Exhibit 10.21















                            MASTER LEASE AGREEMENT

                         DATED AS OF JANUARY __, 1995

                                BY AND BETWEEN

                   HEALTH AND RETIREMENT PROPERTIES TRUST,
                                 AS LANDLORD,

                                     AND

                        VERMONT SUBACUTE CORPORATION 
                                     AND
                     NEW HAMPSHIRE SUBACUTE CORPORATION,
                                  AS TENANTS





                              TABLE OF CONTENTS

  ARTICLE 1      DEFINITIONS  . . . . . . . . . . . . . . . . . . . .     1

       1.1   "Additional Rent"  . . . . . . . . . . . . . . . . . . .     1
       1.2   "Additional Charges"   . . . . . . . . . . . . . . . . .     2
       1.3   "Additional Properties . . . . . . . . . . . . . . . . .     2
       1.4   "Adjusted Purchase Price"  . . . . . . . . . . . . . . .     2
       1.5   "Affiliated Person"  . . . . . . . . . . . . . . . . . .     2
       1.6   "Agreement"  . . . . . . . . . . . . . . . . . . . . . .     2
       1.7   "Applicable Laws"  . . . . . . . . . . . . . . . . . . .     2
       1.8   "Award"  . . . . . . . . . . . . . . . . . . . . . . . .     3
       1.10  "Base Net Patient Revenues"  . . . . . . . . . . . . . .     3
       1.11  "Business Day"   . . . . . . . . . . . . . . . . . . . .     3
       1.12  "Capital Addition"   . . . . . . . . . . . . . . . . . .     4
       1.13  "Capital Additions Cost"   . . . . . . . . . . . . . . .     4
       1.14  "Change in Control"  . . . . . . . . . . . . . . . . . .     4
       1.15  "Code"   . . . . . . . . . . . . . . . . . . . . . . . .     5
       1.16  "Collective Leased Properties"   . . . . . . . . . . . .     5
       1.17  "Commencement Date"  . . . . . . . . . . . . . . . . . .     5
       1.18  "Condemnation"   . . . . . . . . . . . . . . . . . . . .     5
       1.19  "Condemnor"  . . . . . . . . . . . . . . . . . . . . . .     5
       1.21  "Declaration . . . . . . . . . . . . . . . . . . . . . .     5
       1.22  "Default"  . . . . . . . . . . . . . . . . . . . . . . .     5
       1.23  "Distribution"   . . . . . . . . . . . . . . . . . . . .     5
       1.24  "Encumbrance"  . . . . . . . . . . . . . . . . . . . . .     6
       1.25  "Entity  . . . . . . . . . . . . . . . . . . . . . . . .     6
       1.26  "Environment"  . . . . . . . . . . . . . . . . . . . . .     6
       1.27  "Environmental Obligation"   . . . . . . . . . . . . . .     6
       1.28  "Environmental Notice"   . . . . . . . . . . . . . . . .     6
       1.29  "Environmental Report"   . . . . . . . . . . . . . . . .     6
       1.30  "Event of Default"   . . . . . . . . . . . . . . . . . .     6
       1.31  "Excess Net Patient Revenues"  . . . . . . . . . . . . .     6
       1.32  "Extended Terms"   . . . . . . . . . . . . . . . . . . .     6
       1.33  "Facility"   . . . . . . . . . . . . . . . . . . . . . .     6
       1.34  "Facility Mortgage"  . . . . . . . . . . . . . . . . . .     6
       1.35  "Facility Mortgagee"   . . . . . . . . . . . . . . . . .     6
       1.36  "Facility Trade Name"  . . . . . . . . . . . . . . . . .     6
       1.37  "Fair Market Added Value"  . . . . . . . . . . . . . . .     7
       1.39  "Fair Market Rental"   . . . . . . . . . . . . . . . . .     7
       1.40  "Fair Market Value"  . . . . . . . . . . . . . . . . . .     7
       1.41  "Fair Market Value Purchase Price"   . . . . . . . . . .     7
       1.42  "Financial Officer's Certificate"  . . . . . . . . . . .     7
       1.43  "Financials"   . . . . . . . . . . . . . . . . . . . . .     7
       1.44  "Fiscal Year"  . . . . . . . . . . . . . . . . . . . . .     8
       1.45  "Fixed Term"   . . . . . . . . . . . . . . . . . . . . .     8
       1.46  "Fixtures"   . . . . . . . . . . . . . . . . . . . . . .     8
       1.47  "GAAP"   . . . . . . . . . . . . . . . . . . . . . . . .     8
       1.48  "Government Agencies . . . . . . . . . . . . . . . . . .     8
       1.49  "Guarantor"  . . . . . . . . . . . . . . . . . . . . . .     8
       1.50  "Guaranty"   . . . . . . . . . . . . . . . . . . . . . .     8
       1.51  "Hazardous Substances"   . . . . . . . . . . . . . . . .     8
       1.52  "Immediate Family  . . . . . . . . . . . . . . . . . . .     9
       1.53  "Impositions"  . . . . . . . . . . . . . . . . . . . . .     9


                                     -ii-

       1.54  "Incidental Documents"   . . . . . . . . . . . . . . . .    10
       1.55  "Indebtedness"   . . . . . . . . . . . . . . . . . . . .    10
       1.56  "Independent Trustees"   . . . . . . . . . . . . . . . .    10
       1.57  "Insurance Requirements"   . . . . . . . . . . . . . . .    10
       1.58  "Investment"   . . . . . . . . . . . . . . . . . . . . .    10
       1.59  "Land"   . . . . . . . . . . . . . . . . . . . . . . . .    11
       1.60  "Landlord"   . . . . . . . . . . . . . . . . . . . . . .    11
       1.61  "Lease Year"   . . . . . . . . . . . . . . . . . . . . .    11
       1.62  "Leased Improvements"  . . . . . . . . . . . . . . . . .    11
       1.63  "Leased Personal Property"   . . . . . . . . . . . . . .    11
       1.64  "Leased Property"  . . . . . . . . . . . . . . . . . . .    11
       1.65  "Legal Requirements"   . . . . . . . . . . . . . . . . .    11
       1.66  "Lending Institution"  . . . . . . . . . . . . . . . . .    11
       1.67  "Lien"   . . . . . . . . . . . . . . . . . . . . . . . .    12
       1.68  "Management Agreement"   . . . . . . . . . . . . . . . .    12
       1.69  "Manager"  . . . . . . . . . . . . . . . . . . . . . . .    12
       1.70  "Market Area . . . . . . . . . . . . . . . . . . . . . .    12
       1.71  "Minimum Rent"   . . . . . . . . . . . . . . . . . . . .    12
       1.72  "Net Patient Revenues"   . . . . . . . . . . . . . . . .    12
       1.73  "New Hampshire Leased Property . . . . . . . . . . . . .    13
       1.74  "New Hampshire Subacute  . . . . . . . . . . . . . . . .    13
       1.75  "Notice"   . . . . . . . . . . . . . . . . . . . . . . .    13
       1.76  "Nursing Home Administrator License  . . . . . . . . . .    13
       1.77  "Officer's Certificate"  . . . . . . . . . . . . . . . .    13
       1.78  "Option Purchase Price . . . . . . . . . . . . . . . . .    13
       1.79  "Overdue Rate"   . . . . . . . . . . . . . . . . . . . .    13
       1.80  "Parent  . . . . . . . . . . . . . . . . . . . . . . . .    13
       1.81  "Permitted Encumbrances"   . . . . . . . . . . . . . . .    13
       1.82  "Person"   . . . . . . . . . . . . . . . . . . . . . . .    14
       1.83  "Pledge and Security Agreement . . . . . . . . . . . . .    14
       1.84  "Purchase Agreement  . . . . . . . . . . . . . . . . . .    14
       1.85  "Primary Intended Use"   . . . . . . . . . . . . . . . .    14
       1.86  "Qualified Appraiser . . . . . . . . . . . . . . . . . .    14
       1.87  "Records"  . . . . . . . . . . . . . . . . . . . . . . .    14
       1.88  "Regulated Medical Wastes  . . . . . . . . . . . . . . .    14
       1.89  "Rent"   . . . . . . . . . . . . . . . . . . . . . . . .    14
       1.90  "SEC"  . . . . . . . . . . . . . . . . . . . . . . . . .    14
       1.91  "State"  . . . . . . . . . . . . . . . . . . . . . . . .    14
       1.92  "Stock Pledge Agreement"   . . . . . . . . . . . . . . .    15
       1.93  "Subordinated Creditor"  . . . . . . . . . . . . . . . .    15
       1.94  "Subordination Agreement"  . . . . . . . . . . . . . . .    15
       1.95  "Subsidiary"   . . . . . . . . . . . . . . . . . . . . .    15
       1.96  "Tangible Net Worth"   . . . . . . . . . . . . . . . . .    15
       1.97  "Tenant"   . . . . . . . . . . . . . . . . . . . . . . .    15
       1.98  "Tenant's Capital Additions"   . . . . . . . . . . . . .    15
       1.99  "Tenant's Personal Property"   . . . . . . . . . . . . .    15
       1.100  "Term"  . . . . . . . . . . . . . . . . . . . . . . . .    16
       1.101  "Trustees"  . . . . . . . . . . . . . . . . . . . . . .    16
       1.102  "Unsuitable for Its Primary Intended Use"   . . . . . .    16
       1.103  "Vermont Subacute . . . . . . . . . . . . . . . . . . .    16
       1.104  "Work"  . . . . . . . . . . . . . . . . . . . . . . . .    16

  ARTICLE 2      COLLECTIVE LEASED PROPERTIES AND TERM  . . . . . . .    16

       2.1  Collective Leased Properties  . . . . . . . . . . . . . .    16


                                    -iii-

       2.2  Condition of Collective Leased Properties . . . . . . . .    17
       2.3  Fixed Term  . . . . . . . . . . . . . . . . . . . . . . .    18
       2.4  Extended Term . . . . . . . . . . . . . . . . . . . . . .    18

  ARTICLE 3      RENT . . . . . . . . . . . . . . . . . . . . . . . .    19

       3.1  Rent  . . . . . . . . . . . . . . . . . . . . . . . . . .    19
            3.1.1  Minimum Rent . . . . . . . . . . . . . . . . . . .    19
            3.1.2  Additional Rent  . . . . . . . . . . . . . . . . .    19
            3.1.3  Additional Charges . . . . . . . . . . . . . . . .    22
       3.2  Late Payment of Rent  . . . . . . . . . . . . . . . . . .    24
       3.3  Net Lease . . . . . . . . . . . . . . . . . . . . . . . .    24
       3.4  No Termination, Abatement, Etc. . . . . . . . . . . . . .    24

  ARTICLE 4      USE OF THE COLLECTIVE LEASED PROPERTIES  . . . . . .    25

       4.1  Permitted Use . . . . . . . . . . . . . . . . . . . . . .    25
            4.1.1  Primary Intended Use . . . . . . . . . . . . . . .    25
            4.1.2  Necessary Approvals  . . . . . . . . . . . . . . .    26
            4.1.3  Lawful Use, Etc. . . . . . . . . . . . . . . . . .    26
       4.2  Compliance with Legal and Insurance 
              Requirements, Etc.  . . . . . . . . . . . . . . . . . .    27
       4.3  Compliance with Medicaid and Medicare
              Requirements  . . . . . . . . . . . . . . . . . . . . .    27
       4.4  Environmental Matters . . . . . . . . . . . . . . . . . .    27
            4.4.1  Restriction on Use, Etc. . . . . . . . . . . . . .    27
            4.4.2  Environment Report . . . . . . . . . . . . . . . .    28
            4.4.4  Survival . . . . . . . . . . . . . . . . . . . . .    30

  ARTICLE 5      MAINTENANCE AND REPAIRS  . . . . . . . . . . . . . .    30

       5.1  Maintenance and Repair  . . . . . . . . . . . . . . . . .    30
            5.1.1  Tenant's Obligations . . . . . . . . . . . . . . .    30
            5.1.2  Landlord's Obligations . . . . . . . . . . . . . .    31
            5.1.3  Nonresponsibility of Landlord; No Mechanics
                   Liens  . . . . . . . . . . . . . . . . . . . . . .    31
       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. . . . . . . . . . . . .    34

  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
            6.2.1  Financing of Capital Additions . . . . . . . . . .    35
            6.2.2  Purchase by Landlord . . . . . . . . . . . . . . .    35
       6.3  Capital Additions Financed by Landlord  . . . . . . . . .    37
       6.4  Non-Capital Additions . . . . . . . . . . . . . . . . . .    38
       6.5  Salvage . . . . . . . . . . . . . . . . . . . . . . . . .    39

  ARTICLE 7      LIENS  . . . . . . . . . . . . . . . . . . . . . . .    39

       7.1  Liens . . . . . . . . . . . . . . . . . . . . . . . . . .    39


                                     -iv-

       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 . . . . . . . . . . . . . . . . . .    43
       9.4  Form Satisfactory, Etc  . . . . . . . . . . . . . . . . .    43
       9.5  Blanket Policy  . . . . . . . . . . . . . . . . . . . . .    44
       9.6  No Separate Insurance . . . . . . . . . . . . . . . . . .    44
       9.7  Indemnification of Landlord . . . . . . . . . . . . . . .    44

  ARTICLE 10     CASUALTY . . . . . . . . . . . . . . . . . . . . . .    45

       10.1  Insurance Proceeds . . . . . . . . . . . . . . . . . . .    45
       10.2  Damage or Destruction  . . . . . . . . . . . . . . . . .    45
            10.2.1  Damage or Destruction of Leased Property  . . . .    45
            10.2.2  Partial Damage or Destruction . . . . . . . . . .    46
            10.2.3  Insufficient Insurance Proceeds . . . . . . . . .    46
            10.2.4  Disbursement of Proceeds  . . . . . . . . . . . .    46
       10.3  Damage Near End of Term  . . . . . . . . . . . . . . . .    48
       10.4  Tenant's Property  . . . . . . . . . . . . . . . . . . .    48
       10.5  Restoration of Tenant's Property . . . . . . . . . . . .    48
       10.6  No Abatement of Rent . . . . . . . . . . . . . . . . . .    48
       10.7  Termination of Option to Purchase  . . . . . . . . . . .    49
       10.8  Waiver . . . . . . . . . . . . . . . . . . . . . . . . .    49

  ARTICLE 11     CONDEMNATION . . . . . . . . . . . . . . . . . . . .    49

       11.1  Total Condemnation, Etc  . . . . . . . . . . . . . . . .    49
       11.2  Partial Condemnation . . . . . . . . . . . . . . . . . .    49
       11.3  Abatement of Rent  . . . . . . . . . . . . . . . . . . .    50
       11.4  Temporary Condemnation . . . . . . . . . . . . . . . . .    51
       11.5  Allocation of Award  . . . . . . . . . . . . . . . . . .    51
       11.6  Termination of Rights of Option to Purchase. . . . . . .    51

