct
that the substitute awards be granted on such terms and conditions as the
Administrator considers appropriate in the circumstances.


SECTION 4. ELIGIBILITY

         Participants in the Plan will be such full or part-time officers and
other employees, Non-Employee Trustees and key persons of the Company, the
Operating Partnership and the Company's other Subsidiaries who are responsible
for or contribute to the management, growth or profitability of the Company, the
Operating Partnership and the Company's other Subsidiaries as are selected from
time to time by the Administrator in its sole discretion.


SECTION 5. SHARE OPTIONS

         Any Share Option granted under the Plan shall be in such form as the
Administrator may from time to time approve.

         Share Options granted under the Plan may be either Incentive Share
Options or Non-Qualified Share Options. Incentive Share Options may be granted
only to employees of the Company or any Subsidiary that is a "subsidiary
corporation" within the meaning of Section 424(f) of the Code. To the extent
that any Option does not qualify as an Incentive Share Option, it shall be
deemed a Non-Qualified Share Option.

         No Incentive Share Option shall be granted under the Plan after April
15, 2009.

         (a) Share Options Granted to Employees and Key Persons and Non-Employee
Trustees. The Administrator in its discretion may grant Share Options to
eligible employees and key persons of the Company or any Subsidiary and to
Non-Employee Trustees. Share Options granted pursuant to this Section 5(a) shall
be subject to the following terms and conditions and shall contain such
additional terms and conditions, not inconsistent with the terms of the Plan, as
the Administrator shall deem desirable. If the Administrator so determines,
Share Options

                                       4


<PAGE>

may be granted in lieu of cash compensation at the participant's election,
subject to such terms and conditions as the Administrator may establish, as well
as in addition to other compensation.

                           (i) Exercise Price. The exercise price per share for
                  the Shares covered by a Share Option granted pursuant to this
                  Section 5(a) shall be determined by the Administrator at the
                  time of grant but shall not be less than 100 percent of the
                  Fair Market Value on the date of grant in the case of
                  Incentive Share Options, or par value in the case of
                  Non-Qualified Share Options. If an employee owns or is deemed
                  to own (by reason of the attribution rules of Section 424(d)
                  of the Code) more than 10 percent of the combined voting power
                  of all classes of Shares of the Company or any parent or
                  subsidiary corporation and an Incentive Share Option is
                  granted to such employee, the exercise price of such Incentive
                  Share Option shall be not less than 110 percent of the Fair
                  Market Value on the grant date.

                           (ii) Option Term. The term of each Share Option shall
                  be fixed by the Administrator, but no Incentive Share Option
                  shall be exercisable more than ten years after the date the
                  Share Option is granted. If an employee owns or is deemed to
                  own (by reason of the attribution rules of Section 424(d) of
                  the Code) more than 10 percent of the combined voting power of
                  all classes of Shares of the Company or any parent or
                  subsidiary corporation and an Incentive Share Option is
                  granted to such employee, the term of such Share Option shall
                  be no more than five years from the date of grant.

                           (iii) Exercisability; Rights of a Shareholder. Share
                  Options shall become exercisable at such time or times,
                  whether or not in installments, as shall be determined by the
                  Administrator at or after the grant date; provided, however,
                  that Share Options granted in lieu of compensation shall be
                  exercisable in full as of the grant date unless the
                  Administrator otherwise provides in the Option Award
                  agreement. The Administrator may at any time accelerate the
                  exercisability of all or any portion of any Share Option. A
                  participant shall have the rights of a Shareholder only as to
                  Shares acquired upon the exercise of a Share Option and not as
                  to unexercised Share Options.

                           (iv) Method of Exercise. Share Options may be
                  exercised in whole or in part, by giving written notice of
                  exercise to the Company, specifying the number of shares to be
                  purchased. Payment of the purchase price may be made by one or
                  more of the following methods to the extent provided in the
                  Option Award agreement:

                                    (A) In cash, by certified or bank check or
                           other instrument acceptable to the Administrator;

                                    (B) In the form of Shares that are not then
                           subject to restrictions under any Company plan and
                           that have been beneficially owned by the participant
                           for at least six months, if permitted by the
                           Administrator in its discretion. Such surrendered
                           Shares shall be valued at Fair Market Value on the
                           exercise date;

                                    (C) By the participant delivering to the
                           Company a properly executed exercise notice together
                           with irrevocable instructions to a broker to promptly
                           deliver to the Company cash or a check payable and
                           acceptable to the Company to pay the purchase price;
                           provided that in the event the participant chooses to
                           pay the purchase price as so provided, the
                           participant and the broker shall comply with such
                           procedures and enter into such agreements of
                           indemnity and other agreements as the Administrator
                           shall prescribe as a condition of such payment
                           procedure; or

                                    (D) By the participant delivering to the
                           Company a promissory note if the Administrator has
                           expressly authorized the loan of funds to the
                           participant for the purpose of enabling or assisting
                           the participant to effect the exercise of his Share
                           Option; provided that at least so much of the
                           exercise price as represents the par value of the
                           Shares shall be paid other than with a promissory
                           note.


                                       5


<PAGE>


                  Payment instruments will be received subject to collection.
                  The delivery of certificates representing the Shares to be
                  purchased pursuant to the exercise of a Share Option will be
                  contingent upon receipt from the participant (or a purchaser
                  acting in his stead in accordance with the provisions of the
                  Share Option) by the Company of the full purchase price for
                  such shares and the fulfillment of any other requirements
                  contained in the Share Option or applicable provisions of
                  laws.

                           (v) Annual Limit on Incentive Share Options. To the
                  extent required for "incentive stock option" treatment under
                  Section 422 of the Code, the aggregate Fair Market Value
                  (determined as of the time of grant) of the Shares with
                  respect to which Incentive Share Options granted under this
                  Plan and any other plan of the Company or its parent and
                  subsidiary corporations become exercisable for the first time
                  by a participant during any calendar year shall not exceed
                  $100,000. To the extent that any Share Option exceeds this
                  limit, it shall constitute a Non-Qualified Share Option.

         (b) Reload Options. At the discretion of the Administrator and subject
to such restrictions, terms and conditions as the Administrator may establish,
Options granted under the Plan may include a "reload" feature pursuant to which
a participant exercising a Share Option by the delivery of a number of Shares in
accordance with Section 5(a)(iv)(B) hereof would automatically be granted an
additional Share Option (with an exercise price equal to the Fair Market Value
of the Shares on the date the additional Share Option is granted and with such
other terms as the Administrator may provide) to purchase that number of Shares
equal to the number delivered to exercise the original Share Option with an
Option term equal to the remainder of the original Option term unless the
Administrator otherwise determines in the Option Award agreement for the
original grant.

         (c) Non-transferability of Share Options. No Share Option shall be
transferable by the participant otherwise than by will or by the laws of descent
and distribution and all Share Options shall be exercisable, during the
participant's lifetime, only by the participant. Notwithstanding the foregoing,
the Administrator, in its sole discretion, may provide in the Award agreement
regarding a given Share Option that the participant may transfer, without
consideration for the transfer, his Non-Qualified Share Options to members of
his family, to trusts for the benefit of such family members, or to partnerships
in which such family members are the only partners, provided that the transferee
agrees in writing with the Company to be bound by all of the terms and
conditions of this Plan and the applicable Option Award agreement.

         (d) Termination. Except as may otherwise be provided by the
Administrator either in the Award agreement, or, subject to Section 13 below, in
writing after the Award agreement is issued, a participant's rights in all Share
Options shall automatically terminate upon the participant's termination of
employment (or cessation of business relationship) with the Company and its
Subsidiaries for any reason.


SECTION 6.        RESTRICTED SHARE AWARDS

         (a) Nature of Restricted Share Awards. A Restricted Share Award is an
Award entitling the recipient to acquire, at par value or such other higher
purchase price determined by the Administrator, Shares subject to such
restrictions and conditions as the Administrator may determine at the time of
grant ("Restricted Shares"). Conditions may be based on continuing employment
(or other business relationship) and/or achievement of pre-established
performance goals and objectives. Such performance goals and objectives shall be
established in writing by the Administrator prior to the ninetieth day of the
year in which the grant is made and while the outcome is substantially
uncertain. Performance goals and objectives shall be based on Share price,
market share, sales, earnings per Share, return on equity, costs, or any
combination of these factors. Performance goals and objectives may include
positive results, maintaining the status quo or limiting economic losses. The
grant of a Restricted Share Award is contingent on the participant executing the
Restricted Share Award agreement. The terms and conditions of each such
agreement shall be determined by the Administrator, and such terms and
conditions may differ among individual Awards and participants.

         (b) Rights as a Shareholder. Upon execution of the Restricted Share
Award agreement and paying any applicable purchase price, a participant shall
have the rights of a Shareholder with respect to the voting of the

                                       6

<PAGE>


Restricted Share, subject to such terms and conditions as may be contained in
the Restricted Share Award agreement. Unless the Administrator shall otherwise
determine, certificates evidencing the Restricted Shares shall remain in the
possession of the Company until such Restricted Shares are vested as provided in
Section 6(d) below, and the participant shall be required, as a condition of the
grant, to deliver to the Company a Share power endorsed in blank.

         (c) Restrictions. Restricted Shares may not be sold, assigned,
transferred, pledged or otherwise encumbered or disposed of except as
specifically provided herein or in the Restricted Share Award agreement. If a
participant's employment (or other business relationship) with the Company and
its Subsidiaries terminates for any reason, the Company shall have the right to
repurchase Restricted Shares that have not vested at the time of termination at
their original purchase price, from the participant or the participant's legal
representative.

         (d) Vesting of Restricted Shares. The Administrator at the time of
grant shall specify the date or dates and/or the attainment of pre-established
performance goals, objectives and other conditions on which the
non-transferability of the Restricted Shares and the Company's right of
repurchase or forfeiture shall lapse. Subsequent to such date or dates and/or
the attainment of such pre-established performance goals, objectives and other
conditions, the shares on which all restrictions have lapsed shall no longer be
Restricted Shares and shall be deemed "vested." Except as may otherwise be
provided by the Administrator either in the Award agreement or, subject to
Section 13 below, in writing after the Award agreement is issued, a
participant's rights in any shares of Restricted Shares that have not vested
shall automatically terminate upon the participant's termination of employment
(or other business relationship) with the Company and its Subsidiaries and such
shares shall be subject to the Company's right of repurchase as provided in
Section 6(c) above.

         (e) Waiver, Deferral and Reinvestment of Distributions. The Restricted
Share Award agreement may require or permit the immediate payment, waiver,
deferral or reinvestment (in the form of additional Restricted Shares) of
distributions paid on the Restricted Shares.


SECTION 7. DEFERRED SHARE AWARDS

         (a) Nature of Deferred Share Awards. A Deferred Share Award is an Award
of phantom Share units to a participant, subject to restrictions and conditions
as the Administrator may determine at the time of grant. Conditions may be based
on continuing employment (or other business relationship) and/or achievement of
pre-established performance goals and objectives. The grant of a Deferred Share
Award is contingent on the participant executing the Deferred Share Award
agreement. The terms and conditions of each such agreement shall be determined
by the Administrator, and such terms and conditions may differ among individual
Awards and participants. At the end of the deferral period, the Deferred Share
Award, to the extent vested, shall be paid to the participant in the form of
Shares.

         (b) Election to Receive Deferred Share Awards in Lieu of Compensation.
The Administrator may, in its sole discretion, permit a participant to elect to
receive a portion of the cash compensation or Restricted Share Award otherwise
due to such participant in the form of a Deferred Share Award. Any such election
shall be made in writing and shall be delivered to the Company no later than the
date specified by the Administrator and in accordance with rules and procedures
established by the Administrator. The Administrator shall have the sole right to
determine whether and under what circumstances to permit such elections and to
impose such limitations and other terms and conditions thereon as the
Administrator deems appropriate.

         (c) Rights as a Shareholder. During the deferral period, a participant
shall have no rights as a Shareholder; provided, however, that the participant
may be credited with Distribution Equivalent Rights with respect to the phantom
Share units underlying his Deferred Share Award, subject to such terms and
conditions as the Administrator may determine.

         (d) Restrictions. A Deferred Share Award may not be sold, assigned,
transferred, pledged or otherwise encumbered or disposed of during the deferral
period.


                                       7


<PAGE>


         (e) Termination. Except as may otherwise be provided by the
Administrator either in the Award agreement or, subject to Section 13 below, in
writing after the Award agreement is issued, a participant's right in all
Deferred Share Awards that have not vested shall automatically terminate upon
the participant's termination of employment (or cessation of business
relationship) with the Company and its Subsidiaries for any reason.


SECTION 8. UNRESTRICTED SHARE AWARDS

         Grant or Sale of Unrestricted Shares. The Administrator may, in its
sole discretion, grant (or sell at par value or such other higher purchase price
determined by the Administrator) an Unrestricted Share Award to any participant
pursuant to which such participant may receive Shares free of any restrictions
("Unrestricted Shares") under the Plan. Unrestricted Share Awards may be granted
or sold as described in the preceding sentence in respect of past services or
other valid consideration, or in lieu of any cash compensation due to such
participant.


SECTION 9. PERFORMANCE SHARE AWARDS

         (a) Nature of Performance Share Awards. A Performance Share Award is an
Award entitling the recipient to acquire Shares upon the attainment of specified
performance goals. The Administrator may make Performance Share Awards
independent of or in connection with the granting of any other Award under the
Plan. The Administrator in its sole discretion shall determine whether and to
whom Performance Share Awards shall be made, the performance goals applicable
under each such Award, the periods during which performance is to be measured,
and all other limitations and conditions applicable to the awarded Performance
Shares; provided, however, that the Administrator may rely on the performance
goals and other standards applicable to other performance unit plans of the
Company in setting the standards for Performance Share Awards under the Plan.

