COMMUNITY CARE OF AMERICA INC
8-K, 1996-05-29
SKILLED NURSING CARE FACILITIES
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                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549

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

                                    FORM 8-K

                                 CURRENT REPORT

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


         Date of Report (Date of earliest event reported): May 16, 1996




                         COMMUNITY CARE OF AMERICA, INC.
           ----------------------------------------------------------
               (Exact Name of Registrant as Specified in Charter)

                                    DELAWARE
           ----------------------------------------------------------
                            (State of Incorporation)


      0-26502                                              52-1823411
- ---------------------                          ---------------------------------
(Commission File No.)                          (IRS Employer Identification No.)


     3050 NORTH HORSESHOE DRIVE, SUITE 260, NAPLES, FLORIDA        33942
     ----------------------------------------------------------------------
          (Address of Principal Executive Offices)                (Zip Code)


                                 (941) 435-0085
           ----------------------------------------------------------
              (Registrant's Telephone Number, Including Area Code)


                                 NOT APPLICABLE
           ----------------------------------------------------------
          (Former Name or Former Address, if Changed Since Last Report)


<PAGE>



ITEM       2. ACQUISITION OR DISPOSITION OF ASSETS.

           On May 16, 1996,  Southern Care Centers,  Inc.  ("Southern Care") was
merged  with  and  into  CCA  Acquisition  I,  Inc.  ("Newco"),  a newly  formed
wholly-owned  subsidiary of Community  Care of America,  Inc.  (the  "Company"),
pursuant to an Amended and Restated  Agreement and Plan of  Reorganization  (the
"Merger  Agreement") dated as of May 10, 1996 among Southern Care, Wallace Olson
and Michael Himmelstein (Southern Care's  shareholders),  Newco and the Company.
As a result of the Merger,  the  subsidiaries  of Southern  Care (the  "Acquired
Subsidiaries"),  which lease five  long-term  care  facilities  in Georgia  (the
"Leased Georgia  Facilities")  and one long-term care facility in Louisiana (the
"Louisiana Facility"), became indirect wholly-owned subsidiaries of the Company.
In addition,  another wholly-owned  subsidiary of the Company became the manager
of a long-term  care facility in Texas owned by a former  subsidiary of Southern
Care which was not  acquired  by the  Company  (the  "Texas  Facility")  under a
Management  Agreement dated as of May 1, 1996 (the  "Management  Agreement") and
Newco is providing accounting,  internal auditing, billing, accounts payable and
certain other  services  under an Agreement to Provide  Accounting  and Auditing
Services and Rural Healthcare  Provider Network Services dated as of May 1, 1996
(the  "Services  Agreement")  to a company owned by the former  shareholders  of
Southern Care,  which operates another  long-term care facility in Georgia.  The
terms of the merger and related transactions,  including the purchase price paid
to the  shareholders of Southern Care, were determined  pursuant to arms' length
negotiations.  There was no material  relationship between either shareholder of
Southern Care and the Company or any of the Company's  affiliates,  directors or
officers (or any associate of any director or officer of the Company).

           Pursuant to the Merger  Agreement,  the shareholders of Southern Care
received $2.9 million in cash (subject to a  dollar-for-dollar  adjustment based
upon the amount by which Southern Care's consolidated working capital deficit on
May 1, 1996 varies from $1.8  million)  and $6.4  million in Common Stock of the
Company  (consisting of 568,888 shares valued at $11.25 per share). In addition,
the  shareholders  of Southern Care are entitled to receive,  on or before March
31, 1997,  $500,000 in Common Stock of the Company (consisting of 44,444 shares)
for every $100,000 by which Newco's annualized  contribution margin (in general,
income  before  interest,  taxes,  depreciation,  amortization,  rent (except on
equipment leases), corporate overhead, management fees, home office or corporate
charges,  charges resulting from accounting changes and non-operational charges)
on a  consolidated  basis for the year ending  December  31, 1996  exceeds  $4.4
million,  but in no event in excess of $2.0  million  in  Company  Common  Stock
(consisting  of  177,777  shares).  The  Company  has  agreed  to file two shelf
registration  statements  under the  Securities  Act of 1993,  as  amended  (the
"Act"),  covering the shares  issued and issuable in the merger  (including  the
shares subject to the contingent  earn-out) upon request of the holders  thereof
made at any time after August 15, 1996 and to "piggyback" such shares in certain
registration  statements filed by the Company. All such registration  statements
are, in general,  to be at the Company's  expense (except for  underwriters'  or
brokerage  discounts,  commissions  and  expenses),  but  such  rights  are only
exercisable  until such time as all of such shares are  eligible  for sale under
Rule 144 under the Act without volume  limitation.  The shareholders of Southern
Care have agreed to limit sales of Common Stock of the Company issued during any
30-day period to 75,000 shares.

                                       -2-

<PAGE>



           Contemporaneously  with  the  consummation  of the  transaction,  the
subsidiaries  of Southern Care acquired the five Leased Georgia  Facilities from
the prior  owners  thereof  and, in turn,  sold those  facilities  to Health and
Retirement  Properties  Trust ("HRPT"),  which has been the principal  financing
source for the Company's major acquisitions to date, for $15.8 million, of which
$2.0  million  was used to pay a  portion  of the  cash  portion  of the  merger
consideration,  $12.0 million was used by the Acquired  Subsidiaries to purchase
the five Leased Georgia  Facilities and $1.8 million was paid to a company owned
by the  principals of Southern Care.  HRPT  thereupon  leased the Leased Georgia
Facilities  to the  Acquired  Subsidiaries  pursuant to separate  leases under a
Master Lease (the "New  Southern  Care Georgia  Leases").  The New Southern Care
Georgia  Leases  provide for an initial term ending on December 31, 2003 and for
up to two additional 13 year terms,  each at the Acquired  Subsidiary's  option.
The initial  aggregate annual rent under the New Southern Care Georgia Leases is
$1.8 million.  After the first lease year,  the Acquired  Subsidiaries  must pay
additional  rent on a  facility  by  facility  basis  equal  to 5% and 2% in the
initial and first renewal  terms,  and 3% in each case during the second renewal
term,  of the year over year  increases,  if any,  in Net Patient  Revenues  (as
defined) and Non-Inpatient Revenues (as defined),  respectively.  Any additional
rents that become  payable  remain  payable  throughout the balance of the lease
term  even  if Net  Patient  Revenues  or  Non-Inpatient  Revenues  subsequently
decline.  The total minimum and additional rents in any year can not exceed 108%
of the amounts thereof in the prior year. Both the minimum and additional  rents
are to be adjusted during the second renewal term.

           The  Louisiana  Facility  will  continue to be leased  under the same
terms as the facility was being leased prior to the merger.

           Under the  Management  Agreement,  a  newly-formed  subsidiary of the
Company is to manage, for a ten year period, subject to earlier termination, the
Texas  Facility  previously  leased by a  subsidiary  of  Southern  Care,  which
subsidiary  was  spun-off  by  Southern  Care to its  shareholders  prior to the
merger.  As compensation  for its services under the Management  Agreement,  the
Company's subsidiary is entitled to receive a monthly management fee equal to 4%
of the  Texas  Facility's  monthly  revenues.  The  owner  of the  facility  may
terminate the engagement  without cause upon 30 days' prior notice.  The Company
may terminate its  engagement if, among other things,  funds  generated from the
operation of the Texas Facility are not sufficient to provide for payment of the
management fee during any six-month period.

           Under  the  Services  Agreement,  Newco  is  to  provide  accounting,
internal  auditing,  billing,  accounts payable and certain other services until
July 31, 2004 to a company  owned by the former  shareholders  of Southern  Care
which owns  another  long-term  care  facility.  For its  services,  Newco is to
receive $5,000 per month; provided that such amount shall accrue and not be paid
during any period that that long-term care facility's expenses,  including lease
payments,  debt service and operating and  administrative  expenses,  exceed its
generated  revenues.  To the extent that such expenses exceed revenues generated
by the facility,  Newco is to contribute cash to such facility as needed to meet
expenses as they are incurred.



                                       -3-

<PAGE>



           In connection  with entering into the original  Agreement and Plan of
Reorganization on March 11, 1996, the Company and Southern Care had entered into
a Consulting and Advisory  Services  Agreement  effective as of January 1, 1996,
pursuant to which the Company received consulting fees aggregating approximately
$900,000 for the period January 1, 1996 through the closing date.

ITEM       5. OTHER EVENTS.

           In addition to the New Southern Care Georgia Leases discussed in Item
2 of this Report,  various  subsidiaries of the Company lease an aggregate of 25
other facilities from HRPT and various subsidiaries of the Company have executed
and delivered  promissory  notes to HRPT in  connection  with loans to them from
HRPT,  the proceeds from the underlying  borrowings  having been used to finance
the  acquisition  and, in some  instances,  the repair,  renovation  and related
acquisition costs of the acquired  facilities.  In connection with the financing
of the  transactions  described  in Item 2 of this  Report,  the Company and its
subsidiaries  entered into  amendments  to certain  lease  documents  previously
entered  into with HRPT so that the first  renewal  term of those leases ends on
December  31,  2016,  the same date as the end of the renewal term for the other
leases  relating to properties  leased from HRPT. In addition,  the new Southern
Care  properties  are linked with the  Company's  other  properties  acquired or
leased from HRPT for the purposes of  determining  the  availability  of certain
options,   rights  of  first  refusal,   cross-defaults,   cross-guarantees  and
cross-collateralization  under the lease  documents with and certain  promissory
notes to HRPT. As part of the financing of the Southern  Care  Transaction,  the
Company  deposited an additional  $850,000 of cash  collateral (the aggregate of
all cash  collateral  on  deposit by the  Company  with HRPT is  presently  $6.3
million, after giving effect to such additional deposit).

ITEM       7. FINANCIAL STATEMENTS AND EXHIBITS.

           (a)        Financial statements of businesses acquired (Southern Care
                      Centers Group).

                      Pursuant to Instruction  (b)(2) of Item 7 to Form 8-K, the
                      Company intends to file the required historical  financial
                      statements  of the Southern  Care Centers  Group within 60
                      days after the date this Report was required to be filed.

           (b)        Pro Forma Financial Information

                      Pursuant to Instruction  (b)(2) of Item 7 of Form 8-K, the
                      Company  intends  to file  required  pro  forma  financial
                      information  within 60 days after the date this Report was
                      required to be filed.

           (c)        Exhibits:

                      2.1        Amended  and  Restated  Agreement  and  Plan of
                                 Reorganization  dated as of May 10,  1996 among
                                 the Company,  Newco, Southern Care, and Wallace
                                 Olson and Michael Himmelstein, the shareholders
                                 of Southern Care.


                                       -4-

<PAGE>



                      2.2        Consulting  and  Advisory  Services   Agreement
                                 effective  as of  January  1,  1996  among  the
                                 Company,  Southern  Care and its  shareholders.
                                 (Incorporated  by reference to Exhibit  2.02(b)
                                 to the Company's Annual Report on Form 10-K for
                                 the year  ended  December  31,  1995,  File No.
                                 0-26502.)

                      2.3        Management  Agreement  dated as of May 10, 1996
                                 between CCA of Texas,  Inc. and  Southern  Care
                                 Centers of Texas, Inc.

                      2.4        Agreement  to Provide  Accounting  and Auditing
                                 Services and Rural Healthcare  Provider Network
                                 Services  dated as of May 10,  1996 among Newco
                                 and Buchanan/SCC, Inc.

                      4.1        Allonge and Amendment  dated as of May 10, 1996
                                 to Promissory  Note dated  December 30, 1993 in
                                 the principal amount of $13,600,000 made by ECA
                                 Holdings, Inc. ("ECA") payable to HRPT.

                      4.2        Allonge and Amendment  dated as of May 10, 1996
                                 to Promissory  Note dated  December 30, 1993 in
                                 the  principal  amount  of  $6,000,000  made by
                                 Community Care of Nebraska Inc. ("CCN") payable
                                 to HRPT.

                      4.3        Allonge and Amendment to Promissory  Note dated
                                 as of May 10,  1996 to  Promissory  Note  dated
                                 April  1,  1995  in  the  principal  amount  of
                                 $2,045,000,  made  by CCN  and  certain  of its
                                 subsidiaries payable to HRPT.

                      4.4        Allonge and Amendment to Promissory  Note dated
                                 as of May 10, 1996 to ECA  Holdings  Renovation
                                 Funding  Promissory Note dated April 1, 1995 in
                                 the principal  amount of $6,466,700 made by ECA
                                 payable to HRPT.

                      4.5        Allonge and Amendment to Promissory  Note dated
                                 as of May  10,  1996  to CCN  Group  Renovation
                                 Funding  Promissory Note dated April 1, 1995 in
                                 the principal  amount of $2,833,300 made by CCN
                                 and its subsidiaries payable to HRPT.

                      99.1       Fourth  Amendment  dated as of May 10,  1996 to
                                 Master  Lease   Document,   General  Terms  and
                                 Conditions dated December 30, 1993 between HRPT
                                 and ECA.

                      99.2       First  Amendment  dated  as of May 10,  1996 to
                                 Master  Lease   Document,   General  Terms  and
                                 Conditions dated April 1, 1995 between HRPT and
                                 ECA.

                      99.3       Master  Lease   Document,   General  Terms  and
                                 Conditions  dated  as of May 10,  1996  between
                                 HRPT  and  Marietta/SCC,   Inc.,  Glenwood/SCC,
                                 Inc.,  Dublin/SCC,  Inc.,  Macon/SCC,  Inc. and
                                 College Park/SCC, Inc.



                                       -5-

<PAGE>



                                   SIGNATURES

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


                                   COMMUNITY CARE OF AMERICA, INC.



Dated:  May 29, 1996               By:  /s/ David H. Fater
                                       ------------------------------------- 
                                        David H. Fater, Executive Vice
                                        President and Chief Financial Officer








                                       -6-




                         AMENDED AND RESTATED AGREEMENT
                           AND PLAN OF REORGANIZATION

                            DATED AS OF MAY 10, 1996

                                      AMONG

                        COMMUNITY CARE OF AMERICA, INC.,
                             CCA ACQUISITION I, INC.

                                       AND

                           SOUTHERN CARE CENTERS, INC.

                                     AND ITS

                                  SHAREHOLDERS









<PAGE>



                                TABLE OF CONTENTS
                                                                            PAGE

ARTICLE I:  MERGER............................................................2
            1.1         Merger................................................2
            1.2         Issuance of CCA Stock.................................2
            1.3         Taking of Necessary Action............................2
            1.4         Assets and Liabilities................................2
            1.5         Spin-Off Sycamore Care Center.........................2
            1.6         Georgia Facilities....................................3

ARTICLE II:  CONVERSION.......................................................3
            2.1         Conversion of Stock and Cash Conversion Amount........3
            2.2         Manner of Exchange....................................4
            2.3         Earn-Out Payment......................................4
            2.4         Closing and Post-Closing Adjustments..................5
            2.5         CCA Stock.............................................6

ARTICLE III:  THE CLOSING....................................................12
            3.1         Time and Place of Closing............................12

ARTICLE IV:  REPRESENTATIONS AND WARRANTIES OF SELLERS AND THE
            COMPANY..........................................................12
            4.1         Organization and Standing of the Company.............12
            4.2         Subsidiaries.........................................13
            4.3         Absence of Conflicting Agreements....................13
            4.4         Consents.............................................13
            4.5         Company Shares.......................................13
            4.6         Trademarks...........................................14
            4.7         Contracts............................................14
            4.8         Financial Statements.................................15
            4.9         Material Changes.....................................16
            4.10        Licenses; Permits; Certificates of Need..............16
            4.11        Title, Condition of Personal Property................17
            4.12        Legal Proceedings....................................18
            4.13        Employees............................................18
            4.14        Collective Bargaining, Labor Contracts,
                        Employment Practices, Etc............................18
            4.15        ERISA................................................18
            4.16        Insurance and Surety Agreements......................19
            4.17        Relationships........................................19
            4.18        Absence of Certain Events............................19
            4.19        Compliance with Laws.................................20


                                       (i)

<PAGE>



            4.20        Finders..............................................20
            4.21        Tax Returns..........................................21
            4.22        Encumbrances Created by this Agreement...............21
            4.23        Environmental Matters................................21
            4.24        Leasehold Interests; Condition of the Facilities.....23

ARTICLE V:  ADDITIONAL REPRESENTATIONS AND WARRANTIES OF SELLERS
                                                                             24
            5.1         Authority............................................24
            5.2         Binding Effect.......................................24
            5.3         Absence of Conflicting Agreements....................24
            5.4         Consents.............................................25
            5.5         Ownership of Company Shares..........................25
            5.6         The Assets...........................................25

ARTICLE VI:  REPRESENTATIONS AND WARRANTIES OF BUYER.........................25
            6.1         Organization and Standing............................25
            6.2         Absence of Conflicting Agreements....................25
            6.3         Consents.............................................26
            6.4         Material Changes.....................................26
            6.5         Finders..............................................26
            6.6         Power and Authority..................................26
            6.7         Binding Agreement....................................26
            6.8         CCA Stock............................................26

ARTICLE VII:  INFORMATION AND RECORDS CONCERNING THE COMPANY.................26
            7.1         Access to Information and Records before Closing.....26

ARTICLE VIII:  OBLIGATIONS OF THE PARTIES UNTIL EFFECTIVE TIME OF
            MERGER...........................................................27
            8.1         Conduct of Business Pending Closing..................27
            8.2         Negative Covenants of the Company....................27
            8.3         Affirmative Covenants................................27
            8.4         Pursuit of Consents and Approvals....................28
            8.5         Supplementary Financial Information..................28
            8.6         Exclusivity..........................................29

ARTICLE IX:  CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS.....................29
            9.1         Representations and Warranties.......................29
            9.2         Performance of Covenants.............................29
            9.3         Delivery of Closing Certificate......................29
            9.4         Opinions of Counsel..................................29


                                      (ii)

<PAGE>



            9.5         Legal Matters........................................29
            9.6         Authorization Documents..............................29
            9.7         Material Change......................................30
            9.8         Approvals............................................30
            9.9         Working Capital Certificate..........................30
            9.10        Labor Agreements.....................................30
            9.11        Real Property Consents...............................30
            9.12        Title Insurance......................................30
            9.13        Environmental Compliance.............................31
            9.14        Engineering Report...................................31
            9.15        Surveys..............................................31
            9.16        Termite Inspections..................................31
            9.17        Due Diligence........................................32
            9.18        Non-Disturbance Agreement............................32
            9.19        Sycamore Care Center.................................32
            9.20        Georgia Facilities...................................32
            9.21        St. Charles Manor Nursing Center.....................32
            9.22        Other Documents......................................32

ARTICLE X:  CONDITIONS PRECEDENT TO SELLERS' OBLIGATIONS.....................32
            10.1        Representations and Warranties.......................32
            10.2        Performance of Covenants.............................33
            10.3        Delivery of Closing Certificate......................33
            10.4        Opinion of Counsel...................................33
            10.5        Legal Matters........................................33
            10.6        Authorization Documents..............................33
            10.7        Approvals............................................33
            10.8        Georgia Facilities...................................33
            10.9        Office Furniture.....................................33
            10.10       Other Documents......................................33

ARTICLE XI:  OBLIGATIONS OF THE PARTIES AFTER CLOSING........................34
            11.1        Survival of Representations, Warranties and
                        Covenants............................................34
            11.2        Indemnification by Sellers...........................34
            11.3        Indemnification by Buyer.............................34
            11.4        Control of Defense of Indemnifiable Claims...........35
            11.5        Restrictions.........................................35
            11.6        Records..............................................36
            11.7        Audit................................................36
            11.8        Chief Operating Officer of the Company...............36
            11.9        Retention of Tradename...............................37




                                      (iii)

<PAGE>



ARTICLE XII:  TERMINATION....................................................37
            12.1        Termination..........................................37
            12.2        Effect of Termination................................37

ARTICLE XIII:  MISCELLANEOUS.................................................37
            13.1        Costs and Expenses...................................37
            13.2        Performance..........................................37
            13.3        Benefit and Assignment...............................38
            13.4        Effect and Construction of this Agreement............38
            13.5        Cooperation - Further Assistance.....................38
            13.6        Notices..............................................38
            13.7        Waiver, Discharge, Etc...............................39
            13.8        Rights of Persons Not Parties........................39
            13.9        Governing Law........................................39
            13.10       Amendments, Supplements, Etc.........................39
            13.11       Severability.........................................39
            13.12       Joint and Several....................................40




                                      (iv)

<PAGE>



                                    SCHEDULES

Schedule 1.4      -           Assets and Liabilities
Schedule 4.2      -           Subsidiaries
Schedule 4.3      -           Absence of Conflicting Agreements
Schedule 4.4      -           Consents
Schedule 4.5      -           Company Shares
Schedule 4.6      -           Trademarks, Service Marks and Copyrights
Schedule 4.7      -           Contracts
Schedule 4.8      -           Financial Statements
Schedule 4.9      -           Material Changes
Schedule 4.10     -           Licenses, Permits
Schedule 4.11(a)  -           Certain Personal Property
Schedule 4.11(b)  -           Leases of Personal Property
Schedule 4.11(c)  -           Permitted Liens
Schedule 4.12     -           Legal Proceedings
Schedule 4.13     -           Employees
Schedule 4.16     -           Insurance and Surety Agreements
Schedule 4.17     -           Relationships
Schedule 4.18     -           Absence of Certain Events
Schedule 4.19     -           Compliance with Laws (Seller)
Schedule 4.23     -           Environmental Matters
Schedule 4.24     -           Title, Condition of the Facilities
Schedule 5.3      -           Absence of Conflicting Agreements
Schedule 6.3      -           Consent List of Buyer
Schedule 6.4      -           Material Changes (Buyer)



                                    EXHIBITS

Exhibit A         -           Plan of Merger
Exhibit 9.4       -           Seller's Legal Opinion
Exhibit 10.4      -           Buyer's Legal Opinion



                                       (v)

<PAGE>

                         AMENDED AND RESTATED AGREEMENT
                           AND PLAN OF REORGANIZATION


          This  Amended and Restated Agreement and Plan of Reorganization  (this
"Agreement")  is made as of the 10th day of May, 1996,  among  Community Care of
America,  Inc., a Delaware  corporation  ("Buyer"),  CCA  Acquisition I, Inc., a
Delaware  corporation  ("Newco"),  Michael A.  Himmelstein  and Wallace E. Olson
(collectively,  the  "Sellers" or  "Shareholders"),  and Southern  Care Centers,
Inc., a Georgia corporation (the "Company").

          WHEREAS,  the Company,  directly or through its  subsidiaries,  is the
owner  of the  leasehold  interests  in a total  of  five  (5)  skilled  nursing
facilities as described on Schedule A hereto (collectively, the "Facilities" and
each a "Facility");

          WHEREAS,  the  Shareholders are the owners of all of the capital stock
of the Company as set forth on Schedule 4.5, such shares being all of the issued
and outstanding shares of the Company (the "Company Shares");

          WHEREAS, Newco is a direct wholly owned subsidiary of Buyer;

          WHEREAS,  the Board of Directors of Buyer, Newco, and the Company deem
it advisable to merge the Company with and into Newco (the "Merger") pursuant to
this  Agreement and the Plan of Merger annexed as Exhibit A hereto (the "Plan of
Merger")  in a  transaction  intended  to qualify  under  Section  368(a) of the
Internal Revenue Code of 1986, as amended (the"Code");

          WHEREAS,  pursuant to the Merger, all Company Shares will be converted
into shares of voting common stock of Community Care of America,  Inc. (the "CCA
Stock") and cash; and

          WHEREAS,  to effectuate the  foregoing,  the parties desire to adopt a
plan of  reorganization  in accordance  with the provisions of Section 368(a) of
the Code; and

          WHEREAS,   the  parties   entered  into  an  Agreement   and  Plan  of
Reorganization  dated  March 11,  1996,  and now wish to amend and  restate  the
Agreement and Plan of Reorganization.

          NOW, THEREFORE,  Sellers, Newco, Buyer, and the Company,  intending to
be legally bound, agree as follows:



<PAGE>




                                ARTICLE I: MERGER

          1.1 MERGER. Subject to the terms and conditions of this Agreement,  at
the  Effective  Time of Merger (as defined in Article III,  below),  the Company
shall be merged with and into Newco and the  separate  existence  of the Company
shall cease.

          1.2 ISSUANCE OF CCA STOCK.  Buyer agrees that  following the Effective
Time of  Merger,  it will  issue CCA Stock to the  extent  set forth in,  and in
accordance with the terms of this Agreement and the Plan of Merger.

          1.3 TAKING OF NECESSARY ACTION.  Prior to and after the Effective Time
of Merger, subject to the provisions of this Agreement,  each Seller and each of
Buyer,  Newco, and the Company shall take all such action as may be necessary or
appropriate  in order to effect the Merger and the  conversion of Company Shares
as  contemplated  hereunder.  In case at any time  after the  Effective  Time of
Merger any further action is necessary or desirable to carry out the purposes of
this Agreement and to vest Newco with full legal and beneficial ownership of all
assets of the Company and Sellers with full title to the CCA Stock,  the parties
shall take all such necessary action.

          1.4 ASSETS AND LIABILITIES. As of the Closing Date, and subject to the
provisions  of Section  1.5,  the  consolidated  assets and  liabilities  of the
Company  will be  substantially  the same as set  forth on the  Company  balance
sheet, dated May 31, 1995, as included in the offering memorandum distributed by
Premier HealthCare;  provided that the long term mortgage note receivable in the
approximate  amount  of  $470,000,  and the  officers'  loan  receivable  in the
approximate amount of $235,000,  shall have been distributed to the Shareholders
prior to the Closing  Date;  and provided  further that the $470,000 gain on the
sale of the St.  Charles  property shall be deferred for GAAP (as defined below)
purposes  and will be realized by the Company  subsequent  to the Closing  Date;
further  provided that the Company assets  referred to in Section 1.5 below will
be eliminated and the Company will own the land and improvements  subject to the
related debt  referred to in Section 1.6 below.  The assets of the Company as of
the Closing Date (the  "Assets") will include all of the tangible and intangible
assets of the Company as presently constituted,  other than inventory,  supplies
and other similar  expendables  disposed of in the ordinary  course of business,
but including inventory,  supplies and other similar expendables acquired in the
ordinary  course of business.  All Assets will,  as of the Closing Date, be free
and clear of any and all  Liens  other  than  Permitted  Liens  (as  hereinafter
defined).

          1.5 SPIN-OFF SYCAMORE CARE CENTER. Prior to Closing, the Company shall
transfer and distribute to its  shareholders  all of the issued and  outstanding
stock of its  subsidiary,  Southern Care Centers of Texas,  Inc.  ("SCCT"),  the
principal asset of which is the leasehold interest and related assets pertaining
to that  certain  Facility  known as the Sycamore  Care Center.  At the Closing,
Buyer or a wholly  owned  subsidiary  of Buyer  will  enter into a ten (10) year
management agreement with SCCT at a management fee equal to four (4%) percent of
gross revenues,  in the form attached  hereto as Exhibit 1.5,  pursuant to which
Buyer or such  subsidiary  will manage and operate the Sycamore Care Center with
the right of the lessee/operator (SCCT) to terminate the management agreement on
thirty (30) days notice.


                                        2

<PAGE>



          1.6 GEORGIA FACILITIES.

          (A)  Simultaneously  with the Closing,  the Company will purchase from
the landlord  thereof the land,  buildings  and personal  property  constituting
those  certain five (5)  Facilities  that are  identified on Schedule A as being
located in the State of Georgia (collectively,  the "Georgia Facilities"). Buyer
hereby  expressly  authorizes  the Company to utilize the Deposit (as defined in
Section  2.2(a),  below) for the payment of earnest  money  deposits to the said
landlords  in  connection  with the  purchase of the Georgia  Facilities.  It is
understood,  however,  Closing  of the  Merger is  specifically  conditioned  on
closing of the purchase of the Georgia Facilities referred to herein.

          (B) Between the date hereof and the Closing  Date,  Buyer will consult
with and assist the Company in obtaining  mortgage or sale  leaseback  financing
for the  purchase of the Georgia  Facilities  in a principal  amount of not less
than Thirteen Million Eight Hundred Thousand  ($13,800,000) Dollars. Buyer shall
have the primary  responsibility  for identifying  appropriate  sources for such
financing and for  negotiating  the terms thereof.  Any excess  proceeds of such
financing,  without  reduction for loan origination  fees,  closing costs or any
other  expenses of  $13,800,000  loan,  remaining  after payment of the purchase
price  for the  Georgia  Facilities  shall be paid  over by the  Company  at the
Closing to the Shareholders in cash for selected  leasehold  improvements  being
acquired from Buchanan/SCC, Inc.

          (C) Simultaneously  with the Closing,  Newco will execute an agreement
to provide  accounting  and  auditing  services  and rural  healthcare  provider
network  services with  Buchanan/SCC,  Inc., a Georgia  corporation,  all of the
stock  which is  owned by  Sellers,  and  which  operates  a  facility  known as
Countryside, as more particularly described on Schedule 1.6(c).


                             ARTICLE II: CONVERSION

          2.1 CONVERSION OF STOCK AND CASH CONVERSION  AMOUNT.  At the Effective
Time of Merger:

          (A) the Company  Shares which are issued and  outstanding  immediately
prior to the Effective  Time of Merger  shall,  without any action by the holder
thereof,   be   converted   into  an   aggregate   consideration   (the  "Merger
Consideration")   consisting   of  (i)  cash  in  the  amount  of  TWO   MILLION
($2,000,000.00)  DOLLARS (the "Cash Conversion Amount"),  provided that the Cash
Conversion  Amount  will be  increased  by Two  Hundred  Thousand  ($200,000.00)
Dollars  per  month  from  January  1,  1996,  through  the  Closing  Date  (the
"Incremental  Increase"),  (ii)  that  number of shares of CCA Stock as shall be
equal in value to SIX MILLION FOUR  HUNDRED  THOUSAND  ($6,400,000.00)  DOLLARS,
based upon the valuation of CCA Stock as determined  pursuant to Section 2.5(a),
below, and (iii) a contingent right to receive additional shares of CCA Stock in
accordance with Section 2.3, below; and

          (B) each share of Company common stock  outstanding  immediately prior
to the  Effective  Time of Merger  shall be  converted  into one share of common
stock of the Newco.


                                        3

<PAGE>


          (C) The aggregate  amount of the Incremental  Increase will be payable
as follows:  (i) four hundred  thousand  ($400,000.00)  dollars shall be payable
five (5)  days  after  the date of this  Agreement;  (ii) two  hundred  thousand
($200,000.00)  dollars  shall be payable  April 1, 1996;  and (iii) two  hundred
thousand ($200,000.00) dollars shall be payable on the Closing Date.

          2.2 MANNER OF EXCHANGE.

          (A) At the  Effective  Time of Merger,  each  holder of a  certificate
theretofore  evidencing  outstanding  Company  Shares,  upon  surrender  of such
certificate,  shall be entitled to receive in exchange therefor (i) payment,  in
the form of a certified check or wire transfer,  of such holder's pro rata share
of the Cash Conversion Amount as hereinafter provided, and (ii) a certificate or
certificates  representing  the number of full shares of CCA Stock for which the
Company Shares  theretofore  represented by the  certificate or  certificates so
surrendered  shall have been  exchanged as provided in this Article II. Until so
surrendered,  each such outstanding  certificate  which,  prior to the Effective
Time of Merger,  represented Company Shares will be deemed to evidence the right
to receive  the cash and the number of shares of CCA Stock into which the shares
of Company Shares  represented  thereby may be converted.  Upon the surrender of
such certificates, they shall be duly canceled.

          (B) Subject to and upon the terms and conditions  hereof,  the Plan of
Merger,  the General  Corporation Law of the State of Delaware,  the Articles of
Merger,  and the  Business  Corporation  Code of the  State of  Georgia,  at the
Effective Time of Merger,  the Company shall be merged with and into Newco. Each
party  hereto  approves  and agrees to the Plan of Merger and Articles of Merger
and shall  execute,  deliver and file, or shall cause to be executed,  delivered
and  filed,  all  such  instruments,  covenants,  agreements,  certificates  and
documents as shall be necessary to effectuate the Plan of Merger and Articles of
Merger on the Closing Date (as hereinafter defined).

          2.3 EARN-OUT  PAYMENT.  In addition to the Merger  Consideration to be
received by the Shareholders at the Closing,  Shareholders  shall be entitled to
receive, on or before March 31, 1997 (following receipt of the Company's audited
financial statements for the year ended December 31, 1996), additional shares of
CCA  Stock as shall be  equal in value to Five  Hundred  Thousand  ($500,000.00)
Dollars, based upon the valuation of CCA Stock as determined pursuant to Section
2.5(a)  for  every  One  Hundred  Thousand  ($100,000.00)  Dollars  by which the
annualized  Contribution  Margin (as defined  below) of the Company for the year
ended   December   31,  1996,   exceeds  Four  Million  Four  Hundred   Thousand
($4,400,000.00) Dollars;  provided that the earn-out payable to the Shareholders
hereunder  shall in no event exceed Two Million  ($2,000,000.00)  Dollars of CCA
Stock  based on the  valuation  of  Section  2.5(a).  For the  purposes  hereof,
"Contribution  Margin"  shall be  defined  as Company  income  before  corporate
overhead or management  fees  (including  costs of the Seller's Chief  Operating
Officer), interest, taxes, depreciation, amortization, lease and rental expenses
(other than equipment leases for Company


                                        4

<PAGE>

operations),  home office charges,  corporate  charges,  charges  resulting from
accounting changes,  expenses of this transaction  (including but not limited to
the Incremental Amount), or other costs not directly incurred in connection with
Company operations,  and exclusive of additional Medicaid  reimbursement related
to a change of ownership, none of which shall be taken into account for purposes
of computing annualized Contribution Margin.

          2.4 CLOSING AND POST-CLOSING ADJUSTMENTS.

          (A) At the Closing,  or within thirty (30) days  following the Closing
Date,  the Company shall deliver to Buyer the balance sheet of the Company dated
as of the Closing Date,  certified by the Company's chief financial officer (the
"Closing  Date  Balance  Sheet").  The  Merger  Consideration   payable  to  the
Shareholders  shall be adjusted if the Closing Date Balance Sheet discloses that
the Company's current liabilities as of the Closing Date exceed or are less than
the Company's current assets as of the Closing Date by more than $1,850,000.  To
the extent such current  liabilities  exceed such current  assets (the  "Current
Liabilities Excess") by more than $1,850,000,  the Merger Consideration shall be
reduced on a  dollar-for-dollar  basis.  To the extent such current  liabilities
exceed such current assets by less than  $1,850,000 (or if current assets exceed
current  liabilities),   the  Merger  Consideration  shall  be  increased  on  a
dollar-for-dollar  basis. The parties acknowledge and agree that $450,000 of the
foregoing $1,850,000  represents the result of an audit of the Facilities' aging
of accounts  receivable  outstanding  for a minimum of ninety (90) days. For the
purposes hereof, current assets and current liabilities shall be determined on a
consolidated basis in accordance with generally accepted  accounting  principles
consistently applied ("GAAP"), but without regard to accounting changes effected
at or after Closing, and exclusive of adjustments for intercompany  transactions
resulting from the deletion of the Sycamore  facility,  the operating results of
the Countryside facility,  payment of the Incremental Increase, other accounting
changes, and expenses of this transaction.

          (B) As soon as is  reasonably  practicable,  but in any  event  within
ninety  (90) days  following  the  Closing  Date,  Buyer  shall  complete at its
expense,  a review of the Company's  Closing Date Balance  Sheet,  to verify the
Company's  current  assets and current  liabilities  as of the Closing Date, and
shall deliver to the  Principal  Shareholders  its written  report (the "Working
Capital  Report")  setting  forth the amount of such current  assets and current
liabilities.  Buyer will  cause the  auditors  to  reasonably  consult  with the
Principal  Shareholders during such audit. In the event that the Working Capital
Report  discloses  that the Current  Liabilities  Excess was different  from the
amount of the  Current  Liabilities  Excess as  indicated  on the  Closing  Date
Balance Sheet,  the Merger  Consideration  shall be further adjusted in the same
manner as set forth in Section 2.4(a),  and the Buyer or the  Shareholders  will
make prompt payment of such amount to the other. If the Shareholders dispute the
amount of the reduction as set forth in the Working  Capital Audit,  the parties
agree to utilize the following procedures with respect to the resolution of such
dispute:






                                        5

<PAGE>

                    (I)  Within   sixty  (60)  days   after   delivery   to  the
          Shareholders  of the Working  Capital  Report,  the  Shareholders  may
          deliver to Buyer a written report (a "Shareholders'  Report") prepared
          by an independent  accounting firm selected by the  Shareholders  (the
          "Shareholders'  Accountants") advising Buyer either that Shareholders'
          Accountants  (A) agree with the Working  Capital  Report,  or (B) deem
          that one or more  adjustments are required.  The costs and expenses of
          the services of the  Shareholders'  Accountants  shall be borne by the
          Shareholders.  If Buyer shall concur with the adjustments  proposed by
          the Shareholders' Accountants, or if Buyer shall not object thereto in
          writing  delivered to the Shareholders  within (30) days after Buyer's
          receipt of a Shareholders'  Report,  the calculation of current assets
          and  current   liabilities   (as  so  adjusted  as  provided  in  such
          Shareholders'  Report)  shall become final and shall not be subject to
          further  review,   challenge  or  adjustment   absent  fraud.  If  the
          Shareholders  do not submit a  Shareholders'  Report within the 60-day
          period provided  herein,  then the Working Capital Report as submitted
          by Buyer  shall  become  final  and shall not be  subject  to  further
          review, challenge or adjustment absent fraud.

                    (II)  In  the   event   that  the   Shareholders   submit  a
          Shareholders'  Report and Buyer and the Shareholders'  Accountants are
          unable to resolve the  disagreements  set forth in such report  within
          thirty (30) days after the date of the Shareholders' Report, then such
          disagreements  shall be referred to a recognized  firm of  independent
          certified public  accountants (not the auditors of CCA or the Company)
          experienced  in auditing  health care companies and selected by mutual
          agreement  of the  Shareholders  and Buyer (or if the  parties  cannot
          agree on such selection,  then a "big six" accounting firm selected by
          lot) (the  "Settlement  Accountants"),  and the  determination  of the
          Settlement  Accountants  shall be final and shall  not be  subject  to
          further review,  challenge or adjustment  absent fraud. The Settlement
          Accountants  shall use their best efforts to reach a determination not
          more than  forty-five  (45) days  after such  referral.  The costs and
          expenses of the services of the Settlement  Accountants  shall be paid
          by Buyer if it is determined  that there will be any adjustment to the
          Working Capital  Report;  otherwise,  if there is no adjustment,  such
          costs and  expenses  of the  Settlement  Accountants  shall be paid by
          Shareholders.

          2.5 CCA STOCK. That portion of the merger consideration which is to be
paid  by  means  of the  delivery  to  Sellers  of CCA  Stock  shall  be paid in
accordance with the following:

          (A) THE CLOSING  DATE SHARE  VALUE.  The number of shares of CCA Stock
issuable pursuant to Sections 2.1 and 2.3 (the "Registrable  Securities")  shall
in both cases be $11.25. The value of the CCA Stock for indemnification purposes
shall be based upon a price per share of $11.25.


                                        6

<PAGE>

          (B) DEMAND REGISTRATION RIGHTS. At any time after August 15, 1996, the
Shareholders  will be  entitled  to  make  written  demand  upon  Buyer  for the
registration of all of the Registrable  Securities then held by them. As soon as
is  reasonably  practicable  following  such demand,  but in no event later than
ninety (90) days  following  the date on which such  demand is made,  Buyer will
cause to be  prepared,  filed  and will use its best  efforts  to have  declared
effective by the Securities and Exchange  Commission (the  "Commission") a Shelf
Registration with respect to the Registrable Securities.  Buyer will be required
to  effect  not  more  than  two  (2)  such   registrations  in  the  aggregate.
Notwithstanding the foregoing,  (i) in the event that the holders of Registrable
Securities shall have already  exercised their piggyback rights under subsection
(c) of this  Section 2.4, the demand  rights  under this  subsection  (b) may be
exercised  only after the date which is ninety (90) days following the effective
date of the  registration  statement in respect of which such  piggyback  rights
were  exercised,  and (ii) no demand  rights  shall be  exercisable  at any time
during  which all of the holders of  Registrable  Securities  would be presently
entitled to sell all of their Registrable Securities pursuant to Rule 144 of the
Commission without any volume limitations.

          (C)  PIGGYBACK  REGISTRATION  RIGHTS.  If the Buyer  shall at any time
propose to file a  registration  statement  under the Securities Act of 1933, as
amended  (the  "Securities  Act")  for any sales of  securities  of the Buyer on
behalf of the  Buyer or  otherwise,  the  Buyer  shall  give to the  holders  of
Registrable  Securities written notice of such registration no later than thirty
(30) days before its filing with the Commission;  PROVIDED,  that  registrations
relating  solely to securities to be issued by the Buyer in connection  with any
acquisition, employee stock option or employee stock purchase or savings plan on
Form S-4 or S-8 (or  successor  Forms)  under  the  Securities  Act shall not be
subject to this Section  2.4(c).  If the holders of  Registrable  Securities  so
request within fifteen (15) days, and the Shareholders  consent to such request,
the Buyer shall include any or all of the Registrable  Securities then issued in
any such registration.  However, the Buyer shall not be obligated to include any
portion (or all) of such Registrable Securities to the extent any underwriter or
underwriters  of such securities  being otherwise  registered by the Buyer shall
determine  in good faith that the  inclusion  of such  portion  (or all) of such
Registrable  Securities (or any portion thereof) would jeopardize the successful
sale of such  other  securities  proposed  to be  sold  by such  underwriter  or
underwriters; PROVIDED, HOWEVER, that if such offering includes securities being
offered  by resale by other  stockholders  of the  Buyer,  then the  Registrable
Securities  may be  eliminated  from such  offering  only to the extent that the
securities  being offered by such other  stockholders  also are  eliminated on a
PARI PASSU  basis,  except for any  preferential  rights  held by Equity  Linked
Investors I and Equity  Linked  Investors II. No piggyback  registration  rights
shall be  exercisable at any time during which all of the holders of Registrable
Securities  would  be  presently  entitled  to  sell  all of  their  Registrable
Securities   pursuant  to  Rule  144  of  the  Commission   without  any  volume
limitations.  The terms of this  Section  2.5(c)  shall not apply to the Buyer's
current  S-1  Registration  Statement  which was filed  with the  Commission  on
February 16, 1996.


                                        7

<PAGE>

          (D) REGISTRATION  EXPENSES.  Buyer shall bear all reasonable  expenses
related to such  registration.  Such costs and expenses shall  include,  without
limitation,  the fees and expenses of counsel for Buyer and of its  accountants,
all  other  costs,  fees and  expenses  of Buyer  incident  to the  preparation,
printing,  registration  and filing under the Securities Act of the registration
statement and all amendments  and  supplements  thereto,  the cost of furnishing
copies of each preliminary prospectus,  each final prospectus and each amendment
or supplement thereto to underwriters, dealers and other purchasers of CCA Stock
and the  costs  and  expenses  (including  fees and  disbursements  of  counsel)
incurred in connection  with the  qualification  of CCA Stock under the Blue Sky
laws of various  jurisdictions.  Buyer,  however,  shall not be  required to pay
underwriter's  or brokerage  discounts,  commissions or expenses,  or to pay any
costs  and  expenses  in  excess  in the  aggregate  of  $20,000  for  Blue  Sky
qualifications  of CCA Stock, or to pay any costs or expenses arising out of any
Seller's failure to comply with its obligations under this Section 2.4.

          (E) RESALE LIMITATIONS.  Sellers hereby covenant with Buyer that sales
by them of CCA Stock  shall not in the  aggregate,  during  any  30-day  period,
exceed 75,000 shares of CCA Stock issued under this Agreement.

          (F) REGISTRATION PROCEDURES,  ETC. In connection with the registration
rights  granted to Sellers  with  respect to the CCA Stock as  provided  in this
Section 2.4, Buyer covenants and agrees as follows:

                    (I) Buyer will  promptly  notify  Sellers at any time when a
          prospectus  relating to a  registration  statement  covering  Sellers'
          shares under this  Section 2.4 is required to be  delivered  under the
          Securities  Act,  of the  happening  of any event  known to Buyer as a
          result  of  which  the  prospectus   included  in  such   registration
          statement,  as then in  effect,  includes  an  untrue  statement  of a
          material  fact or omits to state  any  material  fact  required  to be
          stated  therein  or  necessary  to make  the  statements  therein  not
          misleading in light of the circumstances then existing.

                    (II)  Buyer  shall  furnish  Sellers  with  such  number  of
          prospectuses  as shall  reasonably be requested,  and Sellers agree to
          comply with the prospectus delivery requirements of the Securities Act
          in connection with any sale of CCA Stock by them.

                    (III) Buyer  shall take all  necessary  action  which may be
          required  in  qualifying  or  registering  CCA  Stock  included  in  a
          registration  statement for offering and sale under the  securities or
          Blue Sky laws of such states as  reasonably  are requested by Sellers,
          provided  that Buyer  shall not be  obligated  to qualify as a foreign
          corporation  or  dealer  to do  business  under  the  laws of any such
          jurisdiction.




                                        8

<PAGE>

                    (IV) The  information  included or incorporated by reference
          in the registration  statement filed pursuant to this Section 2.4 will
          not, at the time any such registration  statement  becomes  effective,
          contain any untrue  statement of a material fact, or omit to state any
          material fact  required to be stated  therein as necessary in order to
          make the statements therein, in light of the circumstances under which
          they were made,  not  misleading or necessary to correct any statement
          in any earlier filing of such registration statement or any amendments
          thereto.  The  registration  statement  will  comply  in all  material
          respects with the  provisions of the  Securities Act and the rules and
          regulations  thereunder.  Buyer shall  indemnify  Sellers of CCA Stock
          sold in accordance with the provisions of this Section 2.4 pursuant to
          the registration  statement,  their  successors and assigns,  and each
          person, if any, who controls such Sellers within the meaning of Sec.15
          of the Securities  Act or Sec.20(a) of the Securities  Exchange Act of
          1934 (the "Exchange Act"),  against all loss, claim, damage expense or
          liability    (including   all   expenses    reasonably   incurred   in
          investigating, preparing or defending against any claim whatsoever) to
          which any of them may become  subject  under the  Securities  Act, the
          Exchange Act or any other  statute,  common law or otherwise,  arising
          out of or based upon any untrue  statement or alleged untrue statement
          of a material fact contained in such registration  statement  executed
          by Buyer or based upon written information furnished by Buyer filed in
          any  jurisdiction  in order to qualify CCA Stock under the  securities
          laws  thereof  or filed  with the  Commission,  any  state  securities
          commission or agency,  NASDAQ, NYSE or any securities exchange; or the
          omission or alleged omission  therefrom of a material fact required to
          be  stated  therein  or  necessary  to make the  statements  contained
          therein not misleading,  unless such statement or omission was made in
          reliance upon and in conformity with written information  furnished to
          Buyer by any Seller expressly for use in such registration  statement,
          any amendment or supplement  thereto or any  application,  as the case
          may be. If any action is brought  against  Sellers or any  controlling
          person of Sellers in respect of which  indemnity may be sought against
          Buyer  pursuant  to  this  subsection  2.4(f)(iv),   Sellers  or  such
          controlling  person  shall  within  thirty (30) days after the receipt
          thereby  of a summons  or  complaint,  notify  Buyer in writing of the
          institution  of such action and Buyer shall assume the defense of such
          actions,  including the employment and payment of reasonable  fees and
          expenses of counsel.  Any Seller or any such controlling  person shall
          have the right to employ  its or their own  counsel  in any such case,
          but the fees and expenses of such  counsel  shall be at the expense of
          such Seller or such  controlling  person unless (A) the  employment of
          such  counsel  shall  have  been  authorized  in  writing  by Buyer in
          connection  with the  defense of such  action,  or (B) Buyer shall not
          have employed counsel to have charge of the defense of such action, or
          (C) such indemnified party or parties shall have reasonably  concluded
          that there may be defenses available to it or them which are different
          from or additional to those  available to Buyer (in which case,  Buyer
          shall not have the  right to  direct  the  defense  of such  action on
          behalf of the  indemnified  party or parties),  in any of which events
          the  fees  and  expenses  of not  more  than  one  additional  firm of
          attorneys for Sellers and/or such controlling person shall be borne by
          Buyer  and such law firm  shall be  reasonably  acceptable  to  Buyer.
          Except as expressly  provided in the previous  sentence,  in the event
          that  Sellers  assume  control of the  defense  of any such  action or
          claim,  Buyer  shall  not  thereafter  be liable  to  Sellers  or such
          controlling person in investigating,


                                                                             9

<PAGE>



          preparing or defending any such action or claim. Buyer agrees promptly
          to notify Sellers of the commencement of any litigation or proceedings
          against Buyer or any of its officers, directors or controlling persons
          in connection  with the resale of CCA Stock or in connection with such
          registration  statement.  If the indemnification  provided for in this
          Section 2.4(f)(iv) is held by a court of competent  jurisdiction to be
          unavailable to a Seller or any controlling  person of such Seller with
          respect to any loss,  liability,  claim, damage or expense referred to
          herein,  then  Buyer,  in  lieu of  indemnifying  such  Seller  or any
          controlling  person of such Seller hereunder,  shall contribute to the
          amount  paid or payable by such  Seller or any  controlling  person of
          such Seller  hereunder,  as a result of such loss,  liability,  claim,
          damage,  expense or liability in such  proportion as is appropriate to
          reflect the relative  fault of Buyer on the one hand and of the Seller
          or any  controlling  person of such Seller on the other in  connection
          with  the  statements  or  omissions  which  resulted  in  such  loss,
          liability,  claim, damage, expense, or liability, as well as any other
          relevant equitable considerations.  The relative fault of Buyer and of
          such  Seller  or any  controlling  person  of  such  Seller  shall  be
          determined by reference to, among other things,  whether the untrue or
          alleged untrue statement of a material fact or the omission to state a
          material  fact  relates  to  information  supplied  by Buyer or by the
          Seller or any  controlling  person  of such  Seller  and the  parties'
          relative intent,  knowledge,  access to information and opportunity to
          correct or prevent such statement or omission.

                    (V)  Each  Seller  of CCA  Stock  to be sold  pursuant  to a
          registration  statement,  and his or its successors and assigns, shall
          severally,  and  not  jointly,   indemnify  Buyer,  its  officers  and
          directors  and each  person,  if any,  who  controls  Buyer within the
          meaning of Sec.15 of the  Securities  Act or Sec.20(a) of the Exchange
          Act  against  all  loss,  claim,   damage,  or  expense  or  liability
          (including  all  expenses   reasonably   incurred  in   investigating,
          preparing or defending against any claim whatsoever) to which they may
          become subject under the Securities Act, the Exchange Act or any other
          statute,  common law or otherwise,  arising from  information that was
          furnished by or on behalf of such Seller,  or his or its successors or
          assigns and which was included in the selling shareholders  provisions
          in such registration statement.

          (G) NOTICE OF SALE.  If they desire to transfer  all or any portion of
CCA Stock,  the Sellers  will deliver  written  notice to Buyer,  describing  in
reasonable  detail their  intention to effect the transfer and the manner of the
proposed  transfer.   If  the  transfer  is  to  be  pursuant  to  an  effective
registration  statement as provided  herein,  Sellers will sell the CCA Stock in
compliance  with the  disclosure  therein and  discontinue  any offers and sales
thereunder  upon  written  notice  from  Buyer that the  registration  statement
relating to the CCA Stock being  transferred is not "current"  until Buyer gives
further  notice  that offers and sales may be  recommenced.  In the event of any
such notice from Buyer,  Buyer agrees to file  expeditiously  such amendments to
the  registration  statement as may be necessary to bring it current  during the
period specified in Section 2.4(f) and to give prompt notice to Sellers when the
registration  statement  has  again  become  current.   Subject  to  the  resale
limitations  set forth in Section 2.4(e) hereof,  if Sellers,  at their own cost
and expense,  deliver to Buyer an opinion of counsel  reasonably  acceptable  to
Buyer and its counsel and to the effect that the proposed  transfer of CCA Stock
may be made without  registration  under the  Securities  Act and all applicable
state securities


                                                                             10

<PAGE>



laws,  Sellers  will be entitled to transfer  CCA Stock in  accordance  with the
terms of the notice and opinion of their counsel.

           (H) FURNISH  INFORMATION.  It shall be a condition  precedent  to the
obligations  of Buyer to take  any  action  pursuant  to this  Section  2.4 that
Sellers  shall furnish to CCA such  information  regarding  themselves,  the CCA
Stock held by them, and the intended method of disposition of such securities as
shall be necessary or appropriate to effect the registration of their CCA Stock.
In that connection, each Seller shall be required to represent to Buyer that all
such  information  which is given is both  complete and accurate in all material
respects and such Seller shall  deliver to Buyer a statement in writing from the
beneficial  owners  of such  securities  of the  bona  fide  intention  to sell,
transfer or otherwise dispose of such securities.  Each Seller will,  severally,
promptly  notify Buyer at any time when a prospectus  relating to a registration
statement covering such Seller's shares under this Section 2.4 is required to be
delivered  under the Securities Act, of the happening of any event known to such
Seller  as a result  of  which  the  prospectus  included  in such  registration
statement, as then in effect, includes an untrue statement of a material fact or
omits to state any material fact  required to be stated  therein or necessary to
make the  statements  therein not  misleading in light of the statements as then
existing.

          (I) INVESTMENT  REPRESENTATIONS.  All shares of CCA Stock to be issued
hereunder will be newly issued shares of Buyer. Sellers represent and warrant to
Buyer that the CCA Stock being issued  hereunder is being acquired,  and will be
acquired,  by Sellers for  investment for their own accounts and not with a view
to or for sale in connection with any distribution thereof within the meaning of
the  Securities  Act  or the  applicable  state  securities  law;  such  Sellers
acknowledge that the CCA Stock constitutes  restricted securities under Rule 144
promulgated by the Commission pursuant to the Securities Act, and may have to be
held  indefinitely,  and Sellers  agree that no shares of CCA Stock may be sold,
transferred,  assigned,  pledged or otherwise  disposed of except pursuant to an
effective  registration  statement or an exemption from  registration  under the
Securities Act, the rules and regulations  thereunder,  and under all applicable
state  securities  laws.  Sellers have the knowledge and experience in financial
and  business  matters,  are capable of  evaluating  the merits and risks of the
investment,  and are able to bear the economic risk of such investment.  Sellers
have been provided with such materials as are generally provided to shareholders
of Buyer and have had the  opportunity  to make  inquiries  of and  obtain  from
representatives  and  employees of Buyer such other  information  about Buyer as
they deem necessary in connection with such investment.

          (J) LEGEND. It is understood that the certificates  evidencing the CCA
Stock shall bear a legend substantially as follows:

                              THE SHARES  REPRESENTED BY THIS  CERTIFICATE  HAVE
                              NOT BEEN  REGISTERED  UNDER THE  SECURITIES ACT OF
                              1933. THE SHARES HAVE BEEN ACQUIRED FOR INVESTMENT
                              AND MAY NOT BE SOLD,  TRANSFERRED  OR  ASSIGNED IN
                              THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT
                              FOR THESE SHARES UNDER THE  SECURITIES ACT OF 1933
                              OR AN


                                       11

<PAGE>



                              OPINION OF THE COMPANY'S COUNSEL THAT REGISTRATION
                              IS NOT REQUIRED UNDER SAID ACT.

          (K) As long as the  Shareholders,  or  either  of them,  hold at least
twenty  (20%)  percent  of  the  CCA  Stock  issued  to  them  at  Closing,  the
Shareholders shall be entitled to receive notice of and have the right to attend
all meetings of CCA's Board of Directors.


                            ARTICLE III: THE CLOSING

          3.1 TIME AND PLACE OF CLOSING.  The  closing  (the  "Closing")  of the
transactions  contemplated  by this Agreement shall take place at the offices of
Buyer's counsel in New York, NY, on May 1, 1996, or at such other time and place
upon which the parties may agree,  provided that, for accounting  purposes only,
the Closing shall be deemed effective as of 12:01 a.m., May 1, 1996. The date on
which the Closing is held is hereinafter  called the "Closing  Date." Subject to
the  conditions  set forth herein,  at the Closing (a) Sellers shall deliver for
cancellation all of the stock certificates representing the Company Shares, duly
endorsed,  or  accompanied  by one or more stock powers duly  endorsed,  and (b)
Buyer, as agent for the Company, shall deliver to Sellers (x) stock certificates
issued in the name of Sellers  representing  that  number of shares of CCA Stock
into which the Company  Shares are to be converted as of the  Effective  Time of
Merger  pursuant to Section  2.1(a)  hereof and (y) the cash portion of the Cash
Conversion  Amount payable as of the Effective Time of Merger in accordance with
Section 2.2(a) hereof.

          3.2 FILINGS AT CLOSING.  On the  Closing  Date,  Buyer shall cause the
Plan of Merger or such other certificates, instruments and documents as shall be
required  to be filed in order to  effect  the  Merger  in  accordance  with the
Delaware General  Corporation Law. Company shall cause the Articles of Merger to
be filed in  accordance  with the Official  Code of Georgia  Annotated.  Each of
Buyer, the Company,  Newco and Sellers shall take any and all lawful actions and
use their  respective best efforts to cause the Merger to become effective as of
the Closing Date (or as promptly  thereafter as possible).  If,  notwithstanding
the foregoing, the Effective Time of Merger shall not occur on the Closing Date,
the parties will hold all Transaction Documents (as hereinafter defined),  other
than those  necessary  to effect the Merger,  in a mutually  escrow  arrangement
pending such Effective Time of Merger.

          3.3 EFFECTIVE TIME. The Merger shall become  effective at the time the
Plan of Merger or such other certificate,  instruments and documents as shall be
required by the Georgia  Secretary of State is made effective  under the laws of
the State of Georgia (the "Effective Time of Merger").


          ARTICLE IV: REPRESENTATIONS AND WARRANTIES OF SELLERS AND THE
                                     COMPANY

          Each Seller and the Company  hereby  represent and warrant to Buyer as
follows:

          4.1  ORGANIZATION  AND  STANDING  OF THE  COMPANY.  The  Company  is a
corporation duly organized, validly existing and in good standing under the laws
of the State of


                                       12

<PAGE>

Georgia. Copies of the Articles of Incorporation and By-Laws of the Company, and
all  amendments  thereof to date,  have been delivered to Buyer and are complete
and  correct.  The Company has the power and  authority  to own the property and
assets now owned by it and to conduct the business  presently being conducted by
it and to execute and deliver this Agreement and each  Transaction  Document (as
such term is hereinafter defined) and to carry out the transactions contemplated
hereby and thereby.

          4.2 SUBSIDIARIES. Except as described on Schedule 4.2, the Company has
no equity  interest or investment in any other  corporation,  limited  liability
company, partnership, joint venture or other entity or association.

          4.3 ABSENCE OF CONFLICTING AGREEMENTS. Except as disclosed on Schedule
4.3, the execution and delivery of this  Agreement,  including all Schedules and
Exhibits  hereto,  and of  the  other  agreements,  instruments,  documents  and
certificates  required or contemplated hereby  ("Transaction  Documents") by the
Company,  and the  performance by the Company of the  transactions  contemplated
hereby and  thereby,  does not  conflict  with,  or  constitute a breach of or a
default under (i) the Articles of  Incorporation  or By-Laws of the Company;  or
(ii) any applicable law, rule, judgment,  order, writ, injunction,  or decree of
any court;  or (iii) any  applicable  rule or regulation  of any  administrative
agency  or  other  governmental  authority;  or  (iv)  any  material  agreement,
indenture,  contract  or  instrument  to which the  Company is now a party or by
which any of the assets of the Company is bound.  The  execution,  delivery  and
performance of this Agreement and each Transaction  Document and the performance
of each of the transactions  contemplated hereby and thereby has been authorized
by all necessary  corporate action of the Company.  This Agreement has been duly
executed and delivered by the Company.  This Agreement is, and when executed and
delivered,  each  Transaction  Document  executed by the Company will be, legal,
valid  and  binding  obligations  of  the  Company,  enforceable  against  it in
accordance with their respective terms.

          4.4 CONSENTS.  Except as disclosed on Schedule 4.4, no  authorization,
consent,  approval,  license,  exemption by, or filing or registration with, any
court, governmental or quasi-governmental department, commission, board, bureau,
agency or instrumentality,  domestic or foreign (Federal, state or local), is or
will be necessary in connection with the execution,  delivery and performance of
this Agreement or of any of the Transaction Documents by the Company.

