Exhibit 10.4



                               KARRINGTON HEALTH, INC.

                            REGISTRATION RIGHTS AGREEMENT



                                     May 8, 1996




                                  TABLE OF CONTENTS
                                  -----------------


Preliminary Statement.......................................................  1

Terms and Conditions........................................................  1

Section 1.    Definitions..................................................   1

Section 2.    Securities Subject to this Agreement.........................   2

Section 3.    Demand Registration..........................................   2

Section 4.    Piggyback Registrations......................................   5

Section 5.    Holdback Agreements..........................................   7

Section 6.    Registration Procedures......................................   8

Section 7.    Registration Expenses........................................  11

Section 8.    Indemnification..............................................  12

Section 9.    Rule 144.....................................................  14

Section 10.   Participation in Underwritten Registrations..................  15

Section 11.   Miscellaneous................................................  15


                                         -i-



                            REGISTRATION RIGHTS AGREEMENT


    REGISTRATION RIGHTS AGREEMENT (the "Agreement") dated as of May 8, 1996, by
and among JMAC, Inc., an Ohio corporation ("JMAC"), Richard R. Slager
("Slager"), Alan B. Satterwhite ("Satterwhite") and Gregory M. Barrows
("Barrows") (JMAC, Slager, Satterwhite and Barrows are collectively referred to
herein as the "Investors") and Karrington Health, Inc., an Ohio corporation (the
"Company").

                                PRELIMINARY STATEMENT

    Pursuant to a Reorganization Agreement by and among the Investors and the
Company dated as of May 8, 1996 (the "Reorganization Agreement"), JMAC has
agreed to contribute to the Company all of its shares of JMAC Properties, Inc.,
an Ohio corporation ("JMAC Properties") (being 100% of the outstanding equity
securities of JMAC Properties), in exchange for 2,900,000 Common Shares of the
Company, and Slager, Satterwhite and Barrows have agreed to contribute to the
Company all of their shares of DevelopMed Associates, Inc., an Ohio corporation
("DMA") (being 100% of the outstanding equity securities of DMA), in exchange
for 717,750, 717,750 and 14,500 Common Shares of the Company, respectively.  The
Investors' agreement to acquire the Common Shares  is on the condition that the
Company agrees to certain terms and conditions related to the registration of
securities of the Company as set forth in this Agreement.

                                 TERMS AND CONDITIONS

    In consideration of the mutual covenants and agreements contained in this
Agreement and the Investment Agreement, and intending to be legally bound, the
parties hereto agree as follows:

    SECTION 1.  DEFINITIONS.  As used in this Agreement, the following terms
have the meanings indicated below or in the referenced sections of this
Agreement:

    "Common Shares":  The Company's Common Shares, as the same may be
constituted from time to time.

    "Demand Registration":  As defined in SECTION 3(a) hereof.

    "Exchange Act":  The Securities Exchange Act of 1934, as amended, and the
rules and regulations thereunder.

    "Initial Public Offering":  The first primary offering of Common Shares by
the Company registered pursuant to the Securities Act.




    "Person":  An individual, a partnership, a corporation, a limited liability
company, an association, a joint stock company, a trust, a joint venture, an
unincorporated organization and a government entity or any department, agency,
or political subdivision thereof.

    "Piggyback Registration":  As defined in SECTION 4(a) hereof.

    "Registrable Securities":  The Common Shares of the Company acquired by the
Investors from the Company pursuant to the Reorganization Agreement and any
additional Common Shares of the Company issued as a stock split, stock dividend
or other distribution with respect thereto.  A Registrable Security ceases to be
a Registrable Security when (i) it is registered under the Securities Act and
disposed of in accordance with the registration statement covering it or (ii) it
is sold or transferred in accordance with the requirements of Rule 144 (or
similar provisions then in effect) promulgated by the SEC under the Securities
Act ("Rule 144").

    "Registration Expenses":  As defined in SECTION 7 hereof.

    "SEC":  The United States Securities and Exchange Commission.

    "Securities Act":  The Securities Act of 1933, as amended, and the rules
and regulations thereunder.

    "Underwritten registration" or "underwritten offering":  A registration in
which securities of the Company are sold pursuant to a firm commitment
underwriting.

