APPENDIX A
                                       to
                            Participation Agreement,
                                 Master Lease,
                               Lease Supplements
                              Loan Agreement, and
                            Lease Facility Mortgages

                          DEFINITIONS AND INTERPRETATION


     A.   Interpretation.  In each Operative Document, unless a clear contrary
          intention appears:

          (i)  the singular number includes the plural number and vice versa;

          (ii)  reference to any Person includes such Person's successors and
                assigns but, if applicable, only if such successors and assigns
                are permitted by the Operative Documents, and reference to a
                Person in a particular capacity excludes such Person in any 
                other capacity or individually;

          (iii) reference to any gender includes each other gender;

          (iv)  reference to any agreement (including any Operative Document), 
                document or instrument means such agreement, document or
                instrument as amended or modified and in effect from time to
                time in accordance with the terms thereof and, if applicable,
                the terms of the other Operative Documents and reference to any
                promissory note includes any promissory note which is an 
                extension or renewal thereof or a substitute or replacement
                therefor;

          (v)   reference to any Applicable Law means such Applicable Law as
                amended, modified, codified, replaced or reenacted, in whole or
                in part, and in effect from time to time, including rules and
                regulations promulgated thereunder and reference to any
                section or other provision of any Applicable Law means that
                provision of such Applicable Law from time to time in effect
                and constituting the substantive amendment, modification,
                codification, replacement or reenactment of such section or
                other provision;

          (vi)  reference in any Operative Document to any Article, Section,
                Appendix, Schedule or Exhibit means such Article or Section
                thereof or Appendix, Schedule or Exhibit thereto;

          (vii) "hereunder", "hereof", "hereto" and words of similar import
                shall be deemed references to an Operative Document as a
                whole and not to any particular Article, Section
                or other provision thereof;

          (viii)"including" (and with correlative meaning "include") means
                including without limiting the generality of any description
                preceding such term; and

          (ix)  relative to the determination of any period of time, "from" 
                means "from and including" and "to" means "to but excluding".

     B.   Accounting Terms.  In each Operative Document, unless expressly 
          otherwise provided, accounting terms shall be construed and
          interpreted, and accounting determinations and computations shall
          be made, in accordance with GAAP.

     C.   Conflict in Operative Documents.  If there is any conflict between
          any Operative Documents, such Operative Document shall be
          interpreted and construed, if possible, so as to avoid or minimize
          such conflict but, to the extent (and only to the extent) of such
          conflict, the Participation Agreement shall prevail and control.

     D.   Legal Representation of the Parties.  The Operative Documents were
          negotiated by the parties with the benefit of legal representation
          and any rule of construction or interpretation otherwise requiring
          the Operative Document to be construed or interpreted against any
          party shall not apply to any construction or interpretation hereof
          or thereof.

     E.   Defined Terms.  Unless a clear contrary intention appears, terms
          defined herein have the respective indicated meanings when used in
          each Operative Document.

     "ABR Amount" means any Loan or Lessor Amount which accrues interest or
     Yield, as the case may be, by reference to the Alternate Base Rate.

     "Acquisition Date" means any Business Day on which the Lessor acquires any 
     Property (whether by acquiring the fee interest in such Property or by
     acquiring all of the outstanding capital stock (in the case of a 
     corporation) or all of the partnership interests (in the case of a
     partnership) in any Person that owns directly the fee interest in such 
     Property) pursuant to the provisions of the Participation Agreement and
     the other Operative Documents.

     "Advance" is defined in Section 3.1(a) of the Participation Agreement.

     "Affiliate" of any Person means any other Person which, directly or
     indirectly, controls, is controlled by or is under common control with
     such Person (excluding any trustee under, or any committee with
     responsibility for administering, any Plan).  A Person shall be deemed
     to be "controlled by" any other Person if such other Person possesses,
     directly or indirectly, power

          (a)  to vote 30% or more of the securities (on a fully diluted
               basis) having ordinary voting power for the election of 
               directors or managing general partners; or

          (b)  to direct or cause the direction of the management and policies
               of such Person whether by contract or otherwise.

     "After Tax Basis" means, with respect to any payment to be received, the
     amount of such payment increased so that, after deduction of the amount
     of all taxes required to be paid by the recipient (less any tax savings
     realized and the present value of any tax savings projected to be
     realized by the recipient as a result of the payment of the indemnified 
     amount or the occurrence of the event giving rise to such
     indemnification) with respect to the receipt by the recipient of such
     amounts, such increased payment (as so reduced) is equal to the payment
     otherwise required to be made.

     "Agent Lien" means any Lien created by, or arising out of any claim
     against, the Collateral Agent or the Lease Agent, as the case may be,
     imposed on or with respect to any Property or the Lessor's interest
     therein, that is not expressly permitted under the terms of the
     Operative Documents.

     "Aggregate Commitment Amount" means $54,416,988, as such amount may be
     increased from time to time pursuant to a written agreement signed by
     the Lessor, each Lender and the Company.

     "Allocation Percentage" means, with respect to any Lessee as of any date
     of determination, the quotient (expressed as a percentage) of (a) the 
     aggregate outstanding principal amount of the Loans and the portion of
     the Lessor Amount advanced with respect to the Property leased by
     such Lessee pursuant to the Master Lease divided by (b) the sum of the
     Loan Balance plus the Lessor Balance.

     "Alternate Base Rate" means, on any date, a fluctuating rate of interest
     per annum equal to the higher of

          (a)  the rate of interest most recently announced by the Lease Agent
               in the United States as its prime rate for Dollar loans which
               rate is not necessarily intended to be the lowest rate of
               interest determined by the Lease Agent in connection with
               extensions of credit (the "Prime Rate"); or

          (b)  the Federal Funds Rate most recently determined by the Lease 
               Agent.

     Each change in any interest rate provided for herein based upon the 
     Alternate Base Rate resulting from a change in the Alternate Base Rate
     shall take effect at the time of such change in the Alternate Base Rate.
     The Lease Agent shall give prompt notice to the Company, the
     Lessees, and each Participant of changes in the Alternate Base Rate.

     "Applicable Law" means all existing and future applicable laws, rules, 
     regulations including Environmental Laws), statutes, treaties, codes, 
     ordinances, permits, certificates, orders and licenses of and 
     interpretations by, any Governmental Authority, and applicable
     judgments, decrees, injunctions, writs, orders or like action of any
     court, arbitrator or other administrative, judicial or quasi-judicial
     tribunal or agency of competent jurisdiction (including those pertaining to
     health, safety or the environment (including wetlands) and those
     pertaining to the construction, use or occupancy of any Property) and any
     restrictive covenant or deed restriction or easement of record, in each
     case directly affecting the Lessees, any Property or any material
     interests in any other kind of property or asset, whether real,
     personal or mixed, or tangible or intangible, of the Lessees.

     "Applicable Lease Margin" means on any date, the percentage set forth below
     opposite the applicable Pricing Level on such date:



                                Applicable
          Pricing Level        Lease Margin
                                

               I                   0.75%
               II                  1.00%
               III                 1.25%
               IV                  1.50%


     "Applicable Loan Margin" means on any date, with respect to the Tranche A 
     Loans and Tranche B Loans, respectively, the percentage set forth below
     opposite the applicable Pricing Level on such date:



                              Tranche A           Tranche B
                              Applicable          Applicable
          Pricing Level       Loan Margin         Loan Margin
                                            

               I              0.75%               0.875%
               II             1.00%               1.125%
               III            1.25%               1.375%
               IV             1.50%               1.625%


     "Applicable Rate" means as of any date of determination:

          (a) in the case of Loans and Lessor Amounts that are LIBO Rate 
              Amounts, during each interest Period applicable thereto, a rate
              per annum equal to the LIBO Rate (Reserve Adjusted) determined
              by the Lease Agent for such Interest Period plus the Applicable
              Lease Margin determined for such date plus 1/8 of 1%; and

          (b) in the case of Loans and Lessor Amounts that are ABR Amounts, a 
              rate per annum equal to the Alternate Base Rate for such date plus
              1/8 of 1%.

     "Appraisal" means, with respect to each Property, an appraisal, prepared by
     a reputable appraiser selected by the Lessor, of such Property, which
     Appraisal, in the reasonable opinion of counsel to the Lessor and the
     Lenders, complies in all material respects with all of the provisions of
     the Financial Institutions Reform, Recovery and Enforcement Act of 1989, as
     amended, the rules and regulations adopted pursuant thereto, and all other
     applicable Requirements of Law addressed to the Lessor and the Lenders, and
     will appraise the Fair Market Sales Value of such Property as of the
     Acquisition Date and as of the Expiration Date.