          4.5  COMPANY  SHARES.  Schedule  4.5 sets  forth a  complete  list and
description  of the  authorized  capital  shares of the  Company,  the number of
shares issued and  outstanding  of each class or series of such shares,  and the
identity of each  shareholder of the Company,  in each case indicating the class
and number of shares held.  All of such shares  shown as issued and  outstanding
are duly authorized, validly issued, fully paid and non-assessable. None of such
shares are held in the treasury of the  Company.  The Sellers are the record and
beneficial  owners of all of such  shares  free and clear of any and all  liens,
claims,  security  interests,  mortgages,  pledges,  charges,  rights of setoff,
restraints  on  transfers  and  encumbrances  of any kind or  nature  whatsoever
("Liens").  On the Closing Date,  there will be no preemptive,  participation or
rights


                                       13

<PAGE>

of refusal to  purchase  or  otherwise  acquire  capital  shares of the  Company
pursuant to any provision of law or the Articles of  Incorporation or By-laws of
the Company or by agreement or otherwise.  On the Closing Date,  there shall not
be  outstanding  any  warrants,  options,  or other rights to  subscribe  for or
purchase from the Company or any Seller any capital  shares of the Company,  nor
shall there be outstanding any securities  convertible  into or exchangeable for
such shares.

          4.6  TRADEMARKS.  Schedule 4.6 sets forth a complete and accurate list
of all  registered  trademarks,  service marks,  copyrights,  and other items of
intellectual property that are owned,  possessed or used by the Company, and any
applications for any of the same. There are no claims or proceedings pending or,
to the  knowledge of Sellers and the  Company,  overtly  threatened  against the
Company asserting that the use of any of the aforementioned properties or rights
infringes the rights of any other  person,  and, to the knowledge of the Sellers
and the Company,  the Company is not  infringing  on the  intellectual  property
rights of any other person.

          4.7 CONTRACTS.  Schedule 4.7 sets forth a complete and correct list of
all  agreements,  contracts and  commitments  (whether or not in writing) of the
following  types to which the  Company is a party or by which the Company or any
of the  Company's  assets  are  bound  and  as to  which  the  Company  has  any
outstanding obligations as of the date hereof (the "Contracts"):

          (A) each contract or agreement for the  employment or retention of, or
collective  bargaining,  severance or termination  agreement with, any director,
officer,  employee,  consultant,  agent or group of employees of the Company and
each non-competition,  confidentiality or similar agreement with any such person
or persons;

          (B)  each  profit  sharing,   thrift,   bonus,   incentive,   deferred
compensation,   shares  option,   shares  purchase,   severance  pay,   pension,
retirement,  hospitalization,  insurance  or other  similar  plan,  agreement or
arrangement;

          (C) each  agreement,  option or arrangement for the sale of any of the
Company's  assets,  properties or rights outside the ordinary course of business
(by sale of assets, sale of shares, merger or otherwise);

          (D) each contract which contains any provisions  requiring the Company
to  indemnify  or act for any other  person or entity or to  guaranty  or act as
surety for any other person or entity;

          (E) each agreement restricting the Company from conducting any type of
business  anywhere in the world for any period of time or restricting its use or
disclosure of any confidential or proprietary information;



                                       14

<PAGE>

          (F) each partnership,  joint venture or management contract or similar
arrangement  or  agreement  which  involves  a right to share  profits or future
payments  with respect to the Company's  business or any portion  thereof or the
business of any other person or entity;

          (G)  each  licensing,   distributor,   dealer,  franchise,   sales  or
manufacturer's representative,  agency or other similar contract, arrangement or
commitment which involves consideration of more than $15,000;

          (H) each contract under which the Company performs patient services;

          (I) each lease, license, sublease,  sublicense,  contract,  agreement,
restrictive  covenant,  easement,  obligation or arrangement with respect to the
ownership,  use or  occupancy of any real  property or any  interest  therein or
option therefor;

          (J) each lease, license, sublease, sublicense,  contract, agreement or
arrangement  with  respect  to the use or  ownership  of any  tangible  personal
property used by the Company in  connection  with the operation of its business;
and

          (K) any other  agreement  which  involves  consideration  of more than
$15,000.

          Except as set forth on Schedule 4.7, each of the Contracts was entered
into and  requires  performance  in the ordinary  course of business,  is valid,
binding and enforceable in accordance  with its terms,  and is in full force and
effect. Except as set forth on Schedule 4.7, the Company is not in default under
any Contract and there has not been  asserted,  either by or against the Company
under any Contract, any written notice of default,  set-off or claim of default.
To the best  knowledge of Sellers and the Company,  the parties to the Contracts
other than the Company are not in default of any of their respective obligations
under the Contracts, and there has not occurred any event which with the passage
of time or the giving of notice (or both) would  constitute  a default or breach
under any Contract.  All amounts payable by the Company under the Contracts are,
and will at the Closing Date, be on a current  basis.  The Company has delivered
to Buyer  complete  and  correct  copies of each of the  written  Contracts  and
written descriptions, in reasonable detail, of each oral Contract.

          4.8 FINANCIAL STATEMENTS.

          (A) The unaudited  balance sheet (the "Balance  Sheet") of the Company
as of December 31, 1995 (the "Balance Sheet Date"),  and the related  statements
of  operations  and  accumulated  deficit and  statements  of cash flows for the
six-month  period then ended,  certified by the Chief  Financial  Officer of the
Company,  previously  delivered to Buyer by the Company,  present  fairly in all
material  respects the  financial  condition  and results of  operations  of the
Company at and for the periods therein specified and were prepared in accordance
with generally  accepted  accounting  principles  applied on a consistent basis.
Such statements of operation do not contain any items of special or nonrecurring
income or expense or any other  income not earned or expense not incurred in the
ordinary course of business except as expressly specified therein.


                                       15

<PAGE>

          (B) The audited  balance sheet of the Company as of June 30, 1995, and
the related  statement of operations  and  accumulated  deficit and statement of
cash  flows for the year then  ended,  previously  delivered  by the  Company to
Buyer,  present  fairly in all material  respects the  financial  condition  and
results of operations of the Company at and for the period therein specified and
were  prepared in  accordance  with  generally  accepted  accounting  principles
applied on a consistent  basis.  Such statements of operation do not contain any
items of special  or  nonrecurring  income or  expense  or any other  income not
earned or expense not  incurred  in the  ordinary  course of business  except as
expressly specified therein.

          (C) Except as set forth on Schedule  4.8(c) or as expressly  set forth
on the  Balance  Sheet,  at the  Balance  Sheet Date the Company had no material
liabilities or obligations (whether absolute,  accrued,  contingent or otherwise
and whether due or to become due, including,  without limitation, any guarantees
of any of any  obligations of any other person or entity) of any kind or nature,
whether  or not of a nature  which  was or is  required  by  generally  accepted
accounting  principles  to be reflected in a corporate  balance sheet and/or the
notes thereto.

          4.9 MATERIAL CHANGES.  Since the Balance Sheet Date there has not been
any material  adverse  change in the  condition  (financial or otherwise) of the
assets,  properties  or  operations  of the  Company,  whether or not covered by
insurance or other indemnity, and during such period of time the Company has and
from the date of this Agreement  through the Closing,  will have,  conducted its
business  only in the  ordinary  and  normal  course,  and made no  payments  or
distributions  to any Seller  other than wages paid in the  ordinary  and normal
course of business, except as otherwise expressly permitted by this Agreement.

          4.10 LICENSES; PERMITS; CERTIFICATES OF NEED. Schedule 4.10 sets forth
a description of (a) all licenses and other governmental,  quasi-governmental or
other regulatory  permits,  authorizations  or approvals of the Company that are
now in effect;  (b) all final  Certificates  of Need issued with  respect to the
Facilities that are now in effect; and (c) each other license,  permit, or other
authorization that is necessary for the operation of the Facility (collectively,
the  "Licenses"),   and  the  Licenses   constitute  all  of  the  governmental,
quasi-governmental and regulatory licenses, permits, authorization and approvals
necessary,  appropriate or useful to the operation of the Company's  business as
it is operated on the date hereof.  Schedule  4.10 also sets forth a description
of each  accreditation  of the  Facilities,  copies  of which  the  Company  has
delivered  to Buyer.  The Company has  delivered  to Buyer  copies of all of the
Licenses.  The Company or the individuals listed on Schedule 4.10 (to the extent
set forth on said Schedule) own,  possess or otherwise have the exclusive  legal
right to use the Licenses,  free and clear of all Liens. Neither the Company nor
any such  individual  is in material  default  under any such  License,  and the
Company  has not  received  any  notice of any  default  or any  other  claim or
proceeding  relating to any such License.  No shareholder,  director or officer,
employee  or  former  employee  of  the  Company  (or  any of  their  respective
affiliates),  or any person,  firm or corporation other than the Company and the
licensing person, entity or authority, owns or has any proprietary,


                                       16

<PAGE>

financial or other interest,  direct or indirect,  in whole or in part in any of
the Licenses,  other than Licenses  necessary for such  individuals  to practice
their own professions.

          4.11 TITLE, CONDITION OF PERSONAL PROPERTY.

          (A) Except as disclosed on Schedule 4.11(a),  the Company has good and
indefeasible  title to, or valid and subsisting  leasehold  interests in, all of
the personal property located at or used in connection with the operation of its
business,  subject to no Liens whatsoever other than Permitted Liens (as defined
below).  No other person has any right to the use or  possession  of any of such
property  which is owned and no currently  effective  financing  statement  with
respect  to any  such  personal  property  has  been  filed  under  the  Uniform
Commercial  Code in any  jurisdiction,  and the  Company has not signed any such
financing  statement or any security  agreement  authorizing  any secured  party
thereunder to file any such financing  statement except for the Permitted Liens.
All of such personal property comprising equipment, improvements,  furniture and
other tangible personal property in use at the Company, whether owned or leased,
is in good operating condition and repair,  subject to normal wear and tear, and
is  sufficient  to enable  the  Company  to  operate  its  business  in a manner
consistent  with its  operation  during the  immediately  preceding  twelve (12)
months.

          (B) "Permitted Liens" shall mean

                    (I) carriers',  warehouseman's,  mechanic's,  materialmen's,
          repairmen's  or other like liens  arising  in the  ordinary  course of
          business  which are (i) not  overdue for a period of more than 30 days
          unless being  contested in good faith and by appropriate  proceedings,
          provided  that if such contest  shall  continue for more than 30 days,
          the amount thereof shall be bonded or properly reserved against at the
          end of such  30-day  period,  (ii) not subject to any  foreclosure  or
          attachment proceeding, and (iii) do not exceed in any single instance,
          $15,000 or in the aggregate, $75,000;

                    (II)  deposits  to secure  the  performance  of bids,  trade
          contracts   (other  than  for  borrowed  money),   leases,   statutory
          obligations,  surety and  appeal  bonds,  performance  bonds and other
          obligations  of like  nature,  in each case  incurred in the  ordinary
          course of  business,  and if in an amount  greater than $15,000 in any
          single  instance,  or if in the  aggregate  greater than  $75,000,  as
          disclosed to Buyer on Schedule 4.11(b);

                    (III)  rights of lessees  under leases set forth on Schedule
          4.7;

                    (IV)  pledges  or  deposits  in  connection  with  workman's
          compensation,   unemployment  insurance,  and  other  social  security
          legislation; and

                    (V) liens described on Schedule 4.11(b).




                                       17

<PAGE>

          4.12  LEGAL  PROCEEDINGS.  Other than as set forth on  Schedule  4.12,
there   are  no   claims,   actions,   suits,   proceedings,   arbitrations   or
investigations, either administrative or judicial, pending, or, to the knowledge
of the Sellers and the Company,  overtly  threatened  against or  affecting  the
Company or the Company's  ability to consummate  the  transactions  contemplated
hereby, at law or in equity or otherwise,  before or by any court,  governmental
or  quasi-governmental  agency  or body,  domestic  or  foreign,  or  before  an
arbitrator of any kind.

          4.13 EMPLOYEES.  Schedule 4.13 contains a complete and correct list of
the name, position,  and current rate of compensation and any other compensation
arrangements or fringe benefits, of (i) each officer, management level employee,
and employee earning gross compensation in excess of a rate of $50,000 per year,
of the Company, and (ii) each consultant or agent of the Company.  Except as set
forth on Schedule 4.7, the Company does not have any pension, profit sharing, or
welfare benefit plan applicable to any of its employees.  Except as described on
Schedule  4.13,  (i) no such  employee,  consultant  or agent has any  vested or
unvested retirement benefits or other termination benefits, and (ii) the Company
has no liability for any accrued and unpaid employee benefits (including accrued
vacation and sick days) for which  adequate  reserves  are not  reflected on the
Company's  Balance  Sheet.  Schedule 4.13 also sets forth a description  of each
Company guideline or policy (whether or not enforceable) applicable generally to
employees  such as with respect to vacations,  sick days,  terminations  and the
like.

          4.14 COLLECTIVE  BARGAINING,  LABOR CONTRACTS,  EMPLOYMENT  PRACTICES,
ETC.

          (A) During the two years prior to the Closing Date,  there has been no
material  adverse  change  in the  relationship  between  the  Company  and  its
employees, nor any strike or material labor disturbance by any of such employees
and, to the  knowledge  of the Sellers and the Company,  there is no  indication
that such a change, strike or labor disturbance is likely. Company employees are
not represented by any labor union or similar organization,  and the Sellers and
the Company have no reason to believe that there are pending or  threatened  any
activities,  the purpose of which is to achieve such  representation,  of all or
some of the Company's employees.  Except as set forth on Schedules 4.7 and 4.13,
the  Company  does not have  collective  bargaining  or other  labor  contracts,
employment contracts,  pension,  profit-sharing,  retirement,  insurance, bonus,
deferred   compensation   or  other  employee   benefit  plans,   agreements  or
arrangements  with respect to any of its  employees.  The Company is in material
compliance  with the  requirements  prescribed  by all Federal,  state and local
statutes, orders and governmental rules and regulations applicable to any of the
employee benefit plans,  agreements and arrangements  identified on Schedule 4.7
and Schedule 4.13, including, without limitation, the Employee Retirement Income
Security Act of 1974, as amended ("ERISA").

          4.15 ERISA. The Company does not maintain or make contributions to and
has not at any  time  in the  past  maintained  or made  contributions  to,  any
employee  benefit  plan which is  covered  by or  subject  to ERISA,  including,
without limitation, any minimum funding standards. The Company does not maintain
or make contributions to, and has not at any time in the past maintained or made
contributions  to,  any  multi-employer   plan  subject  to  the  terms  of  the
Multi-employer Pension Plan Amendment Act of 1980 (the "Multi-employer Act").


                                       18

<PAGE>

          4.16  INSURANCE AND SURETY  AGREEMENTS.  Schedule 4.16 contains a true
and  correct  list of: (a) all  policies of fire,  liability  and other forms of
insurance  held  or  owned  by  the  Company   (including  but  not  limited  to
professional  liability  insurance,  and any state sponsored plan or program for
worker's  compensation);  and (b) all  bonds,  indemnity  agreements  and  other
agreements  of  suretyship  made for or held by the  Company,  including a brief
description of the character of the bond or agreement and the name of the surety
or indemnifying  party.  Schedule 4.16 sets forth for each such insurance policy
the name of the insurer,  the amount of  coverage,  the type of  insurance,  the
policy  number,  the annual  premium  and a brief  description  of the nature of
insurance  included  under each such  policy and of any claims  made  thereunder
during the past two (2) years.  Such policies are owned by and payable solely to
the  Company,  and said  policies or renewals or  replacements  thereof  will be
outstanding and duly in force at the Closing Date. All insurance policies listed
on Schedule 4.16 are in full force and effect, all premiums due on or before the
Closing  Date have  been or will be paid on or  before  the  Closing  Date,  the
Company has not been advised by any of its insurance carriers of an intention to
terminate or modify any such policies other than under  circumstances  where the
Company has received a commitment for a satisfactory replacement policy, nor has
the Company  failed to comply with any of the material  conditions  contained in
any such policies.

          4.17  RELATIONSHIPS.  Except as disclosed on Schedule 4.17 hereto,  no
Seller and no partner or  affiliate of any Seller has, or at any time within the
last two (2) years has had, an ownership interest in any business  (corporate or
otherwise)  that is a party to, or in any  property  that is the subject of, any
business  relationship  or  arrangement of any kind relating to the operation of
the Company by which the Company  will be bound,  or upon which the Company will
rely, after the Closing.

          4.18 ABSENCE OF CERTAIN EVENTS.  Except as set forth on Schedule 4.18,
since the  Balance  Sheet Date,  the Company has not,  and from the date of this
Agreement through the Closing Date, the Company will not have:

          (A) sold,  assigned or  transferred  any of its assets or  properties,
except in immaterial  amounts in the ordinary  course of business and consistent
with past practice;

          (B)  mortgaged,  pledged  or  subjected  to  any  Lien,  other  than a
Permitted Lien, any of the Company's assets;

          (C) made or suffered  any  amendment  or  termination  of any material
contract, commitment,  instrument or agreement other than in the ordinary course
of business  and  consistent  with past  practice  and as  disclosed to Buyer on
Schedule 4.7;

          (D) except in the ordinary course of business and consistent with past
practice,  or  otherwise to the extent  necessary to comply with any  applicable
minimum wage law,  increased  the salaries or other  compensation  of any of its
employees, agents or consultants or


                                       19

<PAGE>

made any increase in, or any additions  to, other  benefits to which any of such
employees, agents or consultants may be entitled;

          (E)  failed  to  pay  or  discharge   when  due  any   liabilities  or
obligations,  the failure to pay or discharge  which has caused or may cause any
material damage or give rise to the risk of a material loss to the Company;

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

          (G)  declared or paid or set aside or reserved any amounts for payment
of any dividend or other distribution in respect of its securities,  or redeemed
or repurchased or agreed to redeem or repurchase any of its securities;

          (H) failed to collect,  withhold and/or pay to any proper governmental
agency or authority, any federal, state or local income, franchise,  sales, use,
withholding  or similar  tax  required  by  applicable  law to be so  collected,
withheld and/or paid;

          (I) instituted,  settled or agreed to settle any litigation, action or
proceeding  before any court or governmental body relating to it or its property
or received any threat thereof which could have or has had a materially  adverse
effect  on  the  condition   (financial  or   otherwise)   properties,   assets,
liabilities, operations, business or prospects of the Company; or

          (J) entered into any material  transaction  other than in the ordinary
course of business.

          4.19 COMPLIANCE WITH LAWS.  Except for notices of  non-compliance  set
forth on Schedule 4.19 and as to which the Company has taken  corrective  action
acceptable to the applicable  governmental  agency,  the Company has not, within
the period of twenty-four months preceding the date of this Agreement,  received
any written  notice that it failed to comply in any  material  respect  with any
applicable  Federal,  state, local or other governmental laws or ordinances,  or
any applicable order, rule or regulation of any Federal,  state,  local or other
governmental  or   quasi-governmental   agency  having   jurisdiction   over  it
("Governmental  Requirements").  Sellers shall report to Buyer,  within five (5)
business days after receipt thereof, any written notices that the Company is not
in compliance in any material respect with any of the foregoing. The Company and
Sellers have no reason to believe that the Company is not in compliance with all
Governmental  Requirements  applicable to it and its  operations,  employees and
properties.

          4.20 FINDERS.  No broker or finder other than Premier  HealthCare  and
its  affiliates  has acted for  Sellers or the  Company in  connection  with the
transactions  contemplated by this  Agreement,  and no other broker or finder is
entitled to any broker's or finder's fee or other  commission in respect thereof
based in any way on agreements,  understandings  or arrangements with any Seller
or the Company.


                                       20

<PAGE>

          4.21 TAX RETURNS. (a) Except as set forth in SCHEDULE 4.21(A), (i) all
Tax (as defined  below)  returns,  statements,  reports and forms required to be
filed with any  Governmental  Authority  on or before the Closing  Date by or on
behalf of the Company or any Subsidiary (collectively, the "RETURNS"), have been
or will be filed on or before the Closing Date in accordance with all applicable
Government  Requirements (and no extensions shall have been taken), and true and
complete  copies of all Returns  with  respect to income or sales or use for any
period  during  the  three-year  period  ending  on the date  hereof  have  been
delivered  to  Buyer;  (ii) as of the  time of  filing,  the  Returns  correctly
reflected or will correctly  reflect the facts  regarding the income,  business,
assets,  operations,  activities and status of the Company and the  Subsidiaries
and any other  information  required to be shown therein;  and (iii) the Company
and the  Subsidiaries  have  timely  paid all Taxes  required  to be paid by the
Company or any of the Subsidiaries.

          (B) "TAX" (including,  with correlative meaning, the terms "TAXES" and
"TAXABLE") means any net income,  gross income,  gross receipts,  sales, use, ad
valorem,   transfer,   franchise,   profits,  license,   withholding,   payroll,
employment, excise, severance, stamp, occupation,  premium, property or windfall
profits tax,  alternative or add-on minimum tax,  customs duty or other tax, fee
assessment or charge of any kind whatsoever,  together with any interest and any
penalty,  addition  to tax or  additional  amount  imposed  by any  Governmental
Authority.

          4.22  ENCUMBRANCES  CREATED  BY  THIS  AGREEMENT.  The  execution  and
delivery of this  Agreement  and the  Transaction  Documents,  does not, and the
consummation  of the  transactions  contemplated  hereby and  thereby  will not,
create any liens or other  encumbrances on any of the Company's  assets in favor
of any third parties.

          4.23 ENVIRONMENTAL MATTERS.

          (A) At any time during the Company's leasing of the Facilities and, to
the  Sellers'  and the  Company's  knowledge,  prior  to the  Company's  leasing
thereof:

                    (I) Such  Facilities  have not been used for the disposal of
          any  industrial  refuse  or  waste,   including  but  not  limited  to
          potentially infectious waste,  blood-contaminated  materials, or other
          wastes  generated  in the  course of patient  treatment  (collectively
          "Medical  Waste"),  or  for  the  processing,   manufacture,  storage,
          handling,  treatment or disposal of any hazardous or toxic  substance,
          material or waste,  other than in the ordinary  course of its business
          and   in   substantial   compliance   with   applicable   Governmental
          Requirements;

                    (II)  Except  as  set  forth  in  Schedule  4.23(a)(ii),  no
          asbestos-  containing  materials have been used or disposed of at such
          Facilities or used in the construction of such Facilities;



                                       21

<PAGE>

                    (III)  No  machinery,   equipment  or  fixtures   containing
          polychlorinated biphenyls ("PCBs") are located at such Facilities.

                    (IV) Except as set forth in Schedule 4.23(a)(iv), no storage
          tanks  for  gasoline,  petroleum,  or any  other  substance  have been
          located at such Facilities;

                    (V) No  Hazardous  Substances  (as defined  below) have been
          located at such Facilities,  which Hazardous  Substances,  if found at
          such  Facilities,   would  subject  the  owner  or  occupant  of  such
          Facilities  to damages,  penalties,  liabilities  or an  obligation to
          remove such  Hazardous  Substances or materials  under any  applicable
          Governmental Requirements; and

                    (VI) Within the period of two (2) years  preceding  the date
          of this Agreement,  no written notice from any  governmental  body has
          been served upon the Company  except for notices of  violations  as to
          which  the  Company  has taken  corrective  action  acceptable  to the
          applicable   governmental   agency  and  as  set  forth  in   Schedule
          4.23(a)(vi),  claiming any material violation of any Federal, state or
          local  law,   regulation  or  ordinance   concerning  the  generation,
          handling,  storage, or disposal of Medical Waste, or the environmental
          state,  condition,  or quality of such  Facilities,  or  requiring  or
          calling attention to the need for any work, repairs, or demolition, on
          or in  connection  with the  Facilities  in order to  comply  with any
          Governmental  Requirements  concerning the  environmental or healthful
          state, condition or quality of such Facilities.

          (B) Schedule  4.23 lists all reports of health care and  environmental
agencies  received  by the  Company  during  the  last  two (2)  years  from any
supervisory  governmental  authority  with  respect  to  the  operations  of the
Facilities. The Company has delivered copies of each such report to Buyer.

          (C)  The  Company  is  in  material  compliance  with  all  applicable
environmental   and  related  laws,   ordinances  and  governmental   rules  and
regulations applicable to it and the Facilities,  including, but not limited to,
the  Resource   Conservation   and  Recovery  Act  of  1976,  as  amended,   the
Comprehensive  Environmental Response Compensation and Liability Act of 1980, as
amended,  the Federal Water Pollution Control Act, as amended by the Clean Water
Act,  the Federal  Toxic  Substances  Control  Act,  as  amended,  and all other
Federal,  state and local laws,  regulations  and ordinances with respect to the
protection  of  the  environment   (collectively,   "Environmental  Laws").  The
foregoing representation and warranty applies to all aspects of the operation of
the  Facilities  including,  but not limited to, the use,  handling,  treatment,
storage,  transportation  and  disposal of any  hazardous,  toxic or  infectious
waste,  material or substance  (including  Medical Waste or any other  Hazardous
Substances).

          (D) The term  "Hazardous  Substance" as used in this  Agreement  shall
include,  without limitation,  gasoline,  oil and other petroleum products,  and
related and similar materials,  and any other substance or material defined as a
hazardous,  toxic or polluting  substance  or material by any federal,  state or
local law, ordinance, rule or regulation.



                                       22

<PAGE>

          4.24 LEASEHOLD INTERESTS; CONDITION OF THE FACILITIES.

          (A) Annexed hereto as Exhibit  4.24(a) are true and complete copies of
each of the lease  agreements  pursuant  to which the Company is  operating  the
Facilities.  The Company's  leasehold  interests in the Facilities,  and the fee
simple  interests of the respective  landlords in the  Facilities,  are free and
clear  of  all  liens,  claims,  charges,  easements,   encumbrances  and  title
exceptions of any kind  whatsoever  except for Real Estate  Permitted  Liens (as
defined below).

          (B) Except as set forth on  Schedule  4.24(b),  there are no leases or
other  agreements of the Company as sub-lessor,  granting to any third party the
right to use or occupy the Facilities  (except the rights of the patients of the
Facilities)  and no person (other than the landlords  identified in such leases)
has any ownership  interest or option or right of first  refusal  (which has not
been waived) to acquire any ownership interest in the Facilities or any building
or improvements thereon;

          (C)  No  written   notices  of  violation  have  been  issued  by  any
governmental  authority and remain in effect which  prohibit the existing use of
the structures presently comprising the Facilities;

          (D) To the knowledge of the Company, there is no plan, study or effort
by any  governmental  authority or agency which would in any material way affect
the  present  use or  zoning  of the  Facilities  or any  part  thereof.  To the
knowledge  of Sellers  and the  Company,  there are no  assessments  or proposed
assessments and there is no existing,  proposed or  contemplated  plan to widen,
modify  or  realign  any  street  or  highway  or  any  existing,   proposed  or
contemplated  eminent domain  proceedings  that would in any material way affect
the Facilities;

          (E) The buildings and other improvements comprising the Facilities and
all of their systems, including without limitation, the heating, ventilating and
air conditioning systems, and the plumbing, electrical,  mechanical and drainage
systems,  and roofs are in good operating  condition,  repair and working order,
normal wear and tear excepted;

          (F) No assessment  for public  improvements  has been made against the
Facilities  that remains unpaid,  except that, as to any assessments  payable in
installments,  the Company shall not be required to pay any installments not yet
due at the time of the Closing.  All public improvements  ordered,  commenced or
completed  with respect to any  Facilities  prior to the date of this  Agreement
shall be paid for in full by the Company prior to the Closing;

          (G) All public utilities  required for the operation of the Facilities
either enter the property  through  adjoining  public  streets,  or if they pass
through adjoining private land


                                       23

<PAGE>



do so in accordance with valid easements.  The Facilities are adjacent to or has
access to an abutting street;

          (H) There are no easements  traversing or contiguous to the Facilities
which  interfere  in any  material  respect  with the use and  operation  of the
Facilities  which  are not  disclosed  on any  schedule  hereto  or shown on the
surveys referred to in Section 9.16 hereof; and

          (I)  Each  of the  Facilities  complies  with  all  applicable  zoning
regulations,  and the Company has not  received  any written  notice of material
noncompliance from any governmental  authority regarding any of the improvements
constructed  at any of the  Facilities  or the use or  occupancy  thereof  which
remains uncured.

          (J) "Real Estate Permitted Liens" shall mean

                    (I) Permitted Liens;

                    (II)  easements,   rights-of-way,   restrictions  and  other
          encumbrances  which, in the aggregate,  are not substantial in amount,
          and which do not in any case  materially  interfere  with the ordinary
          conduct of the business of the Company;

                    (III) rights of patients of the Facilities to use and occupy
          the Facilities; and

                    (IV) matters  which an accurate  survey or inspection of the
          premises would disclose.


             ARTICLE V: ADDITIONAL REPRESENTATIONS AND WARRANTIES OF
                                     SELLERS

          Each Seller hereby represents and warrants to Buyer as follows:

          5.1  AUTHORITY.  Each Seller has the full legal power and authority to
make, execute,  deliver and perform this Agreement and the Transaction Documents
to which he or its is or shall be a party. Such execution, delivery, performance
and consummation have been duly authorized by all necessary action, corporate or
otherwise,  on the part of such Seller, and any necessary consents of holders of
indebtedness of such Seller have been obtained.

          5.2 BINDING EFFECT.  This Agreement and all  Transaction  Documents to
which such Seller is a party constitute the legal, valid and binding obligations
of such  Seller,  enforceable  against  such  Seller in  accordance  with  their
respective terms.

          5.3 ABSENCE OF CONFLICTING AGREEMENTS. Except as disclosed on Schedule
5.3,  the  execution  and  delivery  by each Seller of this  Agreement  and each
Transaction  Document  to which  such  Seller  is or  shall be a party,  and the
performance by such Seller of the transactions


                                       24

<PAGE>



contemplated  hereby and thereby does not conflict  with, or constitute a breach
of or a default  under (i) if such  Seller is a  corporation,  its  Articles  of
Incorporation  or  By-Laws,  or  if  such  Seller  is an  entity  other  than  a
corporation,  its organizational and governance  documents,  (ii) any law, rule,
judgment,  order,  writ,  injunction,  or decree of any court applicable to such
Seller,  or (iii) any rule or regulation of any  administrative  agency or other
governmental or quasi-governmental  authority applicable to such Seller, or (iv)
any agreement,  indenture,  contract or instrument to which such Seller is now a
party or by which any of the assets of such Seller is bound.

          5.4 CONSENTS. No authorization,  consent, approval, license, exemption
by, filing or registration  with any court,  governmental or  quasi-governmental
department,  commission,  board, bureau, agency or instrumentality,  domestic or
foreign, is or will be necessary in connection with the execution,  delivery and
performance by any Seller of this Agreement or any of the Transaction  Documents
or any of the transactions contemplated hereby or thereby.

          5.5 OWNERSHIP OF COMPANY SHARES.  Each Seller is the lawful record and
beneficial  owner of all of the Company  Shares shown as owned by such Seller in
Schedule  4.5, with good and  marketable  title  thereto,  free and clear of all
Liens. Such Seller has the full legal power to transfer and deliver such Company
Shares in accordance with this  Agreement,  and upon the transfer of such shares
to Buyer as contemplated by this Agreement, each Seller shall have conveyed good
and marketable  title thereto,  free and clear of all Liens.  The Company Shares
indicated on Schedule 4.5 as being owned by Sellers constitute all of the issued
and outstanding capital stock of the Company.

          5.6 THE ASSETS.  As of the Closing,  the Assets will constitute all of
those  necessary  and useful to operate the Company as it is currently  operated
and  intended to be operated by Buyer after the  Closing,  and shall be free and
clear of any and all Liens other than Permitted Liens.


               ARTICLE VI: REPRESENTATIONS AND WARRANTIES OF BUYER

          Buyer and Newco  each  represents  and  warrants  to the  Company  and
Sellers as follows:

          6.1 ORGANIZATION AND STANDING. Each of Buyer and Newco,  respectively,
is a corporation duly organized, validly existing and in good standing under the
laws of the State of  Delaware.  Copies of Buyer's  and of Newco's  Articles  of
Incorporation  and  By-Laws,  and all  amendments  thereof  to date,  have  been
delivered to the Company, and are complete and correct.  Each of Buyer and Newco
has the power and  authority  to own the property and assets now owned by it and
to conduct its business presently conducted by it.

          6.2  ABSENCE OF  CONFLICTING  AGREEMENTS.  Neither  the  execution  or
delivery of this Agreement, including Buyer's and Newco's Schedules and Exhibits
hereto,  or any of  the  Transaction  Documents  by  Buyer  or  Newco,  nor  the
performance  by  Buyer  or Newco of the  transactions  contemplated  hereby  and
thereby, conflicts with, or constitutes a breach of or a


                                       25

<PAGE>



default under (i) the Certificate of Incorporation or By-Laws of Buyer or Newco;
or (ii) any applicable law, rule, judgment,  order, writ, injunction,  or decree
of any court, currently in effect; or (iii) any applicable rule or regulation of
any administrative  agency or other governmental  authority currently in effect;
or (iv) any material agreement, indenture, contract or instrument to which Buyer
or  Newco  is now a party or by  which  any of the  assets  of Buyer or Newco is
bound.  The  execution,  delivery and  performance  of this  Agreement  and each
Transaction   Document  and  the   performance  of  each  of  the   transactions
contemplated  hereby or thereby has been  authorized by all necessary  corporate
action of the Company and of Newco.

          6.3  CONSENTS.  Except as set forth in Schedule 6.3 no  authorization,
consent, approval,  license, exemption by, filing or registration with any court
or   governmental   department,    commission,    board,   bureau,   agency   or
instrumentality, domestic or foreign, is or will be necessary in connection with
the  execution,  delivery  and  performance  of  this  Agreement  or  any of the
Transaction Documents by Buyer or Newco.

          6.4  MATERIAL  CHANGES.  Except  as noted  on  Schedule  6.4,  between
December  31,  1995  and the  date of this  Agreement,  there  has not  been any
material adverse change in the condition (financial or otherwise) of the assets,
properties  or operations  of Buyer,  whether or not covered by  insurance,  and
during such period of time Buyer has and from the date of this Agreement through
the Closing,  will have,  conducted its business only in the ordinary and normal
course.

          6.5 FINDERS.  Buyer has not dealt with any broker or finder other than
Premier  HealthCare  and its  affiliates  in  connection  with the  transactions
contemplated  by this  Agreement,  and no broker or  finder is  entitled  to any
broker's or finder's fee or other commission in respect thereof based in any way
on agreements, understandings or arrangements with Buyer.

          6.6 POWER  AND  AUTHORITY.  Each of Buyer and Newco has the  corporate
power and authority to execute,  deliver and perform this  Agreement,  and as of
the Closing, each of Buyer and Newco will have the corporate power and authority
to execute and deliver the Transaction  Documents required to be delivered by it
to the Company at the Closing.

          6.7 BINDING  AGREEMENT.  This  Agreement  has been duly  executed  and
delivered by each of Buyer and Newco.  This  Agreement is, and when executed and
delivered  by each of Buyer and Newco at the  Closing,  each of the  Transaction
Documents  executed  by Buyer or Newco,  as the case may be, will be, the legal,
valid and binding  obligation of Buyer or Newco, as the case may be, enforceable
against it in accordance with their respective terms.

          6.8 CCA  STOCK.  The CCA Stock,  when  issued to the  Shareholders  at
Closing, will be validly issued and subject to no claims, liens or encumbrances.


           ARTICLE VII: INFORMATION AND RECORDS CONCERNING THE COMPANY

          7.1 ACCESS TO  INFORMATION  AND RECORDS BEFORE  CLOSING.  Prior to the
Closing Date,  Buyer may make, or cause to be made,  such  investigation  of the
Company's financial and


                                       26

<PAGE>



legal condition as Buyer deems necessary or advisable to familiarize itself with
the Company  and/or  matters  relating to its history or operation.  The Company
shall permit Buyer and its authorized  representatives  (including legal counsel
and  accountants),  to have full access to the Company's  books and records upon
reasonable  notice  and during  normal  business  hours,  and the  Company  will
furnish,  or cause to be furnished,  to Buyer such  financial and operating data
and other  information  and copies of documents  with  respect to the  Company's
products,  services,  operations  and  assets as Buyer  shall  from time to time
reasonably  request.  The  documents  to which  Buyer  shall have  access  shall
include, but shall not be limited to, the Company's tax returns and related work
papers  since its  inception  and the Company  shall make,  or cause to be made,
extracts thereof as Buyer or its  representatives  may request from time to time
to enable  Buyer and its  representatives  to  investigate  the  affairs  of the
Company and the  accuracy of the  representations  and  warranties  made in this
Agreement.  The Company shall cause its  accountants to cooperate with Buyer and
to  disclose  the  results of audits  relating to the Company and to produce the
working papers relating thereto.


        ARTICLE VIII: OBLIGATIONS OF THE PARTIES UNTIL EFFECTIVE TIME OF
                                     MERGER

          8.1  CONDUCT OF  BUSINESS  PENDING  CLOSING.  Between the date of this
Agreement  and the  Effective  Time of Merger,  the Company  shall  maintain its
existence  and shall  conduct its  business in the  ordinary  course of business
consistent with past practice.

          8.2  NEGATIVE  COVENANTS  OF THE  COMPANY.  Without the prior  written
approval  of Buyer,  which  approval  shall not be  unreasonably  withheld,  the
Company shall not, between the date hereof and the Effective Time of Merger:

          (A)  cause  or  permit  to  occur  any of the  events  or  occurrences
described  in Section 4.18  (Absence of Certain  Events) of this  Agreement,  or
which otherwise would have been inconsistent with any of the  representations or
warranties  of the Company under this  Agreement had the same occurred  prior to
the date hereof; or

          (B)  dissolve,  merge or enter into a share  exchange with or into any
other entity; or

          (C)  enter  into  any  contract  or  agreement,   or  negotiations  in
connection  with  any  union  or  other  collective  bargaining   representative
representing any employees at the Company; or

          (D) make any change to its by-laws or articles of incorporation.

          8.3  AFFIRMATIVE  COVENANTS.  Between the date hereof and the Closing,
the Company shall:



                                       27

<PAGE>



          (A) maintain the physical assets of the Company in  substantially  the
state of repair, order and condition as on the date hereof,  reasonable wear and
tear or loss by casualty excepted;

          (B) maintain in full force and effect all Licenses currently in effect
with respect to the Company  unless such License is no longer  necessary for the
operation of the Company;

          (C)  maintain  in full  force and effect the  insurance  policies  and
binders  currently in effect with respect to the  Company,  or the  replacements
thereof, including without limitation those listed on Schedule 4.16;

          (D) utilize their  reasonable  efforts to preserve  intact the present
business  organization  of the  Company;  keep  available  the  services  of the
Company's present employees and agents; and maintain the Company's relations and
goodwill with suppliers,  employees,  and any others having business relating to
the Company;

          (E) maintain  all of the books and records  relating to the Company in
accordance with its past practices;

          (F)  comply  in all  material  respects  with  all  provisions  of the
Contracts  listed in Schedule 4.17, and with any other material  agreements into
which the Company has entered in the ordinary  course of business since the date
of this  Agreement,  and comply in all material  respects with the provisions of
all material laws, rules and regulations applicable to the Company's business;

          (G) cause to be paid when due, all taxes,  assessments  and charges or
levies  imposed  upon the  Company  or on any of its  properties  or which it is
required to withhold and pay over; and

          (H)  promptly  advise  Buyer in writing of the threat or  commencement
against the Company of any claim,  action,  suit or  proceeding,  arbitration or
investigation that would materially adversely affect the operations, properties,
assets or prospects of the Company.

          8.4 PURSUIT OF CONSENTS AND  APPROVALS.  Prior to the  Closing,  Buyer
shall use its  reasonable  efforts  to obtain  all  consents  and  approvals  of
governmental   agencies  and  all  other   parties   necessary  for  the  lawful
consummation of the transactions  contemplated  hereby and the lawful use of the
Company's Assets by Buyer ("Required Approvals").  Sellers and the Company shall
cooperate with and use their reasonable efforts to assist Buyer in obtaining all
such approvals.

          8.5 SUPPLEMENTARY FINANCIAL INFORMATION.  Within twenty-five (25) days
after the end of each calendar  month between the date of this Agreement and the
Closing  Date,  the Company  shall  provide,  or cause to be provided,  to Buyer
unaudited financial statements (including at a minimum,  income statements and a
balance sheet) for the calendar month then most recently ended, which statements
shall present fairly, in all material respects, the results of the


                                       28

<PAGE>

operations of the Company at such date and for the period covered  thereby,  all
in  accordance  with  generally  accepted  accounting  principles  applied  on a
consistent basis.

          8.6  EXCLUSIVITY.  Until the earlier of Closing or the  termination of
this  Agreement  pursuant to Section 12.1,  neither the Company nor the Sellers,
nor any of their  respective  affiliates,  shall  engage in any  discussions  or
negotiations  directly or indirectly with any other party in respect of the sale
of the Company Shares or of substantially  all of the assets of the Company,  or
in respect of any merger, consolidation, or other reorganization of the Company.


             ARTICLE IX: CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS

          Buyer's obligation to consummate the purchase of the Company Shares is
subject to the fulfillment, prior to or at the Closing, of each of the following
conditions,  any one or more of which may be waived  by Buyer in  writing.  Upon
failure of any of the following  conditions,  Buyer may terminate this Agreement
prior to Closing pursuant to and in accordance with Article XII herein.

          9.1 REPRESENTATIONS AND WARRANTIES. The representations and warranties
of  Sellers  in  Articles  IV and V shall be true and  correct  in all  material
respects  at and as of the Closing  Date,  as though  such  representations  and
warranties were made at and as of such time except to the extent affected by the
transactions herein contemplated.

          9.2  PERFORMANCE OF COVENANTS.  Each Seller and the Company shall have
performed or complied in all material respects with their respective  agreements
and covenants  required by this Agreement to be performed or complied with by it
and him prior to or at the Closing.

          9.3 DELIVERY OF CLOSING  CERTIFICATE.  Each Seller and the Company (by
its President), shall have executed and delivered to Buyer a certificate,  dated
the Closing  Date,  upon which Buyer may rely,  certifying  that the  conditions
contemplated  by  Sections  9.1  and  9.2  applicable  to it or  him  have  been
satisfied.

          9.4  OPINIONS OF COUNSEL.  Sellers  shall have  delivered  to Buyer an
opinion, dated the Closing Date, of their counsel, in the form of Exhibit 9.4.

          9.5 LEGAL MATTERS.  No  preliminary  or permanent  injunction or other
order (including a temporary  restraining  order) of any governmental  authority
which  prevents  the  consummation  of the  transactions  contemplated  by  this
Agreement shall have been issued and remain in effect.

          9.6 AUTHORIZATION  DOCUMENTS.  Buyer shall have received a certificate
of  the  Secretary  or  other  officer  of the  Company  certifying  a  copy  of
resolutions  adopted  by its Board of  Directors  and  unanimously  approved  by
Sellers (as its sole shareholders) authorizing the Company's execution, delivery
and full performance of this Agreement and the Transaction


                                       29

<PAGE>



Documents  (including,   without  limitation,   the  Plan  of  Merger)  and  the
transactions  contemplated hereby and thereby.  Buyer also shall have received a
certificate of the Secretary or other officer certifying as to the incumbency of
the Company's officers.

          9.7 MATERIAL CHANGE.  Since the date of this Agreement there shall not
have been any material adverse change in the condition  (financial or otherwise)
of the  assets,  properties  or  operations  of the  Company  except as allowed,
permitted or provided in this Agreement.

          9.8 APPROVALS.

          (A)  The  consent  or  approval  of  all  persons  necessary  for  the
consummation of the  transactions  contemplated  hereby shall have been granted,
including without limitation, the Required Approvals;

          (B) None of the  foregoing  consents or approvals  (i) shall have been
conditioned upon the  modification,  cancellation or termination of any material
lease,  contract,  commitment,  agreement,  license,  easement,  right  or other
authorization  with respect to the Company,  other than as disclosed or approved
hereunder,  or (ii) shall impose on Buyer any material condition or provision or
requirement  with  respect  to  the  Company  or its  operations  that  is  more
restrictive  than or different from the conditions  imposed upon such operations
prior to Closing.

          9.9 WORKING CAPITAL CERTIFICATE.  The Company shall have delivered the
certificate of its Chief Financial  Officer as required  pursuant to Section 2.3
hereof.

          9.10 LABOR  AGREEMENTS.  The Company  shall not have  entered into any
contract or agreement,  or  negotiations  in connection  with any union or other
collective bargaining representative  representing (or seeking to represent) any
employees of the Company.

          9.11 REAL  PROPERTY  CONSENTS.  Without  limiting  the  generality  of
Section 9.8(b), each of the landlords,  if any, with whom the Company has a real
property lease as of the Closing Date shall have consented to the Merger.  Buyer
shall have received written notice from Sellers by the Closing Date, identifying
those real property  leases and Consents which were included on Schedule  4.7(b)
and as to which any necessary  consent to assignment  has not been received from
the landlord as of such date. As to each of the remaining  real property  leases
on Schedule  4.7(b) that require  landlord's  consent for  assignment  as of the
Closing  Date,  Buyer  shall have  received  such  consent  in writing  from the
applicable landlord.

          9.12 TITLE INSURANCE.  Buyer shall have obtained,  at its expense,  at
normal  rates,  a title  commitment  from a reputable  title  insurance  company
selected by Buyer (the "Title  Company") for an owner's  title policy,  insuring
the  Company's  interest in the  Facilities  and insuring that the title to each
Facility  shall  be good  and  marketable  and  free  and  clear  of all  liens,
assessments, restrictions, encumbrances, easements, leases, tenancies, claims or
rights of use or possession  and other title  objections  (including any lien or
future claim from materials or labor supplied for  improvement of such property)
("Real Estate Liens"),  except for Real Estate  Permitted Liens and the standard
exceptions normally contained in the lessee's leasehold title


                                       30

<PAGE>

policy and schedules thereto provided, however, that at the request of Buyer the
Company  shall  provide such  affidavits to the Title Company or take such other
actions  that  would  enable the Title  Company  to remove any of such  standard
exceptions.  Buyer may obtain  prior to the Closing  any survey (or  engineering
study), at Buyer's expense, but if such survey (or study) discloses any material
discrepancy or exception to title not included within the restrictions permitted
hereunder, including those matters listed as Permitted Liens, Buyer may consider
such a breach of representation and warranty under Section 4.24, above.

          9.13 ENVIRONMENTAL  COMPLIANCE.  Buyer shall have received, at its own
expense, a written report in form and substance  reasonably  acceptable to Buyer
and  Buyer's  lenders,  from a qualified  geotechnical  or  engineering  firm of
Buyer's  choice,  concerning the presence of Hazardous  Substances,  asbestos or
asbestos-containing  products, radon and/or ureaformaldehyde insulation on or in
the  Facilities.  Such report shall disclose at a minimum:  (1) the results of a
review of prior uses of the Facilities  disclosed by local public  records;  (2)
contacts  with local  officials  to  determine  whether any  records  exist with
respect to the disposal of Hazardous Substances at the Facilities; (3) if deemed
necessary by such  engineering or geotechnical  firm, or by Buyer,  soil samples
and groundwater  samples  consistent  with good  engineering  practice;  and (4)
evaluation of the surrounding areas for sensitive environmental receptors,  such
as drinking water wells or aquifers, hospitals and schools.

          In the event that such  report  states  that any  Hazardous  Substance
exists at the  Facilities or that the  Facilities  are not otherwise in material
compliance with applicable environmental laws or regulations, Buyer may consider
such a breach of representation and warranty under Section 9.1, above.

          9.14  ENGINEERING  REPORT.  Buyer  shall  have  received,  at its  own
expense,  an  engineering  survey  and report in form and  substance  reasonably
satisfactory to Buyer and Buyer's lenders, from a qualified engineering or other
firm  of  Buyer's  choice  concerning  a full  and  complete  inspection  of the
Facilities,  the physical  soundness and structural  integrity of the buildings,
and the condition  (including freedom from material defect) of the heating,  air
conditioning,  plumbing and  electrical  systems,  the  appliances  of or in the
buildings, and other material components.

          In the event that such report states that a material  problem  exists,
Buyer may consider such a breach of  representation  and warranty  under Section
9.1, above, subject to the proviso therein.

          9.15  SURVEYS.   Buyer  shall  have  received,   at  Buyer's  expense,
satisfactory  surveys of the Facilities,  prepared by surveyors  licensed in the
respective  states  where the  Facilities  are located and approved by Buyer and
Buyer's lenders.

          9.16  TERMITE  INSPECTIONS.  Buyer  shall  have  received,  at Buyer's
expense, reports from qualified inspectors approved by Buyer and Buyer's lenders
with respect to any


                                       31

<PAGE>

termite, wood boring insect or other pest infestation at the Facilities,  and/or
resultant damage that has not been corrected in all material respects.

          In the event that such report states that a material  problem  exists,
Buyer may consider such a breach of  representation  and warranty  under Section
9.1, above, subject to the provisions therein.

          9.17 DUE DILIGENCE. Buyer shall have completed to its satisfaction its
due  diligence  investigation  and  review of the  Company  and its  assets  and
businesses,  provided that this condition  shall be deemed to be fully satisfied
unless Buyer gives written  notice to Sellers of its election to terminate  this
Agreement.

          9.18  NON-DISTURBANCE  AGREEMENT.  Any Facility lender associated with
mortgage obligations in respect of any of the Facilities shall have entered into
a Non-Disturbance Agreement with Buyer providing that so long as Buyer is not in
default under any lease thereof, such Facility lender shall recognize the rights
of the Buyer under such lease.

          9.19  SYCAMORE  CARE  CENTER.  The Company  shall have  completed  the
spin-off of the Sycamore Care Center in accordance with Section 1.5 hereof.

          9.20 GEORGIA FACILITIES. The Company shall have completed the purchase
and financing of the Georgia  Facilities  in accordance  with Section 1.6 hereof
and on terms satisfactory to Buyer.

          9.21 ST. CHARLES MANOR NURSING CENTER. Sellers shall have obtained the
consent of the landlord  (which  consent  shall not be required if  unreasonably
withheld by landlord)  and, if  applicable,  its mortgagee to the  assignment of
Luling/SSC, Inc.'s interest as lessee of the St. Charles Manor Nursing Center in
Luling, Louisiana, pursuant to that certain lease dated December 15, 1994.

          9.22 OTHER DOCUMENTS. The Company and each Seller shall have furnished
Buyer with all other documents,  certificates and other instruments  required to
be  furnished  to Buyer by the  Company  or such  Seller  pursuant  to the terms
hereof.


             ARTICLE X: CONDITIONS PRECEDENT TO SELLERS' OBLIGATIONS

          Sellers'  obligation to consummate  the sale of the Company  Shares is
subject to the fulfillment, prior to or at the Closing, of each of the following
conditions:

          10.1   REPRESENTATIONS   AND  WARRANTIES.   The   representations  and
warranties of Buyer and Newco in this Agreement shall be true and correct in all
material respects at and as of


                                       32

<PAGE>

the Closing Date as though such  representations and warranties were made at and
as of such  time,  except to the  extent  affected  by the  transactions  herein
contemplated.

          10.2  PERFORMANCE  OF  COVENANTS.  Buyer and  Newco  each  shall  have
performed or complied in all material  respects with each of its  agreements and
conditions  required by this  Agreement to be  performed or complied  with by it
prior to or at the Closing.

          10.3 DELIVERY OF CLOSING  CERTIFICATE.  Buyer shall have  delivered to
Sellers a  certificate  of an officer of Buyer dated the Closing Date upon which
Sellers can rely,  certifying that the statements made in Sections 10.1 and 10.2
are true, correct and complete as of the Closing Date.

          10.4  OPINION OF  COUNSEL.  Buyer shall have  delivered  to Sellers an
opinion, dated the Closing Date, of Blass & Driggs, Esqs., counsel for Buyer, in
the form of Exhibit 10.4

          10.5 LEGAL MATTERS.  No  preliminary or permanent  injunction or other
order (including a temporary  restraining  order) of any governmental  authority
which  prevents  the  consummation  of the  transactions  contemplated  by  this
Agreement shall have been issued and remain in effect.

          10.6   AUTHORIZATION   DOCUMENTS.   Sellers   shall  have  received  a
certificate of the Secretary or other officer of each of Buyer and Newco, as the
case may be, certifying a copy of resolutions of the Board of Directors of Buyer
or Newco,  as the case may be,  authorizing  Buyer's or Newco's (as the case may
be)  execution,   deliver  and  full  performance  of  this  Agreement  and  the
Transaction  Documents (including,  without limitation,  the Plan of Merger) and
the  transactions  contemplated  hereby and thereby,  and the  incumbency of the
officers of Buyer or Newco, as the case may be.

          10.7 APPROVALS. The Required Approvals shall have been granted.

          10.8  GEORGIA  FACILITIES.  Buyer  shall  have  successfully  arranged
mortgage or sale leaseback  financing for the Company's  purchase of the Georgia
Facilities in accordance with Section 1.6 hereof.

          10.9 OFFICE  FURNITURE.  The Shareholders  will be given the option to
purchase office  furniture  utilized by the Company in its current office at its
depreciated book value, if, after the Closing, such office is closed.

          10.10 OTHER  DOCUMENTS.  Buyer shall have  furnished  Sellers with all
documents,  certificates  and other  instruments  required  to be  furnished  to
Sellers by Buyer pursuant to the terms hereof.




                                       33

<PAGE>

              ARTICLE XI: OBLIGATIONS OF THE PARTIES AFTER CLOSING

          11.1  SURVIVAL  OF  REPRESENTATIONS,  WARRANTIES  AND  COVENANTS.  All
representations,  warranties,  covenants  and  agreements  made by  each  Seller
(including  those made with respect to the Company) and Buyer  (including  those
made with respect to Newco) in this  Agreement or in any Schedule,  certificate,
document or list delivered by any such party  pursuant  hereto shall survive the
Closing and the Effective Time of Merger.  The  representations,  warranties and
covenants of the Company and Newco shall cease and  terminate  at the  Effective
Time of Merger.  Notwithstanding any investigation conducted before or after the
Closing or the  decision  of any party to  consummate  the  Closing,  each party
hereto  shall be  entitled  to rely and is hereby  declared  to have  reasonably
relied upon the representations and warranties of the other party.

          11.2  INDEMNIFICATION BY SELLERS.  Each Seller and, unless the Closing
shall occur,  the Company shall  indemnify and defend Buyer and hold it harmless
against and with  respect to any and all damage,  loss,  liability,  deficiency,
cost and expense (including, without limitation,  reasonable attorney's fees and
expenses) (all of the foregoing hereinafter  collectively referred to as "Loss")
resulting from:

          (A)  any  inaccuracy  in  any  representation,  or any  breach  of any
warranty, made by any Seller or the Company in this Agreement or any Transaction
Document; or

          (B) the breach of any  covenant  or  undertaking  by any Seller or the
Company contained in this Agreement or any Transaction Document; or

          (C) any liability of the Company to the Medicare or Medicaid programs,
or to any other  third party  payor,  for excess  reimbursement  received by the
Company prior to the Effective Time of Merger; or

          (D) the  investigation,  defense or (to the extent consented to by the
indemnifying  party)  settlement of any of the foregoing or the  enforcement  of
this indemnity obligation.

          11.3  INDEMNIFICATION  BY BUYER.  Buyer  shall  indemnify  and  defend
Sellers  and hold them  harmless  against  and with  respect to any and all Loss
resulting from:

          (A) any inaccuracy in any  representation,  or breach of any warranty,
made in this Agreement or any Transaction Document; or



                                       34

<PAGE>

          (B) the breach of any covenant or  undertaking  by Buyer  contained in
this Agreement or any Transaction Document; or

          (C) the  investigation,  defense or (to the extent consented to by the
indemnifying  party)  settlement of any of the foregoing or the  enforcement  of
this indemnity obligation; or

          (D) any  liability  which may arise after the  Closing  Date under the
sublease for the  Countryside  facility or the lease for the St.  Charles  Manor
Nursing Center; or

          (E) any  liability  of Sellers  under that  certain  $500,000  line of
credit with Southtrust Bank for periods following the Closing; or

          (F) any liabilities  related to vending machines  presently in service
at the  Facilities;  or (G)  any  liability  of  Sellers  for  presently  leased
vehicles.

          11.4  CONTROL OF  DEFENSE OF  INDEMNIFIABLE  CLAIMS.  A party  seeking
indemnification  under  Section 11.2 or 11.3,  shall give the other party prompt
written  notice of the claim  for which it seeks  indemnification  and the other
party  shall have  thirty  (30) days  following  such notice to cure any alleged
default. Failure of the party seeking indemnification to give such prompt notice
shall not relieve the other party of its  indemnification  obligation,  PROVIDED
that such indemnification obligation shall be reduced by any damages suffered by
such other party resulting from a failure to give prompt notice  hereunder.  The
party  receiving the  aforementioned  notice shall be entitled to participate in
the  defense  of such  claim.  If at any time the party  receiving  such  notice
acknowledges  in  writing  that  the  claim is fully  indemnifiable  under  this
Agreement,  it shall have the right to assume  total  control of the  defense of
such claim at its own  expense.  If the party  receiving  such  notice  does not
assume  total  control of the defense of any such claim,  the other party agrees
not to settle  such claim  without the  written  consent of the party  receiving
notice,   which  consent  shall  not  be  unreasonably   withheld,   delayed  or
conditioned.  Nothing  contained in this Section 11.4 shall prevent either party
from assuming total control of the defense and/or  settling any claim against it
for which indemnification is not sought under this Agreement.

          11.5 RESTRICTIONS.

          (A) From and  after  the  Closing  Date,  no  Seller  shall  disclose,
directly or  indirectly,  to any person  outside of Buyer's  employ  without the
express  authorization  of Buyer,  any  pricing  strategies  or  records  of the
Company,  any  proprietary  data or trade  secrets  owned by the  Company or any
financial or other  information about the Company not then in the public domain;
PROVIDED,  HOWEVER,  that Sellers shall be permitted to make such disclosures as
may be required by law or by a court or governmental authority.



                                       35

<PAGE>



          (B) For a period of five (5) years after the Closing  Date,  no Seller
shall engage or participate in any effort or act to induce any of the suppliers,
associates,  employees or independent  contractors of the Company to cease doing
business, or their association or employment, with the Company.

          (C) For a period of five (5) years after the Closing Date, the Sellers
shall  not,  directly  or  indirectly,  for or on  behalf of itself or any other
person, firm, entity or other enterprise,  engage in or act as a consultant for,
be a partner in, have a  proprietary  interest  in, or loan money to any person,
enterprise, partnership, association, corporation, joint venture or other entity
which is directly or indirectly in the business of owning, operating or managing
any entity of any type, licensed or unlicensed,  which is engaged in or provides
nursing home care, assisted living care, senior housing, home health care, adult
day care,  primary  care clinic  services,  or medical  transportation  services
anywhere  within a  twenty-five  (25)  mile  radius of any  Facility;  provided,
however,  that the foregoing shall not prohibit  Sellers'  ownership of not more
than 2% of the issued  shares of any company  whose  common  stock is listed for
trading on any national securities or on the NASDAQ National Market System.

          (D)  Sellers  acknowledge  that  the  restrictions  contained  in this
Paragraph 11.5 are  reasonable and necessary to protect the legitimate  business
interests of Buyer and that any violation thereof by any of them would result in
irreparable harm to Buyer. Accordingly, Sellers agree that upon the violation by
any of them of any of the  restrictions  contained in this Section  11.5,  Buyer
shall be entitled,  without the  necessity  of posting any bond or security,  to
obtain from any court of competent  jurisdiction  a  preliminary  and  permanent
injunction  as well as any other  relief  provided at law or equity,  under this
Agreement  or  otherwise.  In the event any of the  foregoing  restrictions  are
adjudged unreasonable in any proceeding,  then the parties agree that the period
of time or the scope of such  restrictions (or both) shall be adjusted in such a
manner or for such a time (or both) as is adjudged to be reasonable.

          Notwithstanding the foregoing,  for purposes of this Section 11.5, any
advertisement  prepared  for and  disseminated  to the public in general,  which
advertises  the  services of the  Company not  otherwise  in  violation  of this
Section 11.5 or advertises  the need for services to be supplied to the Company,
shall not be deemed to be an inducement or solicitation with respect to any such
suppliers or independent contractors.

          11.6 RECORDS. On the Closing Date, the Sellers shall deliver, or cause
to be delivered,  to Buyer all records and files not then in Buyer's  possession
relating to the operation of the Company.

          11.7 AUDIT. Following Closing, Sellers will cooperate and provide such
information  as may be necessary in  connection  with an audit of the  Company's
financial  statement for the period beginning  January 1, 1995 and ending on the
Closing Date. Buyer shall bear the cost of such audit.



                                       36

<PAGE>

          11.8 CHIEF OPERATING  OFFICER OF THE COMPANY.  After the Closing,  and
until the  earnout is  determined,  the Company  will  retain its current  Chief
Operating  Officer  as an  employee  of the  Company at a salary,  benefits  and
responsibility level no less than the current status.

          11.9  RETENTION  OF  TRADENAME.  Sellers  will be able to  retain  the
tradename "Southern Care Centers."


                            ARTICLE XII: TERMINATION

          12.1  TERMINATION.  This Agreement may be terminated at any time at or
prior to the Closing by:

          (A) Buyer, if any condition precedent to Buyer's obligations hereunder
set forth in Article IX hereof has not been  satisfied by the Closing  Date,  in
which case Buyer shall be entitled to the return of the Deposit;

          (B)  Sellers,  if any  condition  precedent  to  Seller's  obligations
hereunder  set forth in Article X hereof has not been  satisfied  by the Closing
Date,  in which case Sellers  shall be entitled to retain the Deposit if Sellers
are  otherwise  ready,  willing  and  able to  close  and all of the  conditions
precedent to Buyer's obligations to close shall have been satisfied;

          (C) the mutual consent of Buyer and Sellers; or

          (D) Buyer or  Sellers,  if the  Closing  Date shall not have  occurred
within one hundred  twenty (120) days  following the date hereof (other than due
to the breach of any party hereto), in which case Buyer shall be entitled to the
return of the Deposit.