  ARTICLE 12     DEFAULTS AND REMEDIES  . . . . . . . . . . . . . . .    52

       12.1  Events of Default  . . . . . . . . . . . . . . . . . . .    52
       12.2  Remedies . . . . . . . . . . . . . . . . . . . . . . . .    55
       12.3  Tenant's Waiver  . . . . . . . . . . . . . . . . . . . .    57
       12.4  Application of Funds . . . . . . . . . . . . . . . . . .    58
       12.5  Landlord's Right to Cure Tenant's Default  . . . . . . .    58
       12.6  Trade Names  . . . . . . . . . . . . . . . . . . . . . .    58

  ARTICLE 13     HOLDING OVER . . . . . . . . . . . . . . . . . . . .    59

  ARTICLE 14     LANDLORD'S DEFAULT . . . . . . . . . . . . . . . . .    59

  ARTICLE 15     PURCHASE OF LEASED PROPERTY  . . . . . . . . . . . .    60

  ARTICLE 16     SUBLETTING AND ASSIGNMENT  . . . . . . . . . . . . .    60

       16.1  Subletting and Assignment  . . . . . . . . . . . . . . .    60


                                     -v-

       16.2  Required Sublease Provisions . . . . . . . . . . . . . .    61
       16.3  Permitted Sublease . . . . . . . . . . . . . . . . . . .    62
       16.4  Sublease Limitation  . . . . . . . . . . . . . . . . . .    63

  ARTICLE 17     ESTOPPEL CERTIFICATES AND FINANCIAL
                  STATEMENTS  . . . . . . . . . . . . . . . . . . . .    63

       17.1  Estoppel Certificates  . . . . . . . . . . . . . . . . .    63
       17.2  Financial Statements . . . . . . . . . . . . . . . . . .    63
       17.3  General Operations . . . . . . . . . . . . . . . . . . .    65
            17.3.1  Reimbursement, Licensure, Etc . . . . . . . . . .    65
            17.3.2  Annual Budgets  . . . . . . . . . . . . . . . . .    65

  ARTICLE 18     LANDLORD'S RIGHT TO INSPECT  . . . . . . . . . . . .    66

  ARTICLE 19     APPRAISAL  . . . . . . . . . . . . . . . . . . . . .    66

       19.1  Appraisal Procedure  . . . . . . . . . . . . . . . . . .    66
       19.2  Landlord's Right to Appraisal  . . . . . . . . . . . . .    68

  ARTICLE 20     OPTION TO PURCHASE . . . . . . . . . . . . . . . . .    68

       20.1  Landlord's Option to Purchase Tenant's
               Personal Property; Transfer of Licenses  . . . . . . .    68
       20.2  Tenant's Option to Purchase the Leased Property  . . . .    69
       20.3  First Refusal to Purchase  . . . . . . . . . . . . . . .    69

  ARTICLE 21     FACILITY MORTGAGES . . . . . . . . . . . . . . . . .    71

       21.1  Landlord May Grant Liens . . . . . . . . . . . . . . . .    71
       21.2  Subordination of Lease . . . . . . . . . . . . . . . . .    71
       21.3  Notice to Mortgagee and Ground Landlord  . . . . . . . .    72

  ARTICLE 22     ADDITIONAL COVENANTS OF TENANT . . . . . . . . . . .    73

       22.1   Prompt Payment of Indebtedness  . . . . . . . . . . . .    73
       22.2   Conduct of Business . . . . . . . . . . . . . . . . . .    73
       22.3   Maintenance of Accounts and Records . . . . . . . . . .    73
       22.4   Notice of Change of Name, Administrator, Etc  . . . . .    73
       22.5   Notice of Litigation, Potential Event 
                of Default, Etc.  . . . . . . . . . . . . . . . . . .    74
       22.6   Indebtedness of Tenant  . . . . . . . . . . . . . . . .    74
       22.7   Distributions, Payments to Affiliated 
                Persons, Etc  . . . . . . . . . . . . . . . . . . . .    75
       22.8   Investments . . . . . . . . . . . . . . . . . . . . . .    75
       22.9   Prohibited Transactions . . . . . . . . . . . . . . . .    76
       22.10  Management of Collective Leased Properties  . . . . . .    76
       22.11  Liens and Encumbrances  . . . . . . . . . . . . . . . .    77
       22.12  Merger; Sale of Assets; Etc . . . . . . . . . . . . . .    77
       22.13  Guaranties  . . . . . . . . . . . . . . . . . . . . . .    77

  ARTICLE 23     MISCELLANEOUS  . . . . . . . . . . . . . . . . . . .    78

       23.1   Limitation on Payment of Rent . . . . . . . . . . . . .    78
       23.2   No Waiver . . . . . . . . . . . . . . . . . . . . . . .    78


                                     -vi-

       23.3   Remedies Cumulative . . . . . . . . . . . . . . . . . .    78
       23.4   Severability  . . . . . . . . . . . . . . . . . . . . .    78
       23.5   Acceptance of Surrender . . . . . . . . . . . . . . . .    79
       23.6   No Merger of Title  . . . . . . . . . . . . . . . . . .    79
       23.7   Conveyance by Landlord  . . . . . . . . . . . . . . . .    79
       23.8   Quiet Enjoyment . . . . . . . . . . . . . . . . . . . .    79
       23.9   NON-LIABILITY OF TRUSTEES . . . . . . . . . . . . . . .    80
       23.10  Landlord's Consent of Trustees  . . . . . . . . . . . .    80
       23.11  Memorandum of Lease . . . . . . . . . . . . . . . . . .    80
       23.12  Notices . . . . . . . . . . . . . . . . . . . . . . . .    80
       23.13  Construction  . . . . . . . . . . . . . . . . . . . . .    81
       23.14  Counterparts; Headings  . . . . . . . . . . . . . . . .    82
       23.15  Landlord Financing. . . . . . . . . . . . . . . . . . .    82
       23.16  Applicable Law, Etc . . . . . . . . . . . . . . . . . .    82
       23.17  Allocation of Minimum Rent  . . . . . . . . . . . . . .    83
       23.18  Additional Leased Properties. . . . . . . . . . . . . .    83

  EXHIBITS

  A-1 - A-8 - Legal Descriptions
  B         - Purchase Price
  C           Minimum Rent Allocation






                            MASTER LEASE AGREEMENT


       THIS MASTER LEASE AGREEMENT is entered into as of this ___ day of
  January 1995, by and between HEALTH AND RETIREMENT PROPERTIES TRUST, a
  Maryland real estate investment trust, having its principal office at
  400 Centre Street, Newton, Massachusetts  02158 ("Landlord"), Vermont
  Subacute Corporation, a Delaware corporation, having its principal
  office at 150 South Champlain Street, Burlington, Vermont 05401
  ("Vermont Subacute"), and New Hampshire Subacute Corporation, a Delaware
  corporation, having its principal office at 40 Whitehall Road,
  Rochester, New Hampshire 03867 ("New Hampshire Subacute").

                             W I T N E S E T H :

       WHEREAS, Landlord owns fee simple title to the Collective Leased
  Properties (this and other capitalized terms used and not otherwise
  defined herein having the meanings ascribed to such terms in Article 1);
  and

       WHEREAS, Landlord wishes to lease the Collective Leased Properties
  to Tenant and Tenant wishes to lease the Collective Leased Properties
  from Landlord, all subject to and upon the terms and conditions herein
  set forth;

       NOW, THEREFORE, in consideration of the mutual covenants herein
  contained and other good and valuable consideration, the mutual receipt
  and legal sufficiency of which are hereby acknowledged, Landlord and
  Tenant hereby agree as follows:


                                  ARTICLE 1

                                 DEFINITIONS

       For all purposes of this Agreement, 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 GAAP, (iii) all references in this Agreement to
  designated "Articles," "Sections" and other subdivisions are to the
  designated Articles, Sections and other subdivisions of this Agreement,
  and (iv) the words "herein," "hereof," "hereunder" and other words of
  similar import refer to this Agreement as a whole and not to any
  particular Article, Section or other subdivision.

       1.1  "Additional Rent" shall have the meaning given such term in
  Section 3.1.2(a).

       1.2  "Additional Charges" shall have the meaning given such term in
  Section 3.1.3.





                                     -2-

       1.3  "Additional Properties" shall have the meaning given such term
  in Section 23.18 hereof.

       1.4  "Adjusted Purchase Price" shall mean, with respect to any
  Leased Property, the Purchase Price of such Leased Property plus any
  amounts disbursed or advanced by Landlord to finance, or to reimburse
  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.

       1.5  "Affiliated Person" shall mean, with respect to any Person,
  (a) in the case of any such Person which is a partnership, any partner
  in such partnership, (b) in the case of any such Person which is a
  limited liability company, any member of such company, (c) any other
  Person which is a Parent, a Subsidiary, or a Subsidiary of a Parent with
  respect to such Person or to one or more of the Persons referred to in
  the preceding clauses (a) and (b), (d) any other Person who is an
  officer, director, trustee or employee of, or partner in, such Person or
  any Person referred to in the preceding clauses (a), (b) and (c), and
  (e) any other Person who is a member of the Immediate Family of such
  Person or of any Person referred to in the preceding clauses (a) through
  (d).

       1.6  "Agreement" shall mean this Master Lease Agreement, including
  Exhibits A-1 to A-8, B and C hereto, as it and they may be amended from
  time to time as herein provided.

       1.7  "Applicable Laws" shall mean all applicable laws, statutes,
  regulations, rules, ordinances, codes, licenses, permits and orders
  (whether now existing or hereafter enacted or promulgated irrespective
  of whether its enactment is foreseeable or contemplated), of all courts
  of competent jurisdiction and Government Agencies, and all applicable
  judicial and administrative and regulatory decrees, judgments and
  orders, including common law rulings and determinations, relating to
  injury to, or the protection of, real or personal property or human
  health (except those requirements which, by definition, are solely the
  responsibility of employers) or the Environment, including, without
  limitation, all valid and lawful requirements of courts and other
  Government Agencies pertaining to reporting, licensing, permitting,
  investigation, remediation and removal of underground improvements
  (including, without limitation, treatment or storage tanks, or water,
  gas or oil wells), or emissions, discharges, releases or threatened
  releases of Hazardous Substances, chemical substances, pesticides,
  petroleum or petroleum products, pollutants, contaminants or hazardous
  or toxic substances, materials or wastes whether solid, liquid or
  gaseous in nature, into the Environment, or relating to the manufacture,
  processing, distribution, use, treatment, storage, disposal, transport
  or handling of Hazardous Substances or Regulated Medical Wastes,
  underground improvements (including, without limitation, treatment or





                                     -3-

  storage tanks, or water, gas or oil wells), or pollutants, contaminants
  or hazardous or toxic substances, materials or wastes, whether solid,
  liquid or gaseous in nature.

       1.8  "Award" shall mean all compensation, sums or other value
  awarded, paid or received by virtue of a total or partial Condemnation
  of any of the Collective Leased Properties (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).

       1.9  "Base Interest Rate" shall mean the annual floating rate of
  interest, determined daily and expressed as a percentage, from time to
  time announced by The First National Bank of Boston as its "prime" or
  "base" rate, so called, or if at any time The First National Bank of
  Boston ceases to announce such a rate, as announced by the largest
  national or state chartered banking institution other than The First
  National Bank of Boston then having its principal office in the City of
  Boston and announcing such a rate.

       1.10  "Base Net Patient Revenues" shall mean Net Patient Revenues
  for the twelve (12) month period commencing April 1, 1995 and ending on
  March 31, 1996; provided, however, that in the event that, with respect
  to any Lease Year, or portion thereof, for any reason (including,
  without limitation, a taking or casualty with respect to any of the
  Collective Leased Properties) there shall be a reduction in the number
  of skilled nursing home beds at the Facilities or a change in the
  services provided at the Facilities from the number of such beds or the
  services provided during such twelve (12) month period, in determining
  Additional Rent payable with respect to such Lease Year, Base Net
  Patient Revenues shall be reduced on a pro rata basis (which shall mean,
  in the case of a change in the services provided at a Facility, Base Net
  Patient Revenues shall be reduced based upon the relative percentage
  reduction in rate made in connection with such change in services).

       1.11  "Business Day" shall mean any day other than Saturday,
  Sunday, or any other day on which banking institutions in The
  Commonwealth of Massachusetts or the State are authorized by law or
  executive action to close.

       1.12  "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 any of the Collective Leased
  Properties, 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 any of the Collective Leased Properties 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 any Facility to
  change the purpose for which such beds are utilized or to improve
  materially the quality of any Facility.





                                     -4-

       1.13  "Capital Additions Cost" shall mean the cost of any Capital
  Addition proposed to be made by Tenant at any of the Collective Leased
  Properties, 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
  applicable Leased Property which is to become a part of such Leased
  Property purchased for the purpose of placing thereon a 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, 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.

       1.14  "Change in Control" shall mean the acquisition by any Person,
  or two or more Persons acting in concert, of beneficial ownership
  (within the meaning of Rule 13d-3 of the SEC) of 5% or more, or rights,
  options or warrants to acquire 5% or more, of the outstanding shares of
  voting stock of Tenant or any Guarantor, as the case may be, or the
  merger or consolidation of Tenant or any Guarantor, as the case may be
  with or into any other Person or any one or more sales or conveyances to
  any Person of all or substantially all of the assets of Tenant or any
  Guarantor, as the case may be.

       1.15  "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. 

       1.16  "Collective Leased Properties" shall have the meaning given
  such term in Section 2.1.

       1.17  "Commencement Date" shall mean the date of this Agreement.





                                     -5-

       1.18  "Condemnation" shall mean, with respect to any of the
  Collective Leased Properties, (a) the exercise of any governmental power
  with respect to such Leased Property, whether by legal proceedings or
  otherwise, by a Condemnor of its power of condemnation, (b) a voluntary
  sale or transfer of such Leased Property 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.
        
       1.19  "Condemnor" shall mean any public or quasi-public authority,
  or private corporation or individual, having the power of Condemnation.

       1.20 "Connecticut Subacute" shall mean Connecticut Subacute
  Corporation, a Delaware corporation.

       1.21 "CSC-II" shall mean Connecticut Subacute Corporation II, a
  Delaware corporation.

       1.22 "Declaration" shall mean the Declaration of Trust establishing
  Landlord, dated October 9, 1986, as amended.

       1.23  "Default" shall mean any event or condition which with the
  giving of notice and/or lapse of time may ripen into an Event of
  Default.  

       1.24  "Distribution" shall mean (a) 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, (b)
  any purchase, redemption retirement or other acquisition of any shares
  of any class of capital stock of a corporation, (c) any other
  distribution on or in respect of any shares of any class of capital
  stock of a corporation, (d) any return of capital to shareholders, or
  (e) any payment with respect to any indebtedness of any Guarantor to any
  Affiliated Person of such or any other Guarantor.

       1.25  "Encumbrance" shall have the meaning given such term in
  Section 21.1.

       1.26  "Entity" shall mean any corporation, general or limited
  partnership, limited liability company or partnership, stock company or
  association, joint venture, association, company, trust, bank, trust
  company, land trust, business trust, cooperative, any government or
  agency or political subdivision thereof or any other entity.

       1.27  "Environment" shall mean soil, surface waters, ground waters,
  land, stream, sediments, surface or subsurface strata and ambient air.

       1.28  "Environmental Obligation" shall have the meaning given such
  term in Section 4.4.1.