     "Appurtenant Rights" means, with respect to any Land, (i) all agreements,
     easements, rights of way or use, rights of ingress or egress, 
     privileges, appurtenances, tenements, hereditaments and other rights and
     benefits at any time belonging or pertaining to such Land or the
     Improvements thereon, including, without limitation, the use of any
     streets, ways, alleys, vaults or strips of land adjoining, abutting,
     adjacent or contiguous to such Land and (ii) all permits, licenses and
     rights, whether or not of record, appurtenant to such Land.

     "Assignment Agreement" is defined in Section 12.1 of the Participation 
     Agreement.

     "Assignment of Lease and Rent" means the Assignment of Lease and Rent dated
     as of December 11, 1996, from the Lessor, as assignor, to the Collateral
     Agent for the benefit of each of the Secured Parties, as assignee.

     "Assumption Agreements" means, collectively, the Assumption Agreements
     in the form of Exhibit K to the Credit Agreement to be delivered in
     accordance with Section 7.09 of the Credit Agreement.

     "Bankruptcy Code" is defined in Section 6.1(e) of the Loan Agreement.

     "Basic Rent" means the sum of Basic Rent (Interest/Yield) plus all Loans 
     due on the Maturity Date plus the Lessor Amount due on the Expiration Date.

     "Basic Rent (Interest/Yield)" means, as determined as of any Basic Rent 
     Payment Date, the amounts payable on the outstanding Loans and
     outstanding Lessor Amount pursuant to Section 4.1 of the Participation
     Agreement.

     "Basic Rent Payment Date" means:

     (a) as to any LIBO Rate Amount, the last day of each applicable Interest
         Period (and, if any such Interest Period shall exceed three (3)
         months, on each date occurring every three (3) months after the
         first day of such Interest Period) and the Maturity Date; and

     (b) as to any ABR Amount, each Monthly Payment Date, any date on which such
         ABR Amount is converted into a LIBO Rate Amount and the Maturity Date.

     "Bill of Sale" is defined in Section 6.2(c) of the Participation Agreement.

     "Break Costs" means an amount equal to the amount, if any, required to 
     compensate any Participant for any losses (including any loss, cost or
     expense incurred by reason of the liquidation or reemployment of
     deposits or funds acquired by such Participant to fund its obligations
     under the Operative Documents) it may reasonably incur as a result of 
     (v) the payment of Rent other than on a Basic Rent Payment Date, (x) any 
     Advance not being made on the date specified therefor in the applicable
     Funding Request (other than as a result of a breach by such Participant
     of its obligation under Section 3.1, 3.2 or 3.3, as the case may be, of the
     Participation Agreement to make Advances or make the Lessor Amount or Loans
     available to the Lessor), (y) the payment of the Lease Balance on any
     date other than a Basic Rent Payment Date, or (z) as a result of any
     conversion of the LIBO Rate in accordance with Section 13.7 or 13.8 of
     the Participation Agreement.  A statement as to the amount of such loss,
     cost or expense, prepared in good faith and in reasonable detail and 
     submitted by such Participant to the Lessee, shall be presumed correct.

     "Business Day" means each day which is not a day on which banks in New 
     York, New York, are generally authorized or obligated, by law or executive
     order, to close and which is also a day on which dealings in Dollars are
     carried on in the London interbank eurodollar market.

     "Capital Lease" means any lease which has been or should be capitalized on 
     the books of the Guarantor in accordance with GAAP.

     "Casualty" means any damage or destruction of all or any portion of a 
     Property as a result of a fire or other casualty.

     "CERCLA" means the Comprehensive Environmental Response, Compensation, and 
     Liability Act of 1980, 42 U.S.C. SS 9601 et. seq., as amended by the
     Superfund Amendments and Reauthorization Act of 1986.

     "Certifying Party" is defined in Section 22.1 of the Master Lease.

     "Claims" means any and all obligations, liabilities, losses, actions, 
     suits, judgments, penalties, fines, claims, demands, settlements, costs
     and out-of-pocket expenses (including, without limitation, reasonable
     legal fees and expenses) of any nature whatsoever.

     "Code" means the Internal Revenue Code of 1986, as amended from time to
     time, or any successor statute thereto.

     "Collateral" means the "Collateral", as defined in the Intercreditor 
     Agreement.

     "Collateral Agent" means Nationsbank, N.A., in its capacity as 
     Collateral Agent for the Secured Parties.

     "Commitment" means (i) as to any Lender, its Loan Commitment, and (ii) as
     to the Lessor, the Lessor Commitment.

     "Commitment Termination Date" means the earliest of (i) the date occurring 
     one hundred eighty (180) days after the Initial Acquisition Date, (ii)
     the date specified in a written notice from the Company to the Lessor
     and each Lender as the Commitment Termination Date and (iii) such
     earlier date on which the Commitments shall terminate as provided in the
     Operative Documents.

     "Company" means The Multicare Companies, Inc., a Delaware corporation.

     "Compliance Certificate" means a certificate of a financial Responsible 
     Officer of the Company substantially in the form of Exhibit D to the Credit
     Agreement.

     "Condemnation" means, with respect to any Property, any condemnation, 
     requisition, confiscation, seizure or other taking or sale of the use, 
     access, occupancy, easement rights or title to such Property or any part
     thereof, wholly or partially (temporarily or permanently), by
     or on account of any eminent domain proceeding or other taking of action by
     any Person having the power of eminent domain, including an action by a
     Governmental Authority to change the grade of, or widen the streets
     adjacent to, such Property or alter the pedestrian or vehicular traffic
     flow to such Property so as to result in change in access to such Property,
     or by or on account of an eviction by paramount title or any transfer
     made in lieu of any such proceeding or action.  A "Condemnation" shall be
     deemed to have occurred on the earliest of the dates that use, occupancy
     or title vests in the condemning authority.

     "Consolidated Entity" has the meaning assigned to such term in the Credit
     Agreement.

     "Continuation/Conversion Notice" means a notice of continuation or
     conversion substantially in the form of Exhibit B to the Participation 
     Agreement.

     "Credit Agreement" means the Third Amended and Restated Credit Agreement 
     dated as of December 11, 1996, among the Company, the Subsidiary 
     Co-Borrowers, the Credit Facility Banks and the Credit Facility Agent, as
     such Credit Agreement may be amended, supplemented, modified, replaced,
     renewed, extended, refinanced or refunded from time to time in accordance 
     with the provisions of Section 3.01 of the Intercreditor Agreement.

     "Credit Facility Agent" means NationsBank, N.A., in its capacity as 
     administrative agent under the Credit Agreement.

     "Credit Facility Banks" means, collectively, the various financial 
     institutions party from time to time to the Credit Agreement as lenders
     thereunder.

     "Credit Facility Documents" means, collectively, the Credit Agreement, the
     Credit Facility Notes, the Letters of Credit, the Intercreditor
     Agreement, the Assumption Agreements, the Interest Rate Protection
     Agreements and the Security Documents, as each may be amended from time
     to time in accordance with the provisions of Section 3.01 of the 
     Intercreditor Agreement.

     "Credit Facility Notes" means, collectively, the revolving credit and term 
     notes issued by the Company and the Subsidiary Co-Borrowers under the 
     Credit Agreement, as such notes may be amended, supplemented, modified,
     replaced, renewed, extended, refinanced or refunded from time to time in
     accordance with the provisions of Section 3.01 of the Intercreditor 
     Agreement.

     "Deed" means a deed with respect to the real property comprising the 
     applicable Property, in the form set forth in the purchase agreement
     applicable to such Property and in conformity with local custom and
     Applicable Law and appropriate for recording with the applicable 
     Governmental Authorities, conveying fee simple title to such real 
     property to the Lessor, subject only to Permitted Property Liens.

     "Default" means any condition, occurrence or event which, after notice or 
     lapse of time or both, would constitute an Event of Default.

     "Documentation Date" is defined in Section 6.1 of the Participation 
     Agreement.

     "Dollars" and "$" mean dollars in lawful currency of the United States of
     America.

     "End of the Term Report" is defined in Section 13.2(a) of the Participation
     Agreement.

     "Environmental Audit" means, with respect to each Property, a Phase One 
     environmental site assessment (the scope and performance of which meets or
     exceeds the then most current ASTM Standard Practice E1527 for 
     Environmental Site Assessments:  Phase One Environmental Site Assessment
     Process) of such Property.

     "Environmental Law(s)" means all federal, state, regional, county or local 
     laws, statutes, rules, regulations or ordinances concerning the 
     generation, recycling, use, reuse, sale, storage, handling, transport,
     treatment, Release or disposal of Hazardous Materials, including
     CERCLA, RCRA, the Clean Air Act, 42 U.S.C. S 7401, et seq. ("CAA"), the 
     Toxic Substances Control Act, 15 U.S.C. S 2601 et seq. ("TSCA") and any
     rules and regulations promulgated or published thereunder.

     "Environmental Violation" means any activity, occurrence or condition that 
     violates or results in non-compliance with any Environmental Laws.