          12.2 EFFECT OF  TERMINATION.  Except as provided above with respect to
the Deposit,  if a party terminates this Agreement because one of its conditions
precedent has not been  fulfilled,  or if this Agreement is terminated by mutual
consent,  this Agreement shall become null and void without any liability of any
party to the other.


                           ARTICLE XIII: MISCELLANEOUS

          13.1 COSTS AND  EXPENSES.  Except as expressly  otherwise  provided in
this  Agreement,  each party  hereto  shall bear its own costs and  expenses  in
connection  with  this  Agreement  and  the  transactions  contemplated  hereby.
Notwithstanding  the  foregoing,  the  Company  shall  not be  charged  with any
Seller's or the Company's  attorneys'  fees and  disbursements  or other closing
costs in  connection  with  this  Agreement,  the  Option  to  Purchase  and the
transactions  thereunder,  each of  which  shall  be  borne  and paid for by the
Sellers.

          13.2  PERFORMANCE.  In the  event  of a  breach  by any  party  of its
obligations hereunder,  the other party shall have the right, in addition to any
other remedies which may be


                                       37

<PAGE>

available,  to obtain specific  performance of the terms of this Agreement,  and
the  breaching  party  hereby  waives the defense  that there may be an adequate
remedy at law. Should any party default in its performance, or other remedy, the
prevailing party shall be entitled to its reasonable attorneys' fees.

          13.3 BENEFIT AND  ASSIGNMENT.  This Agreement  binds and inures to the
benefit of each party hereto and its  successors and proper  assigns.  Buyer may
not  assign its  interest  under this  Agreement  to any other  person or entity
without the prior written consent of Sellers; provided,  however, that Buyer may
assign its rights,  duties and obligations hereunder to one or more subsidiaries
or affiliates of Buyer.

          13.4 EFFECT AND CONSTRUCTION OF THIS AGREEMENT. This Agreement and the
Exhibits,  Schedules,  and other agreements referenced herein, hereto embody the
entire  agreement  and  understanding  of the parties and  supersede any and all
prior agreements,  arrangements and understandings  relating to matters provided
for herein.  The  captions  used herein are for  convenience  only and shall not
control  or  affect  the  meaning  or  construction  of the  provisions  of this
Agreement.  This Agreement may be executed in one or more counterparts,  and all
such counterparts shall constitute one and the same instrument.

          13.5 COOPERATION - FURTHER ASSISTANCE.  From time to time, as and when
reasonably  requested by any party hereto after the Closing,  the other  parties
will (at the expense of the requesting  party) execute and deliver,  or cause to
be executed and delivered, all such documents, instruments and consents and will
use reasonable efforts to take all such action as may be reasonably necessary to
carry out the intent and purposes of this Agreement.

          13.6 NOTICES.  All notices and demands required or permitted hereunder
shall be in  writing  and  shall be  deemed  to be  properly  given or made when
personally  delivered to the party or parties  entitled to receive the notice or
when sent by certified or registered mail,  postage prepaid,  properly addressed
to the party or parties  entitled to receive  such notice at the address  stated
below:

If to any Seller
or the Company:              Southern Care Centers, Inc.
                             Five Concourse Parkway, Suite 2420
                             Atlanta, GA 30328
                             Attention: Michael Himmelstein

Copy to:                     Arnall Golden & Gregory
                             2800 One Atlantic Center
                             1201 West Peachtree Street
                             Atlanta, GA 30309-3450
                             Attention: Marc L.  Peterzell, Esq.

If to Buyer:                 Community Care of America, Inc.
                             3050 North Horseshoe Drive, Suite 260
                             Naples, FL 33942


                                       38

<PAGE>



                             Attention:  William J. Krystopowicz
Copy to:                     Blass & Driggs
                             461 Fifth Avenue
                             New York, NY 10017
                             Attention:  Michael S. Blass, Esq.

Such  addresses may be changed by providing  written  notice as provided in this
Section 13.6.

          13.7 WAIVER,  DISCHARGE,  ETC. This  Agreement  shall not be released,
discharged,  abandoned,  changed  or  modified  in  any  manner,  except  by  an
instrument in writing  executed by or on behalf of each of the parties hereto by
their duly  authorized  officer or  representative.  The failure of any party to
enforce at any time any of the provisions of this  Agreement  shall in no way be
construed  to be a waiver of any such  provision,  nor in any way to affect  the
validity  of this  Agreement  or any  part  hereof  or the  right  of any  party
thereafter to enforce each and every such provision.  No waiver of any breach of
this Agreement shall be held to be a waiver of any other or subsequent breach.

          13.8  RIGHTS  OF  PERSONS  NOT  PARTIES.  Nothing  contained  in  this
Agreement shall be deemed to create rights in persons not parties hereto,  other
than the successors and proper assigns of the parties hereto.

          13.9 GOVERNING LAW. This Agreement  shall be governed by and construed
in accordance with the laws of the State of Delaware,  disregarding any contrary
rules relating to the choice or conflict of laws.

          13.10  AMENDMENTS,  SUPPLEMENTS,  ETC. At any time before or after the
execution and delivery of this Agreement by the parties  hereto,  this Agreement
may  be  amended  or   supplemented  by  additional   agreements,   articles  or
certificates,  as may be mutually  determined  by the  parties to be  necessary,
appropriate or desirable to further the purposes of this  Agreement,  to clarify
the intention of the parties, or to add to or to modify the covenants,  terms or
conditions  hereof or thereof.  The  parties  hereto  shall make such  technical
changes to this Agreement,  not inconsistent with the purposes hereof, as may be
required to effect or facilitate any governmental approval or acceptance of this
Agreement or to effect or  facilitate  any filing or recording  required for the
consummation  of any  portion  of the  transactions  contemplated  hereby.  This
Agreement may not be amended  except by an instrument in writing  signed by each
of the parties.

          13.11 SEVERABILITY.  Any provision,  or distinguishable portion of any
provision,   of  this   Agreement   which  is  determined  in  any  judicial  or
administrative  proceeding to be prohibited or unenforceable in any jurisdiction
shall, as to such jurisdiction, be ineffective to the extent of such prohibition
or unenforceability  without  invalidating the remaining  provisions hereof, and
any  such  prohibition  or   unenforceability  in  any  jurisdiction  shall  not
invalidate or render unenforceable such provision in any other jurisdiction.  It
is the  intention of the parties that if any  provision of Section 11.5 shall be
determined to be overly broad in any respect,  then it should be  enforceable to
the  maximum  extent  permissible  under the law.  To the  extent  permitted  by
applicable law, the parties waive any provision of law which renders a provision
hereof prohibited or unenforceable in any respect.


                                       39

<PAGE>

          13.12 JOINT AND SEVERAL. Except as expressly set forth herein, each of
the  representations,  warranties  and covenants of Sellers under this Agreement
shall be joint and several.





                       [SIGNATURES ON THE FOLLOWING PAGE]



                                       40

<PAGE>


          IN WITNESS  WHEREOF,  each of the parties  hereto and in the  capacity
indicated  below has executed this  Agreement as of the day and year first above
written.

                                    SELLERS:

                                        /S/ MICHAEL A. HIMMELSTEIN
                                       -------------------------------------
                                           Michael A.  Himmelstein, individually


                                        /S/ WALLACE E. OLSON
                                       -------------------------------------
                                            Wallace E.  Olson, individually



                                    COMPANY:
                                    SOUTHERN CARE CENTERS, INC.


                                    By:/S/ WALLACE E. OLSON       
                                       -------------------------------------
                                           Wallace E. Olson


                                    BUYER:
                                    COMMUNITY CARE OF AMERICA, INC.



                                    By:/S/ WILLIAM J. KRYSTOPOWICZ
                                       -------------------------------------
                                           William J. Krystopowicz, 
                                           Executive Vice President


                                    NEWCO:
                                    CCA ACQUISITION I, INC.



                                    By:/S/ WILLIAM J. KRYSTOPOWICZ
                                       -------------------------------------
                                           William J. Krystopowicz, 
                                           Executive Vice President


                                       41

                              MANAGEMENT AGREEMENT


           THIS MANAGEMENT  AGREEMENT (the "Agreement") is made and entered into
effective as of May 1, 1996, by and between SOUTHERN CARE CENTERS OF TEXAS, INC,
a Georgia corporation with offices at 5 Concourse Parkway,  Suite 3100, Atlanta,
GA 30328 ("Owner") and CCA OF TEXAS,  INC., a Delaware  corporation with offices
at 3050 N. Horseshoe Drive, Suite 260, Naples, FL 33942 ("Manager").

           WHEREAS,  Owner is the  lessee of a skilled  nursing  facility  named
"Sycamore Care Center" located in Ft. Worth, Texas, together with the equipment,
furnishings,  and other  tangible  personal  property  to be used in  connection
therewith (the "Facility"); and

           WHEREAS,  the Manager is engaged in the  ownership  and  operation of
similar  facilities  and is  experienced  in various  phases of the  management,
operation and ownership thereof; and

           WHEREAS,  the Owner  desires  to engage  the  Manager  to manage  the
Facility for Owner's  account during the term herein  provided,  and the Manager
desires to accept such engagement,  upon the terms and subject to the conditions
contained herein.

           NOW, THEREFORE, in consideration of the premises and covenants herein
contained,  and  intending  to be legally  bound  hereby,  the parties  agree as
follows:


                                    ARTICLE I

                            EMPLOYMENT OF THE MANAGER

           1.1 EMPLOYMENT.  For and during the term of this Agreement, the Owner
hereby  grants to the  Manager  the sole and  exclusive  right,  and employs the
Manager to supervise,  manage,  and operate the Facility in the name and for the
account of the Owner upon the terms and conditions hereinafter set forth.

           1.2  ACCEPTANCE.  The Manager accepts such employment and agrees that
it will (a) faithfully perform its duties and  responsibilities  hereunder,  (b)
use its best efforts to supervise and direct the management and operation of the
Facility in an  efficient  manner,  and (c) consult  with the Owner and keep the
Owner advised of all major policy matters  relating to the Facility.  Subject to
the  foregoing  and to the other  provisions  of this  Agreement,  the  Manager,
without the approval of the Owner (unless such  approval is herein  specifically
required as to policies  and manner of  operation)  shall have the  unrestricted
control and sole  discretion  with regard to the operation and management of the
Facility for all customary  purposes  (including  the exercise of its rights and
performance of its duties provided for in Article III hereof),  and the right to
determine all policies affecting the

                                                                           

<PAGE>



appearance,  maintenance, standards of operation, or quality of service, and any
other matter affecting the Facility or the operation thereof.


                                   ARTICLE II

                                      TERM

           The initial term of this Agreement shall immediately  commence on May
1, 1996 (the  "Commencement  Date")  and shall be for a period of ten (10) years
from the Commencement Date ("Term").


                                   ARTICLE III

                        RIGHTS AND DUTIES OF THE MANAGER

           During  the  term  of  this  Agreement,  and  in  the  course  of its
management and operation of the Facility:

           3.1  EMPLOYEES.  Manager,  on Owner's  behalf,  shall hire,  promote,
discharge,  and supervise the work of the  Facility's  administrator,  assistant
administrator,  department  heads,  and  all  operating  and  service  employees
performing  services in and about the Facility.  All of such employees  shall be
employees of the Owner,  except for the Administrator,  who shall be an employee
of the Manager, and the aggregate compensation,  including fringe benefits, with
respect to such  employees,  including  the  Administrator,  shall be charged to
Owner as an expense of the operation of the Facility. The term "fringe benefits"
as used herein shall include but not be limited to the  employer's  contribution
of FICA, unemployment compensation,  and other employment taxes, retirement plan
contributions,   workman's  compensation,   group  life,  accident,  and  health
insurance premium, profit sharing contributions,  disability,  and other similar
benefits paid or payable by Manager with respect to other  facilities  which may
be  managed  by  Manager.  All such  employees  of  Manager  shall be covered by
appropriate malpractice and/or errors omissions insurance as approved by Manager
and Owner.  The cost of same shall be charged to Owner as an additional  expense
of the operation of said Facility.

           3.2 LABOR CONTRACTS.  Manager, if requested by Owner, will negotiate,
on Owner's behalf and at Owner's expense, with any labor union lawfully entitled
to  represent  the  employees at the  Facility,  but any  collective  bargaining
agreement or labor contract resulting  therefrom must first be approved by Owner
who shall be the only person  authorized to execute the same.  Owner agrees that
all fees and costs of outside  professionals  in conducting and concluding  such
negotiations shall be paid by Owner out of Facility Funds.


                                       -2-

<PAGE>

           3.3  CONCESSIONAIRES,  ETC. Manager shall negotiate and consummate in
the name  and at the  expense  of the  Owner,  contracts  or  arrangements  with
concessionaires,  licensees,  tenants, and other intended users of the Facility.
Any fees and expenses  incurred in connection  therewith shall be charged to the
Owner as an expense of the operation of the Facility.

           3.4 ANCILLARY SERVICES, UTILITIES, ETC. Manager shall enter into such
contracts in the name of and at the expense of Owner as may be deemed  necessary
or  advisable  for  the   furnishing  of  all  ancillary   services   utilities,
concessions,  supplies and other services as may be needed from time to time for
the maintenance and operation of the Facility. Manager is authorized to contract
for or provide ancillary services, including, but not limited to, pharmacy (drug
and  I.V.),   rehabilitation  and  respiratory  therapy  services,   and  mobile
diagnostic services, through providers which are affiliates of Manager, provided
that such  services  are  rendered  at levels of quality  and  pricing  that are
competitive with those available in the community.

           3.5 PURCHASES.  Manager shall be solely  responsible  for purchase of
food,  beverages,  operating  supplies,  and other materials and supplies in the
name of and for the  account  and at the  expense of Owner as may be needed from
time to time for the maintenance and operation of the Facility.

           3.6 REPAIRS.  Manager  shall make or install or cause to be installed
at  Owner's   expense  and  in  the  name  of  the  Owner  any  proper  repairs,
replacements,  additions,  and  improvements  in  and to the  Facility  and  the
furnishings and equipment in order to keep and maintain the same in good repair,
working order and condition, and outfitted and equipped for the proper operation
thereof in accordance with industry standards  comparable to those prevailing in
other similar facilities,  and all applicable state or local rules, regulations,
or ordinances.

           3.7 LICENSES AND  PERMITS.  Manager  shall apply for and use its best
efforts to obtain and maintain in the name and at the expense of the Owner,  all
licenses and permits required in connection with the management and operation of
the  Facility.  The Owner  agrees to  cooperate  with  Manager in applying  for,
obtaining, and maintaining such licenses and permits.

           3.8 INSURANCE. Manager shall apply for, obtain and maintain on behalf
of Owner and at Owner's  expense at all times during the term of this agreement,
the following  insurance in such amounts and coverage as may be mutually  agreed
upon by Owner  and  Manager  or as may be  required  by any  financing  or lease
arrangements of Owner, whichever is greater:

                      (a) Insurance on the Facility on a replacement  cost basis
           (including the  equipment,  furnishings  and other tangible  personal
           property  used in  connection  therewith)  against loss and damage by
           fire and  lightning  with  coverage  extended by means of an extended
           coverage  endorsement  to a fire insurance  policy,  so as to include
           loss or damage arising out of windstorm,  hail, earthquake,  provided
           such insurance is reasonably  available,  explosion  (except boiler),
           and sprinkler damage, if reasonably available;


                                                                           
                                       -3-

<PAGE>



                      (b)  Insurance  on the  Facility  against  loss or damage,
           including business interruption insurance, from explosion of boilers,
           heating apparatus,  pressure vessels, and pressure pipes installed in
           the Facility;

                      (c)  Commercial  primary  and  excess  general  liability,
           including automobile liability (as needed), products liability bonds,
           professional  and other  liability,  and property  damage  insurance,
           insuring  Owner and Manager  against loss or liability for damages or
           personal injury,  death, or property damage arising or resulting from
           the management, maintenance, operation and/or use of the Facility;

                      (d) Such workers' compensation and other similar insurance
           as may be required  by law or as may be required to insure  Owner and
           Manager  against loss or the payment of damages for such  liabilities
           as may be imposed by law;

                      (e)  Unemployment   Compensation   insurance  through  the
           appropriate state agencies; and

                      (f) Fidelity and honesty insurance.

           Forthwith after the execution of this agreement, Manager shall submit
to Owner for its approval,  which approval shall not be unreasonably withheld, a
proposal  setting forth the kinds and amounts of insurance which Manager intends
to provide, in connection with the operation of the Facility (including, without
limitation,  insurance of the kinds and in the respective  amounts  described in
Paragraphs  [a] through [f] of this  section)  and Owner shall be deemed to have
approved unless disapproved in writing within ten (10) days of submission of the
proposal by Manager.

           All  insurance  provided for under the  foregoing  provisions of this
Section  shall be effected by policies  issued by  insurance  companies  with at
least an "A" rating  from A.M.  Best and  Company of good  reputation,  of sound
adequate  financial  responsibility,  and properly  licensed and qualified to do
business in the State of Texas.

           All of the  policies  of  insurance  of the  character  described  in
Paragraphs  (a) - (b) of this  Section  shall be  carried in the names of Owner,
Manager,  the secured  parties under any security  instrument  from time to time
outstanding  affecting any of the Facility and the lessors of the Facility.  Any
losses  payable  under such  policies  of  insurance  shall be payable to Owner,
Manager,  and such secured parties and lessors as their respective interests may
appear. Each of the policies of insurance referred to in Paragraphs (c) - (f) of
this  Section  shall  insure  Owner and Manager and their  respective  officers,
partners, directors, shareholders, managers and employees. Owner, Manager, their
respective officers, partners, directors,  shareholders,  managers and employees
shall, to the extent permissible,  be named as additional insured under all such
policies of insurance.


                                                                           
                                       -4-

<PAGE>

           3.9 GOVERNMENTAL REGULATION.

                      (a) The  Manager  shall use its best  efforts to take such
           action as shall be  reasonably  necessary to insure that the Facility
           and the management  thereof by the Manager complies with all federal,
           state and local laws,  regulations  and ordinances  applicable to the
           Facility  or the  management  thereof by the  Manager  including  the
           particular   laws  and   regulations   applicable   to  nursing  home
           facilities.

                      (b) The Manager shall promptly provide to the Owner as and
           when received by the Manager, all notices,  reports or correspondence
           from  governmental  agencies  that  assert  deficiencies  or  charges
           against the  Facility  or that  otherwise  relate to the  suspension,
           revocation,   or  any  other   action   adverse   to  any   approval,
           authorization, certificate, determination, license or permit required
           or necessary to own or operate the  Facility.  The Manager may appeal
           any action taken by any  governmental  agency  against the  Facility;
           PROVIDED, HOWEVER, that the Owner shall adequately secure and protect
           the Manager from loss, cost, damage or expense by bond or other means
           satisfactory   to  Manager  in  order  to  contest  by  proper  legal
           proceedings  the  validity  of  any  such  statute,  ordinance,  law,
           regulation  or order,  provided that such contest shall not result in
           the  suspension of operations of the Facility and PROVIDED,  FURTHER,
           that the Owner  shall have no  obligation  to secure and  protect the
           Manager from any loss,  cost,  damage or expense that arises directly
           out of the  Manager's  breach  of any  of its  covenants  under  this
           Agreement.

           3.10 TAXES.  The  Manager  shall  cause all taxes,  assessments,  and
charges of every kind imposed upon the Facility by any  governmental  authority,
including  interest  and  penalties  thereon,  to be paid  when due if funds are
available,  except that  Manager  shall not cause such payment to be made if (i)
same is in good  faith  being  contested  by the Owner at its sole  expense  and
without cost to the Manager, (ii) enforcement thereof is stayed, and (iii) Owner
shall have given Manager  written notice of such contest and stay and authorized
the non-payment  thereof, not less than ten (10) days prior to the date on which
such tax assessment,  or charge is due and payable. Interest or penalty payments
shall be  reimbursed  by Manager to Owner if imposed upon the Owner by reason of
negligence  on the part of the  Manager  in  making  the  payment  if funds  are
available  therefore.  Manager shall notify Owner of all taxes,  assessments  or
penalties  assessed  against  the  Facility  other than in the normal  course of
business.

           3.11 DEPOSIT AND  DISBURSEMENT  OF FUNDS.  Manager shall deposit in a
banking  institution which is a member of the FDIC in accounts in Manager's name
as agent for Owner,  all monies  arising  from the  operation of the Facility or
otherwise received by Manager for and on behalf of Owner ("Facility Funds"), and
shall  disburse and pay the same from said accounts on behalf and in the name of
Owner in the following  order of priority and, in each case, such amounts and at
such times as the same are required to be made in connection with:


                                                                           
                                       -5-

<PAGE>

                      (a)  Payment of  Facility  Debt  Service and all costs and
           expenses arising out of the ownership,  maintenance, and operation of
           the  Facility,   including,   without  limitation,  the  reimbursable
           expenses of Manager hereunder set forth in Exhibit A hereto;

                      (b) Payment of  Manager's  Management  Fee provided for in
           Article V, below  (including any accrued and unpaid  Management  Fees
           for prior periods); and

                      (c) The  balance of such funds shall be  distributable  to
           Owner.

           As used herein,  "Facility Debt Service" means scheduled  payments of
the principal and interest with respect to:

                      (x) debt service  payments  pursuant to Schedule B hereof;
           and

                      (y) any additional  indebtedness incurred by Owner for the
           improvement,  maintenance,  or  operation of the Facility as mutually
           agreed upon by Owner and Manager.

           "Facility  Debt  Service"  does not include  any  amounts  payable by
reason of voluntary prepayments or the acceleration of such indebtedness for any
reason.

           3.12  STATEMENTS.  Manager  shall deliver or cause to be delivered to
Owner statements as follows:

                      (a)  Within  thirty  (30) days  following  the end of each
           calendar  month,  a  profit  and loss  statement  and  balance  sheet
           statement (both prepared on an accrual basis in accordance with GAAP)
           showing the results of operation  of the  Facility for such  calendar
           month and the year-to-date,  and having annexed thereto a computation
           of the  management  fee (as  determined  under Article VI hereof) for
           such preceding month and the year-to-date; and

                      (b) On or before  ninety (90) days after the close of each
           fiscal  year  during the term of this  Agreement,  Manager  will also
           deliver  or cause to be  delivered  to the Owner a balance  sheet and
           related  statement  of profit and loss  certified  by an  independent
           public  accounting  firm and prepared in accordance with GAAP showing
           the  assets  employed  in the  operation  of  the  Facility  and  the
           liabilities  incurred in  connection  therewith  as of the end of the
           fiscal year, and the results of the operation of the Facility  during
           the  preceding  twelve (12) months  then  ended,  and having  annexed
           thereto (i) a copy of the Medicare and Medicaid cost report  prepared
           by Manager with respect to the Facility for such twelve month period,
           and (ii) a  computation  of the  management  fee for such twelve (12)
           month period.  All costs and expenses incurred in connection with the
           preparation of any  statements,  schedules,  computations,  and other
           reports  required  under this Section  3.12(b)  shall be borne by the
           Owner.


                                                                           
                                       -6-

<PAGE>

           3.13 LEGAL ACTIONS.  Manager shall  institute,  in its own name or in
the name of the Owner, but in any event at the expense of the Owner, any and all
legal actions or  proceedings  to collect  charges,  rent, or other sums due the
Facility  or to  lawfully  oust  or  dispossess  tenants  or  other  persons  in
possession under, or lawfully cancel,  modify, or terminate any lease,  license,
or  concession  agreement  for the breach  thereof or default  thereunder by the
tenant, licensee, or concessionaire.

           Unless  otherwise  directed by Owner,  Manager shall take, at Owner's
expense,  appropriate  steps to protect and/or litigate to final judgment in any
appropriate  court any  violation,  order,  rule,  or  regulation  affecting the
Facility.  Any counsel to be engaged under this or the next preceding  paragraph
of this  Section  shall be  approved  by  Owner,  which  approval  shall  not be
unreasonably withheld. Manager shall promptly notify Owner of all legal actions.

           3.14 MANAGEMENT SERVICES.  Without limitation,  Manager shall provide
the Facility with all of the management services and techniques,  if applicable,
which it employs in operating  other  facilities  which it manages  which may be
applicable to and beneficial to the Facility.

           3.15  DATA  PROCESSING.   Manager  shall,   directly  or  through  an
affiliate,  provide the data  processing  required to  maintain  the  financial,
payroll, and accounting records of the Facility; except that Manager agrees that
the  Facility   payroll  will  not  be  moved  to  Manager's   central   payroll
administration  until same can be accomplished  without a material disruption to
Facility cash flow.

           3.16  BOOKS  AND  RECORDS.  Manager  on  behalf  of the  Owner  shall
supervise and direct the keeping of full and accurate  books of account and such
other records reflecting the results of operation of the Facility as required by
law.


                                   ARTICLE IV

                         RIGHTS AND DUTIES OF THE OWNER

           During the term of this Agreement:

           4.1 RIGHT OF INSPECTION. Owner shall have the right to enter upon any
part of the  Facility  upon  reasonable  advance  notice to the  Manager for the
purpose of examining or inspecting same or examining or making extracts of books
and  records  of the  Facility,  but  the  same  shall  be done  with as  little
disruption to the business of the Facility as possible.  However,  the books and
records of the  Facility  shall not be removed  from the  Facility  without  the
expressed written consent of the Manager. Owner acknowledges that some books and
records will be maintained at Manager's principal place of business.

           Owner shall direct all inquiries  regarding  operations,  procedures,
policies, employee relations, patient care, and all other matters concerning the
Facility to the Executive Vice President

                                                                           
                                       -7-

<PAGE>



of Manager or any other officer of Manager as it may from time to time designate
in a written notice to Owner.

           4.2 COOPERATION WITH MANAGER. Owner will fully cooperate with Manager
in operating and  supervising  the operations of the Facility and will reimburse
Manager for all funds  expended or costs and expenses  incurred to which Manager
is entitled to reimbursement as set forth in Exhibit A of this Agreement.

           4.3  OPERATING  CAPITAL.  To any extent  necessary  after taking into
account Manager's loans under Article V, below, Owner shall provide Manager with
such  amount of  working  capital as may be  required  from time to time for the
operation of the Facility on a sound financial  basis  (including the payment of
all amounts  owed to Manager  including,  but not limited to, the payment of all
management  fees,  reimbursable  expenses  and  amounts  due  under  the Line of
Credit).  If additional working capital is required,  Manager shall notify Owner
thereof in writing and Owner shall provide Manager with such increase in working
capital  within  fifteen  (15) days  thereafter.  If Owner fails to provide such
additional  working  capital,  Manager may, but is not obligated to, provide the
same as a loan to Owner.

           4.4 CAPITAL  IMPROVEMENTS.  Owner  shall  provide  Manager  with such
amount  of  funds as may be  required  from  time to time to make all  necessary
capital improvements to the Facility in order to maintain and continue standards
of operation of the Facility as a nursing home.


                                    ARTICLE V

                         COMPENSATION AND DISTRIBUTIONS

           5.1 As full and exclusive  compensation for all of the services to be
rendered by Manager  during the Term of this  Agreement,  the Owner shall pay to
the Manager at its principal  office,  or at such other place as the Manager may
from time to time designate in writing, and at the times hereinafter  specified,
a  monthly  fee (the  "Management  Fee")  equal to four  (4%)  percent  of Gross
Revenues  derived from the  operation of the Facility  determined on the accrual
method of  accounting.  The  Management  Fee shall be  payable  five days  after
delivery to Owner of the monthly financial statement referred to in Section 3.12
(each such date being hereinafter  referred to as a "Payment Date") and shall be
calculated  based upon the Facility's Net Revenues during the preceding month as
set forth in such financial statements.

           5.2 For the purposes of  determining  such  management  fees,  "Gross
Revenues"  for any period shall be  determined  on the basis of all revenues and
income of any kind derived  directly or indirectly from the Facility during such
period  (including  rental or other  payment  from  concessionaires,  licensees,
tenants, and other users of the Facility,  but excluding therefrom all bequests,
gifts,  or similar  donations)  whether  on a cash  basis or on credit,  paid or
unpaid, collected

                                                                           
                                       -8-

<PAGE>

or uncollected,  as determined in accordance with generally accepted  accounting
principles consistently applied, excluding, however:

                      (a) federal,  state, and municipal excise,  sales, and use
           taxes collected  directly from patients as a part of the sales prices
           of any goods or services;

                      (b) proceeds of any life insurance policies;

                      (c)  gains  or  losses  arising  from  the  sale or  other
           disposition of capital assets;

                      (d) any  reversal  or  accrual of any  contingency  or tax
           reserve;

                      (e) interest  earned on sinking  funds,  Special  Security
           Accounts,  bonds funds, etc.  originally and specifically formed as a
           requirement of any bond issue utilized to finance the Facility; and

                      (f) bad debt expense.

           The  proceeds of  business  interruption  insurance  or proceeds as a
result of Medicare  and Medicaid  audits shall be included in gross  revenues of
the Facility.  However,  funds required to be repaid as a result of Medicare and
Medicaid audits shall be deducted from gross revenues of the Facility.

           5.3 Notwithstanding the foregoing,  the Management Fee (including any
amount carried over pursuant to the succeeding sentence hereof) shall be payable
on each Payment  Date only to the extent that the Facility  Funds (as defined in
Section 3.11) shall be sufficient as of such date. Any portion of the Management
Fee not paid due to the  foregoing  shall be carried  over and be payable on the
immediately succeeding Payment Date.


                                   ARTICLE VI

                     REPRESENTATIONS AND WARRANTIES OF OWNER

           Owner represents and warrants to Manager as follows:

           6.1   ORGANIZATION  AND  STANDING  OF  THE  OWNER.  The  Owner  is  a
corporations  duly  organized,  validly  existing and in good standing under the
laws of the  State of  Georgia.  Copies of the  Articles  of  Incorporation  and
By-Laws  of the  Owner,  and all  amendments  thereof  to date,  have  been,  if
requested,  delivered to Manager and are complete and correct. The Owner has the
power  and  authority  to own the  property  and  assets  now owned by it and to
conduct the business presently being conducted by it.

                                                                           
                                       -9-

<PAGE>

           6.2  ABSENCE OF  CONFLICTING  AGREEMENTS.  Neither the  execution  or
delivery of this Agreement,  including all Schedules and Exhibits hereto, or any
of the other  instruments  and  documents  required or  contemplated  hereby and
thereby ("Transaction Documents") by the Owner, nor the performance by the Owner
of  the  transactions  contemplated  hereby  and  thereby,  conflicts  with,  or
constitutes  a breach of or a default or requires the consent of any third party
under (i) the Articles of  Incorporation or By-Laws of the Owner; or (ii) to the
best of its knowledge  after due inquiry,  any applicable  law, rule,  judgment,
order, writ,  injunction,  or decree of any court, currently in effect; or (iii)
to the  best  of its  knowledge  after  due  inquiry,  any  applicable  rule  or
regulation  of  any  administrative  agency  or  other  governmental   authority
currently in effect; or (iv) any agreement, indenture, contract or instrument to
which the Owner is now a party or by which the assets of the Owner are bound.

           6.3 CONSENTS.  Except as set forth in Schedule 6.3, no authorization,
consent, approval,  license, exemption by, filing or registration with any court
or   governmental   department,    commission,    board,   bureau,   agency   or
instrumentality, domestic or foreign, is or will be necessary in connection with
the execution, delivery and performance of this Agreement by the Owner.

           6.4 SHARES.  Schedule 6.4 sets forth a complete list and  description
of the  authorized  shares  of the  Owner,  the  number  of  shares  issued  and
outstanding  of each class or series of such  shares,  and the  identity of each
shareholder of the Owner, in each case indicating the class and number of shares
held. The Owner does not have outstanding any warrants, options, or other rights
to subscribe for or purchase from the Owner any capital shares of the Owner, nor
are there  outstanding any securities  convertible into or exchangeable for such
shares.

           6.5 FINANCIAL STATEMENTS.

                      (a)  The  audited   consolidated  balance  sheets  of  the
           Facility  as of  March  31,  1996,  and  the  related  statements  of
           operations  and cash flow for the year then ended,  annexed hereto as
           Exhibit 6.5(a), present fairly in all material respects the financial
           condition  and results of  operations  of the Facility at and for the
           periods therein specified and were prepared in accordance with GAAP.

                      (b) The  unaudited  consolidating  balance  sheets and the
           related  statements  of  operations  of the  Facility as of March 31,
           1996, and cash flow for the 9-month  period then ended,  certified by
           the chief financial  officer of the Owner,  annexed hereto as Exhibit
           6.5(b),  present  fairly  in  all  material  respects  the  financial
           condition  and results of  operations  of the Facility at and for the
           periods therein specified and were prepared in accordance with GAAP.

           6.6 MATERIAL  CHANGES.  Since March 31, 1996,  there has not been any
material adverse change in the condition (financial or otherwise) of the assets,
properties or operations of the Owner, whether or not covered by insurance,  and
during  such  period of time the  Owner has and from the date of this  Agreement
through the Commencement Date, will have, conducted the business of the Facility
only in the  ordinary  and  normal  course,  and  made no  distributions  to any
shareholders of

                                                                           
                                      -10-

<PAGE>

the Owner other than wages paid and  expenses  reimbursed  in the  ordinary  and
normal course of business.

           6.7 LICENSES AND PERMITS.  Schedule 6.7 sets forth a  description  of
all licenses and other  governmental  or other  regulatory  permits or approvals
required  for the  operation of the Facility  (excluding  individual  therapists
licenses) that are now in effect (collectively,  the "Licenses").  The Owner has
delivered to Manager copies of all of the Licenses. The Owner or the individuals
listed on Schedule 6.7 own,  possess or has the legal right to use the Licenses,
free and clear of all liens, pledges, claims or other encumbrances of any nature
whatsoever. The Owner is not in material default under any such License, and the
Owner  has not  received  any  notice  of any  default  or any  other  claim  or
proceeding  relating to any such License.  No shareholder,  director or officer,
employee or former  employee of the Owner,  or any person,  firm or  corporation
other than the Owner owns or has any  proprietary,  financial or other interest,
direct  or  indirect,  in whole or in part in any of the  Licenses,  other  than
Licenses necessary for such individuals to practice their own professions.

           6.8 LEGAL PROCEEDINGS. Other than as set forth on Schedule 6.8, there
are  no  claims,   actions,   suits  or  proceedings  or  arbitrations,   either
administrative  or judicial,  pending,  or, to the  knowledge of Owner,  overtly
threatened  against or affecting the Owner, its affiliates or  shareholders,  or
their ability to consummate the transactions  contemplated  herein, at law or in
equity or  otherwise,  before or by any  court or  governmental  agency or body,
domestic or foreign, or before an arbitrator of any kind.

           6.9 COLLECTIVE  BARGAINING,  LABOR CONTRACTS,  EMPLOYMENT  PRACTICES,
ETC.  During the two years  prior to the  Commencement  Date,  there has been no
material adverse change in the relationship between the Owner and its employees,
nor any strike or material labor  disturbance  by such  employees  affecting the
Owner's business and, to the knowledge of the Owner, there is no indication that
such a change,  strike or labor  disturbance  is likely.  Except as set forth on
Schedule 6.9, the Owner's  employees are not  represented  by any labor union or
similar  organization  and the Owner has no reason  to  believe  that  there are
pending or threatened  any  activities,  the purpose of which is to achieve such
representation,  of all or some of the Owner's employees. Except as set forth on
Schedules 6.9, the Owner has no collective  bargaining or other labor contracts,
employment contracts,  pension,  profit-sharing,  retirement,  insurance, bonus,
deferred   compensation   or  other  employee   benefit  plans,   agreements  or
arrangements  with  respect to the Owner's  employees.  The Owner is in material
compliance  with the  requirements  prescribed  by all Federal,  state and local
statutes, orders and governmental rules and regulations applicable to any of its
employee  benefit  plans,  agreements  and  arrangements,   including,   without
limitation,  the Employee  Retirement  Income  Security Act of 1974,  as amended
("ERISA").



                                                                           
                                      -11-

<PAGE>

           6.10  RELATIONSHIPS.  Except as disclosed on Schedule 6.10 hereto, no
affiliate  of the Owner  has,  or at any time  within the last two (2) years has
had, a material ownership interest in any business, corporate or otherwise, that
is a party to, or in any property that is the subject of, business relationships
or  arrangements  of any kind relating to the operation of the Facility by which
the Owner will be bound after the Commencement Date.

           6.11 ABSENCE OF CERTAIN EVENTS. Except as set forth on Schedule 6.11,
since March 31, 1996, the Owner has not:

                      (a) sold,  assigned  or  transferred  any of its assets or
           properties, except in the ordinary course of business;

                      (b) mortgaged,  pledged or subjected to any lien,  pledge,
           mortgage,  security  interest,  conditional  sales  contract or other
           encumbrance of any nature whatsoever, the Facility's assets;

                      (c) made or suffered any amendment or  termination  of any
           material contract, commitment,  instrument or agreement other than in
           the ordinary course of business;

                      (d)  except  in  the  ordinary  course  of  business,   or
           otherwise  as necessary  to comply with any  applicable  minimum wage
           law,  increased  the salaries or other  compensation  of any of their
           employees,  or made any  increase  in,  or any  additions  to,  other
           benefits to which any of such employees may be entitled;

                      (e) failed to pay or discharge  when due any  liabilities,
           the  failure to pay or  discharge  which has caused or will cause any
           actual material damage or give rise to the risk of a material loss to
           the Owner;

                      (f) changed any of the accounting  principles  followed by
           them or the methods of applying such principles;

                      (g) entered  into any material  transaction  other than in
           the ordinary course of business; or

                      (h) received any notice of any adverse  determination made
           by  any  licensing  authority  or  reimbursement   source  which  may
           reasonably  be  expected  to have a  material  adverse  effect on the
           revenues or  operations  of the  Facility.  The Owner shall report to
           Manager,  within five (5) business  days after receipt  thereof,  any
           written  notices that the Owner or the Facility is not in  compliance
           in any material respect with any of the foregoing.



                                                                           
                                      -12-

<PAGE>

           6.12 COMPLIANCE WITH LAWS. Except for notices of non-compliance as to
which the  Owner  has  taken  corrective  action  acceptable  to the  applicable
governmental agency, and as set forth in Schedule 6.12, the Owner has not within
the period of twelve months  preceding the date of this Agreement,  received any
written  notice  that it  fails  to  comply  in any  material  respect  with any
applicable  Federal,  state, local or other governmental laws or ordinances,  or
any applicable order, rule or regulation of any Federal,  state,  local or other
governmental   agency  having   jurisdiction   over  the  Owner   ("Governmental
Requirements"). The Owner shall report to Manager, within five (5) business days
after receipt  thereof,  any written notices that the Owner is not in compliance
in any material respect with any of the foregoing.

           6.13 TAX  RETURNS.  Except as set forth on Schedule  6.13,  the Owner
have filed all  Federal,  state,  county  and local  income,  excise,  property,
employment-related and other tax returns and abandoned property reports (if any)
to date that are due and  required  to be filed by it,  and there are no claims,
liens,  or judgments  for taxes due from the Owner,  and to the knowledge of the
Owner, no basis for any such claim, lien, or judgment exists.

           6.14 PAYMENT  OBLIGATIONS.  The Owner shall have no obligation to pay
any severance or other  amounts as a result of the change in management  control
contemplated  under  this  Agreement  or  any  of  the  agreements  executed  in
connection herewith.


                                   ARTICLE VII

                    REPRESENTATIONS AND WARRANTIES OF MANAGER

           Manager represents and warrants to the Owner as follows:

           7.1  ORGANIZATION  AND  STANDING  OF THE  MANAGER.  The  Manager is a
corporation duly organized, validly existing and in good standing under the laws
of the State of Delaware. Copies of the Articles of Incorporation and By-Laws of
the  Manager,  and all  amendments  thereof to date,  have been,  if  requested,
delivered to the Owner and are  complete and correct.  The Manager has the power
and  authority to own the property and assets now owned by it and to conduct the
business presently being conducted by it.


                                  ARTICLE VIII

                               TERMINATION RIGHTS

           This  Agreement may be terminated  and,  except as to  liabilities or
claims of either party hereto  which shall have  theretofore  accrued or arisen,
the  obligations  of the parties  hereto with respect to this  Agreement  may be
terminated, upon the happening of any of the following events:


                                                                           
                                      -13-

<PAGE>

           8.1  TERMINATION  BY THE  OWNER:  If at any time or from time to time
during the term of this  Agreement any of the  following  events shall occur and
not be remedied within the applicable period of time herein specified, namely:

                      (a)  The  Manager  shall  apply  for  or  consent  to  the
           appointment of a receiver,  trustee,  or liquidator of the Manager of
           all or a substantial part of its assets, file a voluntary petition in
           bankruptcy,  make a general  assignment for the benefit of creditors,
           file a petition or an answer  seeking  reorganization  or arrangement
           with  creditors  or take  advantage of any  insolvency  law, or if an
           order,  judgment or decree shall be entered by any court of competent
           jurisdiction,  on the  application  of a creditor,  adjudicating  the
           Manager as  bankrupt or  insolvent  or  approving a petition  seeking
           reorganization of the Manager or appointing a receiver,  trustee,  or
           liquidator  of  the  Manager  or of all or  substantial  part  of its
           assets,  and such order,  judgment or decree shall continue  unstayed
           and in effect for any period of ninety (90) consecutive days; or

                      (b) The Manager  shall fail to keep,  observe,  or perform
           any material covenant, agreement, term or provision of this Agreement
           to be kept,  observed,  or performed by the Manager, and such default
           shall  continue for a period of sixty (60) days after written  notice
           thereof by the Owner to the Manager;

then in case of any such  event and upon the  expiration  of the period of grace
applicable  thereto,  the term of this  Agreement  shall expire,  at the Owner's
option and upon ten (10) days written notice to the Manager.

           8.2  TERMINATION BY THE MANAGER:  If at any time or from time to time
during the term of this  Agreement any of the  following  events shall occur and
not be remedied within the applicable period of time herein specified, namely:

                      (a) The Owner shall fail to keep,  observe, or perform any
           material covenants, agreement, term or provision of this Agreement to
           be kept,  observed,  or performed by the Owner and such default shall
           continue for a period of sixty (60) days after written notice thereof
           by the Manager to the Owner,  except for Owner's  duty to provide for
           adequate  working  capital  under  Section  4.3  hereof,  which shall
           continue  uncured  for a period of thirty  (30)  days  after  written
           notice thereof;

                      (b) The Facility or any portion  thereof  shall be damaged
           or destroyed  by fire or other  casualty and (i) the Owner shall fail
           to undertake to repair, restore,  rebuild, or replace any such damage
           or destruction  within  forty-five (45) days after such fire or other
           casualty,  or shall fail to complete such work  diligently,  and (ii)
           such Owner shall fail to permit the Manager to  undertake  to repair,
           restore,  rebuild, or replace, at Owner's expense, any such damage or
           destruction  within  forty-five  (45) days  after  such fire or other
           casualty;



                                                                           
                                      -14-

<PAGE>

                      (c)  The  Owner   shall   apply  for  or  consent  to  the
           appointment of a receiver,  trustee, or liquidator of the Owner or of
           all or a substantial part of its assets, file a voluntary petition in
           bankruptcy or admit in writing its inability to pay its debts as they
           become due, make a general  assignment  for the benefit of creditors,
           file a petition or any answer seeking  reorganization  or arrangement
           with creditors or to take  advantage of any insolvency  law, or if an
           order,  judgment or decree  shall be entered by a court of  competent
           jurisdiction,  on the  application  of a creditor,  adjudicating  the
           Owner  bankrupt or appointing a receiver,  trustee,  or liquidator of
           the Owner with  respect to all or  substantial  part of the assets of
           the Owner, and such order, judgment or decree shall continue unstayed
           and in effect for any period of ninety (90) consecutive days;

                      (d) Any license,  lease or sub-lease  for the operation of
           any  Facility is at any time  suspended,  terminated,  or revoked and
           such suspension,  termination,  or revocation shall continue unstayed
           and in effect for a period of thirty (30) consecutive days; or

                      (e) Facility Funds shall be  insufficient  for the payment
           of the  Management  Fees to the Manager  pursuant to Article V hereof
           for a period of at least six (6) consecutive months;

then in case of any such  event and upon the  expiration  of the period of grace
applicable  thereto,  the term of this Agreement shall expire,  at the Manager's
option and upon ten (10) days written notice to the Owner.

           8.3 TERMINATION WITHOUT CAUSE. Owner shall have the right at any time
during the Term of this Agreement to terminate  this Agreement  without cause by
providing  notice to Manager at least  thirty  (30) days prior to the  requested
date of termination.

           8.4 MATERIAL  ADVERSE CHANGE.  Manager shall be entitled to terminate
this Agreement prior to the Commencement Date forthwith upon notice to the Owner
in the event  that (a) there  shall  have  occurred  since the date  hereof  any
material adverse change in the financial or operating condition of the Facility,
its business or prospects,  including, without limitation, the occurrence of any
event listed in Section 6.11 hereof,  or (b) any  representation  or warranty of
the Owner  herein  shall  have  ceased to be true and  correct  in any  material
respect.

           8.5 SURVIVING RIGHTS UPON TERMINATION.  If either party exercises its
option to terminate  pursuant to this Article VIII,  each party shall  forthwith
account for and pay to the other all sums due and owing pursuant to the terms of
this  Agreement.  All other  rights and  obligations  of the parties  under this
Agreement shall terminate (except as set forth in Article IX hereof).



                                                                           
                                      -15-

<PAGE>

                                   ARTICLE IX

                                 INDEMNIFICATION

           9.1  INDEMNIFICATION OF OWNER BY MANAGER.  Manager shall at all times
indemnify and hold harmless the Owner, its officers,  directors,  employees, and
shareholders, from and against any and all claims, losses, liabilities, actions,
proceedings,  and expenses (including  reasonable attorneys fees) arising out of
the  Manager's  operation  of the  Facility  during the term of this  Agreement,
including  governmental actions and proceedings.  The provisions of this Section
9.1 shall survive the termination or expiration of this Agreement.

           9.2 INDEMNIFICATION OF MANAGER BY OWNER. The Owner shall at all times
indemnify and hold harmless the Manager, its officers, directors, employees, and
shareholders, from and against any and all claims, losses, liabilities, actions,
proceedings,  and expenses (including  reasonable attorneys fees) arising out of
(i) the  ownership  or  operation  of the  Facility  prior  to the  term of this
Agreement,  or (ii) any breach of the  representations  and  warranties  made by
Owner in Article VI of this Agreement.  The provisions of this Section 9.2 shall
survive the termination or expiration of this Agreement.

           9.3  CONTROL OF  DEFENSE OF  INDEMNIFIABLE  CLAIMS.  A party  seeking
indemnification  under this Article IX shall give the other party prompt written
notice of the claim for  which it seeks  indemnification.  Failure  of the party
seeking  indemnification  to give such prompt notice shall not relieve the other
party of its  indemnification  obligation,  PROVIDED  that such  indemnification
obligation  shall  be  reduced  by any  damages  suffered  by such  other  party
resulting from a failure to give prompt notice  hereunder.  The party  receiving
the  aforementioned  notice shall provide the defense of such claim,  including,
without limitation, retention and payment of attorneys.

           9.4 PERIOD OF LIMITATION. Any claim for indemnification herewith must
be asserted within twelve (12) months  following the  Commencement  Date, or, in
the case of Section  9.1,  within  twelve  (12) months of the  discovery  of the
indemnifiable  event,  except that no such  limitation  shall apply to any claim
based upon (a) any liability of the Owner to the Medicare and Medicaid programs,
or to any other  third party  payor,  for excess  reimbursement  received by the
Owner  prior  to  the   Commencement   Date,   or  (b)  any  breach  of  Owner's
representations and warranties pertaining to litigation or tax matters.


                                    ARTICLE X

                                  CONDEMNATION

           If the  whole of the  Facility  shall be  taken or  condemned  in any
eminent domain,  condemnation,  compulsory acquisition,  or like proceeding by a
competent  authority  for any public or  quasi-public  use or purpose or if such
portion thereof shall be taken or condemned as to make it

                                                                           
                                      -16-

<PAGE>

unsuitable for its primary  intended use, then the term of this Agreement  shall
cease  and  terminate  on the date on which  the  Owner  shall  be  required  to
surrender  possession of the Facility.  The Manager shall  continue to supervise
and direct the  management of the Facility until such time as the Owner shall be
required to surrender possession of the Facility as a consequence of such taking
or condemnation.

           If only a part of the Facility  shall be taken or  condemned  and the
taking or  condemnation of such part does not make it unsuitable for its primary
intended use, this Agreement shall not terminate.

           In the event that the  parties  herein are unable  within a period of
thirty  (30) days  after  controversy  arising  between  them to agree  upon the
apportionment  of any award or are otherwise in dispute as to any matter arising
under this  Article X, any such  dispute  shall be  resolved by  arbitration  in
accordance  with the  provision  of Article  XI hereof and the costs  thereof or
incurred  therein shall be borne or  apportioned  and paid as determined by said
arbitration.


                                   ARTICLE XI

                                   ARBITRATION

           If any  controversy  should arise between the parties in performance,
interpretation,  or  application  of this  Agreement  which involves any matter,
either party may serve upon the other a written  notice  stating that such party
desires to have the controversy reviewed by an arbitrator. If the parties cannot
agree  within  fifteen  (15)  days  from the  service  of such  notice  upon the
selection of such  arbitrator,  an arbitrator shall be selected or designated by
the  American  Arbitration  Association  upon  written  request of either  party
hereto.  Arbitration  of such  controversy,  disagreement,  or dispute  shall be
conducted in accordance with the Commercial  Arbitration  Rules then in force of
the  American  Arbitration  Association  and  the  decision  and  award  of  the
arbitrator  so  selected  shall be  binding  upon the  Owner  and  Manager.  The
arbitration will be held in Naples, Florida.

           As a condition  precedent to the  appointment of any arbitrator  both
parties shall be required to make a good faith effort to resolve the controversy
which effort shall continue for a period of thirty (30) days prior to any demand
for arbitration. The cost of any such arbitration shall be shared equally be the
parties.  Each  party  shall  pay its own  costs  incurred  as a  result  of its
participation in any such arbitration.

           If the issue to be  arbitrated  is Manager's  alleged  breach of this
Agreement  and as a  result  thereof,  Owner  has the  right to  terminate  this
Agreement,  Manager shall continue to manage the Facility  hereunder pending the
outcome of such arbitration.


                                                                           
                                      -17-

<PAGE>

           The Arbitrator  shall have no authority to award punitive  damages or
any other damages in excess of the prevailing  party's actual  damages,  and may
not make any  ruling,  finding or award  that does not  conform to the terms and
conditions of this Agreement.


                                   ARTICLE XII

                             SUCCESSORS AND ASSIGNS

           12.1 ASSIGNMENTS BY THE MANAGER. The Manager,  without the consent of
the Owner, shall have the right to assign this Agreement to a wholly or majority
owned  subsidiary  provided  that the Manager shall not thereby be released from
its obligations hereunder.

           In the event that all or substantially  all the assets of the Manager
or its capital  stock  shall  during the term of this  Agreement  be acquired by
another corporation  (hereinafter referred to as the "Acquiring Corporation") as
a result of a merger, consolidation,  reorganization,  or other transaction, the
Acquiring Corporation assumes all of the obligations of the Manager then accrued
hereunder,  if any, and Manager shall be relieved of all such  obligations  (and
such  Acquiring  Corporation  shall be relieved  of  liability  hereunder  if it
subsequently is involved in such an acquisition).

           Except as otherwise permitted herein, the Manager shall have no right
to assign this Agreement.

           12.2  SALE,  ASSIGNMENT,   OR  SUB-LEASE  BY  THE  OWNER.  Any  sale,
sub-lease,  or  assignment  with  respect  to the  Facility,  other  than to the
Manager,  shall  be  expressly  subject  to the  terms  and  provisions  of this
Agreement  and  shall not  relieve  the Owner of its  liability  or  obligations
hereunder,  and Owner shall cause any  purchaser,  assignee,  or  sub-lessee  to
deliver  to the  Manager  written  acknowledgment  of its  agreement  to perform
hereunder including the payment of the management fee described herein.

           The Owner may not at any time,  without the prior written  consent of
the Manager,  incur any additional  debt or subject its interest in the Facility
or any part  thereof  to the lien of one or more deeds of trust,  mortgages,  or
other  security  instruments.  In the event  that such  consent  is given,  such
additional  debt or security  interest shall be subordinate to Manager's  rights
and  security  interest  granted  pursuant  to this  Agreement  and  the  Credit
Agreement.



                                                                           
                                      -18-

<PAGE>

                                  ARTICLE XIII

                            MISCELLANEOUS PROVISIONS

           13.1 NOTICES.  Any notice or other  communication  by either party to
the other shall be in writing and shall be given and be deemed to have been duly
given, upon the date delivered if delivered personally or upon the date received
if mailed postage pre-paid, registered, or certified mail, addressed as follows:


           To the Owner:                  SOUTHERN CARE CENTERS OF TEXAS, INC.
                                          Five Concourse Parkway, Suite 2420
                                          Atlanta, GA 30328
                                          Attention: Michael Himmelstein
  
           With a copy to:                Arnall, Golden & Gregory
                                          2800 One Atlantic Center
                                          1201 West Peachtree Street
                                          Atlanta, GA 30309-3450
                                          Attention: Marc L.  Peterzell, Esq.
  
           To the Manager:                COMMUNITY CARE OF AMERICA, INC.
                                          3050 N.  Horseshoe Drive
                                          Suite 260
                                          Naples, FL 33942
                                          Attention:   William J.  Krystopowicz
  
           With a copy to:                Blass & Driggs
                                          461 Fifth Avenue, 19th Floor
                                          New York, NY 10017
                                          Attention: Michael S.  Blass, Esq.
  
or to such other  address,  and to the attention of such other person or officer
as either party may designate in writing by notice.

           13.2 NO  PARTNERSHIP  OR  JOINT  VENTURE.  Nothing  contained  in the
Agreement  shall  constitute  or be construed to be or create a  partnership  or
joint venture between the Owner, its successors,  or assigns on the one part and
the Manager, its successors,  or assigns on the other part.  Notwithstanding the
foregoing,  the parties  hereby agree that they shall each have a duty to act in
good faith and to deal fairly with the other party hereto.


                                                                           
                                      -19-

<PAGE>



           13.3  MODIFICATIONS AND CHANGES.  This Agreement cannot be changed or
modified except by another agreement in writing signed by the party sought to be
charged therewith or by its duly authorized agent.

           13.4  UNDERSTANDING  AND AGREEMENTS.  This Agreement  constitutes the
entire  understanding  and  agreements  of  whatsoever  nature or kind  existing
between the parties with respect to the Manager's management of the Facility.

           13.5 HEADINGS.  The article and paragraph  headings  contained herein
are for convenience of reference only and are not intended to define,  limit, or
describe the scope of intent of any provision of this Agreement.

           13.6  APPROVAL  OR CONSENT.  Whenever  under any  provisions  of this
Agreement,  the approval or consent of either  party is  required,  the decision
thereon  shall be  promptly  given and such  approval  or  consent  shall not be
unreasonably  withheld.  It is further understood and agreed that whenever under
any  provisions  of this  Agreement  the  approval  or  consent  of the Owner is
required,  such  approval  or  consent  is given by the person or any one of the
persons, as the case may be, designated in a notification signed by or on behalf
of the Owner. For all purposes under this Agreement, the Manager shall determine
solely  from the latest such  notification  received by it the person or persons
authorized to give such approval or consent.  The Manager shall rely exclusively
and   conclusively  on  the   designation   set  forth  in  such   notification,
notwithstanding any notice of knowledge to the contrary.

           13.7 GOVERNING LAW. This Agreement  shall be deemed to have been made
and shall be construed and  interpreted in accordance with the laws of the State
of Texas.

           13.8  ENFORCEABILITY.  Should  any  provision  of this  Agreement  be
unenforceable as between the parties, such unenforceability shall not affect the
enforceability of the other provisions of this Agreement.



                                                                           
                                      -20-

<PAGE>

           13.9  COUNTERPARTS.  This  Agreement  may be  executed in two or more
counterparts,  each of  which  shall be  deemed  an  original,  but all of which
together shall constitute one and the same instrument.

           IN WITNESS  WHEREOF,  the parties  hereto have executed and delivered
this Management Agreement effective as of the day and year first above written.

OWNER:                              MANAGER:

SOUTHERN CARE CENTERS               CCA OF TEXAS, INC.
OF TEXAS, INC.


By: /s/ Michael Himmelstein         By:  /s/ William J. Krystopowicz
   ------------------------------       ------------------------------
        Michael Himmelstein                  William J. Krystopowicz
Title:  Vice President              Title:   Executive Vice President



                                                                           
                                      -21-

<PAGE>


                                    EXHIBIT A


The  following  is a list of items and travel  expenses  not included in the CCA
Management  Fee. These  facility  specific  expenses are passed  directly to the
facility in which the expense was incurred.

           *          CCA  consultant  travel  expenses when Facility  specific,
                      e.g. regional nurse,  dietician,  business office analyst,
                      regional   Vice   President,   marketing,   reimbursement,
                      accounting.

           *          Administrator wages, benefits and related travel expenses.
                      (This includes an annual administrator conference).

           *          Computer hardware and software purchased for Facility.

           *          Facility specific legal and accounting fees.

           *          Facility specific fees associated with union  organization
                      attempts, elections, etc.

           *          Payroll processing fee.

           *          Outside  consultants  used for  Medicare or Medicaid  cost
                      reports and Medicare exception requests.

           *          Travel costs for facility personnel training.

           *          All other  costs  incurred  related  to  facility-specific
                      matter.

                                                                           

                              AGREEMENT TO PROVIDE
                        ACCOUNTING AND AUDITING SERVICES
                                       AND
                    RURAL HEATHCARE PROVIDER NETWORK SERVICES



           THIS  AGREEMENT (the  "Agreement")  made this 1st day of May 1996, by
and  between  CCA  Acquisition  I,  Inc.  (hereinafter  called  "Provider")  and
Buchanan/SCC, Inc. d/b/a Countryside Nursing Home (hereinafter called "Owner").

                                   WITNESSETH

           Owner and Provider  agree that  Provider  shall  provide  Countryside
Nursing Home in Buchanan,  Georgia  (hereinafter  referred to as the "Center") a
long term care facility owned and operated by Owner, the following  auditing and
accounting services on the following terms and conditions:

                                   SECTION ONE
                         PROVIDER DUTIES AND OBLIGATIONS

           1.01 SERVICES PROVIDED:  During the term of this Agreement,  Provider
shall provide the following auditing and accounting services to the Owner:

           (a) Provider  shall audit proper  coding of the  subsidiary  accounts
payable by the Center's bookkeepers.
 
           (b) Provider  shall examine all invoices for  comparison  against the
Center's  financial  statements and audit periodic  vendor amounts due and goods
and services provided for any given statement period.

           (c)  Provider  shall  prepare  a  schedule  of all  accounts  payable
invoices.

                                                                          

<PAGE>



           (d) Provider  shall batch  accounts  payable  invoices for electronic
data processing into budgeted categories, consistent with departmental budgeting
submitted to provider by Center's bookkeeper.

           (e)  Provider  shall  keypunch  all  accounts  payable  invoices  for
electronic data processing.

           (f)  Provider  shall  generate  and  balance  the  accounts   payable
subsidiary ledger for the Center for each accounting period.

           (g) Provider shall generate a comparative  budget report  relating to
the  accounts  payable  ledger  for  the  administration  and  all  departmental
supervisors.

           (h) Provider shall audit deposits of the Center.

           (i) Provider shall categorize deposits by payment status.

           (j)  Provider  shall  keypunch for  electronic  data  processing  all
deposit information.

           (k) Provider shall audit all deposits with bank statements.

           (l) Provider shall audit all of the Center's bank accounts.

           (m) Provider  shall  generate an accounts  receivable  report with an
aging analysis by payment category.

           (n) Provider  shall assist  Center's  bookkeeper  with  billings in a
timely manner.

           (o) Provider shall examine all billings of Center to assure accuracy.

           (p) Provider  shall prepare a monthly trial balance and edit schedule
for the entire chart of accounts.

           (q)  Provider  shall  prepare the monthly and year to date profit and
loss statements for the Center with budget comparisons.

           (r) Provider shall prepare the monthly and year end balance sheet for
the Center.

                                                                          

<PAGE>



           (s)  Provider  shall  prepare a  schedule  of  changes  in  financial
condition for the Center.

           (t)  Provider  shall  prepare a monthly  cash  flow  analysis  with a
sources and uses analysis.

           (u)  Provider  shall assist in  providing  information  for audits by
governmental agencies (Medicare/Medicaid).

           (v) Provider  shall  assist in preparing  the cost reports for Center
including conversion of financial statement information to cost reporting forms.

           (w) Provider shall prepare all accounting information,  including but
not limited to operational  summaries,  projections and cash flow statements for
submission to prospective purchasers or lessees, if any.