         (b) Rights as a Shareholder. A participant receiving a Performance
Share Award shall have the rights of a Shareholder only as to shares actually
received by the participant under the Plan and not with respect to shares
subject to the Award but not actually received by the participant. A participant
shall be entitled to receive a Share certificate evidencing the acquisition of
Shares under a Performance Share Award only upon satisfaction of all conditions
specified in the written instrument evidencing the Performance Share Award (or
in a performance plan adopted by the Administrator).

         (c) Termination. Except as may otherwise be provided by the
Administrator either in the Award agreement or, subject to Section 13 below, in
writing after the Award agreement is issued, a participant's rights in all
Performance Share Awards shall automatically terminate upon the participant's
termination of employment (or cessation of business relationship) with the
Company and its Subsidiaries for any reason.

         (d) Acceleration, Waiver, Etc. At any time prior to the participant's
termination of employment (or other business relationship) by the Company and
its Subsidiaries, the Administrator may in its sole discretion accelerate, waive
or, subject to Section 13, amend any or all of the goals, restrictions or
conditions imposed under any Performance Share Award.


SECTION 10. DISTRIBUTION EQUIVALENT RIGHTS

         (a) Distribution Equivalent Rights. A Distribution Equivalent Right is
an Award entitling the recipient to receive credits based on cash distributions
that would have been paid on the Shares specified in the Distribution Equivalent
Right (or other award to which it relates) if such shares had been issued to and
held by the recipient. A Distribution Equivalent Right may be granted hereunder
to any participant as a component of another Award or as a freestanding award.
The terms and conditions of Distribution Equivalent Rights shall be specified in
the grant. Distribution equivalents credited to the holder of a Distribution
Equivalent Right may be paid currently or may be deemed to be reinvested in
additional Shares, which may thereafter accrue additional equivalents. Any such
reinvestment shall be at Fair Market Value on the date of reinvestment.
Distribution Equivalent Rights may be settled in cash or Shares or a combination
thereof, in a single installment or installments, all determined in the sole

                                       8


<PAGE>


discretion of the Administrator. A Distribution Equivalent Right granted as a
component of another Award may provide that such Distribution Equivalent Right
shall be settled upon exercise, settlement, or payment of, or lapse of
restrictions on, such other award, and that such Distribution Equivalent Right
shall expire or be forfeited or annulled under the same conditions as such other
award. A Distribution Equivalent Right granted as a component of another Award
may also contain terms and conditions different from such other award.

         (b) Interest Equivalents. Any Award under this Plan that is settled in
whole or in part in cash on a deferred basis may provide in the grant for
interest equivalents to be credited with respect to such cash payment. Interest
equivalents may be compounded and shall be paid upon such terms and conditions
as may be specified by the grant.

         (c) Termination. Except as may otherwise be provided by the
Administrator either in the Award agreement or, subject to Section 13 below, in
writing after the Award agreement is issued, a participant's rights in all
Distribution Equivalent Rights or interest equivalents shall automatically
terminate upon the participant's termination of employment (or cessation of
business relationship) with the Company and its Subsidiaries for any reason.


SECTION 11. TAX WITHHOLDING

         (a) Payment by Participant. Each participant shall, no later than the
date as of which the value of an Award or of any Shares or other amounts
received thereunder first becomes includable in the gross income of the
participant for Federal income tax purposes, pay to the Company, or make
arrangements satisfactory to the Administrator regarding payment of, any
Federal, state, or local taxes of any kind required by law to be withheld with
respect to such income. The Company and its Subsidiaries shall, to the extent
permitted by law, have the right to deduct any such taxes from any payment of
any kind otherwise due to the participant. The Company's obligation to deliver
Share certificates to any participant is subject to and conditioned on tax
obligations being satisfied by the participant.

         (b) Payment in Shares. Subject to approval by the Administrator, a
participant may elect to have such tax withholding obligation satisfied, in
whole or in part, by (i) authorizing the Company to withhold from Shares to be
issued pursuant to any Award a number of shares with an aggregate Fair Market
Value (as of the date the withholding is effected) that would satisfy the
withholding amount due, or (ii) transferring to the Company Shares owned by the
participant with an aggregate Fair Market Value (as of the date the withholding
is effected) that would satisfy the withholding amount due.


SECTION 12. TRANSFER, LEAVE OF ABSENCE, ETC.

         For purposes of the Plan, the following events shall not be deemed a
termination of employment:

         (a) a transfer to the employment of the Company from a Subsidiary or
from the Company to a Subsidiary, or from one Subsidiary to another; or

         (b) an approved leave of absence for military service or sickness, or
for any other purpose approved by the Company, if the employee's right to
reemployment is guaranteed either by a statute or by contract or under the
written policy pursuant to which the leave of absence was granted or if the
Administrator otherwise so provides in writing.


SECTION 13. AMENDMENTS AND TERMINATION

         The Board may, at any time, amend or discontinue the Plan and the
Administrator may, at any time, amend or cancel any outstanding Award for the
purpose of satisfying changes in law or for any other lawful purpose, but no
such action shall adversely affect rights under any outstanding Award without
the holder's written consent. The


                                       9


<PAGE>




Administrator may provide substitute Awards at the same or reduced exercise or
purchase price or with no exercise or purchase price in a manner not
inconsistent with the terms of the Plan, but such price, if any, must satisfy
the requirements which would apply to the substitute or amended Award if it were
then initially granted under this Plan, but no such action shall adversely
affect rights under any outstanding Award without the holder's written consent.
Nothing in this Section 13 shall limit the Board's authority to take any action
permitted pursuant to Section 3(c).


SECTION 14. STATUS OF PLAN

         Unless the Administrator shall otherwise expressly determine in
writing, with respect to the portion of any Award which has not been exercised
and any payments in cash, Shares or other consideration not received by a
participant, a participant shall have no rights greater than those of a general
creditor of the Company. In its sole discretion, the Administrator may authorize
the creation of trusts or other arrangements to meet the Company's obligations
to deliver Shares or make payments with respect to Awards hereunder, provided
that the existence of such trusts or other arrangements is consistent with the
foregoing sentence.


SECTION 15. CHANGE OF CONTROL PROVISIONS

         (a) Upon the occurrence of a Change of Control as defined in this
Section 15 or as otherwise defined in the Award agreement, each Award shall be
subject to such terms, if any, with respect to a Change of Control as have been
provided by the Administrator either in the Award agreement or, subject to
Section 13 above, in writing after the Award agreement is issued.

         (b) "Change of Control" shall mean the occurrence of any one of the
following events:

(i) any "person" (as such term is used in Sections 13(d) and 14(d) of the Act),
becomes the "beneficial owner" (as defined in Rule 13d-3 under the Act),
directly or indirectly, of securities of the Company representing fifty percent
(50%) or more of the combined voting power of the Company's then outstanding
securities; (ii) during any two (2) year period, individuals who at the
beginning of such period constitute the Board of Trustees, including for this
purpose any new trustee whose election resulted from a vacancy on the Board of
Trustees caused by the mandatory retirement, death, or disability of a trustee
and was approved by a vote of at least two-thirds (2/3rds) of the trustees then
still in office who were trustees at the beginning of the period, cease for any
reason to constitute a majority thereof; (iii) notwithstanding clauses (i) or
(v) of this Section 15(b), the Company consummates a merger or consolidation of
the Company with or into another corporation or trust, the result of which is
that the shareholders of the Company at the time of the execution of the
agreement to merge or consolidate own less than eighty percent (80%) of the
total equity of the entity surviving or resulting from the merger or
consolidation or of a entity owning, directly or indirectly, one hundred percent
(100%) of the total equity of such surviving or resulting entity; (iv) the sale
in one or a series of transactions of all or substantially all of the assets of
the Company; (v) any person, has commenced a tender or exchange offer, or
entered into an agreement or received an option to acquire beneficial ownership
of fifty percent (50%) or more of the total number of voting shares of the
Company unless the Board of Trustees has made a determination that such action
does not constitute and will not constitute a change in the persons in control
of the Company; or (vi) there is a change of control in the Company of a nature
that would be required to be reported in response to Item 6(e) of Schedule 14A
of Regulation 14A promulgated under the Act other than in circumstances
specifically covered by clauses (i) - (v) above.


                                       10



<PAGE>


SECTION 16. GENERAL PROVISIONS

         (a) No Distribution; Compliance with Legal Requirements. The
Administrator may require each person acquiring Shares pursuant to an Award to
represent to and agree with the Company in writing that such person is acquiring
the shares without a view to distribution thereof.

         No Shares shall be issued pursuant to an Award until all applicable
securities law and other legal and stock exchange or similar requirements have
been satisfied. The Administrator may require the placing of such stop-orders
and restrictive legends on certificates for Shares and Awards as it deems
appropriate.

         (b) Delivery of Share Certificates. Share certificates to be delivered
to participants under this Plan shall be deemed delivered for all purposes when
the Company or a Share transfer agent of the Company shall have mailed such
certificates in the United States mail, addressed to the participant, at the
participant's last known address on file with the Company.

         (c) Other Compensation Arrangements; No Employment Rights. Nothing
contained in this Plan shall prevent the Board from adopting other or additional
compensation arrangements, including trusts, and such arrangements may be either
generally applicable or applicable only in specific cases. The adoption of this
Plan and the grant of Awards shall not confer upon any employee any right to
continued employment with the Company or any Subsidiary and shall not interfere
in any way with the right of the Company or any Subsidiary to terminate the
employment of any of its employees at any time.

         (d) Trading Policy Restrictions. Option exercises and other Awards
under the Plan shall be subject to such Company insider-trading-policy-related
restrictions, terms and conditions as may be established by the Administrator,
or in accordance with policies set by the Administrator, from time to time.


SECTION 17. EFFECTIVE DATE OF PLAN

         This Plan shall become effective upon approval by the holders of a
majority of the votes cast at a meeting of Shareholders at which a quorum is
present. Subject to such approval by the Shareholders and to the requirement
that no Share may be issued hereunder prior to such approval, Share Options and
other Awards may be granted hereunder on and after adoption of this Plan by the
Board.


SECTION 18. GOVERNING LAW

         This Plan and all Awards and actions taken thereunder shall be governed
by, and construed in accordance with, the laws of the State of Maryland, applied
without regard to conflict of law principles.


                                       11



<PAGE>

December 22, 1999

ET Capital Corp
101 East State Street, Suite 100
Kennett Square, Pennsylvania  19348
Attn: D. Lee McCreary, Jr., President

Re: Intercreditor Agreement between ET Capital Corp, ("Creditor"), AGE Institute
    of Florida, Inc. ("Borrower") and Bank of America, N.A. ("formerly
    NationsBank, N.A., the "Lender") dated as of September 30, 1998 (the
    "Agreement") (All capitalized terms used herein but not defined herein shall
    have the meanings attributed to such in the Agreement)

Dear Mr. McCreary:

On September 23, 1999, the Lender delivered a Default Notice to you identifying
the events of defaults of Borrower under the NationsBank Loan Agreements.
Pursuant to Sections 3.1 and 5.3(b) of the Agreement, the delivery of the
Default Notice to you terminated the subordination of the Lender's Lien in the
Accounts and initiated the period for creation of "Post-Default Accounts."

The Lender has agreed at the Borrower's request to waive the events of default
and to extend the maturity date of the NationsBank Loan Obligations until March
28, 2000 (the "Extension Period") upon the satisfaction of certain conditions
precedent, including, but not limited to your agreement to the recitations set
forth below.

By executing this letter, you acknowledge and agree that (1) from and after
September 23, 1999, all Accounts generated by Borrower constitute "Post-Default
Accounts," (b) the Lender's security interest in the Post-Default Accounts is
senior to the interest of the Creditor's security interest in such Accounts and
(c) the waiver by the Lender of the events of default under the NationsBank Loan
Agreements, the extension of the due date of the NationsBank Loan Obligations
and various other modifications as set forth in the Limited Waiver and First
Amendment Agreement entered into between Lender and Borrower of even date
herewith (the "First Amendment") do not constitute a revocation, nullification
or waiver of the Default Notice by Lender, (d) Creditor shall have no right to
accelerate the obligations of Borrower to Creditor during the Extension Period
nor to receive payments of principal during the Extension Period (provided,
Creditor may receive payments of interest during the Extension Period pursuant
to Section 3.1 of the Agreement as if no Event of Default had occurred), and (e)
all other terms and conditions of the Agreement remain in effect.


<PAGE>

Creditor hereby unconditionally waives and releases any claim or defense that it
may have that the Lender's security interest in the Post-Default Accounts is
subordinate to the Creditor's security interest by virtue of the waiver of the
events of default and the execution of the First Amendment or the terms and
conditions contained therein.

Please execute a copy of this letter in the space provided below and return the
original to us.

Very truly yours,

Bank of America, N.A.
By: /s/ F. A. Zagar
    ---------------------
Title:  Managing Director

Read and agreed:
AGE Institute of Florida, Inc.
By: /s/ Carol A. Tschop
    -------------------------
Building Title: President

ET Capital Corp:
By: /s/ D. Lee McCreary, Jr.
    ------------------------
Title: President


                                       2




<PAGE>

                                OPTION AGREEMENT


         THIS OPTION AGREEMENT (the "Agreement") is made as of the 24th day of
January 2000, by and between D. Lee McCreary, Jr., an individual residing in
Landenberg, Pennsylvania ("Optionor"), and ElderTrust Operating Limited
Partnership, a Delaware limited partnership ("Optionee").

         1. Grant of Option. Optionor, in consideration of the sum of Ten
Dollars ($10) Dollars (the "Option Price"), receipt and sufficiency of which are
hereby acknowledged, hereby grants to Optionee the exclusive right and option
(the "Option") to purchase all of Optionor's right, title and interest in an to
Vernon ALF, L.L.C. ("Vernon ALF Ownership Interest"). Good and clear title to
the Vernon ALF Ownership Interest, free and clear of all liens and encumbrances
except as may be acceptable to Optionee, is to be conveyed upon exercise of the
Option.