                                     -6-

       1.29  "Environmental Notice" shall have the meaning given such term
  in Section 4.4.1.

       1.30  "Environmental Report" shall have the meaning given such term
  in Section 4.4.2.

       1.31  "Event of Default" shall have the meaning given such term in
  Section 12.1.

       1.32  "Excess Net Patient Revenues" shall mean, with respect to any
  Lease Year, or portion thereof, the amount of Net Patient Revenues for
  such Lease Year, or portion thereof, in excess of Base Net Patient
  Revenues for the equivalent period.

       1.33  "Extended Terms" shall have the meaning given such term in
  Section 2.4.

       1.34  "Facility" shall mean, with respect to any of the Collective
  Leased Properties, the facility offering health care or related services
  being operated or proposed to be operated on such Leased Property.  

       1.35  "Facility Mortgage" shall mean, with respect to any of the
  Collective Leased Properties, any Encumbrance placed upon such Leased
  Property in accordance with Article 21.

       1.36  "Facility Mortgagee" shall mean the holder of any Facility
  Mortgage.

       1.37  "Facility Trade Name" shall mean, with respect to any
  Facility, any name under which Tenant has conducted the business of
  operating such Facility at any time during the Term.

       1.38  "Fair Market Added Value" shall mean, with respect to any of
  the Collective Leased Properties, 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.

       1.39 "Fair Market Added Value Percentage" shall mean the percentage
  that the Fair Market Added Value bears to the Fair Market Value Purchase
  Price.

       1.40  "Fair Market Rental" shall mean, with respect to any of the
  Collective Leased Properties, 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 condi-
  tions of this Agreement for the term in question, assuming Tenant is not
  in default hereunder and determined by agreement between Landlord and
  Tenant or, failing agreement, in accordance with the appraisal
  procedures set forth in Article 19.  





                                     -7-

       1.41  "Fair Market Value" shall mean, with respect to any of the
  Collective Leased Properties, the price that a willing buyer not
  compelled to buy would pay a willing seller not compelled to sell for
  such Leased Property (without taking into account any reduction in value
  resulting from any indebtedness to which such Leased Property is
  subject), assuming the same is unencumbered by this Agreement and
  determined by agreement between Landlord and Tenant or, failing
  agreement, the appraisal procedures set forth in Article 19.  

       1.42  "Fair Market Value Purchase Price" shall mean, with respect
  to any of the Collective Leased Properties, the Fair Market Value of
  such Leased Property less the Fair Market Added Value.

       1.43  "Financial Officer's Certificate" shall mean, as to any
  Person, a certificate of the chief 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 certify (a) 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 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, and (b) certify that such officer has
  reviewed this Agreement and has no knowledge of any Default or Event of
  Default hereunder.

       1.44  "Financials" shall mean, for any Fiscal Year or other
  accounting period of any Tenant or Guarantor, annual audited and
  quarterly unaudited financial statements for such Tenant or Guarantor,
  including such Tenant's or Guarantor's 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 GAAP throughout the periods reflected.

       1.45  "Fiscal Year" shall mean the twelve (12) month period from
  January 1 to December 31.

       1.46  "Fixed Term" shall have the meaning given such term in
  Section 2.3.

       1.47  "Fixtures" shall have the meaning given such term in Section
  2.1(d).

       1.48  "GAAP" shall mean generally accepted accounting principles
  consistently applied.

       1.49  "Government Agencies" shall mean any court, agency,
  authority, board (including, without limitation, environmental
  protection, planning and zoning), bureau, commission, department, office
  or instrumentality of any nature whatsoever of any governmental or
  quasi-governmental unit of the United States or the State or any county
  or any political subdivision of any of the foregoing, whether now or





                                     -8-

  hereafter in existence, having jurisdiction over Tenant or the
  Collective Leased Properties or any portion thereof or the Facilities
  operated thereon.

       1.50  "Guarantor" shall mean, collectively, each and every
  guarantor of Tenant's obligations under this Agreement, including,
  without limitation, Connecticut Subacute, CSC II and the other
  Guarantors specified in Section 22.14 hereof, and each such guarantor's
  successors and assigns.

       1.51  "Guaranty" shall mean any guaranty agreement executed by a
  Guarantor in favor of Landlord, of Tenant's obligations hereunder,
  together with all modifications, amendments or supplements thereto. 

       1.52  "Hazardous Substances" shall mean any substance:

            (a)  the presence of which requires or may hereafter require
       notification, investigation or remediation under any federal, state
       or local statute, regulation, rule, ordinance, order, action or
       policy; or

            (b)  which is or becomes defined as a "hazardous waste",
       "hazardous material" or "hazardous substance" or "pollutant" or
       "contaminant" under any present or future federal, state or local
       statute, regulation, rule or ordinance or amendments thereto
       including, without limitation, the Comprehensive Environmental
       Response, Compensation and Liability Act (42 U.S.C. et seq.) and
       the Resource Conservation and Recovery Act (42 U.S.C. section 6901
       et seq.) and the regulations promulgated thereunder; or 

            (c)  which is toxic, explosive, corrosive, flammable,
       infectious, radioactive, carcinogenic, mutagenic or otherwise
       hazardous and is or becomes regulated by any governmental
       authority, agency, department, commission, board, agency or
       instrumentality of the United States, any state of the United
       States, or any political subdivision thereof; or

            (d)  the presence of which on any of the Collective Leased
       Properties causes or threatens to cause a nuisance upon such Leased
       Property or to adjacent properties or poses or threatens to pose a
       hazard to any of the Collective Leased Properties or to the health
       or safety of persons on or about any of the Collective Leased
       Properties; or

            (e), without limitation, which contains gasoline, diesel fuel
       or other petroleum hydrocarbons or volatile organic compounds; or

            (f), without limitation, which contains polychlorinated
       biphenyls (PCBs) or asbestos or urea formaldehyde foam insulation;
       or





                                     -9-

            (g), without limitation, which contains or emits radioactive
       particles, waves or material; or

            (h), without limitation, constitutes Regulated Medical Wastes.

       1.53  "Immediate Family" shall mean, with respect to any
  individual, such individual's spouse, parents, brothers, sisters,
  children (natural or adopted), children-in-law, stepchildren,
  grandchildren, grandparents, parents-in-law, brothers-in-law, sisters-
  in-law, nephews and nieces.

       1.54  "Impositions" shall mean, with respect to any of the
  Collective Leased Properties, 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 such 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, 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 such 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, that nothing contained herein
  shall be construed to require Tenant to pay (i) any tax based on net
  income imposed on Landlord, (ii) any net revenue tax of Landlord, (iii)
  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 (iv) 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 relate to or are 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 (i) or (ii) preceding is levied, assessed
  or imposed expressly in lieu thereof.





                                     -10-

       1.55  "Incidental Documents" shall mean, collectively, the Stock
  Pledge Agreement and the Pledge and Security Agreement.

       1.56  "Indebtedness" shall mean all obligations, contingent or
  otherwise, which in accordance with GAAP should be reflected on the
  obligor's balance sheet as liabilities.

       1.57  "Independent Trustees" shall mean Trustees who, in their
  individual capacity, are not Affiliated Persons as to Tenant and do not
  perform any services for Landlord except as Trustees.

       1.58  "Insurance Requirements" shall mean all terms of any
  insurance policy required by this Agreement and all requirements of the
  issuer of any such policy.

       1.59  "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 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.

       1.60  "Land" shall have the meaning given such term in Section
  2.1(a).

       1.61  "Landlord" shall have the meaning given such term in the
  preambles to this Agreement.

       1.62  "Lease Year" shall mean any calendar year or portion thereof,
  commencing with the 1995 calendar year, during the Term.

       1.63  "Leased Improvements" shall have the meaning given such term
  in Section 2.1(b).

       1.64  "Leased Personal Property" shall have the meaning given such
  term in Section 2.1(e).

       1.65  "Leased Property" shall mean any one of the Collective Leased
  Properties.

       1.66  "Legal Requirements" shall mean, with respect to any of the
  Collective Leased Properties, 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





                                     -11-

  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.

       1.67  "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.

       1.68  "Lien" shall mean any mortgage, security interest, pledge,
  collateral assignment, or other encumbrance, lien or charge of any kind,
  or any transfer any of 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.

       1.69  "Management Agreement" shall mean any agreement whether
  written or oral entered into between Tenant and any other party
  (including any Affiliated Person as to Tenant) pursuant to which
  management services are provided to any Facility, together with all
  amendments, modifications or supplements thereto.

       1.70  "Manager" shall mean the management party under any
  Management Agreement.

       1.71  "Market Area" shall mean an area within a (10) mile radius of
  the applicable Leased Property.

       1.72  "Minimum Rent" shall mean the monthly sum of Three Hundred
  Six Thousand Two Hundred Fifty and 00/100 Dollars ($306,250.00).

       1.73  "Net Patient Revenues" shall mean all revenues (determined on
  an accrual basis in accordance with GAAP) received or receivable from or
  by reason of the operation of the Facilities, or any portion thereof, or
  any other use of the Collective Leased Properties, or any portion
  thereof, including, without limitation, all patient revenues received or
  receivable for the use of or otherwise by reason of all rooms, beds and
  other facilities provided, meals served, services performed, space or
  facilities subleased or goods sold on the Collective Leased Properties,
  or any portion thereof, including, without limitation, and except as
  provided below, any other arrangements with third parties relating to
  the possession or use of any portion of the Collective Leased
  Properties; provided, however, that Net Patient Revenues shall not





                                     -12-

  include:  (a) allowances according to GAAP for uncollectible accounts,
  including credit accounts and charity care and other administrative
  discounts; (b) 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; (c) non-operating revenues such as interest income
  or income from the sale of assets not sold in the ordinary course of
  business; (d) revenues attributable to services actually provided
  off-site or otherwise away from such Facility, such as home health care,
  to persons that are not patients at such Facility; and (e) all revenues
  attributable to Tenant's Capital Additions (as such revenues are
  calculated in accordance with Section 6.2.2(a)).

       1.74  "New Hampshire Leased Property" shall mean the Leased
  Property known as and located at Rochester Manor, Rochester, New
  Hampshire.

       1.75  "New Hampshire Subacute" shall have the meaning given such
  term in the preambles to this Agreement.

       1.76  "Notice" shall mean a notice given in accordance with Section
  23.12. 

       1.77  "Nursing Home Administrator License" shall mean any and all
  licenses, permits and approvals required under Applicable Law to
  authorize any individual or individuals to act as administrator of any
  Facility.

       1.78  "Officer's Certificate" shall mean a certificate signed by an
  officer of Tenant duly authorized by the board of directors of Tenant.

       1.79  "Option Purchase Price" shall mean, with respect to any of
  the Collective Leased Properties the greater of (x) the Fair Market
  Value Purchase Price of such Leased Property and (y) the purchase price
  for the applicable Leased Property as set forth in Exhibit B plus any
  amounts disbursed or advanced by Landlord to finance, or to reimburse
  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 such Leased Property as described in Section
  11.2 or 10.2.2, and not applied by Landlord to the restoration of such
  Leased Property as provided therein.

       1.80  "Overdue Rate" shall mean, on any date, a per annum rate of
  interest equal to the lesser of eighteen percent (18%) and the maximum
  rate then permitted under applicable law.

       1.81  "Parent" shall mean, with respect to any Person, any Person
  which owns directly, or indirectly through one or more Subsidiaries or
  Affiliated Persons, five percent (5%) or more of the voting or
  beneficial interest in, or otherwise has the right or power (whether by





                                     -13-

  contract, through ownership of securities or otherwise) to control, such
  Person.

       1.82  "Permitted Encumbrances" shall mean, with respect to any of
  the Collective Leased Properties, 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.

       1.83  "Person" shall mean any individual or Entity, and the heirs,
  executors, administrators, legal representatives, successors and assigns
  of such Person where the context so admits.

       1.84  "Pledge and Security Agreement" shall mean the Pledge and
  Security Agreement, dated as of the date hereof, made by Tenant for the
  benefit of Landlord.

       1.85  "Purchase Agreement" shall have the meaning given such term
  in Section 23.18 hereof.

       1.86  "Primary Intended Use" shall have the meaning given such term
  in Section 4.1.1.

       1.87  "Qualified Appraiser" shall mean an appraiser who is not in
  control of, controlled by or under common control with either Landlord
  or Tenant and has not been an employee of Landlord or Tenant or any
  Affiliated Person with respect to either of Landlord or Tenant at any
  time, who is qualified to appraise commercial real estate in the State
  and is a member of the American Institute of Real Estate Appraisers (or
  any successor association or body of comparable standing if such
  Institute is not then in existence) and who has held his or her
  certificate as an M.A.I. or its equivalent for a period of not less than
  three (3) years, and has been actively engaged in the appraisal of
  commercial real estate in such area for a period of not less than five
  (5) years, immediately preceding his or her appointment hereunder.

       1.88  "Records" shall have the meaning given such term in Section
  7.2.

       1.89  "Regulated Medical Wastes" shall mean all materials generated
  by Tenant, subtenants, patients, occupants or the operators of the
  Collective Leased Properties which are now or may hereafter be subject
  to regulation pursuant to the Material Waste Tracking Act of 1988, or
  any Applicable Laws promulgated by any Government Agencies. 

       1.90  "Rent" shall mean, collectively, the Minimum Rent, Additional
  Rent and Additional Charges.

       1.91  "SEC" shall mean the Securities and Exchange Commission.





                                     -14-

       1.92  "State" shall mean (i) with respect to the Vermont Leased
  Properties, the State of Vermont, and (ii) with respect to the New
  Hampshire Leased Property, the State of New Hampshire.

       1.93  "Stock Pledge Agreement" shall mean the Stock Pledge and
  Security Agreement, dated as of the date hereof, made by Guarantor to
  Landlord.

       1.94  "Subordinated Creditor" shall mean any creditor of Tenant
  which is a party to a Subordination Agreement in favor of Landlord.

       1.95  "Subordination Agreement" shall mean 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
  this Agreement. 

       1.96  "Subsidiary" shall mean, with respect to any Person, any
  Entity (a) in which such Person owns directly, or indirectly through one
  or more Subsidiaries, five percent (5%) or more of the voting or
  beneficial interest or (b) which such Person otherwise has the right or
  power to control (whether by contract, through ownership of securities
  or otherwise).

       1.97  "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: (a) goodwill, organizational expenses,
  research and development expenses, trademarks, trade names, copyrights,
  patents, patent applications, licenses and rights in any thereof, and
  other similar intangibles; (b) all deferred charges or unamortized debt
  discount and expense; (c) all reserves carried and not deducted from
  assets; (d) treasury stock and capital stock, obligations or other
  securities of, or capital contributions to, or investments in, any
  Subsidiary; (e) securities which are not readily marketable; (f) any
  write-up in the book value of any asset resulting from a revaluation
  thereof subsequent to the Commencement Date; and (g) any items not
  included in clauses (a) through (g) above that are treated as
  intangibles in conformity with GAAP.

       1.98  "Tenant" shall mean (i) with respect to the Vermont Leased
  Properties, Vermont Subacute, and (ii) with respect to the New Hampshire
  Leased Property, New Hampshire Subacute.  