           (x)  Provider  shall  assist in  preparing  all  reports  (to include
payroll tax  returns,  unemployment  tax returns and any other  quarterly/annual
returns) for any and all Federal, state, and any other reporting authorities.

           1.02 REPORTS TO OWNER:  Provider  shall  prepare and deliver to Owner
monthly  financial  statements   (unaudited)  containing  a  balance  sheet  and
statement  of  income  and  expenses  in  reasonable  detail,  and such  monthly
financial  statements  shall be delivered to Owner within  twenty-five (25) days
after the close of each calendar month.

           1.03 ACCESS TO FINANCIAL  BOOKS AND RECORDS:  The financial books and
records for the Center shall be maintained at the  Provider's  office and copies
shall be  maintained  at the  Center.  Provider  shall  promptly  respond to any
questions of Owner with respect to such books and records.

           1.04 LICENSES:  Neither Owner nor Provider  shall  knowingly take any
action which may (1) cause any governmental  authority having  jurisdiction over
the operation of similar  centers to institute any proceeding for the rescission
or revocation of any necessary license, permit, consent or approval,

                                                                          

<PAGE>



or (2) adversely  affect  Owner's  right to accept  and  obtain  payments  under
Medicare,  Medicaid,  Blue Cross or any other public or private  medical payment
program.

           1.05  TAXES:  Any taxes or other  governmental  obligations  properly
imposed on the Center are the  obligations  of the Owner,  not of Provider,  and
shall be paid out of the Operating Accounts of the Center.

           1.06 USE OF PROVIDER'S PERSONNEL:  Provider and/or its designee shall
visit the  Center as often as it deems  necessary  but not less than  twice each
month  unless  mutually  agreed by Owner and  Provider.  The time of such visits
shall not be changed to Owner,  but  out-of-pocket  expenses arising from travel
and lodging  connected with such visits shall be paid weekly out of the Center's
Operating Accounts as an expense of the Center.

                                   SECTION TWO
                              TERM AND TERMINATION

           2.01 TERM:  This Agreement  shall be treated as effective from May 1,
1996 and  terminate  on July 31,  2004  unless  otherwise  terminated  by mutual
consent of the parties or as otherwise outlined herein.

           2.02 TERMINATION:

           (a) If either party shall apply for or consent to the  appointment of
a receiver,  trustee or liquidator of it or all or of a substantial  part of its
assets,  file a voluntary petition in bankruptcy,  make a general assignment for
the benefit of creditors, file a petition or an answer seeking reorganization or
arrangement  with creditors or to take advantage of any insolvency law, or if an
order,  judgment  or  decree  shall  be  imminent  in  any  court  of  competent
jurisdiction,  on an application of a creditor,  potentially  adjudicating  said
party a bankrupt or insolvent or approving a petition seeking

                                                                          

<PAGE>



reorganization of said party or appointment a receiver, trustee or liquidator of
said party or of all or a  substantial  part of its assets,  then in case of any
such  event,  the term of this  Agreement  shall  expire,  at the other  party's
option, on five (5) days written notice.

           (b) If Owner or Provider  shall fail to keep,  observe or perform any
material covenant, agreement, term or provision of this Agreement required to be
kept, observed, or performed by it, and such default shall continue for a period
of thirty (30) days, or ten (10) days in the case of a failure to pay fees under
this  Agreement,  after notice thereof by one to the other,  then in case of any
such event and upon the  expiration of any period of grace  applicable  thereto,
the term of this Agreement shall expire, at the option of the party against whom
such default is contended, on five (5) days written notice to the other party.

                                  SECTION THREE
               RURAL HEALTHCARE PROVIDER NETWORK SERVICES AND FEES

           3.01  SERVICES:  The  Provider is  recognized  to have the ability to
provide a Rural  Healthcare  Network that will enhance the ability of the Center
to provide  services  and continue to meet its debt  service  requirements.  The
Provider is  therefore  engaged to provide  any and all  services  necessary  to
establish a Rural HealthCare Network in Buchanan, Georgia. A partial list of the
services to be included is on Exhibit A.

           3.02. COMPENSATION:  In exchange for the services to be provided, the
Provider will be entitled to $5,000.00 per month; provided however that any such
fees shall accrue and not be due or payable unless and until revenues  generated
by the Center  exceed all expenses of the Center  including,  but not limited to
lease payments, debt service, operating and administrative expenses and the fees
due  hereunder.  To the extent that during the term of this  Agreement  all such
expenses exceed the

                                                                          

<PAGE>



revenues  generated  by  the  Center,  Provider  shall  absorb  such  excess  by
contributing cash to the Center on a monthly basis as needed to meet expenses as
they are incurred.

                                  SECTION FOUR
                                  MISCELLANEOUS

           4.01  ASSIGNMENT  BY  PROVIDER:  Provider  may not  assign its rights
and/or  obligations  under this Agreement  without the prior written  consent of
Owner.

           4.01  ASSIGNMENT BY OWNER:  Owner may assign its right or obligations
under this Agreement without the consent of Provider.

           4.03  BINDING  ON  SUCCESSORS  AND  ASSIGNS:  The  terms,  covenants,
conditions, provisions and agreements herein contained shall be binding upon and
inure to the benefit of the parties hereto, their successors and assigns.

           4.04  NEGATION  OF  PARTNERSHIP,   JOINT  VENTURE  AND  AGENCY:   The
relationship of Provider to Owner under this Agreement is that of an independent
contractor,  not  that of an  agent,  and  nothing  contained  herein  shall  be
construed to create a relationship of agency between Provider and Owner. Nothing
herein shall be  construed to the effect that  Provider is Manager of the Center
or in  charge  of  the  day to  day  operations  of  the  Center,  all of  which
responsibilities are Owner's.

           4.05  NOTICES:  All notices  hereunder  by either  party to the other
shall be in writing.  All notices,  demands and  requests  shall be deemed given
when mailed,  postage  prepaid,  registered,  or certified  mail return  receipt
requested; or when sent by telecopier with evidence of confirmation as follows:

           (a)       To Owner, by addressing the same to:
                     Buchanan/SCC, Inc.
                     5 Concourse Parkway

                                                                          

<PAGE>



                     Suite 3100
                     Atlanta, Georgia 30328
                     Fax No. (770) 804-5867

                     with a copy to:

                     Marc L. Peterzell, Esq.
                     Arnall Golden & Gregory
                     1201 West Peachtree Street
                     2800 One Atlantic Center
                     Atlanta, Georgia 30309-3450
                     Fax No. (404) 873-8663

           (b)       To Provider, by addressing the same to:

                     Community Care of America, Inc.
                     3050 N. Horseshoe Drive, Suite 260
                     Naples, Florida 33942
                     Attention:  William J. Krystopowicz
                     Fax No. (941) 261-5624

                     with a copy to:

                     Blass & Driggs
                     461 Fifth Avenue
                     New York, New York 10017
                     Attention:  Michael S. Blass, Esq.
                     Fax No. (212) 447-5429

or to such other address or telecopier  number or to such other person as may be
designated by notice given from time to time during the term by one party to the
other.

           4.06 ENTIRE AGREEMENT:  This Agreement  contains the entire agreement
between  the  parties  hereto,  and no  representation  or  agreements,  oral or
otherwise,  between the parties not embodies  herein or attached hereto shall be
of any  force  and  effect.  Any  additions  or  amendments  to  this  Agreement
subsequent  hereto shall be of no force and effect  unless in writing and signed
by the parties hereto.

                                                                          

<PAGE>



           4.07 GOVERNING LAW: This agreement has been executed and delivered in
the State of Georgia, and all the terms and provisions hereof and the rights and
obligations  of the parties hereto shall be construed and enforced in accordance
with the laws thereof.

           4.08 CAPTIONS AND HEADINGS: The captions and headings throughout this
Agreement  are for  convenience  and  reference  only,  and the words  contained
therein shall in no way be held or deemed to define, limit,  describe,  explain,
modify,  amplify or add to the  interpretation,  construction  or meaning of any
provision of or the scope or intent of this Agreement nor in any way affect this
agreement.

           4.09  NONASSUMPTION  OF LIABILITIES:  Provider shall not, by entering
into and  performing  this  Agreement,  become  liable  for any of the  existing
liabilities or debts of Owner.

           4.10  RESPONSIBILITY  FOR  MISCONDUCT OF EMPLOYEES AND OTHER PERSONS:
Provider will have no liability  whatsoever  for damages  suffered on account of
the dishonesty,  willful  misconduct or negligence of any employee of the Center
or Owner.  Provider  shall be liable to the Center in connection  with damage or
loss directly sustained by it by reason of the dishonesty, willful misconduct or
negligence  of  Provider's  employees  in the course of  providing  the services
outlined herein.

           4.11  AUTHORIZATION  OF AGREEMENT:  Provider and Owner  represent and
warrant,  each to the other, (i) that this Agreement has been duly authorized by
the  respective  Boards  of  Directors  of Owner  and  Provider;  (ii) that this
Agreement  constitutes a valid and enforceable  obligation of Provider and Owner
in accordance  with its terms;  and (iii) that the Provider has the authority to
enter into this Agreement.

                                                                          

<PAGE>



           4.12 Notwithstanding  anything to the contrary herein, this agreement
does not  constitute an agreement to provide  general  management or readmission
policy and  planning  procedures  or  functions  as the same are  defined by the
reimbursement  regulations of the State of Georgia.  Therefore,  it is expressly
understood and agreed that day-to-day  operations and  administration  of policy
and  planning of the Center,  including  but not  limited  to,  development  and
implementation  of policies and  procedures for the Center shall be the sole and
exclusive responsibility of the Center's administrator and Owner. Provider shall
have no implied  supervision or control over the Center,  its employees or Owner
as a result of or incident to this Agreement.

           IN WITNESS WHEREOF,  the parties hereto have executed this Agreement,
the day and year first above written.

                                        BUCHANAN/SCC, INC.

                                        By: /s/ Michael Himmelstein
                                           ---------------------------------
                                             Michael Himmelstein


                                        CCA ACQUISITION I, INC.

                                        By: /s/ William J. Krystopowicz
                                           ---------------------------------
                                             William J. Krystopowicz


           In  consideration  for  Buchanan/SCC,  Inc. giving CCA ACQUISITION I,
INC. the opportunity to provide  accounting and auditing  services to the Center
and to operate a rural  healthcare  provider  network,  the  undersigned  hereby
unconditionally  guarantees each and every obligation of CCA ACQUISITION I, INC.
in the above Agreement.


                                        COMMUNITY CARE OF AMERICA, INC.


                                        By: /s/ William J. Krystopowicz
                                           ---------------------------------
                                             William J. Krystopowicz
                                                                          

<PAGE>



                                    EXHIBIT A
                                    ---------

                                Physical Therapy
                              Occupational Therapy
                                 Speech Therapy
                                Dementia Therapy
                                Infusion Therapy
                               Respiratory Therapy
                                  Hospice Care
                                  Respite Care
                       Extensive Rehab Restorative Program
                                   Wound Care
                                Tracheotomy Care
                     Post Stroke & Hip Replacement Treatment
                              Antibiotic Treatment
                               Enteral Feeding/IV
                            Urological & Ostomy Care



                    ALLONGE AND AMENDMENT TO PROMISSORY NOTE


           Reference  is made to that  certain  Promissory  Note in the original
principal  amount of  $13,600,000,  dated  December  30,  1993 as modified by an
Allonge and Amendment dated as of April 1, 1995 (the "ORIGINAL  NOTE") , made by
ECA Holdings,  Inc., a Delaware corporation ("MAKER"), and payable to Health and
Retirement  Properties  Trust  ("LENDER").  This  Allonge  and  Amendment  (this
"ALLONGE") shall be and remain attached to and shall constitute an integral part
of the  above  described  Original  Note from and  after  the date  hereof  (the
Original Note as modified by this Allonge being  hereinafter  referred to as the
"NOTE").  Terms  capitalized  but not  otherwise  defined  herein shall have the
meanings given to them, respectively, in the Original Note.

           The Original Note is hereby amended in the following particulars:

                     7.  PREPAYMENT.  (a) (i) In the event  the  option to renew
           those  certain  leases  variously  dated as of December  30, 1993 and
           November 1, 1994,  each as amended,  between  Lender as landlord  and
           Maker,   as  tenant  with  respect  to  certain  real   property  and
           improvements located in Colorado, Kansas, Iowa, Missouri and Wyoming,
           for the First Extended Term (as such term is defined  therein) is not
           exercised  on the  terms  set forth in such  leases,  Lender,  at its
           election by written  notice to Maker given on or prior to January 31,
           2003, shall have the right, in its sole discretion and for any reason
           or no  reason,  to require  the Maker to prepay  this Note in full on
           December 31, 2003, together with interest and the Make-Whole Premium,
           and other charges accrued and unpaid hereunder and/or under the Deeds
           of Trust and the Security Instruments on such monthly payment date.

                     (ii) In the event the option to renew those certain  leases
           variously dated as of April 1, 1995, each as amended,  between Lender
           as  landlord  and Maker,  as tenant  with  respect  to  certain  real
           property  and  improvements  located in  Nebraska,  Kansas,  Iowa and
           Missouri  for the  First  Extended  Term  (as  such  term is  defined
           therein)  is not  exercised  on the terms  set forth in such  leases,
           Lender,  at its election by written notice to Maker given on or prior
           to January 31, 2007, shall have the right, in its sole discretion and
           for any reason or no reason, to require the Maker to prepay this Note
           in  full  on  December  31,  2007,  together  with  interest  and the
           Make-Whole  Premium,  and other charges accrued and unpaid  hereunder
           and/or under the Deeds of Trust and the Security  Instruments on such
           monthly payment date.

                     (iii) In the event the option to renew those certain leases
           variously  dated as of May 10, 1996  between  Lender as landlord  and
           Marietta/SCC,  Inc., Glenwood/SCC, Inc., Dublin/SCC, Inc., Macon/SCC,
           Inc.  and  College  Park/SCC,   Inc.,  each  a  Georgia   corporation
           (collectively,  the "SCC  SUBSIDIARIES"),  as tenants with respect to
           certain real property,  related  improvements  and personal  property
           located  in  Georgia,  for the First  Extended  Term (as such term is
           defined  therein)  is not  exercised  on the  terms set forth in such
           leases,  Lender,  at its election by written notice to Maker given on
           or prior to January  31,  2003,  shall  have the  right,  in its sole
           discretion  and for any reason or no reason,  to require the Maker to
           prepay this Note in full on December 31, 2003, together with interest
           and the Make-Whole Premium, and other


<PAGE>


           charges accrued and unpaid  hereunder and/or under the Deeds of Trust
           and the Security Instruments on such monthly payment date.

           Except  as  modified  hereby,  all the terms  and  conditions  of the
Original Note are hereby  ratified and confirmed.  This Allonge may be signed in
one or more  counterparts  each of which taken together shall constitute one and
the same instrument.

           NON-LIABILITY  OF TRUSTEES.  THE  DECLARATION  OF TRUST  ESTABLISHING
LENDER,  DATED OCTOBER 9, 1986, A COPY OF WHICH , TOGETHER  WITH ALL  AMENDMENTS
THERETO (THE  "DECLARATION"),  IS DULY FILED WITH THE  DEPARTMENT OF ASSESSMENTS
AND  TAXATION  OF THE STATE OF  MARYLAND,  PROVIDES  THAT THE NAME  "HEALTH  AND
RETIREMENT  PROPERTIES  TRUST"  REFERS TO THE  TRUSTEES  UNDER  THE  DECLARATION
COLLECTIVELY  AS  TRUSTEES,  BUT NOT  INDIVIDUALLY  OR  PERSONALLY,  AND THAT NO
TRUSTEE, OFFICER, SHAREHOLDER,  EMPLOYEE OR AGENT OF LENDER SHALL BE HELD TO ANY
PERSONAL  LIABILITY,  JOINTLY  OR  SEVERALLY,  FOR ANY  OBLIGATION  OF, OR CLAIM
AGAINST, LENDER. ALL PERSONS DEALING WITH LENDER, IN ANY WAY, SHALL LOOK ONLY TO
THE  ASSETS OF  LENDER  FOR THE  PAYMENT  OF ANY SUM OR THE  PERFORMANCE  OF ANY
OBLIGATION.

           IN WITNESS  WHEREOF,  and intending to be legally  bound hereby,  the
undersigned  has caused this  Allonge to be  executed  under seal by its officer
thereunto duly authorized as of the 10th day of May, 1996.

Attest:                                             ECA HOLDINGS, INC.



By:_______________________                          By:_______________________
     Name:                                               Name:
     Title:                                              Title:

ACCEPTED BY:

HEALTH AND RETIREMENT PROPERTIES TRUST



By:_______________________
     Name:
     Title:






                                        2




                    ALLONGE AND AMENDMENT TO PROMISSORY NOTE

           Reference  is made to that  certain  Promissory  Note in the original
principal  amount of  $6,000,000,  dated  December  30,  1993 as  modified by an
Allonge and Amendment dated as of April 1, 1995 (the "ORIGINAL  NOTE") , made by
COMMUNITY CARE OF NEBRASKA,  INC., a Delaware corporation ("MAKER"), and payable
to HEALTH AND RETIREMENT  PROPERTIES  TRUST,  a Maryland real estate  investment
trust  ("LENDER").  This Allonge and  Amendment  (this  "ALLONGE")  shall be and
remain attached to and shall  constitute an integral part of the above described
Original  Note from and after the date hereof (the  Original Note as modified by
this Allonge being hereinafter referred to as the "NOTE"). Terms capitalized but
not  otherwise   defined   herein  shall  have  the  meanings   given  to  them,
respectively, in the Original Note.

           The Original Note is hereby amended in the following particulars:

                     5.  PREPAYMENT.  (a)(i) In the  event  the  option to renew
           those  certain  leases  variously  dated as of December  30, 1993 and
           November 1, 1994, each as amended, between Lender as landlord and ECA
           Holdings,  Inc.,  a Delaware  corporation,  as tenant with respect to
           certain real property and improvements  located in Colorado,  Kansas,
           Iowa, Missouri and Wyoming, for the First Extended Term (as such term
           is defined  therein) is not  exercised on the terms set forth in such
           leases,  Lender,  at its election by written notice to Maker given on
           or prior to January  31,  2003,  shall  have the  right,  in its sole
           discretion and for any reason or no reason,  to require the Makers to
           prepay this Note in full on December 31, 2003, together with interest
           and the  Make-Whole  Premium,  and other  charges  accrued and unpaid
           hereunder   and/or   under  the  Deeds  of  Trust  and  the  Security
           Instruments on such monthly payment date.

                     (ii) In the event the option to renew those certain  leases
           variously dated as of April 1, 1995, each as amended,  between Lender
           as landlord and ECA Holdings, Inc., a Delaware corporation, as tenant
           with respect to certain real  property  and  improvements  located in
           Nebraska, Kansas, Iowa, and Missouri, for the First Extended Term (as
           such term is defined therein) is not exercised on the terms set forth
           in such leases,  Lender,  at its election by written  notice to Maker
           given on or prior to January 31, 2007,  shall have the right,  in its
           sole discretion and for any reason or no reason, to require the Maker
           to prepay  this Note in full on  December  31,  2007,  together  with
           interest and the Make-Whole  Premium,  and other charges  accrued and
           unpaid  hereunder  and/or  under the Deeds of Trust and the  Security
           Instruments on such monthly payment date.

                     (iii) In the event the option to renew those certain leases
           variously dated as of May 10, 1996,  each as amended,  between Lender
           as landlord and Marietta/SCC,  Inc., Glenwood/SCC,  Inc., Dublin/SCC,
           Inc.,  Macon/SCC,  Inc. and College  Park/SCC,  Inc.,  each a Georgia
           corporation (collectively,  the "SCC SUBSIDIARIES"),  as tenants with
           respect to certain real property,  related  improvements and personal
           property  located in Georgia,  for the First  Extended  Term (as such
           term is defined therein) is not exercised on the terms

<PAGE>

           set forth in such leases,  Lender,  at its election by written notice
           to Maker given on or prior to January 31, 2003, shall have the right,
           in its sole  discretion  and for any reason or no reason,  to require
           the Maker to prepay this Note in full on December 31, 2003,  together
           with interest and the Make-Whole  Premium,  and other charges accrued
           and unpaid hereunder and/or under the Deeds of Trust and the Security
           Instruments on such monthly payment date.

           Except  as  modified  hereby,  all the terms  and  conditions  of the
Original Note are hereby  ratified and confirmed.  This Allonge may be signed in
one or more  counterparts  each of which taken together shall constitute one and
the same instrument.

           NON-LIABILITY  OF TRUSTEES.  THE  DECLARATION  OF TRUST  ESTABLISHING
LENDER,  DATED OCTOBER 9, 1986, A COPY OF WHICH , TOGETHER  WITH ALL  AMENDMENTS
THERETO (THE  "DECLARATION"),  IS DULY FILED WITH THE  DEPARTMENT OF ASSESSMENTS
AND  TAXATION  OF THE STATE OF  MARYLAND,  PROVIDES  THAT THE NAME  "HEALTH  AND
RETIREMENT  PROPERTIES  TRUST"  REFERS TO THE  TRUSTEES  UNDER  THE  DECLARATION
COLLECTIVELY  AS  TRUSTEES,  BUT NOT  INDIVIDUALLY  OR  PERSONALLY,  AND THAT NO
TRUSTEE, OFFICER, SHAREHOLDER,  EMPLOYEE OR AGENT OF LENDER SHALL BE HELD TO ANY
PERSONAL  LIABILITY,  JOINTLY  OR  SEVERALLY,  FOR ANY  OBLIGATION  OF, OR CLAIM
AGAINST, LENDER. ALL PERSONS DEALING WITH LENDER, IN ANY WAY, SHALL LOOK ONLY TO
THE  ASSETS OF  LENDER  FOR THE  PAYMENT  OF ANY SUM OR THE  PERFORMANCE  OF ANY
OBLIGATION.


                                        2

<PAGE>

           IN WITNESS  WHEREOF,  and intending to be legally  bound hereby,  the
undersigned  has caused this  Allonge to be  executed  under seal by its officer
thereunto duly authorized as of the 10th day of May, 1996.

Attest:                                    COMMUNITY CARE OF NEBRASKA, INC.



By:______________________                  By:__________________________
   Name:                                      Name:
   Title:                                     Title:


ACCEPTED BY:

HEALTH AND RETIREMENT PROPERTIES TRUST



By:______________________
   Name:
   Title:


                                        3


                    ALLONGE AND AMENDMENT TO PROMISSORY NOTE


           Reference  is made to that  certain  Promissory  Note (the  "ORIGINAL
NOTE") in the original principal amount of $2,045,000, dated April 1, 1995, made
by COMMUNITY CARE OF NEBRASKA, INC., a Delaware corporation,  W.S.T. CARE, INC.,
a Nebraska corporation,  QUALITY CARE OF LYONS, INC., a Nebraska corporation and
QUALITY  CARE OF  COLUMBUS,  INC.,  a Nebraska  corporation  (collectively,  the
"MAKERS") and payable to HEALTH AND RETIREMENT PROPERTIES TRUST, a Maryland real
estate investment trust ("LENDER").  This Allonge and Amendment (this "ALLONGE")
shall be and remain  attached to and shall  constitute  an integral  part of the
above described  Original Note from and after the date hereof (the Original Note
as modified by this Allonge being hereinafter referred to as the "NOTE").  Terms
capitalized  but not otherwise  defined  herein shall have the meanings given to
them, respectively, in the Original Note.

           The Original Note is hereby amended in the following particulars:

A.         Paragraph 5(a) on page 2 is amended to read as follows:

                     5.  PREPAYMENT.  (a)(i) In the  event  the  option to renew
           those  certain  leases  variously  dated as of December  30, 1993 and
           November 1, 1994, each as amended, between Lender as landlord and ECA
           Holdings,  Inc.,  a Delaware  corporation,  as tenant with respect to
           certain real property and improvements  located in Colorado,  Kansas,
           Iowa, Missouri and Wyoming, for the First Extended Term (as such term
           is defined  therein) is not  exercised on the terms set forth in such
           leases,  Lender, at its election by written notice to Makers given on
           or prior to January  31,  2003,  shall  have the  right,  in its sole
           discretion and for any reason or no reason,  to require the Makers to
           prepay this Note in full on December 31, 2003, together with interest
           and the  Make-Whole  Premium,  and other  charges  accrued and unpaid
           hereunder   and/or   under  the  Deeds  of  Trust  and  the  Security
           Instruments on such monthly payment date.

                     (ii) In the event the option to renew those certain  leases
           variously dated as of April 1, 1995, each as amended,  between Lender
           as landlord and ECA Holdings, Inc., a Delaware corporation, as tenant
           with respect to certain real  property  and  improvements  located in
           Nebraska, Kansas, Iowa, and Missouri, for the First Extended Term (as
           such term is defined therein) is not exercised on the terms set forth
           in such leases,  Lender,  at its election by written notice to Makers
           given on or prior to January 31, 2007,  shall have the right,  in its
           sole  discretion  and for any  reason or no reason,  to  require  the
           Makers to prepay this Note in full on  December  31,  2007,  together
           with interest and the Make-Whole  Premium,  and other charges accrued
           and unpaid hereunder and/or under the Deeds of Trust and the Security
           Instruments on such monthly payment date.

                     (iii) In the event the option to renew those certain leases
           variously  dated as of May 10, 1996  between  Lender as landlord  and
           Marietta/SCC,  Inc., Glenwood/SCC, Inc., Dublin/SCC, Inc., Macon/SCC,
           Inc.  and  College  Park/SCC,   Inc.,  each  a  Georgia   corporation
           (collectively,  the "SCC  SUBSIDIARIES"),  as tenants with respect to
           certain real property,  related  improvements  and personal  property
           located in Georgia, for the First Extended Term (as such


<PAGE>

           term is defined  therein) is not  exercised on the terms set forth in
           such  leases,  Lender,  at its  election by written  notice to Makers
           given on or prior to January 31, 2003,  shall have the right,  in its
           sole  discretion  and for any  reason or no reason,  to  require  the
           Makers to prepay this Note in full on  December  31,  2003,  together
           with interest and the Make-Whole  Premium,  and other charges accrued
           and unpaid hereunder and/or under the Deeds of Trust and the Security
           Instruments on such monthly payment date.

B.         Paragraph 5(b) on page 3 is deleted in its entirety.

C.         The first  sentence of Paragraph  5(e) on page 4 is amended to delete
           reference to paragraph 5(b).

           Except  as  modified  hereby,  all the terms  and  conditions  of the
Original Note are hereby  ratified and confirmed.  This Allonge may be signed in
one or more  counterparts  each of which taken together shall constitute one and
the same instrument.

           NON-LIABILITY  OF TRUSTEES.  THE  DECLARATION  OF TRUST  ESTABLISHING
LENDER,  DATED OCTOBER 9, 1986, A COPY OF WHICH , TOGETHER  WITH ALL  AMENDMENTS
THERETO (THE  "DECLARATION"),  IS DULY FILED WITH THE  DEPARTMENT OF ASSESSMENTS
AND  TAXATION  OF THE STATE OF  MARYLAND,  PROVIDES  THAT THE NAME  "HEALTH  AND
RETIREMENT  PROPERTIES  TRUST"  REFERS TO THE  TRUSTEES  UNDER  THE  DECLARATION
COLLECTIVELY  AS  TRUSTEES,  BUT NOT  INDIVIDUALLY  OR  PERSONALLY,  AND THAT NO
TRUSTEE, OFFICER, SHAREHOLDER,  EMPLOYEE OR AGENT OF LENDER SHALL BE HELD TO ANY
PERSONAL  LIABILITY,  JOINTLY  OR  SEVERALLY,  FOR ANY  OBLIGATION  OF, OR CLAIM
AGAINST, LENDER. ALL PERSONS DEALING WITH LENDER, IN ANY WAY, SHALL LOOK ONLY TO
THE  ASSETS OF  LENDER  FOR THE  PAYMENT  OF ANY SUM OR THE  PERFORMANCE  OF ANY
OBLIGATION.


                                       -2-

<PAGE>


           IN WITNESS  WHEREOF,  and intending to be legally  bound hereby,  the
undersigned  has caused this  Allonge to be  executed  under seal by its officer
thereunto duly authorized as of the 10th day of May, 1996.

                                             COMMUNITY CARE OF NEBRASKA, INC.,
Attest:                                        a Delaware corporation


By:________________________                  By:_____________________________
   Name:                                        Name:
   Title:                                       Title:

                                             W.S.T. CARE, INC., a Nebraska
Attest:                                        corporation


By:_________________________                 By:______________________________
   Name:                                        Name:
   Title:                                       Title:

                                             QUALITY CARE OF LYONS, INC., a
Attest:                                        Nebraska corporation


By:__________________________                By:_______________________________
   Name:                                        Name:
   Title:                                       Title:

                                             QUALITY CARE OF COLUMBUS, INC., a
Attest:                                        Nebraska corporation


By:__________________________                By:_______________________________
   Name:                                        Name:
   Title:                                       Title:


ACCEPTED BY:

HEALTH AND RETIREMENT PROPERTIES TRUST


By:___________________________
   Name:
   Title


                                       -3-



                    ALLONGE AND AMENDMENT OF PROMISSORY NOTE


           Reference  is made to that certain ECA  Holdings  Renovation  Funding
Promissory  Note (the  "ORIGINAL  NOTE")  in the  original  principal  amount of
$6,466,700,  dated  April  1,  1995,  made by ECA  HOLDINGS,  INC.,  a  Delaware
corporation ("MAKER"),  and payable to HEALTH AND RETIREMENT PROPERTIES TRUST, a
Maryland real estate  investment  trust  ("LENDER").  This Allonge and Amendment
(this  "ALLONGE")  shall be and  remain  attached  to and  shall  constitute  an
integral  part of the  above  described  Original  Note  from and after the date
hereof (the Original Note as modified by this Allonge being hereinafter referred
to as the "NOTE"). Terms capitalized but not otherwise defined herein shall have
the meanings given to them, respectively, in the Original Note.

           The Original Note is hereby amended in the following particulars:

A.         Paragraph 5(a) on page 2 is amended to read as follows:

                     5.  PREPAYMENT.  (a)(i) In the  event  the  option to renew
           those  certain  leases  variously  dated as of December  30, 1993 and
           November 1, 1994,  each as amended,  between  Lender as landlord  and
           Maker  as  tenant  with   respect  to  certain   real   property  and
           improvements located in Colorado, Kansas, Iowa, Missouri and Wyoming,
           for the First Extended Term (as such term is defined  therein) is not
           exercised  on the  terms  set forth in such  leases,  Lender,  at its
           election by written  notice to Maker given on or prior to January 31,
           2003, shall have the right, in its sole discretion and for any reason
           or no  reason,  to require  the Maker to prepay  this Note in full on
           December 31, 2003, together with interest and the Make-Whole Premium,
           and other charges accrued and unpaid hereunder and/or under the Deeds
           of Trust and the Security Instruments on such monthly payment date.

                     (ii) In the event the option to renew those certain  leases
           variously dated as of April 1, 1995, each as amended,  between Lender
           as landlord and Maker as tenant with respect to certain real property
           and improvements located in Nebraska, Kansas, Iowa, and Missouri, for
           the First  Extended  Term (as such term is  defined  therein)  is not
           exercised  on the  terms  set forth in such  leases,  Lender,  at its
           election by written  notice to Maker given on or prior to January 31,
           2007, shall have the right, in its sole discretion and for any reason
           or no  reason,  to require  the Maker to prepay  this Note in full on
           December 31, 2007, together with interest and the Make-Whole Premium,
           and other charges accrued and unpaid hereunder and/or under the Deeds
           of Trust and the Security Instruments on such monthly payment date.

                     (iii) In the event the option to renew those certain leases
           variously  dated as of May 10, 1996  between  Lender as landlord  and
           Marietta/SCC,  Inc., Glenwood/SCC, Inc., Dublin/SCC, Inc., Macon/SCC,
           Inc.  and  College  Park/SCC,   Inc.,  each  a  Georgia   corporation
           (collectively,  the "SCC  SUBSIDIARIES"),  as tenants with respect to
           certain real property,  related  improvements  and personal  property
           located  in  Georgia,  for the First  Extended  Term (as such term is
           defined  therein)  is not  exercised  on the  terms set forth in such
           leases,  Lender,  at its election by written notice to Maker given on
           or prior to January 31, 2003, shall have the right,


<PAGE>



           in its sole  discretion  and for any reason or no reason,  to require
           the Maker to prepay this Note in full on December 31, 2003,  together
           with interest and the Make-Whole  Premium,  and other charges accrued
           and unpaid hereunder and/or under the Deeds of Trust and the Security
           Instruments on such monthly payment date.

B.         Paragraph 5(b) on page 3 is deleted in its entirety.

C.         The  first  sentence  of  paragraph  5(e)  on  page 3 is  amended  to
delete reference to paragraph 5(b).

D.         Except  as  modified  hereby,  all the terms and  conditions  of  the
Original Note are hereby  ratified and confirmed.  This Allonge may be signed in
one or more  counterparts  each of which taken together shall constitute one and
the same instrument.

           NON-LIABILITY  OF TRUSTEES.  THE  DECLARATION  OF TRUST  ESTABLISHING
LENDER,  DATED OCTOBER 9, 1986, A COPY OF WHICH , TOGETHER  WITH ALL  AMENDMENTS
THERETO (THE  "DECLARATION"),  IS DULY FILED WITH THE  DEPARTMENT OF ASSESSMENTS
AND  TAXATION  OF THE STATE OF  MARYLAND,  PROVIDES  THAT THE NAME  "HEALTH  AND
RETIREMENT  PROPERTIES  TRUST"  REFERS TO THE  TRUSTEES  UNDER  THE  DECLARATION
COLLECTIVELY  AS  TRUSTEES,  BUT NOT  INDIVIDUALLY  OR  PERSONALLY,  AND THAT NO
TRUSTEE, OFFICER, SHAREHOLDER,  EMPLOYEE OR AGENT OF LENDER SHALL BE HELD TO ANY
PERSONAL  LIABILITY,  JOINTLY  OR  SEVERALLY,  FOR ANY  OBLIGATION  OF, OR CLAIM
AGAINST, LENDER. ALL PERSONS DEALING WITH LENDER, IN ANY WAY, SHALL LOOK ONLY TO
THE  ASSETS OF  LENDER  FOR THE  PAYMENT  OF ANY SUM OR THE  PERFORMANCE  OF ANY
OBLIGATION.


                                      - 2 -

<PAGE>


           IN WITNESS  WHEREOF,  and intending to be legally  bound hereby,  the
undersigned  has caused this  Allonge to be  executed  under seal by its officer
thereunto duly authorized as of the 10th of May, 1996.


                                        ECA HOLDINGS, INC., a Delaware
Attest:                                 corporation



By:___________________                  By:___________________________
   Name:                                   Name:
   Title:                                  Title:


ACCEPTED BY:

HEALTH AND RETIREMENT PROPERTIES TRUST



By:___________________
   Name:
   Title:




                                      - 3 -


                    ALLONGE AND AMENDMENT TO PROMISSORY NOTE


           Reference  is made to  that  certain  CCN  Group  Renovation  Funding
Promissory  Note (the  "ORIGINAL  NOTE")  in the  original  principal  amount of
$2,833,300  dated April 1, 1995,  made by COMMUNITY  CARE OF  NEBRASKA,  INC., a
Delaware  corporation,  QUALITY  CARE OF LYONS,  INC.,  a Nebraska  corporation,
W.S.T.  CARE, INC., a Nebraska  corporation,  QUALITY CARE OF COLUMBUS,  INC., a
Nebraska corporation, (collectively, the "CO-MAKERS"), and payable to HEALTH AND
RETIREMENT PROPERTIES TRUST, a Maryland real estate investment trust ("LENDER").
This Allonge and Amendment (this  "ALLONGE") shall be and remain attached to and
shall constitute an integral part of the above described  Original Note from and
after the date hereof (the  Original  Note as  modified  by this  Allonge  being
hereinafter  referred to as the "NOTE").  Terms  capitalized  but not  otherwise
defined  herein  shall have the  meanings  given to them,  respectively,  in the
Original Note.

           The Original Note is hereby amended in the following particulars:

A.         Paragraph 5(a) on page 2 is amended to read as follows:

                     5.  PREPAYMENT.  (a)(i) In the  event  the  option to renew
           those  certain  leases  variously  dated as of December  30, 1993 and
           November 1, 1994, each as amended, between Lender as landlord and ECA
           Holdings,  Inc.,  a Delaware  corporation,  as tenant with respect to
           certain real property and improvements  located in Colorado,  Kansas,
           Iowa, Missouri and Wyoming, for the First Extended Term (as such term
           is defined  therein) is not  exercised on the terms set forth in such
           leases,  Lender,  at its election by written  notice to the Co-Makers
           given on or prior to January 31, 2003,  shall have the right,  in its
           sole  discretion  and for any  reason or no reason,  to  require  the
           Co-Makers to prepay this Note in full on December 31, 2003,  together
           with interest and the Make-Whole  Premium,  and other charges accrued
           and unpaid hereunder and/or under the Deeds of Trust and the Security
           Instruments on such monthly payment date.

                     (ii) In the event the option to renew those certain  leases
           variously dated as of April 1, 1995, each as amended,  between Lender
           as landlord and ECA Holdings, Inc., a Delaware corporation, as tenant
           with respect to certain real  property  and  improvements  located in
           Nebraska, Kansas, Iowa, and Missouri, for the First Extended Term (as
           such term is defined therein) is not exercised on the terms set forth
           in such  leases,  Lender,  at its  election by written  notice to the
           Co-Makers  given on or prior to  January  31,  2007,  shall  have the
           right,  in its sole  discretion  and for any reason or no reason,  to
           require the  Co-Makers  to prepay  this Note in full on December  31,
           2007,  together with interest and the Make-Whole  Premium,  and other
           charges accrued and unpaid  hereunder and/or under the Deeds of Trust
           and the Security Instruments on such monthly payment date.

                     (iii) In the event the option to renew those certain leases
           variously  dated as of May 10, 1996  between  Lender as landlord  and
           Marietta/SCC,  Inc., Glenwood/SCC, Inc., Dublin/SCC, Inc., Macon/SCC,
           Inc. and College Park/SCC, Inc., each a Georgia corporation


<PAGE>

           (collectively,  the "SCC  SUBSIDIARIES"),  as tenants with respect to
           certain real property,  related  improvements  and personal  property
           located  in  Georgia,  for the First  Extended  Term (as such term is
           defined  therein)  is not  exercised  on the  terms set forth in such
           leases,  Lender,  at its election by written  notice to the Co-Makers
           given on or prior to January 31, 2003,  shall have the right,  in its
           sole  discretion  and for any  reason or no reason,  to  require  the
           Co-Makers to prepay this Note in full on December 31, 2003,  together
           with interest and the Make-Whole  Premium,  and other charges accrued
           and unpaid hereunder and/or under the Deeds of Trust and the Security
           Instruments on such monthly payment date.

B.         Paragraph 5(b) on pages 2 and 3 is deleted in its entirety.

C.         Paragraph  5(e) on page 3 is revised to delete reference to paragraph
5(b).

           Except  as  modified  hereby,  all the terms  and  conditions  of the
Original Note are hereby  ratified and confirmed.  This Allonge may be signed in
one or more  counterparts  each of which taken together shall constitute one and
the same instrument.

           NON-LIABILITY  OF TRUSTEES.  THE  DECLARATION  OF TRUST  ESTABLISHING
LENDER,  DATED OCTOBER 9, 1986, A COPY OF WHICH,  TOGETHER  WITH ALL  AMENDMENTS
THERETO (THE  "DECLARATION"),  IS DULY FILED WITH THE  DEPARTMENT OF ASSESSMENTS
AND  TAXATION  OF THE STATE OF  MARYLAND,  PROVIDES  THAT THE NAME  "HEALTH  AND
RETIREMENT  PROPERTIES  TRUST"  REFERS TO THE  TRUSTEES  UNDER  THE  DECLARATION
COLLECTIVELY  AS  TRUSTEES,  BUT NOT  INDIVIDUALLY  OR  PERSONALLY,  AND THAT NO
TRUSTEE, OFFICER, SHAREHOLDER,  EMPLOYEE OR AGENT OF LENDER SHALL BE HELD TO ANY
PERSONAL  LIABILITY,  JOINTLY  OR  SEVERALLY,  FOR ANY  OBLIGATION  OF, OR CLAIM
AGAINST, LENDER. ALL PERSONS DEALING WITH LENDER, IN ANY WAY, SHALL LOOK ONLY TO
THE  ASSETS OF  LENDER  FOR THE  PAYMENT  OF ANY SUM OR THE  PERFORMANCE  OF ANY
OBLIGATION.


                                      - 2 -

<PAGE>



           IN WITNESS  WHEREOF,  and intending to be legally  bound hereby,  the
undersigned  has caused this  Allonge to be  executed  under seal by its officer
thereunto duly authorized as of the 10th day of May, 1996.

                                           COMMUNITY CARE OF NEBRASKA, INC.,
Attest:                                      a Delaware corporation


By:____________________                    By:_____________________________
   Name:                                      Name:
   Title:                                     Title:

                                           W.S.T. CARE, INC., a Nebraska
Attest:                                     corporation


By:____________________                    By:______________________________
   Name:                                      Name:
   Title:                                     Title:

                                           QUALITY CARE OF LYONS, INC.,
Attest:                                      a Nebraska corporation


By:____________________                    By:_______________________________
   Name:                                      Name:
   Title:                                     Title:

                                           QUALITY CARE OF COLUMBUS, INC.,
Attest:                                      a Nebraska corporation


By:____________________                    By:_______________________________
   Name:                                      Name:
   Title:                                     Title:



                                      - 3 -

<PAGE>


ACCEPTED BY:

HEALTH AND RETIREMENT PROPERTIES TRUST


By:______________________
   Name:
   Title:

                                      - 4 -




                     AMENDMENT TO 1993 MASTER LEASE DOCUMENT


           THIS AMENDMENT TO MASTER LEASE DOCUMENT AND FACILITY LEASES, dated as
of May 10, 1996 between HEALTH AND RETIREMENT  PROPERTIES  TRUST (formerly known
as  Health  and  Rehabilitation   Properties  Trust),  a  Maryland  real  estate
investment trust ("Landlord"), having its principal office at 400 Centre Street,
Newton,  Massachusetts  02158,  and ECA HOLDINGS,  INC., a Delaware  corporation
("TENANT"),  having its principal office at 3050 North Horseshoe Drive,  Naples,
Florida 33942.

                                    RECITALS

           WHEREAS,  Landlord  and Tenant have  entered  into leases for certain
real property, and the related improvements and personal property, each of which
is dated as of December  30, 1993 (the "1993  LEASES"),  and leases for the real
property,  and the related improvements and personal property,  each of which is
dated as of  November  1, 1994 (the "1994  LEASES"  and  together  with the 1993
Leases, the "LEASES"),  each incorporating by reference a Master Lease Document,
General  Terms and  Conditions,  dated as of December 30, 1993 (the "1993 MASTER
LEASE DOCUMENT") between Landlord and Tenant;

           WHEREAS,  Landlord and Tenant have agreed to amend the Leases and the
Master Lease as hereinafter provided;

           NOW, THEREFORE, in consideration of the foregoing,  and of other good
and  valuable  consideration,  the  receipt  and  adequacy  of which are  hereby
acknowledged, Landlord and Tenant agree as follows:

                      SECTION I. AMENDMENTS TO MASTER LEASE

           A. The Recitals to the Master  Lease  Document are amended to include
the following additional recital F:

           F.         Pursuant  to those five  Facility  Leases each dated as of
                      May 10,  1996  between  Landlord  as  Landlord  and one of
                      Marietta/SCC,  Inc., Glenwood/SCC, Inc., Dublin/SCC, Inc.,
                      Macon/SCC, Inc. and College Park/SCC, Inc., each a Georgia
                      corporation  (together with their  successors and assigns,
                      collectively,  the "SCC SUBSIDIARIES" and individually, an
                      "SCC  SUBSIDIARY")  as  tenants,  each of  which  Facility
                      Leases incorporates by reference that certain Master Lease
                      Document, General Terms and Conditions dated as of May 10,
                      1996 (the "1996 MASTER LEASE  DOCUMENT")  between Landlord
                      and the SCC Subsidiary,  Landlord  currently leases to the
                      SCC  Subsidiaries  certain real property,  and the related
                      improvements  and  personal  property  located  in Georgia
                      (such leases being the "1996  LEASES" and such  properties
                      being the "1996 LEASED PROPERTIES").



<PAGE>



           B. The First paragraph of SECTION 2.4 to the Master Lease Document is
amended in full to read as follows:

           2.4 EXTENDED TERM.

           Tenant  shall  have the right to extend  the Term as set forth in the
applicable Lease and below (the "EXTENDED TERM(S)"), provided (a) Tenant or each
SCC  Subsidiary  has (i) with respect to the First  Extended  Term,  irrevocably
exercised  such right or its right to extend the term of all,  and not less than
all, of the Collective  Leased  Properties or all, and not less than all, of the
1996 Leases to which it is a party for the First Extended Term  thereunder,  and
(ii) with respect to the Second Extended Term,  irrevocably exercised such right
or its right to extend the term of all, and not less than all, of the Collective
Leased  Properties or all, and not less than all, of the 1996 Leases to which it
is a party for the Second  Extended Term  thereunder,  (b) no Default shall have
occurred  and be  continuing  under the  applicable  Lease or the  Master  Lease
Document,  any other Lease pertaining to the Collective Leased  Properties,  any
1995 Lease pertaining to the 1995 Leased Properties or any 1996 Lease pertaining
to the 1996 Leased  Properties and (c) the applicable Lease and each other Lease
pertaining to the Collective Leased Properties,  each 1995 Lease pertaining to a
1995 Leased  Property and each 1996 Lease  pertaining to a 1996 Leased  Property
shall be in full  force and  effect  (other  than any such  lease  that has been
terminated  in accordance  with the  provisions  hereof or thereof,  following a
condemnation or casualty involving such leased properties).

           C. SECTION  20.1 to the Master  Lease  Document is amended in full to
read as follows:

                      20.1 FIRST REFUSAL TO PURCHASE.

                      Tenant shall have a right of first refusal to purchase the
           applicable  Leased  Property  (subject to SECTION 21.1) upon the same
           price,  terms and  conditions as Landlord  shall propose to sell such
           Leased Property,  or upon the same price, terms and conditions of any
           written  offer from a third  party to purchase  such Leased  Property
           which Landlord intends to accept (or has accepted subject to Tenant's
           right of first refusal herein provided),  provided (a) no Default has
           occurred and is continuing, (b) the Leases for each of the Collective
           Leased  Properties,  the 1995  Leases  for  each of the  1995  Leased
           Properties and the 1996 Leases for each of the 1996 Leased Properties
           shall be in full force and effect  (other than any Lease,  1995 Lease
           or 1996  Lease  that  has  been  terminated  in  accordance  with the
           provisions  hereof or thereof,  following a condemnation  or casualty
           involving  such  leased  property),   (c)  other  than  as  expressly
           permitted  by ARTICLE 16 hereof or of the 1995 Master  Lease,  Tenant
           shall not have assigned the Leases for any of the  Collective  Leased
           Properties  or the 1995  Leases  for the 1995  Leased  Properties  or
           subleased all

                                      - 2 -

<PAGE>



           or any portion of the Collective Leased Properties or the 1995 Leased
           Properties and (d) other than as expressly permitted by ARTICLE 16 of
           the 1996 Master Lease Document, no SCC Subsidiary shall have assigned
           any of the 1996  Leases  for any of the  1996  Leased  Properties  or
           subleased  all or any portion of the 1996 Leased  Properties,  during
           the  Term.  If,  during  the  Term  and for  sixty  (60)  days  after
           expiration of the Term,  Landlord reaches such agreement with a third
           party or proposes to offer the applicable  Leased  Property for sale,
           Landlord  shall  promptly give Notice to Tenant of the purchase price
           and all other  material  terms and  conditions  of such  agreement or
           proposed  sale and Tenant shall have thirty (30) days  thereafter  to
           exercise  Tenant's  right of first  refusal to  purchase by Notice to
           Landlord  thereof.  Failure of Tenant to respond  within  such 30-day
           period  shall be deemed a waiver of Tenant's  right to purchase  such
           Leased  Property  pursuant to this SECTION 20.1. If Tenant  exercises
           its right of first refusal,  the sale to Tenant shall be consum mated
           upon the same terms and  conditions as contained in such agreement or
           Landlord's  Notice of the proposed sale  (including all terms certain
           in such agreement or Notice relating to any security  deposit or fee,
           and the  date of  closing).  Such  sale to  Tenant  shall  be made in
           accordance  with the  provisions  of  ARTICLE  15, to the  extent not
           inconsistent  herewith,  no later than the  closing  date (or,  if no
           closing date is specified  in such  agreement or Notice,  thirty (30)
           days after Tenant exercises its right of first refusal), specified in
           such  agreement or Notice.  If Tenant shall not exercise its right of
           first  refusal  within  the  time  period  and  in the  manner  above
           provided,  Landlord shall be free to sell such Leased Property to any
           third  party at a price and upon terms  substantially  similar and in
           any event no less favorable to Landlord than those offered to Tenant.
           Tenant  shall be entitled to exercise  its right of first  refusal as
           provided in this SECTION 20.1 as to any  subsequent  or proposed sale
           during the Term.

                      Tenant's right of first refusal shall be applicable to all
           sales or  proposed  sales of any  portion  of the  applicable  Leased
           Personal Property.

           D. SECTION  20.2 to the Master  Lease  Document is amended in full to
read as follows:

           20.2 FIRST REFUSAL TO LEASE.

           Tenant shall have a first refusal option to lease the Leased Property
for a period of thirty (30) days after the expiration of the Term, upon the same
terms and conditions as Landlord shall propose to lease the Leased Property to a
third  party or upon the same terms and  conditions  of any offer from any third
party  which  Landlord  intends to accept (or has  accepted  subject to Tenant's
right of first refusal herein  provided)  provided,  (a) no Default has occurred
and is continuing,  (b) the Leases for each of the Collective Leased Properties,
the 1995 Leases for each of the 1995 Leased  Properties  and the 1996 Leases for
each of the 1996 Leased Properties shall

                                      - 3 -

<PAGE>



be in full force and effect (other than any Lease, 1995 Lease or 1996 Lease that
has been  terminated  in  accordance  with the  provisions  hereof  or  thereof,
following a condemnation or casualty involving such leased property),  (c) other
than as expressly  permitted  by ARTICLE 16 hereof or of the 1995 Master  Lease,
Tenant  shall not have  assigned  the  Leases for any of the  Collective  Leased
Properties or the 1995 Leases for any of the 1995 Leased Properties or subleased
all or any  portion  of the  Collective  Leased  Properties  or the 1995  Leased
Properties  and (d) other than as expressly  permitted by ARTICLE 16 of the 1996
Master Lease  Document,  no SCC  Subsidiary  shall have assigned any of the 1996
Leases for any of the 1996 Leased  Properties or subleased all or any portion of
the 1996  Leased  Properties,  during  the Term.  If,  at any time  prior to the
expiration of such thirty (30) day period,  Landlord reaches such agreement with
a third  party or  proposes  to lease  the  Leased  Property  to a third  party,
Landlord shall promptly notify Tenant of the rental rates and all other material
terms of such  agreement  or proposal  and Tenant shall have five (5) days after
receipt of such notice  within which time to exercise its right of first refusal
to lease.  Landlord  and  Tenant  shall  enter  into a new  lease of the  Leased
Property,  in form reasonably  satisfactory to both Landlord and Tenant, as soon
as  practicable  after the date of receipt by Landlord  of Tenant's  election to
exercise  such right of first  refusal to lease.  Failure of Tenant to give such
notice to  Landlord  within  such five (5) day period and such  thirty  (30) day
period,  as the case may be, or to enter into such new lease within fifteen (15)
days after  exercise  of such right of first  refusal to lease shall be deemed a
waiver of Tenant's rights pursuant to this SECTION 20.2.

           E. SECTION  20.4 to the Master  Lease  Document is amended in full to
read as follows:

           20.4 TENANT'S OPTION TO PURCHASE THE LEASED PROPERTY.

           Provided,  (a) no Default has occurred and is  continuing at the time
of exercise of the purchase  option  provided for in this SECTION 20.4 or at the
time of payment of the purchase price provided for in this SECTION 20.4, (b) the
Leases for each of the  Collective  Leased  Properties,  the 1995 Leases for the
1995  Leased  Properties  and  the  1996  Leases  for  each of the  1996  Leased
Properties  (other than leases that have been  terminated in accordance with the
provisions hereof or thereof, following a condemnation or casualty involving the
related leased  property)  shall be in full force and effect,  (c) other than as
expressly  permitted by ARTICLE 16 hereof or of the 1995 Master Lease  Document,
Tenant  shall not have  assigned  the  Leases for any of the  Collective  Leased
Properties or the 1995 Leases for the 1995 Leased Properties or subleased all or
any portion of the Collective  Leased  Properties or the 1995 Leased  Properties
and (d) other than as expressly permitted by ARTICLE 16 of the 1996 Master Lease
Document,  no SCC Subsidiary  shall have assigned any of the 1996 Leases for any
of the 1996 Leased Properties or subleased all or any portion of the 1996 Leased
Properties,  effective  on not less than twelve (12) months'  Notice,  given not
more than

                                      - 4 -

<PAGE>



eighteen  (18) months  prior to the  expiration  of the then current Term of the
Leases  (such  Notice to be  accompanied  by a  non-refundable  deposit  made by
certified  check  payable to Landlord in an amount equal to five percent (5%) of
the  Option  Purchase  Price),  Tenant  shall have the  option to  purchase  the
Collective  Leased  Properties at a purchase price (the "OPTION PURCHASE PRICE")
equal to the greater of (i) the applicable Option  Percentage  multiplied by the
aggregate of the Adjusted  Purchase Prices of such Collective  Leased Properties
and (ii) the aggregate of the Fair Market Value  Purchase  Prices,  in each case
determined as of the last day of the applicable Term during which such option is
exercised; PROVIDED, HOWEVER, in no event shall the Option Purchase Price exceed
the amount equal to the  applicable  Option  Percentage  Cap  multiplied  by the
aggregate of the Adjusted Purchase Prices of such Collective Leased  Properties.
Tenant's  option to purchase is subject to (i) Tenant's  exercising  such option
simultaneously with respect to all, and not less than all, of (A) the Collective
Leased Properties that are then subject to a Lease, as provided herein,  and (B)
the 1995  Properties  that are then subject to a 1995 Lease,  as provided in the
1995 Lease,  and (ii) the payment in full of all  Indebtedness  now or hereafter
owed to  Landlord  by  Tenant,  Community  Care of  America,  Inc.,  a  Delaware
corporation,  Community Care of Nebraska, Inc., a Delaware corporation,  Quality
Care of Lyons,  Inc.,  a Nebraska  corporation,  W.S.T.  Care,  Inc., a Nebraska
corporation,  Quality Care of Columbus,  Inc., a Nebraska  corporation,  the SCC
Subsidiaries  or any of their  respective  Affiliates.  Such  purchase by Tenant
shall be made in  accordance  with the  provisions  of ARTICLE 15 hereof and the
closing  date for such  purchase  shall  be the date of  expiration  of the then
current Term.

                     SECTION II. EFFECT ON 1993 MASTER LEASE

           1. Except as  specifically  provided  above,  1993  Master  Lease and
Facility  Leases shall  remain in full force and effect and are hereby  ratified
and confirmed.

           2.  The  amendments  set  forth  herein  (i)  do  not  constitute  an
amendment, waiver or modification of any term, condition or covenant of the 1993
Master Lease or Facility Leases, or any of the instruments or documents referred
to therein,  other than as  specifically  set forth  herein,  and (ii) shall not
prejudice  any rights which  Landlord or its  successors  and assigns may now or
hereafter  have under or in  connection  with the 1993 Master  Lease or Facility
Leases,  as amended hereby or any of the  instruments  or documents  referred to
therein.

                           SECTION III. EFFECTIVENESS

           This  Amendment  shall  become  effective  as of the date first above
indicated when a counterpart to this Amendment  shall have been executed by each
of the parties hereto.


                                      - 5 -

<PAGE>



                      SECTION IV. COSTS, EXPENSES AND TAXES

           Tenant agrees to pay all costs and expenses of Landlord in connection
with the  preparation,  reproduction,  execution and delivery of this Amendment,
including  the  reasonable  fees and expenses of Sullivan &  Worcester,  special
counsel to Landlord with respect thereto.

                            SECTION V. GOVERNING LAW

           THIS AMENDMENT  SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH
THE INTERNAL SUBSTANTIVE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS.

                      SECTION VI. NON LIABILITY OF TRUSTEES

           THE  DECLARATION  OF TRUST  ESTABLISHING  LANDLORD,  DATED OCTOBER 9,
1986, A COPY OF WHICH, TOGETHER WITH ALL AMENDMENTS THERETO (THE "DECLARATION"),
IS DULY FILED IN THE OFFICE OF THE DEPARTMENT OF ASSESSMENTS AND TAXATION OF THE
STATE OF  MARYLAND,  PROVIDES  THAT THE NAME "HEALTH AND  RETIREMENT  PROPERTIES
TRUST" REFERS TO THE TRUSTEES UNDER THE  DECLARATION  COLLECTIVELY  AS TRUSTEES,
BUT NOT INDIVIDUALLY OR PERSONALLY,  AND THAT NO TRUSTEE, OFFICER,  SHAREHOLDER,
EMPLOYEE OR AGENT OF LANDLORD SHALL BE HELD TO ANY PERSONAL  LIABILITY,  JOINTLY
OR SEVERALLY,  FOR ANY OBLIGATION OF, OR CLAIM  AGAINST,  LANDLORD.  ALL PERSONS
DEALING WITH LANDLORD, IN ANY WAY, SHALL LOOK ONLY TO THE ASSETS OF LANDLORD FOR
THE PAYMENT OF ANY SUM OR THE PERFORMANCE OF ANY OBLIGATION.


                [Remainder of this page intentionally left blank]

                                      - 6 -

<PAGE>


           IN WITNESS  WHEREOF,  the parties have executed  this  amendment as a
sealed instrument as of the date first above written.

                                    LANDLORD:

                                    HEALTH AND RETIREMENT PROPERTIES TRUST,
                                     a Maryland real estate investment trust



                                    By:_____________________________________
                                                 Name:
                                                 Title:


                                     TENANT:

                                     ECA HOLDINGS, INC.,
                                     a Delaware corporation



                                     By:_____________________________________
                                                  Name:
                                                  Title:

                                      - 7 -



           AMENDMENT TO 1995 MASTER LEASE DOCUMENT AND FACILITY LEASES


           THIS AMENDMENT TO MASTER LEASE DOCUMENT AND FACILITY LEASES, dated as
of May 10, 1996 between HEALTH AND RETIREMENT  PROPERTIES  TRUST (formerly known
as  Health  and  Rehabilitation   Properties  Trust),  a  Maryland  real  estate
investment trust ("LANDLORD"), having its principal office at 400 Centre Street,
Newton,  Massachusetts  02158,  and ECA HOLDINGS,  INC., a Delaware  corporation
("TENANT")  having its principal office at 3050 North Horseshoe  Drive,  Naples,
Florida 33942.

                                    RECITALS

           WHEREAS,  Landlord  and Tenant have  entered  into leases for certain
real property,  and the related  improvements and personal property,  located in
Kansas,  Missouri, Iowa and Nebraska, each of which is dated as of April 1, 1995
(the "1995 LEASES"),  each  incorporating  by reference a Master Lease Document,
General Terms and  Conditions  dated as of April 1, 1995 (the "1995 MASTER LEASE
DOCUMENT") between Landlord and Tenant;

           WHEREAS,  Landlord and Tenant have agreed to amend the Leases and the
Master Lease as hereinafter provided;

           NOW, THEREFORE, in consideration of the foregoing,  and of other good
and  valuable  consideration,  the  receipt  and  adequacy  of which are  hereby
acknowledged, Landlord and Tenant agree as follows:

                      SECTION I. AMENDMENTS TO MASTER LEASE

           A. The  Recitals  to the Master  Lease are  amended  to  include  the
following additional recital F:

           F.         Pursuant  to those five  Facility  Leases each dated as of
                      May 10,  1996  between  Landlord as  Landlord,  and one of
                      Marietta/SCC,  Inc., Glenwood/SCC, Inc., Dublin/SCC, Inc.,
                      Macon/SCC, Inc. and College Park/SCC, Inc., each a Georgia
                      corporation  (together with their  successors and assigns,
                      collectively,  the "SCC SUBSIDIARIES and individually,  an
                      "SCC  SUBSIDIARY")  as  tenants,  each of  which  Facility
                      Leases incorporates by reference that certain Master Lease
                      Document, General Terms and Conditions dated as of May 10,
                      1996  (the  "1996  MASTER  LEASE  DOCUMENT")  between  the
                      Landlord  and the  SCC  Subsidiaries,  Landlord  currently
                      leases to the SCC Subsidiaries certain real property,  and
                      the related  improvements and personal property located in
                      Georgia  (such  leases  being the "1996  LEASES"  and such
                      properties being the "1996 LEASED PROPERTIES").