     "Equity Interest" means, with respect to any Property, all of the equity 
     interest in any Person that owns directly the fee simple interest in
     such Property, including (if applicable):

     (a) all of the partnership interests in Academy Manor, Andover,
         Massachusetts,
     (b) all of the beneficial interest of the Academy Realty Trust in
         Heritage Nursing Care Center, Lowell, Massachusetts,
     (c) all of the partnership interests in Prescott House Nursing Home,
         North Andover, Massachusetts,
     (d) all of the partnership interests in Sutton Hill, North Andover,
         Massachusetts,
     (e) all of the partnership interests in Westford Nursing and Retirement 
         Center, Westford, Massachusetts and 
     (f) all of the outstanding capital stock in Willow Manor Nursing Home 
         Inc., Lowell, Massachusetts.

     "ERISA" means the Employee Retirement Income Security Act of 1974, as 
     amended from time to time, including any rules and regulations promulgated 
     thereunder.

     "ERISA Affiliate" means any corporation or trade or business which is a 
     member of any group of organizations (i) described in Section 414(b) or
     (c) of the Code of which any Consolidated Entity is a member, or (ii)
     solely for purposes of potential liability under Section 302(c)(i 1) of
     ERISA and Section 41 2(c)(11) of the Code and the lien created under
     Section 302(f) of ERISA and Section 412(n) of the Code, described in 
     Section 414(m) or (o) of the Code of which any Consolidated Entity is a
     member.

     "Event of Default" means a Lease Event of Default or a Loan Agreement 
     Event of Default.

     "Excess Sales Proceeds" means, as of any date, the proceeds of the sale of
     the Properties minus any marketing, closing or other costs, prorations or
     commissions incurred by the Collateral Agent or any other Secured Party
     in connection therewith minus the Lease Balance and all other Secured
     Obligations.

     "Expiration Date" means, with respect to the Lease, unless the Lease shall
     have been earlier terminated in accordance with the provisions of the 
     Intercreditor Agreement, the Lease or the other Operative Documents, the
     fifth anniversary of the Initial Acquisition Date.

     "Expiration Date Purchase Obligation" means the obligation of each Lessee, 
     pursuant to Section 18.2 of the Master Lease, to purchase on the 
     Expiration Date all (but not less than all) of the Property leased to 
     such Lessee under the Master Lease and applicable Lease Supplement.

     "Extended Marketing Period" is defined in Section 20.1 of the Master Lease.

     "Facility Fees" is defined in Section 4.5 of the Participation Agreement.

     "Fair Market Sales Value" means, with respect to any Property, the amount, 
     which in any event shall not be less than zero, that would be paid in
     cash in an arm's-length transaction between an informed and willing
     purchaser and an informed and willing seller, neither of whom is under
     any compulsion to purchase or sell, respectively, for the ownership of such
     Property.  The Fair Market Sales Value of any Property shall be
     determined based on the assumption that, except for purposes of Article
     XVI of the Master Lease and Section 13.2 of the Participation Agreement,
     such Property is in the condition and state of repair required under
     Section 9.1 of the Master Lease, title is in the condition required or
     permitted under the Master Lease and the Lessee is in compliance with the
     other requirements of the Operative Documents relating to the condition of
     the Property.

     "Federal Funds Rate" means, for any day, the rate per annum 
     (rounded upwards, if necessary, to the nearest 1/100th of 1%) equal to
     the weighted average of the rates on overnight federal funds
     transactions as published by the Federal Reserve Bank of New York for
     such day (or, if such day is not a Business Day, for the immediately 
     preceding Business Day), plus 0.25%.

     "Fee Letter" means the letter agreement dated as of November 18, 1996 with
     respect to fees between the Company and Key Global Finance Ltd., 
     as Structuring/Placement Agent.

     "F.R.S. Board" means the Board of Governors of the Federal Reserve System 
     or any successor thereto.

     "Funding Office" means the office of each Participant identified on 
     Schedule I to the Participation Agreement as its Funding Office.

     "Funding Percentage" means, as to any Participant, the percentage set forth
     opposite such Participant's name under the heading "Funding Percentage" on 
     Annex A to the Participation Agreement, as such Annex may be amended from 
     time to time.

     "Funding Request" is defined in Section 3.4(a) of the Participation 
     Agreement.

     "GAAP" means generally accepted accounting principles in the United States 
     of America as in effect from time to time, applied on a basis consistent
     with those used in the preparation of the financial statements referred
     to in Section 8.2(e) of the Participation Agreement (except for
     immaterial changes determined preferable by the Consolidated Entities'
     independent public accountants).

     "Governmental Action" means all Licenses, permits, authorizations, 
     registrations, consents, approvals, waivers, exceptions, variances,
     orders, judgments, written interpretations, decrees, licenses,
     exemptions, publications, filings, notices to and declarations of or with,
     or required by, any Governmental Authority, or required by any Applicable 
     Law, and shall include all environmental and operating permits and licenses
     that are required for the full use, occupancy, zoning and operation of
     any Property.

     "Governmental Authority" means any nation or government, any state or other
     political subdivision thereof and any entity exercising executive, 
     legislative, judicial, regulatory or administrative functions of or
     pertaining to government.

     "Gross Remarketing Proceeds" is defined in Section 20.1(l) of the Master 
     Lease.

     "Guarantor" means, collectively, The MultiCare Companies, Inc., a Delaware 
     corporation, and each Subsidiary Guarantor.

     "Hazardous Activity" means any activity, process or procedure that directly
     or indirectly (i) produces, generates or creates any Hazardous Material;
     (ii) causes or results in the Release of any Hazardous Material into the 
     environment (including air, water vapor, surface water, groundwater, 
     drinking water, land (including surface or subsurface), plant, aquatic and
     animal life); (iii) involves the containment or storage of any Hazardous
     Material; or (iv) would be regulated as hazardous waste treatment, storage
     or disposal within the meaning of any Environmental Laws.

     "Hazardous Materials" means any of the following: (i) any pollutant, 
     contaminant, chemical, waste and any toxic, infectious, carcinogenic, 
     reactive, corrosive, ignitible or flammable chemical or chemical
     compound or hazardous substance, material or waste whether solid, liquid
     or gas that is subject to regulation control or remediation under any 
     Environmental Laws; (ii) any asbestos, polychlorinated biphenyls,
     petroleum, petroleum derivatives or by-products, or urea formaldehyde.

     "Impositions" means any and all taxes or levies, imposts, duties, charges, 
     assessments or withholdings of a similar nature ("Taxes") (including (i)
     real and personal property taxes, including personal property taxes on
     any property covered by any Lease that is classified by Governmental
     Authorities as personal property, and real estate or ad valorem taxes in 
     the nature of property taxes; (ii) sales taxes, use taxes and other similar
     taxes (including rent taxes and intangibles taxes); (iii) any excise
     taxes; (iv) real estate transfer taxes, conveyance taxes, mortgage
     taxes, intangible taxes, stamp taxes and documentary recording taxes and 
     fees; (v) taxes that are or are in the nature of franchise, income, 
     value added, gross receipts, privilege and doing business taxes, license
     and registration fees; and (vi) assessments on any Property, including
     all assessments for public improvements or benefits, whether or not such
     improvements are commenced or completed within the Lease Term), and in
     each case all interest, additions to tax and penalties thereon, which 
     at any time may be levied, assessed or imposed by any Federal, state or
     local authority upon or with respect to (a) any Tax Indemnitee with respect
     to any Property or any part thereof or interest therein, or any Lessee or 
     any sublessee or user of any Property; (b) the financing, refinancing, 
     demolition, construction, substitution, subleasing, assignment, control,
     condition, occupancy, servicing, maintenance, repair, ownership, 
     possession, purchase, rental, lease, activity conducted on, delivery,
     insuring, use, operation, improvement, transfer, return or other
     disposition of such Property or any part thereof or interest therein;
     (c) the Loans, Lessor Amount or other indebtedness with respect to any
     Property or any part thereof or interest therein; (d) the rentals, receipts
     or earnings arising from any Property or any part thereof or interest
     therein; (e) the Operative Documents or any payment made or accrued
     pursuant thereto; (f) the income or other proceeds received with respect
     to any Property or any part thereof or interest therein upon the sale or 
     disposition thereof; (g) any contract relating to the construction,
     acquisition or delivery of the Improvements or any part thereof or
     interest therein; (h) the issuance of the Notes; or (i) otherwise in
     connection with the transactions contemplated by the Operative Documents.