         2. Exercise of the Option. The Option may be exercised by Optionee at
any time by providing written notice of such election to Optionor. Nothing
herein shall be construed to obligate Optionor to exercise the Option and
Optionor hereby acknowledge and agree that the Option may be exercised by
Optionee at Optionee's sole and absolute discretion.

         3. Purchase Price. If Optionor exercises the Option as herein provided,
Optionee shall pay to Optionor a purchase price for the Optionor's Vernon ALF
Ownership Interest in the amount of Three Thousand Two Hundred Forty-Four
($3,244.00) Dollars (the "Purchase Price").

         4. Representations and Warranties. Optionor hereby represents and
warrants to Optionee that Optionor is the sole owner of the Vernon ALF Ownership
Interest and has the full and complete authority to enter into this Agreement
and convey the Vernon ALF Ownership Interest free and clear of any lien, claim
or encumbrance. Optionee and Optionor agree to execute such other documentation
and take such other action as may be commercially reasonable to effectuate this
Agreement.

         5. Assignment. Optionee shall have the right to assign this Option, or
any of Optionee's Rights hereunder, or to name nominees to take title to the
Vernon ALF Ownership Interest.

         6. Successors and Assigns. This Agreement shall be binding upon the
parties hereto and their respective heirs, executors, administrators, successors
and assigns.

         7. Notices. Wherever in this Agreement it shall be required or
permitted that notice or demand be given or served by either party to or on the
other, such notice or demand shall be deemed duly given or served if, and shall
not be deemed duly given or served unless, in writing and mailed by certified
mail, return receipt requested, or sent by Federal Express or comparable private
delivery service which provides proof of delivery, addressed as follows:

                            If given to Optionor:

                                    D. Lee McCreary, Jr.
                                    1512 Broadrun Road
                                    Landenberg, PA  19350

                            If given to Optionee:

                                    c/o ElderTrust
                                    101 East State Street
                                    Kennett Square, Pennsylvania  19348
                                    Attn:  Chief Operating Officer

         The time at which any notice or demand shall be deemed given or served
shall be the time at which such notice or demand is mailed or delivered, whether
or not such delivery is refused. Any notice may also be delivered personally but
only if delivered personally to the individuals to whom notice is required to be
given as set forth above.



<PAGE>


         IN WITNESS WHEREOF, Optionor and Optionee have executed this Agreement
as of the date first above written.

OPTIONOR:                                   OPTIONEE:

/s/ D. Lee McCreary, Jr.
- -----------------------------
D. Lee McCreary, Jr.                        ELDERTRUST OPERATING LIMITED
Date:  March 22, 2000                       PARTNERSHIP
                                            a Delaware limited partnership

                                            By:  ElderTrust, its general partner


                                            By:  /s/ John H. Haas
                                                 -------------------------------
                                            Name:  John Haas
                                            Title: Chief Operating Officer
                                            Date: March 22, 2000

                                       2



<PAGE>


Exhibit 10.43



                       THIRD AMENDMENT TO CREDIT AGREEMENT



                                  by and among


                                   ELDERTRUST,
                    a Maryland real estate investment trust,



                    ELDERTRUST OPERATING LIMITED PARTNERSHIP,
                         a Delaware limited partnership,



                                 VARIOUS BANKS,


                                       and



                      GERMAN AMERICAN CAPITAL CORPORATION,
                             as Administrative Agent


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


                           Dated as of January 3, 2000


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


<PAGE>



                       THIRD AMENDMENT TO CREDIT AGREEMENT

                  This THIRD AMENDMENT TO CREDIT AGREEMENT, dated as of January
3, 2000 (this "Agreement"), by and among ELDERTRUST (the "REIT"), a Maryland
real estate investment trust, ELDERTRUST OPERATING LIMITED PARTNERSHIP (the
"Borrower"), a Delaware limited partnership, the Banks from time to time party
to the Credit Agreement (defined below), and GERMAN AMERICAN CAPITAL CORPORATION
(the "Administrative Agent").

                  Unless the context otherwise requires, all capitalized terms
used in this Agreement shall have the respective meanings set forth herein or in
that certain Credit Agreement dated as of January 30, 1998 (as amended by a
First Amendment to Credit Agreement dated as of January 29, 1999 (the "First
Amendment") and a Second Amendment to Credit Agreement dated as of March 31,
1999 (the "Second Amendment") and as it may be further amended, restated,
replaced, supplemented or otherwise modified from time to time, the "Credit
Agreement"), by and among the REIT, the Borrower, the various Banks that from
time to time become parties under the Credit Agreement, Deutsche Bank AG, New
York Branch (as Issuing Bank) and the Administrative Agent.


                              W I T N E S S E T H :
                              ---------------------


                  WHEREAS, the Borrower and the REIT have requested, and the
Banks have agreed, to (i) extend the Maturity Date of the Loans which have
heretofore been made to the Borrower, and (ii) otherwise modify the Credit
Agreement in certain respects, in each case, on and subject to the terms and
conditions set forth herein.


                  WHEREAS, because the current Maturity Date of January 1, 2000
is not a Business Day, the current Maturity Date is deemed extended to the first
Business Day following such date.

                  NOW, THEREFORE, in consideration of the foregoing, the
agreements contained herein and other good and valuable consideration, the
receipt and adequacy of which are hereby acknowledged, it is agreed:

                  1. Extension of Maturity  Date. Effective on the Effective
Date (as defined  below),  the Maturity Date of the Loans shall be extended from
January 1, 2000 to June 30, 2001.

                  2. Future Borrowings. Effective on the Effective Date, future
Borrowings of Loans shall be permitted, provided, however, that the aggregate
maximum principal amount of Loans that may be outstanding during the period from
the Effective Date to the Maturity Date shall not exceed the lesser of (i)
$45,419,720 and (ii) as of any Borrowing date, the Borrowing Base then in


<PAGE>

effect. From and after the Effective Date, re-Borrowings of Loans shall not be
permitted after repayment, except for a portion of the Total Commitment equal to
$5,750,000 (the "Revolving Loan Portion"), which portion of the Total Commitment
may be repaid and re-Borrowed in accordance with the provisions of the Credit
Agreement. Future payments made by the Borrower in reduction of principal of
Loans shall be applied first to the repayment of the outstanding principal of
the Revolving Loan Portion. Effective on the Effective Date, the Total
Commitment shall be reduced to $45,419,720, and the Total Commitment shall be
further reduced from time to time in connection with (and in an amount equal to
the amount of) any repayment of Loans made by the Borrower which is applied to
the reduction of principal of Loans not constituting part of the Revolving Loan
Portion. The parties hereto acknowledge and reconfirm that, pursuant to the
First Amendment, (i) Letters of Credit are no longer available under the Credit
Documents, and (ii) additions to the Borrowing Base are no longer permitted.

                  3. Interest Rate. Effective on the Effective Date, the
definition of "Applicable Margin" set forth in the Credit Agreement shall be
restated in its entirety as follows:

                  " "Applicable Margin" shall mean: (a) with respect to a
                  Eurodollar Loan, 2.75%, and (b) with respect to a Base Rate
                  Loan, 1.5%; provided, however, that during any period in which
                  (A) the aggregate outstanding principal amount of Loans
                  exceeds 80% of the Borrowing Base then in effect, or (B) the
                  Borrowing Base is comprised exclusively of Borrowing Base
                  Pledged Mortgage Loans, "Applicable Margin" shall mean: (x)
                  with respect is a Eurodollar Loan, 3.25%, and (y) with respect
                  to a Base Rate Loan, 2.0%."

                  4. Amortization. Effective on the Effective Date, Section 3.02
of the Credit Agreement is hereby amended by changing the designation of
Subsection "(h)" thereof to Subsection "(i)", and by adding the following new
Subsection (h) thereto:

                  "(h) Commencing on February 1, 2000 and on the first Business
                  Day of each calendar month thereafter until the Maturity Date,
                  the Borrower shall repay Loans in an amount equal to 0.22% of
                  the aggregate principal amount of Loans outstanding on the
                  first Business Day of the immediately preceding calendar
                  month."


                                       2
<PAGE>

                  5. Interest Coverage Ratio. Effective on the Effective Date,
Section 8.10 of the Credit Agreement shall be restated in its entirety to read
as follows:

                  "8.10 Minimum Interest Coverage Ratio. The REIT will not
                  permit the ratio of Consolidated EBITDA to Consolidated
                  Interest Expense for the Test Period then ended to be less
                  than 1.75:1.00 at any time."

                  6. Montchanin Pledged Mortgage Loan. Effective on the
Effective Date, the Administrative Agent consents to a waiver by the Borrower of
its option to acquire the real property securing the Montchanin Pledged Mortgage
Loan. The Borrower shall repay principal of Loans in an amount equal to the
greater of (i) the Borrowing Base Amount for the Montchanin Pledged Mortgage
Loan and (ii) 100% of the proceeds received by the Borrower in connection with
the repayment of the Montchanin Pledged Mortgage Loan, in either case, within
one (1) Business Day of its receipt of such amounts.

                  7. Certain Matters in Connection with Payment of Dividends.
Effective on the Effective Date, provided that no Event of Default has then
occurred and is continuing, the REIT will be permitted to declare and pay
regular dividends through June 30, 2001 in accordance with Section 8.03 of the
Credit Agreement. The proviso at the end of Section 8.03 of the Credit Agreement
is hereby restated in its entirety as follows:

                  "; provided, that the aggregate amount of cash Dividends paid
                  by the REIT pursuant to this clause (iii) in any fiscal
                  quarter of the REIT shall not exceed 95% of the REIT's
                  estimated funds from operations (as determined pursuant to the
                  definition of "funds from operations" of the National
                  Association of Real Estate Investment Trusts as in effect on
                  January 30, 1998) for such fiscal quarter, except for
                  additional cash Dividends of up to $3,000,000 in the aggregate
                  that may be paid by the REIT from time to time during the
                  period from the Effective Date to the Maturity Date; and
                  provided further that, except with respect to Dividends paid
                  on or about January 15, 2000 and on or about January 15, 2001,
                  no Dividends shall be paid by the REIT pursuant to this clause
                  (iii) in any fiscal quarter of the REIT prior to the release
                  by the REIT of its quarterly earnings report.".

                  8. Facility Fee. Effective on the Effective Date, the Borrower
shall pay a monthly facility fee to the Administrative Agent on the first
Business Day of each calendar month, commencing on February 1, 2000, in an
amount equal to 0.0625% of the Total Commitment then in effect net of any
prepayments made on such day (other than prepayments applied to the Revolving
Loan Portion).

                                       3
<PAGE>


                  9. Reserve Account. Effective on the Effective Date, Paragraph
4 of the Second Amendment is hereby modified by inserting after Subparagraph
4(c)(ii) thereof the following new Subparagraph:

                  "(iii) Third, the Administrative Agent shall, on the due dates
                  therefor, apply the Account Collateral to the principal
                  payments due in respect of the Loans pursuant to Section
                  3.02(h) of the Credit Agreement".

Subparagraphs 4(c)(iii) and 4(c)(iv) of the Second Amendment shall be
redesignated as Subparagraphs 4(c)(iv) Fourth and 4(c)(v) Fifth, respectively.

                  10. Agreement of Banks. The Administrative Agent, as of the
date hereof, is the only Bank (as defined in the Credit Agreement) and
accordingly, and notwithstanding the provisions of Section 2.03(b) of the Credit
Agreement, the only consent required for the effectiveness of this Agreement is
that of the Administrative Agent. The consent of the Administrative Agent shall
be granted upon satisfaction of all applicable conditions precedent set forth in
Paragraph 11 of this Agreement.

                  11. Effective Date; Conditions Precedent. This Agreement shall
be effective on the date (the "Effective Date") upon which all of the following
conditions have been satisfied:

                  (a) The parties hereto shall have executed and delivered this
Agreement;

                  (b) The Borrower shall have delivered to the Administrative
Agent a certificate of an Authorized Officer of the Borrower stating that no
Default or Event of Default under the Credit Agreement and the other Credit
Documents has occurred and is continuing as of the Effective Date. In addition,
the Administrative Agent shall be satisfied that the Borrower, the REIT and its
Subsidiaries are in compliance with all of their respective obligations under
the terms of the Credit Agreement and the other Credit Documents;

                  (c) The Borrower shall have paid a non-refundable loan
maturity extension fee (the "Extension Fee") to the Administrative Agent in an
amount equal to the sum of (i) $57,500 and (ii) 1.0% of the aggregate principal
amount of Loans outstanding on the Effective Date; provided, however, in the
event the Borrower is unable to transmit the Extension Fee to the Administrative
Agent on the Effective Date because of so called "Y2K" problems, this condition
shall be deemed waived and the Borrower agrees to pay the Extension Fee to the
Administrative Agent as soon as practicable thereafter and, in any event, it
shall be an Event of Default in the event the Borrower fails to pay the
Extension Fee within ten (10) days of the Effective Date.

                                       4
<PAGE>


                  (d) The Borrower shall have executed and/or delivered or
caused to be executed and/or delivered to the Administrative Agent such
documents and instruments with respect to this Agreement and the transactions
contemplated herein as the Administrative Agent may reasonably request,
including without limitation, the following: (i) reconfirmations of the
Subsidiaries Guaranty and the Parent Guaranty; (ii) mortgage modification
agreements in recordable form, to be filed in the records where each Mortgage is
filed, evidencing the maturity date extension, the interest rate modification
and the other aspects of this Agreement, in form and content satisfactory to the
Administrative Agent; (iii) endorsements to the mortgagee title insurance
policies insuring the liens of the Mortgages, down-dating coverage and insuring
the Mortgages as modified by the mortgage modifications referred to in clause
(ii) above; and (iv) one or more opinions of counsel to the REIT and its
Subsidiaries, in form and content satisfactory to the Administrative Agent,
addressing such matters as the Administrative Agent may reasonably request,
including, without limitation, the enforceability of this Agreement;

                  (e) The REIT and the Borrower shall each ratify, affirm,
reaffirm and confirm to the Administrative Agent in writing that each of the
representations, warranties, covenants and agreements made by the REIT and the
Borrower in the Credit Agreement and the other Credit Documents as supplemented
and modified hereby are true, correct and complete as of the Effective Date; and

                  (f) The REIT and the Borrower shall deliver to the
Administrative Agent current certificates of good standing for each of the REIT
and the Borrower issued by the Secretary of State of the states in which each
entity is formed.