           B. The first paragraph of SECTION 2.4 to the Master Lease Document is
amended in full to read as follows:


<PAGE>



           2.4        EXTENDED TERM.

           Tenant  shall  have the right to extend  the Term as set forth in the
applicable Lease and below (the "EXTENDED TERM(S)"), provided (a) Tenant or each
SCC  Subsidiary  has (i) with respect to the First  Extended  Term,  irrevocably
exercised  such right or its right to extend the term of all,  and not less than
all,  of the 1993  Leases or all,  and not less than all,  of the 1996 Leases to
which it is a party  for the  First  Extended  Term  thereunder,  and (ii)  with
respect to the Second  Extended  Term,  irrevocably  exercised such right or its
right to extend the term of all,  and not less than all,  of the 1993  Leases or
all,  and not less than all,  of the 1996  Leases to which it is a party for the
Second  Extended  Term  thereunder,  (b) no Default  shall have  occurred and be
continuing  under the applicable  Lease or the Master Lease Document,  any other
Lease pertaining to the Collective Leased Properties,  any 1993 Lease pertaining
to the 1993 Leased  Properties,  or any 1996 Lease pertaining to the 1996 Leased
Properties,  and (c) the applicable Lease and each other Lease pertaining to the
Collective  Leased  Properties,  each 1993  Lease  pertaining  to a 1993  Leased
Property and each 1996 Lease  pertaining to a 1996 Leased  Property  shall be in
full force and effect  (other  than any such lease that has been  terminated  in
accordance  with the provisions  hereof or thereof,  following a condemnation or
casualty involving the related leased property).

           C. SECTION  20.1 to the Master  Lease  Document is amended in full to
read as follows:

           20.1       FIRST REFUSAL TO PURCHASE.

           Tenant shall have a right of first refusal to purchase the applicable
Leased  Property  (subject  to  SECTION  21.1)  upon the same  price,  terms and
conditions as Landlord shall propose to sell such Leased  Property,  or upon the
same price,  terms and  conditions  of any  written  offer from a third party to
purchase such Leased Property which Landlord  intends to accept (or has accepted
subject to Tenant's right of first refusal  herein  provided)  provided,  (a) no
Default  has  occurred  and is  continuing,  (b)  the  Leases  for  each  of the
Collective  Leased  Properties,  the 1993  Leases  for  each of the 1993  Leased
Properties and the 1996 Leases for each of the 1996 Leased  Properties  shall be
in full force and effect  (other  than any Lease,  1993 Lease or 1996 Lease that
has been  terminated  in  accordance  with the  provisions  hereof  or  thereof,
following a condemnation or casualty involving such leased property),  (c) other
than as  expressly  permitted  by ARTICLE 16 hereof or of the 1993 Master  Lease
Document,  Tenant shall not have  assigned the Leases for any of the  Collective
Leased Properties or the 1993 Leases for the 1993 Leased Properties or subleased
all or any  portion  of the  Collective  Leased  Properties  or the 1993  Leased
Properties,  and (d) other than as expressly permitted by ARTICLE 16 of the 1996
Master Lease  Document,  no SCC  Subsidiary  shall have assigned any of the 1996
Leases for any of the 1996 Leased  Properties or subleased all or any portion of
the 1996 Leased  Properties,  during the Term. If, during the Term and for sixty
(60) days after  expiration of the Term,  Landlord reaches such agreement with a
third  party or  proposes  to offer the  applicable  Leased  Property  for sale,
Landlord  shall  promptly  give Notice to Tenant of the  purchase  price and all
other  material  terms and  conditions  of such  agreement or proposed  sale and
Tenant  shall have thirty (30) days  thereafter  to exercise  Tenant's  right of
first refusal to purchase by Notice to Landlord thereof.

                                      - 2 -

<PAGE>



Failure of Tenant to respond  within such 30-day period shall be deemed a waiver
of Tenant's  right to purchase  such Leased  Property  pursuant to this  SECTION
20.1. If Tenant  exercises its right of first refusal,  the sale to Tenant shall
be consummated upon the same terms and conditions as contained in such agreement
or Landlord's  Notice of the proposed sale  (including all terms certain in such
agreement  or Notice  relating to any  security  deposit or fee, and the date of
closing). Such sale to Tenant shall be made in accordance with the provisions of
ARTICLE 15, to the extent not inconsistent  herewith,  no later than the closing
date (or, if no closing date is specified  in such  agreement or Notice,  thirty
(30) days after Tenant exercises its right of first refusal),  specified in such
agreement or Notice.  If Tenant  shall not  exercise its right of first  refusal
within the time period and in the manner above provided,  Landlord shall be free
to sell  such  Leased  Property  to any third  party at a price  and upon  terms
substantially  similar and in any event no less favorable to Landlord than those
offered to Tenant.  Tenant  shall be  entitled  to  exercise  its right of first
refusal as provided in this SECTION 20.1 as to any  subsequent  or proposed sale
during the Term.

           Tenant's  right of first  refusal shall be applicable to all sales or
proposed sales of any portion of the applicable Leased Personal Property.

           D. SECTION  20.2 to the Master  Lease  Document is amended in full to
read as follows:

           20.2       FIRST REFUSAL TO LEASE.

           Tenant shall have a first refusal option to lease the Leased Property
for a period of thirty (30) days after the expiration of the Term, upon the same
terms and conditions as Landlord shall propose to lease the Leased Property to a
third  party or upon the same terms and  conditions  of any offer from any third
party  which  Landlord  intends to accept (or has  accepted  subject to Tenant's
right of first refusal herein  provided)  provided,  (a) no Default has occurred
and is continuing,  (b) the Leases for each of the Collective Leased Properties,
the 1993 Leases for each of the 1993 Leased  Properties  and the 1996 Leases for
each of the 1996 Leased Properties shall be in full force and effect (other than
any Lease,  1993 Lease or 1996 Lease that has been terminated in accordance with
the provisions hereof or thereof following a condemnation or casualty  involving
such  leased  property),  (c) other than as  expressly  permitted  by ARTICLE 16
hereof or of the 1993 Master Lease Document,  Tenant shall not have assigned the
Leases for any of the Collective Leased Properties or the 1993 Leases for any of
the 1993 Leased  Properties  or subleased  all or any portion of the  Collective
Leased  Properties or the 1993 Leased Properties and (d) other than as expressly
permitted by ARTICLE 16 of the 1996 Master  Lease  Document,  no SCC  Subsidiary
shall have assigned any of the 1996 Leases for any of the 1996 Leased Properties
or subleased all or any portion of the 1996 Leased Properties,  during the Term.
If, at any time prior to the expiration of such thirty (30) day period, Landlord
reaches  such  agreement  with a third  party or  proposes  to lease the  Leased
Property to a third party,  Landlord shall promptly  notify Tenant of the rental
rates and all other  material  terms of such  agreement  or proposal  and Tenant
shall  have five (5) days  after  receipt of such  notice  within  which time to
exercise  its right of first  refusal to lease.  Landlord and Tenant shall enter
into a new lease of the Leased Property, in form reasonably satisfactory to both
Landlord and Tenant, as soon as

                                      - 3 -

<PAGE>



practicable  after the date of receipt  by  Landlord  of  Tenant's  election  to
exercise  such right of first  refusal to lease.  Failure of Tenant to give such
notice to  Landlord  within  such five (5) day period and such  thirty  (30) day
period,  as the case may be, or to enter into such new lease within fifteen (15)
days after  exercise  of such right of first  refusal to lease shall be deemed a
waiver of Tenant's rights pursuant to this SECTION 20.2.

           E. SECTION  20.4 to the Master  Lease  Document is amended in full to
read as follows:

           20.4 TENANT'S OPTION TO PURCHASE THE LEASED PROPERTY.

           Provided,  (a) no Default has occurred and is  continuing at the time
of exercise of the purchase  option  provided for in this SECTION 20.4 or at the
time of payment of the purchase price provided for in this SECTION 20.4, (b) the
Leases for each of the  Collective  Leased  Properties,  the 1993 Leases for the
1993 Leased Properties and the 1996 Leases for the 1996 Leased Properties (other
than leases that have been terminated in accordance  with the provisions  hereof
or thereof  following a  condemnation  or casualty  involving the related leased
property)  shall be in full  force  and  effect,  (c)  other  than as  expressly
permitted  by ARTICLE 16 hereof or of the 1993  Master  Lease  Document,  Tenant
shall not have assigned the Leases for any of the Collective  Leased  Properties
or the 1993  Leases  for the 1993  Leased  Properties  or  subleased  all or any
portion of the Collective  Leased  Properties or the 1993 Leased  Properties and
(d) other than as  expressly  permitted  by ARTICLE 16 of the 1996 Master  Lease
Document,  no SCC Subsidiary  shall have assigned any of the 1996 Leases for any
of the 1996 Leased Properties or subleased all or any portion of the 1996 Leased
Properties,  effective  on not less than twelve (12) months'  Notice,  given not
more than eighteen (18) months prior to the  expiration of the then current Term
of the Leases (such Notice to be accompanied by a non-refundable deposit made by
certified  check  payable to Landlord in an amount equal to five percent (5%) of
the  Option  Purchase  Price),  Tenant  shall have the  option to  purchase  the
Collective  Leased  Properties at a purchase price (the "OPTION PURCHASE PRICE")
equal to the greater of (i) the applicable Option  Percentage  multiplied by the
sum of (x) the  aggregate of the  Adjusted  Purchase  Prices of such  Collective
Leased  Properties  and (y) $1,000,000 and (ii) the aggregate of the Fair Market
Value  Purchase  Prices,  in each  case  determined  as of the  last  day of the
applicable Term during which such option is exercised;  PROVIDED, HOWEVER, in no
event shall the Option  Purchase Price exceed the amount equal to the applicable
Option Percentage Cap multiplied by the sum of (x) the aggregate of the Adjusted
Purchase  Prices  of such  Collective  Leased  Properties  and  (y)  $1,000,000.
Tenant's  option to purchase is subject to (i) Tenant's  exercising  such option
simultaneously with respect to all, and not less than all, of (A) the Collective
Leased  Properties  that are then subject to a Lease, as provided herein and (B)
the 1993  Properties  that are then  subject to a 1993 Lease as  provided in the
1993 Lease,  and (ii) the payment in full of all  Indebtedness  now or hereafter
owed to Landlord by Tenant,  Community Care, CCN, the Group B Subsidiaries,  the
SCC Subsidiaries or any of their respective Affiliates.  Such purchase by Tenant
shall be made in  accordance  with the  provisions  of ARTICLE 15 hereof and the
closing  date for such  purchase  shall  be the date of  expiration  of the then
current Term.


                                      - 4 -

<PAGE>



             SECTION II. Amendment to 1995 Leases (Facility Leases)

           A. Paragraph 5. Each 1995 Lease is amended in full to read:

                      5. EXTENDED TERM. Subject to the provisions of SECTION 2.4
                      of the Master Lease Document, Tenant is hereby granted the
                      right to renew  the  Lease  for two  consecutive  optional
                      renewal  terms  ("EXTENDED  TERM(S)") as follows:  (i) the
                      "FIRST  EXTENDED  TERM" is for nine (9)  years,  ending on
                      December 31, 2016, and (ii) the "SECOND  EXTENDED TERM" is
                      for thirteen (13) years, ending on December 31, 2029.

          SECTION III. EFFECT ON 1995 MASTER LEASE AND FACILITY LEASES


           1. Except as specifically  provided above,  the 1995 Master Lease and
Facility  Leases shall  remain in full force and effect and are hereby  ratified
and confirmed.

           2.  The  amendments  set  forth  herein  (i)  do  not  constitute  an
amendment, waiver or modification of any term, condition or covenant of the 1995
Master  Lease  and  Facility  Leases,  or any of the  instruments  or  documents
referred to therein, other than as specifically set forth herein, and (ii) shall
not prejudice any rights which Landlord or its successors and assigns may now or
hereafter  have under or in  connection  with the 1995 Master Lease and Facility
Leases,  as amended hereby or any of the  instruments  or documents  referred to
therein.

                            SECTION IV. EFFECTIVENESS

           This  Amendment  shall  become  effective  as of the date first above
indicated when a counterpart to this Amendment  shall have been executed by each
of the parties hereto.

                      SECTION V. COSTS, EXPENSES AND TAXES

           Tenant agrees to pay all costs and expenses of Landlord in connection
with the  preparation,  reproduction,  execution and delivery of this Amendment,
including  the  reasonable  fees and expenses of Sullivan &  Worcester,  special
counsel to Landlord with respect thereto.

                            SECTION VI. GOVERNING LAW

           THIS AMENDMENT SHALL BE GOVERNED BY AND CONSTRUED IN ACCCORDANCE WITH
THE INTERNAL SUBSTANTIVE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS.

                      SECTION VII. NO LIABILITY OF TRUSTEES


                                      - 5 -

<PAGE>



           THE  DECLARATION  OF TRUST  ESTABLISHING  LANDLORD,  DATED OCTOBER 9,
1986, A COPY OF WHICH, TOGETHER WITH ALL AMENDMENTS THERETO (THE "DECLARATION"),
IS DULY FILED IN THE OFFICE OF THE DEPARTMENT OF ASSESSMENTS AND TAXATION OF THE
STATE OF  MARYLAND,  PROVIDES  THT THE NAME  "HEALTH AND  RETIREMENT  PROPERTIES
TRUST" REFERS TO THE TRUSTEES UNDER THE  DECLARATION  COLLECTIVELY  AS TRUSTEES,
BUT NOT INDIVIDUALLY OR PERSONALLY,  AND THAT NO TRUSTEE, OFFICER,  SHAREHOLDER,
EMPLOYEE OR AGENT OF LANDLORD SHALL BE HELD TO ANY PERSONAL  LIABILITY,  JOINTLY
OR SEVERALLY,  FOR ANY OBLIGATION OF, OR CLAIM  AGAINST,  LANDLORD.  ALL PERSONS
DEALING WITH LANDLORD, IN ANY WAY, SHALL LOOK ONLY TO THE ASSETS OF LANDLORD FOR
THE PAYMENT OF ANY SUM OR THE PERFORMANCE OF ANY OBLIGATION.


                                      - 6 -

<PAGE>


           IN WITNESS  WHEREOF,  the parties have executed  this  amendment as a
sealed instrument as of the date first above written.

                                    LANDLORD:

                                    HEALTH AND RETIREMENT PROPERTIES TRUST,
                                    a Maryland real estate investment trust



                                    By:_____________________________________
                                                 Name:
                                                 Title:


                                     TENANT:

                                     ECA HOLDINGS, INC.,
                                     a Delaware corporation



                                     By:____________________________________
                                                  Name:
                                                  Title:

                                      - 7 -



                              MASTER LEASE DOCUMENT

                          GENERAL TERMS AND CONDITIONS

                            DATED AS OF MAY 10, 1996

                          FOR LEASES TO BE EXECUTED BY

                     HEALTH AND RETIREMENT PROPERTIES TRUST,
                                (THE "LANDLORD")

                                       AND

                               MARIETTA/SCC, INC.
                               GLENWOOD/SCC, INC.
                                DUBLIN/SCC, INC.
                                 MACON/SCC, INC.
                                       AND
                             COLLEGE PARK/SCC, INC.
                          (COLLECTIVELY, THE "TENANTS")




<PAGE>


                                TABLE OF CONTENTS


                                                                            PAGE
                                                                            ----

ARTICLE 1

          DEFINITIONS.........................................................2

ARTICLE 2

          LEASED PROPERTY AND TERM...........................................16

             2.1       Leased Property.......................................16
             2.2       Condition of Leased Property..........................17
             2.3       Fixed Term............................................17
             2.4       Extended Term.........................................17
ARTICLE 3

          RENT...............................................................18

             3.1       Rent..................................................18
             3.2       Late Payment of Rent..................................24
             3.3       Net Lease.............................................25
             3.4       No Termination, Abatement, Etc........................25
             3.5       Security Deposit......................................26
ARTICLE 4

          USE OF THE APPLICABLE LEASED PROPERTY..............................26

             4.1       Permitted Use.........................................26
             4.2       Compliance with Legal and Insurance
                         Requirements, Etc...................................27
             4.3       Compliance with Medicaid and Medicare Requirements....27
             4.4       Environmental Matters.................................28

ARTICLE 5

          MAINTENANCE AND REPAIRS............................................30

             5.1       Maintenance and Repair................................30
             5.2       Tenant's Personal Property............................32
             5.3       Yield Up..............................................32
             5.4       Encroachments, Restrictions, Etc......................33
             5.5       Landlord to Grant Easements, Etc......................33


                                     - i -

<PAGE>



ARTICLE 6

          CAPITAL ADDITIONS, ETC.............................................34

             6.1       Construction of Capital Additions
                        to the Leased Property...............................34
             6.2       Capital Additions Financed or Paid For by Tenant......35
             6.3       Capital Additions Financed by Landlord................37
             6.4       Non-Capital Additions.................................38
             6.5       Salvage...............................................38

ARTICLE 7

          LIENS..............................................................39
             7.1       Liens.................................................39
             7.2       Landlord's Lien.......................................39

ARTICLE 8

          PERMITTED CONTESTS.................................................40

ARTICLE 9

          INSURANCE AND INDEMNIFICATION......................................41

             9.1       General Insurance Requirements........................41
             9.2       Replacement Cost......................................42
             9.3       Waiver of Subrogation.................................42
             9.4       Form Satisfactory, Etc................................42
             9.5       Blanket Policy........................................43
             9.6       No Separate Insurance.................................43
             9.7       Indemnification of Landlord...........................44

ARTICLE 10

          CASUALTY...........................................................44

             10.1      Insurance Proceeds....................................44
             10.2      Damage or Destruction.................................45
             10.3      Damage Near End of Term...............................47
             10.4      Tenant's Property.....................................47
             10.5      Restoration of Tenant's Property......................47
             10.6      No Abatement of Rent..................................47
             10.7      Waiver................................................48


                                    - ii -

<PAGE>



ARTICLE 11

          CONDEMNATION.......................................................48

             11.1      Total Condemnation, Etc...............................48
             11.2      Partial Condemnation..................................48
             11.3      Abatement of Rent.....................................49
             11.4      Temporary Condemnation................................50
             11.5      Allocation of Award...................................50

ARTICLE 12

          DEFAULTS AND REMEDIES..............................................50

             12.1      Events of Default.....................................50
             12.2      Remedies..............................................54
             12.3      TENANT'S WAIVER.......................................56
             12.4      Application of Funds..................................56
             12.5      Failure to Conduct Business...........................56
             12.6      Landlord's Right to Cure Tenant's Default.............57
             12.7      Trade Names...........................................57

ARTICLE 13

          HOLDING OVER.......................................................57

ARTICLE 14

          LANDLORD'S DEFAULT.................................................58

ARTICLE 15

          PURCHASE OF LEASED PROPERTY........................................58

ARTICLE 16

          SUBLETTING AND ASSIGNMENT..........................................59

             16.1      Subletting and Assignment.............................59
             16.2      Required Sublease Provisions..........................60
             16.3      Permitted Sublease....................................61
             16.4      Sublease Limitation...................................61


                                    - iii -

<PAGE>



ARTICLE 17

          ESTOPPEL CERTIFICATES AND FINANCIAL STATEMENTS.....................61

             17.1      Estoppel Certificates.................................61
             17.2      Financial Statements..................................62
             17.3      General Operations....................................63

ARTICLE 18

          LANDLORD'S RIGHT TO INSPECT........................................64

ARTICLE 19

          APPRAISAL..........................................................64

             19.1      Appraisal Procedure...................................64
             19.2      Landlord's Right to Appraisal.........................65

ARTICLE 20

          LANDLORD'S OPTION TO PURCHASE......................................65

             20.1      Landlord's Option to Purchase the 
                         Tenant's Personal Property; Transfer of Licenses....65

ARTICLE 21

          FACILITY MORTGAGES.................................................66

             21.1      Landlord May Grant Liens..............................66
             21.2      Subordination of Lease................................66
             21.3      Notice to Mortgagee and Ground Landlord...............68




                                    - iv -

<PAGE>



ARTICLE 22

          ADDITIONAL COVENANTS OF TENANT.....................................68

             22.1      Prompt Payment of Indebtedness........................68
             22.2      Conduct of Business...................................68
             22.3      Accreditation.........................................68
             22.4      Maintenance of Accounts and Records...................69
             22.5      Notice of Change of Name, Administrator, Etc..........69
             22.6      Notice of Litigation, Potential Event of
                         Default, Etc........................................69
             22.7      Indebtedness of Tenant................................69
             22.8      Distributions, Payments to Affiliates, Etc............70
             22.9      Investments...........................................71
             22.10     Prohibited Transactions...............................72
             22.11     Management of Leased Property.........................72
             22.12     Liens and Encumbrances................................72
             22.13     Merger; Sale of Assets; Etc...........................73
             22.14     Definitions...........................................73

ARTICLE 23

          MISCELLANEOUS......................................................74

             23.1      Limitation on Payment of Rent.........................74
             23.2      No Waiver.............................................74
             23.3      Remedies Cumulative...................................75
             23.4      Severability..........................................75
             23.5      Acceptance of Surrender...............................75
             23.6      No Merger of Title....................................75
             23.7      Conveyance by Landlord................................75
             23.8      Quiet Enjoyment.......................................76
             23.9      NON-LIABILITY OF TRUSTEES.............................76
             23.10     Landlord's Consent of Trustees........................76
             23.11     Memorandum of Lease...................................77
             23.12     Notices...............................................77
             23.13     Incorporation by Reference............................78
             23.14     Construction..........................................78
             23.15     CONSENT TO JURISDICTION...............................78
             23.16     WAIVER OF JURY TRIAL..................................79
             23.17     GOVERNING LAW.........................................79



                                      - v -

<PAGE>



                              MASTER LEASE DOCUMENT
                          GENERAL TERMS AND CONDITIONS

           This MASTER LEASE DOCUMENT, GENERAL TERMS AND CONDITIONS
(hereinafter, the "MASTER LEASE DOCUMENT"), dated as of May 10, 1996 is prepared
for and will be  adopted  as part of each  lease to be  executed  by HEALTH  AND
RETIREMENT PROPERTIES TRUST, a Maryland real estate investment trust, having its
principal   office  at  400  Centre   Street,   Newton,   Massachusetts   02158,
("LANDLORD"),  and MARIETTA/SCC,  INC.,  GLENWOOD/SCC,  INC., DUBLIN/SCC,  INC.,
MACON/SCC, INC., AND COLLEGE PARK/SCC, INC., each a Georgia corporation,  having
their principal  office at 3050 North  Horseshoe  Drive,  Naples,  Florida 33942
(collectively, the "TENANTS").


                                    RECITALS

           This Master Lease Document is made and entered into with reference to
the following recitals:

A.         Community Care of America,  Inc., a Delaware corporation  ("COMMUNITY
           CARE") has entered  into (a) an Amended and  Restated  Agreement  and
           Plan  or  Reorganization  dated  as of  May  10,  1996  (the  "MERGER
           AGREEMENT")  among Community  Care, as buyer,  Southern Care Centers,
           Inc.,  a Georgia  corporation  ("SCC"),  Michael A.  Himmelstein  and
           Wallace E.  Olson,  sole  shareholders  of SCC,  as  sellers  and CCA
           Acquisition  I, Inc.,  a newly-  formed  Delaware  corporation  and a
           wholly owned  subsidiary  of Community  Care  ("NEWCO"),  pursuant to
           which SCC will merge with and into Newco,  which will remain a wholly
           owned subsidiary of Community Care;

B.         Pursuant to a  commitment  letter  dated May 8, 1996 (the  COMMITMENT
           LETTER") between Community Care and Landlord,  Landlord has agreed to
           acquire  from  each  Tenant  and  simultaneously  lease  back to such
           Tenant,  certain real property and related  improvements and personal
           property (collectively,  the "COLLECTIVE LEASED PROPERTIES", and each
           a "LEASED  PROPERTY",  as such  terms  are  further  defined  below),
           located in Georgia and as otherwise  described on EXHIBIT A-1 hereto.
           Each such  property  will be  operated by such Tenant for the Primary
           Intended  Use (as further  defined  below)  described  on EXHIBIT A-2
           hereto.

C.         Landlord and each Tenant have executed and delivered a lease for each
           Leased Property,  each in substantially  the form of EXHIBIT B hereto
           and  incorporating  by reference  all of the terms and  conditions of
           this Master Lease Document.  Each such lease is hereinafter  referred
           to as a "LEASE".

D.         Pursuant to that certain  Master Lease  Document,  General  Terms and
           Conditions dated as of December 30, 1993 (as amended on July __, 1994
           and November 1, 1994,  the "1993 MASTER LEASE  DOCUMENT") and various
           Facility Leases entered into by the Landlord and



<PAGE>



           ECA  Holdings,  Inc., a Delaware  corporation  ("ECA") in  connection
           therewith,  Landlord  currently  leases to ECA certain real property,
           and the  related  improvements  and  personal  property,  located  in
           Colorado,  Iowa, Kansas,  Missouri and Wyoming (such leases being the
           "1993   LEASES"   and  such   properties   being  the  "1993   LEASED
           PROPERTIES").

E.         Pursuant to that certain  Master Lease  Document,  General  Terms and
           Conditions  dated  as of  April  1,  1995  (the  "1995  MASTER  LEASE
           DOCUMENT") and various  Facility  Leases entered into by Landlord and
           ECA in connection therewith, Landlord currently leases to ECA certain
           real  property and the related  improvements  and  personal  property
           located in Iowa, Kansas, Missouri and Nebraska (such leases being the
           "1995   LEASES"   and  such   properties   being  the  "1995   LEASED
           PROPERTIES").

F.         Notwithstanding  anything  herein  to the  contrary,  the  terms  and
           conditions  of this Master  Lease  Document  shall be  construed  and
           interpreted  as to each Lease as if a separate  lease  containing all
           the  terms of this  Master  Lease  Document  and such  Lease had been
           executed  by Landlord  and the  relevant  Tenant with  respect to the
           Leased Property described in such Lease  (hereinafter  referred to as
           the "APPLICABLE LEASED PROPERTY").

           NOW, THEREFORE, in consideration of the foregoing,  and of other good
and  valuable  consideration,  the  receipt  and  adequacy  of which are  hereby
acknowledged, Landlord and each Tenant (hereinafter, "TENANT") agree as follows:

                                    ARTICLE 1

                                   DEFINITIONS

           For all purposes of this Master Lease  Document,  except as otherwise
expressly  provided  or unless the  context  otherwise  requires,  (i) the terms
defined in this Article shall have the meanings assigned to them in this Article
and include the plural as well as the singular,  (ii) all  accounting  terms not
otherwise  defined herein shall have the meanings assigned to them in accordance
with generally accepted accounting principles  consistently  applied,  (iii) the
use in this Master Lease Document of  "Articles,"  "Sections" and terms denoting
other  subdivisions shall refer to the designated  Articles,  Sections and other
subdivisions  of this  Master  Lease  Document,  and  (iv) the  words  "herein,"
"hereof,"  "hereunder"  and other  words of similar  import  shall refer to this
Master Lease Document as a whole and not to any particular  Article,  Section or
other subdivision.

           ADDED VALUE PERCENTAGE:  As defined in SECTION 6.2.2(A).

           ADDITIONAL RENT:  As defined in SECTION 3.1.2(A).

           ADDITIONAL CHARGES:  As defined in SECTION 3.1.4.



                                      - 2 -

<PAGE>



           ADJUSTED  PURCHASE  PRICE  shall  mean,  for  the  applicable  Leased
Property,  the Purchase Price of such Leased Property PLUS the aggregate  amount
of all  disbursements  made by Landlord  with  respect to such  Leased  Property
pursuant to the terms of any renovation funding agreement, PLUS any other amount
disbursed or advanced by Landlord to finance, or to reimburse the Tenant for its
financing  of, any Capital  Addition to such Leased  Property LESS the amount of
any Award or the proceeds of any  insurance  received by Landlord in  connection
with a partial  Condemnation  or a partial  casualty  involving  the  applicable
Leased  Property  as  described  in SECTION  11.2 or 10.2.2,  and not applied by
Landlord  to the  restoration  of the  applicable  Leased  Property  as provided
therein.

           AFFILIATE  shall mean as to any Person  (a) any other  Person  which,
directly or indirectly,  controls or is controlled by or is under common control
with such  Person,  (b) any other  Person that owns,  beneficially,  directly or
indirectly,  five  percent  (5%)  or  more  on  a  consolidated  basis,  of  the
outstanding  capital  stock,  shares,  equity or  beneficial  interests  of such
Person, (c) any officer, director,  employee, general partner or trustee of such
Person or any other Person  controlling,  controlled by or under common  control
with such Person (excluding  trustees and Persons serving in similar  capacities
who are not otherwise an Affiliate of such  Person),  or (d) with respect to any
individual,  a spouse,  any ancestor or  descendant,  or any other  relative (by
blood, adoption or marriage),  within the third degree, of such individual.  For
the purposes of this definition,  "control"  (including the correlative meanings
of the terms  "controlled  by" and "under common  control  with"),  as used with
respect to any Person, shall mean the possession, directly or indirectly, of the
power to direct or cause the  direction of the  management  and policies of such
Person,  through the ownership of voting  securities,  partnership  interests or
other equity interests.

           APPLICABLE LAWS:  As defined in SECTION 4.4.

           AWARD shall mean all compensation,  sums or other value awarded, paid
or  received  by virtue of a total or  partial  Condemnation  of the  applicable
Leased  Property  (after  deduction  of all  reasonable  legal  fees  and  other
reasonable costs and expenses,  including,  without  limitation,  expert witness
fees, incurred by Landlord, in connection with obtaining any such award).

           BASE NET PATIENT  REVENUES  shall mean,  with reference to any Leased
Property,  (i) for the Fixed Term and the First  Extended  Term,  the  aggregate
amount of Net  Patient  Revenues  for such  Leased  Property  for the Lease Year
ending  April 30,  1997 and (ii) for the Second  Extended  Term,  the  aggregate
amount of Net  Patient  Revenues  for such  Leased  Property  for the Lease Year
ending December 31, 2023.

           BASE NON-INPATIENT  REVENUES shall mean, with reference to any Leased
Property,  (i) for the Fixed Term and the First  Extended  Term,  the  aggregate
amount of  Non-Inpatient  Revenues  for such Leased  Property for the Lease Year
ending  April 30,  1997 and (ii) for the Second  Extended  Term,  the  aggregate
amount of  Non-Inpatient  Revenues  for such Leased  Property for the Lease Year
ending December 31, 2023.



                                      - 3 -

<PAGE>



           BUSINESS DAY shall mean any day other than Saturday,  Sunday,  or any
other day on which banking  institutions  in the State are  authorized by law or
executive action to close.

           CAPITAL ADDITION shall mean one or more new buildings, or one or more
additional  structures annexed to any portion of any of the Leased  Improvements
with respect to the applicable  Leased  Property,  or the material  expansion of
existing  improvements,  which are  constructed  on any parcel or portion of the
Land during the Term,  including,  the  construction of a new wing or new story,
the  renovation  of existing  improvements  on such Leased  Property in order to
provide a functionally  new facility  needed to provide  services not previously
offered,  or any expansion,  construction,  renovation or conversion in order to
increase  the bed  capacity of the  Facility  located on the  applicable  Leased
Property,  to  change  the  purpose  for  which  such  beds are  utilized  or to
materially improve the quality of such Facility.

           CAPITAL  ADDITIONS  COST shall mean the cost of any Capital  Addition
proposed to be made by Tenant to the applicable  Leased  Property,  whether paid
for by Tenant or Landlord.  Such cost shall include (a) the cost of construction
of the Capital Addition, including site preparation and improvement,  materials,
labor,  supervision,  developer and administrative fees, legal fees, and related
design,  engineering and architectural  services,  the cost of any fixtures, the
cost of  equipment  and other  personalty,  the cost of  construction  financing
(including,  but not limited to, capitalized  interest) and other  miscellaneous
costs approved by Landlord, (b) if agreed to by Landlord in writing, in advance,
the cost of any land  (including  all  related  acquisition  costs  incurred  by
Tenant)  contiguous  to the  Leased  Property  which is to  become a part of the
Leased  Property  purchased  for the  purpose of  placing  thereon  the  Capital
Addition or any portion  thereof or for providing  means of access  thereto,  or
parking facilities  therefor,  including the cost of surveying the same, (c) the
cost of  insurance,  real  estate  taxes,  water and  sewage  charges  and other
carrying  charges  for such  Capital  Addition  during  construction,  (d) title
insurance  charges,  (e) reasonable  attorneys'  fees and expenses,  (f) filing,
registration  and recording  taxes and fees, (g)  documentary  stamp or transfer
taxes,  and (h) all actual and  reasonable  costs and  expenses of Landlord  and
Tenant and, if agreed to by  Landlord  in  writing,  in advance,  of any Lending
Institution  committed  to finance  the  Capital  Addition,  including,  but not
limited to, all (i)  reasonable  attorneys'  fees and  expenses,  (ii)  printing
expenses,  (iii)  filing,  registration  and  recording  taxes  and  fees,  (iv)
documentary  stamp or transfer taxes, (v) title insurance  charges and appraisal
fees, (vi) rating agency fees, and (vii)  commitment fees charged by any Lending
Institution  advancing  or offering to advance any portion of any  financing  to
which Landlord has consented in writing for such Capital Addition.

           CHANGE IN CONTROL  shall be deemed to exist if (a) Newco  shall cease
to own all the  issued  and  outstanding  capital  stock of any  Tenant,  or (b)
Community Care shall cease to own all the issued and  outstanding  capital stock
of Newco,  or (c) any Person,  or two or more Persons  acting in concert,  shall
acquire beneficial ownership (within the meaning of Rule 13d-3 of the Securities
and  Exchange  Commission)  of 20% or more,  or rights,  options or  warrants to
acquire 20% or more,  of the  outstanding  shares of voting  stock of  Community
Care, or (d) the merger or  consolidation of Community Care, Newco or any Tenant
with or into any other Person or any one


                                      - 4 -

<PAGE>



or more sales or  conveyances to any Person of all or  substantially  all of the
assets of Community Care, Newco or any Tenant.

           CODE shall mean the Internal  Revenue Code of 1986 and, to the extent
applicable,  the Treasury Regulations promulgated thereunder,  each as from time
to time amended.

           COLLECTIVE LEASED PROPERTIES shall mean, at any time and from time to
time at the time of  determination,  all of the Leased  Properties that are then
subject to a Lease.

           COMMENCEMENT DATE:  As defined in the applicable Lease.

           COMMUNITY CARE shall mean Community Care of America, Inc., a Delaware
corporation, and its successors and assigns.

           CONDEMNATION  shall mean, as to the applicable  Leased Property,  (a)
the  exercise  of any  governmental  power,  whether  by  legal  proceedings  or
otherwise, by a Condemnor of its power of condemnation,  (b) a voluntary sale or
transfer by Landlord to any Condemnor,  either under threat of  condemnation  or
while  legal  proceedings  for  condemnation  are  pending,  and (c) a taking or
voluntary  conveyance  of all or part of such Leased  Property,  or any interest
therein,  or  right  accruing  thereto  or  use  thereof,  as the  result  or in
settlement of any Condemnation or other eminent domain proceeding affecting such
Leased Property, whether or not the same shall have actually been commenced.

           CONDEMNOR shall mean any public or quasi-public authority, or private
corporation or individual, having the power of Condemnation.

           CONSOLIDATED  FINANCIALS  shall  mean,  for any Fiscal  Year or other
accounting  period of Community Care and its consolidated  subsidiaries,  annual
audited and quarterly unaudited financial  statements prepared on a consolidated
basis,  including  Community Care's  consolidated  balance sheet and the related
statements of income and cash flows, all in reasonable detail, and setting forth
in comparative form the corresponding  figures for the  corresponding  period in
the preceding  Fiscal Year, and prepared in accordance  with generally  accepted
accounting principles, consistently applied throughout the periods presented.

           DATE OF TAKING shall mean, as to the applicable Leased Property,  the
date the Condemnor has the right to possession of such Leased  Property,  or any
portion thereof, in connection with a Condemnation.

           DEFAULT  shall mean (a) any Event of Default or (b) any  condition or
event that has occurred and is continuing and that (i) with the giving of notice
or lapse of time or both  would,  unless  cured or  waived,  become  an Event of
Default and (ii) either relates to the payment of Rent or relates to a matter as
to which Landlord has given Notice of default to any Tenant.



                                      - 5 -

<PAGE>



           DEPOSIT shall mean the cash collateral deposited with Landlord,  from
time to time, pursuant to the Deposit Pledge Agreement (initially, $850,000).

           DEPOSIT PLEDGE  AGREEMENT shall mean the Deposit Pledge  Agreement of
even date herewith executed by Community Care in favor of Landlord,  relating to
the cash collateral deposited with Landlord by Community Care, as such agreement
may be modified, amended or supplemented from time to time.

           DISTRIBUTION:  As defined in SECTION 22.14.

           ENCUMBRANCE:  As defined in SECTION 21.1.

           ENVIRONMENTAL OBLIGATION:  As defined in SECTION 4.4.

           ENVIRONMENTAL NOTICE:  As defined in SECTION 4.4.

           ENVIRONMENTAL REPORT:  As defined in SECTION 4.4.

           EVENT OF DEFAULT:  As defined in SECTION 12.1.

           EXCESS NET PATIENT  REVENUES shall mean,  for the  applicable  Leased
Property  for any Lease  Year or  quarter  thereof,  the  amount of Net  Patient
Revenues  for such Leased  Property for such Lease Year (or  applicable  quarter
thereof) in excess of the Base Net  Patient  Revenues  for such Leased  Property
(or, with respect to any quarter in any Lease Year, twenty-five percent (25%) of
the Base Net Patient Revenues for such Leased Property); PROVIDED that such term
shall mean,  (i) with  respect to any  partial  Lease Year (other than as to any
complete quarter thereof), the amount by which the Net Patient Revenues for such
Leased  Property  for such  partial  Lease  Year  exceeds  the  product of (x) a
fraction  of which the  numerator  is the number of days in such  partial  Lease
Year,  and the  denominator  is 360,  MULTIPLIED  BY (y) the  Base  Net  Patient
Revenues for such Leased Property; and (ii) with respect to any partial quarter,
the amount by which the Net Patient  Revenues for such Leased  Property for such
partial  quarter exceeds the product of (x) a fraction of which the numerator is
the  number  of days in  such  partial  quarter,  and  the  denominator  is 360,
MULTIPLIED BY (y) the Base Net Patient Revenues for such Leased Property.

           EXCESS  NON-INPATIENT  REVENUES shall mean, for the applicable Leased
Property  for any Lease Year or  quarter  thereof,  the amount of  Non-Inpatient
Revenues  for such Leased  Property for such Lease Year (or  applicable  quarter
thereof) in excess of the Base  Non-Inpatient  Revenues for such Leased Property
(or, with respect to any quarter in any Lease Year, twenty-five percent (25%) of
the Base  Non-Inpatient  Revenues for such Leased Property);  PROVIDED that such
term shall mean,  (i) with  respect to any partial  Lease Year (other than as to
any complete quarter thereof),  the amount by which the  Non-Inpatient  Revenues
for such Leased  Property for such partial Lease Year exceeds the product of (x)
a fraction of which the  numerator is the number of days in such  partial  Lease
Year,   and   the  denominator  is  360,   MULTIPLIED  BY  (y)  the   Base  Non-


                                      - 6 -

<PAGE>



Inpatient  Revenues  for such  Leased  Property;  and (ii) with  respect  to any
partial quarter, the amount by which the Non-Inpatient  Revenues for such Leased
Property for such partial quarter exceeds the product of (x) a fraction of which
the numerator is the number of days in such partial quarter, and the denominator
is 360,  MULTIPLIED  BY (y) the Base  Non-Inpatient  Revenues  for  such  Leased
Property.

           EXTENDED TERM(S):  As defined in SECTION 2.4.

           FACILITY  shall mean the  facility  offering  health  care or related
services  being  operated or proposed  to be operated on the  applicable  Leased
Property.

           FACILITY  MORTGAGE  shall  mean  any  Encumbrance   placed  upon  the
applicable Leased Property in accordance with ARTICLE 21 hereof.

           FACILITY MORTGAGEE shall mean the holder of any Facility Mortgage.

           FACILITY  TRADE NAME  shall mean any name under  which any Tenant has
conducted  the business of  operating  the  Facility  located on the  applicable
Leased Property at any time during the Term.

           FAIR  MARKET  ADDED VALUE shall  mean,  as to any  applicable  Leased
Property,  the Fair Market Value of such Leased Property  (including all Capital
Additions) less the Fair Market Value of such Leased  Property  determined as if
no Tenant's Capital Additions had been constructed.

           FAIR MARKET RENTAL shall mean, as to the applicable  Leased Property,
the  rental  which a willing  tenant not  compelled  to rent would pay a willing
landlord  not  compelled  to  lease  for the use and  occupancy  of such  Leased
Property (including all Capital Additions other than Tenant's Capital Additions)
on the terms and  conditions of the  applicable  Lease for the term in question,
assuming Tenant is not in default thereunder and determined by agreement between
Landlord and Tenant,  or, failing  agreement,  in accordance  with the appraisal
procedures  set forth in ARTICLE  19 hereof or in such other  manner as shall be
mutually  acceptable  to Landlord  and Tenant.  The  determination  of such Fair
Market Rental shall be made without regard to the fact that  Additional Rent may
be payable.

           FAIR  MARKET  VALUE  shall  mean the price  that a willing  buyer not
compelled  to buy would  pay a  willing  seller  not  compelled  to sell for the
applicable  Leased  Property,  (a)  assuming  the  same is  unencumbered  by the
applicable Lease, (b) determined in accordance with the appraisal procedures set
forth in  ARTICLE  19  hereof  or in such  other  manner  as  shall be  mutually
acceptable  to  Landlord  and the  applicable  Tenant,  and (c) not taking  into
account any reduction in value  resulting  from any  indebtedness  to which such
Leased Property is subject.


                                      -7-
<PAGE>



           FAIR MARKET VALUE  PURCHASE PRICE shall mean the Fair Market Value of
the applicable Leased Property less the Fair Market Added Value.

           FINANCIAL  OFFICER'S  CERTIFICATE  shall mean,  as to any  Person,  a
certificate  of  the  financial   officer  of  such  Person,   duly  authorized,
accompanying  the financial  statements  required to be delivered by such Person
pursuant to SECTION  17.2,  in which such  officer  shall (a) certify  that such
statements  have been properly  prepared in  accordance  with GAAP and are true,
correct  and  complete  in  all  material   respects  and  fairly   present  the
consolidated  financial  condition of such Person at and as of the dates thereof
and the results of its and their operations for the periods covered thereby, (b)
certify  that such  officer has  reviewed the Leases and has no knowledge of any
material  default  by  Tenants,  Community  Care or any other  Guarantor  in the
performance  or observance  of any of the  provisions of the Leases or any other
Transaction  Document or of any condition or event which constitutes an Event of
Default under the Leases or any of the  Transaction  Documents or which with the
passage of time or the giving of notice or both  would  become  such an Event of
Default, and (c) provide computations and schedules showing in reasonable detail
compliance,  as at the date of each such financial statement,  with SECTION 22.8
of the Master Lease Document.

           FISCAL YEAR shall mean the twelve (12) month period from January 1 to
December 31.

           FIXED TERM:  As defined in SECTION 2.3.

           FIXTURES:  As defined in SECTION 2.1(D).

           FIRST EXTENDED TERM:  As defined in the applicable Lease.

           FIVE PERCENT  ADDITIONAL  RENT shall mean, for the applicable  Leased
Property for any Lease Year during the Fixed Term and the First  Extended  Term,
an amount equal to five percent (5%) of all Excess Net Patient Revenues for such
Leased Property for such Lease Year.

           GAAP shall mean generally accepted accounting principles consistently
applied.

           GUARANTOR(S)  shall mean any guarantor of Tenant's  obligations under
the applicable Lease, including, without limitation, Community Care, ECA, Newco,
ECA  Properties,  Inc.,  a  Delaware  corporation,  and  each  such  Guarantor's
successors and assigns.

           GUARANTY  shall mean and  include  any  guaranty  or other  agreement
executed by a Guarantor  in favor of Landlord  pursuant to which the payment and
performance of Tenant's  obligations  under the Lease are  guaranteed,  together
with all modifications, amendments or supplements thereto.

           HAZARDOUS SUBSTANCES:  As defined in SECTION 4.4.



                                      - 8 -

<PAGE>



           IMPOSITIONS   shall  mean  for  the   applicable   Leased   Property,
collectively,  all taxes (including, without limitation, all taxes imposed under
the laws of the State, as such laws may be amended from time to time, and all ad
valorem, sales and use, single business, gross receipts,  transaction privilege,
rent or similar taxes as the same relate to or are imposed upon Landlord, Tenant
or the business  conducted upon the  applicable  Leased  Property),  assessments
(including,  without  limitation,  all  assessments  for public  improvements or
benefit,  whether or not  commenced  or  completed  prior to the date hereof and
whether or not to be completed  within the Term),  ground rents  (including  any
minimum  rent  under  any  ground  lease,  and any  additional  rent or  charges
thereunder,   whether  payable  by  reference  to  Rent  payable   hereunder  or
otherwise),  water, sewer or other rents and charges,  excises, tax levies, fees
(including, without limitation,  license, permit, inspection,  authorization and
similar fees) and all other governmental  charges,  in each case whether general
or special,  ordinary or  extraordinary,  or  foreseen or  unforeseen,  of every
character in respect of the applicable Leased Property or the business conducted
thereon by Tenant  (including  all  interest  and  penalties  thereon due to any
failure in payment by Tenant),  which at any time prior to, during or in respect
of the Term  hereof may be  assessed or imposed on or in respect of or be a lien
upon (a) Landlord's  interest in such Leased Property,  (b) such Leased Property
or any part  thereof  or any  rent  therefrom  or any  estate,  right,  title or
interest  therein,  or (c) any  occupancy,  operation,  use or possession of, or
sales from, or activity conducted on, or in connection with such Leased Property
or the  leasing or use of such Leased  Property  or any part  thereof by Tenant.
Provided, however, nothing contained in the Lease with respect to the applicable
Leased Property shall be construed to require Tenant to pay (1) any tax based on
net income imposed on Landlord,  or (2) any net revenue tax of Landlord,  or (3)
any  transfer  fee or other tax imposed  with  respect to the sale,  exchange or
other  disposition by Landlord of the applicable Leased Property or the proceeds
thereof (other than in connection with the sale,  exchange or other  disposition
to, or in connection with a transaction  involving,  Tenant),  or (4) any single
business, gross receipts (other than a tax on any rent received by Landlord from
Tenant), transaction privilege, rent or similar taxes as the same are related to
or imposed upon  Landlord,  except to the extent that any tax,  assessment,  tax
levy or charge,  which Tenant is obligated to pay pursuant to the first sentence
of this  definition and which is in effect at any time during the Term hereof is
totally or partially  repealed,  and a tax,  assessment,  tax levy or charge set
forth in CLAUSE (1) or (2) is levied,  assessed  or  imposed  expressly  in lieu
thereof.

           INDEBTEDNESS:  As defined in SECTION 22.15.

           INDEPENDENT  TRUSTEES  shall mean Trustees  who, in their  individual
capacity,  (a) are not  Affiliates of Tenant and (b) do not perform any services
for Landlord except as Trustees.

           INSURANCE  REQUIREMENTS  shall mean all terms of any insurance policy
required by the applicable Lease with respect to the applicable  Leased Property
and all requirements of the issuer of any such policy.

           INVESTMENT:  As defined in SECTION 22.15.



                                      - 9 -

<PAGE>



           LAND:  As defined in SECTION  2.1(A) with  respect to the  applicable
Lease.

           LANDLORD  shall mean Health and  Retirement  Properties  Trust (f/k/a
"Health and Rehabilitation Properties Trust"), a Maryland real estate investment
trust, and its successors and assigns.

           LEASE(S):  As defined in the recital clauses  hereto,  and each other
lease  entered  into  between  Landlord and any Tenant,  which  incorporates  by
reference this Master Lease Document.

           LEASE YEAR:  shall mean when used with  reference  to the Fixed Term,
the  twelve  (12)  month  period  from May 1 to April  30,  and,  when used with
reference to any Extended  Term,  the twelve (12) month period from January 1 to
December 31.

           LEASED IMPROVEMENTS: As defined in SECTION 2.1(B) with respect to the
applicable Lease.

           LEASED PERSONAL  PROPERTY:  As defined in SECTION 2.1(E) with respect
to the applicable Lease.

           LEASED  PROPERTY:  As  defined  in  SECTION  2.1 with  respect to the
applicable Lease.

           LEGAL  REQUIREMENTS shall mean, as to the applicable Leased Property,
all federal,  state, county,  municipal and other governmental  statutes,  laws,
rules,  orders,  regulations,  ordinances,  judgments,  decrees and  injunctions
affecting such Leased Property or the maintenance,  construction,  alteration or
operation thereof, whether now or hereafter enacted or in existence,  including,
without   limitation,   (a)  all  permits,   licenses,   certificates  of  need,
authorizations and regulations necessary to operate such Leased Property for its
Primary  Intended  Use,  and (b) all  covenants,  agreements,  restrictions  and
encumbrances  contained in any  instruments at any time in force  affecting such
Leased  Property,  including  those  which  may (i)  require  material  repairs,
modifications  or alterations  in or to such Leased  Property or (ii) in any way
adversely affect the use and enjoyment thereof.

           LENDING  INSTITUTION  shall  mean any  insurance  company,  federally
insured commercial or savings bank,  national banking  association,  savings and
loan  association,  employees'  welfare,  pension or retirement  fund or system,
corporate profit sharing or pension trust, college or university, or real estate
investment trust,  including any corporation qualified to be treated for federal
tax purposes as a real estate investment trust, such trust having a net worth of
at least $100,000,000.

           LIEN shall mean and include any mortgage,  security interest, pledge,
collateral assignment, or other encumbrance,  lien or charge of any kind, or any
transfer of any property or assets for the purpose of subjecting the same to the
payment of  Indebtedness  or performance of any other  obligation in priority to
payment of its general creditors.



                                     - 10 -

<PAGE>



           MANAGEMENT  AGREEMENT  shall mean and include any  agreement  whether
written or oral entered into between  Tenant and any other party  (including any
Affiliate of Tenant) pursuant to which  management  services are provided to the
Facility  located  on  the  applicable   Leased  Property,   together  with  all
amendments, modifications or supplements thereto.

           MANAGER  shall  mean  the  management   party  under  any  Management
Agreement.

           MERGER AGREEMENT:  As defined in the Recitals.

           MINIMUM RENT: As defined in the applicable  Lease, as the same may be
adjusted from time to time in accordance with SECTION 3.1.1.

           NET PATIENT  REVENUES  with  respect to the  Facility  located at the
applicable  Leased  Property  shall mean all revenues  (determined on an accrual
basis in accordance with GAAP,  except as provided below) received or receivable
by Tenant and any Affiliate of Tenant from or by reason of the operation of such
Facility,  or any other use of such Facility,  including without  limitation all
patient or client revenues received or receivable for the use of or otherwise by
reason of all rooms, beds and other facilities provided,  meals served, services
performed  or  provided,  space or  facilities  subleased  or goods sold at such
Facility,  including,  without  limitation,  any other  arrangements  with third
parties  relating to the  possession  or use of any portion of such  Facilities;
PROVIDED, HOWEVER, that Net Patient Revenues shall not include:

                      (a)  revenue   from   professional   fees  or  charges  by
           physicians and unaffiliated providers of ancillary services, when and
           to the  extent  such  charges  are paid  over to such  physicians  or
           unaffiliated  providers  of  ancillary  services,  or are  separately
           billed and not included in comprehensive fees;

                      (b)  non-operating  revenues  such as  interest  income or
           income  from the sale of assets  not sold in the  ordinary  course of
           business;

                      (c) revenues  attributable to services  actually  provided
           off-site or otherwise  away from such  Facility,  such as home health
           care, to Persons who are not patients at such Facility;

                      (d)  all  revenues   attributable   to  Tenant's   Capital
           Additions (as such revenues are calculated in accordance with Section
           6.2.2(A)); and

                      (e)  Non-Inpatient   Revenues   attributable  to  services
           performed or provided, or goods sold, at such Facility.

           NON-INPATIENTS with respect to any Facility located at the applicable
Leased Property shall mean all Persons  receiving  services at such Facility who
are not, at the time of such services are provided or performed, occupying a bed
at such Facility.


                                     - 11 -

<PAGE>



           NON-INPATIENT  REVENUES  with respect to the Facility  located at the
applicable  Leased  Property  shall mean all revenues  (determined on an accrual
basis in accordance with GAAP,  except as provided below) received or receivable
by Tenant and any Affiliate of Tenant from or by reason of services performed or
provided or goods sold or provided to Non-Inpatients at such Facility; PROVIDED,
HOWEVER, that Non-Inpatient Revenues shall not include:

                      (a)  revenue   from   professional   fees  or  charges  by
           physicians and unaffiliated providers of ancillary services, when and
           to the  extent  such  charges  are paid  over to such  physicians  or
           unaffiliated  providers  of  ancillary  services,  or are  separately
           billed and not included in comprehensive fees;

                      (b)  non-operating  revenues  such as  interest  income or
           income  from the sale of assets  not sold in the  ordinary  course of
           business;

                      (c) revenues  attributable to services  actually  provided
           off-site or otherwise  away from such  Facility,  such as home health
           care,  to  Persons  who  are  Non-Inpatients  with  respect  to  such
           Facility; and

                      (d)  all  revenues   attributable   to  Tenant's   Capital
           Additions (as such revenues are calculated in accordance with Section
           6.2.2(A)).

           NOTICE shall mean a notice given in accordance with SECTION 23.12.

           OFFICER'S  CERTIFICATE shall mean a certificate  signed by an officer
of Tenant duly authorized by the board of directors of Tenant.

           OVERDUE  RATE shall mean,  on any date,  a PER ANNUM rate of interest
equal to eighteen  percent  (18%) but in no event  greater than the maximum rate
then permitted under applicable law.

           PERMITTED  ENCUMBRANCES  shall mean,  with respect to the  applicable
Leased Property, all rights, restrictions,  and easements of record set forth on
Schedule B to the applicable  owner's or leasehold title insurance policy issued
to Landlord on the date  hereof,  plus any other such  encumbrances  as may have
been consented to in writing by Landlord from time to time.

           PERMITTED  LIENS  shall  mean any Lien  granted  in  compliance  with
SECTION 22.13.

           PERSON  shall mean any  individual,  corporation,  general or limited
partnership, stock company or association, joint venture, association,  company,
trust, bank, trust company, land trust, business trust, any government or agency
or political subdivision thereof or any other entity.

           PRIMARY INTENDED USE:  As defined in SECTION 4.1.1.



                                     - 12 -

<PAGE>



           PROVIDER  AGREEMENTS:  All participation,  provider and reimbursement
agreements or arrangements  now or hereafter in effect for the benefit of Tenant
in connection  with the  operation of the  applicable  Facility  relating to any
right of payment or other claim  arising out of or in  connection  with Tenant's
participation in any Third Party Payor Program.

           PURCHASE  PRICE(s):  With respect to the applicable  Leased Property,
the amount identified as such in the applicable Lease.

           RECORDS:  As defined in SECTION 7.2.

           RELEVANT  PERCENTAGE shall mean, with respect to the first quarter of
any Lease Year, twenty-five percent (25%), with respect to the second quarter of
such Lease Year, fifty percent (50%),  with respect to the third quarter of such
Lease Year,  seventy-five  percent (75%), and with respect to the fourth quarter
of such Lease Year, one hundred percent (100%).

           RENOVATION  FUNDING  AGREEMENT  shall  mean  the  Renovation  Funding
Agreement  of even date  herewith  between  Tenants  and  Landlord,  relating to
certain required improvements to be made at the Collective Leased Properties, as
the same may be amended,  modified or supplemented  from time to time,  together
with any renovation  funding agreement entered into between Landlord and Tenants
after the date hereof.

           RENT shall mean, in connection with any Leased  Property,  the sum of
Minimum Rent, Additional Rent and Additional Charges payable with respect to the
applicable Leased Property.

           SEC shall mean the Securities and Exchange Commission.

           SECOND EXTENDED TERM:  As defined in the applicable Lease.

           STATE shall mean the State or  Commonwealth  in which the  applicable
Leased Property is located.

           SUBORDINATED  CREDITOR  shall mean any  creditor of Tenant party to a
Subordination  Agreement in favor of Landlord,  including,  without  limitation,
Community Care, Manager, and Affiliates of any of them.

           SUBORDINATION AGREEMENT shall mean and include any agreement executed
by a  Subordinated  Creditor  pursuant to which the payment and  performance  of
Tenant's  obligations  to such  Subordinated  Creditor are  subordinated  to the
payment and performance of Tenant's obligations to Landlord under the Leases and
the other Transaction Documents.

           SUBSIDIARY shall mean, with respect to any Person, any corporation or
other  entity  of which  the  securities  or other  ownership  interests  having
ordinary voting power to elect a majority


                                     - 13 -

<PAGE>



of the board of directors or other Persons  performing  similar functions are at
the time directly or indirectly owned by such Person.

           TANGIBLE NET WORTH:  As defined in SECTION 22.15.

           TENANT:  As defined in the applicable Lease and in the Recitals.

           TENANTS shall mean, collectively,  Marietta/SCC,  Inc., Glenwood/SCC,
Inc.,  Dublin/SCC,  Inc.,  Macon/SCC,  Inc. and College  Park/SCC,  Inc., each a
Georgia corporation, and their permitted successors and assigns.

           TENANT'S CAPITAL ADDITIONS:  As defined in SECTION 6.2.2.

           TENANT'S  PERSONAL PROPERTY shall mean (a) all motor vehicles and (b)
consumable  inventory and supplies,  furniture,  furnishings,  movable walls and
partitions,  equipment and machinery and all other  personal  property of Tenant
acquired by Tenant on and after the date  hereof and  located on the  applicable
Leased  Property or used in Tenant's  business on such Leased  Property  and all
modifications, replacements, alterations and additions to such personal property
installed  at the expense of Tenant,  OTHER THAN any items  included  within the
definition of Fixtures or Leased Personal Property.

           TERM shall mean,  collectively,  for the applicable  Lease, the Fixed
Term and the Extended Terms, to the extent  properly  exercised  pursuant to the
provisions of SECTION 2.4, unless sooner  terminated  pursuant to the provisions
of this Master Lease Document or the applicable Lease.

           TEST RATE shall mean the minimum  interest  rate  necessary  to avoid
imputation of original issue  discount or interest  income under SECTIONS 483 or
1272 of the Code or any similar provision.

           THIRD PARTY PAYOR  PROGRAMS:  All third party payor programs in which
Tenant  currently  or  in  the  future  may  participate,   including,   without
limitation,  Medicare, Medicaid, CHAMPUS, Blue Cross and/or Blue Shield, Managed
Care Plans, other private insurance programs and employee assistance programs.

           THIRD PARTY PAYORS:  Medicare,  Medicaid,  CHAMPUS, Blue Cross and/or
Blue Shield,  private  insurers  and any other person which  presently or in the
future maintains Third Party Payor Programs.

           THREE PERCENT  ADDITIONAL RENT shall mean, for the applicable  Leased
Property for any Lease Year during the Second  Extended Term, an amount equal to
three  percent  (3%) of the sum of (i) all Excess Net Patient  Revenues for such
Lease Year PLUS (ii) all Excess Non-Inpatient Revenues for such Lease Year.



                                     - 14 -

<PAGE>



           TRANSACTION  DOCUMENTS shall mean the documents  listed on SCHEDULE 1
hereto, as such documents may be modified,  amended or supplemented from time to
time,  together with any and all other  documents  executed in connection  with,
relating to, evidencing or creating collateral or security for the Leases.

           TRUSTEES shall mean the trustees of Landlord.

           TWO PERCENT  ADDITIONAL  RENT shall mean, for the  applicable  Leased
Property for any Lease Year during the Fixed Term and the First  Extended  Term,
an amount  equal to two percent  (2%) of all Excess  Non-Inpatient  Revenues for
such Lease Year.

           UNAVOIDABLE  DELAYS  shall  mean  delays due to  strikes,  lock-outs,
inability  to  procure  materials,  power  failure,  acts of  God,  governmental
restrictions,  enemy action, civil commotion,  unavoidable casualty or any other
causes beyond the reasonable  control of the party responsible for performing an
obligation  hereunder,  but in no event to exceed forty-five (45) days (provided
that lack of funds shall not be deemed a cause  beyond the control of Tenant) so
long as Tenant shall use reasonable efforts to alleviate the cause of such delay
and thereafter  promptly perform such obligation,  and so long as, in any event,
no permit,  license,  certificate of need or authorization  necessary to operate
such Leased  Property  for its Primary  Intended  Use is  adversely  affected or
subject to any danger of revocation or  termination.  In no event shall Tenant's
obligation to pay the Rent be affected by Unavoidable Delays.