       1.99  "Tenant's Capital Additions" shall have the meaning given
  such term in Section 6.2.2.

       1.100  "Tenant's Personal Property" shall mean all motor vehicles
  and consumable inventory and supplies, furniture, furnishings, movable
  walls and partitions, equipment and machinery and all other personal
  property of Tenant now owned or hereafter acquired by Tenant on and
  after the date hereof and located at any of the Collective Leased





                                     -15-

  Properties or used in Tenant's business at any of the Collective Leased
  Properties and all modifications, replacements, alterations and ad-
  ditions to such personal property installed at the expense of Tenant,
  other than any items included within the definition of Fixtures or
  Leased Personal Property.

       1.101  "Term" shall mean, collectively, the Fixed Term and the
  Extended Terms, to the extent properly exercised pursuant to the provi-
  sions of Section 2.4, unless sooner terminated pursuant to the
  provisions of this Agreement.

       1.102  "Trustees" shall mean the trustees of Landlord.

       1.103  "Unsuitable for Its Primary Intended Use" shall mean, with
  respect to any Facility, a state or condition of such Facility 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 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.

       1.104  "Vermont Subacute" shall have the meaning given such term in
  the preambles to this Agreement.

       1.105  "Work" shall have the meaning given such term in Section
  10.2.4.


                                  ARTICLE 2

                    COLLECTIVE LEASED PROPERTIES AND TERM

       2.1  Collective Leased Properties.  

       Upon and subject to the terms and conditions hereinafter set forth,
  Landlord leases to Tenant and Tenant leases from Landlord all of the
  following (collectively, the "Collective Leased Properties"):

       (a)  those certain tracts, pieces and parcels of land, as more
            particularly described in Exhibits A-1 to A-8, attached hereto
            and made a part hereof (the "Land");

       (b)  all buildings, structures, Fixtures and other improvements of
            every kind including, but not limited to, alleyways and





                                     -16-

            connecting tunnels, sidewalks, utility pipes, conduits and
            lines (on-site and off-site), parking areas and roadways
            appurtenant to such buildings and structures presently
            situated upon the Land and all Capital Additions other than
            Tenant's Capital Additions (collectively, the "Leased Improve-
            ments");
   
       (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 maximum 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

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

       2.2  Condition of Collective Leased Properties.  Tenant
  acknowledges receipt and delivery of possession of the Collective Leased
  Properties and Tenant accepts the Collective Leased Properties in their
  "as is" condition, subject to the rights of all occupants and parties in
  possession, the existing state of title, including all covenants, condi-
  tions, restrictions, reservations, mineral leases, easements and other
  matters of record or that are visible or apparent on the Collective
  Leased Properties, all applicable Legal Requirements, the lien of
  financing instruments, mortgages and deeds of trust, and such other
  matters which would be disclosed by an inspection of the Collective
  Leased Properties and the record title thereto or by an accurate survey
  thereof.  TENANT REPRESENTS THAT IT HAS INSPECTED THE COLLECTIVE LEASED





                                     -17-

  PROPERTIES 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 COLLECTIVE LEASED PROPERTIES.  LANDLORD MAKES NO
  WARRANTY OR REPRESENTATION, EXPRESS OR IMPLIED, IN RESPECT OF THE
  COLLECTIVE LEASED PROPERTIES 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 maximum 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 Collective Leased Properties.  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 this Agreement (the "Fixed Term") shall be
  approximately thirteen (13) years, eleven (11) months.  The Fixed Term
  shall commence on the Commencement Date and shall expire December 31,
  2008.

       2.4  Extended Term.  

       Provided that no Default or Event of Default shall have occurred
  and be continuing and this Agreement shall be in full force and effect,
  Tenant shall have the right to extend the Term for three (3) consecutive
  ten (10) year renewal terms (collectively, the "Extended Terms") for
  all, and not less than all, of the Collective Leased Properties.

       Each Extended Term 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 this Agreement
  shall apply to each such Extended Term, except that Tenant shall have no
  right to extend the Term beyond the expiration of the Extended Terms. 
  If Tenant shall elect to exercise either of the aforesaid options, it
  shall do so by giving Landlord Notice thereof not later than one year
  prior to the scheduled expiration of the then current Term of this
  Agreement (Fixed or Extended, as the case may be), it being understood
  and agreed that time shall be of the essence with respect to the giving
  of such Notice.  Tenant may not exercise its option for more than one
  such Extended Term at a time.  If Tenant shall fail to give any such
  Notice, this Agreement shall automatically  terminate at the end of the
  Term then in effect and Tenant shall have no further option to extend
  the Term of this Agreement.  If Tenant shall give such Notice, the
  extension of this Agreement shall be automatically effected without the





                                     -18-

  execution of any additional documents; it being understood and agreed,
  however, that Tenant 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, unless Landlord shall otherwise consent in writing, the extension
  of this Agreement shall cease to take effect and this Agreement shall
  automatically terminate at the end of the Term then in effect and Tenant
  shall have no further option to extend the Term of this Agreement.


                                  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, without offset, abatement, demand or deduction, Minimum
  Rent, Additional Rent and Additional Charges, during the Term, except as
  hereinafter expressly provided.  All payments to Landlord shall be made
  by wire transfer of immediately available federal funds or by other
  means acceptable to Landlord in its sole discretion.  Rent for any
  partial month shall be prorated on a per diem basis based on a 360 day
  year and the actual number of days elapsed.

            3.1.1  Minimum Rent.  Minimum Rent shall be paid in advance on
  the first day of each calendar month; provided, however, that the first
  monthly payment of Minimum Rent shall be payable on the Commencement
  Date.

            3.1.2  Additional Rent:  

            (a)  Amount.  For each Lease Year or portion thereof during
       the Term, commencing with the Lease Year beginning January 1, 1996,
       Tenant shall pay additional rent ("Additional Rent") for each
       Leased Property with respect to each such Lease Year equal to the
       greater of (i) the lesser of (x) three percent (3%) of Excess Net
       Patient Revenues for such Leased Property for such Lease Year and
       (y) the product of (A) the purchase price for such Leased Property
       as set forth in Exhibit B, multiplied by (B) three percent (3%);
       and (ii) Additional Rent payable for the immediately preceding
       Lease Year with respect to such Leased Property.

            (b)  Quarterly Installments.  Installments of Additional Rent
       for any such Lease Year or portion thereof shall be calculated and
       paid quarterly in arrears on or before each April 30, July 31,
       October 30 and January 31 during the term based on the amount of
       Additional Rent payable for the preceding calendar quarter.





                                     -19-

            (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 Collective Leased
       Properties for each quarter of any Lease Year.  Each quarterly
       payment of Additional Rent is due and payable and shall be
       delivered to Landlord, together with such Officer's Certificate,
       together with the applicable installment of the Minimum Rent and
       shall be payable in the manner hereinabove provided for payment of
       Minimum Rent.

            (d)  Reconciliation of Additional Rent.  In addition, on or
       before March 31, of each year, commencing with March 31, 1996,
       Tenant shall deliver to Landlord certified audits of Tenant's
       financial operations for the preceding Lease Year, together with a
       certificate from Ernst & Young or other certified public
       accountants reasonably acceptable to Landlord, in form reasonably
       acceptable to Landlord, setting forth the Net Patient Revenues 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 such 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 Base
       Interest 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 Collective
       Leased Properties in accordance with its usual and customary
       practices and in accordance with GAAP, which will accurately record
       all Net Patient 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 for such Lease Year.  Landlord, at
       its own expense except as provided hereinbelow, 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 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





                                     -20-

       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 Base Interest 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 for any
       Lease Year are reported by Tenant to Landlord, the deficiency, if
       any, with respect to such Net Patient 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 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 or Event of 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 has expired before the
       credit can be effected, Landlord shall pay, by check, the amount of
       such difference to Tenant.

            Any proprietary information obtained by Landlord pursuant to
       the provisions of this Agreement 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 this Agreement.
   
            3.1.3  Additional Charges.  

            In addition to the Minimum Rent and Additional Rent payable
       hereunder, Tenant shall pay and discharge as and when due and pay-
       able 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





                                     -21-

       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 Government Agencies.  Provided no Default or Event
       of 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 Collective Leased Properties as may be
       necessary to prepare any required returns and reports.  In the
       event Government Agencies classify any property covered by this
       Agreement 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 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, however, that Landlord's failure to give any
       such notice shall in no way diminish Tenant's obligation hereunder
       to pay such Impositions.





                                     -22-

            (b)  Utility Charges.  Tenant shall pay or cause to be paid
       all charges for electricity, power, gas, oil, water and other
       utilities used in connection with the Collective Leased Properties.

            (c)  Insurance Premiums.  Tenant shall pay or cause to be paid
       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 all
       other amounts, liabilities and obligations which Tenant assumes or
       agrees to pay under this Agreement, 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 this Agreement (other than
       termination following an Event of Default) and Tenant has not
       exercised its right to purchase the Collective Leased Properties as
       provided herein, 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 this Agreement (unless
       this Agreement shall have been terminated following an Event of
       Default).

       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 on its 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 or any Facility Mortgagee pursuant to any
  requirement of this Agreement, Tenant shall be relieved of its
  obligation to pay such Additional Charges to the Entity to which they
  would otherwise be due.

       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 this Agreement 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.





                                     -23-

       3.3  Net Lease.  

       The Minimum Rent and Additional Rent shall be absolutely net to
  Landlord so that this Agreement shall yield to Landlord the full amount
  of the installments or amounts of Minimum Rent and Additional Rent
  throughout the Term, subject to any other provisions of this Agreement
  which expressly provide for adjustment or abatement of such Rent.  

       3.4  No Termination, Abatement, Etc.  

       Except as otherwise specifically provided in this Agreement,
  Tenant, to the maximum extent permitted by law, shall remain bound by
  this Agreement in accordance with its terms and shall neither take any
  action without the consent of Landlord to modify, surrender or terminate
  this Agreement, 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 any of the
  Collective Leased Properties or any portion thereof from whatever cause
  or any Condemnation, (b) the lawful or unlawful prohibition of, or
  restriction upon, Tenant's use of any of the Collective Leased
  Properties, 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 this Agreement 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 this Agreement or quit or
  surrender any of the Collective Leased Properties 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 this Agreement.  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 this Agreement.


                                  ARTICLE 4

                   USE OF THE COLLECTIVE LEASED PROPERTIES

       4.1  Permitted Use.  

            4.1.1  Primary Intended Use.  





                                     -24-

            Tenant shall, at all times during the Term and at any other
       time that Tenant shall be in possession of any Leased Property,
       continuously use each of the Collective Leased Properties as a
       licensed nursing home (or, in the case of the Leased Property known
       as Hanson Court, Springfield, Vermont, as a so-called "residential
       care facility") 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
       any of the Collective Leased Properties or any portion thereof for
       any other use without the prior written consent of Landlord.  No
       use shall be made or permitted to be made of any of the Collective
       Leased Properties and no acts shall be done thereon which will
       cause the cancellation of any insurance policy covering any of the
       Collective Leased Properties 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 any of the Collective Leased Properties
       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 regula-
       tions.  Tenant shall, at its sole cost, comply with all of the
       requirements pertaining to the Collective Leased Properties of any
       insurance board, association, organization or company necessary for
       the maintenance of insurance, as herein provided, covering the
       Collective Leased Properties and Tenant's Personal Property,
       including, without limitation, the Insurance Requirements. Tenant
       shall not take or omit to take any action, the taking or omission
       of which may materially impair the value or the usefulness of any
       of the Collective Leased Properties or any part thereof for its
       Primary Intended Use.

            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, each of the Collective
       Leased Properties and each Facility located thereon under
       applicable law and, without limiting the foregoing, shall use its
       best efforts to maintain appropriate certifications for
       reimbursement and licensure.

            4.1.3  Lawful Use, Etc.  

            Tenant shall not use or suffer or permit the use of any of the
       Collective Leased Properties or Tenant's Personal Property for any
       unlawful purpose.  Tenant shall not commit or suffer to be
       committed any waste on any of the Collective Leased Properties, or
       in any Facility, nor shall Tenant cause or permit any nuisance
       thereon or therein.  Tenant shall neither suffer nor permit any of
       the Collective Leased Properties 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





                                     -25-

       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, Tenant, at its sole
  expense, shall (i) comply with Legal Requirements and Insurance
  Requirements in respect of the use, operation, maintenance, repair,
  alteration and restoration of all of the Collective Leased Properties,
  and (ii) procure, maintain and comply with all appropriate licenses,
  certificates of need, permits, provider agreements and other
  authorizations and agreements required for any use of the Collective
  Leased Properties and Tenant's Personal Property then being made, and
  for the proper erection, installation, operation and maintenance of the
  Collective Leased Properties 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 improve-
  ments (capital or ordinary) as are required to conform each of the
  Collective Leased Properties 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.

       4.4  Environmental Matters.  

            4.4.1  Restriction on Use, Etc.

            Tenant shall not store, spill upon, dispose of or transfer to
       or from the Collective Leased Properties any Hazardous Substance,
       except that Tenant may store, transfer and dispose of Hazardous
       Substances in compliance with all Applicable Laws.  Tenant shall
       maintain the Collective Leased Properties at all times free of any
       Hazardous Substance (except such Hazardous Substances as are
       maintained in compliance with all Applicable Laws).  Tenant shall
       promptly:  (a) notify Landlord in writing of any change in the
       nature or extent of Hazardous Substances at any of the Collective
       Leased Properties, (b) transmit to Landlord a copy of any Community
       Right to Know report which is required to be filed by Tenant with
       respect to any of the Collective Leased Properties pursuant to SARA
       Title III or any other Applicable Law, (c) transmit to Landlord
       copies of any citations, orders, notices or other governmental com-
       munications received by Tenant or its agents or representatives
       with respect thereto (collectively, "Environmental Notice"), which





                                     -26-

       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 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 any of the Collective Leased Properties is
       not materially and adversely affected thereby.  

       If, at any time prior to the termination of this Agreement,
  Hazardous Substances are discovered on any of the Collective Leased
  Properties, Tenant shall take all actions and incur any and all
  expenses, as may be reasonably necessary and as may be required by any
  Government Agency, (i) to clean up and remove from and about the
  Collective Leased Properties all Hazardous Substances thereon, (ii) to
  contain and prevent any further release or threat of release of
  Hazardous Substances on or about the Collective Leased Properties and
  (iii) to use good faith efforts to eliminate any further release or
  threat of release of Hazardous Substances on or about the Collective
  Leased Properties.

            4.4.2  Environment Report.

            Six (6) months prior to expiration of the Term, 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
       Collective Leased Properties and prepare an environmental site
       assessment report (the "Environmental Report") with respect
       thereto.  The scope of such Environmental Report shall include,
       without limitation, review of relevant records, interviews with
       persons knowledgeable about the Collective Leased Properties and
       relevant governmental agencies, a site inspection of the Collective
       Leased Properties, any buildings, the fencelines of the Collective
       Leased Properties and adjoining properties (Phase I) and shall
       otherwise be satisfactory in form and substance to Landlord.  If
       such investigation, in the opinion of the performing engineer,
       indicates that any of the Collective Leased Properties are not
       environmentally sound and free from oil, asbestos, radon and other
       Hazardous Substances (except in compliance with Applicable Laws),
       such investigation shall also include a more detailed physical site
       inspection, appropriate testing, subsurface and otherwise, and
       review of historical records (Phase II) to demonstrate the
       compliance of such of the Collective Leased Properties with
       Applicable Laws and the absence of Hazardous Substances.