                  12. Amendments to all Existing Loan Documents. From and after
the Effective Date, each reference in any of the Credit Documents relating to
the Credit Agreement shall be a reference to the Credit Agreement as
supplemented and modified hereby. In the event of any conflict between the terms
of this Agreement and the terms of the Credit Agreement, the terms of this
Agreement shall supersede and be controlling.

                  13. Enforceable Obligations. The REIT and the Borrower hereby
ratify, affirm, reaffirm, confirm, acknowledge and agree that (i) the Credit
Agreement, and the other Credit Documents, as supplemented and modified by this
Agreement, represent the valid, enforceable and collectible obligations of the
REIT and the Borrower, and (ii) the Liens, security interests, assignments and
other rights evidenced by the Credit Agreement and the other Credit Documents,
as supplemented and modified by this Agreement, continue uninterrupted from the
their original dates of execution and delivery.

                                       5
<PAGE>


                  14. Payment of Expenses. The Borrower agrees to pay all costs
and expenses incurred by the Administrative Agent in connection herewith
including, without limitation, all recordation and filing fees, servicing fees,
taxes and reasonable attorneys' fees and expenses.

                  15. Limitation of Amendments. This Agreement is limited as
specified and other than the specific terms and provisions contained herein
shall not constitute an amendment, modification or waiver of, or otherwise
affect, in any way, any other provisions of the Credit Agreement, the Notes, the
Mortgages or any other Credit Documents.

                  16. Counterparts. This Agreement may be executed in any number
of counterparts and by the different parties hereto on separate counterparts,
each of which when so executed and delivered shall be an original, but all of
which shall together constitute one and the same instrument.

                  17. Captions, etc. The use of the singular shall include the
plural when the context requires and vice versa. The captions contained herein
are for purposes of convenience and are not part of this Agreement.

                  18. Further Assurances. The REIT and the Borrower agree to
execute and deliver, or cause to be executed and delivered, to the
Administrative Agent all other instruments, certificates, agreements, consents
and opinions, and to take, or cause to be taken, such other actions as the
Administrative Agent may reasonably require in order to accomplish, evidence or
confirm the terms of this Agreement. In connection with the foregoing, the
Borrower agrees to pay or provide for to the satisfaction of the Administrative
Agent and Issuing Bank the payment of all costs and expenses in connection
therewith, including, without limitation, all attorney's fees and expenses.

                  19. Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of New York, including,
without limitation, Section 5-1401 of the General Obligations Law, but otherwise
without regard to conflict of law principles.


                                       6
<PAGE>


                  IN WITNESS WHEREOF, each of the parties hereto has caused this
Agreement to be duly executed and delivered by its duly authorized
representatives as of the day and year first above written.



                              ELDERTRUST



                              By: /s/ D. Lee McCreary Jr.
                                  -----------------------------------
                                  Name: D. Lee McCreary, Jr.
                                  Title: President and Chief Executive Officer



                              ELDERTRUST OPERATING
                                LIMITED PARTNERSHIP

                              By: ElderTrust, general partner



                              By: /s/ D. Lee McCreary, Jr.
                                  -----------------------------------
                                  Name: D. Lee McCreary, Jr.
                                  Title: President and Chief Executive Officer



                              GERMAN AMERICAN CAPITAL
                                CORPORATION, as a Bank and as
                                Administrative Agent



                              By: /s/ Christopher Tognola
                                  -----------------------------------
                                  Name: Christoper Tognola
                                  Title: Vice President



                              By: /s/ John Griffin
                                  -----------------------------------
                                  Name: John Griffin
                                  Title: Vice President





                                       7

<PAGE>



                               SECOND AMENDMENT TO
                           SECOND AMENDED AND RESTATED
                        AGREEMENT OF LIMITED PARTNERSHIP
                                       OF
                    ELDERTRUST OPERATING LIMITED PARTNERSHIP


         THIS SECOND AMENDMENT TO SECOND AMENDED AND RESTATED AGREEMENT OF
LIMITED PARTNERSHIP OF ELDERTRUST OPERATING LIMITED PARTNERSHIP (this "Second
Amendment"), dated as of October 13, 1999, is entered into by ElderTrust, a
Maryland real estate investment trust, as general partner (the "General
Partner") of ElderTrust Operating Limited Partnership (the "Partnership"), for
itself and on behalf of the limited partners of the Partnership;

         WHEREAS, the General Partner has entered into a Rights Agreement, dated
as of October 13, 1999, between the General Partner and First Union National
Bank, as rights agent ("the "Rights Agreement"), pursuant to which the General
Partner has agreed to issue to the holders of its common shares of beneficial
interest rights to purchase shares of a newly created series of preferred shares
of beneficial interest, designated Series A Junior Participating Preferred
Shares (the "Series A Preferred Shares"), upon and subject to the terms and
conditions set forth in the Rights Agreement;

         WHEREAS, pursuant to Section 4.2.A of the Second Amended and Restated
Agreement of Limited Partnership of the Partnership (as heretofore amended, the
"Partnership Agreement"), the Partnership will issue to the General Partner
rights to purchase a new class of Partnership Units, to be entitled "Series A
Junior Participating Preferred Units," from time to time concurrently with the
issuance by the General Partner from time to time of a like number of Series A
Preferred Share purchase rights pursuant to the Rights Agreement; and

         WHEREAS, pursuant to the authority granted to the General Partner
pursuant to Section 14.1.B of the Partnership Agreement, the General Partner
desires to amend the Partnership Agreement (i) to establish a new class of
Units, to be entitled "Series A Junior Participating Preferred Units" (the
"Series A Preferred Units"), and to set forth the designations, preferences and
relative, participating, optional or other special rights, powers and duties of
such Series A Preferred Units, which are substantially the same as those of the
Series A Preferred Shares, pursuant to Section 4.2.A of the Partnership
Agreement and (ii) to protect the economic interests of limited partners in the
Partnership to the extent provided herein upon exercise by holders of certain
rights to purchase Series A Preferred Shares granted under the Rights Agreement
and Articles Supplementary relating to the Series A Preferred Shares.

         NOW, THEREFORE, in consideration of the premises and for other good and
valuable consideration, the receipt and sufficiency of which hereby are
acknowledged, the General Partner hereby amends the Partnership Agreement, as
follows:





<PAGE>


         1. Article 1 of the Partnership Agreement hereby is amended to add the
following definitions:

         "Common Unit" means a Partnership Unit that is not a Preferred Unit.
The Class A Units, Class B Units and Class C (LIHTC) Units are Common Units.

         "Exercise Percentage" has the meaning set forth in Section 4.3.

         "Liquidation Preference Amount" means, with respect to any Preferred
Unit as of any date of determination, the amount (including accrued and unpaid
distributions to the date of determination) payable with respect to such
Preferred Unit (as established by the instrument designating such Preferred
Unit) upon the voluntary or involuntary dissolution or winding up of the
Partnership as a preference over distributions to Units ranking junior to such
Preferred Unit.

         "Preferred Unit" means any Partnership Unit issued from time to time
pursuant to Section 4.2 that is specifically designated by the General Partner
at the time of its issuance as a Preferred Unit. Each class or series of
Preferred Units shall have such designations, preferences, and relative,
participating, optional, or other special rights, powers, and duties, including
rights, powers, and duties senior to the Common Units, all as determined by the
General Partner, subject to compliance with the requirements of Section 4.2.

         In addition, the definitions of "Partnership Unit," "Percentage
Interest," and "Shares Amount" appearing in Article 1 of the Partnership
Agreement hereby are deleted in their entirety and the following definitions are
inserted in their place:

         "Partnership Unit" means a fractional, undivided share of the
Partnership Interests of all Partners issued pursuant to Sections 4.1 and 4.2,
and includes Class A Units, Class B Units, Class C (LIHTC) Units, Series A
Preferred Units and any other classes or series of Partnership Units established
after the date hereof. The number of Partnership Units outstanding and the
Percentage Interests in the Partnership represented by such Partnership Units
are set forth in Exhibit A, as such Exhibit may be amended from time to time.
The ownership of Partnership Units shall be evidenced by a certificate in a form
approved by the General Partner. Without limitation on the authority of the
General Partner as set forth in Section 4.2 (but subject to the limitations
thereof), the General Partner may designate any Partnership Units, when issued,
as Common Units or as Preferred Units, may establish any other class of
Partnership Units, and may designate one or more series of any class of
Partnership Units.

         "Percentage Interest" means, as to a Partner holding a class or series
of Partnership Interests, its interest in such class or series, determined by
dividing the number of Partnership Units in such class or series owned by such
Partner by the total number of Partnership Units in such class or series then
outstanding as specified in Exhibit A, as such exhibit may be amended from time
to time, multiplied by the aggregate Percentage Interest allocable to such class
of Partnership Interests. If the Partnership shall at any time have


                                       2



<PAGE>

outstanding more than one class of Partnership Interests, the Percentage
Interest attributable to each class of Partnership Interests shall be determined
as set forth in Section 4.2.B; provided, however, that, for purposes of
determining the rights and relationships among the various classes and series of
Partnership Units, Preferred Units shall not be considered to have any share of
the aggregate Percentage Interest in the Partnership unless, and only to the
extent, provided otherwise in the instrument creating such class or series of
Preferred Units.

         "Shares Amount" means a number of Shares equal to the number of Common
Units offered for redemption by a Redeeming Partner, multiplied by the
Conversion Factor; provided that, if the General Partner Entity issues to all
holders of Shares rights, options, warrants or convertible or exchangeable
securities entitling such holders to subscribe for or purchase Shares or any
other securities or property (collectively, the "rights") and if the Partnership
does not issue to all of the holders of Common Units at such time (other than
the General Partner) corresponding rights to subscribe for or purchase Common
Units or other securities or property corresponding to the securities or
property covered by the rights granted by the General Partner, then the Shares
Amount shall also include such rights that a holder of that number of Shares
would be entitled to receive had it owned such Shares at the time such rights
were issued; provided further that, if the rights issued by the General Partner
are issued pursuant to a shareholder rights plan (or other arrangement having
the same objective and substantially the same effect), then the Shares Amount
shall include such rights only to the extent that (a) the Common Units offered
for redemption were issued other than pursuant to Section 4.3 of this Agreement,
and (b) such rights have not been exercised by the holders thereof (and have not
otherwise terminated or been redeemed or eliminated).

         2. Section 4.2 of the Partnership Agreement hereby is amended to add
after Section 4.2.D the following section:

                  E. Series A Preferred Units. Under the authority granted to it
         by Section 4.2.A, the General Partner hereby establishes an additional
         class of Partnership Units entitled "Series A Junior Participating
         Preferred Units" (the "Series A Preferred Units"). Series A Preferred
         Units shall have the designations, preferences and relative,
         participating, optional or other special rights, powers and duties as
         set forth in Exhibit I hereto.

         3. Section 4.3 of the Partnership Agreement is hereby amended and
restated in its entirety as follows:

         If the General Partner acquires any Class A Units using the proceeds
from any exercise of any rights (as defined in the definition of Shares Amount)
issued under a shareholder rights plan (or other arrangement having the same
objective and substantially the same effect), then (a) the holders of Common
Units at such time (other than the General Partner) as a group shall have the
right to acquire, at the same price per Class A Unit paid by the General
Partner, a total number of additional Class A Units equal to the product of (i)
the total number of Common Units held by such holders, multiplied by (ii) a
fraction,

                                       3

<PAGE>



the numerator of which is the number of Class A Units issued to the General
Partner as a result of the exercise of such rights and the denominator of which
is the total number of Class A Units held by the General Partner immediately
prior to such issuance (which fraction is referred to as the "Exercise
Percentage"), and (b) each holder of a Class A Unit, Class B Unit or Class C
(LIHTC) Unit at such time shall have the right to acquire, at the same price per
Class A Unit paid by the General Partner, a number of Class A Units equal to the
product of (iii) the aggregate number of Common Units that such holder holds at
such time, multiplied by (iv) the Exercise Percentage. (Thus, for example, if
the General Partner were to acquire 2,000,000 Class A Units at $5 per Unit from
the proceeds of the exercise of outstanding rights issued under a shareholder
rights plan at a time when the General Partner already owned 8,000,000 Class A
Units out of a total of 12,000,000 outstanding Common Units (which would
represent a 25% increase in the number of Class A Units held by the General
Partner), then the other holders of Common Units as a group would have the right
to purchase a total of 1,000,000 Class A Units at $5 per Class A Unit, and each
holder of a Class A Unit, Class B Unit or Class C (LIHTC) Unit would be entitled
to purchase his proportionate share of such Class A Units, or .25 Class A Units
for each Class A Unit, Class B Unit or Class C (LIHTC) Unit then held by such
holder.) In the event Partnership Units or Partnership Interests other than
Class A Units (including, without limitation, Series A Preferred Units) are
issued to the General Partner using proceeds of any exercise of rights issued
under a shareholder rights plan (or other arrangement having the same objective
and substantially the same effect), the holders of Common Units shall be granted
the right to acquire such other Partnership Units or Partnership Interests at
the same price as paid by the General Partner and in such amounts as would be
comparable to their rights had Class A Units been issued instead. The General
Partner shall provide prompt written notice to the holders of Common Units of
its acquisition of Class A Units (or other Partnership Units or Partnership
Interests) using such proceeds and shall establish in good faith such procedures
as it deems appropriate (including, without limitation, procedures to eliminate
the issuance of fractional Partnership Units if the General Partner deems
appropriate) to effectuate the rights of the holders of Common Units under the
preceding provisions of this Section 4.3. Except to the extent expressly granted
by the Partnership pursuant to this Section 4.3 or another agreement, no person
shall have any preemptive, preferential or other similar right with respect to
(i) additional Capital Contributions or loans to the Partnership; or (ii)
issuance or sale of any Partnership Units or other Partnership Interests.