           UNSUITABLE  FOR ITS  PRIMARY  INTENDED  USE  shall  mean a  state  or
condition of the Facility  located at the applicable  Leased  Property such that
(a) following any damage or  destruction  involving such Leased  Property,  such
Leased  Property cannot  reasonably be expected to be restored to  substantially
the same condition as existed immediately before such damage or destruction, and
as otherwise required by SECTION 10.2.4, within a period equal to six (6) months
following  such damage or destruction or such shorter period of time as to which
business  interruption  insurance  is  available  to cover Rent and other  costs
related to such Leased Property following such damage or destruction,  or (b) as
the  result  of a  partial  taking  by  Condemnation,  such  Facility  cannot be
operated, in the good faith judgment of Landlord, on a commercially  practicable
basis for its Primary  Intended Use taking into  account,  among other  relevant
factors,  the  number of usable  beds,  the  amount  of square  footage,  or the
revenues affected by such damage or destruction or partial taking.

           WORK:  As defined in SECTION 10.2.4.





                                     - 15 -

<PAGE>



                                    ARTICLE 2

                            LEASED PROPERTY AND TERM

           2.1        LEASED PROPERTY.

           Upon and subject to the terms and conditions  hereinafter  set forth,
Landlord  leases to Tenant and Tenant  leases from Landlord with respect to each
applicable Lease all of the following (collectively, the "LEASED PROPERTY"):

           (a)        that  certain  tract,  piece and  parcel of land,  as more
                      particularly   described  in  the  applicable  Lease  (the
                      "LAND");

           (b)        all buildings, structures, Fixtures and other improvements
                      of every kind including, but not limited to, alleyways and
                      connecting tunnels, sidewalks, utility pipes, conduits and
                      lines (on-site and  off-site),  parking areas and roadways
                      appurtenant  to such  buildings and  structures  currently
                      situated  upon the Land and all  Capital  Additions  other
                      than Tenant's Capital Additions (collectively, the "LEASED
                      IMPROVEMENTS");

           (c)        all easements,  rights and  appurtenances  relating to the
                      Land and the Leased Improvements;

           (d)        all  equipment,  machinery,  fixtures,  and other items of
                      property,  now  or  hereafter  permanently  affixed  to or
                      incorporated  into  the  Leased  Improvements,  including,
                      without  limitation,   all  furnaces,   boilers,  heaters,
                      electrical   equipment,   heating,   plumbing,   lighting,
                      ventilating,  refrigerating,  incineration,  air and water
                      pollution   control,   waste  disposal,   air-cooling  and
                      air-conditioning systems and apparatus,  sprinkler systems
                      and fire and theft protection equipment,  all of which, to
                      the greatest extent permitted by law, are hereby deemed by
                      the parties  hereto to  constitute  real estate,  together
                      with  all  replacements,  modifications,  alterations  and
                      additions  thereto,  but specifically  excluding all items
                      included within the category of Tenant's Personal Property
                      (collectively the "FIXTURES"); 

           (e)        all machinery, equipment, furniture, furnishings, moveable
                      walls or partitions,  computers or trade fixtures or other
                      personal  property  of any  kind  or  description  used or
                      useful  in   Tenant's   business   on  or  in  the  Leased
                      Improvements,   and   located   on   or  in   the   Leased
                      Improvements,   and   all   modifications,   replacements,
                      alterations  and  additions  to  such  personal  property,
                      except  items,  if any,  included  within the  category of
                      Fixtures,  but  specifically  excluding all items included
                      within  the   category  of  Tenant's   Personal   Property
                      (collectively   the   "LEASED   PERSONAL PROPERTY"); and


                                     - 16 -

<PAGE>



           (f)        all  existing  leases  of space  (including  any  security
                      deposits  held by Tenant  pursuant  thereto) in the Leased
                      Improvements to tenants thereof.

           2.2        CONDITION OF LEASED PROPERTY.

           Tenant  acknowledges  receipt  and  delivery  of  possession  of  the
applicable  Leased  Property and Tenant accepts such Leased  Property in its "as
is"  condition,  subject to the rights of Persons in  possession,  the  existing
state of title, including all covenants, conditions, restrictions, reservations,
mineral  leases,  easements  and other  matters of record or that are visible or
apparent on the Leased Property, all applicable Legal Requirements, the liens of
financing  instruments,  mortgages  and deeds of trust,  and such other  matters
which would be disclosed by an inspection of such Leased Property and the record
title thereto or by an accurate  survey thereof.  TENANT  REPRESENTS THAT IT HAS
INSPECTED  SUCH  LEASED  PROPERTY  AND ALL OF THE  FOREGOING  AND HAS  FOUND THE
CONDITION  THEREOF  SATISFACTORY  AND IS NOT  RELYING ON ANY  REPRESENTATION  OR
WARRANTY OF LANDLORD OR LANDLORD'S  AGENTS OR EMPLOYEES WITH RESPECT THERETO AND
TENANT WAIVES ANY CLAIM OR ACTION  AGAINST  LANDLORD IN RESPECT OF THE CONDITION
OF THE APPLICABLE LEASED PROPERTY.  LANDLORD MAKES NO WARRANTY OR REPRESENTATION
EXPRESS OR IMPLIED,  IN RESPECT OF THE  APPLICABLE  LEASED  PROPERTY OR ANY PART
THEREOF,  EITHER  AS TO ITS  FITNESS  FOR  USE,  DESIGN  OR  CONDITION  FOR  ANY
PARTICULAR  USE OR PURPOSE OR  OTHERWISE,  AS TO THE QUALITY OF THE  MATERIAL OR
WORKMANSHIP  THEREIN,  LATENT OR PATENT, IT BEING AGREED THAT ALL SUCH RISKS ARE
TO BE BORNE BY TENANT. To the extent permitted by law, however,  Landlord hereby
assigns to Tenant all of Landlord's rights to proceed against any predecessor in
title for breaches of warranties or representations or for latent defects in the
applicable  Leased  Property.  Landlord shall fully cooperate with Tenant in the
prosecution of any such claims,  in Landlord's or Tenant's name, all at Tenant's
sole  cost and  expense.  Tenant  shall  indemnify,  defend,  and hold  harmless
Landlord  from and  against  any  loss,  cost,  damage or  liability  (including
reasonable  attorneys'  fees)  incurred  by  Landlord  in  connection  with such
cooperation.

           2.3        FIXED TERM.

           The initial term of the applicable  Lease (the "FIXED TERM") shall be
for a fixed term as set forth in such Lease.

           2.4        EXTENDED TERM.

           The Tenants  shall have the right to extend the Term of all,  but not
less than all, of the Leases pertaining to the Collective Leased Properties,  as
set forth in each Lease and below (the "EXTENDED  TERM(S)") provided that (i) no
Default or default shall have occurred and be  continuing  under the  applicable
Lease or the Master Lease Document, any other Lease pertaining to the Collective
Leased Properties,  or any 1993 Lease pertaining to any 1993 Leased Property, or
any


                                     - 17 -

<PAGE>



1995 Lease pertaining to any 1995 Leased Property,  and (ii) this Lease and each
other  Lease  pertaining  to any  Collective  Leased  Property,  each 1993 Lease
pertaining  to any 1993 Leased  Property,  and any 1995 Lease  pertaining to any
1995 Leased  Properties,  shall be in full force and effect (other than any such
lease that has been terminated following  condemnation or casualty in accordance
with the provisions  hereof, and (iii) that the term of each 1993 Lease and 1995
Lease shall have been extended  simultaneously with the Leases pertaining to the
Collective  Leased  Properties for an extended term ending  December 31, 2016 or
December 31, 2029, as the case may be.

           Each  Extended  Term  under  each  Lease  shall  commence  on the day
succeeding the  expiration of the Fixed Term or the preceding  Extended Term, as
the case may be. All of the terms,  covenants and provisions of such Lease shall
apply to each such  Extended  Term,  except that the Minimum Rent for the Second
Extended Term shall be as set forth in SECTION  3.1.1(E)  (subject to adjustment
as provided in SECTION 3.1.1) with respect  thereto.  If the Tenants shall elect
to exercise any of the aforesaid extensions, they shall do so by giving Landlord
Notice thereof  simultaneously as to all of the Collective Leased Properties not
later than twenty-four (24) months prior to the scheduled expiration of the then
current Term of the Leases (Fixed or Extended,  as applicable),  it being agreed
that time is of the  essence  with  respect  to the giving of such  Notice.  The
Tenants may not exercise  their option for more than one such Extended Term at a
time.  If the  Tenants  shall fail to give any such  Notice,  the  Leases  shall
automatically  terminate at the end of the Term then in effect and Tenants shall
have no further  option to extend the Term of the Leases.  If the Tenants  shall
give such Notice,  the extension of the Leases shall be  automatically  effected
without the  execution of any  additional  documents;  it being  understood  and
agreed,  however, that the Tenants and Landlord shall execute such documents and
agreements  as either  party  shall  reasonably  require to  evidence  the same.
Notwithstanding the provisions of the foregoing sentence,  if, subsequent to the
giving of such Notice,  an Event of Default  shall occur,  the  extension of the
Leases shall cease to take effect and the Leases shall  automatically  terminate
at the end of the Term then in effect  and the  Tenants  shall  have no  further
option to extend the Term of the Leases, unless Landlord shall otherwise consent
in writing.


                                    ARTICLE 3

                                      RENT

           3.1        RENT.

           Tenant shall pay to Landlord, in lawful money of the United States of
America which shall be legal tender for the payment of public and private debts,
at  Landlord's  address  set forth above or at such other place or to such other
Person as  Landlord  from  time to time may  designate  in a Notice  to  Tenant,
without offset, abatement, demand or deduction, Rent consisting of Minimum Rent,
Additional  Rent and Additional  Charges during the Term, in each case except as
hereinafter


                                     - 18 -

<PAGE>



expressly  provided.  All payments to Landlord shall be made by certified check,
wire transfer of  immediately  available  funds or by other means  acceptable to
Landlord in its sole discretion.

           3.1.1      MINIMUM RENT:

           (a) DURING  FIXED TERM AND FIRST  EXTENDED  TERM.  The  Minimum  Rent
payable with respect to the Fixed Term and First Extended Term is the annual sum
set forth in the applicable  Lease  (subject to adjustment as provided  herein),
payable in advance in equal,  consecutive  monthly  installments as set forth in
such Lease,  on the first day of each calendar month of the Fixed Term and First
Extended Term; PROVIDED, HOWEVER, that the first monthly payment of Minimum Rent
shall be payable on the  Commencement  Date and that the first and last  monthly
payments of Minimum Rent shall be prorated as to any partial month.

           (b)  ADJUSTMENTS  OF  MINIMUM  RENT  FOLLOWING   DISBURSEMENTS  UNDER
RENOVATION FUNDING AGREEMENT.  Effective on the date of each disbursement to pay
for the cost of any renovations at the applicable  Leased  Property  pursuant to
the terms of the Renovation Funding Agreement,  the Minimum Rent under the Lease
for such  Leased  Property  shall  be  adjusted,  effective  on the date of such
disbursement, to an annual sum equal to the product of (i) the Adjusted Purchase
Price  for  such  Leased   Property   (giving  effect  to  the  making  of  such
disbursement)  and (ii) eleven percent (11%).  If any such  disbursement is made
during any calendar  month on other than the first day of such  calendar  month,
Tenant  shall pay to  Landlord  on the first  day of the  immediately  following
calendar  month (in  addition to the amount of Minimum Rent payable with respect
to such month,  as adjusted  pursuant to this PARAGRAPH (B)) the amount by which
Minimum Rent for such Leased  Property for the preceding  month, as adjusted for
such disbursement,  exceeded the amount of Minimum Rent for such Leased Property
payable  by  Tenant  for such  preceding  month  without  giving  effect to such
adjustment.

           (c)  COMPUTATION  OF MINIMUM RENT FOR THE SECOND  EXTENDED  TERM. The
Minimum Rent payable with respect to the Second Extended Term for the applicable
Lease shall equal an annual sum (determined at the commencement of such Extended
Term for such Lease and subject to  adjustment as set forth herein) equal to the
greater  of (i) the sum of (1) the  Minimum  Rent  payable  for the  immediately
preceding  twelve (12) months for such Lease and (2) the Additional Rent payable
for the  immediately  preceding  twelve (12) months for such Lease  allocable to
such  Leased  Property  and (ii)  ninety-five  percent  (95%) of the Fair Market
Rental  for such  Leased  Property  at such  time,  payable in advance in equal,
consecutive monthly  installments on the first day of each calendar month of the
Second Extended Term.

           (d)  CREDITS AGAINST MINIMUM RENT.

                (i) EXCESS  CONDEMNATION AND CASUALTY  PROCEEDS.  Landlord shall
credit the amount of any Award or the  proceeds  of any  insurance  received  by
Landlord  in  connection  with a  partial  Condemnation  or a  partial  casualty
involving the applicable Leased Property as described in SECTION 11.2 or 10.2.2,
and not applied by Landlord to the restoration of the applicable Leased


                                     - 19 -

<PAGE>



Property  affected by such partial  Condemnation or partial casualty as provided
therein,  to the payment of Minimum  Rent  payable  with  respect to such Leased
Property.

                (ii) NOTICE. Landlord shall calculate the amount of such credits
within 15 days after the end of each calendar month, and shall reduce the amount
of the  installment of Minimum Rent next due after the date of such  calculation
by the amount of such credits.

           3.1.2      ADDITIONAL RENT:

           (a) AMOUNT.  For each Lease Year or portion  thereof during the Term,
starting with the Lease Year  beginning May 1, 1997,  Tenant shall pay an amount
("ADDITIONAL  RENT") with respect to the applicable Leased Property equal to the
greater of:

               (i)    (A)        DURING  THE FIXED  TERM AND THE FIRST  EXTENDED
                                 TERM:   the  sum  of  (x)  the   Five   Percent
                                 Additional  Rent for such  Lease  Year PLUS (y)
                                 the Two Percent  Additional Rent for such Lease
                                 Year; and

                      (B)        DURING  THE  SECOND  EXTENDED  TERM:  the Three
                                 Percent  Additional  Rent for such Lease  Year;
                                 and

               (ii)       Additional Rent payable for the immediately  preceding
                          Lease Year.

           (b) QUARTERLY  INSTALLMENTS.  Installments of Additional Rent for the
applicable  Leased  Property  for any Lease  Year or  portion  thereof  shall be
calculated  and paid  quarterly in arrears as follows:  for each quarter of such
Lease Year during the Term,  Tenant  shall pay an amount  equal to the excess of
(x) the greater of (1) the Relevant Percentage of the aggregate  Additional Rent
payable for such Leased Property for the immediately preceding Lease Year or (2)
the  Additional  Rent  (calculated  as  provided in SECTION  3.1.2(A)(I)  above)
payable for such quarter of such Lease Year and for any previous  quarter(s)  of
such Lease Year,  OVER (y) the sum of the  installments  of such Additional Rent
payable for any previous quarter(s) in such Lease Year.

           Installments  of Additional  Rent for the applicable  Leased Property
due with respect to a partial quarter in any Lease Year shall be calculated on a
PRO RATA basis as  follows:  a sum equal to the excess of (1) the greater of (a)
the  product of (x) a fraction of which the  numerator  is the number of days in
such Lease Year through the end of such partial quarter,  and the denominator is
360,  MULTIPLIED BY (y) the Additional Rent payable for such Leased Property for
the  immediately  preceding  Lease Year and (b) the sum of the  Additional  Rent
payable for such Leased  Property  through the end of such partial  quarter OVER
(2) the  Additional  Rent  payable for such  Leased  Property  for any  previous
quarters in such Lease Year.

           (c) DATE OF PAYMENT  OF  ADDITIONAL  RENT.  Tenant  shall  deliver to
Landlord an Officer's  Certificate  setting forth the  calculation of Additional
Rent due and payable for the applicable  Leased Property for each quarter of any
Lease Year. Each quarterly payment of Additional Rent


                                     - 20 -

<PAGE>



for the applicable  Leased Property is due and payable and shall be delivered to
Landlord,  together  with such  Officer's  Certificate,  within thirty (30) days
after the end of each  quarter of each Lease Year,  commencing  with the quarter
ending July 31, 1997, during the Term.

           (d) RECONCILIATION OF ADDITIONAL RENT. In addition, on or before July
31 of each year during the Fixed Term,  commencing with July 31, 1997, and on or
before March 31 of each year during any Extended  Term,  Tenant shall deliver to
Landlord  certified  audits of Tenant's  revenues for the preceding  Lease Year,
together with a  certificate  from KPMG Peat Marwick or other  certified  public
accountants  reasonably acceptable to Landlord, in form reasonably acceptable to
Landlord,  setting forth the Net Patient Revenues and the Non-Inpatient Revenues
for the applicable Leased Property for such preceding Lease Year, and such other
matters as Landlord may from time to time reasonably request.

           If the annual  Additional Rent for the applicable Leased Property for
said preceding Lease Year as shown in the year-end  certificate is less than the
amount  previously  paid with respect  thereto by Tenant,  Landlord  shall grant
Tenant a credit against Additional Rent for such Leased Property next coming due
in the amount of such difference, together with interest at the Test Rate, which
interest shall accrue from the close of such preceding Lease Year until the date
such credit is applied or paid,  as the case may be. If such a credit  cannot be
made because the Term of the applicable  Lease has expired before the credit can
be  effected,  Landlord  will pay, by check,  the amount of such  difference  to
Tenant.

           If the annual  Additional Rent for the applicable Leased Property for
said  preceding  Lease Year as shown in the  year-end  certificate  exceeds  the
amount  previously  paid with respect  thereto by Tenant,  Tenant shall pay such
excess to Landlord at such time as the  certificate is delivered,  together with
interest at the Test Rate,  which  interest  shall accrue from the close of such
preceding  Lease Year until the date that such  certificate  is  required  to be
delivered,  and thereafter such interest shall accrue at the Overdue Rate, until
the amount of such difference shall be paid or otherwise discharged.

           (e) CONFIRMATION OF ADDITIONAL RENT.  Tenant shall utilize,  or cause
to be utilized,  an accounting  system for the applicable Leased Property (which
shall be the same as that used for all the  Collective  Leased  Properties,  the
1993 Leased  Properties and the 1995 Leased  Properties) in accordance  with its
usual and customary practices and in accordance with GAAP, which will accurately
record all Net Patient Revenues and all Non-Inpatient Revenues, and shall employ
independent  accountants  reasonably  acceptable  to Landlord,  and Tenant shall
retain,  for at least five (5) years  after the  expiration  of each Lease Year,
reasonably adequate records conforming to such accounting system showing all Net
Patient Revenues and all Non-Inpatient  Revenues for such Lease Year.  Landlord,
at its own expense  except as provided  herein below,  shall have the right from
time to time by its accountants or  representatives to audit the information set
forth in the Officer's  Certificate referred to in subparagraph (c) above or the
year-end  certificate  referred to in subparagraph  (d) above, and in connection
with such audits to examine  Tenant's  books and records  with  respect  thereto
(including supporting data and sales and excise tax returns) subject to


                                     - 21 -

<PAGE>



any  prohibitions or limitations on disclosure of any such data under applicable
law or regulations,  including  without  limitation any duly enacted  "Patients'
Bill of Rights" or similar  legislation,  including  such  limitations as may be
necessary to preserve the confidentiality of the  facility-patient  relationship
and  the   physician-patient   privilege  and/or  other  similar   privilege  or
confidentiality  obligations.  If any such audit  discloses a deficiency  in the
payment of  Additional  Rent,  and either  Tenant agrees with the result of such
audit or the  matter  is  otherwise  compromised  with  Landlord,  Tenant  shall
forthwith  pay to Landlord the amount of the  deficiency,  as finally  agreed or
determined,  together  with  interest at the Test Rate,  or if no such Test Rate
exists,  then at the Overdue Rate,  from the date when said payment  should have
been made to the date of  payment  thereof;  PROVIDED,  HOWEVER,  that as to any
audit  that is  commenced  more  than two (2) years  after the date Net  Patient
Revenues and Non-Inpatient Revenues for any Lease Year are reported by Tenant to
Landlord,  the deficiency,  if any, with respect to such Net Patient Revenues or
Non-Inpatient  Revenues  shall bear  interest as permitted  herein only from the
date such  determination  of  deficiency  is made unless such  deficiency is the
result of gross negligence or willful  misconduct on the part of Tenant.  If any
such audit  discloses that the Net Patient  Revenues or  Non-Inpatient  Revenues
actually  received by Tenant for any Lease Year exceed those  reported by Tenant
by more than three percent (3%),  Tenant shall pay the  reasonable  cost of such
audit  and  examination.  If any such  audit  discloses  that  Tenant  paid more
Additional  Rent for any Lease Year than was due hereunder,  and either Landlord
agrees  with the  result of such audit or the  matter is  otherwise  determined,
provided no Default has occurred and is continuing,  Landlord shall grant Tenant
a credit equal to the amount of such  overpayment  against  Additional Rent next
coming due in the amount of such difference, as finally agreed or determined. If
such a credit  cannot  be made  because  the Term of the  applicable  Lease  has
expired  before the credit can be  effected,  Landlord  will pay, by check,  the
amount of such difference to Tenant.

           Any  proprietary  information  obtained by  Landlord  pursuant to the
provisions of the applicable Lease shall be treated as confidential, except that
such information may be used, subject to appropriate confidentiality safeguards,
in any  litigation  between the parties and except  further  that  Landlord  may
disclose such information to its prospective  lenders. The obligations of Tenant
contained  in this  SECTION  3.1.2  shall  survive  the  expiration  or  earlier
termination of the applicable Lease.

           3.1.3      RENT CAP; ADDITIONAL RENT FLOOR.

                     (a)  Notwithstanding  any  of  the other  terms  hereof but
subject to SECTION  3.1.3(B),  the total of the Minimum Rent and Additional Rent
due during any Lease Year shall not be greater  than one hundred  eight  percent
(108%)  of the sum of  Minimum  Rent and  Additional  Rent  for the  immediately
preceding Lease Year.

                     (b) SECTION   3.1.3(A)   shall  have  no  applicability  in
determining  the Minimum Rent or Additional Rent due during the first Lease Year
of any Extended Term.



                                     - 22 -

<PAGE>



                     (c) Notwithstanding  any  of  the  other  terms hereof, the
Additional  Rent due  during  any Lease  Year shall in no event be less than the
Additional Rent due during the immediately preceding Lease Year.

           3.1.4      ADDITIONAL CHARGES.

           In addition to the Minimum  Rent and  Additional  Rent  payable  with
respect to the  applicable  Leased  Property or otherwise,  Tenant shall pay and
discharge as and when due and payable the following  (collectively,  "ADDITIONAL
CHARGES"):

                     (a) IMPOSITIONS. Subject to ARTICLE 8 relating to Permitted
Contests,  Tenant  shall pay, or cause to be paid,  all  Impositions  before any
fine, penalty,  interest or cost (other than any opportunity cost as a result of
a failure to take  advantage of any discount for early payment) may be added for
non-payment,  such payments to be made directly to the taxing  authorities where
feasible,  and shall  promptly  upon  request,  furnish  to  Landlord  copies of
official receipts or other satisfactory  proof evidencing such payments.  If any
such  Imposition  may,  at the  option  of the  taxpayer,  lawfully  be  paid in
installments (whether or not interest shall accrue on the unpaid balance of such
Imposition),  Tenant may  exercise  the option to pay the same (and any  accrued
interest on the unpaid balance of such Imposition) in installments  and, in such
event,  shall pay such  installments  during the Term as the same become due and
before  any  fine,  penalty,  premium,  further  interest  or cost  may be added
thereto. Landlord, at its expense, shall, to the extent required or permitted by
applicable  law,  prepare and file all tax returns in respect of Landlord's  net
income, gross receipts,  sales and use, single business,  transaction privilege,
rent, ad valorem, franchise taxes and taxes on its capital stock, and Tenant, at
its expense,  shall,  to the extent required or permitted by applicable laws and
regulations,  prepare  and file all other tax  returns and reports in respect of
any  Imposition  as may be required  by  governmental  authorities.  Provided no
Default shall have occurred and be  continuing,  if any refund shall be due from
any taxing authority in respect of any Imposition paid by Tenant, the same shall
be paid over to or retained by Tenant.  Landlord and Tenant shall,  upon request
of the  other,  provide  such  data as is  maintained  by the  party to whom the
request  is made  with  respect  to the  applicable  Leased  Property  as may be
necessary to prepare any required returns and reports. In the event governmental
authorities  classify any property  covered by the applicable  Lease as personal
property,   Tenant  shall  file  all  personal  property  tax  returns  in  such
jurisdictions  where it may legally so file.  Each party shall, to the extent it
possesses the same, provide the other, upon request,  with cost and depreciation
records  necessary for filing returns for any property so classified as personal
property.  Where  Landlord is legally  required to file  personal  property  tax
returns,  Landlord  shall provide  Tenant with copies of  assessment  notices in
sufficient time for Tenant to file a protest.  All Impositions  assessed against
such personal  property  shall be  (irrespective  of whether  Landlord or Tenant
shall file the  relevant  return) paid by Tenant not later than the last date on
which the same may be made without interest or penalty. If the provisions of any
Facility  Mortgage  require  deposits on account of  Impositions to be made with
such  Facility  Mortgagee,  provided the Facility  Mortgagee  has not elected to
waive such  provision,  Tenant shall  either pay  Landlord  the monthly  amounts
required at the time and place that  payments of Minimum  Rent are  required and
Landlord shall transfer such


                                     - 23 -

<PAGE>



amounts  to such  Facility  Mortgagee  or,  pursuant  to  written  direction  by
Landlord, Tenant shall make such deposits directly with such Facility Mortgagee.

           Landlord  shall  give  prompt  Notice to  Tenant  of all  Impositions
payable  by  Tenant  hereunder  of which  Landlord  at any  time has  knowledge,
provided,  Landlord's  failure to give any such notice  shall in no way diminish
Tenant's obligation hereunder to pay such Impositions.

                    (b) UTILITY  CHARGES.  Tenant  shall pay or cause to be paid
all charges for electricity,  power, gas, oil, water and other utilities used in
the applicable Leased Property during the Term.

                    (c)  INSURANCE  PREMIUMS.  Tenant  shall  pay or cause to be
paid, as Additional Charges, all premiums for the insurance coverage required to
be maintained pursuant to ARTICLE 9.

                    (d) OTHER CHARGES.  Tenant shall pay or cause to be paid, as
Additional Charges, all other amounts,  liabilities and obligations which Tenant
assumes  or  agrees  to pay  under  the  applicable  Lease,  including,  without
limitation, all agreements to indemnify Landlord under SECTIONS 4.4 and 9.7.

                    (e) REIMBURSEMENT FOR ADDITIONAL  CHARGES. If Tenant pays or
causes to be paid property taxes or similar Additional  Charges  attributable to
periods after the end of the Term, whether upon expiration or sooner termination
of the applicable Lease (other than  termination  following an Event of Default)
Tenant may,  within  sixty (60) days of the end of the Term,  provide  Notice to
Landlord of its estimate of such  amounts.  Landlord  shall  promptly  reimburse
Tenant for all payments of such taxes and other similar  Additional Charges that
are attributable to any period after the Term of the Lease.

                    (f) SALES TAX. Tenant shall also pay, as Additional Charges,
with all Rent due under the applicable Lease an amount equal to all sales,  use,
excise and other taxes now or hereafter  imposed by any lawful  authority on all
amounts due or required under the applicable Lease and classified as Rent by any
such authority.

           3.2        LATE PAYMENT OF RENT.

           If any  installment  of Minimum Rent,  Additional  Rent or Additional
Charges (but only as to those  Additional  Charges which are payable directly to
Landlord)  shall not be paid within ten (10)  calendar days of its scheduled due
date, Tenant shall pay Landlord, on demand, as Additional Charges, a late charge
(to the extent  permitted by law)  computed at the Overdue Rate on the amount of
such  installment,  from the due date of such installment to the date of payment
thereof.  To the extent  that  Tenant pays any  Additional  Charges  directly to
Landlord  pursuant to any requirement of the applicable  Lease,  Tenant shall be
relieved  of its  obligation  to pay such Ad  ditional  Charges to the entity to
which they would otherwise be due.



                                     - 24 -

<PAGE>



           In the event of any failure by Tenant to pay any  Additional  Charges
when due, Tenant shall promptly pay and discharge,  as Additional Charges, every
fine,  penalty,  interest  and cost which may be added for  non-payment  or late
payment of such items. Landlord shall have all legal,  equitable and contractual
rights,  powers  and  remedies  provided  either in the  applicable  Lease or by
statute or otherwise in the case of non-payment of the Additional  Charges as in
the case of non-payment of the Minimum Rent and Additional Rent.

           3.3        NET LEASE.

           The Rent shall be absolutely net to Landlord,  so that the applicable
Lease shall yield to Landlord the full amount of the  installments or amounts of
Rent  throughout  the Term,  subject to any other  provisions of the  applicable
Lease or this Master Lease  Document which  expressly  provide for adjustment or
abatement of Rent or other charges.

           3.4        NO TERMINATION, ABATEMENT, ETC.

           Except as otherwise  specifically provided in the applicable Lease or
in this Master Lease  Document,  Tenant,  to the extent  permitted by law, shall
remain  bound by the  applicable  Lease in  accordance  with its terms and shall
neither take any action without the consent of Landlord to modify,  surrender or
terminate  the same,  nor seek,  nor be  entitled to any  abatement,  deduction,
deferment or reduction of the Rent, or set-off  against the Rent,  nor shall the
respective obligations of Landlord and Tenant be otherwise affected by reason of
(a) any damage to, or  destruction  of, the  applicable  Leased  Property or any
portion  thereof  from  whatever  cause or any  Condemnation,  (b) the lawful or
unlawful  prohibition  of, or  restriction  upon Tenant's use of the  applicable
Leased Property,  or any portion thereof,  or the interference  with such use by
any Person or by reason of  eviction  by  paramount  title;  (c) any claim which
Tenant  may have  against  Landlord  by reason of any  default  or breach of any
warranty by Landlord under the applicable  Lease or any other agreement  between
Landlord  and  Tenant,  or to which  Landlord  and Tenant are  parties,  (d) any
bankruptcy, insolvency, reorganization,  composition, readjustment, liquidation,
dissolution,  winding up or other proceedings affecting Landlord or any assignee
or  transferee  of  Landlord,  or (e) for any other  cause  whether  similar  or
dissimilar to any of the foregoing. Tenant hereby waives all rights arising from
any  occurrence  whatsoever,  which may now or hereafter be conferred upon it by
law, to (a) modify,  surrender  or  terminate  the  applicable  Lease or quit or
surrender the applicable Leased Property or any portion thereof,  or (b) entitle
Tenant to any abatement, reduction, suspension or deferment of the Rent or other
sums payable or other obligations to be performed by Tenant hereunder, except as
otherwise  specifically provided in the applicable Lease or in this Master Lease
Document.  The obligations of Tenant hereunder shall be separate and independent
covenants  and  agreements,  and the Rent and all other  sums  payable by Tenant
hereunder  shall continue to be payable in all events unless the  obligations to
pay the same shall be  terminated  pursuant  to the  express  provisions  of the
applicable  Lease or by termination of the applicable Lease other than by reason
of an Event of Default.



                                     - 25 -

<PAGE>



           3.5 SECURITY DEPOSIT. As additional security for the due and punctual
payment and  performance  of the  obligations of Tenant under the Leases and the
other Transaction Documents,  Tenant has paid the Deposit to Landlord to be held
and applied as provided in the Deposit Pledge Agreement.


                                    ARTICLE 4

                      USE OF THE APPLICABLE LEASED PROPERTY

           4.1        PERMITTED USE.

                      4.1.1      PRIMARY INTENDED USE.

           Tenant  shall,  at all times  during the Term,  and at any other time
Tenant shall be in posses sion of the Leased Property, continuously use or cause
to be used the  applicable  Leased  Property  as a licensed  nursing  home or as
otherwise  described  on  EXHIBIT  A-1  hereto and for such other uses as may be
incidental or necessary thereto (such use being hereinafter  referred to as such
Leased Property's  "PRIMARY INTENDED USE").  Tenant shall not use the applicable
Leased  Property  or any  portion  thereof  for any other use  without the prior
written consent of Landlord (which consent shall not be unreasonably withheld or
delayed).  No use shall be made or permitted to be made of the applicable Leased
Property and no acts shall be done thereon which will cause the  cancellation of
any insurance  policy  covering such Leased Property or any part thereof (unless
another  adequate  policy is  available),  nor shall  Tenant  sell or  otherwise
provide to residents or patients therein,  or permit to be kept, used or sold in
or about such Leased  Property any article  which may be prohibited by law or by
the standard form of fire insurance  policies,  or any other insurance  policies
required to be carried  hereunder,  or fire  underwriter's  regulations.  Tenant
shall, at its sole cost,  comply with all of the requirements  pertaining to the
applicable  Leased  Property  or  other  improvements  of any  insurance  board,
association, organization or company necessary for the maintenance of insurance,
as  herein  provided,  covering  such  Leased  Property  and  Tenant's  Personal
Property, including, without limitation, the Insurance Requirements.

                      4.1.2      NECESSARY APPROVALS.

           Tenant shall proceed with all due diligence and exercise best efforts
to obtain and maintain  all  approvals  necessary  to use and  operate,  for its
Primary Intended Use, the applicable Leased Property and the Facility located at
such Leased Property under applicable local,  state and federal law, and without
limiting  the  foregoing,  shall use its best  efforts to  maintain  appropriate
certifications for reimbursement and licensure.



                                     - 26 -

<PAGE>



                      4.1.3      CONTINUOUS OPERATION, ETC.

           Tenant shall operate continuously the applicable Leased Property as a
provider of health care  services in accordance  with its Primary  Intended Use.
Tenant will not take or omit to take any action, the taking or omission of which
may materially impair the value or the usefulness of such Leased Property or any
part thereof for its Primary Intended Use.

                      4.1.4      LAWFUL USE, ETC.

           Tenant  shall not use or suffer or permit  the use of the  applicable
Leased Property and Tenant's Personal Property for any unlawful purpose.  Tenant
shall not commit or suffer to be committed  any waste on the  applicable  Leased
Property,  or in the Facility located on the applicable  Leased Property located
thereon,  nor shall  Tenant  cause or permit any  nuisance  thereon or  therein.
Tenant shall neither  suffer nor permit the  applicable  Leased  Property or any
portion thereof,  including any Capital Addition, or Tenant's Personal Property,
to be used in such a manner as (i) might  reasonably  tend to impair  Landlord's
(or Tenant's,  as the case may be) title thereto or to any portion  thereof,  or
(ii) may reasonably make possible a claim or claims for adverse usage or adverse
possession by the public,  as such, or of implied  dedication of the  applicable
Leased Property or any portion thereof.

           4.2        COMPLIANCE WITH LEGAL AND INSURANCE REQUIREMENTS, ETC.

           Subject to the  provisions of ARTICLE 8 hereof,  Tenant,  at its sole
expense,  shall  promptly  (i) comply  with  Legal  Requirements  and  Insurance
Requirements in respect of the use, operation,  maintenance,  repair, alteration
and restoration of the applicable  Leased Property,  and (ii) procure,  maintain
and  comply  with all  appropriate  licenses,  certificates  of  need,  permits,
provider agree ments and other  authorizations  and agreements  required for any
use of the applicable  Leased Property and Tenant's Personal Property then being
made, and for the proper  erection,  installation,  operation and maintenance of
the  applicable  Leased  Property  or  any  part  thereof,  including,   without
limitation, any Capital Additions.

           4.3        COMPLIANCE WITH MEDICAID AND MEDICARE REQUIREMENTS.

           Tenant   shall,   at  its  sole  cost  and  expense,   make  whatever
improvements  (capital or ordinary)  as are  required to conform the  applicable
Leased  Property to such  standards  as may,  from time to time,  be required by
Federal  Medicare (Title 18) or Medicaid (Title 19) skilled and/or  intermediate
care nursing  programs,  to the extent Tenant is a participant in such programs,
or any  other  applicable  programs  or  legislation,  or  capital  improvements
required by any other governmental  agency having  jurisdiction over such Leased
Property as a condition of the continued  operation of such Leased  Property for
its Primary Intended Use.



                                     - 27 -

<PAGE>



           4.4        ENVIRONMENTAL MATTERS.

           Tenant shall not store, spill upon, dispose of or transfer to or from
the applicable Leased Property any Hazardous  Substance,  except that Tenant may
store,  transfer  and dispose of Hazardous  Substances  in  compliance  with all
Applicable  Laws.  Tenant shall maintain the applicable  Leased  Property at all
times free of any Hazardous  Substance (except such Hazardous  Substances as are
maintained in compliance  with all  Applicable  Laws).  Tenant shall,  as to the
applicable  Leased  Property,  promptly:  (a) notify  Landlord in writing of any
change in the  nature or extent of such  Hazardous  Substances  maintained,  (b)
transmit  to  Landlord a copy of any  Community-Right-To-Know  report,  which is
required  to be filed,  if any,  by Tenant for the  applicable  Leased  Property
pursuant to SARA Title III or any other Applicable Law, (c) transmit to Landlord
copies of any citations,  orders,  notices or other governmental  communications
received  by  Tenant or its  agents  or  representatives  with  respect  thereto
(collectively,  "ENVIRONMENTAL  NOTICE"),  which Environmental Notice requires a
written response or any action to be taken and/or if such  Environmental  Notice
gives  notice of and/or  could give rise to a violation  of any  Applicable  Law
and/or could give rise to any cost,  expense,  loss or damage (an "ENVIRONMENTAL
OBLIGATION"),  (d) observe and comply with any and all Applicable  Laws relating
to the use,  maintenance and disposal of Hazardous  Substances and all orders or
directives from any official, court or agency of competent jurisdiction relating
to the use or  maintenance or requiring the removal,  treatment,  containment or
other disposition  thereof, and (e) pay or otherwise dispose of any fine, charge
or  Imposition  related  thereto,  unless  Tenant shall contest the same in good
faith and by appropriate  proceedings and the right to use and the value of such
Leased Property is not materially and adversely affected thereby.

           For  purposes of this SECTION  4.4,  (i) the term  "APPLICABLE  LAWS"
shall mean and include all applicable  Federal,  state or local statutes,  laws,
ordinances, rules and regulations, licensing requirements or conditions, whether
now existing or hereafter arising,  relating to Hazardous  Substances;  and (ii)
the term "HAZARDOUS  SUBSTANCES" shall mean hazardous  substances (as defined by
the  Comprehensive  Environmental  Response,   Compensation  and  Liability  Act
("CERCLA"),  as now in  effect  or as  hereafter  from  time to  time  amended),
hazardous  wastes (as defined by the  Resource  Conservation  and  Recovery  Act
("RCRA"),  as now in effect or as  hereafter  from  time to time  amended),  any
hazardous  waste,   hazardous   substance,   pollutant  or  contaminant,   oils,
radioactive  materials,  asbestos in any form or condition,  or any pollutant or
contaminant or hazardous,  dangerous or toxic chemicals, materials or substances
within  the  meaning  of any  other  applicable  Federal,  state or  local  law,
regulation,  ordinance  or  requirements  relating to or imposing  liability  or
standards  of  conduct  concerning  any  hazardous,  toxic or  dangerous  waste,
substance  or  materials,  all as now in effect or  hereafter  from time to time
amended.

           If at any time  prior to the  termination  of the  applicable  Lease,
Hazardous  Substances are discovered on the applicable  Leased Property,  Tenant
hereby agrees to take all actions,  and to incur any and all expense,  as may be
reasonably  necessary and as may be required by any municipal,  State or Federal
agency or other governmental entity or agency having jurisdiction


                                     - 28 -

<PAGE>



thereof,  (i) to clean  up and  remove  from and  about  the  applicable  Leased
Property  all  Hazardous  Substances  thereon,  (ii) to contain  and prevent any
further  release or threat of release of  Hazardous  Substances  on or about the
applicable  Leased Property and (iii) to use good faith efforts to eliminate any
further  release or threat of release of  Hazardous  Substances  on or about the
applicable Leased Property.

           Six  (6)  months  prior  to  expiration  of  the  final  Term  of the
applicable  Lease,  Tenant,  at its sole cost and  expense,  shall  designate  a
qualified  environmental   engineer,   satisfactory  to  Landlord  in  its  sole
discretion,  which engineer shall conduct an environmental  investigation of the
applicable  Leased Property and prepare an environmental  site assessment report
(the  "ENVIRONMENTAL  REPORT").  The scope of the investigation must include the
matters set forth on SCHEDULE II hereto and  otherwise  may be limited to review
of relevant records,  interviews with persons knowledgeable about the applicable
Leased Property and relevant  governmental agencies and a site inspection of the
applicable  Leased  Property,  any  buildings,  the fenceline of the  applicable
Leased Property and adjoining properties (Phase I), if such investigation in the
opinion of such engineer clearly  indicates that the applicable  Leased Property
is  environmentally  sound  and is free  from  oil,  asbestos,  radon  and other
Hazardous Substances except in compliance with Applicable Laws.  Otherwise,  the
investigation   shall  include  a  more  detailed   physical  site   inspection,
appropriate testing,  subsurface and otherwise, and review of historical records
(Phase II) to demonstrate the compliance of the applicable  Leased Property with
Applicable Laws and the absence of Hazardous Substances.

           All preliminary drafts of such Environmental  Report, and supplements
and amendments  thereto,  shall be provided to Landlord  contemporaneously  with
delivery thereof to Tenant. With respect to any recommendations contained in the
Environmental Report,  violations of Applicable Laws and/or the existence of any
conditions  at the  applicable  Leased  Property  which  could  give  rise to an
Environmental  Obligation,  Tenant shall promptly give Notice to Landlord of all
action Tenant proposes to take in connection therewith and Tenant shall promptly
take all actions,  and incur any and all expense, as may be reasonably necessary
and as may be  required  by any  municipal,  State or  Federal  agency  or other
governmental entity or agency having jurisdiction thereof and as may be required
by Landlord,  (i) to clean up, remove or remediate from and about the applicable
Leased Property all Hazardous Substances thereon,  (ii) to contain,  prevent and
eliminate any further release or threat of release of Hazardous Substances on or
about the  applicable  Leased  Property,  and (iii) to otherwise  eliminate such
violation or condition  from the  applicable  Leased  Property to the reasonable
satisfaction of Landlord.

           Tenant shall protect,  indemnify and hold harmless  Landlord and each
Facility   Mortgagee,   their   trustees,   officers,   agents,   employees  and
beneficiaries,  and any of their respective successors or assigns (hereafter the
"INDEMNITEES,"  and when  referred to singly,  an  "INDEMNITEE")  for,  from and
against  any and all debts,  liens,  claims,  causes of  action,  administrative
orders or notices,  costs,  fines,  penalties  or expenses  (including,  without
limitation,  attorney's fees and expenses) imposed upon, incurred by or asserted
against any  Indemnitee  resulting  from,  either  directly or  indirectly,  the
presence in, upon or under the soil or ground water of the applicable Leased


                                     - 29 -

<PAGE>



Property or any properties  surrounding  the applicable  Leased  Property of any
Hazardous  Substances in violation of any  Applicable Law or otherwise by reason
of any  failure  by Tenant or any  Person  claiming  under  Tenant to perform or
comply with any of the terms of this SECTION 4.4.  Tenant's duty herein includes
but is not limited to costs  associated  with personal injury or property damage
claims as a result of the presence of Hazardous Substances in, upon or under the
soil or ground  water of the  applicable  Leased  Property in  violation  of any
Applicable  Law. Upon written  request of Landlord,  Tenant shall  undertake the
defense, at Tenant's sole cost and expense,  of any  indemnification  duties set
forth  herein.  In the event that Tenant  refuses to undertake the defense of an
Indemnitee  promptly after receiving such notice,  such Indemnitee may undertake
its own defense.

           Tenant shall, upon demand, pay to Landlord,  as an Additional Charge,
any cost,  expense,  loss or damage  incurred by  Landlord  and growing out of a
failure of Tenant  strictly to observe and  perform the  foregoing  requirements
(including, without limitation, reasonable attorneys' fees), which amounts shall
bear interest from the date incurred until paid at the Overdue Rate.

           The  provisions of this SECTION 4.4 shall  survive the  expiration or
sooner termination of the applicable Lease.


                                    ARTICLE 5

                             MAINTENANCE AND REPAIRS

           5.1        MAINTENANCE AND REPAIR.

                      5.1.1      TENANT'S OBLIGATIONS.

                      Tenant  shall,  at its  sole  cost and  expense,  keep the
           applicable  Leased Property and all private  roadways,  sidewalks and
           curbs appurtenant  thereto (and Tenant's  Personal  Property) in good
           order and repair,  reasonable wear and tear excepted  (whether or not
           the need for such  repairs  occurs as a result of Tenant's  use,  any
           prior  use,  the  elements  or the age of  such  Leased  Property  or
           Tenant's  Personal  Property,  or any portion  thereof),  and,  shall
           promptly make all necessary and appropriate  repairs and replacements
           thereto of every  kind and  nature,  whether  interior  or  exterior,
           structural or nonstructural,  ordinary or extraordinary,  foreseen or
           unforeseen or arising by reason of a condition  existing prior to the
           commencement of the Term (concealed or otherwise),  provided,  Tenant
           shall  be   permitted   to  prosecute   claims   against   Landlord's
           predecessors  in title for breach of any  representation  or warranty
           made to or on behalf of Landlord,  or for any latent  defects in such
           Leased Property.  All repairs shall be made in good,  workmanlike and
           first-class manner, in accordance with all applicable federal,  state
           and local statutes, ordinances, by-laws, codes, rules and regulations
           relating  to any such work.  Tenant will not take or omit to take any
           action,  the taking or omission of which would materially  impair the
           value


                                     - 30 -

<PAGE>



           or the  usefulness  of the  applicable  Leased  Property  or any part
           thereof for its Primary Intended Use. Tenant's obligations under this
           SECTION 5.1.1 as to the applicable  Leased Property shall be limited,
           in the event of any casualty or  Condemnation  involving  such Leased
           Property,  as set forth in SECTIONS 10.2.1 and 11.1.  Notwithstanding
           this SECTION 5.1.1,  Tenant's  obligations  with respect to Hazardous
           Substances are as set forth in ARTICLE 4.

                      5.1.2      LANDLORD'S OBLIGATIONS.

                     Landlord shall not, under any circumstances, be required to
           build or rebuild any improvement on the applicable  Leased  Property,
           or to make any repairs,  replacements,  alterations,  restorations or
           renewals  of any  nature  or  description  to the  applicable  Leased
           Property,   whether   ordinary  or   extraordinary,   structural   or
           nonstructural,  foreseen or  unforeseen,  or to make any  expenditure
           whatsoever  with respect  thereto,  in connection with the applicable
           Lease,  or to maintain  the  applicable  Leased  Property in any way,
           except as specifically  provided herein. Tenant hereby waives, to the
           extent  permitted by law, the right to make repairs at the expense of
           Landlord  pursuant to any law in effect at the time of the  execution
           of the applicable Lease or hereafter enacted. Landlord shall have the
           right  to  give,   record  and  post,  as  appropriate,   notices  of
           nonresponsibility  under any  mechanic's  lien laws now or  hereafter
           existing.

                      5.1.3      NONRESPONSIBILITY  OF  LANDLORD;  NO  MECHANICS
                                 LIENS.

                     Landlord's  interest  in the Leased  Property  shall not be
           subject to liens for Capital Additions made by the Tenant, and Tenant
           shall  have no power or  authority  to create  any lien or permit any
           lien  to  attach  to  the  Leased  Property  or the  present  estate,
           reversion  or other  estate of Landlord in the Leased  Property or on
           the  building  or other  improvements  thereon as a result of Capital
           Additions  made by  Tenant  or for any  other  cause or  reason.  All
           materialmen,  contractors, artisans, mechanics and laborers and other
           persons  contracting  with Tenant with respect to the Leased Property
           or any part thereof,  are hereby  charged with notice that such liens
           are expressly  prohibited and that they must look solely to Tenant to
           secure  payment for any work done or material  furnished  for Capital
           Additions by Tenant or for any other  purpose  during the term of the
           applicable Lease.

                     Nothing   contained  in  this  Lease  shall  be  deemed  or
           construed  in any way as  constituting  the  consent  or  request  of
           Landlord,  express or  implied  by  inference  or  otherwise,  to any
           contractor, subcontractor, laborer or materialmen for the performance
           of any labor or the  furnishing of any materials for any  alteration,
           addition,  improvement  or repair to the Leased  Property or any part
           thereof or as giving Tenant any right, power or authority to contract
           for or permit the rendering of any services or the  furnishing of any
           materials  that would give rise to the filing of any lien against the
           Leased Property or any part thereof nor to subject  Landlord's estate
           in the Leased Property or any part thereof to


                                     - 31 -

<PAGE>



           liability  under the Mechanic's  Lien Law of the State in any way, it
           being expressly understood  Landlord's estate shall not be subject to
           any such liability.

           5.2        TENANT'S PERSONAL PROPERTY.

           Tenant  may (and  shall as  provided  hereinbelow),  at its  expense,
install,  affix or assemble or place on any parcels of the Land or in any of the
Leased  Improvements,  any items of Tenant's Personal Property,  and Tenant may,
subject to the conditions set forth below, remove the same at any time, provided
that no Default  has  occurred  and is  continuing.  Tenant  shall  provide  and
maintain during the entire Term all such Tenant's  Personal Property as shall be
necessary  in order to operate the  Facility  located at the Leased  Property in
compliance  with all applicable  licensure and  certification  requirements,  in
compliance with applicable  Legal  Requirements  and Insurance  Requirements and
otherwise in accordance with customary  practice in the industry for the Primary
Intended  Use.  All of Tenant's  Personal  Property  not removed by Tenant on or
prior to the expira tion or earlier  termination of the applicable  Lease of the
applicable  Leased  Property  where such Tenant's  Personal  Property is located
shall  be  considered  abandoned  by  Tenant  and  may be ap  propriated,  sold,
destroyed or otherwise  disposed of by Landlord  without the  necessity of first
giving notice  thereof to Tenant,  without any payment to Tenant and without any
obligation  to ac count  therefor.  Tenant shall,  at its expense,  restore such
Leased Property to the condition  required by SECTION 5.3,  including  repair of
all damage to such Leased  Property  caused by the removal of Tenant's  Personal
Property, whether effected by Tenant or Landlord.

           If Tenant uses any item of  tangible  personal  property  (other than
motor vehicles) on, or in connection  with, the Leased Property which belongs to
anyone  other than  Tenant,  Tenant  shall use its best  efforts to require  the
agreement  permitting  such use to provide  that  Landlord or its  designee  may
assume  Tenant's rights under such agreement upon management or operation of the
applicable Facility by Landlord or its designee.

           5.3        YIELD UP.

           Upon the expiration or sooner  termination  of the  applicable  Lease
(unless the  applicable  Leased  Property is  transferred  to Tenant as provided
herein),  Tenant shall vacate and surrender the  applicable  Leased  Property to
Landlord in the condition in which such Leased Property was on the  Commencement
Date, except as repaired, rebuilt, restored, altered or added to as permitted or
required by the  provisions of such Lease,  ordinary wear and tear excepted (and
casualty  damage and  condemnation,  in the event that the  applicable  Lease is
terminated following a casualty or total condemnation in accordance with ARTICLE
10 or ARTICLE 11).

           In  addition,  upon the  expiration  or  earlier  termination  of the
applicable Lease unless the applicable  Leased Property is transferred to Tenant
as provided herein,  Tenant shall, at Landlord's sole cost and expense,  use its
best efforts to transfer to and cooperate with Landlord or Landlord's nominee in
connection  with the  processing of all  applications  for  licenses,  operating
permits  and other  governmental  authorizations  and all  contracts,  including
contracts with


                                     - 32 -

<PAGE>



governmental  or  quasi-governmental  entities  which may be  necessary  for the
operation  of the  Facility  located on such Leased  Property.  If  requested by
Landlord,  Tenant will continue to man age such Facility after the expiration of
the Term and for as long  thereafter  as is  necessary  to obtain all  necessary
licenses,  operating  permits  and other  governmental  authorizations,  on such
reasonable  terms (which shall include an agreement to reimburse  Tenant for its
reasonable  out-of-pocket  costs and  expenses,  and  reasonable  administrative
costs) as Landlord shall request.

           5.4        ENCROACHMENTS, RESTRICTIONS, ETC.

           If any of the Leased  Improvements on the applicable  Leased Property
shall, at any time, encroach upon any property,  street or right-of-way adjacent
to such Leased Property, other than Permitted Encumbrances, or shall violate the
agreements or conditions  contained in any lawful restrictive  covenant or other
agreement  affecting such Leased Property,  or any part thereof, or shall impair
the rights of others  under any  easement or  right-of-way  to which such Leased
Property  is  subject,  upon  the  request  of  Landlord  (but  only  as to  any
encroachment, violation or impairment that is not a Permitted Encumbrance) or of
any Person affected by any such  encroachment,  violation or impairment,  Tenant
shall,  at its sole  cost and  expense,  subject  to its  right to  contest  the
existence of any  encroachment,  violation or impairment in accordance  with the
provisions  of ARTICLE  8,  either (a)  obtain  valid and  effective  waivers or
settlements  of all claims,  liabilities  and damages  resulting  from each such
encroachment, violation or impairment, whether the same shall affect Landlord or
Tenant, or (b) make such changes in the Leased  Improvements and take such other
actions, as are reasonably  practicable to remove such encroachment,  and to end
such violation or impairment,  including, if necessary, the alteration of any of
the  Leased  Improvements  and,  in any event,  take all such  actions as may be
necessary in order to ensure the continued  operation of the Leased Improvements
for the Primary  Intended Use  substantially in the manner and to the extent the
Leased  Improvements  were operated  prior to the  assertion of such  violation,
impairment or encroachment. Any such alteration shall be made in conformity with
the applicable  requirements of this ARTICLE 5. Tenant's  obligations under this
SECTION 5.4 shall be in addition  to and shall in no way  discharge  or diminish
any obligation of any insurer under any policy of title or other insurance.

           5.5        LANDLORD TO GRANT EASEMENTS, ETC.

           Landlord  will,  from time to time,  so long as no Default shall have
occurred  and be  continuing,  at the  request  of Tenant  with  respect  to the
applicable  Leased  Property and at Tenant's  sole cost and  expense,  (a) grant
easements  and other  rights in the  nature of  easements  with  respect to such
Leased Property to third parties, (b) release existing easements or other rights
in the nature of  easements  which are for the benefit of such Leased  Property,
(c) dedicate or transfer  unimproved  portions of such Leased Property for road,
highway or other  public  purposes,  (d) execute  petitions  to have such Leased
Property annexed to any municipal  corporation or utility district,  (e) execute
amendments to any covenants and restrictions  affecting such Leased Property and
(f) execute and deliver to any Person any  instrument  appropriate to confirm or
effect such grants, release,  dedications,  transfers,  petitions and amendments
(to the


                                     - 33 -

<PAGE>



extent of its interests in such Leased  Property);  PROVIDED that Landlord shall
have  determined that such grant,  release,  dedication,  transfer,  petition or
amendment is not  detrimental  to the operation of such Leased  Property for its
Primary  Intended  Use and does not  materially  reduce the value of such Leased
Property,  and that  Landlord  shall  have  received  an  Officer's  Certificate
confirming such determination,  and such additional  information as Landlord may
request.


                                    ARTICLE 6

                             CAPITAL ADDITIONS, ETC.

           6.1        CONSTRUCTION OF CAPITAL ADDITIONS TO THE LEASED PROPERTY.

           Tenant  shall not  construct  or  install  Capital  Additions  on the
applicable Leased Property without  obtaining  Landlord's prior written consent,
PROVIDED that no consent  shall be required for any Capital  Addition so long as
(a) the  Capital  Additions  Costs  for such  Capital  Addition  are  less  than
$250,000,  (b) such  construction or installation  would not adversely affect or
violate  any  Legal  Requirement  or  Insurance  Requirement  applicable  to the
applicable  Leased  Property,  (c)  such  construction  or  installation  is not
expected to result in a decrease of the Net  Patient  Revenues or  Non-Inpatient
Revenues  for such  Leased  Property on an  aggregate  basis for the twelve (12)
month period following  completion of construction,  and (d) Landlord shall have
received an  Officer's  Certificate  certifying  as to the  satisfaction  of the
conditions set out in CLAUSES (A), (B) and (C) above.  If Landlord's  consent is
required, prior to commencing construction of any Capital Addition, Tenant shall
submit to Landlord,  in writing, a proposal setting forth, in reasonable detail,
any  proposed  Capital  Addition and shall  provide to Landlord,  such plans and
specifications,  permits,  licenses,  contracts and other information concerning
the  proposed  Capital  Addition as Landlord may  request.  Landlord  shall have
thirty (30) days to review all  materials  submitted  to Landlord in  connection
with any such  proposal.  Failure of Landlord  to respond to  Tenant's  proposal
within  thirty-five  (35) days after  receipt of all  information  and materials
requested by Landlord in connection with the proposed  Capital Addition shall be
deemed  to  constitute  approval  of such  proposed  Capital  Addition.  Without
limiting the  generality  of the  foregoing,  such proposal  shall  indicate the
approximate  projected cost of constructing  such Capital  Addition,  the use or
uses to which it will be put and a good faith estimate of the change, if any, in
the Net Patient Revenues or Non-Inpatient  Revenues that Tenant anticipates will
result from such Capital Addition. No Capital Addition shall be made which would
tie in or connect any Leased  Improvement on the applicable Leased Property with
any other  improvements  on property  adjacent to such Leased  Property (and not
part of the Land) including,  without limitation,  tie-ins of buildings or other
structures or utilities.  Tenant shall not finance the cost of any  construction
of any Capital  Addition  without the prior written  consent of Landlord,  which
consent may be withheld by Landlord in Landlord's sole  discretion.  Any Capital
Additions  (including  Tenant's Capital Additions) shall, upon the expiration or
sooner termination of the applicable Lease for such Leased Property, pass to and
become the property of Landlord, free and clear of all


                                     - 34 -

<PAGE>



encumbrances  other  than  Permitted  Encumbrances  but  subject  to  Landlord's
obligation  to  compensate  Tenant for  Tenant's  Capital  Additions as provided
below.

           6.2        CAPITAL ADDITIONS FINANCED OR PAID FOR BY TENANT.

           6.2.1      FINANCING OF CAPITAL ADDITIONS.

           Provided  that  Tenant  has  obtained  the prior  written  consent of
Landlord  in each  instance,  Tenant  may  arrange  for  financing  for  Capital
Additions  from third party  lenders,  provided,  however that (i) the terms and
conditions  of any such  financing  shall be  subject to the prior  approval  of
Landlord;  and (ii) if Landlord consents to the grant thereof, which consent may
be withheld in the sole  discretion of Landlord,  any security  interests in any
property of Tenant, including without limitation the applicable Leased Property,
shall be expressly and fully  subordinated  to the  applicable  Lease and to the
interest of Landlord in the applicable  Leased Property and to the rights of any
Facility Mortgagee.

           6.2.2      AMENDMENTS TO LEASE.

           If, pursuant to the provisions of this Lease,  Tenant either pays for
or arranges  financing (to the extent permitted in SECTION 6.2.1) to pay for the
costs of construction or installation of any Capital Addition ("TENANT'S CAPITAL
ADDITIONS") (but excluding,  in any event,  any Capital Addition  financed by or
through Landlord including,  without limitation,  all Capital Additions paid for
or financed through disbursements under any Renovation Funding Agreement),  this
Lease shall be and hereby is amended to provide as follows:

                     (a) Upon completion of any such Tenant's Capital  Addition,
           Net Patient Revenues and Non-Inpatient  Revenues attributable to such
           Tenant's Capital Addition shall be excluded from Net Patient Revenues
           and  Non-Inpatient  Revenues of the  applicable  Leased  Property for
           purposes of calculating Additional Rent. The Net Patient Revenues and
           Non-Inpatient  Revenues  attributable  to any such  Tenant's  Capital
           Addition   shall  be  deemed  to  be  an  amount  (the  "ADDED  VALUE
           PERCENTAGE") which bears the same proportion to the total Net Patient
           Revenues and  Non-Inpatient  Revenues from the entire Leased Property
           (including  all Capital  Additions) as the Fair Market Added Value of
           such  Capital  Addition  bears to the Fair Market Value of the entire
           Leased Property  (including all Capital Additions)  immediately after
           completion  of  such  Tenant's  Capital  Addition.  The  Added  Value
           Percentage for any Tenant's Capital  Additions shall remain in effect
           until any subsequent Capital Addition is completed, at which time the
           Added Value Percentage will again be determined as provided above.

                     (b) There shall be no  adjustment  in the  Minimum  Rent by
           reason of any such Tenant's Capital Addition.