                                     -27-

       All preliminary drafts of the 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 any of the Collective Leased
  Properties which could give rise to an Environmental Obligation, Tenant
  shall promptly give Notice thereof to Landlord, together with a
  description, setting forth in reasonable detail, all actions Tenant
  proposes to take in connection therewith and Tenant shall promptly take
  all actions, and incur any and all expenses, as may be reasonably
  necessary and as may be required by any Government Agency and as may be
  required by Landlord, (i) to clean up, remove or remediate from and
  about the Collective Leased Properties all Hazardous Substances thereon,
  (ii) to contain, prevent and eliminate any further release or threat of
  release of Hazardous Substances on or about the Collective Leased
  Properties, and (iii) otherwise to eliminate such violation or condition
  from the Collective Leased Properties to the reasonable satisfaction of
  Landlord.

            4.4.3  Indemnification 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 any of the Collective Leased Properties or any properties
       surrounding any of the Collective Leased Properties of any
       Hazardous Substances in violation of any Applicable Law or
       otherwise by reason of any failure by Tenant or any Person 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 any of the Collective Leased Properties
       in violation of any Applicable Law.  Upon Notice from Landlord,
       Tenant shall undertake the defense, at Tenant's sole cost and
       expense, of any indemnification duties set forth herein.  

       Tenant shall, upon demand, pay to Landlord, as an Additional
  Charge, any cost, expense, loss or damage (including, without
  limitation, reasonable attorneys' fees) incurred by Landlord and arising
  from a failure of Tenant strictly to observe and perform the foregoing
  requirements, which amounts shall bear interest from the date incurred
  until paid by Tenant to Landlord at the Overdue Rate.

            4.4.4  Survival





                                     -28-

            The provisions of this Section 4.4 shall survive the
       expiration or sooner termination of this Agreement.


                                  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 each of the
       Collective Leased Properties 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 the Collective
       Leased Properties 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, however, that 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 the Collective Leased
       Properties.  All repairs shall be made in a 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 shall not take or
       omit to take any action, the taking or omission of which would
       materially impair the value or the usefulness of any of the
       Collective Leased Properties or any part thereof for its respective
       Primary Intended Use.  Tenant's obligations under this Section
       5.1.1 as to any of the Collective Leased Properties shall be
       limited, in the event of any casualty or Condemnation involving
       such Leased Property, as set forth in Sections 10.2 and 11.2. 
       Notwithstanding any provisions of this Section 5.1 to the contrary,
       Tenant's obligations with respect to Hazardous Substances are as
       set forth in Section 4.4.

            5.1.2  Landlord's Obligations.  

            Landlord shall not, under any circumstances, be required to
       build or rebuild any improvement on the Collective Leased
       Properties, or to make any repairs, replacements, alterations,
       restorations or renewals of any nature or description to the
       Collective Leased Properties, whether ordinary or extraordinary,
       structural or nonstructural, foreseen or unforeseen, or to make any
       expenditure whatsoever with respect thereto, or to maintain the





                                     -29-

       Collective Leased Properties in any way, except as specifically
       provided herein. Tenant hereby waives, to the maximum extent
       permitted by law, the right to make repairs at the expense of
       Landlord pursuant to any law in effect on the date hereof 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 Collective Leased Properties shall
       not be subject to liens for Capital Additions made by Tenant and
       Tenant shall have no power or authority to create any lien or
       permit any lien to attach to any of the Collective Leased
       Properties or the present estate, reversion or other estate of
       Landlord in the Collective Leased Properties 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 Collective Leased
       Properties, 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 this Agreement.

            Nothing contained in this Agreement 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 any of the
       Collective Leased Properties 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 any of the
       Collective Leased Properties or any part thereof nor to subject
       Landlord's estate in any of the Collective Leased Properties or any
       part thereof to liability under any 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 or Event of Default has occurred
  and is continuing.  Tenant shall provide and maintain throughout the
  Term all such Tenant's Personal Property as shall be necessary in order





                                     -30-

  to operate all of the Facilities located at the Collective Leased
  Properties 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 such Primary Intended Use.  All of Tenant's
  Personal Property not removed by Tenant on or prior to the expiration or
  earlier termination of this Agreement shall be considered abandoned by
  Tenant and may be appropriated, 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 each of the
  Collective Leased Properties to the condition required by Section 5.3,
  including repair of all damage to the Collective Leased Properties
  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, any 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 this Agreement, Tenant
  shall vacate and surrender each of the Collective Leased Properties to
  Landlord in the condition in which each of the Collective Leased
  Properties was in on the Commencement Date, except as repaired, rebuilt,
  restored, altered or added to as permitted or required by the provisions
  of this Agreement, reasonable wear and tear excepted (and casualty
  damage and Condemnation, in the event that this Agreement is terminated
  with respect to any of the Collective Leased Properties following a
  casualty or total Condemnation in accordance with Article 10 or Article
  11).

       In addition, upon the expiration or earlier termination of this
  Agreement, 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 governmental or quasi-
  governmental entities which may be necessary for the operation of the
  Facilities located on the Collective Leased Properties.  If requested by
  Landlord, Tenant will continue to manage any 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.





                                     -31-

       5.4  Encroachments, Restrictions, Etc.  

       If any of the Leased Improvements shall, at any time, encroach upon
  any property, street or right-of-way adjacent to the affected Leased
  Property, or shall violate the agreements or conditions contained in any
  lawful restrictive covenant or other agreement affecting any of the
  Collective Leased Properties, or any part thereof, or shall impair the
  rights of others under any easement or right-of-way to which any of the
  Collective Leased Properties 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 affected
  Leased Improvements for their respective Primary Intended Use
  substantially in the manner and to the extent such 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 shall from time to time, so long as no Default or Event of
  Default shall have occurred and be continuing, at the request of Tenant
  and at Tenant's sole cost and expense, (a) grant easements and other
  rights in the nature of easements with respect to any of the Collective
  Leased Properties to third parties, (b) release existing easements or
  other rights in the nature of easements which are for the benefit of any
  of the Collective Leased Properties, (c) dedicate or transfer unimproved
  portions of any of the Collective Leased Properties for road, highway or
  other public purposes, (d) execute petitions to have any of the
  Collective Leased Properties annexed to any municipal corporation or
  utility district, (e) execute amendments to any covenants and restric-
  tions affecting any of the Collective Leased Properties 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 extent of its interests in such Leased Property);
  provided, however, that Landlord shall have first determined that such
  grant, release, dedication, transfer, petition or amendment is not
  detrimental to the operation of the applicable Leased Property for its





                                     -32-

  Primary Intended Use and does not materially reduce the value of such
  Leased Property, and Landlord shall have received an Officer's
  Certificate confirming such determination, together with 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 any of
  the Collective Leased Properties 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 $100,000, (b) such construction or
  installation would not adversely affect or violate any Legal Requirement
  or Insurance Requirement applicable to the applicable Leased Property
  and (c) Landlord shall have received an Officer's Certificate certifying
  as to the satisfaction of the conditions set out in clauses (a) and (b)
  above.  If Landlord's consent is required, prior to commencing construc-
  tion 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 and the
  use or uses to which it will be put.  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 this Agreement, pass to and become
  the property of Landlord, free and clear of all 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.





                                     -33-

            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 a Lending Institution; 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 given or
       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 this Agreement and to the interest of Landlord in
       the applicable Leased Property and to the rights of any Facility
       Mortgagee.

            6.2.2  Purchase by Landlord.  

            If, pursuant to the provisions of this Agreement, 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) upon the expiration or earlier termination of
       this Agreement (but if this Agreement 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: 

            (a)  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

            (b)  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

            (c)  Upon termination of this Agreement by reason of an Event
       of Default, by assigning to Tenant the right to receive an amount
       equal to the Fair Market Added Value Percentage (determined as of
       the date of such termination of this Agreement) of all rent and
       other consideration receivable by Landlord under any re-letting or
       other disposition of the applicable 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 Collective Leased Properties
       and such Tenant's Capital Additions and all costs and expenses of





                                     -34-

       operating and maintaining the Collective Leased Properties 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 applicable 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
       applicable 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 

            (d)  By making such other arrangement regarding such
       compensation as shall be mutually acceptable to Landlord and
       Tenant.

       6.3  Capital Additions Financed by Landlord.  

       If Landlord shall, at the request of Tenant and in Landlord's sole
  discretion, elect to finance any 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 health care 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 applicable Leased Property or commitments therefor,





                                     -35-

       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 applicable Leased Property by a
       Qualified Appraiser, acceptable to Landlord, and/or an Officer's
       Certificate stating that the value of the applicable 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, (i)
  Landlord may elect to obtain repayment of amounts so financed by an
  increase in the Rent payable hereunder, and (ii) 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 Collective Leased
  Properties which are not Capital Additions ("Non-Capital Additions")
  from time to time as Tenant, in its discretion, may deem desirable for
  the applicable Primary Intended Use provided that any such Non-Capital
  Addition will not materially alter the character or purpose or
  materially detract from the value, operating efficiency or
  revenue-producing capability of the applicable Leased Property or





                                     -36-

  adversely affect the ability of Tenant to comply with the provisions of
  this Agreement, 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 this
  Agreement, 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.


                                  ARTICLE 7

                                    LIENS

       7.1  Liens.  

       Subject to Article 8, Tenant shall not, directly or indirectly,
  create or allow to remain and shall promptly discharge, at its expense,
  any lien, encumbrance, attachment, title retention agreement or claim
  upon the Collective Leased Properties or Tenant's leasehold interest
  therein 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 17, (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 22.

       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 this Agreement, Tenant hereby grants
  unto Landlord a security interest in and an express contractual lien
  upon 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 Facilities (the "Records")
  and all proceeds therefrom, subject to any Permitted Encumbrances; and





                                     -37-

  such Tenant's Personal Property shall not be removed from the Collective
  Leased Properties at any time when a Default or an Event of 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.


                                  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 (collectively, "Claims")
  as to any of the Collective Leased Properties, 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
  such 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 attorneys'
  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 any of the Collective Leased
  Properties, 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 any of the Collective Leased
  Properties, 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 that 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





                                     -38-

  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 reasonably determine that 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. 


                                  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 any of the Collective Leased
  Properties, keep each of the Collective Leased Properties and all
  property located therein or thereon, including Tenant's Personal
  Property, insured against the risks and in the amounts as follows and
  shall maintain the following insurance: 

            (a)  "All-risk" property insurance, including insurance
       against loss or damage by fire, vandalism and malicious mischief,
       explosion of steamboilers, pressure vessels or other similar
       apparatus, now or hereafter installed in the Facility located at
       such Leased Property, extended coverage perils, earthquake and all
       physical loss perils insurance, including, but not limited to,
       sprinkler leakage, in an amount equal to one hundred percent (100%)
       of the then full Replacement Cost thereof (as defined in Section
       9.2) with the usual extended coverage endorsements, including a
       Replacement Cost Endorsement and Builder's Risk Coverage during the
       continuance of any construction at such Leased Property;

            (b)  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;

            (c)  Comprehensive general liability insurance, including
       bodily injury and property damage (on an occurrence basis and on a
       1988 1SO CGL form or its equivalent or otherwise in the broadest
       form available, including, without limitation, broad form
       contractual liability, fire legal liability independent
       contractor's hazard and completed operations coverage) and, with
       respect to the Collective Leased Properties, claims arising out of





                                     -39-

       malpractice in an amount not less than Five Million Dollars
       ($5,000,000) per occurrence, Ten Million Dollars ($10,000,000) in
       the aggregate and umbrella coverage of all such claims in an amount
       not less than Twenty Million Dollars ($20,000,000);

            (d)  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 acts thereto)) and such other hazards and in such
       amounts as may be customary for comparable properties in the area; 

            (e)  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

            (f)  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 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,





                                     -40-

  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 shall 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 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 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 or 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 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 this Agreement, 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,





                                     -41-

  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 this Agreement.  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.

       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, Tenant
  shall 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 the Collective Leased Properties 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 Tenant or
  anyone claiming under Tenant of the Collective Leased Properties 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 relating to the Collective Leased Properties 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 are the obligations of Tenant
  to pay pursuant to the applicable provisions of this Agreement), and (d)
  any failure on the part of Tenant or anyone claiming under Tenant to
  perform or comply with any of the terms of this Agreement.  Tenant 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.  Tenant, at its expense, shall 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 Tenant under this Section 9.7
  are in addition to the obligations set forth in Section 4.4 and shall
  survive the termination of this Agreement.





                                     -42-

                                  ARTICLE 10

                                   CASUALTY

       10.1  Insurance Proceeds.  

       All proceeds payable by reason of any loss or damage to the
  Collective Leased Properties, 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 and retained by Landlord (subject to the
  provisions of Section 10.2).  If Tenant is required to reconstruct or
  repair any of the Collective Leased Properties 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 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 the provisions of Section 10.2.1 are 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 insur-
  ance 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, any of the Collective Leased Properties
       shall be totally or partially destroyed and the Facility located
       thereon is thereby rendered Unsuitable for Its Primary Intended
       Use, Tenant shall, unless Landlord shall otherwise elect, purchase
       such Leased Property from Landlord for a purchase price equal to
       the greater of (i) the Adjusted Purchase Price of such Leased
       Property and (ii) the Fair Market Value Purchase Price of such
       Leased Property immediately prior to such damage or destruction. 
       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.  If Tenant purchases the
       applicable Leased Property as provided herein, the closing with
       respect thereto shall occur on a date designated by Landlord by
       Notice to Tenant (but in no event prior to thirty (30) days after
       such Notice), this Agreement 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.  Upon
       termination of this Agreement with respect to such Leased Property
       as hereinabove provided, the Minimum Rent thereafter payable
       hereunder shall be reduced by an amount reasonably determined by
       Landlord to be that portion of the Minimum Rent allocable to such
       Leased Property.





                                     -43-

            10.2.2  Partial Damage or Destruction.

            If, during the Term, any of the Collective Leased Properties
       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.

            10.2.4  Disbursement of Proceeds.  

            In the event Tenant is required to restore the applicable
       Leased Property pursuant to Section 10.2, Tenant shall, 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 $100,000 (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 or Event of 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 or Event
       of 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





                                     -44-

       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. 
       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, and the balance, if any, to Tenant as
       provided in the preceding sentence.  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 may, in its sole discretion, suspend
       disbursement of any proceeds to Tenant.

            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.

            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.

       10.3  Damage Near End of Term.  

       Notwithstanding any provisions of Section 10.1 or 10.2 to the
  contrary, if damage to or destruction of any of the Collective Leased
  Properties occurs during the last twelve (12) months of the second
  Extended Term 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 Extended Term, the provisions of
  Section 10.2.1 shall apply as if such Leased Property had been totally
  or partially destroyed and the Facility located thereon rendered
  Unsuitable for its Primary Intended Use.

       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





                                     -45-

  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.  