         4. Section 8.6.C of the Partnership Agreement is hereby amended and
restated in its entirety as follows:

                  C. Exceptions to Exercise of Redemption Right.


                           (i) Notwithstanding the provisions of Sections 8.6.A
         and 8.6.B, a Partner shall not be entitled to exercise the Redemption
         Right pursuant to Section 8.6.A if (but only as long as) the delivery
         of Shares to such Partner on the Specified Redemption Date (i) would be
         prohibited under the Declaration of Trust or (ii) would be prohibited


                                       4

<PAGE>


         under applicable federal or state securities laws or regulations (in
         each case regardless of whether the General Partner would in fact
         assume and satisfy the Redemption Right).

                           (ii) Notwithstanding the provisions of Sections 8.6.A
         and 8.6.B, a Partner shall not be entitled to exercise the Redemption
         Right pursuant to Section 8.6.A with respect to any Preferred Unit
         unless (i) such Preferred Unit has been issued to and is held by a
         Partner other than the General Partner, and (ii) the General Partner
         has expressly granted to such Partner the right to redeem such
         Preferred Units pursuant to Section 8.6.A.

                           (iii) Preferred Units shall be redeemed, if at all,
         only in accordance with such redemption rights or options as are set
         forth with respect to such Preferred Units (or class or series thereof)
         in the instruments designating such Preferred Units (or class or series
         thereof).

         5.       Exhibits to Partnership Agreement.

                  A. The General Partner shall maintain the information set
forth in Exhibit A to the Partnership Agreement, as such information shall
change from time to time, in such form as the General Partner deems appropriate
for the conduct of the Partnership's affairs, and Exhibit A shall be deemed
amended from time to time to reflect the information so maintained by the
General Partner, whether or not a formal amendment to the Partnership Agreement
has been executed amending such Exhibit A. In addition to the designation of
Series A Preferred Units pursuant to this First Amendment, such information
shall reflect (and Exhibit A shall be deemed amended from time to time to
reflect) the issuance of any additional Partnership Units to the General Partner
or any other Person, the transfer of Partnership Units and the redemption of any
Partnership Units, all as contemplated herein.

                  B. The Partnership Agreement is hereby amended by attaching
thereto as Exhibit I the Exhibit I attached hereto.


         6. Exhibit C to the Partnership Agreement hereby is amended to add new
Section 1.G as follows and existing Section 1.G shall be redesignated as Section
1.H:

                  G. Priority Allocation With Respect to Preferred Units. Any
         remaining items of Partnership gross income or gain for the Partnership
         Year, if any, shall be specially allocated to the General Partner or
         any other Partner that holds Preferred Units in an amount equal to the
         excess, if any, of the cumulative distributions received by such
         Partner for the current Partnership Year and all prior Partnership
         Years (other than distributions that are treated as being in
         satisfaction of the Liquidation Preference Amount for any Preferred
         Units held by such Partner or amounts paid in redemption of any
         Preferred Units, except to the extent that the Liquidation Preference
         Amount or amount paid in redemption includes accrued and unpaid
         distributions) over the cumulative allocations of Partnership gross
         income and gain to such Partner under this Section 1.F for all prior
         Partnership Years.

                                       5

<PAGE>



         7. Certain Capitalized Terms. All capitalized terms used in this First
Amendment and not otherwise defined shall have the meanings assigned in the
Partnership Agreement or in the Articles Supplementary of the General Partner.
Except as modified herein, all terms and conditions of the Partnership Agreement
shall remain in full force and effect, which terms and conditions the General
Partner hereby ratifies and affirms.

                       [Page Break Intentionally Inserted]




                                       6


<PAGE>


         IN WITNESS WHEREOF, the undersigned has executed this Second Amendment
as of the date first set forth above.

                                            ELDERTRUST,
                                            as General Partner of
                                            ElderTrust Operating Limited
                                                 Partnership


                                            By: /s/ D. Lee McCreary, Jr.
                                                --------------------------------
                                            Name:  D. Lee McCreary, Jr.
                                            Title: President and Chief
                                                   Executive Officer






                                       7


<PAGE>





                                    EXHIBIT I

          DESIGNATIONS, PREFERENCES AND OTHER RELATIVE, PARTICIPATING,
          OPTIONAL OR OTHER SPECIAL RIGHTS, POWERS AND DUTIES OF SERIES
                               A PREFERRED UNITS

         The Series A Preferred Units shall have the following designations,
preferences, rights, powers and duties:

         (1) Certain Defined Terms. The following capitalized terms used in this
Exhibit I shall have the respective meanings set forth below:

                  "Parity Units" has the meaning ascribed thereto in Section
(3)(A) below.

                  "Quarterly Distribution Payment Date" means the 15th day (or,
         if such day is not a Business Day, the next Business Day thereafter) of
         February, May, August and November of each year, commencing November
         15, 1999.

         (2)      Distributions.

                  (A) Each holder of the then outstanding Series A Preferred
         Units shall be entitled to receive out of funds legally available
         therefor, when, as and if declared by the Partnership, quarterly
         distributions payable in cash on the Quarterly Distribution Payment
         Date at the rate per Series A Preferred Unit equal to the greater of
         (a) $10.00 or (b) subject to the provision for adjustment hereinafter
         set forth, one thousand (1,000) times the aggregate per unit amount of
         all cash distributions, and one thousand (1,000) times the aggregate
         per unit amount (payable in kind) of all non-cash or other
         distributions (other than a distribution payable in Class A Units,
         Class B Units or Class C (LIHTC) Units of the Partnership, or a
         subdivision of the outstanding Class A Units, Class B Units or Class C
         (LIHTC) Units (by reclassification or otherwise)), declared on such
         Class A Units, Class B Units or Class C (LIHTC) Units, since the
         immediately preceding Quarterly Distribution Payment Date, or, with
         respect to the first Quarterly Distribution Payment Date, since the
         first issuance of any Series A Preferred Units or a fraction thereof.
         In the event the Partnership shall at any time after October 13, 1999
         (the "Rights Declaration Date") (i) declare or pay any distribution on
         Class A Units, Class B Units or Class C (LIHTC) Units payable in Class
         A Units, Class B Units or Class C (LIHTC) Units, (ii) subdivide the
         outstanding Class A Units, Class B Units or Class C (LIHTC) Units, or
         (iii) combine the outstanding Class A Units, Class B Units or Class C
         (LIHTC) Units into a smaller number of units, then in each such case
         the amount to which holders of Series A Preferred Units were entitled
         immediately prior to such event under clause (b) of the preceding
         sentence shall be adjusted by multiplying such amount by a fraction,
         the numerator of which is the number of Common Units outstanding
         immediately after such event and the denominator of which is the number
         of Common Units that were outstanding immediately prior to such event.


                                       A-1


<PAGE>


                  (B) The Partnership shall declare a distribution on the Series
         A Preferred Units as provided in paragraph (A) above immediately after
         it declares a distribution on any Common Units (other than a
         distribution payable in Common Units); provided that, in the event no
         distribution shall have been declared on the Common Units during the
         period between any Quarterly Distribution Payment Date and the next
         subsequent Quarterly Distribution Payment Date, a distribution of
         $10.00 per unit on the Series A Preferred Units shall nevertheless be
         payable on such subsequent Quarterly Distribution Payment Date.

                  (C) Distributions shall begin to accrue and be cumulative on
         outstanding Series A Preferred Units from the Quarterly Distribution
         Payment Date next preceding the date of issue of such Series A
         Preferred Units, unless the date of issue of such units is prior to the
         record date set for the first Quarterly Distribution Payment Date, in
         which case distributions on such units shall begin to accrue from the
         date of issue of such units, or unless the date of issue is a Quarterly
         Distribution Payment Date or is a date after the record date for the
         determination of holders of Series A Preferred Units entitled to
         receive a quarterly distribution and before such Quarterly Distribution
         Payment Date, in either of which events such distributions shall begin
         to accrue and be cumulative from such Quarterly Distribution Payment
         Date. Accrued but unpaid distributions shall not bear interest.
         Distributions paid on the Series A Preferred Units in an amount less
         than the total amount of such distributions at the time accrued and
         payable on such units shall be allocated pro rata on a unit-by-unit
         basis among all such units at the time outstanding. The Board of
         Trustees of the General Partner may fix a record date for the
         determination of holders of Series A Preferred Units entitled to
         receive payment of a distribution declared thereon, which record date
         shall be no more than 60 days prior to the date fixed for the payment
         thereof.

         (3)      Certain Restrictions.

                  (A) Whenever distributions payable on the Series A Preferred
         Units as provided in Section (2) are not paid, thereafter and until
         such distributions, whether or not declared, on Series A Preferred
         Units outstanding shall have been paid in full, the Partnership shall
         not:

                           (i) declare or pay distributions on, or, except
         otherwise provided for in Section 8.6 of the Partnership Agreement,
         redeem or purchase or otherwise acquire for consideration, any units
         ranking junior (either as to distributions or upon liquidation,
         dissolution or winding up) to the Series A Preferred Units; or

                           (ii) declare or pay distributions on any units
         ranking on a parity (either as to distributions or upon liquidation,
         dissolution or winding up) (the "Parity Units") with the Series A
         Preferred Units, except distributions

                                       A-2

<PAGE>



         paid ratably on the Series A Preferred Units and all such Parity Units
         on which distributions are payable in proportion to the total amounts
         to which the holders of all such units are then entitled; or

                           (iii) redeem or purchase or otherwise acquire for
         consideration any Parity Units, provided that the Partnership may at
         any time redeem, purchase or otherwise acquire any such Parity Units in
         exchange for any units ranking junior (either as to distributions or
         upon dissolution, liquidation or winding up) to the Series A Preferred
         Units; or

                           (iv) redeem or purchase or otherwise acquire for
         consideration any Series A Preferred Units, or any Parity Units, except
         in accordance with a purchase offer made in writing or by publication
         (as determined by the Board of Trustees of the General Partner) to all
         holders of such units upon such terms as the Board of Trustees of the
         General Partner, after consideration of the respective annual
         distribution rates and other relative rights and preferences of the
         respective series and classes, shall determine in good faith will
         result in fair and equitable treatment among the respective series or
         classes.

                  (B) The General Partner shall not permit any subsidiary of the
         Partnership to purchase or otherwise acquire for consideration any
         Partnership Units unless the Partnership could, under paragraph (A) of
         this Section (3), purchase or otherwise acquire such units at such time
         and in such manner.

                  (C) Notwithstanding anything contained in this Section (3) to
         the contrary, nothing herein shall limit or restrict the right of a
         holder of a Partnership Unit to require the Partnership to redeem such
         Partnership Unit in accordance with the provisions of Section 8.6 of
         the Partnership Agreement.

         (4)      Liquidation, Dissolution or Winding Up.

                  (A) Upon any liquidation (voluntary or otherwise), dissolution
         or winding up of the Partnership, no distribution shall be made to the
         holders of Partnership Units ranking junior (either as to distributions
         or upon liquidation, dissolution or winding up) to the Series A
         Preferred Units unless, prior thereto, the holders of Series A
         Preferred Units shall have received (i) $35,500 per Unit, plus (ii) any
         unpaid distributions accrued and unpaid thereon, whether or not
         declared, to the date of such payment (the "Series A Junior Liquidation
         Preference"). Following the payment of the full amount of the Series A
         Junior Liquidation Preference, no additional distributions shall be
         made to the holders of Series A Preferred Units unless, prior thereto,
         the holders of Common Units shall have received an amount per unit (the
         "Common Adjustment") equal to the quotient obtained by dividing (i) the
         Series A Junior Liquidation Preference by (ii) 1,000 (as appropriately
         adjusted as set forth in subparagraph (C) below to reflect such events
         as unit splits, unit distributions and recapitalizations with respect
         to the Common Units) (such

                                       A-3


<PAGE>




         number in clause (ii) immediately above as so adjusted being referred
         to as the "Adjustment Number"). Following the payment of the full
         amount of the Series A Junior Liquidation Preference and the Common
         Adjustment in respect of all outstanding Series A Preferred Units and
         Common Units, respectively, holders of Series A Preferred Units and
         holders of Common Units shall receive their ratable and proportionate
         share of the remaining assets to be distributed in the ratio of the
         Adjustment Number to one (1) with respect to such Series A Preferred
         Units and Common Units, on a per unit basis, respectively.

                  (B) In the event, however, that there are not sufficient
         assets available to permit payment in full of the Series A Junior
         Liquidation Preference and the liquidation preferences of all other
         series of Preferred Units, if any, which rank on a parity with the
         Series A Preferred Units, then such remaining assets shall be
         distributed ratably to the holders of such Parity Units in proportion
         to their respective liquidation preferences. In the event, however,
         that there are sufficient assets available to permit payment in full of
         the Common Adjustment, then such remaining assets shall be distributed
         ratably to the holders of Common Units.

                  (C) In the event the Partnership shall at any time after the
         Rights Declaration Date (i) declare any distribution on Class A Units,
         Class B Units or Class C (LIHTC) Units payable in Class A Units, Class
         B Units or Class C (LIHTC) Units, (ii) subdivide the outstanding Class
         A Units, Class B Units or Class C (LIHTC) Units, or (iii) combine the
         outstanding Class A Units, Class B Units or Class C (LIHTC) Units into
         a smaller number of units, then in each such case the Adjustment Number
         in effect immediately prior to such event shall be adjusted by
         multiplying such Adjustment Number by a fraction, the numerator of
         which is the number of Common Units outstanding immediately after such
         event and the denominator of which is the number of Common Units that
         were outstanding immediately prior to such event.