                                     - 35 -

<PAGE>



                     (c) Upon  the  expiration  or  earlier  termination  of the
           applicable Lease (but if the applicable Lease is terminated by reason
           of an Event of Default,  only after Landlord is fully compensated for
           all damages  resulting  therefrom),  Landlord shall compensate Tenant
           for all  Tenant's  Capital  Additions  in any of the  following  ways
           determined in Landlord's sole discretion:

                                 (i)        By purchasing such Tenant's  Capital
                                            Additions  from  Tenant  for cash in
                                            the  amount of the then Fair  Market
                                            Added Value of such Tenant's Capital
                                            Additions; or

                                 (ii)       By purchasing such Tenant's  Capital
                                            Additions  from Tenant by delivering
                                            to Tenant Landlord's  purchase money
                                            promissory note in the amount of the
                                            Fair Market Added Value,  which note
                                            shall   be  on   then   commercially
                                            reasonable  terms and  secured  by a
                                            mortgage  or  deed of  trust  on the
                                            applicable  Leased Property and such
                                            Tenant's Capital  Additions  subject
                                            to  all   existing   mortgages   and
                                            encumbrances on such Leased Property
                                            and such Tenant's Capital  Additions
                                            at the time of such purchase; or

                                 (iii)      Upon  termination  of the applicable
                                            Lease  by  reason  of  an  Event  of
                                            Default,  by assigning to Tenant the
                                            right to receive an amount  equal to
                                            the    Added    Value     Percentage
                                            (determined  as of the  date  of the
                                            expiration or earlier termination of
                                            this  Lease)  of all rent and  other
                                            consideration receivable by Landlord
                                            under   any   re-letting   or  other
                                            disposition  of the Leased  Property
                                            and such Tenant's Capital Additions,
                                            after  deducting  from such rent all
                                            costs  and   expenses   incurred  by
                                            Landlord  in  connection  with  such
                                            reletting  or other  disposition  of
                                            the   Leased   Property   and   such
                                            Tenant's  Capital  Additions and all
                                            costs and expenses of operating  and
                                            maintaining  the Leased Property and
                                            such  Tenant's   Capital   Additions
                                            during  the  term  of any  such  new
                                            lease  which  are not  borne  by the
                                            tenant    thereunder,    with    the
                                            provisions  of this SECTION 6.2.2 to
                                            remain in  effect  until the sale or
                                            other  final   disposition   of  the
                                            Leased  Property  and such  Tenant's
                                            Capital Additions, at which time the
                                            Fair  Market  Added  Value  of  such
                                            Tenant's  Capital  Addition shall be
                                            immediately  due and  payable,  such
                                            obligation   to  be   secured  by  a
                                            mortgage on the Leased  Property and
                                            such  Tenant's  Capital   Additions,
                                            subject  to all  existing  mortgages
                                            and   encumbrances   on  the  Leased
                                            Property   at  the   time   of  such
                                            purchase and assignment; or

                                 (iv)       By  making  such  other  arrangement
                                            regarding such compensation as shall
                                            be mutually  acceptable  to Landlord
                                            and Tenant.


                                     - 36 -

<PAGE>



           6.3       CAPITAL ADDITIONS FINANCED BY LANDLORD.

           If Landlord  shall,  at the request of Tenant and in Landlord's  sole
discretion, elect to finance the proposed Capital Addition, Tenant shall provide
Landlord  with such  information  as  Landlord  may from  time to time  request,
including, without limitation, the following:

                      (a) Evidence that such Capital  Addition will be, and upon
           completion,  has been  completed in  compliance  with the  applicable
           requirements  of State  and  federal  law  with  respect  to  capital
           expenditures for healthcare facilities;

                      (b) Copies of all  building,  zoning and land use  permits
           and approvals and upon completion of such Capital Addition, a copy of
           the certificate of occupancy for such Capital Addition, if required;

                      (c) Such information,  certificates,  licenses, permits or
           other documents  necessary to confirm that Tenant will be able to use
           the Capital  Addition upon completion  thereof in accordance with the
           Primary Intended Use, including all required federal,  State or local
           government licenses and approvals;

                      (d)  An  Officer's  Certificate  and  a  certificate  from
           Tenant's architect setting forth, in reasonable detail, the projected
           (or actual,  if available)  Capital  Additions  Cost and invoices and
           lien waivers from Tenant's contractors for such work;

                      (e) A  deed  conveying  to  Landlord  title  to  any  land
           acquired for the purpose of  constructing  the Capital  Addition free
           and clear of any liens or  encumbrances,  except  those  approved  by
           Landlord,  and,  upon  completion  of the Capital  Addition,  a final
           as-built survey thereof reasonably satisfactory to Landlord;

                      (f)  Endorsements  to  any  outstanding  policy  of  title
           insurance  covering  the Leased  Property  or  commitments  therefor,
           satisfactory in form and substance to Landlord, (i) updating the same
           without any additional exceptions except as approved by Landlord, and
           (ii)  increasing the coverage  thereof by an amount equal to the Fair
           Market Value of the Capital Addition (except to the extent covered by
           the owner's policy of title insurance referred to in subparagraph (g)
           below);

                      (g)  If  appropriate,  (i)  an  owner's  policy  of  title
           insurance  insuring fee simple title to any land conveyed to Landlord
           pursuant to subparagraph  (e) above,  free and clear of all liens and
           encumbrances,  except those approved by Landlord, and (ii) a lender's
           policy  of  title  insurance,  reasonably  satisfactory  in form  and
           substance to Landlord and any Facility Mortgagee;

                      (h) An  appraisal  of the  Leased  Property  by  Valuation
           Counselors  or  some  other  Member  of the  Appraisal  Institute  of
           America, acceptable to Landlord, and/or an


                                     - 37 -

<PAGE>



           Officer's  Certificate  stating that the value of the Leased Property
           upon completion of the Capital Addition exceeds the Fair Market Value
           thereof  prior to the  commencement  of such  Capital  Addition by an
           amount not less than 80% of the Capital Additions Cost; and

                      (i)  Prints  of  architectural  and  engineering  drawings
           relating  to such  Capital  Addition  and  such  other  certificates,
           documents, opinions of counsel, appraisals, surveys, certified copies
           of duly  adopted  resolutions  of the  board of  directors  of Tenant
           authorizing  the  execution  and  delivery of any lease  amendment or
           other instruments  required by Landlord,  any Facility  Mortgagee and
           any Lending Institution  advancing or reimbursing  Landlord or Tenant
           for any portion of the Capital Additions Cost.

           If Landlord shall finance the proposed Capital Addition, Tenant shall
pay to Landlord all  reasonable  costs and expenses paid or incurred by Landlord
and any Facility Mortgagee or Lending Institution which has committed to finance
such Capital Addition in connection  therewith,  including,  but not limited to,
(a) the reasonable attorneys' fees and expenses,  (b) all printing expenses, (c)
all filing,  registration  and recording taxes and fees, (d)  documentary  stamp
taxes, (e) title insurance charges,  appraisal fees, and rating agency fees, and
(f) commitment fees.

           6.4        NON-CAPITAL ADDITIONS.

           Tenant shall have the right,  at Tenant's  sole cost and expense,  to
make additions,  modifications or improvements to the applicable Leased Property
which are not Capital Additions  ("NON-CAPITAL  ADDITIONS") from time to time as
Tenant,  in its  discretion,  may deem  desirable for the Primary  Intended Use,
PROVIDED that such action will not materially  alter the character or purpose or
materially  detract from the value,  operating  efficiency or  revenue-producing
capability of such Leased Property, or adversely affect the ability of Tenant to
comply with the provisions of the applicable  Lease,  and,  without limiting the
foregoing,  will not  adversely  affect  or  violate  any Legal  Requirement  or
Insurance  Requirement  applicable to the applicable  Leased Property.  All such
Non-Capital  Additions  shall,  upon  expiration or earlier  termination  of the
applicable  Lease for such Leased  Property,  pass to and become the property of
Landlord,  free and clear of all liens and  encumbrances,  other than  Permitted
Encumbrances.

           6.5        SALVAGE.

           All materials  which are scrapped or removed in  connection  with the
making of either Capital Additions or Non-Capital  Additions or repairs required
by  ARTICLE 5 shall be or become  the  property  of the party that paid for such
work.





                                     - 38 -

<PAGE>



                                    ARTICLE 7

                                      LIENS

           7.1        LIENS.

           Subject to ARTICLE 8, Tenant shall not directly or indirectly create,
suffer to be  created or allow to remain and shall  promptly  discharge,  at its
expense, any lien, encumbrance,  attachment,  title retention agreement or claim
upon the  applicable  Leased  Property  or Tenant's  leasehold  interest in such
Leased Property or any attachment,  levy, claim or encumbrance in respect of the
Rent, other than (a) Permitted Encumbrances,  (b) restrictions,  liens and other
encumbrances which are consented to in writing by Landlord,  (c) liens for those
taxes of Landlord which Tenant is not required to pay  hereunder,  (d) subleases
permitted by ARTICLE 16, (e) liens for  Impositions  or for sums  resulting from
noncompliance  with  Legal  Requirements  so long as (i)  the  same  are not yet
payable,  or (ii) are being contested in accordance with ARTICLE 8, (f) liens of
mechanics, laborers, materialmen,  suppliers or vendors incurred in the ordinary
course of business  that are not yet due and  payable,  or are for sums that are
being contested in accordance with ARTICLE 8, and (g) any Facility  Mortgages or
other liens which are the  responsibility of Landlord pursuant to the provisions
of ARTICLE 21.

           7.2        LANDLORD'S LIEN.

           In addition to any statutory  landlord's  lien and in order to secure
payment  of the Rent and all other sums  payable  hereunder  by  Tenant,  and to
secure  payment of any loss,  cost or damage which Landlord may suffer by reason
of Tenant's breach of the applicable Lease, Tenant hereby grants unto Landlord a
security interest in and an express  contractual lien upon the Tenant's Personal
Property  (except  motor  vehicles),  and all  ledger  sheets,  files,  records,
documents and instruments  (including,  without  limitation,  computer programs,
tapes and related  electronic data processing)  relating to the operation of the
Facility  located at the  applicable  Leased  Property (the  "RECORDS")  and all
proceeds  therefrom,  subject to any Permitted Liens; and such Tenant's Personal
Property  shall not be removed from the applicable  Leased  Property at any time
when a Default has occurred and is continuing.

           Upon Landlord's request, Tenant shall execute and deliver to Landlord
financing  statements  in form  sufficient  to perfect the security  interest of
Landlord in Tenant's  Personal  Property and the proceeds  thereof in accordance
with the  provisions of the applicable  laws of the State.  Tenant hereby grants
Landlord an irrevocable limited power of attorney,  coupled with an interest, to
execute all such  financing  statements in Tenant's name,  place and stead.  The
security  interest  herein  granted is in addition to any statutory lien for the
Rent.




                                     - 39 -

<PAGE>



                                    ARTICLE 8

                               PERMITTED CONTESTS

           Tenant  shall have the right to contest the amount or validity of any
Imposition,  Legal Requirement,  Insurance Requirement,  lien, attachment, levy,
encumbrance,  charge or claim  (col  lectively  "CLAIMS")  as to the  applicable
Leased Property,  by appropriate legal proceedings,  conducted in good faith and
with due diligence, provided that (a) the foregoing shall in no way be construed
as relieving,  modifying or extending  Tenant's  obligation to pay any Claims as
finally determined, (b) such contest shall not cause Landlord or Tenant to be in
default under any mortgage or deed of trust  encumbering such Leased Property or
any interest  therein or result in or reasonably be expected to result in a lien
attaching to such Leased Property, (c) no part of the applicable Leased Property
nor any Rent  therefrom  shall be in any immediate  danger of sale,  forfeiture,
attachment or loss,  and (d) Tenant shall  indemnify and hold harmless  Landlord
from and  against  any cost,  claim,  damage,  penalty  or  reasonable  expense,
including  reasonable  at torneys'  fees,  incurred  by  Landlord in  connection
therewith or as a result thereof.  Upon Landlord's request,  Tenant shall either
(i) provide a bond or other assurance  reasonably  satisfactory to Landlord that
all  Claims  which may be  assessed  against  the  applicable  Leased  Property,
together with all interest and  penalties  thereon will be paid, or (ii) deposit
within the time otherwise required for payment with a bank or trust company,  as
trustee, as security for the payment of such Claims, an amount sufficient to pay
the same,  together with interest and penalties in connection  therewith and all
Claims which may be assessed against or become a Claim on the applicable  Leased
Property, or any part thereof, in connection with any such contest. Tenant shall
furnish  Landlord and any Facility  Mortgagee with  reasonable  evidence of such
deposit within five (5) days after request therefor.  Landlord agrees to join in
any such  proceedings if required  legally to prosecute such contest;  provided,
Landlord  shall not thereby be subjected to any liability  therefor  (including,
without  limitation,  for the  payment of any costs or  expenses  in  connection
therewith).  Tenant  shall be  entitled  to any  refund of any  Claims  and such
charges and penalties or interest thereon which have been paid by Tenant or paid
by Landlord  and for which  Landlord  has been fully  reimbursed  by Tenant.  If
Tenant shall fail (x) to pay any Claims when finally determined,  (y) to provide
security  therefor as provided in this ARTICLE 8, or (z) to  prosecute  any such
contest  diligently and in good faith,  Landlord may, upon reasonable  notice to
Tenant  (which  notice may be oral and shall not be required  if Landlord  shall
determine the same is not practicable), pay such charges, together with interest
and  penalties due with respect  thereto,  and Tenant shall  reimburse  Landlord
therefor, upon demand, as Additional Charges.





                                     - 40 -

<PAGE>



                                    ARTICLE 9

                          INSURANCE AND INDEMNIFICATION

           9.1        GENERAL INSURANCE REQUIREMENTS.

           Tenant  shall at all  times  during  the Term and at any  other  time
Tenant  shall be in  possession  of the  applicable  Leased  Property,  keep the
applicable  Leased  Property  and all property  located in or on the  applicable
Leased Property, including Tenant's Personal Property, insured against the risks
and in the amounts as follows:

                      (a)  Loss or  damage  by  fire,  vandalism  and  malicious
           mischief,  extended coverage perils, earthquake and all physical loss
           perils insurance,  including but not limited to sprinkler leakage, in
           an amount  equal to not less  than the  greater  of (i) the  Adjusted
           Purchase  Price or (ii) one hundred  percent  (100%) of the then full
           Replacement  Cost  thereof (as defined in SECTION 9.2 below) with the
           usual extended  coverage  endorsements,  including a Replacement Cost
           Endorsement and Builder's Risk Coverage during the continuance of any
           construction on the applicable Leased Property;

                      (b) Loss or damage by explosion of steamboilers,  pressure
           vessels or other similar apparatus, now or hereafter installed in the
           Facility  located at the Leased  Property,  in such amounts as may be
           reasonably  required by Landlord or any Facility  Mortgagee from time
           to time;

                      (c) Business  interruption and blanket earnings plus extra
           expense under a rental value  insurance  policy covering risk of loss
           during the lesser of the first  twelve (12) months of  reconstruction
           or the actual reconstruction period necessitated by the occurrence of
           any of the hazards  described in subparagraphs  (a) and (b) above, in
           such amounts as may be customary  for  comparable  properties  in the
           area and in an amount  sufficient to prevent  Landlord or Tenant from
           becoming a co-insurer;

                      (d) Claims for personal  injury or property damage under a
           policy  of  comprehensive   general  accident  and  public  liability
           insurance (in a broad form comprehensive policy,  including,  without
           limitation,    broad   form   contractual   liability,    independent
           contractor's  hazard  and  completed  operations  coverage),   claims
           arising  out of  malpractice  in an amount not less than One  Million
           Dollars   ($1,000,000)   per   occurrence,   Three  Million   Dollars
           ($3,000,000)  in the  aggregate  and  umbrella  coverage  of all such
           claims in an amount not less than Ten Million Dollars ($10,000,000);

                      (e) Flood (when the applicable  Leased Property is located
           in whole  or in part  within  an area  identified  as an area  having
           special  flood  hazards  and in which flood  insurance  has been made
           available under the National Flood Insurance Act of 1968, as amended,
           or the Flood  Disaster  Protection  Act of 1973,  as amended  (or any
           successor


                                                                - 40 -

<PAGE>



           acts  thereto))  and such other hazards and in such amounts as may be
           customary for comparable properties in the area;

                      (f)  Worker's  compensation  insurance  coverage  for  all
           persons  employed by Tenant on the  applicable  Leased  Property with
           statutory  limits and  otherwise  with  limits of and  provisions  in
           accordance  with the  requirements  of  applicable  local,  State and
           federal law, and  employer's  liability  insurance in such amounts as
           Landlord and any Facility Mortgagee shall reasonably require; and

                      (g)  Such  additional   insurance  as  may  be  reasonably
           required, from time to time, by Landlord or any Facility Mortgagee.

           9.2        REPLACEMENT COST.

           "REPLACEMENT COST" as used herein,  shall mean the actual replacement
cost of the  property  requiring  replacement  from time to time,  including  an
increased cost of  construction  endorsement,  less  exclusions  provided in the
standard form of fire insurance  policy. In the event either party believes that
the then full  replacement  cost less such exclusions has increased or decreased
at any time during the Term, such party,  at its own cost,  shall have the right
to have such full  replacement  cost  redetermined  by an  accredited  appraiser
approved by the other,  which  approval  shall not be  unreasonably  withheld or
delayed.  The party desiring to have the full  replacement  cost so redetermined
shall  forthwith,  on  receipt of such  determination  by such  appraiser,  give
written notice thereof to the other.  The  determination of such appraiser shall
be final and binding on the parties hereto,  and Tenant shall forthwith  conform
the  amount  of  the  insurance  carried  to the  amount  so  determined  by the
appraiser.

           9.3        WAIVER OF SUBROGATION.

           Landlord  and Tenant  agree that  (insofar  as and to the extent that
such agreement may be effective without  invalidating or making it impossible to
secure insurance coverage from responsible insurance companies doing business in
the State) with respect to any property loss which is covered by insurance  then
being  carried by  Landlord or Tenant,  respectively,  the party  carrying  such
insurance  and  suffering  said loss  releases the other of and from any and all
claims with respect to such loss;  and they further agree that their  respective
insurance  companies  shall have no right of  subrogation  against  the other on
account thereof,  even though extra premium may result  therefrom.  In the event
that any extra  premium  is  payable  by  Tenant as a result of this  provision,
Landlord shall not be liable for reimbursement to Tenant for such extra premium.

           9.4        FORM SATISFACTORY, ETC.

           All insurance  policies and  endorsements  required  pursuant to this
ARTICLE 9 shall be fully paid for, nonassessable and contain such provisions and
expiration  dates  and be in such  form and  amounts  and  issued  by  insurance
carriers authorized to do business in the State, having a general


                                     - 42 -

<PAGE>



policy  holder's  rating  of A or A+ in  Best's  latest  rating  guide,  and  as
otherwise shall be approved by Landlord.  Without  limiting the foregoing,  such
policies shall include no deductible in excess of $5,000 (unless consistent with
deductibles  included  in  policies  carried  by  entities  engaged  in  similar
businesses and owning  similar  properties  similarly  situated and agreed to in
advance by  Landlord)  and,  with the  exception of the  insurance  described in
SECTION  9.1(F),  shall name  Landlord and any Facility  Mortgagee as additional
insureds,  as their  interests  may  appear.  All  losses  shall be  payable  to
Landlord,  any Facility Mortgagee and Tenant as provided in ARTICLE 10. Any loss
adjustment shall require the prior written consent of Landlord, Tenant, and each
Facility  Mortgagee.  Tenant  shall  pay all  insurance  premiums,  and  deliver
policies or certificates thereof to Landlord prior to their effective date (and,
with respect to any renewal policy,  thirty (30) days prior to the expiration of
the existing  policy),  and in the event Tenant shall fail either to effect such
insurance as herein required,  to pay the premiums therefor,  or to deliver such
policies or  certificates  to Landlord or any  Facility  Mortgagee  at the times
required, Landlord shall have the right, but not the obligation, to acquire such
insurance  and pay the  premiums  therefor,  which  amounts  shall be payable to
Landlord,  upon demand,  as Additional  Charges,  together with interest accrued
thereon at the  Overdue  Rate from the date such  payment is made until the date
repaid. All such policies shall provide Landlord (and any Facility Mortgagee, if
required  by  the  same)  thirty  (30)  days'  prior   written   notice  of  any
modification, expiration or cancellation of such policy.

           9.5        BLANKET POLICY.

           Notwithstanding anything to the contrary contained in this ARTICLE 9,
Tenant's  obligation  to maintain the insurance  herein  required may be brought
within the  coverage of a  so-called  blanket  policy or  policies of  insurance
carried  and  maintained  by Tenant;  provided,  that (a) the  coverage  thereby
afforded will not be reduced or  diminished  from that which would exist under a
separate policy meeting all other  requirements of the applicable Lease, and (b)
the requirements of this ARTICLE 9 are otherwise satisfied. Without limiting the
foregoing,  the amounts of insurance that are required to be maintained pursuant
to  SECTION  9.1 shall be on a  Facility  by  Facility  basis,  and shall not be
subject to an aggregate limit.

           9.6        NO SEPARATE INSURANCE.

           Tenant shall not take out separate  insurance,  concurrent in form or
contributing  in the event of loss  with that  required  by this  ARTICLE  9, or
increase the amount of any existing  insurance by securing an additional  policy
or additional  policies,  unless all parties having an insurable interest in the
subject  matter  of  such  insurance,   including,  Landlord  and  all  Facility
Mortgagees, are included therein as additional insureds, and the loss is payable
under  such  insurance  in the same  manner  as  losses  are  payable  under the
applicable Lease. In the event Tenant shall take out any such separate insurance
or increase any of the amounts of the then existing insurance, Tenant shall give
Landlord prompt Notice thereof.



                                     - 43 -

<PAGE>



           9.7        INDEMNIFICATION OF LANDLORD.

           Notwithstanding  the existence of any insurance  provided for herein,
and  without  regard to the policy  limits of any such  insurance,  the  Tenants
jointly and severally  agree to protect,  indemnify  and hold harmless  Landlord
for, from and against all liabilities,  obligations, claims, damages, penalties,
causes of action, costs and reasonable expenses (including,  without limitation,
reasonable  attorneys'  fees), to the maximum extent  permitted by law,  imposed
upon or incurred by or asserted against Landlord by reason of: (a) any accident,
injury to or death of persons or loss of or damage to property  occurring  on or
about any Collective  Leased  Property or adjoining  sidewalks or rights of way,
including,  without limitation, any claims of malpractice, (b) any past, present
or future use, misuse, non-use, condition, management,  maintenance or repair by
any Tenant or anyone claiming under any Tenant of any Collective Leased Property
or  Tenant's  Personal  Property  or any  litigation,  proceeding  or  claim  by
governmental  entities or other third parties to which  Landlord is made a party
or participant  related to any Collective  Leased Property or Tenant's  Personal
Property or such use, misuse, non-use,  condition,  management,  maintenance, or
repair  thereof   including,   failure  to  perform   obligations   (other  than
Condemnation proceedings) to which Landlord is made a party, (c) any Impositions
(which is the joint and several obligation of the Tenants to pay pursuant to the
applicable  provisions of the applicable Lease), and (d) any failure on the part
of any Tenant or anyone  claiming under any Tenant to perform or comply with any
of the terms of any applicable  Lease. The Tenants shall pay all amounts payable
under this  SECTION 9.7 within ten (10) days after demand  therefor,  and if not
timely paid,  such amounts shall bear interest at the Overdue Rate from the date
of determination to the date of payment.  Each Tenant,  at its expense,  agrees,
jointly and severally,  to contest,  resist and defend any such claim, action or
proceeding  asserted  or  instituted  against  Landlord  or  may  compromise  or
otherwise  dispose of the same,  with  Landlord's  prior written  consent (which
consent may not be  unreasonably  withheld or delayed).  The obligations of each
Tenant  under this SECTION 9.7 are in addition to the  obligations  set forth in
SECTION 4.4 and shall survive the termination of the ap plicable Lease.


                                   ARTICLE 10

                                    CASUALTY

           10.1       INSURANCE PROCEEDS.

           All  proceeds  payable  by  reason  of  any  loss  or  damage  to the
applicable Leased Property, or any portion thereof, and insured under any policy
of insurance required by ARTICLE 9 (including,  without limitation,  proceeds of
any business interruption insurance) shall be paid directly to Landlord (subject
to the  provisions of SECTION  10.2).  If Tenant is required to  reconstruct  or
repair such Leased Property as provided herein,  such proceeds shall be paid out
by Landlord  from time to time for the  reasonable  costs of  reconstruction  or
repair of such  Leased  Property  necessitated  by such  damage or  destruction,
subject to the provisions of SECTION 10.2.4. Provided no Default


                                     - 44 -

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or Event of Default  has  occurred  and is  continuing,  any excess  proceeds of
insurance  remaining  after the completion of the  restoration  shall be paid to
Tenant.  In the event that SECTION  10.2.1 below is  applicable,  the  insurance
proceeds  shall be retained by the party  entitled  thereto  pursuant to SECTION
10.2.1. All salvage resulting from any risk covered by insurance shall belong to
Landlord,  except any salvage related to Tenant's Capital Additions and Tenant's
Personal Property shall belong to Tenant.

           10.2       DAMAGE OR DESTRUCTION.

                      10.2.1     DAMAGE OR DESTRUCTION OF LEASED PROPERTY.

                      If, during the Term, the applicable  Leased Property shall
           be totally or partially destroyed and the Facility located thereon is
           thereby  rendered  Unsuitable  for Its Primary  Intended Use,  Tenant
           shall, at Tenant's  option,  exercisable by Notice to Landlord within
           thirty (30) days after the date of such damage or destruction, either
           irrevocably  offer (a) to purchase such Leased Property from Landlord
           for a  purchase  price  equal  to the  greater  of (i)  the  Adjusted
           Purchase Price of such Leased  Property or (ii) the Fair Market Value
           Purchase  Price of such  Leased  Property  immediately  prior to such
           damage or  destruction.  If Tenant  shall  fail to give such  Notice,
           Tenant shall be deemed to have elected the option  provided in CLAUSE
           (A) above.  In the event  Landlord does not accept  Tenant's offer to
           purchase the applicable Leased Property within thirty (30) days after
           receipt of Tenant's  Notice of election,  the  applicable  Lease with
           respect to the applicable  Leased  Property shall  terminate  without
           further liability  hereunder and Landlord shall be entitled to retain
           the  insurance  proceeds  payable on account of such  damage.  In the
           event  Tenant  purchases  such  Leased  Property  as provided in this
           SECTION  10.2.1,  the insurance  proceeds  payable on account of such
           damage shall be paid to Tenant.

                      10.2.2     PARTIAL DAMAGE OR DESTRUCTION.

                      If during the Term, the applicable  Leased  Property shall
           be totally or partially destroyed but the Facility located thereon is
           not rendered  Unsuitable for its Primary  Intended Use,  Tenant shall
           promptly restore such Facility as provided in SECTION 10.2.4.

                      10.2.3     INSUFFICIENT INSURANCE PROCEEDS.

                      If the cost of the repair or restoration of the applicable
           Leased Property exceeds the amount of insurance  proceeds received by
           Landlord  pursuant to ARTICLE 9, upon the demand of Landlord,  Tenant
           shall  contribute  any excess  amounts  needed to restore such Leased
           Property.  Such  difference  shall be paid by Tenant to Landlord  and
           held by Landlord,  together with any other  insurance  proceeds,  for
           application to the cost of repair and restoration.



                                     - 45 -

<PAGE>



                      10.2.4     DISBURSEMENT OF PROCEEDS.

                      In the event Tenant is required to restore the  applicable
           Leased  Property  pursuant to SECTION 10.2,  Tenant will, at its sole
           cost and  expense,  commence  promptly  and  continue  diligently  to
           perform  the  repair  and   restoration   of  such  Leased   Property
           (hereinafter  called the "WORK"), or shall cause the same to be done,
           so as to restore  such Leased  Property in full  compliance  with all
           Legal Requirements and so that such Leased Property shall be at least
           equal in value and general  utility to its general  utility and value
           immediately prior to such damage or destruction. Subject to the terms
           hereof,  Landlord  shall advance the insurance  proceeds  (other than
           proceeds of business  interruption  insurance which shall be advanced
           as  provided  below) and the  amounts  paid to it pursuant to SECTION
           10.2.3 to Tenant regularly  during the repair and restoration  period
           so as to  permit  payment  for the cost of any such  restoration  and
           repair. Any such advances shall be for not less than $50,000 (or such
           lesser  amount  as  equals  the  entire  balance  of the  repair  and
           restoration)   and  Tenant   shall   submit  to  Landlord  a  written
           requisition  and  substantiation  therefor on AIA Forms G702 and G703
           (or on such other form or forms as may be  acceptable  to  Landlord).
           Landlord may, at its option,  condition advancement of said insurance
           proceeds and other  amounts on (i) the absence of any  Default,  (ii)
           its approval of plans and specifications of an architect satisfactory
           to Landlord,  (iii) general contractors' estimates,  (iv) architect's
           certificates,  (v) unconditional lien waivers of general contractors,
           (vi) evidence of approval by all  governmental  authorities and other
           regulatory  bodies  whose  approval is required  and (vii) such other
           certificates as Landlord may, from time to time,  reasonably require.
           Except as provided in the following  sentence and provided no Default
           has occurred  and is  continuing,  on the first day of each  calendar
           month during which  proceeds of business  interruption  insurance are
           disbursed  to  Landlord  under the  policy of  business  interruption
           insurance  maintained  pursuant to ARTICLE 9, Landlord shall disburse
           proceeds of business interruption  insurance received by it to Tenant
           upon Notice from Tenant  accompanied by a  certification  from Tenant
           that  such  moneys  will be used for costs or  expenses  of owning or
           operating the  applicable  Leased  Property,  including any corporate
           allocation  in  compliance  with SECTION  22.9.  Proceeds of business
           interruption insurance shall be applied by Landlord, on the first day
           of the  calendar  month  following  such  disbursement,  first to the
           payment of all Minimum Rent,  Additional Rent and Additional  Charges
           then due and payable and to become due and payable for the period for
           which such proceeds have been paid by the insurance  provider,  if at
           any time the amount of such proceeds will be  insufficient to pay all
           Minimum Rent,  Additional Rent and Additional  Charges due or to come
           due during such period,  Landlord shall suspend  disbursement of such
           proceeds.

                      Landlord's obligation to disburse insurance proceeds under
           this  ARTICLE 10 shall be subject to the release of such  proceeds by
           the applicable Facility Mortgagee to Landlord.



                                     - 46 -

<PAGE>



                      Tenant's  obligation  to  restore  the  applicable  Leased
           Property  pursuant to this ARTICLE 10 shall be subject to the release
           of available  insurance proceeds by the applicable Facility Mortgagee
           to Landlord.

                      10.2.5     TERMINATION OF APPLICABLE LEASE.

                      If  Landlord   accepts  Tenant's  offer  to  purchase  the
           applicable Leased Property,  as provided herein, the applicable Lease
           shall terminate as to the applicable  Leased Property upon payment of
           the purchase price  therefor,  and Landlord shall remit to Tenant all
           insurance proceeds  pertaining to the applicable Leased Property then
           held by Landlord.

           10.3       DAMAGE NEAR END OF TERM.

           Notwithstanding  any  provisions  of  SECTION  10.1  OR  10.2  to the
contrary,  if damage to or destruction of the applicable  Leased Property occurs
during  the  last  eighteen  (18)  months  of the  Second  Extended  Term of the
applicable Lease and if such damage or destruction cannot reasonably be expected
to be fully repaired and restored prior to the date that is six (6) months prior
to the end of such  Term,  then  Tenant  shall have the right to  terminate  the
applicable  Lease on thirty (30) days prior Notice to Landlord by giving  Notice
thereof to  Landlord  within  sixty  (60) days after the date of such  damage or
destruction.

           10.4       TENANT'S PROPERTY.

           All insurance  proceeds payable by reason of any loss of or damage to
any of Tenant's Personal Property or Tenant's Capital Additions shall be paid to
Tenant  and,  to the  extent  necessary  to repair or replace  Tenant's  Capital
Additions or Tenant's  Personal Property in accordance with SECTION 10.5, Tenant
shall hold such  proceeds  in trust to pay the cost of  repairing  or  replacing
damaged Tenant's Personal Property or Tenant's Capital Additions.

           10.5       RESTORATION OF TENANT'S PROPERTY.

           If Tenant is required to restore the  applicable  Leased  Property as
hereinabove  provided,  Tenant  shall  either (a)  restore all  alterations  and
improvements made by Tenant, Tenant's Personal Property and all Tenant's Capital
Additions,  or (b) replace such alterations and improvements,  Tenant's Personal
Property,  and/or Tenant's Capital  Additions with  improvements or items of the
same or better quality and utility in the operation of such Leased Property.

           10.6       NO ABATEMENT OF RENT.

           The  applicable  Lease  shall  remain in full  force and  effect  and
Tenant's obligation to make all payments of Rent (including, without limitation,
Additional  Rent) and to pay all other charges as and when  required  under such
Lease shall remain unabated during the Term notwithstanding any damage involving
the applicable Leased Property (provided that Landlord shall credit against


                                     - 47 -

<PAGE>



such payments any amounts paid to Landlord as a consequence of such damage under
any business  interruption  insurance obtained by Tenant  hereunder);  PROVIDED,
HOWEVER, that effective upon the purchase of such Leased Property or termination
of such Lease pursuant to and in accordance  with SECTION 10.2, such Lease shall
terminate  except with  respect to the  obligations  and  liabilities  of Tenant
thereunder,  actual or  contingent,  that arose prior to such  termination.  The
provisions of this ARTICLE 10 shall be considered an express agreement governing
any cause of damage or destruction to the applicable Leased Property and, to the
maximum  extent  permitted  by law,  no  local or State  statute,  laws,  rules,
regulation  or  ordinance  in effect  during the Term which  provide  for such a
contingency shall have any application in such case.

           10.7       WAIVER.

           Tenant hereby waives any statutory  rights of  termination  which may
arise by reason of any damage or destruction of the applicable  Leased  Property
which  Landlord  is  obligated  to  restore  or  may  restore  under  any of the
provisions of the applicable Lease.


                                   ARTICLE 11

                                  CONDEMNATION

           11.1       TOTAL CONDEMNATION, ETC.

           If either (i) the whole of the  applicable  Leased  Property shall be
taken by  Condemnation  or (ii) a  Condemnation  of less  than the whole of such
Leased Property renders such Leased Property Unsuitable for Its Primary Intended
Use, the Rent for such Leased  Property  shall abate in its entirety on the Date
of Taking,  the applicable  Lease shall  terminate and Tenant and Landlord shall
seek the Award for their  interests  in such  Leased  Property  as  provided  in
SECTION 11.5. If the Award received by Landlord for Landlord's  interest in such
Leased  Property is less than the greater of (x) the Adjusted  Purchase Price or
(y) the Fair Market Value  Purchase  Price of such Leased  Property  immediately
prior to such  Condemnation,  Tenant  shall  contribute  and pay to Landlord the
lesser of (1) the  amount of  Tenant's  Award or (2) such  shortfall;  PROVIDED,
HOWEVER,  that notwithstanding the foregoing,  if the sum of the Awards received
by  Landlord  and  Tenant  with  respect to such  Condemnation  is less than the
Adjusted Purchase Price of such Leased Property,  Tenant shall pay the amount of
such difference to Landlord, whether or not such amount exceeds Tenant's Award.

           11.2      PARTIAL CONDEMNATION.

           In the  event  of a  Condemnation  of  less  than  the  whole  of the
applicable  Leased Property such that such Leased Property is still suitable for
its Primary  Intended Use,  Tenant will, at its sole cost and expense,  commence
promptly and continue  diligently  to restore the untaken  portion of the Leased
Improvements on such Leased Property so that such Leased Improvements shall


                                     - 48 -

<PAGE>



constitute  a complete  architectural  unit of the same  general  character  and
condition (as nearly as may be possible under the  circumstances)  as the Leased
Improvements existing immediately prior to such Condemnation, in full compliance
with all  Legal  Requirements.  Subject  to the  terms  hereof,  Landlord  shall
contribute  to the cost of  restoration  that  part of the  Award  necessary  to
complete such repair or  restoration,  together with severance and other damages
awarded  for the taken  Leased  Improvements,  to Tenant  regularly  during  the
restoration  period  so as to  permit  payment  for the cost of such  repair  or
restoration.  Landlord may, at its option,  condition  advancement of said Award
and other amounts on (i) the absence of any Default,  (ii) its approval of plans
and  specifications  of an architect  satisfactory  to Landlord  (which approval
shall not be  unreasonably  withheld or  delayed),  (iii)  general  contractors'
estimates,  (iv) architect's  certificates,  (v)  unconditional  lien waivers of
general contractors,  (vi) evidence of approval by all governmental  authorities
and other  regulatory  bodies  whose  approval is required  and (vii) such other
certificates as Landlord may, from time to time, reasonably require.  Landlord's
obligation  under this SECTION 11.2 to disburse the Award and such other amounts
shall  be  subject  to (1)  the  collection  thereof  by  Landlord  and  (2) the
satisfaction of any applicable  requirements of any Facility  Mortgage,  and the
release of such Award by the applicable Facility Mortgagee.  Tenant's obligation
to restore the applicable Leased Property shall be subject to the release of the
Award by the  applicable  Facility  Mortgagee  to  Landlord.  If the cost of the
restoration of the  applicable  Leased  Property  exceeds that part of the Award
necessary  to complete  such  restoration,  together  with  severance  and other
damages awarded for the taken Leased Improvements,  Tenant shall contribute upon
the  demand of  Landlord  any  excess  amounts  needed to  restore  such  Leased
Property.  Such  difference  shall be paid by  Tenant  to  Landlord  and held by
Landlord,  together  with such part of the  Award and such  severance  and other
damages, for application to the cost of restoration.

           11.3       ABATEMENT OF RENT.

           Other than as  specifically  provided in this Master Lease  Document,
the  applicable  Lease  shall  remain in full  force  and  effect  and  Tenant's
obligation  to make  all  payments  of Rent  (includ  ing,  without  limitation,
Additional  Rent) and to pay all other charges as and when  required  under such
Lease shall remain unabated  during the Term  notwithstanding  any  Condemnation
involving the applicable Leased Property; PROVIDED, HOWEVER, that effective upon
the purchase of such Leased Property or the termination of the Lease pursuant to
and in accordance  with SECTION  11.1,  such Lease shall  terminate  except with
respect to the  obligations  and  liabilities  of Tenant  thereunder,  actual or
contingent, that arose prior to such termination. The provisions of this Article
11 shall be considered an express agreement governing any Condemnation involving
the applicable  Leased Property and, to the maximum extent  permitted by law, no
local or State statute,  law, rule, regulation or ordinance in effect during the
Term which  provides for such a contingency  shall have any  application in such
case.



                                     - 49 -

<PAGE>



           11.4       TEMPORARY CONDEMNATION.

           In the event of any temporary  Condemnation of all or any part of the
applicable  Leased Property or Tenant's  interest under the applicable  Lease of
such Leased  Property,  the  applicable  Lease shall  continue in full force and
effect, and Tenant shall continue to pay, in the manner and on the terms therein
specified,  the full amount of the Rent.  Tenant  shall  continue to perform and
observe all of the other terms and  conditions  hereof on the part of the Tenant
to be  performed  and  observed.  Provided  no Default or Event of Default  that
relates  to the  payment of money has  occurred  and is  continuing,  the entire
amount of any Award made for such temporary  Condemnation allocable to the Term,
whether  paid by way of  damages,  rent or  otherwise,  shall be paid to Tenant.
Tenant  shall,  promptly  upon the  termination  of any such period of temporary
Condemnation,  at its sole cost and expense, restore such Leased Property to the
condition  that  existed  immediately  prior  to  such  Condemnation,   in  full
compliance  with  all  Legal  Requirements,  unless  such  period  of  temporary
Condemnation  shall extend  beyond the  expiration  of the Term,  in which event
Tenant  shall not be required  to make such  restoration.  For  purposes of this
SECTION  11.4, a  Condemnation  shall be deemed to be temporary if the period of
such  Condemnation  is not expected to, and does not,  exceed  twenty-four  (24)
months.

           11.5       ALLOCATION OF AWARD.

           Except as provided in the second  sentence of this SECTION 11.5,  the
total Award shall be solely the property of and payable to Landlord. Any portion
of the Award made for the taking of  Tenant's  leasehold  interest in the Leased
Property,  Tenant's Capital Additions,  loss of business during the remainder of
the Term,  the taking of Tenant's  Personal  Property,  or Tenant's  removal and
relocation expenses shall be the sole property of and payable to Tenant (subject
to the  provisions of SECTION 11.2  hereof).  In any  Condemnation  proceedings,
Landlord and Tenant shall each seek its own Award in conformity herewith, at its
own expense.


                                   ARTICLE 12

                              DEFAULTS AND REMEDIES

           12.1       EVENTS OF DEFAULT.

           The  occurrence,   and  continuance  beyond  the  expiration  of  any
applicable grace period  specifically  provided for in this SECTION 12.1, of any
one or more of the following events shall constitute an "EVENT OF DEFAULT" under
the applicable Lease:

                      (a) an Event of Default (as defined  therein)  shall occur
           and be continuing under any Transaction Document; or



                                     - 50 -

<PAGE>



                      (b) any Tenant  shall fail to make any payment of the Rent
           or any other sum  (including,  but not  limited  to,  payment  of the
           purchase price for any of the Collective  Leased Properties which any
           Tenant shall be obligated or elects to purchase pursuant to the terms
           of this Master  Lease  Document or any Lease)  payable  hereunder  or
           under any Lease when due and such failure  continues  for a period of
           ten (10) days after the date when due; or

                      (c) any  Tenant  shall  default in the due  observance  or
           performance  of any of the terms,  covenants or agreements  contained
           herein  or in any  other  Transaction  Document  to be  performed  or
           observed by it or Community  Care shall default in the due observance
           of Section 4 of the CCA Guaranty, in each case relating to other than
           the payment of money and not  otherwise  referred to in this  SECTION
           12.1,  and such  default  shall  remain  unremedied  for a period  of
           fifteen (15) days after Notice  thereof from Landlord  (provided that
           no such  notice  shall  be  required  if  Landlord  shall  reasonably
           determine   immediate  action  is  necessary  to  protect  person  or
           property),  PROVIDED, HOWEVER, that if such default is susceptible of
           cure but such cure cannot be accomplished  with due diligence  within
           such period of time, and if in addition such Tenant or Community Care
           commences to cure such default  within fifteen (15) days after Notice
           thereof from Landlord,  and thereafter  prosecutes the curing of such
           default with all due diligence, such period of time shall be extended
           to such period of time (not to exceed an additional thirty (30) days)
           as may be necessary to cure such default with all due diligence; or

                      (d)  any  Tenant  shall  default  in  due  performance  or
           observance  of any  term,  covenant  or  agreement  on its part to be
           performed  or observed  pursuant to ARTICLES 7, 9 or 16 and  Landlord
           shall elect,  by Notice to such  Tenant,  to treat such default as an
           Event of Default hereunder; or

                      (e) any  Guarantor  shall  default in due  performance  or
           observance  of any  term,  covenant  or  agreement  on its part to be
           performed or observed  pursuant to any Guaranty (other than Section 4
           of the CCA Guaranty); or

                      (f) any of the  Transaction  Documents shall cease for any
           reason to be in full force and  effect  (other  than as  specifically
           provided therein, or released as provided therein),  or any Tenant or
           any Guarantor shall so assert in writing; or

                      (g) the  occurrence  of a default  or breach of  condition
           continuing beyond the expiration of any applicable grace period under
           the terms of any other agreement,  document or instrument (including,
           without  limitation,  all leases and loan  documents)  evidencing any
           indebtedness,  covenant, liability, obligation or undertaking due to,
           or made for the benefit of,  Landlord and/or any of its Affiliates by
           (i)  any  Tenant,  (ii)  any  Affiliate  of  any  Tenant,  (iii)  any
           Guarantor,  (iv) any  Affiliate  of any  Guarantor  or (v) any entity
           owned,  legally  or  beneficially,  by any  Tenant or any  Guarantor,
           whether such  indebtedness,  covenants,  liabilities,  obligations or
           undertakings are direct or indirect,


                                     - 51 -

<PAGE>



           absolute or contingent,  liquidated or unliquidated, due or to become
           due, joint, several or joint and several,  primary or secondary,  now
           existing or hereafter arising; or

                      (h) any obligation of any Tenant or any  Guarantor,  or of
           any Subsidiary of either,  in respect of any  Indebtedness  for money
           borrowed or for the deferred  purchase price of any material property
           or services  (excluding trade accounts payable in the ordinary course
           of business on customary  trade terms) in each case in the  aggregate
           amount of $10,000, or any guaranty relating thereto shall be declared
           to be or shall  become due and payable  prior to the stated  maturity
           thereof, or there shall occur and be continuing any default under any
           instrument,  agreement  or evidence of  indebtedness  relating to any
           such Indebtedness for money borrowed the effect of which is to permit
           the holder or holders of such  instrument,  agreement  or evidence of
           indebtedness,  or a trustee,  agent or other representative on behalf
           of such  holder or  holders,  to cause such  Indebted  ness for money
           borrowed to become due prior to its stated maturity; or

                      (i) there shall occur a final  unappealable  determination
           by applicable  state  authorities  of the revocation or limitation of
           any  license,  permit,  certification  or approval  required  for the
           lawful  operation of any Facility  located on any  Collective  Leased
           Property in accordance  with its Primary  Intended Use or the loss or
           limitation of any license,  permit,  certification  or approval under
           any other circumstances under which the applicable Tenant is required
           to cease  its  operation  of such  Facility  in  accordance  with its
           Primary Intended Use at the time of such loss or limitation; or

                      (j) any representation or warranty made by or on behalf of
           any Tenant or any Guarantor  under or in connection with any Lease or
           any  of  the  other  Transaction  Documents,   or  in  any  document,
           certificate  or  agreement  delivered  pursuant  to the terms of such
           Lease or any of the other Transaction Documents,  shall prove to have
           been false or misleading in any material respect on the day when made
           or deemed made; or

                      (k) any Tenant or any  Guarantor  shall be  generally  not
           paying its debts as they become due, or any Tenant or any  Guarantor,
           or any subsidiary  thereof,  shall make a general  assignment for the
           benefit of creditors; or

                      (l) any  petition  shall be filed  by or  against  (i) any
           Tenant or (ii) any  Guarantor or (iii) any Affiliate of either (where
           the filing of such petition or  commencement  or adjudication of such
           proceeding  by or  against  any such  Affiliate  will have a material
           adverse effect upon the operations,  business prospects, property, or
           assets  of,  liabilities,  or the  condition  of,  any  Tenant or any
           Guarantor),   under  the  Federal   bankruptcy  laws,  or  any  other
           proceeding  shall be  instituted  by or  against  any  Tenant or such
           Guarantor  or  Affiliate  seeking  to  adjudicate  it a  bankrupt  or
           insolvent,  or  seeking  liquidation,  reorganization,   arrangement,
           adjustment or  composition  of it or its debts under any law relating
           to bankruptcy,  insolvency or reorganization or relief of debtors, or
           seeking  the entry of an order for  relief  or the  appointment  of a
           receiver, trustee, custodian or other


                                     - 52 -

<PAGE>



           similar  official for any Tenant or such  Guarantor or Affiliate,  or
           for  any  substantial  part of the  property  of any  Tenant  or such
           Guarantor or Affiliate,  and such proceeding is not dismissed  within
           ninety  (90) days after  institution  thereof,  or any Tenant or such
           Guarantor or  Affiliate  shall take any action to authorize or effect
           any of the actions set forth above in this PARAGRAPH (L); or

                      (m) any Tenant or any Guarantor or any Affiliate of any of
           them (where the dissolution or termination of any such Affiliate will
           have  a  material  adverse  effect  upon  the  operations,   business
           prospects,  property, or assets of, liabilities, or the condition of,
           any Tenant or any Guarantor)  shall cause or institute any proceeding
           for its dissolution or termination; or

                      (n) any Tenant shall  voluntarily  cease  operation of any
           Collective  Leased Property for its Primary Intended Use for a period
           in excess  of thirty  (30)  consecutive  days,  except as a result of
           damage, destruction or partial or complete condemnation; or

                      (o) a default  shall  occur  under any  mortgage  which is
           secured  by any  Tenant's  leasehold  interest  in any  Lease  or the
           mortgagee  under  any  such  mortgage  accelerates  the  indebtedness
           secured thereby or commences a foreclosure  action in connection with
           said mortgage; or

                      (p)  if the  estate  or  interest  of  any  Tenant  in any
           Collective  Leased  Property or any part thereof shall be levied upon
           or  attached in any  proceeding  and the same shall not be vacated or
           discharged  within the later of (i) one hundred and twenty (120) days
           after commencement thereof, unless the amount in dispute is less than
           $10,000,  in which case such Tenant  shall give notice to Landlord of
           the dispute but such Tenant may defend in any suitable  way, and (ii)
           thirty (30) days after receipt by such Tenant of notice  thereof from
           Landlord  (unless  such  Tenant  shall  be  contesting  such  lien or
           attachment in good faith in accordance with ARTICLE 8 hereof); or

                      (q) if any of the  representations  or warranties  made in
           the Merger  Agreement  proves to be untrue when made in any  material
           respect; or

                      (r) if any Provider Agreement material to the operation or
           financial condition of any Tenant or any Facility shall be terminated
           prior to the  expiration  of the term  thereof or,  without the prior
           written  consent of Landlord in each instance  (which  consent may be
           withheld in Landlord's  sole and absolute  discretion),  shall not be
           renewed or  extended or replaced  upon the  expiration  of the stated
           term  thereof  and such  termination  is  expected to have a material
           adverse effect upon the operations,  business prospects, property, or
           assets of, liabilities,  or the condition of, or Net Patient Revenues
           or Non-Inpatient Revenues generated by, such Facility or such Tenant;
           or



                                     - 53 -

<PAGE>



                      (s)  if,  after  any  Tenant  has  obtained  approval  for
           Medicare and/or Medicaid funding, a final unappealable  determination
           is made by the  applicable  governmental  authority that Tenant shall
           have  failed to  comply  with  applicable  Medicare  and/or  Medicaid
           regulations  in the operation of any  Facility,  as a result of which
           failure such Tenant is declared ineligible to receive  reimbursements
           under the Medicare and/or Medicaid programs;

then,  and in any such  event,  Landlord,  in  addition  to all  other  remedies
available to it, may terminate  all of the Leases,  or any of them, as Landlord,
in its sole discretion,  elects, by giving Notice of such termination,  and upon
the expiration of the time, if any, fixed in such Notice, the Term of each Lease
designated by Landlord  shall  terminate and all rights of any Tenant under such
Lease shall cease. Landlord shall have all rights at law and in equity available
to Landlord as a result of Tenant's breach of any Lease.

           Upon the occurrence of an Event of Default, Landlord may, in addition
to any  other  remedies  provided  herein,  enter  upon  the  Collective  Leased
Properties or any portion thereof and take possession of any and all of Tenant's
Personal Property and the Records (subject to any prohibitions or limitations to
disclosure of any such data as described in SECTION  3.1.2(E)) on the applicable
Leased  Property,  without  liability for trespass or conversion  (Tenant hereby
waiving  any right to notice or hearing  prior to such taking of  possession  by
Landlord)  and sell the same at public or  private  sale,  after  giving  Tenant
reasonable  Notice of the time and place of any public or private sale, at which
sale  Landlord  or its  assigns  may  purchase  all or any  portion of  Tenant's
Personal Property unless otherwise  prohibited by law. Unless otherwise provided
by law and  without  intending  to  exclude  any other  manner of giving  Tenant
reasonable  notice,  the  requirement of reasonable  Notice shall be met if such
Notice is given at least five (5) days before the day of sale. The proceeds from
any such  disposition,  less all expenses incurred in connection with the taking
of possession,  holding and selling of such property  (including,  reasonable at
torneys'  fees) shall be applied as a credit against the  indebtedness  which is
secured by the security  interest  granted in SECTION 7.2. Any surplus  shall be
paid to  Tenant  or as  otherwise  required  by law  and  Tenant  shall  pay any
deficiency to Landlord, as Additional Charges, upon demand.

           12.2       REMEDIES.

           Neither  (a) the  termination  of the  applicable  Lease  pursuant to
SECTION 12.1,  (b) the  repossession  of the applicable  Leased  Property or any
portion thereof,  (c) the failure of Landlord,  notwithstanding  reasonable good
faith efforts,  to re-let the applicable Leased Property or any portion thereof,
nor (d) the reletting of all or any portion thereof, shall relieve Tenant of its
liability  and  obligations  hereunder,  all of  which  shall  survive  any such
termination,  repossession or re-letting.  In the event of any such termination,
Tenant shall  forthwith pay to Landlord all Rent due and payable with respect to
the applicable  Leased  Property to and including the date of such  termination.
Thereafter,  Tenant,  until  the end of what  would  have  been  the Term of the
applicable  Lease in the  absence of such  termination,  and  whether or not the
applicable Leased Property or any portion thereof shall have been re-let,  shall
be liable to Landlord for, and shall pay


                                     - 54 -

<PAGE>



to  Landlord,  as current  damages,  the Rent and other  charges  which would be
payable  hereunder  for the  remainder  of the  Term had  such  termination  not
occurred,  less the net proceeds,  if any, of any  re-letting of the  applicable
Leased Property, after deducting all expenses in connection with such reletting,
including,  without limitation,  all repossession costs,  brokerage commissions,
legal expenses, attorneys' fees, advertising,  expenses of employees, alteration
costs and  expenses of  preparation  for such  reletting.  Tenant shall pay such
current damages to Landlord  monthly on the days on which the Minimum Rent would
have been payable  hereunder if the  applicable  Lease had not been  terminated.
Additional  Rent for the  purposes of this  SECTION 12.2 shall be a sum equal to
the amount of the Additional  Rent  (determined on an annualized  basis) payable
for  the  Fiscal  Year  immediately  preceding  the  Fiscal  Year in  which  the
termination,   re-entry  or  repossession   takes  place.   If,  however,   such
termination,  re-entry or repossession  occurs during the first full Fiscal Year
after the Commencement  Date, the Additional Rent for such Leased Property shall
be  determined  based on the  assumption  that  Additional  Rent for such Leased
Property  would  have  continued  to accrue at the same rate that it had for the
Fiscal Year  immediately  prior to such  termination,  re-entry or  repossession
determination.

           At any time after such  termination,  whether or not  Landlord  shall
have collected any such current damages,  as liquidated final damages beyond the
date of such termination,  at Landlord's election,  Tenant shall pay to Landlord
either (a) an amount equal to the excess,  if any, of the Rent and other charges
which would be payable  hereunder  from the date of such  termination  (assuming
that, for the purposes of this  paragraph,  annual payments by Tenant on account
of  Impositions  would  be the same as  payments  required  for the  immediately
preceding  twelve calendar  months,  or if less than twelve calendar months have
expired  since the  Commencement  Date,  the  payments  required for such lesser
period  projected to an annual amount) for what would be the then unexpired term
of the  applicable  Lease if the same  remained in effect,  over the Fair Market
Rental for the same period, or (b) an amount equal to the lesser of (i) the Rent
and other  charges  that would have been payable for the balance of the Term had
it not been  terminated,  or (ii) the  aggregate  of the Rent and other  charges
accrued in the twelve (12) months ended next prior to such termination  (without
reduction for any free rent or other concession or abatement).  In the event the
applicable Lease is so terminated prior to the expiration of the first full year
of the Term, the liquidated damages which Landlord may elect to recover pursuant
to CLAUSE (B) (II) of this paragraph shall be calculated as if such  termination
had  occurred  on the  first  anniversary  of  the  Commencement  Date.  Nothing
contained in the applicable Lease shall,  however,  limit or prejudice the right
of Landlord to prove and obtain in  proceedings  for bankruptcy or insolvency an
amount  equal to the maximum  allowed by any statute or rule of law in effect at
the time when,  and governing the  proceedings  in which,  the damages are to be
proved,  whether or not the amount be greater  than,  equal to, or less than the
amount of the loss or damages referred to above.

           In  case  of  any  Event  of  Default,   re-entry,   expiration   and
dispossession  by summary  proceedings or otherwise,  Landlord may (a) relet the
applicable  Leased Property or any part or parts thereof,  either in the name of
Landlord or otherwise,  for a term or terms which may at Landlord's  option,  be
equal to, less than or exceed the period which would otherwise have


                                     - 55 -

<PAGE>



constituted  the balance of the Term and may grant  concessions  or free rent to
the extent that  Landlord  considers  advisable and necessary to relet the same,
and (b) may make such  reasonable  alterations,  repairs and  decorations in the
applicable  Leased  Property or any  portion  thereof as  Landlord,  in its sole
judgment,  considers it advisable and necessary for the purpose of reletting the
applicable  Leased  Property;  and the making of such  alterations,  repairs and
decorations  shall not operate or be construed to release  Tenant from liability
hereunder  as  aforesaid.  Landlord  shall  in no  event  be  liable  in any way
whatsoever for failure to relet the applicable Leased Property, or, in the event
that the applicable  Leased  Property is relet,  for failure to collect the rent
under such  reletting.  To the fullest  extent  permitted by law,  Tenant hereby
expressly  waives any and all rights of redemption  granted under any present or
future  laws in the event of Tenant  being  evicted or  dispossessed,  or in the
event of Landlord  obtaining  possession of the applicable  Leased Property,  by
reason of the violation by Tenant of any of the covenants and  conditions of the
applicable Lease.

           12.3       TENANT'S WAIVER.

           IF THE  APPLICABLE  LEASE IS  TERMINATED  PURSUANT TO SECTION 12.1 OR
12.2 HEREOF,  TENANT WAIVES,  TO THE EXTENT PERMITTED BY LAW, (A) ANY RIGHT TO A
TRIAL BY JURY IN THE EVENT OF SUMMARY  PROCEEDINGS  TO ENFORCE THE  REMEDIES SET
FORTH IN THIS  ARTICLE 12, AND (B) THE BENEFIT OF ANY LAWS NOW OR  HEREAFTER  IN
FORCE EXEMPTING PROPERTY FROM LIABILITY FOR RENT OR FOR DEBT.

           12.4       APPLICATION OF FUNDS.

           Any payments  received by Landlord under any of the provisions of the
applicable  Lease during the existence or continuance of any Default or Event of
Default  (and  any  payment  made to  Landlord  rather  than  Tenant  due to the
existence  of any Default or Event of Default)  shall be applied to the Tenants'
obligations under the applicable Lease and under the other Transaction Documents
in such order as Landlord may  determine or as may be  prescribed by the laws of
the State.

           12.5       FAILURE TO CONDUCT BUSINESS.

           For the purpose of  determining  rental loss  damages for  Additional
Rent,  in the event Tenant shall fail to conduct its business at the  applicable
Leased  Property for the Primary  Intended  Use,  exact damages or the amount of
Additional  Rent being  unascertainable,  the  Additional  Rent for such  Leased
Property shall be deemed to be equal to the annual amount of the Additional Rent
for the  Fiscal  Year  immediately  preceding  the  Fiscal  Year in  which  such
determination  takes place. If, however,  such  determination  occurs during the
first full Fiscal Year after the Commencement Date, the Additional Rent for such
Leased Property shall be determined based on the assumption that Additional Rent
for such Leased Property would have continued to accrue at the same rate that it
had for the period prior to such determination.


                                     - 56 -

<PAGE>



           12.6       LANDLORD'S RIGHT TO CURE TENANT'S DEFAULT.

           If an  Event  of  Default  shall  have  occurred  and be  continuing,
Landlord, after Notice to Tenant (provided that no such notice shall be required
if Landlord shall reasonably  determine immediate action is necessary to protect
person or property),  without waiving or releasing any obligation of Tenant, and
without  waiving  or  releasing  any  Event of  Default,  may (but  shall not be
obligated to), at any time thereafter, make such payment or perform such act for
the account and at the expense of Tenant,  and may, to the extent  permitted  by
law, enter upon the applicable  Leased  Property or any portion thereof for such
purpose  and take all such  action  thereon as, in  Landlord's  opinion,  may be
necessary or  appropriate  therefor,  including  the  management of the Facility
located on the  applicable  Leased  Property by Landlord  or its  designee,  and
Tenant hereby irrevocably  appoints,  in the event of such election by Landlord,
Landlord or its  designee as manager of the Facility  located on the  applicable
Leased  Property  and its  attorney in fact for such  purpose,  irrevocably  and
coupled with an interest,  in the name, place and stead of Tenant. No such entry
shall be deemed  an  eviction  of  Tenant.  All  reasonable  costs and  expenses
(including, without limitation, reasonable attorneys' fees) incurred by Landlord
in connection therewith, together with interest thereon (to the extent permitted
by law) at the Overdue  Rate from the date such sums are paid by Landlord  until
repaid, shall be paid by Tenant to Landlord, on demand.

           12.7       TRADE NAMES.

           If the applicable  Lease relating to a Facility is terminated for any
reason  Tenant  shall not use a Facility  Trade Name in the same market in which
such Facility is located in connection with any business that competes with such
Facility.


                                   ARTICLE 13

                                  HOLDING OVER

           Any holding over by Tenant after the  expiration of the Term shall be
treated as a daily  tenancy  at  sufferance  at a rate equal to 1-1/2  times the
Minimum Rent and the Additional Rent then in effect plus Additional  Charges and
other charges herein provided (prorated on a daily basis). Tenant shall also pay
to Landlord all damages (other than  consequential  damages) sustained by reason
of any such holding over. Otherwise, such holding over shall be on the terms and
conditions set forth in the applicable Lease, to the extent applicable.  Nothing
contained herein shall constitute the consent,  express or implied,  of Landlord
to the holding over of Tenant after the expiration or earlier termination of the
applicable Lease.