       This Agreement shall remain in full force and effect and Tenant's
  obligation to make all payments of Rent and to pay all other charges as
  and when required under this Agreement shall, except as otherwise
  provided in Section 10.2.1, remain unabated during the Term
  notwithstanding any damage involving any of the Collective Leased
  Properties (provided that Landlord shall credit against such payments
  any amounts paid to Landlord as a consequence of such damage under any
  business interruption insurance obtained by Tenant hereunder).  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  Termination of Option to Purchase.  

       Any termination of this Agreement with respect to one or more of
  the Collective Leased Properties pursuant to this Article 10 shall cause
  any options to purchase granted to Tenant under this Agreement with
  respect thereto to be terminated and to be without further force or
  effect.

       10.8  Waiver.  

       Tenant hereby waives any statutory rights of termination which may
  arise by reason of any damage or destruction of any of the Collective
  Leased Properties.


                                  ARTICLE 11

                                 CONDEMNATION

       11.1  Total Condemnation, Etc.  

       If either (i) the whole of any of the Collective Leased Properties
  shall be taken by Condemnation or (ii) a Condemnation of less than the
  whole of any of the Collective Leased Properties renders such Leased
  Property Unsuitable for Its Primary Intended Use, this Agreement shall
  terminate with respect to such Leased Property, Tenant and Landlord
  shall seek the Award for their interests in such Leased Property as
  provided in Section 11.5 and the Minimum Rent thereafter payable shall
  be reduced by an amount reasonably determined by Landlord to be that





                                     -46-

  portion of the Minimum Rent allocable to such Leased Property.  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 amount of such shortfall.

       11.2  Partial Condemnation.  

       In the event of a Condemnation of less than the whole of any of the
  Collective Leased Properties such that such Leased Property is still
  suitable for its Primary Intended Use, Tenant shall, 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 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, condi-
  tion advancement of such Award and other amounts on (i) the absence of
  any Default or Event of 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 contrac-
  tors' 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 (x) the
  collection thereof by Landlord and (y) 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 Agreement, this
  Agreement shall remain in full force and effect and Tenant's obligation





                                     -47-

  to make all payments of Rent and to pay all other charges as and when
  required under this Agreement shall remain unabated during the Term
  notwithstanding any Condemnation involving the Collective Leased
  Properties.  The provisions of this Article 11 shall be considered an
  express agreement governing any Condemnation involving any or all of the
  Collective Leased Properties 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. 

       11.4  Temporary Condemnation.  

       In the event of any temporary Condemnation of all or any part of
  the Collective Leased Properties or Tenant's interest therein, this
  Agreement shall continue in full force and effect, and Tenant shall
  continue to pay, in the manner and on the terms herein specified, the
  full amount of the Rent.  Tenant shall continue to perform and observe
  all of the other terms and conditions this Agreement on the part of the
  Tenant to be performed and observed.  Provided no Default or Event of
  Default 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 applicable 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).  In any Condemnation proceedings, Landlord
  and Tenant shall each seek its own Award in conformity herewith, at its
  own expense.  

       11.6  Termination of Rights of Option to Purchase.

       Any termination of this Agreement with respect to any of the
  Collective Leased Properties pursuant to this Article 11 shall cause any
  options to purchase granted to Tenant with respect thereto to be
  terminated and to be without further force or effect.





                                     -48-

                                  ARTICLE 12

                            DEFAULTS AND REMEDIES

       12.1  Events of Default.  

       The occurrence of any one or more of the following events shall
  constitute an "Event of Default" hereunder:
   
            (a)  should 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
       Tenant shall be obligated or elects to purchase pursuant to the
       terms of this Agreement) payable hereunder when due and such
       failure shall continue for a period of ten (10) days after the date
       due; or

            (b)  should Tenant shall fail to maintain the insurance
       coverages required under Article 9; or

            (c)  should Tenant default in the due observance or
       performance of any of the terms, covenants or agreements contained
       herein to be performed or observed by it (other than as specified
       in clauses (a) and (b) above) or should any Guarantor default in
       the due observance or performance of any of the terms, covenants or
       agreements contained in any Guaranty or other Incidental Document,
       and, in either case, such default shall continue for a period of
       fifteen (15) days after Notice thereof from Landlord to Tenant
       (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, Tenant or
       such Guarantor 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 in the aggregate) as may be necessary
       to cure such default with all due diligence; or

            (d)  should any obligation of Tenant or any Guarantor, or of
       any Affiliated Person as to either of them, in respect of any
       Indebtedness for money borrowed or for the deferred purchase price
       of any material property or services, or any guaranty relating
       thereto, be declared to be or become due and payable prior to the
       stated maturity thereof, or should there occur and be continuing
       with respect to any such Indebtedness or deferred purchase price
       any default under any instrument or agreement evidencing or
       securing the same, the effect of which is to permit the holder or
       holders of such instrument or agreement or a trustee, agent or
       other representative on behalf of such holder or holders, to cause





                                     -49-

       such any such obligations to become due prior to its stated
       maturity; or

            (e)  should a default or event of default occur and be
       continuing beyond the expiration of any applicable cure period
       under any Guaranty or any of the Incidental Documents; or

            (f)  should there 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 of the Facilities 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
       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

            (g)  should any representation or warranty made by or on
       behalf of Tenant or any other Person under or in connection with
       this Agreement, any Guaranty, any Incidental Document or in any
       document, certificate or agreement delivered in connection herewith
       or therewith prove to have been false or misleading in any material
       respect on the date when made or deemed made; or

            (h)  should Tenant, any Guarantor or any Affiliated Person as
       to either of them generally not be paying its debts as they become
       due, or should Tenant, any Guarantor or any Affiliated Person as to
       either of them, make a general assignment for the benefit of
       creditors; or

            (i)  should any petition be filed by or against Tenant, any
       Guarantor or any Affiliated Person as to either of them under the
       Federal bankruptcy laws, or should any other proceeding be
       instituted by or against Tenant, such Guarantor or Affiliated
       Person 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 similar official for Tenant, such Guarantor or
       Affiliated Person, or for any substantial part of the property of
       Tenant, such Guarantor or Affiliated Person, and such proceeding is
       not dismissed within ninety (90) days after institution thereof, or
       should Tenant, such Guarantor or Affiliated Person take any action
       to authorize or effect any of the actions set forth above in this
       paragraph; or

            (j)  should Tenant, any Guarantor or any Affiliated Person as
       to either of them cause or institute any proceeding for its
       dissolution or termination; or





                                     -50-

            (k)  should Tenant voluntarily cease operation of any of the
       Collective Leased Properties 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

            (l)  should a default shall occur under any mortgage which is
       secured by Tenant's leasehold interest hereunder or the mortgagee
       under any such mortgage accelerates the indebtedness secured
       thereby or commence a foreclosure action in connection with said
       mortgage; or

            (m)  should the estate or interest of Tenant in any of the
       Collective Leased Properties or any part thereof be levied upon or
       attached in any proceeding and the same shall not be vacated or
       discharged within the later of (x) one hundred and twenty (120)
       days after commencement thereof, unless the amount in dispute is
       less than $10,000, in which case Tenant shall give notice to
       Landlord of the dispute but Tenant may defend in any suitable way,
       and (y) thirty (30) days after receipt by Tenant of Notice thereof
       from Landlord (unless Tenant shall be contesting such lien or
       attachment in good faith in accordance with Article 8); or 

            (n)  should any Provider Agreement material to the operation
       or financial condition of Tenant or any Facility be terminated
       prior to the stated 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), not be
       renewed or extended or replaced upon the expiration of the stated
       term thereof and such termination may have a material adverse
       effect upon the operations, business prospects, property, or assets
       of, liabilities, or the condition of, revenues generated by, the
       applicable Facility or Tenant; or

            (o)  should a final unappealable determination shall be made
       by any Government Agencies that Tenant has failed to comply with
       applicable Medicare and/or Medicaid regulations in the operation of
       any Facility, as a result of which failure Tenant is declared
       ineligible to receive reimbursements under the Medicare and/or
       Medicaid programs with respect to one or more of the Facilities; or

            (p)  should there occur any Change in Control of Tenant or any
       Guarantor;

  then, and in any such event, Landlord, in addition to all other remedies
  available to it, may terminate this Agreement with respect to any or all
  of the Collective Leased Properties by giving Notice thereof to Tenant
  and upon the expiration of the time, if any, fixed in such Notice, this
  Agreement shall terminate and all rights of Tenant under this Agreement
  shall cease with respect to such of the Collective Leased Properties as
  shall have been identified in such Notice.  Landlord shall have and may





                                     -51-

  exercise all rights and remedies available at law and in equity to
  Landlord as a result of Tenant's breach of this Agreement.  

       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 any such 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
  date 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 attorneys' 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.  

       None of (a) the termination of this Agreement with respect to any
  or all of the Collective Leased Properties pursuant to Section 12.1, (b)
  the repossession of any or all of the Collective Leased Properties or
  any portion thereof, (c) the failure of Landlord to re-let any or all of
  the Collective Leased Properties or any portion thereof, nor (d) the
  reletting of all or any of portion of the Collective Leased Properties,
  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 any of the
  Collective Leased Properties as to which this Agreement is so terminated
  through and including the date of such termination and, if this
  Agreement shall be terminated with respect to less than all of the
  Collective Leased Properties, the allocation of the Rent with respect to
  the Collective Leased Properties as to which this Agreement shall have
  been terminated shall be made in such manner as Landlord, in Landlord's
  sole and absolute discretion, shall determine.  Thereafter, Tenant,
  until the end of what would have been the Term of this Agreement in the
  absence of such termination, and whether or not any of the Collective
  Leased Properties as to which this Agreement is so terminated or any
  portion thereof shall have been re-let, shall be liable to Landlord for,
  and shall pay 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





                                     -52-

  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, and, if
  this Agreement shall be terminated with respect to less than all of the
  Collective Leased Properties, the allocation of the Rent with respect to
  the Collective Leased Properties as to which this Agreement shall have
  been terminated shall be made in such manner as Landlord, in Landlord's
  sole and absolute discretion, shall determine.  Tenant shall pay such
  current damages to Landlord monthly on the days on which the Minimum
  Rent would have been payable hereunder if this Agreement had not been so
  terminated with respect to such of the Collective Leased Properties.

       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 this Agreement 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, and (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); provided, however, that if
  this Agreement shall have been terminated with respect to less than all
  of the Collective Leased Properties, the allocation of the Rent with
  respect to the Collective Leased Properties as to which this Agreement
  shall have been terminated shall be made in such manner as Landlord, in
  Landlord's sole and absolute discretion, shall determine.  In the event
  this Agreement 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 this Agreement 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 any of the Collective Leased Properties as to which this Agreement





                                     -53-

  is so terminated 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 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 any applicable Leased Property
  or any portion thereof as Landlord, in its sole and absolute discretion,
  considers advisable and necessary for the purpose of reletting any such
  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 any failure to relet all or any portion of the
  Collective Leased Properties, or, in the event that any of the
  Collective Leased Properties is relet, for failure to collect the rent
  under such reletting.  To the maximum 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 any of
  the Collective Leased Properties, by reason of the violation by Tenant
  of any of the covenants and conditions of this Agreement.

       12.3  Tenant's Waiver.  

       IF THIS AGREEMENT IS TERMINATED WITH RESPECT TO ANY OF THE
  COLLECTIVE LEASED PROPERTIES PURSUANT TO SECTION 12.1 OR 12.2, TENANT
  WAIVES, TO THE EXTENT PERMITTED BY LAW, ANY RIGHT TO A TRIAL BY JURY IN
  THE EVENT OF SUMMARY PROCEEDINGS TO ENFORCE THE REMEDIES SET FORTH IN
  THIS ARTICLE 12, AND 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
  this Agreement 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 Tenant's obligations under this Agreement in such order as
  Landlord may determine or as may be prescribed by the laws of the State.

       12.5  Landlord's Right to Cure Tenant's Default.  

       If an Event of Default shall have occurred and be continuing,
  Landlord, after Notice to Tenant (which Notice shall not 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 maximum extent permitted by law, enter upon any
  of the Collective Leased Properties or any portion thereof for such
  purpose and take all such action thereon as, in Landlord's sole and





                                     -54-

  absolute discretion, may be necessary or appropriate therefor, including
  the management of the Facility located thereon 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 any such
  Facility 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.

       12.6  Trade Names.  

       If this Agreement is terminated with respect to any of the
  Collective Leased Properties for any reason, Tenant shall not use a
  Facility Trade Name in the same market in which the Facility located
  thereon is located in connection with any business that competes with
  such Facility. 


                                  ARTICLE 13

                                 HOLDING OVER

       Any holding over by Tenant after the expiration or sooner
  termination of this Agreement shall be treated as a daily tenancy at
  sufferance at a rate equal to two (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 (direct or indirect) sustained by reason of any
  such holding over.  Otherwise, such holding over shall be on the terms
  and conditions set forth in this Agreement, 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 this Agreement.


                                  ARTICLE 14

                              LANDLORD'S DEFAULT

       If Landlord shall default in the performance or observance of any
  of its covenants or obligations set forth in this Agreement 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





                                     -55-

  reasonable attorneys' fees and court costs) incurred by Tenant in curing
  the same, together with interest thereon from the date Landlord receives
  Tenant's invoice, at the Overdue Rate.  Tenant shall have no right to
  terminate this Agreement 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 any such 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 any of the Collective Leased
  Properties from Landlord pursuant to the terms of this Agreement,
  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 or Event of 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) Permitted Encumbrances and such other 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.  The
  difference between the applicable purchase price and the total cost of
  discharging the encumbrances described in clause (i) preceding shall be
  paid to Landlord or as Landlord may direct, by wire transfer of im-
  mediately available federal funds.  Such Leased Property shall be
  conveyed to Tenant on an "as is" basis and in its "as-is" physical
  condition.  The closing of any such sale shall be subject to all terms
  and conditions with respect thereto set forth in this Agreement 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.





                                     -56-

                                  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 (which consent may be given or withheld in
  their sole and absolute discretion), assign, mortgage, pledge,
  hypothecate, encumber or otherwise transfer this Agreement or sublease
  (which term shall be deemed to include the granting of concessions,
  licenses and the like), all or any part of the Collective Leased
  Properties or suffer or permit this Agreement or the leasehold estate
  created hereby or any other rights arising under this Agreement 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 any of the Collective Leased
  Properties by anyone other than Tenant, or any of the Collective Leased
  Properties to be offered or advertised for assignment or subletting. 
  For purposes of this Section 16.1, an assignment of this Agreement shall
  be deemed to include any Change in Control of Tenant or any transaction
  pursuant to which Tenant is merged or consolidated with another entity
  or pursuant to which all or substantially all of Tenant's assets are
  transferred to any other entity, as if such Change in Control or
  transaction were an assignment of this Agreement.  

       If this Agreement is assigned or if any of the Collective Leased
  Properties or any part thereof are sublet (or occupied by anybody other
  than Tenant and its employees) Landlord 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 this Agreement.  