    SECTION 2.  SECURITIES SUBJECT TO THIS AGREEMENT.

    (a)  HOLDERS OF REGISTRABLE SECURITIES.  A Person is deemed to be a holder
of Registrable Securities whenever that Person owns, directly or beneficially,
or has the right to acquire Registrable Securities, disregarding any legal
restrictions upon the exercise of that right.

    (b)  MAJORITY OF REGISTRABLE SECURITIES.  As used in this Agreement, the
term "majority of the Registrable Securities" means 51% or more of the
Registrable Securities being registered unless the context indicates that it is
51% or more of the Registrable Securities then issued and outstanding.

    SECTION 3.  DEMAND REGISTRATION.

    (a)  REQUESTS FOR REGISTRATION.  Subject to the provisions of this SECTION
3, at any time on or after January 1, 1997, the holders of 50% or more of the
then


                                         -2-



outstanding Registrable Securities may demand that the Company register all or
part of their Registrable Securities under the Securities Act (a "Demand
Registration") on Forms S-1, S-2 or S-3 (or similar forms then in effect or such
other form as the Company and such holders shall agree) promulgated by the SEC
under the Securities Act.  Within ten days after receipt of a demand, the
Company will notify in writing all holders of Registrable Securities of the
demand.  Any holder who wants to include his or its Registrable Securities in
the Demand Registration must notify the Company within ten business days of
receiving the notice of the Demand Registration.  Except as provided in this
SECTION 3, the Company will include in all Demand Registrations all Registrable
Securities for which the Company receives timely written demands for inclusion.
All demands made pursuant to this SECTION 3(a) must specify the number of
Registrable Securities to be registered and the intended method of disposing of
the Registrable Securities.  The Company will not be required to file more than
two Demand Registrations pursuant to this Agreement.  The Company will not be
required to file more than one Demand Registration during any 18 month period
and will not be required to keep a Demand Registration effective for more than
90 days.

    (b)  FORM OF REGISTRATION.  The Demand Registration will be on Form S-3
whenever the Company is permitted to use such form, unless the holders of a
majority of the Registrable Securities or the underwriter reasonably request
registration on an expanded form.  The Company will use its reasonable best
efforts to qualify for registration on Form S-3.

    (c)  REGISTRATION EXPENSES.  The Company will pay all Registration Expenses
for two Demand Registrations pursuant to this Agreement.

    (d)  SELECTION OF UNDERWRITERS.  The holders of a majority of the
Registrable Securities requested to be included in the Demand Registration shall
select the investment banker(s) and manager(s) that will administer the
offering, as long as the investment banker(s) and manager(s) are reasonably
satisfactory to the Company, and the Company shall enter into a customary
underwriting agreement with those investment banker(s) and manager(s).

    (e)  PRIORITY ON DEMAND REGISTRATIONS.  If the managing underwriter gives
the Company and the holders of the Registrable Securities being registered a
written opinion that the number of Registrable Securities requested to be
included exceeds the number of securities that can be sold, the Company will
include in the registration only the number of Registrable Securities that the
underwriters believe can be sold.  The number of securities registered shall be
allocated pro rata among the holders of the Registrable Securities on the basis
of the total number of Registrable Securities requested to be included in the
registration.  In addition, if the managing underwriter shall advise the
Company, in writing or otherwise, that


                                         -3-



an underwriters' over-allotment option, not in excess of 15% of the total
offering to be so effected, is necessary or desirable for the marketing of such
offering, all Registrable Securities which are to be included in such offering
pursuant to this SECTION 3(e) shall be allocated pro rata to the primary portion
of such offering and the underwriters' over-allotment portion on the basis of
the total number of Registrable Securities requested to be included in the
registration.

    (f)  DELAY IN FILING.  The Company may delay the filing of the registration
statement in connection with a Demand Registration for a period of not more than
120 days upon the advice of the investment banker(s) and manager(s) that will
administer the offering that a delay is necessary or appropriate under the
circumstances.  The Company may not use this right to delay more than once
during the term of this Agreement.

    (g)  LIMITED PIGGYBACK RIGHT ON DEMAND REGISTRATIONS.