                                     - 57 -

<PAGE>



                                   ARTICLE 14

                               LANDLORD'S DEFAULT

           If Landlord shall default in the  performance or observance of any of
its covenants or obligations set forth in the applicable Lease, and such default
shall continue for a period of thirty (30) days after Notice thereof from Tenant
to Landlord and any applicable Facility Mortgagee,  or such additional period as
may be  reasonably  required  to  correct  the  same,  Tenant  may  declare  the
occurrence  of a "LANDLORD  DEFAULT" by a second  Notice to Landlord and to such
Facility Mortgagee.  Thereafter, Tenant may forthwith cure the same and, subject
to the  provisions of the following  paragraph,  invoice  Landlord for costs and
expenses  (including  reasonable  attorneys'  fees and court costs)  incurred by
Tenant in  curing  the  same,  together  with  interest  from the date  Landlord
receives Tenant's invoice,  at a rate equal to the lesser of the Overdue Rate or
the maximum  rate allowed by law.  Tenant  shall have no right to terminate  the
applicable  Lease for any default by Landlord  hereunder  and no right,  for any
such default,  to offset or  counterclaim  against any Rent or other charges due
hereunder.

           If  Landlord  shall  in good  faith  dispute  the  occurrence  of any
Landlord  Default and Landlord,  before the  expiration of the  applicable  cure
period,  shall give  Notice  thereof to Tenant,  setting  forth,  in  reasonable
detail, the basis therefor, no Landlord Default shall be deemed to have occurred
and Landlord shall have no obligation  with respect  thereto until final adverse
determination  thereof.  If Tenant and Landlord  shall fail,  in good faith,  to
resolve the  dispute  within ten (10) days after  Landlord's  Notice of dispute,
either  may  submit  the  matter  for   resolution   to  a  court  of  competent
jurisdiction.


                                   ARTICLE 15

                           PURCHASE OF LEASED PROPERTY

           In the event Tenant shall  purchase the  applicable  Leased  Property
from Landlord  pursuant to the terms of the applicable  Lease,  Landlord  shall,
upon receipt from Tenant of the applicable  purchase  price,  together with full
payment of any unpaid Rent and other charges due and payable with respect to any
period ending on or before the date of the  purchase,  and so long as no Default
shall  have  occurred  and be  continuing  at such  time,  deliver  to Tenant an
appropriate deed or other instruments, conveying the entire interest of Landlord
in and to such  Leased  Property to Tenant,  free and clear of all  encumbrances
created  through the act or omission of Landlord other than (i) those liens,  if
any, which Tenant has agreed in writing to accept and take title subject to, and
(ii) encumbrances  imposed on such Leased Property under SECTION 5.5 hereof. The
difference  between  the  applicable  purchase  price  and  the  total  cost  of
discharging the encumbrances described in CLAUSE (I) above shall be paid in cash
to Landlord or as Landlord may direct, in federal or other immediately available
funds. Other than as specifically  provided above, such Leased Property shall be
conveyed to Tenant on an "as is" basis, and in its then physical


                                     - 58 -

<PAGE>



condition.  The  closing  of any such  sale  shall be  subject  to all terms and
conditions  with respect  thereto set forth in the  applicable  Lease and in the
other Transaction  Documents,  and shall, unless waived by Tenant, be contingent
upon and subject to Tenant's  obtaining all required  governmental  consents and
approvals for such transfer. All expenses of such conveyance, including, without
limitation,  all  transfer  and  sales  taxes,  documentary  fees,  the fees and
expenses of counsel to Landlord and the cost of any title  examination  or title
insurance, shall be paid by Tenant.


                                   ARTICLE 16

                            SUBLETTING AND ASSIGNMENT

           16.1       SUBLETTING AND ASSIGNMENT.

           Except as provided in SECTION 16.3 below,  Tenant shall not,  without
the prior  written  consent  of a majority  of the  Independent  Trustees  and a
majority of the Trustees,  assign, mortgage,  pledge,  hypothecate,  encumber or
otherwise  transfer the applicable Lease or sublease (which term shall be deemed
to include the granting of  concessions  and licenses and the like),  all or any
part of the applicable  Leased Property or suffer or permit the applicable Lease
or the leasehold  estate  created  hereby or thereby or any other rights arising
under the  applicable  Lease to be assigned,  transferred,  mortgaged,  pledged,
hypothecated  or  encumbered,   in  whole  or  in  part,  whether   voluntarily,
involuntarily  or by  operation  of law, or permit the use or  occupancy  of the
applicable Leased Property by anyone other than Tenant, or the applicable Leased
Property to be offered or advertised for assignment or subletting.  For purposes
of this SECTION 16.1, an assignment of the  applicable  Lease shall be deemed to
include  any Change in Control of Tenant or any  transaction  pursuant  to which
Tenant or Newco is merged or  consolidated  with  another  entity or pursuant to
which all or substantially  all of Tenant's or Newco's assets are transferred to
any other entity, as if such Change in Control or transaction were an assignment
of the applicable Lease.

           If the  applicable  Lease is  assigned  or if the  applicable  Leased
Property  or any part  thereof  are sublet (or  occupied  by anybody  other than
Tenant and its  employees)  Landlord,  after an Event of  Default  occurs and is
continuing, may collect the rents from such assignee,  subtenant or occupant, as
the case may be, and apply the net amount collected to the Rent herein reserved,
but no such  collection  shall be deemed a waiver of the provisions set forth in
the first  paragraph of this SECTION  16.1,  the  acceptance by Landlord of such
assignee,  subtenant or occupant,  as the case may be, as a tenant, or a release
of Tenant from the future performance by Tenant of its covenants,  agreements or
obligations contained in the applicable Lease.

           No subletting or  assignment  shall in any way impair the  continuing
primary  liability  of Tenant  hereunder,  and no consent to any  subletting  or
assignment  in a  particular  instance  shall be  deemed  to be a waiver  of the
prohibition  set  forth in this  SECTION  16.1.  No  assignment,  subletting  or
occupancy shall affect the Primary  Intended Use. Any subletting,  assignment or
other transfer


                                     - 59 -

<PAGE>



of Tenant's  interest in the applicable  Lease in  contravention of this SECTION
16.1 shall be voidable at Landlord's option.

           16.2       REQUIRED SUBLEASE PROVISIONS.

           Any sublease of all or any portion of the applicable  Leased Property
shall provide (a) that it is subject and subordinate to the applicable Lease and
to the  matters  to which the  applicable  Lease  and such  Lease is or shall be
subject or  subordinate;  (b) that in the event of  termination of such Lease or
reentry or dispossession  of Tenant by Landlord under such Lease,  Landlord may,
at its option,  terminate such sublease or take over all of the right, title and
interest of Tenant, as sublessor under such sublease,  and such subtenant shall,
at  Landlord's  option,  attorn  to  Landlord  pursuant  to the  then  executory
provisions  of such  sublease,  except that  neither  Landlord  nor any Facility
Mortgagee, as holder of a mortgage or as Landlord under the applicable Lease, if
such  mortgagee  succeeds to that  position,  shall (i) be liable for any act or
omission  of  Tenant  under  such  sublease,  (ii)  be  subject  to any  credit,
counterclaim,  offset or defense which  theretofore  ac crued to such  subtenant
against Tenant, (iii) be bound by any previous modification of such sublease not
consented to in writing by Landlord or by any previous  prepayment  of more than
one (1) month's  Rent,  (iv) be bound by any  covenant of Tenant to undertake or
complete any construction of such Leased Property or any portion thereof, (v) be
required to account for any  security  deposit of the  subtenant  other than any
security deposit actually delivered to Landlord by Tenant,  (vi) be bound by any
obligation  to make any payment to such  subtenant or grant any credits,  except
for  services,  repairs,  maintenance  and  restoration  provided  for under the
sublease  that  are  performed  after  the  date of such  attornment,  (vii)  be
responsible for any monies owing by Tenant to the credit of such  subtenant,  or
(viii) be required to remove any Person  occupying  such Leased  Property or any
part thereof;  and (c) in the event the subtenant receives a written Notice from
Landlord or the Facility Mortgagee, if any, stating that an Event of Default has
occurred and is continuing,  the subtenant shall  thereafter be obligated to pay
all rentals  accruing  under said  sublease  directly  to the party  giving such
Notice or as such party may direct.  All rentals  received from the subtenant by
Landlord  or the  Facility  Mortgagee,  if any,  as the  case  may be,  shall be
credited  against the amounts owing by Tenant under the  applicable  Lease;  and
such sublease shall provide that the subtenant  thereunder shall, at the request
of Landlord,  execute a suitable instrument in confirmation of such agreement to
attorn.  An  original  counterpart  of each such  sublease  and  assignment  and
assumption,  duly executed by Tenant and such subtenant or assignee, as the case
may be, in form and  substance  satisfactory  to  Landlord,  shall be  delivered
promptly to Landlord and (a) in the case of an  assignment,  the assignee  shall
assume  in  writing  and  agree  to keep  and  perform  all of the  terms of the
applicable  Lease on the part of Tenant to be kept and  performed  and shall be,
and become, jointly and severally liable with Tenant for the performance thereof
and (b) in case of either an  assignment  or  subletting,  Tenant  shall  remain
primarily liable, as principal rather than as surety,  for the prompt payment of
the Rent and for the  performance  and  observance  of all of the  covenants and
conditions to be performed by Tenant hereunder.



                                     - 60 -

<PAGE>



           The  provisions  of this SECTION 16.2 shall not be deemed a waiver of
the provisions set forth in the first paragraph of SECTION 16.1.

           16.3       PERMITTED SUBLEASE.

           Notwithstanding  the  foregoing,  but  subject to the  provisions  of
SECTION 16.4 below and any other  express  conditions or  limitations  set forth
herein, Tenant may, in each instance after Notice to Landlord, sublease space at
the applicable Leased Property for laundry, commissary or child care purposes or
similar  concessions in furtherance of the Primary Intended Use, so long as such
sublease  would  not  reduce  the  number  of  licensed  beds at the  applicable
Facility,  would not  violate  or  affect  any Legal  Requirement  or  Insurance
Requirement,   and  Tenant  has  provided  such  additional  insurance  coverage
applicable  to the  activities  to be  conducted in such  subleased  space as is
acceptable to Landlord (and any Facility Mortgagee) in its discretion.

           16.4       SUBLEASE LIMITATION.

           Anything  contained  in this Lease to the  contrary  notwithstanding,
Tenant shall not sublet the  applicable  Leased  Property on any basis such that
the rental to be paid by the sublessee thereunder would be based, in whole or in
part, on either (a) the income or profits derived by the business  activities of
the  sublessee,  or (b) any other  formula such that any portion of the sublease
rental would fail to qualify as "rents from real property" within the meaning of
Section 856(d) of the Code, or any similar or successor provision thereto.


                                   ARTICLE 17

                 ESTOPPEL CERTIFICATES AND FINANCIAL STATEMENTS

           17.1       ESTOPPEL CERTIFICATES

           At any time and from  time to time,  upon not less than ten (10) days
prior  Notice by  Landlord,  Tenant  shall  furnish  to  Landlord  an  Officer's
Certificate certifying that the applicable Lease is unmodified and in full force
and effect (or that the applicable Lease is in full force and effect as modified
and setting forth the modifications),  the date to which the Rent has been paid,
that Tenant is not in default in the  performance  or  observance  of any of the
terms of the applicable  Lease and that no event exists which with the giving of
notice,  lapse of time,  or both,  would  constitute  a  Default  or an Event of
Default,  or if a Default  or an Event of Default  shall  exist,  specifying  in
reasonable detail such Default or an Event of Default, and the steps being taken
to remedy the same, and such  additional  information as Landlord may reasonably
request.  Any such  certificate  furnished  pursuant to this SECTION 17.1 may be
relied  upon by Landlord  and any  prospective  purchaser  or  mortgagee  of the
applicable Leased Property.



                                     - 61 -

<PAGE>



           17.2       FINANCIAL STATEMENTS.

           Tenant shall furnish the following statements to Landlord:

                      (a)        within  forty-five  (45) days after each of the
                                 first three  quarters of any Fiscal  Year,  the
                                 most  recent  Consolidated  Financials  and the
                                 most recent unaudited  financial  statements of
                                 Tenant  prepared  on  a  Facility  by  Facility
                                 basis,   in  each  case   accompanied   by  the
                                 Financial Officer's Certificate;

                      (b)        within  ninety  (90) days after the end of each
                                 Fiscal  Year,  the  most  recent   Consolidated
                                 Financials  for such year,  including  the most
                                 recent financial  statements of Tenant prepared
                                 on a Facility by Facility  basis,  in each case
                                 certified by or any other independent certified
                                 public  accountant  reasonably  satisfactory to
                                 Landlord  and   accompanied  by  the  Financial
                                 Officer's Certificate;

                      (c)        within  thirty  (30) days after the end of each
                                 calendar  month,  an  unaudited   statement  of
                                 income  prepared  on  a  Facility  by  Facility
                                 basis,   including  occupancy  percentages  and
                                 payor  mix,   accompanied   by  the   Financial
                                 Officer's Certificate;

                      (d)        promptly  after the sending or filing  thereof,
                                 copies of all reports which Tenant sends to its
                                 security holders  generally,  and copies of all
                                 periodic  reports  which  Tenant files with the
                                 SEC or any stock  exchange  on which its shares
                                 are listed or traded;

                      (e)        promptly after the delivery  thereof to Tenant,
                                 or its  management,  a copy  of any  management
                                 letter  or  written  report   prepared  by  the
                                 certified  public  accountants  with respect to
                                 the financial condition,  operations,  business
                                 or prospects of Tenant.

                      (f)        at any time and from time to time upon not less
                                 than twenty  (20) days  Notice  from  Landlord,
                                 Tenant   will    furnish   to   Landlord    any
                                 Consolidated  Financials or any other financial
                                 reporting  information  required to be filed by
                                 Landlord  with  any   securities  and  exchange
                                 commission, the SEC or any successor agency, or
                                 any other governmental  authority,  or required
                                 pursuant  to any  order  issued  by  any  court
                                 governmental  authority  or  arbitrator  in any
                                 litigation  to which  Landlord is a party,  for
                                 purposes of compliance therewith; and

                      (g)        promptly upon notice from Landlord,  such other
                                 information concerning the business,  financial
                                 condition and affairs of Tenant as Landlord may
                                 request from time to time.


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Landlord may at any time, and from time to time,  provide any Facility Mortgagee
with copies of any of the foregoing statements.

           17.3       GENERAL OPERATIONS.

           Tenant covenants and agrees to furnish to Landlord:

                      17.3.1     REIMBURSEMENT, LICENSURE, ETC.

           Within thirty (30) days after receipt or modification thereof, copies
of

                                 (a)        all licenses  authorizing  Tenant to
                                            operate the Facility for its Primary
                                            Intended Use;

                                 (b)        all     Medicare     and    Medicaid
                                            certifications,     together    with
                                            provider agreements and all material
                                            correspondence relating thereto with
                                            respect to the Facility  (excluding,
                                            however, correspondence which may be
                                            subject   to   any   attorney-client
                                            privilege);

                                 (c)        a Nursing Home Administrator License
                                            for the individual  employed in such
                                            capacity   with   respect   to   the
                                            Facility; and

                                 (d)        all reports of  surveys,  statements
                                            of     deficiencies,     plans    of
                                            correction,    and   all    material
                                            correspondence   relating   thereto,
                                            including,  without limitation,  all
                                            reports and material  correspondence
                                            concerning    compliance   with   or
                                            enforcement       of      licensure,
                                            Medicare/Medicaid, and accreditation
                                            requirements,   including   physical
                                            environment  and  Life  Safety  Code
                                            survey reports (excluding,  however,
                                            correspondence  which may be subject
                                            to any  attorney-client  privilege);
                                            and

                                 (e)        with  reasonable  promptness,   such
                                            other   confirmation   as   to   the
                                            Licensure  and Medicare and Medicaid
                                            participation  of Tenant as Landlord
                                            may reasonably  request from time to
                                            time.

                      17.3.2     ANNUAL BUDGETS.

           Not less than  thirty (30) days prior to  commencement  of any Fiscal
Year,  proposed  annual  income and  ordinary  expense and  capital  improvement
budgets  setting forth projected  income and costs and expenses  projected to be
incurred by Tenant in managing,  owning,  maintaining and operating the Facility
during the next succeeding Fiscal Year.




                                     - 63 -

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                                   ARTICLE 18

                           LANDLORD'S RIGHT TO INSPECT

           Tenant shall permit  Landlord and its authorized  representatives  to
inspect the applicable Leased Property during usual business hours upon not less
than  twenty-four  (24) hours'  Notice  (provided  that no such notice  shall be
required if Landlord shall reasonably determine immediate action is necessary to
protect  person or property),  and to make such repairs as Landlord is permitted
or required to make pursuant to the terms of the applicable Lease; PROVIDED that
any  inspection  or  repair  by  Landlord  or  its   representatives   will  not
unreasonably  interfere  with Tenant's use and  operation of  applicable  Leased
Property;  FURTHER PROVIDED that in the event of an emergency,  as determined by
Landlord in its sole discretion, prior notice shall not be necessary.


                                   ARTICLE 19

                                    APPRAISAL

           19.1       APPRAISAL PROCEDURE.

           In the event that it becomes  necessary to determine  the Fair Market
Value or Fair Market  Rental of any property  for any purpose of the  applicable
Lease, and the parties cannot agree amongst themselves on such Fair Market Value
or Fair Market Rental,  Tenant may request that Landlord select, or Landlord may
on its own initiative select, a Qualified Appraiser (as hereinafter defined). If
Tenant does not accept the Fair Market Value or Fair Market Rental,  as the case
may be, of such property as of the relevant date as determined by such Qualified
Appraiser,  Tenant may,  within ten (10) days after receiving the report of such
Qualified Appraiser,  by written notice to Landlord,  appoint a second Qualified
Appraiser.  If Tenant does not so appoint a second  Qualified  Appraiser  within
such ten (10) day  period,  Tenant  shall be  deemed to have  accepted  the Fair
Market Value or Fair Market Rental determined by the first Qualified  Appraiser.
The two  appraisers  so  designated  shall  meet  within ten (10) days after the
second Qualified Appraiser is designated, and, if within ten (10) days after the
second Qualified  Appraiser is designated,  the two appraisers do not agree upon
the Fair Market Value or Fair Market Rental, as the case may be, of any property
as of the relevant date, the two appraisers  shall  designate a third  Qualified
Appraiser, within ten (10) days thereafter. In the event that the two appraisers
are unable to agree upon the appointment of a third Qualified  Appraiser  within
such ten (10) day period, either Landlord or Tenant, on behalf of both, may then
request  appointment  of such  appraiser  by the then  president of the American
Arbitration Association.  In the event of a failure, refusal or inability of any
appraiser  to act, a new  Qualified  Appraiser  shall be appointed in his stead,
which appointment  shall be made in the same manner as hereinabove  provided for
the  appointment of such appraiser so failing,  refusing or being unable to act.
In the event that all  appraisers  cannot  agree upon such value within ten (10)
days as aforesaid,  each  appraiser  shall submit his appraisal of such value to
the other two  appraisers  in  writing,  and such value shall be  determined  by
calculating the average


                                     - 64 -

<PAGE>



of the two numerically  closest (or, if the values are  equidistant,  all three)
values determined by the three appraisers.

           "QUALIFIED  APPRAISER" shall mean any  disinterested  person who is a
member in good standing of the American  Institute of Real Estate  Appraisers or
the American  Society of Real Estate  Counselors  (or the successor to either of
such  organizations)  and who has had not less than ten (10) years experience in
appraising and valuing, commercial buildings in the State.

           The costs (other than Landlord's counsel fees) of each such appraisal
shall  be borne by  Tenant  and  shall  be  included  as part of the  Additional
Charges.  Upon  determining  such value,  the appraisers  shall promptly  notify
Landlord and Tenant in writing of such determination. If any party shall fail to
appear at the hearings  appointed by the  appraisers,  the appraisers may act in
the absence of such party.

           The determination of the board of appraisers (or the single Qualified
Appraiser,  as  appropriate)  made in accordance  with the foregoing  provisions
shall be final and binding upon the parties,  such  determination may be entered
as an award in  arbitration in a court of competent  jurisdiction,  and judgment
thereon may be entered.

           19.2       LANDLORD'S RIGHT TO APPRAISAL.

           Landlord shall have the right,  exercisable  twice at any time during
the  Term,  to  appoint  a  Qualified  Appraiser  (which  may  include,  without
limitation,  American  Appraisal  Associates) to perform a complete appraisal of
the  applicable  Leased  Property,  (each such  appraisal  to  include  complete
valuations of such Leased Property based upon (a) the "Cost  Approach",  (b) the
"Market Approach" and (c) the "Income Approach"), which appraisal shall meet all
requirements  of any state or Federal bank  regulatory  authority  that Landlord
considers relevant or any Facility  Mortgagee.  The costs of each such appraisal
shall  be borne by  Tenant  and  shall  be  included  as part of the  Additional
Charges.


                                   ARTICLE 20

                          LANDLORD'S OPTION TO PURCHASE

           20.1       LANDLORD'S   OPTION  TO  PURCHASE  THE  TENANT'S  PERSONAL
PROPERTY; TRANSFER OF LICENSES.

           Effective  on not less than  fifteen (15) days' prior notice given at
least sixty (60) days prior to expiration of the Term (or such shorter period as
shall  be  appropriate  if the  applicable  Lease  is  terminated  prior  to its
expiration  date),  Landlord shall have the option to purchase all (but not less
than all) of Tenant's Personal Property (except motor vehicles),  if any, at the
expiration or termination of the  applicable  Lease,  for an amount equal to the
then fair market value thereof


                                     - 65 -

<PAGE>



(determined  in accordance  with the appraisal  procedures  set forth in ARTICLE
19),  subject to, and with  appropriate  price  adjustments  for, all  equipment
leases, conditional sale contracts, security interests and other encumbrances to
which such Tenant's  Personal  Property is subject.  Tenant's  Personal Property
will be conveyed to Landlord on an "as-is" basis, in its then current  condition
and state of repair.  Tenant shall provide  Landlord  with  warranties of title,
reflecting  no  encumbrances  as to  which  adjustments  to the  purchase  price
thereof,  as required by the previous  sentence,  have not been made. Failure of
Landlord to notify  Tenant of the  election  of its option to purchase  Tenant's
Personal  Property  by  the  fifteenth  day  prior  to  the  termination  of the
applicable  Lease shall be deemed to constitute a waiver of Landlord's  right to
purchase Tenant's Personal Property at the applicable Leased Property.  Upon the
expiration or sooner  termination of the applicable Lease, or upon management of
the Facility  located on the applicable  Leased  Property by the Landlord or its
designee,  Tenant  shall use all  reasonable  efforts to transfer  and assign to
Landlord or its designee,  or assist Landlord or its designee in obtaining,  any
contracts,  licenses,  and certificates  required for the then operation of such
Facility.

                                   ARTICLE 21

                               FACILITY MORTGAGES

           21.1      LANDLORD MAY GRANT LIENS.

           Without the consent of Tenant, Landlord may, subject to the terms and
conditions  set  forth in this  SECTION  21.1,  from time to time,  directly  or
indirectly,  create or otherwise  cause to exist any lien,  encumbrance or title
retention agreement  ("ENCUMBRANCE") upon the applicable Leased Property, or any
portion  thereof or interest  therein,  whether to secure any borrowing or other
means of financing or refinancing.  Any such Encumbrance shall include the right
to prepay  (whether or not subject to a prepayment  penalty)  and shall  provide
(subject to SECTION 21.2 below) that it is subject to the rights of Tenant under
the  applicable  Lease,  including  the rights of Tenant to acquire  such Leased
Property  pursuant to the applicable  provisions of the applicable Lease (except
Tenant's right of first refusal to purchase such Leased Property shall not apply
upon foreclosure or transfer in lieu thereof,  provided, that any such purchaser
or transferee  (a) shall take title  subject to Tenant's  rights to acquire such
Leased Property pursuant to the applicable Lease, (b) shall agree to give Tenant
the same notice, if any, given to Landlord of any default or acceleration of any
obligation  with  respect  to such  Encumbrance,  and (c) shall  agree to permit
Tenant to appear by its  representative  and bid at any sale in foreclosure made
with respect to any such Encumbrance).

           21.2      SUBORDINATION OF LEASE.

           Subject to SECTION  21.1 above,  the  applicable  Lease,  any and all
rights of Tenant  hereunder,  are and shall be subject  and  subordinate  to any
ground  or  master  lease,  and  all  renewals,  extensions,  modifications  and
replacements  thereof, and to all mortgages and deeds of trust, which may now or
hereafter affect the applicable Leased Property or any improvements


                                     - 66 -

<PAGE>



thereon  and/or any of such  leases,  whether or not such  mortgages or deeds of
trust shall also cover other lands and/or buildings  and/or leases,  to each and
every  advance made or hereafter  to be made under such  mortgages  and deeds of
trust, and to all renewals,  modifications,  replacements and extensions of such
leases  and such  mortgages  and deeds of trust and all  consolidations  of such
mortgages  and deeds of  trust.  This  Section  shall be  self-operative  and no
further instrument of subordination  shall be required.  In confirmation of such
subordination,  Tenant  shall  promptly  execute,  acknowledge  and  deliver any
instrument  that Landlord,  the lessor under any such lease or the holder of any
such mortgage or the trustee or beneficiary of any deed of trust or any of their
respective  successors  in interest  may  reasonably  request to  evidence  such
subordination.  Any lease to which the applicable Lease is, at the time referred
to, subject and subordinate is herein called  "SUPERIOR LEASe" and the lessor of
a Superior Lease or its successor in interest at the time referred to, is herein
called  "SUPERIOR  LANDLORD"  and any  mortgage  or deed of trust  to which  the
applicable Lease is, at the time referred to, subject and subordinate, is herein
called "SUPERIOR MORTGAGE" and the holder,  trustee or beneficiary of a Superior
Mortgage is herein called "SUPERIOR MORTGAGEE".

           If any  Superior  Landlord  or Superior  Mortgagee  or the nominee or
designee of any Superior  Landlord or Superior  Mortgagee  shall  succeed to the
rights of Landlord under the applicable  Lease,  whether  through  possession or
foreclosure action or delivery of a new lease or deed, or otherwise, then at the
request  of such  party  so  succeeding  to  Landlord's  rights  (herein  called
"SUCCESSOR  LANDLORD") and upon such Successor  Landlord's  written agreement to
accept Tenant's attornment,  Tenant shall attorn to and recognize such Successor
Landlord as Tenant's  landlord  under the applicable  Lease,  and shall promptly
execute and deliver any instrument  that such Successor  Landlord may reasonably
request to evidence such attornment.  Upon such attornment, the applicable Lease
shall  continue in full force and effect as a direct lease between the Successor
Landlord and Tenant upon all of the terms,  conditions  and covenants as are set
forth in the  applicable  Lease,  except  that the  Successor  Landlord  (unless
formerly the  landlord  under the  applicable  Lease or its nominee or designee)
shall not be (a) liable in any way to Tenant for any act or omission, neglect or
default on the part of Landlord under the applicable  Lease, (b) responsible for
any monies  owing by or on deposit  with  Landlord to the credit of Tenant,  (c)
subject  to any  counterclaim  or setoff  which  theretofore  accrued  to Tenant
against  Landlord,  (d)  bound  by  any  modification  of the  applicable  Lease
subsequent to such Superior Lease or Mortgage,  or by any previous prepayment of
Minimum  Rent or  Additional  Rent for more  than one (1)  month,  which was not
approved in writing by the Superior Landlord or the Superior  Mortgagee thereto,
(e)  liable to the  Tenant  beyond  the  Successor  Landlord's  interest  in the
applicable Leased Property and the rents, income, receipts, revenues, issues and
profits issuing from such Leased  Property,  (f) responsible for the performance
of any work to be done by the Landlord under the applicable  Lease to render the
applicable  Leased  Property  ready for occupancy by Tenant,  or (g) required to
remove any Person occupying the applicable  Leased Property or any part thereof,
except if such person claims by, through or under the Successor Landlord. Tenant
agrees at any time and from time to time to  execute a  suitable  instrument  in
confirmation of Tenant's agreement to attorn, as aforesaid.



                                     - 67 -

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           21.3       NOTICE TO MORTGAGEE AND GROUND LANDLORD.

           Subsequent to the receipt by Tenant of notice from any Person that it
is a  Facility  Mortgagee,  or that it is the ground  lessor  under a lease with
Landlord,  as ground lessee,  which includes the applicable  Leased  Property as
part of the  demised  premises,  no notice  from  Tenant to  Landlord  as to the
applicable  Leased  Property  shall be effective  unless and until a copy of the
same is given to such Facility Mortgagee or ground lessor, and the curing of any
of  Landlord's  defaults by such  Facility  Mortgagee or ground  lessor shall be
treated as performance by Landlord.

                                   ARTICLE 22

                         ADDITIONAL COVENANTS OF TENANT

           22.1       PROMPT PAYMENT OF INDEBTEDNESS.

           Tenant  will  (a) pay or cause to be paid  when due all  payments  of
principal of and premium and  interest on  Indebtedness  for money  borrowed and
will not permit or suffer any such  Indebtedness  to become or remain in default
beyond any applicable grace or cure period, (b) pay or cause to be paid when due
all lawful claims for labor and rents,  (c) pay or cause to be paid when due all
trade  payables and (d) pay or cause to be paid when due all other  Indebtedness
upon which it is or becomes  obligated,  except,  in each case,  other than that
referred  to in clause  (a), to the extent  payment is being  contested  in good
faith by  appropriate  proceedings  in  accordance  with ARTICLE 8 and if Tenant
shall have set aside on its books  adequate  reserves  with  respect  thereto in
accordance  with GAAP or unless and until  foreclosure,  distraint sale or other
similar proceedings shall have been commenced.

           22.2       CONDUCT OF BUSINESS.

           Tenant will not engage in any business  other than the  ownership and
operation of (a) the applicable  Leased  Property,  or (b) any other health care
properties  owned by  Landlord  and  leased to Tenant or given as  security  for
Indebtedness  owed to  Landlord,  and will do or  cause  to be done  all  things
necessary  to  preserve,  renew and keep in full  force and  effect  and in good
standing  its  corporate  existence  and its rights and  licenses  necessary  to
conduct such business.

           22.3       ACCREDITATION.

           Tenant agrees to make diligent efforts to secure accreditation by the
Joint Commission on Accreditation of Health Care Organizations or the Commission
of Accreditation of Rehabilitation  Facilities for the Facility  maintained upon
the  applicable  Leased  Property such  accreditation  to be obtained as soon as
reasonably practicable.



                                     - 68 -

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           22.4       MAINTENANCE OF ACCOUNTS AND RECORDS.

           Tenant  will keep true  records  and books of account in which  full,
true and correct  entries will be made of dealings and  transactions in relation
to the business and affairs of Tenant in accordance with GAAP. Tenant will apply
accounting  principles in the preparation of the financial  statements of Tenant
which, in the judgment of and the opinion of its independent public accountants,
are in accordance  with GAAP,  except for changes  approved by such  independent
public accountants.  Tenant will provide to Landlord either in a footnote to the
financial  statements delivered under SECTION 17.2 which relate to the period in
which such change occurs, or in separate schedules to such financial statements,
information  sufficient to show the effect of any such changes on such financial
statements.

           22.5       NOTICE OF CHANGE OF NAME, ADMINISTRATOR, ETC.

           Tenant will promptly give Notice to Landlord of any change in (a) the
name  (operating  or otherwise) of Tenant or the  applicable  Facility,  (b) the
individual licensed as administrator of the Facility,  (c) the number of beds in
any bed category for which the applicable  Facility is licensed or the number of
beds in any bed category available for use at the applicable  Facility,  and (d)
the  patient  and/or  child care  services  that are  offered at the  applicable
Facility.

           22.6       NOTICE OF LITIGATION, POTENTIAL EVENT OF DEFAULT, ETC.

           Tenant will promptly give Notice to Landlord of any litigation or any
administrative  proceeding  to  which  it may  hereafter  become  a party  which
involves a potential  liability  equal to or greater than $50,000,  or which may
otherwise  result in any material  adverse  change in the business,  operations,
property,  prospects, results of operation or condition,  financial or other, of
Tenant.  Forthwith  upon Tenant  obtaining  knowledge of any  Default,  Event of
Default or event of default under any  agreement  relating to  Indebtedness  for
money borrowed in an aggregate amount  exceeding,  at any one time, Ten Thousand
Dollars  ($10,000),  or any event or  condition  that  would be  required  to be
disclosed in a current  report filed by Community  Care or Tenant on Form 8-K or
in Part II of a quarterly  report on Form 10-Q if Tenant  were  required to file
such reports under the Securities Exchange Act of 1934, as amended,  Tenant will
furnish a Notice to  Landlord  specifying  the nature  and  period of  existence
thereof and what  action  Tenant has taken or is taking or proposes to take with
respect thereto.

           22.7       INDEBTEDNESS OF TENANT.

           Tenant shall not create,  incur,  assume or  guarantee,  or permit to
exist, or become or remain liable directly or indirectly  upon, any Indebtedness
except the following:

                    (a) Indebtedness of Tenant to Landlord;

                                     - 69 -

<PAGE>



                    (b) unsecured  Indebtedness of Tenant,  other than for money
borrowed, incurred in the ordinary course of business;

                    (c)   Indebtedness   of  Tenant  for   taxes,   assessments,
governmental  charges or levies, to the extent that payment thereof shall not at
the time be required to be made in accordance with the provisions of ARTICLE 8;

                    (d) Indebtedness of Tenant in respect of judgments or awards
(i) which have been in force for less than the  applicable  appeal period and in
respect of which execution thereof shall have been stayed pending such appeal or
review, or (ii) which are fully covered by insurance payable to Tenant, or (iii)
which are for an amount  not in excess of $50,000  in the  aggregate  at any one
time  outstanding,  and (x) which  have been in force  for not  longer  than the
applicable appeal period, so long as execution is not levied thereunder,  or (y)
in respect  of which an appeal or  proceedings  for review  shall at the time be
prosecuted in good faith in accordance  with the provisions of ARTICLE 8, and in
respect of which execution thereof shall have been stayed pending such appeal or
review;

                    (e) unsecured borrowings of Tenant from its Affiliates which
are by their terms expressly  subordinate pursuant to a Subordination  Agreement
to the payment and performance of Tenant's obligations under the Leases; or

                    (f) Indebtedness (including without limitation,  accrued and
unpaid  manage ment fees) of Tenant owed to Community  Care or any  wholly-owned
Subsidiary of Community  Care,  PROVIDED  that the payment of such  Indebtedness
shall be  subject  to the terms of a  Subordination  Agreement  among  Tenant as
debtor,  Community Care or such wholly-owned  Subsidiary as subordinate creditor
and  Landlord  as  senior  creditor,  which  subordination  agreement  shall  be
satisfactory to Landlord in its sole and absolute discretion; or

                    (g) Indebtedness of Tenant permitted by clause (a) or (b) of
SECTION  22.12  which is  obtained  from a Lending  Institution  which is not an
Affiliate  of Tenant  and which may be  secured  as  provided  in such  clauses;
provided that at the time of incurrence thereof and after giving effect thereto,
Tenant,  on a pro  forma  basis,  would  have had a ratio of  current  assets to
current liabilities,  determined in accordance with GAAP, of at least 1 to 1, if
such  Indebtedness  had been  outstanding  on the last day of the most  recently
completed fiscal quarter of Tenant and any Indebtedness which is to be satisfied
with the proceeds of such Indebtedness had been satisfied as of such day; or

                    (h) Indebtedness of Tenant expressly consented to in writing
by Landlord.

           22.8      DISTRIBUTIONS, PAYMENTS TO AFFILIATES, ETC.

           Tenant will not declare,  order, pay or make, directly or indirectly,
any  Distributions  or any payment to any Affiliate  (including  payments in the
ordinary course of business and payments


                                     - 70 -

<PAGE>



pursuant to management  agreements with any such Affiliate) or set apart any sum
or  property  therefor,  or agree  to do so,  if,  at the time of such  proposed
action, or immediately  after giving effect thereto,  (a) any event or condition
shall  exist  which  constitutes  a Default  or an Event of  Default  or (b) the
aggregate amount of all such Distributions, from and after the Commencement Date
shall exceed the sum of one hundred  percent (100%) of the net income of Tenant,
determined  on a combined  basis,  for the  period  from the  Commencement  Date
through the date of the proposed  Distribution,  determined  after provision for
taxes and before extraordinary items in accordance with GAAP.

           22.9       INVESTMENTS.

           Tenant shall not make, or permit to remain  outstanding,  at any time
any Investment (including without limitation,  the formation of or investment in
any Subsidiary or the acquisition of any business) except the following:

                    (a) Marketable direct full faith and credit  obligations of,
and marketable  obligations  guaranteed by, the United States of America, or any
agency or instrumentality thereof, which mature within one year from the date of
acquisition thereof;

                    (b) Marketable  direct full faith and credit  obligations of
any state of the United States of America,  or any county,  city, town, township
or other  governmental  subdivision  of any such state,  which mature within one
year from the date of acquisition thereof,  provided,  that such obligations are
accorded a rating  within one of the three highest  grades by Moody's  Investors
Service, Inc. or Standard & Poor's Corporation;

                    (c)  Commercial  paper maturing no more than two hundred and
seventy (270) days from the date of issue,  provided that such paper is accorded
a rating  within the highest  category  by Moody's  Investors  Service,  Inc. or
Standard & Poor's Corporation; or

                    (d)  Certificates  of deposit which have a remaining term to
maturity  at the time of purchase of no more than one year (or which are subject
to a repurchase  agreement with one of the banks or trust companies described in
this PARAGRAPH (D) exercisable within one year from the time of purchase) issued
by banks or trust  companies  organized  under the laws of the United  States of
America or a State  thereof and which are member  banks of the  Federal  Reserve
System,  and have aggregate  capital,  surplus and undivided profits of at least
$100,000,000  and the long term  obligations  of which  carry a rating of "A" or
better by Moody's Investors Service, Inc. or Standard & Poor's Corporation;

                    (e)  Bonds or  debentures  which  have a  remaining  term to
maturity  at the  time of  purchase  of no  more  than  one  year,  issued  by a
corporation,  other than Community Care or an Affiliate thereof, organized under
the laws of a State of the United States or the District of Columbia;  PROVIDED,
that such  obligations  carry a rating of "A" or  better  by  Moody's  Investors
Service, Inc. or Standard & Poor's Corporation.


                                     - 71 -

<PAGE>



           22.10      PROHIBITED TRANSACTIONS.

           Tenant  shall not  permit  to exist or enter  into any  agreement  or
arrangement  whereby it engages in a transaction  of any kind with any Affiliate
of Tenant, except on terms and conditions which are not less favorable to Tenant
than those on which  similar  transactions  between  unaffiliated  parties could
fairly be expected to be entered into on an arms-length basis except, Tenant may
enter into a Management  Agreement  with its  Affiliates  without regard to this
SECTION 22.10 provided such  Management  Agreement is entered into in compliance
with the provisions of SECTION 22.11.

           22.11      MANAGEMENT OF LEASED PROPERTY.

           Tenant shall not enter into any Management Agreement unless the terms
thereof have been previously approved in writing by Landlord,  and such approval
shall be in  Landlord's  sole  discretion.  All  management  fees,  payments  in
connection  with any  extension  of credit  and fees for  services  provided  in
connection with the operation of the applicable Facility,  payable by Tenant, to
(a) any Guarantor (or any of its  Affiliates)  or (b) any  Affiliates of Tenant,
shall  be  subordinated  to all of the  obligations  of  Tenant  due  under  the
applicable Lease pursuant to a Subordination  Agreement.  Tenant shall not agree
to any  change in the  Manager  of the  applicable  Leased  Property  and/or the
applicable Facility,  to any change in the Management  Agreement,  terminate any
Management  Agreement or permit the Manager to assign the  Management  Agreement
without the prior written approval of Landlord in each instance,  which approval
shall be subject to  Landlord's  sole and absolute  discretion.  The  Management
Agreement  shall provide that Landlord shall be provided  notice of any defaults
thereunder and, at Landlord's  option, an opportunity to cure such default;  all
in form  and  substance  satisfactory  to  Landlord  in its  sole  and  absolute
discretion. If Landlord shall cure any of Tenant's defaults under the Management
Agreement,  the cost of such  cure  shall be  payable  upon  demand by Tenant to
Landlord with interest accruing from the demand date at the Overdue Rate and the
Landlord  shall have the same rights and  remedies for failure to pay such costs
on demand as for Tenant's failure to pay Minimum Rent or Additional Rent. Tenant
shall deliver to Landlord any instrument  requested by Landlord to implement the
intent of the foregoing provision.

           22.12 LIENS AND  ENCUMBRANCES.  Except as  permitted  by SECTION 7.1,
Tenant shall not create or incur or suffer to be created or incurred or to exist
any  Lien  on the  Leases,  Tenant's  Personal  Property  or  any  of its  other
respective assets, properties, rights or income, or any of its interest therein,
now or at any time hereafter owned, other than:

                      (a) Security  interests  securing  the  purchase  price of
           equipment or personal property acquired after the Commencement  Date;
           provided,  however, that (i) such Lien shall at all times be confined
           solely to the asset in question,  (ii) the aggregate principal amount
           of Indebtedness  secured by any such Lien does not exceed the cost of
           acquisition or  construction  of the property  subject  thereto;  and
           (iii) the aggregate principal amount of


                                     - 72 -

<PAGE>



           all   Indebtedness   secured  by  any  such  Lien  shall  not  exceed
           $__________ at any one time outstanding; or

                      (b) Security interests in accounts  receivable;  provided,
           however,  that (i) such Lien shall at all times be confined solely to
           such assets,  (ii) the  aggregate  principal  amount of  Indebtedness
           secured  by any such Lien  shall not  exceed  65% of the fair  market
           value  of such  accounts  receivable,  (iii)  the  incurrence  of the
           Indebtedness so secured  complied with CLAUSE (G) of SECTION 22.7 and
           (iv)  the  Person  issuing  such  Indebtedness  becomes  party  to an
           intercreditor  agreement with  Landlord,  the terms and conditions of
           which are satisfactory to Landlord.

                      (c) Permitted Encumbrances.

           22.13 MERGER;  SALE OF ASSETS;  ETC. Tenant shall not (i) sell, lease
(as lessor or sublessor),  transfer or otherwise dispose of, or abandon,  all or
any material portion of its assets (including  capital stock) or business to any
Person,  (ii) merge into or with or consolidate with any other entity,  or (iii)
sell,  lease (as lessor or  sublessor),  transfer  or  otherwise  dispose of, or
abandon, any personal property or fixtures or any real property,  provided that,
notwithstanding  the provisions of clause (iii), Tenant may dispose of equipment
or  fixtures  which have  become  inadequate,  obsolete,  worn-out,  unsuitable,
undesirable or  unnecessary,  provided  substitute  equipment or fixtures having
equal or  greater  value  and  utility  (but  not  necessarily  having  the same
function) have been provided.

           22.14      DEFINITIONS.

           When used in this  ARTICLE  22 the  following  terms  shall  have the
respective  meanings  provided  therefor  and,  unless  otherwise   specifically
indicated, shall be deemed to relate to Tenant:

                                                                                
                                                                           
                    (a) The term "DISTRIBUTIONS"  shall mean (i) any declaration
or payment of any dividend (except  dividends payable in common stock of Tenant)
on or in respect of any shares of any class of capital stock of Tenant, (ii) any
purchase,  redemption retirement or other acquisition of any shares of any class
of capital stock of a corporation, (iii) any other distribution on or in respect
of any shares of any class of capital stock of a corporation, or (iv) any return
of capital to shareholders.

                    (b) The term  "INDEBTEDNESS"  shall  mean  all  obligations,
contingent  or otherwise,  which in accordance  with GAAP should be reflected on
the obligor's balance sheet as liabilities.

                    (c) The term  "INVESTMENT"  shall mean all loans,  advances,
extensions of credit (except for accounts and notes  receivable for  merchandise
sold or services furnished in the ordinary course of business,  and amounts paid
in advance on account of the purchase  price of  merchandise  to be delivered to
the payor within one year of the date of the advance), or purchases


                                     - 73 -

<PAGE>



of stock,  notes,  bonds or other  securities  or evidences of  indebtedness  or
capital  contribution  to any  Person,  whether in cash or other  property.  The
amount of an Investment shall be its cost (the amount of cash or the fair market
value of other property given in exchange  therefor),  whether or not written or
charged off or sold or  otherwise  disposed  of,  except to the extent such cost
shall  have been paid to Tenant by a Person in which  Tenant  had no  present or
prospective financial interest at the time of such payment.

                    (d)  "TANGIBLE  NET  WORTH"  shall  mean the excess of total
assets over total  liabilities,  total assets and total  liabilities  each to be
determined in accordance with GAAP,  EXCLUDING,  HOWEVER, from the determination
of total assets: (i) goodwill, organizational expenses, research and development
expenses,  trademarks,  trade names,  copyrights,  patents, patent applications,
licenses  and rights in any thereof,  and other  similar  intangibles;  (ii) all
deferred  charges or unamortized  debt discount and expense;  (iii) all reserves
carried and not deducted  from assets;  (iv) treasury  stock and capital  stock,
obligations or other securities of, or capital  contributions to, or investments
in, any subsidiary;  (v) securities which are not readily  marketable;  (vi) any
write-up in the book value of any asset  resulting  from a  revaluation  thereof
subsequent to the Commencement Date; and (vii) any items not included in clauses
(i) through (vi) above that are treated as intangibles in conformity with GAAP.


                                   ARTICLE 23

                                  MISCELLANEOUS

           23.1       LIMITATION ON PAYMENT OF RENT.

           All  agreements   between  Landlord  and  Tenant  herein  are  hereby
expressly  limited so that in no  contingency  or event  whatsoever,  whether by
reason  of  acceleration  of Rent,  or  otherwise,  shall  the Rent or any other
amounts  payable to  Landlord  under this Lease or any of the other  Transaction
Documents  exceed the maximum  permissible  under applicable law, the benefit of
which may be  asserted  by Tenant as a defense,  and if,  from any  circumstance
whatsoever,  fulfillment of any provision of the applicable  Lease or any of the
other Transaction Documents,  at the time performance of such provision shall be
due, shall involve  transcending the limit of validity  prescribed by law, or if
from any  circumstances  Landlord  should ever  receive as  fulfillment  of such
provision such an excessive amount,  then, IPSO FACTO, the amount which would be
excessive  shall be applied to the  reduction of the  installment(s)  of Minimum
Rent next due and not to the payment of such  excessive  amount.  This provision
shall control every other provision of the  Transaction  Documents and any other
agreements between Landlord and Tenant.

           23.2       NO WAIVER.

           No failure by Landlord to insist upon the strict  performance  of any
term hereof or to exercise any right,  power or remedy  consequent upon a breach
thereof, and no acceptance of full


                                     - 74 -

<PAGE>



or partial  payment of Rent during the  continuance  of any such  breach,  shall
constitute  a waiver  of any such  breach  or of any such  term.  To the  extent
permitted by law, no waiver of any breach  shall affect or alter the  applicable
Lease,  which shall  continue in full force and effect with respect to any other
then existing or subsequent breach.

           23.3       REMEDIES CUMULATIVE.

           To the extent permitted by law, each legal,  equitable or contractual
right,  power and remedy of Landlord,  now or hereafter  provided  either in the
applicable Lease or by statute or otherwise,  shall be cumulative and concurrent
and shall be in addition to every other right, power and remedy and the exercise
or  beginning  of the  exercise by  Landlord of any one or more of such  rights,
powers and remedies shall not preclude the  simultaneous or subsequent  exercise
by Landlord of any or all of such other rights, powers and remedies.

           23.4       SEVERABILITY.

           Any  clause,  sentence,   paragraph,  section  or  provision  of  the
applicable  Lease  held by a court  of  competent  jurisdiction  to be  invalid,
illegal or ineffective shall not impair,  invalidate or nullify the remainder of
the  applicable  Lease,  but rather the effect  thereof shall be confined to the
clause, sentence, paragraph, section or provision so held to be invalid, illegal
or ineffective,  and the applicable Lease shall be construed as if such invalid,
illegal or ineffective provisions had never been contained therein.

           23.5       ACCEPTANCE OF SURRENDER.

           No surrender to Landlord of the applicable Lease or of the applicable
Leased Property or any part thereof, or of any interest therein,  shall be valid
or effective  unless agreed to and accepted in writing by Landlord and no act by
Landlord or any  representative or agent of Landlord,  other than such a written
acceptance by Landlord, shall constitute an acceptance of any such surrender.

           23.6       NO MERGER OF TITLE.

           It is  expressly  acknowledged  to be the intent of the parties  that
there  shall be no merger of the  applicable  Lease or of the  leasehold  estate
created  hereby by reason of the fact that the same Person may  acquire,  own or
hold,  directly or indirectly (a) the applicable  Lease or the leasehold  estate
created hereby or any interest in the applicable  Lease or such leasehold estate
and (b) the fee estate or ground  landlord's  interest in the applicable  Leased
Property.

           23.7       CONVEYANCE BY LANDLORD.

           If Landlord or any successor owner of the applicable  Leased Property
shall convey such Leased Property in accordance with the terms hereof other than
as security for a debt, and the


                                     - 75 -

<PAGE>



grantee  or  transferee  of such  Leased  Property  shall  expressly  assume all
obligations of Landlord hereunder arising or accruing from and after the date of
such conveyance or transfer,  Landlord or such successor  owner, as the case may
be, shall  thereupon be released from all future  liabilities and obligations of
Landlord under the applicable  Lease arising or accruing from and after the date
of such  conveyance  or other  transfer as to such Leased  Property and all such
future  liabilities  and  obligations  shall  thereupon  be binding upon the new
owner.

           23.8       QUIET ENJOYMENT.

           So long as  Tenant  shall  pay the Rent as the same  becomes  due and
shall  substantially  comply with all of the terms of the  applicable  Lease and
perform its  obligations  hereunder and  thereunder,  Tenant shall peaceably and
quietly have, hold and enjoy the applicable Leased Property for the Term hereof,
free of any claim or other action by Landlord or anyone  claiming by, through or
under Landlord,  but subject to (a) any Encumbrance  permitted under ARTICLE 21,
or otherwise  permitted to be created by Landlord  hereunder,  (b) all Permitted
Encumbrances,  (c) liens as to  obligations  of Landlord that are either not yet
due or which are being  contested in good faith and by proper  proceedings,  and
(d) liens that have been consented to in writing by Tenant.  Except as otherwise
provided  in the  applicable  Lease,  no failure by  Landlord to comply with the
foregoing  covenant  shall  give  Tenant  any right to cancel or  terminate  the
applicable Lease or abate, reduce or make a deduction from or offset against the
Rent or any other sum payable under the applicable  Lease, or to fail to perform
any other obligation of Tenant hereunder.

           23.9       NON-LIABILITY OF TRUSTEES.

           THE  DECLARATION  OF TRUST  ESTABLISHING  LANDLORD,  DATED OCTOBER 9,
1986, A COPY OF WHICH, TOGETHER WITH ALL AMENDMENTS THERETO (THE "DECLARATION"),
IS DULY FILED WITH THE  DEPARTMENT  OF AS SESSMENTS AND TAXATION OF THE STATE OF
MARYLAND, PROVIDES THAT THE NAME "HEALTH AND RETIREMENT PROPERTIES TRUST" REFERS
TO THE  TRUSTEES  UNDER  THE  DECLARATION  COLLECTIVELY  AS  TRUSTEES,  BUT  NOT
INDIVIDUALLY OR PERSONALLY, AND THAT NO TRUSTEE, OFFICER, SHAREHOLDER,  EMPLOYEE
OR AGENT  OF  LANDLORD  SHALL  BE HELD TO ANY  PERSONAL  LIABILITY,  JOINTLY  OR
SEVERALLY,  FOR ANY  OBLIGATION  OF, OR CLAIM  AGAINST,  LANDLORD.  ALL  PERSONS
DEALING WITH LANDLORD, IN ANY WAY, SHALL LOOK ONLY TO THE ASSETS OF LANDLORD FOR
THE PAYMENT OF ANY SUM OR THE PERFORMANCE OF ANY OBLIGATION.

           23.10      LANDLORD'S CONSENT OF TRUSTEES.

           Where  provision  is  made in the  applicable  Lease  for  Landlord's
consent and Landlord shall fail or refuse to give such consent, Tenant shall not
be entitled to any damages for any with holding by Landlord of its  consent,  it
being intended that Tenant's sole remedy shall be an action


                                     - 76 -

<PAGE>



for specific performance or injunction,  and that such remedy shall be available
only in those  cases  where  Landlord  has  expressly  agreed in writing  not to
unreasonably withhold its consent.

           23.11      MEMORANDUM OF LEASE.

           Neither Landlord nor Tenant shall record the applicable Lease or this
Master Lease Document.  However,  Landlord and Tenant shall  promptly,  upon the
request of either,  enter into a short form memorandum of the applicable  Lease,
in form suitable for recording under the laws of the State in which reference to
the applicable  Lease and the Master Lease Document,  and all options  contained
herein, shall be made. Tenant shall pay all costs and expenses of recording such
memorandum.

           23.12      NOTICES.

           Any notice, request,  demand, statement or consent ("NOTICE") desired
or required to be given  hereunder shall be in writing and shall be delivered by
hand, sent by certified mail, return receipt requested,  or sent by a nationally
recognized  commercial overnight delivery service with provisions for a receipt,
postage or delivery charges prepaid,  and shall be deemed given () when actually
delivered,  if delivered by hand, ((A)) upon receipt, if sent by certified mail,
or (3) the  next  Business  Day  after  being  placed  in the  possession  of an
overnight delivery service, if sent by an overnight delivery service,  and shall
be addressed as follows:

If to Tenant:                             c/o Community Care of America, Inc.
                                          3050 North Horseshoe Drive, Suite 260
                                          Naples, Florida  33942

With copies to:                           Blass & Driggs
                                          461 Fifth Avenue
                                          New York, New York 10017
                                          Attn:  Michael S. Blass, Esq.

If to Landlord:                           Health and Retirement Properties Trust
                                          400 Centre Street
                                          Newton, Massachusetts 02158
                                          Attn:  President

With a copy to:                           Sullivan & Worcester LLP
                                          One Post Office Square
                                          Boston, Massachusetts 02109
                                          Attn:  Harry E. Ekblom, Jr., Esq.

or at such  other  place as any party  hereto  may from  time to time  hereafter
designate  to the other in writing.  Any Notice  given to Tenant  from  Landlord
shall not imply that such Notice or any


                                     - 77 -

<PAGE>



further or similar Notice was or is required. The failure of Landlord to provide
the copies  indicated  above  shall NOT render any Notice  given by  Landlord to
Tenant ineffective.

           23.13      INCORPORATION BY REFERENCE.

           All  of the  representations,  warranties  and  covenants  of  Tenant
contained in the Merger Agreement and in each of the other Transaction Documents
to which Tenant is a party are hereby incorporated by reference herein.

           23.14      CONSTRUCTION.

           Anything   contained  in  the   applicable   Lease  to  the  contrary
notwithstanding,  (i) all claims against, and liabilities of, Tenant or Landlord
arising prior to any date of termination  or expiration of the applicable  Lease
shall survive such termination or expiration and (ii) neither party hereto shall
be liable  for any  consequential  damages  suffered  by the other  party as the
result of a breach by such party of its obligations  owed to the other party. If
any term or provision of the applicable  Lease or any application  thereof shall
be invalid or unenforceable, the remainder of the applicable Lease and any other
application  of such term or provisions  shall not be affected  thereby.  If any
late charges or any interest  rate  provided for in any  provision of this Lease
are based upon a rate in excess of the maximum rate permitted by applicable law,
the parties  agree that such charges  shall be fixed at the maximum  permissible
rate.  Neither the  applicable  Lease nor any  provision  hereof may be changed,
waived,  discharged or terminated  except by an instrument in writing  signed by
the party to be charged.  All the terms and provisions of the  applicable  Lease
shall be binding  upon and inure to the benefit of the parties  hereto and their
respective  successors and assigns.  Each term or provision of this Master Lease
Document or the applicable Lease to be performed by Tenant shall be construed as
an independent  covenant and  condition.  Time is of the essence with respect to
the exercise of any rights of Tenant  under this Master  Lease  Document and the
applicable  Lease.  Except as otherwise set forth in this Master Lease Document,
any obligations of Tenant (including without  limitation,  any monetary,  repair
and  indemnification   obligations)  shall  survive  the  expiration  or  sooner
termination of the applicable  Lease.  The headings in the applicable  Lease are
for  convenience of reference  only and shall not limit or otherwise  affect the
meaning hereof.

           23.15     CONSENT TO JURISDICTION.

           ANY ACTION TO ENFORCE, ARISING OUT OF, OR RELATING IN ANY WAY TO, ANY
OF THE PROVISIONS OF THE  APPLICABLE  LEASE OR ANY  TRANSACTION  DOCUMENT MAY BE
BROUGHT AND  PROSECUTED IN SUCH COURT OR COURTS LOCATED IN THE  COMMONWEALTH  OF
MASSACHUSETTS  AS IS PROVIDED BY LAW; AND TENANT CONSENTS TO THE JURISDICTION OF
SAID COURT OR COURTS LOCATED IN THE COMMONWEALTH OF MASSACHUSETTS AND TO SERVICE
OF PROCESS BY REGISTERED OR CERTIFIED MAIL, RETURN RECEIPT REQUESTED,  OR IN ANY
MANNER PROVIDED BY LAW.


                                                                - 78 -

<PAGE>



           23.16      WAIVER OF JURY TRIAL.

           EXCEPT TO THE EXTENT PROHIBITED BY LAW WHICH CANNOT BE WAIVED, TENANT
HEREBY WAIVES TRIAL BY JURY IN  CONNECTION  WITH ANY ACTION OR PROCEEDING OF ANY
NATURE  WHATSOEVER  ARISING UNDER,  OUT OF OR IN CONNECTION  WITH THE APPLICABLE
LEASE OR ANY OTHER  TRANSACTION  DOCUMENT AND IN CONNECTION  WITH SUCH ACTION OR
PROCEEDING,  WHETHER  ARISING  UNDER  STATUTE  (INCLUDING  ANY  FEDERAL OR STATE
CONSTITUTION)  OR UNDER THE LAW OF CONTRACT,  TORT OR OTHERWISE  AND  INCLUDING,
WITHOUT LIMITATION,  ANY CHALLENGE TO THE LEGALITY,  VALIDITY, BINDING EFFECT OR
ENFORCEABILITY   OF  THIS  PARAGRAPH  OR  THE  APPLICABLE  LEASE  OR  ANY  OTHER
TRANSACTION DOCUMENTS.

           23.17      GOVERNING LAW.

           THE APPLICABLE LEASE SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE
WITH THE LAWS (EXCLUDING  RULES REGARDING  CHOICE OF LAW) OF THE COMMONWEALTH OF
MASSACHUSETTS,  EXCEPT AS TO MATTERS  REGARDING THE INTERNAL AFFAIRS OF LANDLORD
AND ISSUES OF OR LIMITATIONS ON ANY PERSONAL  LIABILITY OF THE  SHAREHOLDERS AND
TRUSTEES OF LANDLORD FOR  OBLIGATIONS  OF LANDLORD,  AS TO WHICH THE LAWS OF THE
STATE OF MARYLAND SHALL GOVERN AND EXCEPT TO THE EXTENT THAT MATTERS OF TITLE OR
RELATING TO INTERESTS  IN REAL  PROPERTY ARE REQUIRED TO BE GOVERNED BY THE LAWS
OF THE STATE.


                                     - 79 -

<PAGE>



           IN WITNESS  WHEREOF,  the parties  have  executed  this Master  Lease
Document as a sealed instrument as of the date first above written.

Executed in the                LANDLORD:
presence of:
                               HEALTH AND RETIREMENT PROPERTIES
                               TRUST, a Maryland real estate investment trust



                               By:   /s/ David J. Hegarty
- ----------------------            ---------------------------
                                         David J. Hegarty
                                         Its: President


                               TENANTS:

                               MARIETTA/SCC, INC.
                               a Georgia corporation


                               By:   /s/ 
- ----------------------            ---------------------------
                                  Its: 
                                       ----------------------


                               GLENWOOD/SCC, INC.
                               a Georgia corporation


                               By:   /s/ 
- ----------------------            ---------------------------
                                  Its: 
                                       ----------------------


                               DUBLIN/SCC, INC.
                               a Georgia corporation


                               By:   /s/
- ----------------------            ---------------------------
                                  Its: 
                                       ----------------------



                                     - 80 -

<PAGE>



                               MACON/SCC, INC.
                               a Georgia corporation


                               By:   /s/
- ----------------------            ---------------------------
                                  Its: 
                                       ----------------------



                               COLLEGE PARK/SCC, INC.
                               a Georgia corporation


                               By:   /s/
- ----------------------            ---------------------------
                                  Its: 
                                       ----------------------







                                Signature Page to
                              Master Lease Document
                            dated as of May 10, 1996


                                     - 81 -

<PAGE>



                                   EXHIBIT A-1

                          COLLECTIVE LEASED PROPERTIES




                                     - 82 -

<PAGE>



                                   EXHIBIT A-2

                              PRIMARY INTENDED USE



                                     - 83 -

<PAGE>



                                    EXHIBIT B

                                  FORM OF LEASE




                                     - 84 -

<PAGE>



                                   SCHEDULE I

                              TRANSACTION DOCUMENTS




                                     - 85 -

<PAGE>


                                   SCHEDULE II

                              ENVIRONMENTAL MATTERS


                                     - 86 -


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