                  5. Consolidation, Merger, Etc. In case the Partnership shall
enter into any consolidation, merger, combination or other transaction in which
Class A Units, Class B Units or Class C (LIHTC) Units are exchanged for or
changed into other units or securities, cash and/or any other property, then in
any such case the Series A Preferred Units shall at the same time be similarly
exchanged or changed into such units or securities, cash and/or any other
property in an amount per unit (subject to the provision for adjustment
hereinafter set forth) equal to one thousand (1,000) times the aggregate amount
of units, securities, cash and/or any other property (payable in kind), as the
case may be, into which or for which each Class A Unit, Class B Unit or Class C
(LIHTC) Units is changed or exchanged. In the event the Partnership shall at any
time after the Rights Declaration Date (i) declare any distribution on Class A
Units, Class B Units or Class C (LIHTC) Units payable in Class A Units, Class B
Units or Class C (LIHTC) Units, (ii) subdivide the outstanding Class A Units,
Class B Units or Class C (LIHTC) Units, or (iii) combine the outstanding Class A
Units, Class B Units or Class C (LIHTC) Units into a smaller number of units,
then in each such case the amount set forth in the preceding sentence with
respect to the exchange or change of Series A Preferred Units (as previously
adjusted, if any prior adjustment has occurred)


                                       A-4


<PAGE>



shall be adjusted by multiplying such amount by a fraction, the numerator of
which is the number of Class A Units, Class B Units or Class C (LIHTC) Units
outstanding immediately after such event and the denominator of which is the
number of Class A Units, Class B Units or Class C (LIHTC) Units that were
outstanding immediately prior to such event.

         6. Redemption Right. The outstanding Series A Preferred Units may be
redeemed as a whole, but not in part, at any time, or from time to time, at the
option of the Board of Trustees of the General Partner, at a cash price per unit
equal to 105 percent of (i) the product of the Adjustment Number times the
Average Market Value (as such term is hereinafter defined) of a Class A Unit,
plus (ii) all distributions which on the redemption date are payable on the
Series A Preferred Units to be redeemed and have not been paid, earned or
declared and a sum sufficient for the payment thereof set apart, without
interest. The "Average Market Value" of a Class A Unit shall equal the average
of the per share closing sale prices of the Shares of the General Partner during
the 30-day period immediately preceding the date before the redemption date on
the Composite Tape for New York Stock Exchange Listed Stocks, or, if such Shares
are not quoted on the Composite Tape, on the New York Stock Exchange, or, if
such Shares are not listed on such Exchange, on the principal United States
securities exchange registered under the Securities Exchange Act of 1934, as
amended, on which such Shares are listed, or, if such Shares are not listed on
any such exchange, the average of the per share closing sale prices of the
Shares during such 30-day period, as quoted on the National Association of
Securities Dealers, Inc. Automated Quotations System or any system then in use,
or if no such quotations are available, the fair market value of a Share as
determined by the Board of Trustees of the General Partner in good faith.

         7. Ranking. Notwithstanding anything contained herein to the contrary,
the Series A Preferred Units shall rank junior to all other series of Preferred
Units as to voting rights, the payment of distributions and the distribution of
assets in liquidation, unless the terms of any such series shall provide
otherwise.

         8. Voting Rights. The holders of Series A Preferred Units shall have
the following voting rights:

                  (A) Subject to the provision for adjustment hereinafter set
         forth, each Series A Preferred Unit shall entitle the holder thereof to
         one thousand (1,000) votes on all matters submitted to a vote of the
         Partners. In the event the General Partner shall at any time after the
         Rights Declaration Date (i) declare any distribution on Class A Units,
         Class B Units or Class C (LIHTC) Units payable in Class A Units, Class
         B Units or Class C (LIHTC) Units, (ii) subdivide the outstanding Class
         A Units, Class B Units or Class C (LIHTC) Units, or (iii) combine the
         outstanding Class A Units, Class B Units or Class C (LIHTC) Units into
         a smaller number of units, then in each such case the number of votes
         per unit to which holders of Series A Preferred Units were entitled
         immediately prior to such event shall be adjusted by multiplying such
         number by a fraction, the numerator of which is the number of Common
         Units outstanding immediately after such event and the denominator of
         which is the number of Common Units that were outstanding immediately
         prior to such event.

                                       A-5


<PAGE>


                  (B) Except as otherwise provided by law, the holders of Series
         A Preferred Units and the holders of Common Units and any other
         Partnership Units having general voting rights shall vote together as
         one class on all matters submitted to a vote of the Partners.

                  (C) Except as set forth herein, holders of Series A Preferred
         Units shall have no special voting rights and their consent shall not
         be required (except to the extent they are entitled to vote with
         holders of Common Units as set forth herein) for taking any Partnership
         action.

         9. General. The rights of the General Partner, in its capacity as a
holder of the Series A Preferred Units, are in addition to and not in limitation
on any other rights or authority of the General Partner, in any other capacity,
under the Partnership Agreement. In addition, nothing contained in this Exhibit
I shall be deemed to limit or otherwise restrict any rights or authority of the
General Partner under the Partnership Agreement, other than in its capacity as a
holder of the Series A Preferred Units. The foregoing is not intended to
indicate that the General Partner is, or will be, the only holder of Series A
Preferred Units.


                                     * * * *


                                       A-6



<PAGE>




                              EMPLOYMENT AGREEMENT


         THIS EMPLOYMENT AGREEMENT (the "Agreement") is made as of October 13,
1999 by and between Eldertrust, a real estate investment trust, with its
principal place of business at 101 East State Street, Kennett Square, PA 19348
(the "Company"), and D. Lee McCreary, Jr. (the "Executive").

                                   WITNESSETH:

         The Company desires to continue to employ the Executive as an employee
of the Company, and the Executive desires to continue to provide services to the
Company, all upon the terms and conditions hereinafter set forth.

         NOW, THEREFORE, in consideration of the premises and mutual agreements
hereinafter set forth, and intending to be legally bound hereby, the parties
hereto agree as follows: 1. Offer and Acceptance of Employment. The Company
hereby agrees to employ the Executive as the President and Chief Executive
Officer of the Company. The Executive accepts such employment and agrees to
perform the customary responsibilities of such position during the term of this
Agreement. The Executive will perform such other duties as may from time to time
be reasonably assigned to him by the Board of Trustees of the Company, provided
such duties are consistent with and do not interfere with the performance of the
duties described herein and are of a type customarily performed by persons of
similar titles with similar corporations. Nothing in this Agreement shall
preclude Executive from serving as a director, trustee, officer of, or partner
in, any other firm, trust, corporation or partnership or from pursuing personal
investments, as long as such activities do not interfere with Executive's
performance of his duties hereunder.

         2. Period of Employment.

         (a) Period of Employment. The period of the Executive's employment
under this Agreement shall commence on the date hereof and shall, unless sooner
terminated pursuant to Section 4, continue for a three year period ending on
October 13, 2002 (such period, as extended from time to time, herein referred to
as the "Term"). Subject to Section 2(b), and if the Term has not been terminated
pursuant to Section 4, on October 13, 2001 and on each October 13 thereafter the
Term shall be extended for an additional period of one year.

         (b) Termination of Automatic Extension by Notice. The Company (with the
affirmative vote of two-thirds of the entire membership of the





<PAGE>


Board of Trustees at a meeting of the Board of Trustees called and held for such
purpose) or the Executive may elect to terminate the automatic extension of the
Term set forth in Section 2(a) ("Automatic Extension") by giving written notice
of such election. Any notice given hereunder must be given not less than one
year prior to the end of the then current Term.

         3. Compensation and Benefits.

         (a) Base Salary. As long as Executive remains an employee of Company,
Executive will be paid a base salary which shall continue at the rate currently
in effect, subject to adjustment as hereinafter provided. The Compensation and
Share Option Committee of the Board of Trustees shall review Executive's base
salary on an annual basis and make recommendations with respect to increases in
base salary to the Board of Trustees. Any increase in base salary shall not
reduce or limit any other obligation of the Company hereunder. Executive's
annual base salary payable hereunder, as it may be increased from time to time
and without reduction for any amounts deferred as described below, is referred
to herein as "Base Salary." Effective July 29, 1999 the Executive's Base Salary
shall be $200,000. Executive's Base Salary, as in effect from time to time, may
not be reduced by the Company without Executive's consent, provided that the
Base Salary payable under this paragraph shall be reduced to the extent
Executive elects to defer or reduce such salary under the terms of any deferred
compensation or savings plan or other employee benefit arrangement maintained or
established by the Company. The Company shall pay Executive the portion of his
Base Salary not deferred in accordance with its customary periodic payroll
practices.

         (b) Incentive Compensation. Executive shall be eligible to receive
incentive compensation in the form of share options in amounts determined from
time to time by the Compensation and Share Option Committee of the Board of
Trustees.

         (c) Benefits, Perquisites and Expenses.

             (i) Benefits. During the Term, Executive shall be eligible to
participate in (1) each welfare benefit plan sponsored or maintained by the
Company, including, without limitation, each life, hospitalization, medical,
dental, health, accident or disability insurance or similar plan or program of
the Company, and (2) each pension, profit sharing, retirement, deferred
compensation or savings plan sponsored or maintained by the Company, in each
case, whether now existing or established hereafter, to the extent that
Executive is eligible to participate in any such plan under the generally
applicable provisions thereof. With respect to the pension or retirement
benefits payable to Executive, Executive's service credited for purposes of
determining Executive's benefits and vesting shall be determined in accordance
with the terms of the applicable plan or program. Nothing in this





                                       2



<PAGE>


Section 3(c), in and of itself, shall be construed to limit the ability of the
Company to amend or terminate any particular plan, program or arrangement.

             (ii) Vacation. During the Term, the Executive shall be entitled to
the number of paid vacation days in each calendar year determined by the Company
from time to time for its senior executive officers, but not less than four
weeks in any calendar year. The Executive shall also be entitled to all paid
holidays given by the Company to its senior officers. Vacation days which are
not used during any calendar year may not be accrued, nor shall Executive be
entitled to compensation for unused vacation days.

             (iii) Perquisites. During the Term, Executive shall be entitled to
receive such perquisites (e.g., fringe benefits) as are generally provided to
other senior officers of the Company in accordance with the then current
policies and practices of the Company.

             (iv) Business Expenses. During the Term, the Company shall pay or
reimburse Executive for all reasonable expenses incurred or paid by Executive in
the performance of Executive's duties hereunder, upon presentation of expense
statements or vouchers and such other information as the Company may reasonably
require and in accordance with the generally applicable policies and practices
of the Company.

         4. Employment Termination. The Term of employment under this Agreement
may be earlier terminated only as follows:

         (a) Cause. For purposes hereof, a termination by the Corporation for
"Cause" shall mean termination by action of at least two-thirds of the members
of the Board of Trustees of the Company at a meeting duly called and held upon
at least 15 days' prior written notice to Executive specifying the particulars
of the action or inaction alleged to constitute "Cause" (and at which meeting
Executive and his counsel were entitled to be present and given reasonable
opportunity to be heard) because of (i) Executive's conviction of any felony
(whether or not involving the Company or any of its subsidiaries) involving
moral turpitude which subjects, or if generally known, would subject, the
Company or any of its subsidiaries to public ridicule or embarrassment, (ii)
fraud or other willful misconduct by Executive in respect of his obligations
under this Agreement, or (iii) willful refusal or continuing failure to attempt,
without proper cause and, other than by reason of illness, to follow the lawful
directions of the Board of Trustees following thirty days' prior written notice
to Executive of his refusal to perform, or failure to attempt to perform such
duties and which during such thirty day period such refusal or failure to
attempt is not cured by the Executive. "Cause" shall not include a bona fide
disagreement over a corporate policy, so long as Executive does not willfully
violate on a continuing basis specific written directions from the Board of
Trustees, which directions are consistent with the provisions of this Agreement.
Action or inaction




                                       3

<PAGE>


by Executive shall not be considered "willful" unless done or omitted by him
intentionally and without his reasonable belief that his action or inaction was
in the best interests of the Company, and shall not include failure to act by
reason of total or partial incapacity due to physical or mental illness.

         (b) Without Cause. Notwithstanding anything to the contrary contained
in this Agreement, the Company (with the affirmative vote of two-thirds of the
entire membership of the Board of Trustees at a meeting of the Board of Trustees
called and held for the purpose) may, at any time after at least 90 days' prior
written notice in accordance with Section 4(e) hereof to the Executive,
terminate the Executive's employment hereunder without Cause.

         (c) Death or Disability. If Executive dies, his employment shall
terminate as of the date of death. If Executive develops a disability, the
Company may terminate Executive's employment hereunder. As used in this
Agreement, the term "disability" shall mean incapacity due to physical or mental
illness which has caused the Executive to be unable to substantially perform his
duties with the Company on a full time basis for (i) a period of twelve
consecutive months, or (ii) for shorter periods aggregating more than twelve
months in any twenty-four month period. During any period of Disability, the
Executive agrees to submit to reasonable medical examinations upon the
reasonable request, and at the expense, of the Company.

         (d) Good Reason. The Executive may terminate the Executive's employment
for Good Reason at any time during the term of this Agreement. For purposes of
this Agreement, "Good Reason" shall mean any of the following:

             (i) the assignment to the Executive by the Company of any duties
inconsistent with the Executive's status with the Company or a substantial
alteration in the nature or status of the Executive's responsibilities from
those in effect immediately prior to the date hereof, or a reduction in the
Executive's titles or offices as in effect immediately prior to the date hereof,
or any removal of the Executive from, or any failure to reelect the Executive
to, any of such positions, except in connection with the termination of his
employment for disability or cause or as a result of the Executive's death or by
the Executive other than for Good Reason, or the termination by the Company's
Board of Trustees of the Automatic Extension;

             (ii) a reduction by the Company in the Executive's Base Salary as
in effect on the date hereof or as the same may be increased from time to time
during the term of this Agreement;

             (iii) a relocation of the Executive's principal place of employment
or the relocation of the Company's principal office or corporate




                                       4

<PAGE>


headquarters to a location 35 miles or more from the Executive's current
principal place of employment.