       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 any Primary Intended Use.  Any
  subletting, assignment or other transfer of Tenant's interest under this
  Agreement 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 any of the Collective Leased
  Properties shall provide (a) that it is subject and subordinate to this
  Agreement and to the matters to which this Agreement is or shall be





                                     -57-

  subject or subordinate; (b) that in the event of termination of this
  Agreement or reentry or dispossession of Tenant by Landlord under this
  Agreement, 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 this Agreement, 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 accrued 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 any portion of the Collective
  Leased Properties; and (c), in the event that such subtenant receives a
  written Notice from Landlord or any Facility Mortgagee stating that an
  Event of Default has occurred and is continuing, such subtenant shall
  thereafter be obligated to pay all rentals accruing under such sublease
  directly to the party giving such Notice or as such party may direct. 
  All rentals received from such subtenant by Landlord or the Facility
  Mortgagee, as the case may be, shall be credited against the amounts
  owing by Tenant under this Agreement 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 reasonably 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 this Agreement 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 condi-
  tions to be performed by Tenant hereunder.  

       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.  





                                     -58-

       Notwithstanding the foregoing, but subject to the provisions of
  Section 16.4 and any other express conditions or limitations set forth
  herein, Tenant may, in each instance after Notice to Landlord, sublease
  space at any of the Collective Leased Properties for laundry, commissary
  or child care purposes or similar concessions in furtherance of the
  applicable Primary Intended Use, so long as such sublease will not
  reduce the number of licensed beds at the applicable Facility, will not
  violate or affect any Legal Requirement or Insurance Requirement, and
  Tenant shall provide such additional insurance coverage applicable to
  the activities to be conducted in such subleased space as Landlord and
  any Facility Mortgagee may require.

       16.4  Sublease Limitation.  

       Anything contained in this Agreement to the contrary
  notwithstanding, Tenant shall not sublet any of the Collective Leased
  Properties on any basis such that the rental to be paid by any sublessee
  thereunder would be based, in whole or in part, on either (a) the income
  or profits derived by the business activities of such sublessee, or (b)
  any other formula such that any portion of such 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 this Agreement is unmodified and in full
  force and effect (or that this Agreement is in full force and effect as
  modified and setting forth the modifications), the date to which the
  Rent has been paid, that no Default or an Event of Default has occurred
  and is continuing or, if a Default or an Event of Default shall exist,
  specifying in reasonable detail the nature thereof, 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, any Facility Mortgagee and
  any prospective purchaser or mortgagee of any of the Collective Leased
  Properties.

       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 Financials and the
       most recent unaudited financial statements of Tenant and Guarantor





                                     -59-

       prepared, in the case of Tenant on a Facility by Facility basis,
       and in each case accompanied by the Financial Officer's
       Certificate; 

            (b)  within one hundred twenty (120) days after the end of
       each Fiscal Year, the most recent Financials for such Fiscal Year,
       including the most recent financial statements of Tenant and
       Guarantor, prepared, in the case of Tenant, on a Facility by
       Facility basis, and in each case certified by an independent
       certified public accountant reasonably satisfactory to Landlord and
       accompanied by a 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 a Financial Officer's Certificate;

            [(d)  promptly after the sending or filing thereof, copies of
       all reports which Tenant and/or any Guarantor sends to its security
       holders generally, and copies of all periodic reports which Tenant
       and/or any Guarantor 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 any
       Guarantor, or either of their 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 or such Guarantor, as the case may
       be;

            (f)  at any time and from time to time upon not less than
       twenty (20) days Notice from Landlord, any 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; 

            (g)  Within forty-five (45) days after each quarter of each
       Fiscal Year, an occupancy and rate report with respect to each of
       the Facilities, together with an Officer's Certificate certifying
       to the accuracy of such occupancy and rate reports; and 

            (h)  promptly, upon Notice from Landlord, such other
       information concerning the business, financial condition and
       affairs of Tenant and any Guarantor as Landlord may request from
       time to time.

  Landlord may at any time, and from time to time, provide any Facility
  Mortgagee with copies of any of the foregoing statements.





                                     -60-

       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 each 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 each 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 each Facility;

            (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 Facilities during the next
       succeeding Fiscal Year.


                                  ARTICLE 18

                         LANDLORD'S RIGHT TO INSPECT

       Tenant shall permit Landlord and its authorized representatives to
  inspect the Collective Leased Properties 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





                                     -61-

  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 this Agreement, provided that any inspection or repair
  by Landlord or its representatives will not unreasonably interfere with
  Tenant's use and operation of the applicable Leased Property and 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 of the Collective Leased Properties
  for any purpose of this Agreement and the parties cannot agree thereon,
  such Fair Market Value or Fair Market Rental, as the case may be, shall
  be determined upon the written demand of either party in accordance with
  the following procedure.  

       The party requesting an appraisal, by Notice given to the other,
  shall propose and unilaterally approve a Qualified Appraiser.  The other
  party, by Notice given within fifteen (15) days after receipt of such
  Notice appointing the first Qualified Appraiser, may appoint a second
  Qualified Appraiser.  If the other party fails to appoint the second
  Qualified Appraiser within such fifteen (15) day period, such party
  shall have waived its right to appoint a Qualified Appraiser, the first
  Qualified Appraiser shall appoint a second Qualified Appraiser within
  fifteen (15) days thereafter and the Fair Market Value or Fair Market
  Rental, as the case may be, shall be determined by the Qualified
  Appraisers as set forth below.

       The two Qualified Appraisers shall thereupon endeavor to agree upon
  the Fair Market Value or Fair Market Rental, as the case may be.  If the
  two Qualified Appraisers so named cannot agree upon such value or
  rental, as the case may be, within thirty (30) days after the
  designation of the second such appraiser, each such appraiser shall,
  within five (5) days after the expiration of such thirty (30) day
  period, submit his appraisal of fair market value to the other appraiser
  in writing, and if the fair market values set forth in such appraisals
  vary by five percent (5%) or less of the greater value, the fair market
  value shall be determined by calculating the average of the two fair
  market values determined by the two appraisers.

       If the fair market values set forth in the two appraisals vary by
  more than five percent (5%) of the greater value, the two Qualified
  Appraisers shall select a third Qualified Appraiser within an additional
  fifteen (15) days following the expiration of the aforesaid five (5) day
  period.  If the two appraisers are unable to agree upon the appointment
  of a third appraiser within such fifteen (15) day period, either party





                                     -62-

  may, upon written notice to the other, request that such appointment be
  made by the then President (or equivalent officer) of the State's
  Chapter of the American Institute of Real Estate Appraisers, or his or
  her designee or, if there is no such organization or if such individual
  declines to make such appointment, by any state or Federal court of
  competent jurisdiction for the State.

       In the event that all three of the appraisers cannot agree upon
  Fair Market Value or Fair Market Rental, as the case may be, within
  twenty (20) days following the selection of the third appraiser, each
  appraiser shall, within ten (10) days thereafter, submit his appraisal
  of fair market value to the other two appraisers in writing, and the
  fair market value shall be determined by calculating the average of the
  two numerically closest values (or, if the values are equidistant, the
  average of all three values) determined by the three appraisers.

       In the event that any appraiser appointed hereunder does not or is
  unable to perform his or her obligation hereunder, then the party or the
  appraisers appointing such appraiser shall have the right to propose and
  approve unilaterally a substitute Qualified Appraiser, but if the party
  or the appraisers who have the right to appoint a substitute Qualified
  Appraiser fail to do so within ten (10) days after written notice from
  the other party (or either party in the event such appraiser was
  appointed by the other appraisers) either party may, upon written notice
  to the party having the right to appoint a substitute Qualified
  Appraiser, request that such appointment be made by such officer of the
  American Institute of Real Estate Appraisers or court of competent
  jurisdiction as described above; provided, however, that a party who has
  the right to appoint an appraiser or a substitute appraiser shall have
  the right to make such appointment only up until the time such
  appointment is made by such officer or court.

       In connection with the appraisal process, Tenant shall provide the
  appraisers full access during normal business hours to examine the
  applicable Leased Property, the books, records and files of Tenant and
  all agreements, leases and other operating agreements relating to the
  applicable Leased Property. 

       The costs (other than Landlord's counsel fees) of each such ap-
  praisal 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 Qualified Appraisers 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.  





                                     -63-

       Landlord shall have the right, exercisable twice at any time during
  the Term, to appoint a Qualified Appraiser to perform a complete
  appraisal of any or all of the Collective Leased Properties, (each such
  appraisal to include complete valuations of any 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

                              OPTION TO PURCHASE

       20.1  Landlord's Option to Purchase 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 this Agreement is terminated with
  respect to any of the Collective Leased Properties prior to its
  expiration date), Landlord shall have the option to purchase all or any
  portion of Tenant's Personal Property with respect to any of the
  Collective Leased Properties, at the expiration or sooner termination of
  this Agreement with respect to such Leased Property, for an amount equal
  to Tenant's net book value thereof, 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 shall 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 its election to
  purchase Tenant's Personal Property at any of the Collective Leased
  Properties by the fifteenth (15th) day prior to the expiration of this
  Agreement (or such shorter period as may be appropriate if this
  Agreement is terminated with respect to any of the Collective Leased
  Properties prior to its expiration date) shall be deemed to constitute a
  waiver of Landlord's right to purchase Tenant's Personal Property with
  respect to such Leased Property.  Upon the expiration or sooner
  termination of this Agreement, or upon management of any Facility by
  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.

       20.2  Tenant's Option to Purchase the Leased Property. 





                                     -64-

       Provided, no Default or Event of Default has occurred and is
  continuing at the time of exercise of the purchase option provided for
  in this Section 20.2 or at the time of payment of the purchase price
  provided for in this Section 20.2 and this Agreement shall be in full
  force and effect, Tenant shall have the option to purchase all, but not
  less than all, of the Collective Leased Properties for a purchase price
  equal to the sum of the Option Purchase Prices for all of the Collective
  Leased Properties.  If Tenant wishes to exercise the aforesaid option,
  it shall do so by giving Landlord Notice thereof not less than one (1)
  year prior to the expiration of the then current term of this Agreement
  (Fixed or Extended, as the case may be).  Such Notice shall be
  accompanied by a nonrefundable deposit made by certified check payable
  to the order of Landlord in an amount equal to five percent (5%) of the
  Option Purchase Price.  It is expressly understood and agreed that time
  shall be of the essence with respect to the giving of such Notice and
  the making of such deposit and the failure of Tenant to give such Notice
  or deliver such deposit within the time and in the manner hereinabove
  provided shall be a waiver of Tenant's right to purchase the Collective
  Leased Properties pursuant to this Section 20.2.  Any purchase of the
  Collective Leased Properties by Tenant shall be made in accordance with
  the provisions of Article 15 and the closing date for such purchase
  shall be the date of expiration of the then current term of this
  Agreement (Fixed or Extended, as the case may be).

       20.3  First Refusal to Purchase.  

       Provided, no Default or Event of Default has occurred and is
  continuing at the time of exercise of the first refusal to purchase
  provided for in this Section 20.3 or at the time of payment of the
  purchase price provided for in this Section 20.3 and this Agreement
  shall be in full force and effect, Tenant shall have a right of first
  refusal to purchase all, but not less than all, of the Collective Leased
  Properties as Landlord shall propose to sell upon the same price, terms
  and conditions as Landlord shall propose to sell such Collective Leased
  Properties, or upon the same price, terms and conditions of any written
  offer from a third party to purchase such Collective Leased Properties
  which Landlord intends to accept (or has accepted subject to Tenant's
  right of first refusal herein provided).  If, during the Term or any
  Extended Term hereof, Landlord reaches such agreement with a third party
  or proposes to offer all or any portion of the Collective Leased
  Properties 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.  Such Notice shall be accompanied by a
  nonrefundable deposit made by certified check payable to the order of
  Landlord in an amount equal to five percent (5%) of the purchase price
  provided for in such proposal, offer or agreement.  It is expressly
  understood and agreed that time shall be of the essence with respect to
  the giving of such Notice and the making of such deposit and the failure
  of Tenant to give such Notice or deliver such deposit within the time
  and in the manner hereinabove provided shall be a waiver of Tenant's





                                     -65-

  right of first refusal to purchase the Collective Leased Properties
  pursuant to this Section 20.3.  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 proposal, offer or agreement (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 no later than the
  closing date specified in such proposal, offer or agreement (or, if no
  closing date is so specified, thirty (30) days after Tenant exercises
  its right of first refusal).  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 20.3 as to any subsequent or proposed sale during the Term or
  any Extended Term.


                                  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 any of the
  Collective Leased Properties, 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 this Agreement, including the rights of Tenant to acquire
  the Collective Leased Properties pursuant to the applicable provisions
  of this Agreement.  

       21.2  Subordination of Lease.  

       Subject to Section 21.1, this Agreement, 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 Collective Leased Properties, or any of
  them, or any improvements 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





                                     -66-

  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 this
  Agreement 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 this
  Agreement 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 this Agreement with respect to one or more
  of the Collective Leased Properties, 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 this
  Agreement with respect to one or more of the Collective Leased
  Properties, and shall promptly execute and deliver any instrument that
  such Successor Landlord may reasonably request to evidence such
  attornment.  Upon such attornment, this Agreement 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 this Agreement, except that the Successor Landlord (unless formerly
  the landlord under this Agreement 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 this Agreement, (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
  this Agreement 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 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 this Agreement 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.

       21.3  Notice to Mortgagee and Ground Landlord.  





                                     -67-

       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 shall (a) pay or cause to be paid when due all payments of
  principal of and premium and interest on Indebtedness for money borrowed
  and shall 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 shall not engage in any business other than the ownership
  and operation of the Collective Leased Properties and shall 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  Maintenance of Accounts and Records.  

       Tenant shall 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 shall 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 shall 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.





                                     -68-

       22.4  Notice of Change of Name, Administrator, Etc.

       Tenant shall give prompt Notice to Landlord of any change in (a)
  the name (operating or otherwise) of Tenant or any Facility, (b) the
  individual licensed as administrator of any Facility, (c) the number of
  beds in any bed category for which any Facility is licensed or the
  number of beds in any bed category available for use at any Facility,
  and (d) the patient and/or child care services that are offered at any
  Facility.

       22.5  Notice of Litigation, Potential Event of Default, Etc.

       Tenant shall give prompt Notice to Landlord of any litigation or
  any administrative proceeding to which it or any Guarantor may hereafter
  become a party which involves a potential liability equal to or greater
  than Ten Thousand Dollars ($10,000) 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 or such Guarantor.  Forthwith upon Tenant obtaining knowledge of
  any Default, Event of Default or any 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 Tenant or any Guarantor on Form
  8-K or in Part II of a quarterly report on Form 10-Q if Tenant or any
  Guarantor were required to file such reports under the Securities
  Exchange Act of 1934, as amended, Tenant shall furnish Notice thereof 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.

       22.6  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;

            (b)  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;

            (c)  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 $10,000 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





                                     -69-

       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; 

            (d)  unsecured borrowings of Tenant from its Affiliated
       Persons which are by their terms expressly subordinate pursuant to
       a Subordination Agreement to the payment and performance of
       Tenant's obligations under this Agreement; or

            (e)  Indebtedness for purchase money financing.