     Notwithstanding anything in the first paragraph of this definition
     (except as provided in the final paragraph of this definition) the term 
     "Imposition" shall not mean or include:

          (i)  Taxes and impositions that are imposed by any Governmental 
               Authority and that are based upon or measured by or with respect
               to the gross or net income, receipts, profits, gains, capital
               or net worth (including, without limitation, any minimum or 
               alternative minimum Taxes, income or capital gains Taxes,
               excess profits Taxes, items of Tax preference, or capital
               stock, franchise, business privilege or doing business Taxes),
               or accumulated earnings Taxes or personal holding company 
               Taxes, including Taxes collected by withholding, but Taxes
               described in this clause (i) shall not include Taxes that are,
               or are in the nature of, sales, use, rental, transfer or
               property Taxes) and any interest, additions to tax, penalties
               or other charges in respect thereof; provided that this clause
               (i) shall not be interpreted to prevent a payment from being made
               on an After Tax Basis if such payment is otherwise required to be
               so made;

         (ii)  any Tax or imposition to the extent, but only to such extent, it 
               relates to any act, event or omission that occurs, or relates
               to a period, prior to the commencement of the Master Lease
               (other than with respect to Taxes described in clause (iii)
               of the definition of Permitted Property Liens) or after the 
               termination of the Lease (but not any Tax or imposition that 
               relates to any period during the Term of the Master Lease but
               prior to the termination of the Master Lease with respect to
               the Property to which such Imposition relates);

        (iii)  any Tax or imposition for so long as, but only for so long as, it
               is being contested in accordance with the provisions of Section
               13.5(b) of the Participation Agreement or Section 12.1 of the
               Master Lease, provided that the foregoing shall not limit any
               obligation under Section 13.5(b) of the Participation
               Agreement or Section 12.1 of the Master Lease to advance to
               such Tax Indemnitee amounts with respect to Taxes that are
               being contested in accordance with Section 13.5(b) of the
               Participation Agreement or Section 12.1 of the Master Lease,
               as applicable, or any expenses incurred by such Tax Indemnitee
               in connection with such contest;

         (iv)  any interest, additions to tax or penalties imposed as a result 
               of a breach by a Tax Indemnitee of its obligations under
               Section 13.5(e) of the Participation Agreement or as a result
               of a Tax Indemnitee's failure to file any return or other
               documents timely and as prescribed by applicable law; provided
               that this clause (iv) shall not apply if such failure is
               attributable to a failure by any Lessee to fulfill its
               obligations under the Lease with respect to any such return;

          (v)  any Taxes or impositions imposed with respect to any voluntary
               transfer, sale, financing or other voluntary disposition of 
               any interest in any Property or any part thereof, or any
               interest therein or any interest or obligation under the
               Operative Documents or from any sale, assignment, transfer or
               other disposition of any interest in a Tax Indemnitee or any
               Affiliate thereof, (other than any transfer in connection with
               (1) the exercise by a Lessee of its Purchase Option or any 
               termination option or other purchase of any Property by any 
               Lessee (2) the occurrence of an Event of Default, (3) a 
               Casualty or Condemnation affecting any Property, or (4) any
               sublease, modification or addition to any Property by any
               Lessee);

         (vi)  any Taxes or impositions imposed on a Tax Indemnitee, to the
               extent such Tax Indemnitee actually receives a credit, 
               deduction, allowance or arbitration (or otherwise has a
               reduction in a liability for Taxes) in respect thereof against 
               Taxes (but only to the extent such credit is not taken into
               account in calculating the indemnity payment on an After Tax
               Basis);

        (vii)  Taxes imposed on or with respect to, based on, or measured by
               any fees received by any Tax Indemnitee;

       (viii)  Taxes resulting from, or that would not have been imposed but 
               for, the gross negligence or willful misconduct of such Tax
               Indemnitee or Affiliate thereof;

         (ix)  Taxes resulting from, or that would not have been imposed but
               for, a breach by the Tax Indemnitee or any Affiliate thereof 
               of any representations, warranties or covenants set forth in
               the Operative Documents (unless such breach is caused by any
               Lessee's breach of its representations, warranties or
               covenants set forth in the Operative
               Documents);

          (x)  Taxes arising out of or resulting from a Tax Indemnitee's failure
               to comply with the provisions of Section 13.5(b) of the
               Participation Agreement or Section 12.1 of the Master Lease,
               which failure precludes or materially adversely affects the
               ability to conduct a contest pursuant to Section 13.5(b) of
               the Participation Agreement or Section 12.1 of the Master
               Lease, as applicable (unless such failure is caused by any
               Lessee's breach of its obligations);

         (xi)  with respect to each Property, Taxes which are included in 
               applicable Property acquisition cost if and to the extent
               actually paid;

        (xii)  Taxes that would have been imposed in the absence of the
               transactions contemplated by the Operative Documents, and
               Taxes arising out of, or imposed as a result of, activities of
               a Tax Indemnitee or Affiliate thereof unrelated to the
               transactions contemplated by the Operative Documents;

       (xiii)  Taxes arising out of or resulting from, or that would not have
               been imposed but for the existence of, any Lessor Lien.

        (xiv)  Any Tax imposed against or payable by a Tax Indemnitee to the
               extent that the amount of such Tax exceeds the amount of such
               Tax that would have been imposed against or payable by such
               Tax Indemnitee (or, if less, that would have been subject to
               indemnification under Section 13.5 of the Participation
               Agreement) if such Tax Indemnitee were not a direct or
               indirect successor, transferee or assign of one of the
               original Tax Indemnitees; provided, however, that this
               exclusion (xiv) shall not apply if such direct or indirect
               successor, transferee or assign acquired its interest as a
               result of transfer while an Event of Default shall have 
               occurred and is continuing;

         (xv)  Taxes that would not have been imposed but for an amendment, 
               supplement, modification, consent or waiver to any Operative 
               Document not initiated, requested or consented to by any
               Lessee unless such amendment, supplement, modification,
               consent or waiver (A) arises due to, or in connection with
               there having occurred, an Event of Default or (B) is required
               by the terms of the Operative Documents or is executed in 
               connection with any amendment to the Operative Documents required
               by law;

        (xvi)  Taxes in the nature of intangibles, stamp, documentary or similar
               Taxes;

       (xvii)  Taxes imposed because any Tax Indemnitee or any Affiliate 
               thereof is not a United States person within the meaning of
               Section 7701(a)(30) of the Code (whether paid by a Tax
               Indemnitee or an Affiliate or collected by withholding or
               otherwise); and

      (xviii)  Any tax imposed in lieu of or in substitution for a Tax not
               subject to indemnity pursuant to the provisions of Section
               13.5 of the Participation Agreement.

     Notwithstanding the foregoing, the exclusions from the definition of 
     Impositions set forth in clauses (i), (ii), (v), (xvi) and (xviii) (to the
     extent that any such tax is imposed in lieu of or in substitution for a Tax
     set forth in clauses (i), (ii), (v) and (xvi)) above shall not apply (but
     the other exclusions shall apply) to any Taxes or any increase in Taxes 
     imposed on a Tax Indemnitee net of any decrease in taxes realized by
     such Tax Indemnitee, to the extent that such tax increase or decrease would
     not have occurred if on each Funding Date the Lessor had advanced funds
     to any Lessee in the form of a loan secured by the applicable Property 
     in an amount equal to the applicable Property Improvement Cost funded on
     such Funding Date, with debt service for such loan equal to the Basic
     Rent payable on each Payment Date and a principal balance at the
     maturity of such loan in an amount equal to the then outstanding amount
     of the Advances at the end of the term of the Master Lease.

     "Improvements" means all buildings, structures and other improvements of 
     every kind existing at any time and from time to time on or under any
     Land, or any parcel of Land to be acquired pursuant to the terms of the
     Operative Documents, together with any and all appurtenances to such 
     buildings, structures or improvements, including sidewalks, utility pipes,
     conduits and lines, parking areas and roadways, all licenses, if any, 
     acquired or assigned to Lessor in respect of the Properties and the 
     transactions contemplated by the Operative Documents, and including all
     Modifications and other additions to or changes in the Improvements
     at any time.

     "Imputed Equity Return" means (a) with respect to the Lessor, the amount of
     Yield the Lessor would have earned on its outstanding Lessor Balance had
     the Lease not terminated on the Expiation Date and (b) with respect to
     any Tranche B Lender, the amount of interest under the Loan Agreement
     such Tranche B Lender would have earned on its outstanding Tranche B Loans
     had the Lease not terminated on the Expiration Date, in each case, 
     computed as provided in the Operative Documents, measured from such 
     Expiration Date until the Lessor Balance or such Tranche B Loans, as
     applicable, shall have been paid in full.

     "Indemnitee" means each Lender, the Lessor, the Lease Agent, the Collateral
     Agent, their respective Affiliates and their respective successors, 
     assigns, directors, shareholders, partners, officers, employees and
     agents.

     "Initial Acquisition Date" is defined in Section 6.2 of the Participation 
     Agreement.

     "Insurance Requirements" means all terms and conditions of any insurance 
     policy required by the Master Lease to be maintained by the Lessee and all 
     requirements of the issuer of any such policy.