             (iv) any "Change of Control" as set forth in Section 6 hereof;

             (v) any material failure by the Company to comply with any of the
provisions of this Agreement;

             (vi) any termination of the Executive's employment for reasons
other than death, disability or Cause or the termination by the Board of
Trustees of the Automatic Extension pursuant to Section 2(b) of this Agreement;

             (vii) the commencement of a proceeding or case, with or without the
application or consent of the Company or any of its subsidiaries, in any court
of competent jurisdiction, seeking (A) the liquidation, reorganization,
dissolution or winding-up of the Company or its subsidiaries, or the composition
or readjustment of the debts of the Company or its subsidiaries, (B) the
appointment of a trustee, receiver, custodian, liquidator or the like for the
Company or its subsidiaries or of all or any substantial part of their
respective assets, or (C) any similar relief in respect of the Company or its
subsidiaries under any law relating to bankruptcy, insolvency, reorganization,
winding-up, or composition or adjustment of debts.

         (e) Notice of Termination. Any termination, except for death, pursuant
to this Section 4 shall be communicated by a Notice of Termination. For purposes
of this Agreement, a "Notice of Termination" shall mean a written notice which
shall indicate those specific termination provisions in this Agreement relied
upon and which sets forth in reasonable detail the facts and circumstances
claimed to provide a basis for termination of the Executive's employment under
the provision so indicated.

         (f) Date of Termination. "Date of Termination" shall mean (i) if this
Agreement is terminated by the Company for disability, 30 days after Notice of
Termination is given to the Executive (provided that the Executive shall not
have returned to the performance of the Executive's duties on a full-time basis
during such 30-day period), (ii) if Executive's employment is terminated due to
Executive's death, on the date of death; (iii) if the Executive's employment is
terminated for Good Reason as a result of a Change of Control, as set forth in
Section 6 hereof; or (iv) if the Executive's employment is terminated for any
other reason, the date specified in the Notice of Termination (which shall not
be less than 90 nor more than 180 days from the date such Notice of Termination
is given).

         (g) Transfer of Minority Interests. The Executive shall transfer all of
his direct or indirect interests in entities in which the Company has an




                                       5

<PAGE>


interest (which shall not for the purposes of this Section 4(g) be deemed to
include ET Capital Corp.) immediately upon termination of the Executive's
employment with the Company for any reason. Such transfer shall be in a manner
reasonably determined by the Board of Trustees and at fair market value, as
determined by the Board.

         5. Payments upon Termination.

         (a) Termination Due to Death or Disability. Upon the death or
Disability of the Executive (i) the Company shall pay to the Executive or his
estate (1) his full Base Salary and other accrued benefits earned up to the last
day of the month of the Executive's death or Disability, (2) all deferred
compensation of any kind, including, without limitation, any amounts earned
under any bonus plan, and (3) if any bonus, under any bonus plan, shall be
payable in respect of the year in which the Executive's death or Disability
occurs, such bonus(es) prorated up to the last day of the month of the
Executive's death or Disability and (ii) all restricted shares, dividend
equivalent rights, share option and performance share awards made to the
Executive shall automatically become fully vested as of the date of death or
Disability.

         (b) Termination for Cause. If the Executive's employment shall be
terminated for Cause, the Company shall pay the Executive: (i) his full Base
Salary through the Date of Termination (as defined in Section 4(f)) at the rate
in effect at the time Notice of Termination (as defined in Section 4(e)) is
given, and (ii) all deferred compensation of any kind. In addition, Executive
shall have the option to have assigned to him at no cost and with no
apportionment of prepaid premiums any assignable insurance policy owned by the
Company and relating specifically to Executive. The Company shall have no
further obligations to the Executive under this Agreement.

         (c) Termination by Executive for Good Reason or by the Company for
Reasons other than for Cause, Death or Disability.

             (i) In the event (1) the Company terminates the Term without Cause,
or (2) the Executive terminates the Term for Good Reason, then the Company shall
make a lump-sum payment to the Executive equal to (x) three (3) times the
Executive's average annual Base Salary for the last three years, or, if less,
over the expired term this Agreement, plus (y) the average annual value as of
the date of grant of the Executive's share options vesting in a fiscal year
(using a Black-Scholes valuation as reasonably determined by the Company), plus
(z) the value of the Executive's dividend equivalent rights credited to the
Executive's memo account in the fiscal year immediately preceding such
termination, provided that the value attributed to such share options and
dividend equivalent rights shall not exceed 50 percent (50%) of Executive's
average annual Base Salary for the three-year period preceding the termination
of the Term; and all share options, share awards and



                                       6

<PAGE>

similar equity rights, if any, shall vest and become exercisable immediately
prior to the termination of the Term and remain exercisable through their
original terms with all rights.

             (ii) Following termination of the Term for any reason, other than
for Cause or upon the death of the Executive, the Company shall also maintain in
full force and effect, for the continued benefit of the Executive for a period
equal to the greater of (x) the period of the Term otherwise remaining or (y)
two (2) years without giving effect to such termination, all employee benefit
plans and programs to which the Executive was entitled prior to the date of
termination (including, without limitation, the benefit plans and programs
provided for herein) if the Executive's continued participation is possible
under the general terms and provisions of such plans and programs. In the event
that the Executive's participation in any such plan or program is barred by the
terms thereof, the Company shall pay to the Executive an amount equal to the
annual contribution, payments, credits or allocations made by the Company to
him, to his account or on his behalf under such plans and programs from which
his continued participation is barred except that if the Executive's
participation in any health, medical, life insurance or disability plan or
program is barred, the Company shall obtain and pay for, on the Executive's
behalf, to the extent possible individual insurance plans, policies or programs
which provide to the Executive health, medical, life and disability insurance
coverage which is equivalent to the insurance coverage to which the Executive
was entitled prior to the date of termination.

         6. Change of Control.

         (a) Upon a Change of Control (as defined below), the Executive may
terminate the Term upon notice to the Company, effective as set forth in such
notice (i) for any reason or for no reason during the initial ninety (90) day
period following the date of such Change of Control, or (ii) at any time, within
twenty-four (24) months following the date of a Change of Control, if any other
event constituting Good Reason hereunder continues for more than ten (10) days
after the Executive delivers notice thereof to the Company. The failure of
Executive to exercise his rights hereunder following an event constituting a
Change of Control shall not preclude Executive from exercising such rights
following the occurrence of a subsequent Change of Control event, even if
related to a prior Change of Control Event.

         (b) For purposes of this Agreement, the term "Change of Control" shall
mean the happening of any of the following:

             (i) if any person ("Person") (as such term is used in Sections
13(d) and 14(d) of the Securities Exchange Act of 1934, as amended (the
"Exchange Act"), becomes the "beneficial owner" (as defined in Rule 13d-3 under
the Exchange Act), directly or indirectly, of securities of the Company
representing fifty



                                       7

<PAGE>

percent (50%) or more of the combined voting power of the Company's then
outstanding securities;

             (ii) notwithstanding clauses (i) or (iv) of this Section 6, the
Company consummates a merger or consolidation of the Company with or into
another corporation or trust, the result of which is that the shareholders of
the Company at the time of the execution of the agreement to merge or
consolidate own less than eighty percent (80%) of the total equity of the entity
surviving or resulting from the merger or consolidation or of a entity owning,
directly or indirectly, one hundred percent (100%) of the total equity of such
surviving or resulting entity;

             (iii) the sale in one or a series of transactions of all or
substantially all of the assets of the Company;

             (iv) any Person has commenced a tender or exchange offer, or
entered into an agreement or received an option to acquire beneficial ownership
of fifty percent (50%) or more of the total number of voting shares of the
Company unless the Board of Trustees has made a determination that such action
does not constitute and will not constitute a change in the Persons in control
of the Company; or

             (v) there is a change of control in the Company of a nature that
would be required to be reported in response to Item 6(e) of Schedule 14A of
Regulation 14A promulgated under the Exchange Act other than in circumstances
specifically covered by clauses (i) - (iv) above.

         7. Certain Tax Matters. Notwithstanding any other provision of this
Agreement or of any other agreement, contract, or understanding heretofore or
hereafter entered into by the Executive with Employer, except an agreement,
contract, or understanding hereafter entered into that expressly modifies or
excludes application of this paragraph (an "Other Agreement"), and
notwithstanding any formal or informal employment agreement or other arrangement
for the direct or indirect provision of compensation to the Executive (including
groups or classes of participants or beneficiaries of which the Executive is a
member), whether or not such compensation is deferred, is in cash, or is in the
form of a benefit to or for the Executive (a "Benefit Arrangement"), if the
Executive is a "disqualified individual," as defined in Section 280G(c) of the
Internal Revenue Code (the "Code"), any right to receive any payment or other
benefit under this Agreement shall not become exercisable or vested (i) to the
extent that such right to exercise, vesting, payment, or benefit, taking into
account all other rights, payments, or benefits to or for the Executive under
this Agreement, all Other Agreements, and all Benefit Arrangements, would cause
any payment or benefit to the Executive under this Agreement to be considered a
"parachute payment" within the meaning of Section 280G(b)(2) of the Code as then
in effect (a "Parachute Payment") and (ii) if, as a result of receiving a
Parachute Payment, the aggregate



                                       8


<PAGE>



after-tax amounts received by the Executive from the Employer under this
Agreement, all Other Agreements, and all Benefit Arrangements would be less than
the maximum after-tax amount that could be received by the Executive without
causing any such payment or benefit to be considered a Parachute Payment. In the
event that the receipt of any such right to exercise, vesting, payment, or
benefit under this Agreement, in conjunction with all other rights, payments, or
benefits to or for the Executive under any Other Agreement or any Benefit
Arrangement would cause the Executive to be considered to have received a
Parachute Payment under this Agreement that would have the effect of decreasing
the after-tax amount received by Executive as described in clause (ii) of the
preceding sentence, then the Executive shall have the right, in Executive's sole
discretion, to designate those rights, payments, or benefits under this
Agreement, any Other Agreements, and any Benefit Arrangements that should be
reduced or eliminated so as to avoid having the payment or benefit to Executive
under this Agreement be deemed to be a Parachute Payment. The Employer will take
the position for tax purposes that no payments made under this Agreement are
"parachute payments" within the meaning of Section 280G(b)(2) of the Code.

         8. Executive's Covenants.

         (a) Nondisclosure. At all times during and after the Term, Executive
shall keep confidential and shall not, except with the Company's express prior
written consent, or except in the proper course of his employment with the
Company, directly or indirectly, communicate, disclose, divulge, publish, or
otherwise express, to any Person, or use for his own benefit or the benefit of
any Person, any trade secrets, confidential or proprietary knowledge or
information, no matter when or how acquired concerning the conduct and details
of the Company's and its subsidiaries' business, including without limitation,
names of customers and suppliers, marketing methods, trade secrets, policies,
prospects and financial condition. For purposes of this Section 8, confidential
information shall not include any information which is now known by or readily
available to the general public or which becomes known by or readily available
to the general public other than as a result of any improper act or omission of
Executive.

         (b) Non-Competition. During the Term hereof and for a period of three
(3) years thereafter, Executive shall not, except with the Company's express
prior written consent, directly or indirectly, in any capacity, for the benefit
of any Person:

             (i) Solicit any Person who is or during such period becomes a
customer, supplier, employee, salesman, agent or representative of the Company
or any subsidiary, in any manner which interferes or might interfere with such
Person's relationship with the Company or any subsidiary, or in an effort to
obtain such Person as a customer, supplier, employee, salesman, agent, or
representative




                                       9


<PAGE>


of any business in competition with the Company or any subsidiary within 15
miles of any office or facility owned, leased or operated by the Company or any
subsidiary.

             (ii) Establish, engage, own, manage, operate, join or control, or
participate in the establishment, ownership (other than as the owner of less
than one percent of the stock of a corporation whose shares are publicly
traded), management, operation or control of, or be a director, officer,
employee, salesman, agent or representative of, or be a consultant to, any
Person in any business in competition with the Company or any subsidiary, at any
location within 15 miles of any office or facility owned, leased or operated by
the Company or any subsidiary, or act or conduct himself in any manner which he
would have reason to believe inimical or contrary to the best interests of the
Company or any subsidiary.

         (c) Enforcement. Executive acknowledges that any breach by him of any
of the covenants and agreements of this Section 8 ("Covenants") will result in
irreparable injury to the Company for which money damages could not adequately
compensate the Company, and therefore, in the event of any such breach, the
Company shall be entitled, in addition to all other rights and remedies which
the Company may have at law or in equity, to have an injunction issued by any
competent court enjoining and restraining Executive and/or all other Persons
involved therein from continuing such breach. The existence of any claim or
cause of action which Executive or any such other Person may have against the
Company shall not constitute a defense or bar to the enforcement of any of the
Covenants. If the Company is obliged to resort to litigation to enforce any of
the Covenants which has a fixed term, then such term shall be extended for a
period of time equal to the period during which a material breach of such
Covenant was occurring, beginning on the date of a final court order (without
further right of appeal)holding that such a material breach occurred, or, if
later, the last day of the original fixed term of such Covenant.

         (d) Consideration. Executive expressly acknowledges that the Covenants
are a material part of the consideration bargained for by the Company and,
without the agreement of Executive to be bound by the Covenants, the Company
would not have agreed to enter into this Agreement.




                                       10
<PAGE>

         (e) Scope. If any portion of any Covenant or its application is
construed to be invalid, illegal or unenforceable, then the other portions and
their application shall not be affected thereby and shall be enforceable without
regard thereto. If any of the Covenants is determined to be unenforceable
because of its scope, duration, geographical area or similar factor, then the
court making such determination shall have the power to reduce or limit such
scope, duration, area or other factor, and such Covenant shall then be
enforceable in its reduced or limited form.