       22.7  Distributions, Payments to Affiliated Persons, Etc.  All
  payments by any Guarantor and/or Tenant to any Affiliated Person shall
  be subordinated to payments due to Landlord and neither any Guarantor
  nor Tenant shall declare, order, pay or make, directly or indirectly,
  any Distributions or any payment to any Affiliated Person of either of
  them (including payments in the ordinary course of business and
  reasonable payments pursuant to management agreements with any such
  Affiliated Person) 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, any Default or an Event of Default shall exist.

       22.8  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; 

            (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





                                     -70-

       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; and

            (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 Person, other than an Affiliated Person as to Tenant or any
       Guarantor, 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.

       22.9  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
  Affiliated Person as to Tenant or any Guarantor, 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. 

       22.10  Management of Collective Leased Properties.

       Tenant shall not enter into any Management Agreement unless the
  terms thereof have been previously approved in writing by Landlord,
  which approval may be given or withheld in Landlord's sole and absolute
  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 Leased Property, payable by Tenant to
  any Guarantor (or any Affiliated Person as to Tenant or such Guarantor),
  shall be subordinated to all of the obligations of Tenant due under this
  Agreement pursuant to a Subordination Agreement.  Tenant shall not agree
  to any change in the Manager of any of the Collective Leased Properties
  and/or any Facility, to any change in any Management Agreement,
  terminate any Management Agreement or permit any Manager to assign any
  Management Agreement without the prior written approval of Landlord in
  each instance, which approval may be given or withheld in Landlord's
  sole and absolute discretion.  Any Management Agreement shall provide
  that Landlord shall be provided notice of any defaults thereunder and,
  at Landlord's option, an opportunity to cure such defaults and shall
  otherwise be in form and substance satisfactory to Landlord in its sole
  and absolute discretion.  If Landlord shall cure any of Tenant's
  defaults under any 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 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.  Tenant shall deliver to Landlord





                                     -71-

  any instrument requested by Landlord to implement the intent of the
  foregoing provision.

       22.11  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 this Agreement, 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 shall not
       exceed the cost of acquisition or construction of the property
       subject thereto; and (iii) the aggregate principal amount of
       Indebtedness secured by any such Lien in favor of a single vendor
       shall not exceed $250,000 at any one time outstanding; and

            (b)  Permitted Encumbrances.

       22.12  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, however, that, notwithstanding
  the provisions of clause (iii) preceding, 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.

       22.13  Guaranties.  Upon the execution hereof and from time to time
  during the Term and any Extended Term hereof, Tenant shall cause
  Connecticut Subacute, CSC II, any corporate Parent of, or corporate
  successor to, Tenant, and any other Entity that is an Affiliated Person
  of Tenant that conducts business on any of the Collective Leased
  Properties, to execute a Guaranty, in favor of Landlord.


                                  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 Agreement exceed the maximum permissible under
  applicable law, the benefit of which may be asserted by Tenant as a





                                     -72-

  defense, and if, from any circumstance whatsoever, fulfillment of any
  provision of this Agreement, 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 this Agreement 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 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
  maximum extent permitted by law, no waiver of any breach shall affect or
  alter this Agreement, which shall continue in full force and effect with
  respect to any other then existing or subsequent breach.

       23.3  Remedies Cumulative.  To the maximum extent permitted by law,
  each legal, equitable or contractual right, power and remedy of
  Landlord, now or hereafter provided either in this Agreement 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 this Agreement held by a court of competent jurisdiction to
  be invalid, illegal or ineffective shall not impair, invalidate or
  nullify the remainder of this Agreement, 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 this
  Agreement 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 this
  Agreement or of any of the Collective Leased Properties 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 and agreed
  that it is the intent of the parties that there shall be no merger of
  this Agreement or of the leasehold estate created hereby by reason of
  the fact that the same Person may acquire, own or hold, directly or
  indirectly this Agreement or the leasehold estate created hereby and the





                                     -73-

  fee estate or ground landlord's interest in any of the Collective Leased
  Properties.

       23.7  Conveyance by Landlord.  If Landlord or any successor owner
  of all or any portion of any of the Collective Leased Properties shall
  convey all or any portion of the Collective Leased Properties in
  accordance with the terms hereof other than as security for a debt, and
  the grantee or transferee of such of the Collective Leased Properties
  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
  this Agreement with respect to such of the Collective Leased Properties
  arising or accruing from and after the date of such conveyance or other
  transfer 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 comply with all of the terms of this
  Agreement, Tenant shall peaceably and quietly have, hold and enjoy the
  Collective Leased Properties for the Term, free of hindrance or
  molestation 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 this Agreement, no failure
  by Landlord to comply with the foregoing covenant shall give Tenant any
  right to cancel or terminate this Agreement or abate, reduce or make a
  deduction from or offset against the Rent or any other sum payable under
  this Agreement, or to fail to perform any other obligation of Tenant
  hereunder.  

       23.9  NON-LIABILITY OF TRUSTEES.  THE DECLARATION, A COPY OF WHICH
  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 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
  this Agreement for Landlord's consent and Landlord shall fail or refuse
  to give such consent, Tenant shall not be entitled to any damages for
  any withholding by Landlord of its consent, it being intended that
  Tenant's sole remedy shall be an action for specific performance or
  injunction, and that such remedy shall be available only in those cases





                                     -74-

  where Landlord has expressly agreed in writing not unreasonably to
  withhold its consent.

       23.11  Memorandum of Lease.  Neither Landlord nor Tenant shall
  record this Agreement.  However, Landlord and Tenant shall promptly,
  upon the request of the other, enter into a short form memorandum of
  this Agreement, in form suitable for recording under the laws of the
  State in which reference to this Agreement, and all options contained
  herein, shall be made. Tenant shall pay all costs and expenses of
  recording such memorandum.

       23.12  Notices.

            (a)  Any and all notices, demands, consents, approvals,
       offers, elections and other communications required or permitted
       under this Agreement shall be deemed adequately given if in writing
       and the same shall be delivered either in hand, by telecopier with
       written acknowledgment of receipt, or by mail or Federal Express or
       similar expedited commercial carrier, addressed to the recipient of
       the notice, postpaid and registered or certified with return
       receipt requested (if by mail), or with all freight charges prepaid
       (if by Federal Express or similar carrier).

            (b)  All notices required or permitted to be sent hereunder
       shall be deemed to have been given for all purposes of this
       Agreement upon the date of acknowledged receipt, in the case of a
       notice by telecopier, and, in all other cases, upon the date of
       receipt or refusal, except that whenever under this Agreement a
       notice is either received on a day which is not a Business Day or
       is required to be delivered on or before a specific day which is
       not a Business Day, the day of receipt or required delivery shall
       automatically be extended to the next Business Day.

            (c)  All such notices shall be addressed,

       if to Landlord to:

            Health and Retirement Properties Trust
            400 Centre Street
            Newton, Massachusetts  02158
            Attn:  Mr. David J. Hegarty and
                   Mr. John G. Murray
            [Telecopier No. (617) 332-2261]

       with a copy to:

            Sullivan & Worcester
            One Post Office Square
            Boston, Massachusetts  02109
            Attn:  Lena G. Goldberg, Esq.
            [Telecopier No. (617) 338-2880]





                                     -75-

       if to Vermont Subacute to:

            Vermont Subacute Corporation
            150 South Champlain Street
            Burlington, Vermont  05401
            Attn:  Mark J. Finkelstein

       if to New Hampshire Subacute to:

            New Hampshire Subacute Corporation
            40 Whitehall Road
            Rochester, New Hampshire  03867
            Attn:  Mark J. Finkelstein

            (d)  By notice given as herein provided, the parties hereto
       and their respective successor and assigns shall have the right
       from time to time and at any time during the term of this Agreement
       to change their respective addresses effective upon receipt by the
       other parties of such notice and each shall have the right to
       specify as its address any other address within the United States
       of America.

       23.13  Construction.  Anything contained in this Agreement to the
  contrary notwithstanding, all claims against, and liabilities of, Tenant
  or Landlord arising prior to any date of termination or expiration of
  this Agreement with respect to any of the Collective Leased Properties
  shall survive such termination or expiration.  In no event shall
  Landlord be liable for any consequential damages suffered by Tenant as
  the result of a breach of this Agreement by Landlord.  Neither this
  Agreement 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 this Agreement shall be bind-
  ing upon and inure to the benefit of the parties hereto and their
  respective successors and assigns. Each term or provision of this
  Agreement 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 Agreement.  Except as
  otherwise set forth in this Agreement, any obligations of Tenant
  (including without limitation, any monetary, repair and indemnification
  obligations) shall survive the expiration or sooner termination of this
  Agreement.

       23.14  Counterparts; Headings.  This Agreement may be executed in
  two or more counterparts, each of which shall constitute an original,
  but which, when taken together, shall constitute but one instrument and
  shall become effective as of the date hereof when copies hereof, which,
  when taken together, bear the signatures of each of the parties hereto
  shall have been signed.  Headings in this Agreement are for purposes of
  reference only and shall not limit or affect the meaning of the
  provisions hereof.





                                     -76-

       23.15  Landlord Financing.  In the event that at any time during
  the Term, Tenant, any Guarantor or any Entity that is an Affiliated
  Person of Tenant or any Guarantor shall elect to obtain sale, lease or
  mortgage financing for any health care related facilities owned, leased,
  operated or to be owned, leased or operated by Tenant, any Guarantor or
  such Entity within the Market Area of any of the Collective Leased
  Properties, Tenant shall give (or cause such Guarantor or such Entity to
  give, as the case may be) Notice thereof to Landlord, which notice shall
  set forth in reasonable detail the terms of such financing, shall
  identify the source thereof and shall include a copy of any applicable
  term sheet, letter of intent or commitment letter.  Landlord shall have
  the right, exercisable by the giving of Notice to Tenant (or such
  Guarantor or Entity, as the case may be) within ten (10) Business Days
  after such notice from Tenant (or such other Guarantor or Entity, as the
  case may be), to provide such financing on the same terms and conditions
  as described in the Notice given to Landlord.  In the event that
  Landlord shall exercise such option, Tenant (or such Guarantor or
  Entity, as the case may be) shall be obligated to obtain such financing
  from Landlord on the terms and conditions set forth in the Notice to
  Landlord.  In the event that Landlord shall decline to provide such
  financing or shall fail to give such notice to Tenant (or such Guarantor
  or Entity, as the case may be), Tenant (or such Guarantor or Entity, as
  the case may be) shall be free to obtain such financing from the party
  identified in, and on the terms and conditions set forth in, the Notice
  given to Landlord with respect thereto.

       23.16  Applicable Law, Etc.  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, this Agreement shall be interpreted, construed, applied
  and enforced in accordance with the laws of The Commonwealth of
  Massachusetts applicable to contracts between residents of Massachusetts
  which are to be performed entirely within Massachusetts, regardless of
  (i) where this Agreement is executed or delivered; or (ii) where any
  payment or other performance required by this Agreement is made or
  required to be made; or (iii) where any breach of any provision of this
  Agreement occurs, or any cause of action otherwise accrues; or (iv)
  where any action or other proceeding is instituted or pending; or (v)
  the nationality, citizenship, domicile, principal place of business, or
  jurisdiction of organization or domestication of any party; or (vi)
  whether the laws of the forum jurisdiction otherwise would apply the
  laws of a jurisdiction other than The Commonwealth of Massachusetts; or
  (vii) any combination of the foregoing.  Notwithstanding the foregoing,
  the laws of the State shall apply to the perfection and priority of
  liens upon and the disposition of and disposition with respect to any of
  the Collective Leased Properties.

       To the maximum extent permitted by applicable law, any action to
  enforce, arising out of, or relating in any way to, any of the
  provisions of this Agreement may be brought and prosecuted in such court
  or courts located in The Commonwealth of Massachusetts as is provided by





                                     -77-

  law; and the parties consent to the jurisdiction of said court or courts
  located in The Commonwealth of Massachusetts and to service of process
  by registered mail, return receipt requested, or by any other manner
  provided by law.

       23.17  Allocation of Minimum Rent.  Landlord and Tenant, by the
  execution hereof, agree that Minimum Rent shall be allocated among the
  Facilities as set forth in Exhibit C.

       23.18  Additional Leased Properties.  Landlord and Tenant
  acknowledge and agree that, concurrently herewith, Landlord is entering
  into a Purchase and Sale Agreement, dated of even date herewith (the
  "Purchase Agreement"), between Landlord, as purchaser, and John F.
  Chapple, III, as seller, to purchase certain land, with related
  improvements and personal property (collectively, the "Additional
  Properties"), to be used in connection with the operation of certain of
  the Collective Leased Properties, as further described in the Purchase
  Agreement.  Landlord and Tenant further acknowledge and agree that, upon
  Landlord's purchase of the Additonal Properties, Landlord and Tenant
  shall enter into an amendment to this Agreement pursuant to which
  Landlord shall lease to Vermont Subacute, and Vermont Subacute shall
  lease from Landlord, the Additonal Properties, upon and subject to the
  terms and conditions herein set forth (but including an increase in the
  Minimum Rent payable hereunder by the amount of Five Thousand Nine
  Hundred Six and 25/100 ($5,906.25)), provided, however, that nothing
  herein shall be construed to require Landlord to acquire the Additional
  Properties and Landlord shall have the right, but not the obligation, to
  acquire the Additional Properties on such terms and conditions as
  Landlord, in its sole discretion, shall determine.  In the event that
  Landlord shall, in its sole discretion, determine not to acquire the
  Additional Properties, Landlord's and Tenant's obligations under this
  Section 23.18 shall terminate.  Landlord shall provide Tenant with
  copies of all purchase and other agreements entered into by Landlord
  with respect to the Additonal Properties and all diligence and other
  information provided to or obtained by Landlord in connection therewith.





                                     -78-


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

                                     LANDLORD:

                                     HEALTH AND RETIREMENT
                                       PROPERTIES TRUST


                                     By:  /s/ David J. Hegarty
                                          Its:  Executive Vice President
                                                and Chief Financial
                                                Officer


                                     VERMONT SUBACUTE:


                                     VERMONT SUBACUTE CORPORATION

                                     By:  /s/ Mark J. Finkelstein
                                          Its (Vice) President


                                     NEW HAMPSHIRE SUBACUTE:

                                     NEW HAMPSHIRE SUBACUTE
                                       CORPORATION


                                     By:  /s/ Mark J. Finkelstein
                                          Its (Vice) President






                             EXHIBITS A-1 TO A-8

                                   The Land

                            [See attached copies.]






                                  EXHIBIT B

                               Purchase Prices


            Burlington                    $7,253,686

            Bennington                     4,822,930

            Springfield                    4,027,146

            Berlin                         5,121,951

            St. Johnsbury                  3,718,479

            Rowan                          4,167,011

            Redstone                         926,002

            Hanson                           868,127

            Vermont Total                 30,905,333

            Rochester                      4,094,667

            Total                         35,000,000






                                  EXHIBIT C


                           Minimum Rent Allocation


            Burlington                    $761,637.03

            Bennington                     506,407.65

            Springfield                    422,850.33

            Berlin                         537,804.85

            St. Johnsbury                  390,440.29

            Rowan                          437,536.15

            Redstone                        97,230.21

            Hanson                          91,153.33

            Rochester                      429,904.04





























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