     "Intercreditor Agreement" means the Intercreditor and Collateral Agency 
     Agreement dated as of December 11, 1996, among the Company, the 
     Subsidiary Guarantors, the Lenders, the Lessor, the Credit Facility
     Banks, the Credit Facility Agent and the Collateral Agent.

     "Interest Coverage Ratio" means, at any date of determination thereof, the
     "Interest Coverage Ratio" as defined in the Credit Agreement.

     "Interest Period" means, (a) initially, the period commencing on the 
     Acquisition Date and ending one, two, three or six months thereafter, as
     specified by the Guarantor (as agent for the Lessees) pursuant to an
     Interest Period Selection Continuation/Conversion Notice; and (b) 
     thereafter, each period commencing on such Basic Rent Payment Date or the 
     last day of the preceding Interest Period applicable to such Loan or
     Lessor Amount, as the case may be, and ending on the last day of the
     Interest Period selected pursuant to the next sentence; provided,
     however, that the foregoing provisions relating to Interest Periods are 
     subject to the following:

          (i)  if any Interest Period would otherwise end on a day that is not a
               Business Day, such Interest Period shall be extended to the next
               succeeding Business Day unless the result of such extension would
               be to carry such Interest Period into another calendar month
               in which event such Interest Period shall end on the 
               immediately preceding Business Day; and

         (ii)  any Interest Period that would otherwise extend beyond the 
               Maturity Date shall end on the Maturity Date.

     "Interest Rate Protection Agreement" means, with respect to any Person, an 
     interest rate swap, cap or collar agreement or similar arrangement between 
     one or more Credit Facility Banks and a Consolidated Entity (as defined
     in the Credit Agreement) providing for the transfer or mitigation of
     interest risks either generally or under specific contingencies.

     "Investment Company Act" means the Investment Company Act of 1940, as 
     amended, together with the rules and regulations promulgated thereunder.

     "Land" means each parcel of real property described on Schedule I to any 
     Lease Supplement, and includes all Appurtenant Rights attached thereto.

     "Lease" means, collectively, the Master Lease and each Lease Supplement.

     "Lease Agent" means NationsBank, N.A., in its capacity as Lease Agent for
     the Lenders, or such successor Lease Agent as may be appointed by the
     Lenders pursuant to Section 8.9 of the Loan Agreement.

     "Lease and Credit Parties" means, collectively, the Lenders, the Lessor and
     the Credit Facility Banks.

     "Lease Balance" means, as of any date of determination, an amount equal to
     the sum of the Loan Balance and the Lessor Balance and all other amounts 
     owing by the Lessees under the Operative Documents (including accrued
     and unpaid Rent and Supplemental Rent, if any).

     "Lease Default" means any event or condition which, with the lapse of time 
     or the giving of notice, or both, would constitute a Lease Event of 
     Default.

     "Lease Event of Default" is defined in Section 16.1 of the Master Lease.

     "Lease Facility Financing Statements" means UCC financing statements 
     appropriately completed and executed for filing in the applicable 
     jurisdiction in order to protect the security interest granted by the
     Lessees under the Lease Facility Mortgages to the Collateral Agent for
     the benefit of each of the Secured Parties.

     "Lease Facility Mortgage" means, with respect to any Property, a Mortgage
     of such Property, executed by the Lessee of such Property in favor of the 
     Collateral Agent, and any and all other security instruments in
     appropriate recordable form in each relevant jurisdiction sufficient to
     grant to the Collateral Agent a first priority Lien on such Property.

     "Lease Facility Notes" is defined in Section 2.2 of the Loan Agreement, and
     includes the Tranche A Notes and the Tranche B Notes.

     "Lease Recourse Amount" means, with respect to each Lease Supplement, the 
     amount designated as the "Lease Recourse Amount" in such Lease Supplement.

     "Lease Supplement" means each Lease Supplement and Memorandum of Lease, 
     Mortgage and Purchase Option, substantially in the form of Exhibit A to the
     Master Lease, executed by the applicable Lessee, dated as of the
     Acquisition Date and covering the applicable Property located on the
     Land identified on Schedule I thereto.

     "Lenders" means, collectively, the Tranche A Lenders and the Tranche B 
     Lenders.

     "Lessee" means any of (i) Academy Nursing Home, Inc., (ii) Nursing and 
     Retirement Center of the Andovers, Inc., (iii) Prescott Nursing Home, Inc.,
     (iv) Willow Manor Nursing Home, Inc., (v) ADS/Multicare, Inc. and (vi)
     each other Person as may from time to time become a Lessee under the
     Operative Documents in accordance with the provisions thereof, each as
     lessee under the Lease, and their respective successors and assigns 
     expressly permitted under the Operative Documents.

     "Lessor" means SELCO Service Corporation, an Ohio corporation.

     "Lessor Amount" is defined at Section 3.2 of the Participation Agreement.

     "Lessor Balance" means as of any date of determination an amount equal to 
     the sum of the outstanding Lessor Amounts together with all accrued and
     unpaid Yield thereon.

     "Lessor Commitment" means the Commitment of the Lessor in the amount set 
     forth on Annex A of the Participation Agreement, as such Annex may be 
     amended from time to time.

     "Lessor Lien" means any Lien, true lease or sublease, encumbrance or 
     disposition of title affecting any one or more of the Properties, or
     any portion thereof, arising as a result of (a) any claim against any
     Participant not resulting from the transactions contemplated by the
     Operative Documents, (b) any act or omission of any Participant which is
     not required or permitted by the Operative Documents or is in violation
     of any of the terms of the Operative Documents, (c) any claim against any 
     Participant with respect to Taxes or Transaction Expenses against which
     the Lessees are not required to indemnify any Participant, in its 
     individual capacity, pursuant to Article XIII of the Participation
     Agreement or (d) any claim against the Lessor arising out of any
     transfer, encumbrance by the Lessor of all or any portion of the 
     interest of the Lessor in the Properties or the Operative Documents
     other than the transfer of title to or possession of the Properties by
     the Lessor pursuant to and in accordance with the Master Lease, the Loan
     Agreement or the Participation Agreement or pursuant to the exercise of
     the remedies set forth in Section 16.2 of the Master Lease.

     "Letters of Credit" means the letters of credit issued by NationsBank, N.A.
     for the account of the Company pursuant to the Credit Agreement, as such 
     letters of credit may be amended, supplemented, modified, replaced, 
     renewed, extended, refinanced or refunded from time to time.

     "LIBO Rate" means, relative to any Loan or Lessor Amount for any Interest
     Period, the rate per annum (rounded upward, if necessary to the nearest 
     multiple of one sixteenth of one percent) quoted at approximately 11:00 
     a.m. London time by the principal London branch of the Lease Agent two
     Business Days prior to the first day of such Interest Period for the 
     offering to leading banks in the London interbank market of Dollar deposits
     in immediately available funds, for a period, and in an amount, 
     comparable to the Interest Period and principal amount of the Loan or 
     Lessor Amount which shall be made.

     "LIBO Rate Amount" means any Loan or Lessor Amount which accrues interest 
     or Yield, as the case may be, by reference to the LIBO Rate 
     (Reserve Adjusted).

     "LIBO Rate (Reserve Adjusted)" means, relative to any Loan or Lessor 
     Amount for any Interest Period, a rate per annum (rounded upwards, if 
     necessary, to the nearest 1/16 of 1%) determined pursuant to the
     following formula:

        LIBO Rate           =              LIBO Rate
     (Reserve Adjusted)          1.00 - LIBOR Reserve Percentage

     The LIBO Rate (Reserve Adjusted) for any Interest Period will be determined
     by the Lease Agent, on the basis of the LIBOR Reserve Percentage in effect 
     on, and the applicable LIBO Rate obtained by the Lease Agent, two 
     Business Days before the first day of such Interest Period.

     "LIBOR Reserve Percentage" means, relative to any Interest Period, the 
     average maximum rate at which reserves (including any marginal,
     supplemental or emergency reserves) are required to be maintained during
     such Interest Period under Regulation D by member banks of the Federal
     Reserve System in New York City with deposits exceeding $1,000,000,000 
     against in the case of LIBO Rate Amounts, "Eurocurrency liabilities"
     (as such term is used in Regulation D).  Without limiting the effect of
     the foregoing, the LIBOR Reserve Percentage shall reflect any other
     reserves required to be maintained by such member banks by reason of any 
     Regulatory Change against (i) any category of liabilities which includes
     deposits by reference to which the LIBO Rate for LIBO Rate Amounts is to
     be determined as provided in the definition of "LIBO Rate" in this
     Appendix A or (ii) any category of extensions of credit or other assets
     which include LIBO Rate Amounts.