         9. No Obligation to Mitigate Damages; No Effect on Other Contractual
Rights.

         (a) The Executive shall not be required to mitigate damages or the
amount of any payment provided for under this Agreement by seeking other
employment or otherwise, nor shall the amount of payment provided for under this
Agreement be reduced by any compensation earned by the Executive as the result
of employment by another employer after the Date of Termination, or otherwise.
The amounts payable to Executive under Section 5 hereof shall not be treated as
damages but as severance compensation to which, Executive is entitled by reason
of termination of his employment in the circumstances contemplated by this
Agreement.

         (b) The provisions of this Agreement, and any payment provided for
hereunder, shall not reduce any amounts otherwise payable, or in any way
diminish the Executive's existing rights, or rights which would accrue solely as
a result of the passage of time, under any benefit plan, employment agreement or
other contract, plan or arrangement.

         10. Miscellaneous.

         (a) Notices. All notices, requests, demands, consents or other
communications required or permitted to be given under this Agreement shall be
in writing and shall be deemed to have been duly given if and when (i) delivered
personally, (ii) mailed by first class certified mail, return receipt requested,
postage prepaid, or (iii) sent by a nationally recognized express courier
service, postage or delivery changes prepaid, with receipt, or (iv) delivered by
telecopy (with receipt, and with original delivered in accordance with any of
(i), (ii) or (iii) above) to the parties at their respective addresses stated
below or to such other addresses of which the parties may give notice in
accordance with this Section.

         If to the Company, to:

         ElderTrust
         101 East State Street, Suite 100
         Kennett Square, PA 19348
         Attention: Chairman

                                       11


<PAGE>


         If to Executive, to:

         D. Lee McCreary, Jr.
         1512 Broadrun Road
         Landenberg, PA  19350

         (b) Entire Understanding. This Agreement sets forth the entire
understanding between the parties with respect to the subject matter hereof and
supersedes all prior and contemporaneous, written, oral, expressed or implied,
communications, agreements and understandings with respect to the subject matter
hereof.

         (c) Modification. This Agreement shall not be amended, modified,
supplemented or terminated except in writing signed by both parties. No action
taken by the Company hereunder, including without limitation any waiver, consent
or approval, shall be effective unless approved by a majority of the Board of
Trustees.

         (d) Termination of Prior Employment Agreements. All prior employment
agreements between Executive and the Company and/or any of its affiliates (and
any of their predecessors) are hereby terminated as of the date hereof as fully
performed on both sides.

         (e) Assignability and Binding Effect. This Agreement shall inure to the
benefit of and shall be binding upon the Company and its successors and assigns
and upon Executive and his heirs, executors, and legal representatives. This
Agreement is a personal employment contract of the Company, being for the
personal services of Executive, and shall not be assignable by the Executive.

         (f) Severability. If any provision of this Agreement is construed to be
invalid, illegal or unenforceable, then the remaining provisions hereof shall
not be affected thereby and shall be enforceable without regard thereto.

         (g) Counterparts. This Agreement may be executed in any number of
counterparts, each of which when so executed and delivered shall be an original
hereof, and it shall not be necessary in making proof of this Agreement to
produce or account for more than one counterpart hereof.

         (h) Section Headings. Section and subsection headings in this Agreement
are inserted for convenience of reference only, and shall neither constitute a
part of this Agreement nor affect its construction, interpretation, meaning or
effect.



                                       12
<PAGE>

         (i) References. All words used in this Agreement shall be construed to
be of such number and gender as the context requires or permits.

         (j) Controlling Law. This Agreement is made under, and shall be
governed by, construed and enforced in accordance with, the substantive laws of
the State of Maryland applicable to agreements made and to be performed entirely
therein.

         (k) Settlement of Disputes. The Company and Executive agree that any
claim, dispute or controversy arising under or in connection with this
Agreement, or otherwise in connection with Executive's employment by the Company
(including, without limitation, any such claim, dispute or controversy arising
under any federal, state or local statute, regulation or ordinance or any of the
Company's employee benefit plans, policies or programs) shall be resolved solely
and exclusively by binding arbitration. The arbitration shall be held in the
city of Philadelphia, Pennsylvania (or at such other location as shall be
mutually agreed by the parties). The arbitration shall be conducted in
accordance with the Expedited Employment Arbitration Rules (the "Rules") of the
American Arbitration Association (the "AAA") in effect at the time of the
arbitration, except that the arbitrator shall be selected by alternatively
striking from a list of five arbitrators supplied by the AAA. All fees and
expenses of the arbitration, including a transcript if either requests, shall be
borne equally by the parties. If Executive prevails as to any material issue
presented to the arbitrator, the entire cost of such proceedings (including,
without limitation, Executive's reasonable attorneys fees) shall be borne by the
Company. If Executive does not prevail as to any material issue, each party will
pay for the fees and expenses of its own attorneys, experts, witnesses, and
preparation and presentation of proofs and post-hearing briefs (unless the party
prevails on a claim for which attorney's fees are recoverable under the Rules).
Any action to enforce or vacate the arbitrator's award shall be governed by the
Federal Arbitration Act, if applicable, and otherwise by applicable state law.
If either the Company or Executive pursues any claim, dispute or controversy
against the other in a proceeding other than the arbitration provided for
herein, the responding party shall be entitled to dismissal or injunctive relief
regarding such action and recovery of all costs, losses and attorney's fees
related to such action.

         (l) Approval and Authorizations. The execution and the implementation
of the terms and conditions of this Agreement have been fully authorized by the
Board of Trustees.

         (m) Indulgences, Etc. Neither the failure nor delay on the part of
either party to exercise any right, remedy, power or privilege under this
Agreement shall operate as a waiver thereof, nor shall the single or partial
exercise of any right, remedy, power or privilege preclude any other or further
exercise of the same or any other right, remedy, power or privilege, nor shall
any waiver of any right,



                                       13

<PAGE>

remedy, power or privilege with respect to any occurrence be construed as a
waiver of such right, remedy, power or privilege with respect to any other
occurrence. No waiver shall be effective unless it is in writing and is signed
by the party asserted to have granted such waiver.

         (n) Legal Expenses. In the event that the Executive institutes any
legal action to enforce his rights under, or to recover damages for breach of
this Agreement, the Executive, if he is the prevailing party, shall be entitled
to recover from the Company any actual expenses for attorney's fees and
disbursements incurred by him.

         IN WITNESS WHEREOF, the parties hereto have executed this Agreement the
day and year first above mentioned, under seal, intending to be legally bound
hereby.

                                       COMPANY:

Attest:


/s/ Kelly A. McAteer                   By: /s/ Michael Walker
- ------------------------------             -----------------------------
Assistant Secretary                    Its: Chairman
                                           -------------

Date of Execution:  3/31/00            Date of Execution:  3/31/00
                 -------------                           ------------



                                       EXECUTIVE:


                                       /s/ D. Lee McCreary, Jr.
                                       ---------------------------------
                                       D. Lee McCreary, Jr.
                                       Date of Execution:   3/31/00
                                                         -------------



                                       14



<PAGE>


                                                                    EXHIBIT 11.1


               COMPUTATION OF BASIC AND DILUTED EARNINGS PER SHARE
            FOR THE YEAR ENDED DECEMBER 31, 1999 AND THE PERIOD FROM
                   JANUARY 30, 1998 THROUGH DECEMBER 31, 1998

         The following calculation is submitted in accordance with requirements
of the Securities Exchange Act of 1934:


<TABLE>
<CAPTION>
                                                                         For the year ended December 31
                                                                              1999           1998(1)
                                                                         ------------     -------------
                                                                               (amounts in thousands)
<S>                                                                         <C>              <C>
Net income (loss) available for common shareholders                         ($1,030)         $ 3,973
                                                                            =======          =======

Weighted average common shares outstanding used in
  calculating basic and diluted earnings per share                            7,198            7,369
                                                                            =======          =======

Basic and diluted net income (loss) per share                                ($0.14)           $0.54
                                                                            =======          =======
</TABLE>

- -------------------
(1) Represents the period from January 30, 1998 to December 31, 1998.




<PAGE>

                                                                      EXHIBIT 21

                         SUBSIDIARIES OF THE REGISTRANT

<TABLE>
<CAPTION>
                  Subsidiary                  Jurisdiction of Organization        Type of Entity
                  ----------                  ----------------------------        --------------
<S>                                                      <C>                       <C>
ElderTrust Operating Limited Partnership               Delaware              Limited partnership
ET Sub-Phillipsburg, L.L.C.                            Delaware              Limited liability company
ET Sub-Windsor I, L.L.C.                               Delaware              Limited liability company
ET Sub-Windsor II, L.L.C.                              Delaware              Limited liability company
ET Sub-SMOB, L.L.C.                                    Delaware              Limited liability company
ET Sub-GENPAR, L.L.C.                                  Delaware              Limited liability company
ET Sub-Lopatcong, L.L.C.                               Delaware              Limited liability company
ET Sub-Heritage Woods, L.L.C.                          Delaware              Limited liability company
ET Sub-Pleasant View, L.L.C.                           Delaware              Limited liability company
ET Sub-Lacey I, L.L.C.                                 Delaware              Limited liability company
ET Sub-Willowbrook Limited Partnership, L.L.P.         Virginia              Limited liability partnership
ET Sub-Riverview Ridge Limited Partnership, L.L.P.     Virginia              Limited liability partnership
ET Sub-Highgate, L.P.                                  Pennsylvania          Limited partnership
ET Sub-Woodbridge, L.P.                                Pennsylvania          Limited partnership
ET Sub-Rittenhouse Limited Partnership, L.L.P.         Virginia              Limited liability partnership
ET Sub-Wayne I Limited Partnership, L.L.P.             Virginia              Limited liability partnership
ET Sub-Belvedere Limited Partnership, L.L.P.           Virginia              Limited liability partnership
ET Sub-Chapel Manor Limited Partnership, L.L.P.        Virginia              Limited liability partnership
ET Sub-Harston Hall Limited Partnership, L.L.P.        Virginia              Limited liability partnership
ET Sub-Pennsburg Manor Limited Partnership, L.L.P.     Virginia              Limited liability partnership
ET Sub-Silverlake Limited Partnership, L.L.P.          Virginia              Limited liability partnership
ET Sub-POB I Limited Partnership, L.L.P.               Virginia              Limited liability partnership
ET Sub-DCMH Limited Partnership, L.L.P.                Virginia              Limited liability partnership
ET Sub-Vernon Court, L.L.C.                            Delaware              Limited liability company
ET Sub-Heritage Andover, L.L.C.                        Delaware              Limited liability company
ET Belvedere Finance, L.L.C                            Delaware              Limited liability company
ET DCMH Finance, L.L.C.                                Delaware              Limited liability company
ET Pennsburg Finance, L.L.C.                           Delaware              Limited liability company
ET POB I Finance, L.L.C                                Delaware              Limited liability company
ET Wayne I Finance, L.L.C.                             Delaware              Limited liability company
</TABLE>



<PAGE>


                            [Letterhead of KPMG LLP]

                         Consent of Independent Auditors


The Board of Trustees and Shareholders
ElderTrust:

We consent to incorporation by reference in the registration statement (No.
333-80719) on Form S-8 (for the 1998 Share Option Incentive Plan), and the
registration statement (No. 333-80717) on Form S-8 (for 1999 Share Option and
Incentive Plan) of our report dated January 14, 2000, except as to note 5 which
is as of March 21, 2000, related to the consolidated balance sheets of
ElderTrust and subsidiaries as of December 31, 1999 and 1998 and the related
consolidated statements of operations, shareholders' equity and cash flows for
the year ended December 31, 1999 and the period from January 30, 1998 to
December 31, 1998 and related financial statement schedules, included herein.

/s/ KPMG LLP

McLean, Virginia
May 8, 2000


<TABLE> <S> <C>

<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE BALANCE
SHEET AT DECEMBER 31, 1999 AND THE RELATED STATEMENT OF OPERATIONS FOR THE YEAR
ENDED DECEMBER 31, 1999, AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH
FINANCIAL STATEMENTS.
</LEGEND>
<CIK> 0001043236
<NAME> ELDER TRUST
<MULTIPLIER> 1000

<S>                             <C>
<PERIOD-TYPE>                   12-MOS
<FISCAL-YEAR-END>                          DEC-31-1999
<PERIOD-START>                             JAN-01-1999
<PERIOD-END>                               DEC-31-1999
<CASH>                                           3,605
<SECURITIES>                                         0
<RECEIVABLES>                                   50,343
<ALLOWANCES>                                         0
<INVENTORY>                                          0
<CURRENT-ASSETS>                                 6,302
<PP&E>                                         181,861
<DEPRECIATION>                                  10,180
<TOTAL-ASSETS>                                 266,482
<CURRENT-LIABILITIES>                            3,743
<BONDS>                                         20,211
                                0
                                          0
<COMMON>                                            71
<OTHER-SE>                                     103,369
<TOTAL-LIABILITY-AND-EQUITY>                   266,482
<SALES>                                         28,141
<TOTAL-REVENUES>                                28,141
<CGS>                                                0
<TOTAL-COSTS>                                    6,912
<OTHER-EXPENSES>                                 5,301<F1>
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                              13,136
<INCOME-PRETAX>                                    180
<INCOME-TAX>                                         0
<INCOME-CONTINUING>                                180
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                  1,210<F2>
<CHANGES>                                            0
<NET-INCOME>                                    (1,030)
<EPS-BASIC>                                      (0.14)
<EPS-DILUTED>                                    (0.14)
<FN><F1> Includes $2.8 million recorded in connection with a separation
         agreement with an officer of the Company.
    <F2> Loss on extinguishment of debt.</FN>



</TABLE>


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