     "Licenses" means any and all licenses, certificates of need, operating 
     permits, franchises, and other licenses, authorizations, certifications, 
     permits, or approvals issued by, or on behalf of, any Governmental
     Authority, now existing or at any time hereafter issued, with
     respect to the acquisition, construction, renovation, expansion, leasing, 
     ownership or operation of any Property or related facilities or the
     participation or eligibility for participation in any third party
     payment or reimbursement programs, including, without limitation, any
     and all operating licenses issued by any state Governmental Authority,
     any and all pharmaceutical licenses and other licenses related to the
     purchase, dispensing, storage, prescription or use of drugs,  
     medications, and other "controlled substances", any and all licenses
     relating to the operation of food or beverage facilities or amenities,
     if any, and any and all certifications and eligibility for participation
     in Medicare, Medicaid, CHAMPUS, Blue Cross or Blue Shield, or any of the
     Managed Care Plans, as the same may from time to time be amended,
     renewed, restated, reissued, restricted, supplemented or otherwise
     modified.

     "Lien" means any lien (statutory or otherwise), security interest, 
     mortgage, deed of trust, priority, pledge, charge, conditional sale, title 
     retention agreement, financing lease or other similar encumbrance or
     right of others, or any agreement to give any of the foregoing.

     "Loan Agreement" means the Loan Agreement, dated as of December 11, 1996, 
     among the Lesser, as borrower thereunder, and the Lenders.

     "Loan Agreement Default" means any event, act or condition which with 
     notice or lapse of time, or both, would constitute a Loan Agreement Event
     of Default.

     "Loan Agreement Event of Default" is defined in Section 6.1 of the Loan
     Agreement.

     "Loan Balance" means as of any date of determination an amount equal to the
     sum of the outstanding Loans together with all accrued and unpaid interest
     thereon.

     "Loan Commitment" means the Commitment of each Lender in the amount set 
     forth on Annex A to the Participation Agreement, as such Annex may be
     amended from time to time.

     "Loan Documents" means the Loan Agreement and the Notes.

     "Loans" is defined in Section 2.2 of the Loan Agreement.

     "Managed Care Plans" means any health maintenance organization, preferred
     provider organization, individual practice association, competitive medical
     plan, or similar arrangement, entity, organization, or Person.

     "Marketing Period" means the period commencing on the date one year prior 
     to the Expiration Date and ending on the Expiration Date.

     "Master Lease" means the Master Lease, Open End Mortgage and Purchase 
     Option, dated as of December 11, 1996, among the Lessor and the Lessees, as
     it may be supplemented from time to time.

     "Material" and "Materially" mean material to (i) the ability of any Lessee 
     to perform its obligations under the Operative Documents to which it is
     a party, or (ii) the value or condition of any Property.

     "Material Adverse Effect" means any material adverse effect on (a) the 
     business, profits, properties or condition of the Guarantor and its 
     subsidiaries, taken as a whole, or a Lessee, as applicable, or (b) the 
     ability of a Lessee or the Guarantor to perform its obligations under
     each of the Operative Documents to which it is a party.

     "Maturity Date" means with respect to the Loans and the Lessor Amount, the 
     fifth anniversary of the Initial Acquisition Date.

     "Modifications" is defined in Section 10.1 of the Master Lease.

     "Monthly Payment Date" means the first Business Day of each calendar month.

     "Multicare Guaranty" means the Unconditional Guaranty dated as of December 
     11, 1996, made by the Company and each Subsidiary of the Guarantor party
     thereto in favor of the Collateral Agent for the benefit of the Secured 
     Parties.

     "Multiemployer Plan" means a Plan defined as such in Section 3(37) of ERISA
      to which contributions have been made by the Consolidated Entities or any 
      ERISA Affiliate and which is covered by Title IV of ERISA.

     "Net Proceeds" means all amounts received by the Lessor in connection with 
      any Casualty or Condemnation or any sale of the Property pursuant to the 
      Lessor's exercise of remedies under Section 16.2 of the Master Lease or
      the exercise of the Remarketing Option under Article XX of the Master 
      Lease, and all interest earned thereon, less the expense of claiming
      and collecting such amounts, including all costs and expenses in
      connection therewith for which the Lessor or any Participant is
      entitled to be reimbursed pursuant to the Lease to the extent such costs 
      and expenses have not been reimbursed previously by a Lessee or the
      Guarantor.

     "Obligations" means, at any time, all then applicable obligations (monetary
     or otherwise) of any Lessee arising through or under the Lease.

     "Obligors" means, collectively, the Company, each Lessee, each Subsidiary
     Co-Borrower and each Subsidiary Guarantor.

     "Operative Documents" means the following:

          (a)  the Participation Agreement;
          (b)  the Master Lease;
          (c)  each Lease Supplement;
          (d)  the Loan Agreement;
          (e)  the Notes;
          (f)  the Assignment of Lease and Rent;
          (g)  each Supplement to the Assignment of Lease and Rent;
          (h)  each Deed;
          (i)  each instrument of transfer conveying any Equity Interest to the 
               Lessor pursuant to Section 6.3(b) of the Participation Agreement;
          (j)  each Lease Facility Mortgage;
          (k)  each Lease Facility Financing Statement;
          (l)  each other Security Document; and
          (m)  the Intercreditor Agreement.

     "Overdue Rate" means, with respect to any Loan or Lessor Amount or any 
     other amount payable under any Operative Document, the Applicable Rate for 
     ABR Amounts plus one percent (1%); provided, that if the amount so in 
     default is a LIBO Rate Amount and the due date thereof is a day other
     than the last day of the Interest Period therefor, the "Overdue Rate" for 
     such LIBO Rate Amount shall be the Applicable Rate for LIBO Rate Amounts
     plus two percent (2%) and, thereafter, the rate provided for above in 
     this definition.

     "Participant Balance" means, with respect to any Participant as of any date
     of determination (i) with respect to any Lender, an amount equal to the 
     aggregate outstanding Loans of such Lender, together with all accrued
     and unpaid interest thereon or (ii) with respect to the Lessor, an 
     amount equal to the outstanding Lessor Amount, together with all amounts of
     accrued and unpaid Yield thereon.

     "Participants" means, collectively, each Lender and the Lessor.

     "Participation Agreement" means the Participation Agreement dated as of 
     December 11, 1996 among the Guarantor, the Lessees, the Lessor, the Lenders
     and the Collateral Agent.

     "PBGC" means the Pension Benefit Guaranty Corporation and any entity 
     succeeding to any or all of its functions under ERISA.

     "Permitted Property Liens" means, with respect to any Property, any of the 
     following:

          (i)  the respective rights and interests of the parties to the 
               Operative Documents as provided in the Operative Documents;

         (ii)  the rights of any sublessee under a sublease permitted by the
               terms of the Master Lease;

        (iii)  Liens for Taxes that either are not yet due or are being 
               contested in accordance with the provisions of Section 12.1 of 
               the Master Lease;

         (iv)  Liens arising by operation of law, materialmen's, mechanics', 
               workers', repairmen's, employees', carriers', warehousemen's
               and other like Liens relating to or in connection with any
               Modifications or arising in the ordinary course of business for
               amounts that either are not more than 60 days past due or are
               being diligently contested in good faith by appropriate 
               proceedings, so long as such proceedings satisfy the
               conditions for the continuation of proceedings to contest
               Taxes set forth in Section 12.1 of the Master Lease;

          (v)  Liens of any of the types referred to in clause (iv) above that
               have been bonded for not less than the full amount in dispute
               (or as to which other security arrangements reasonably 
               satisfactory to the Lessor have been made), which bonding (or
               arrangements) shall comply with applicable Requirements of
               Law, and has effectively stayed any execution or enforcement
               of such Liens;

         (vi)  Liens arising out of judgments or awards with respect to which
               appeals or other proceedings for review are being prosecuted in
               good faith and for the payment of which adequate reserves have
               been provided as required by GAAP or other appropriate
               provisions have been made, so long as such proceedings have
               the effect of staying the execution of such judgments or
               awards and satisfy the conditions for the continuation of
               proceedings to contest set forth in Section 12.1 of the Master
               Lease;

        (vii)  easements, rights of way and other encumbrances on title to
               real property permitted pursuant to Section 11.2 of the Master 
               Lease;

       (viii)  Lessor Liens;

         (ix)  Liens created by a Lessee with the consent of the Lessor; and

          (x)  Liens described on the title insurance policy delivered with 
               respect to such Property pursuant to Section 6.3(m) of the 
               Participation Agreement.

     "Person" means any individual, corporation, partnership, joint venture, 
     association, joint-stock company, trust, unincorporated organization, 
     Governmental Authority or any other entity.

     "PHC/Providence Mortgages" means the Second Amended and Restated Open-End 
     Mortgages dated as of December 11, 1996, made by PHC Operating Corp. and 
     Providence Health Care, Inc. in accordance with the terms of the Credit
     Agreement, as amended or supplemented from time to time in accordance
     with the provisions of Section 3.01 of the Intercreditor Agreement.

     "Plan" means any employee benefit or other plan established or maintained, 
     or to which contributions have been made, by the Consolidated Entities
     or any ERISA Affiliate and which is covered by Title IV of ERISA, other
     than a Multiemployer Plan.

     "Pledge Agreement" means the Second Amended and Restated Pledge Agreement 
     dated as of December 11, 1996, by the Company and the Subsidiary 
     Guarantors in favor of the Collateral Agent for the benefit of the
     Secured Parties.

     "Pricing Level" refers to the determination of which of the Pricing Level
     I, Pricing Level II, Pricing Level III or Pricing Level IV applies at
     any date (with adjustments to take effect three (3) Business Days after
     receipt by the Lease Agent of the financial statements referred to
     below); for purposes of determining which Pricing Level exists at any date,
     the Interest Coverage Ratio and Senior Leverage Ratio shall be deemed to
     be the Interest Coverage Ratio and Senior Leverage Ratio, respectively,
     as at the last day of the period covered by the most recent financial
     statements delivered pursuant to clauses (a) and (b) of Section 7.08 of the
     Credit Agreement (or, if the Credit Agreement has ceased to be in
     effect, the analogous clauses of Section 10.1 of the Participation
     Agreement); provided, however, that (a) if on any date the Company has 
     not delivered all financial statements and Compliance Certificates required
     to be delivered on or before such date pursuant to clauses (a) and (b)
     of Section 7.08 of the Credit Agreement (or, if applicable, the
     analogous clauses of Section 8.1 of the Participation Agreement), the
     Pricing Level on such date shall be Pricing Level IV until three Business 
     Days after delivery of such financial statements and Compliance
     Certificates and (b) subject to the preceding clause (a), for any date
     occurring on or prior to the date that is three Business Days after the
     receipt by the Lease Agent of the financial statements for the fiscal 
     period ending on December 31, 1996, the Pricing Level on such date
     shall be Pricing Level II.

     "Pricing Level I" means any date on which the Interest Coverage Ratio is 
     greater than 4.00 to 1.0 and the Senior Leverage Ratio is less than 2.50 to
     1.0.

     "Pricing Level II" means any date on which (a) the Interest Coverage Ratio
     is greater than 3.25 to 1.0 and the Senior Leverage Ratio is less than 3.25
     to 1.0 and (b) no better Pricing Level applies.

     "Pricing Level III" means any date on which (a) the Interest Coverage Ratio
     is greater than 2.50 to 1.0 and the Senior Leverage Ratio is less than 3.75
     to 1.0 and (b) no better Pricing Level applies.

     "Pricing Level IV" means any date on which no other Pricing Level applies.

     "Property" means the Lessor's interest in (i) any Land, either as owner in 
     fee simple or as owner of the Equity Interest in the Person that is the fee
     simple owner of such Land and (ii) all of the Improvements at any time 
     located on or under such Land.

     "Property Balance" means, with respect to any Property, an amount equal to 
     the outstanding principal amount of the Loans and the Lessor Amount related
     to such Property, and all accrued and unpaid interest and Yield thereon,
     and any Supplemental Rent related thereto payable to any Secured Party.

     "Property Cost" means, with respect to any Property, the amount of the 
     Advance funded for the purpose of acquiring the Property or the Equity 
     Interest related to such Property, as such amount is set forth in the
     Funding Request.

     "Property Legal Requirements" means all Federal, state, county, municipal 
     and other governmental statutes, laws, rules, orders, regulations,
     ordinances, judgments, decrees and injunctions affecting any Property,
     the Improvements or the demolition, construction, use or alteration
     thereof, whether now or hereafter enacted and in force, including any that
     require repairs, modifications or alterations in or to any Property or
     in any way limit the use and enjoyment thereof (including all building,
     zoning and fire codes and the Americans with Disabilities Act of 1990,
     42 U.S.C. S 1201 et. seq. and any other similar Federal, state or local
     laws or ordinances and the regulations promulgated thereunder) and any that
     may relate to environmental requirements (including all Environmental
     Laws), and all permits, certificates of occupancy, licenses,
     authorizations and regulations relating thereto, and all covenants, 
     agreements, restrictions and encumbrances contained in any instruments
     which are either of record or known to the Lessee affecting any
     Property, the Appurtenant Rights and any easements, licenses or other
     agreements entered into pursuant to Section 11.2 of the Master Lease.

     "Purchase Notice" means an irrevocable written notice delivered to the
     Lessor by all of the Lessees (or the Company acting as agent for all of
     the Lessees) pursuant to Section 18.1(a) of the Master Lease or by one
     Lessee (or the Guarantor acting as agent for such Lessee) pursuant to
     Section 18.1(b) of the Master Lease, notifying the Lessor of the
     intention to exercise the Purchase Option under Section 18.1(a) or
     18.1(b) of the Master Lease, as the case may be, and identifying the
     Property or Properties to be purchased in accordance therewith and the 
     proposed purchase date therefor.

     "Purchase Option" means the option of the Lessees to purchase all of the 
     Properties in accordance with the provisions of Section 18.1(a) of the
     Master Lease or purchase any Property in accordance with the provisions
     of Section 18.1(b) of the Master Lease.

     "Purchase Option Rent" means, with respect to any exercise by any Lessee of
     a Purchase Option, (a) in the case of an exercise of the Purchase Option 
     pursuant to Section 18.1(a) of the Master Lease or purchase obligation
     pursuant to Section 16.2(e) or 18.2 of the Master Lease, the Lease
     Balance and (b) in the case of an exercise of the Purchase Option with
     respect to any individual Property pursuant to Section 18.1(b) of the 
     Master Lease, the Property Balance for such Property.

     "Rate Setting Commission Trigger Event" shall occur if the Company has
     reasonable cause to believe the Lessor and the Lessee are or are likely
     to be determined to be "related parties" by the Commonwealth of
     Massachusetts Office of Health and Human Services, Division of Health Care
     Finance and Policy, acting through the Rate Setting Commission or any 
     successor regulatory entity, and the result is that the rate of
     reimbursement obtainable by the Lessee for capital costs or rental or 
     leasehold expenses is less than the rate that would otherwise have been
     payable if the Lessee and or the Lessor were not "related parties".

     "RCRA" means the Resource Conservation and Recovery Act of 1976, as amended
     by the Solid and Hazardous Waste Amendments of 1984, 42 U.S.C. S6901 et 
     seq.

     "Regulatory Change" means any change after the Documentation Date in United
     States federal, state, municipal or foreign laws or regulations (including
     without limitation Regulation D) or the adoption or making after such
     date of any interpretations, directives or requests applying to a class
     of banks of which such bank is a member, of or under any United States,
     federal, state, municipal or foreign laws or regulations (whether or not 
     having the force of law) by any court or governmental or monetary authority
     charged with the interpretation or administration thereof.

     "Release" means any pumping, pouring, emptying, injecting, escaping, 
     leaching, dumping, spilling, leaking, discharging, disposing or emitting
     into the environment of a Hazardous Material.

     "Remarketing Option" is defined in Section 20.1 of the Master Lease.

     "Rent" means, collectively, the Basic Rent and the Supplemental Rent, in 
     each case payable under the Master Lease.

     "Requesting Party" is defined in Section 27.1 of the Master Lease.

     "Required Lenders" means, at any time, (i) Lenders holding at least 51% of 
     the aggregate outstanding principal amount of Loans or, if no such 
     principal amount is then outstanding, Lenders having at least 51% of
     the aggregate Loan Commitments.

     "Required Modification" is defined in clause (i) of Section 10.1 of the 
     Master Lease.

     "Required Participants" means, at any time, (i) Tranche A Lenders holding 
     at least 51% of the aggregate outstanding principal amount of Tranche A 
     Loans, together with (ii) all Tranche B Lenders and the Lessor.

     "Requirement of Law" means, as to any Person, (a) the partnership
     agreement, certificate of incorporation, bylaws or other organizational
     or governing documents of such Person, (b) any federal, state or local
     law, treaty, ordinance, rule or regulation and (c) any order, decree or
     determination of a court, arbitrator or other Governmental Authority, in 
     each case applicable to or binding upon such Person or any of its 
     property or to which such Person or any of its property is subject.

     "Responsible Officer" means any president, vice president or secretary of
     Lessee, and any executive vice president or senior vice president of the 
     Company, as applicable.

     "Responsible Officer's Certificate" means a certificate signed by any 
     Responsible Officer, which certificate shall certify as true and correct 
     the subject matter being certified to in such certificate.

     "Secured Parties" means, collectively, the Collateral Agent, the Credit
     Facility Agent, each Credit Facility Bank, each Lender and the Lessor.

     "Securities Act" means the Securities Act of 1933, as amended, together 
     with the rules and regulations promulgated thereunder.

     "Security Agreement" means the Second Amended and Restated Security 
     Agreement dated as of December 11, 1996, by the Company and the Subsidiary 
     Guarantors in favor of the Collateral Agent for the benefit of each of the 
     Secured Parties.

     "Security Documents" means, collectively, the following:

          (a)  the Multicare Guaranty;
          (b)  the Security Agreement;
          (c)  the Pledge Agreement;
          (d)  the PHC/Providence Mortgages;
          (e)  the Lease Facility Mortgages; and
          (f)  each other security document that may from time to time be 
               delivered to the Collateral Agent in connection with the
               foregoing (including all financing statements, fixture
               filings, mortgages, assignments and stock certificates delivered 
               to the Collateral Agent).

     "Senior Leverage Ratio" means, at any date of determination thereof, the 
     "Senior Leverage Ratio" as defined in the Credit Agreement.

     "Senior Obligation Documents" means, collectively:

          (a)  the Credit Facility Documents;
          (b)  the Operative Documents; and
          (c)  each other document made, delivered or given in connection with 
               the foregoing and each other document that replaces, renews,
               extends, refinances or refunds indebtedness under any of the 
               foregoing.

     "Senior Obligations" means the unpaid principal of, interest on and Yield
     on (including interest and Yield accruing on or after the filing of any 
     petition in bankruptcy, or the commencement of any insolvency, 
     reorganization or like proceeding, whether or not a claim for 
     post-filing or post-petition interest is allowed in such proceeding) the
     Credit Facility Notes, the Lease Facility Notes, the Lessor Amount, the
     obligations under the Letters of Credit, the obligations under the 
     Interest Rate Protection Agreements and all other obligations and 
     liabilities of the Lessor or any Obligor to any Secured Party, whether 
     direct or indirect, absolute or contingent, due or to become due, or
     now existing or hereafter incurred, which may arise under, out of, or
     in connection with, the Credit Agreement, the Loan Agreement, the 
     Participation Agreement, the Master Lease, the Credit Facility Notes,
     the Lease Facility Notes, the Letters of Credit, the Interest Rate
     Protection Agreements, the Multicare Guaranty or any other Senior 
     Obligation Document, whether on account of principal, interest, Yield,
     rentals (including Rent), guaranties, reimbursement obligations, fees,
     indemnities, costs, expenses (including, without limitation, all fees
     and disbursements of counsel to any Secured Party) or otherwise.

     "Shortfall Amount" means, as of the Expiration Date, an amount equal to (i)
     the Lease Balance, minus (ii) the Lease Recourse Amount received by the
     Collateral Agent pursuant to Section 20.1(j) of the Master Lease, minus
     (iii) the aggregate amount of the highest, binding, written,
     unconditional, irrevocable offer to purchase each Property obtained by each
     Lessee pursuant to Section 20.1(e) of the Master Lease; provided,
     however, that if the sale of the Properties to the Person submitting
     such offer is not consummated on or prior to the Expiration Date, then
     the term "Shortfall Amount" shall mean an amount equal to (i) the Lease
     Balance, minus (ii) the Lease Recourse Amount received by the Collateral
     Agent pursuant to Section 20.1(j) of the Master Lease.

     "Significant Casualty" means a Casualty that in the reasonable, good faith
     judgment of the Lessor is so substantial in nature that restoration of the 
     related Property to substantially its condition as existed immediately
     prior to such Casualty (or such a condition that such Property, as so
     restored and with such Modifications as the applicable Lessee may elect in 
     accordance with Section 10.1 of the Master Lease, would have a use,
     value and utility substantially the same as that which existed
     immediately prior to such Casualty) would be impracticable or impossible.

     "Significant Condemnation" means (a) a Condemnation that involves a taking 
     of the Lessor's entire title to the related Land, or (b) a Condemnation
     that in the reasonable, good faith judgment of the Lessor is such that
     restoration of the related Property to substantially its condition as
     existed immediately prior to such Condemnation (or such a condition that 
     such Property, as so restored and with such Modifications as the
     applicable Lessee may elect in accordance with Section 10.1 of the 
     Master Lease, would have a use, value and utility substantially the
     same as that which existed immediately prior to such Condemnation) would be
     impracticable or impossible.

     "Statutory Condition" means Mass. Gen. Laws Ann. Ch. 183 S20.

     "Structuring Agent" means Key Global Finance Ltd.

     "Sub-Participant" is defined in Section 12.2 of the Participation 
     Agreement.

     "Subsidiary" means, with respect to any Person, any corporation or other 
     entity of which at least a majority of the securities or other ownership 
     interest having ordinary voting power for the election of directors or
     other persons performing similar functions are at the time owned
     directly or indirectly by such Person.

     "Subsidiary Co-Borrowers" means, collectively, the Subsidiary Co-Borrowers
     under, and as defined in, the Credit Agreement.

     "Subsidiary Guarantors" means, collectively, each of the Subsidiaries of 
     the Company party to the Multicare Guaranty.

     "Supplemental Rent" means all amounts, liabilities and obligations (other
     than Basic Rent (Interest/Yield)) which each Lessee assumes or agrees to
     pay to Lessor or any other Person under the Master Lease, or under any
     of the other Operative Documents, including, without limitation, fees
     due under the Fee Letter, Break Costs, the Loan Balance (except where
     the payment thereof has been accelerated as a result of a default by the
     Lessor under the Loan Agreement in the absence of Lease Event of
     Default), the Lease Recourse Amount, amounts due pursuant to Section
     13.2 of the Participation Agreement and payments pursuant to Sections 15.2 
     of the Master Lease and Articles XVIII and XX of the Master Lease.

     "Tax Indemnitee" means each Lender, the Lessor, the Collateral Agent, the 
     Lease Agent and their respective Affiliates.

     "Taxes" is defined in the definition of Impositions.

     "Term" is defined in Section 2.3 of the Master Lease.

     "Termination Date" is defined in Section 15.2 and Section 16.2(e) of the 
     Master Lease.

     "Termination Notice" is defined in Section 15.1 of the Master Lease.

     "Tranche A Lenders" means, collectively, the various financial institutions
     as are or may from time to time become Tranche A Lenders under the Loan 
     Agreement.

     "Tranche A Loan" is defined in Section 2.1(a) of the Loan Agreement.

     "Tranche A Notes" is defined in Section 2.2 of the Loan Agreement.

     "Tranche B Lenders" means, collectively, the various financial institutions
     as are or may from time to time become Tranche B Lenders under the Loan
     Agreement.

     "Tranche B Loan" is defined in Section 2.1(b) of the Loan Agreement.

     "Tranche B Notes" is defined in Section 2.2 of the Loan Agreement.

     "Transaction Expenses" means all costs and expenses incurred by the Lessor,
     the Company, the Lessees, the Lease Agent and the Collateral Agent in 
     connection with the preparation, execution and delivery of the Operative
     Documents and the transactions contemplated by the Operative Documents 
     including:

          (a)  the reasonable fees, out-of-pocket expenses and disbursements of 
               Mayer, Brown & Platt, special counsel for the Lessor and the 
               Lenders, and such other fees, expenses and disbursements of
               counsel for the Company and the Lessees  in negotiating the
               terms of the Operative Documents and the other transaction
               documents, preparing for the closing under, and rendering
               opinions in connection with, such transactions and in
               rendering other services customary for counsel representing
               parties to transactions of the types involved in the
               transactions contemplated by the Operative Documents;

          (b)  the reasonable fees, out-of-pocket expenses and disbursements of
               one special counsel and one special Massachusetts counsel, if 
               any, for the Lessor, the Lenders and the Lease Agent in
               connection with (1) any amendment, supplement, waiver or 
               consent with respect to any Operative Documents requested or
               approved by the Company as agent for the Lessees and (2)
               any successful enforcement of any rights or remedies against
               the Lessees in respect of the Operative Documents;

          (c)  any and all Taxes and fees incurred in recording, registering or
               filing any Operative Document or any other transaction
               document, any deed, declaration, mortgage, security agreement,
               notice or financing statement with any public office, registry or
               governmental agency in connection with the transactions
               contemplated by the Operative Documents;

          (d)  any title fees, premiums and escrow costs and other expenses 
               relating to title insurance and the closings contemplated by 
               the Operative Documents;

          (e)  all expenses relating to all Environmental Audits;

          (f)  fees and other expenses relating to Appraisals; and

          (g)  the fees referred to in the Fee Letter.

     "Unfunded Benefit Liabilities" means, with respect to any Plan, the amount 
     (if any) by which the present value of all benefit liabilities (within
     the meaning of Section 4001 (a)(1 6) of ERISA) under the Plan exceeds
     the fair market value of all Plan assets allocable to such benefit
     liabilities, as determined on the most recent valuation date of the Plan
     and in accordance with the provisions of ERISA for calculating the
     potential liability of any Consolidated Entity or any ERISA Affiliate 
     under Title IV of ERISA.

     "Uniform Commercial Code" and "UCC" means the Uniform Commercial Code as in
     effect in any applicable jurisdiction.

     "Yield" is defined in Section 4.3 of the Participation Agreement.