         (1)    Whenever the holders of Registrable Securities demand a Demand
    Registration, the Company may notify in writing the other holders of
    securities of the same type as the Registrable Securities, that are to be
    registered not later than the earlier to occur of (i) the 5th day following
    the Company's receipt of notice of exercise of the Demand Registration right
    or (ii) 45 days prior to the anticipated filing date.

         (2)    The Company may include securities of the same type and
    class of other holders in the Demand Registration, unless the managing
    underwriter gives the Company its written opinion that a portion of
    the total number or dollar amount of securities requested to be
    included cannot be sold.  If the number or dollar amount of securities
    requested to be sold exceeds the amount that in the opinion of the
    managing underwriter can be sold, the Company will include in the
    registration: (i) first, all Registrable Securities; and (ii) second,
    up to the full number or dollar amount of securities requested to be
    included in the registration in excess of the number or dollar amount
    of Registrable Securities to be registered (allocated pro rata among
    the holders of the securities in such proportions as the Company and
    those holders may agree).  In the event that the managing underwriter
    advises the Company that an underwriters' over-allotment option is
    necessary or advisable, the preceding priority shall apply to the
    determination of which securities are to be included in the primary
    portion of such registration.


                                         -4-



         (3)    The holders of securities (including the Company) other than
    Registrable Securities to be registered pursuant to this SECTION 3(g) shall
    enter into the same agreement with the managing underwriter as do the
    holders of the Registrable Securities, which agreement may contain or
    require, if so determined by the managing underwriter, provisions or
    agreements requiring the holders of Registrable Securities and/or such other
    holders to deliver the Registrable Securities or other securities to be so
    registered to the managing underwriter pursuant to an escrow arrangement and
    to deliver powers of attorney on behalf of such holders.

         (4)    If any of the holders of any other securities of the Company
    register those securities in a Demand Registration in accordance with this
    SECTION 3(g), those holders shall pay the fees and expenses of their counsel
    and their pro rata share of the Registration Expenses not paid by the
    Company for any reason.

    SECTION 4.  PIGGYBACK REGISTRATIONS.

    (a)  RIGHT TO PIGGYBACK.  Whenever the Company proposes to register any of
its securities under the Securities Act (except for the registration of
securities to be offered pursuant to an employee benefit plan on Form S-8,
pursuant to a registration made on Form S-4 or any successor forms then in
effect) at any time other than pursuant to a Demand Registration and the
registration form to be used may be used for the registration of the Registrable
Securities (a "Piggyback Registration"), it will so notify in writing all
holders of Registrable Securities not later than the earlier to occur of (i) the
5th day following the Company's receipt of notice of exercise of other demand
registration rights, or (ii) 30 days prior to the anticipated filing date.
Subject to the provisions of SECTIONS 4(c) and 4(d), the Company will include in
the Piggyback Registration all Registrable Securities, on a pro rata basis based
upon the total number of outstanding Common Shares on a fully diluted basis,
with respect to which the Company has received written requests for inclusion
within 15 business days after the applicable holder's receipt of the Company's
notice.   Such Registrable Securities may be made subject to an underwriters'
over-allotment option, if so requested by the managing underwriter.  The holders
of Registrable Securities may withdraw all or any part of the Registrable
Securities from a Piggyback Registration at any time before ten business days
prior to the effective date of the Piggyback Registration.   The Company, the
holders of Registrable Securities and any Person who hereafter becomes entitled
to register its securities in a registration initiated by the Company must sell
their securities on the same terms and conditions.  A registration of
Registrable Securities pursuant to this SECTION 4 shall not be counted as a
Demand Registration under SECTION 3.


                                         -5-



    (b)  PIGGYBACK EXPENSES.  The Company shall pay for the holders of the
Registrable Securities included in a Piggyback Registration all Registration
Expenses of those holders (except to the extent prohibited by applicable state
securities laws).

    (c)  PRIORITY ON PRIMARY REGISTRATIONS.  If a Piggyback Registration is an
underwritten primary registration on behalf of the Company and the managing
underwriter gives the Company its written opinion that the total number or
dollar amount of securities requested to be included in the registration exceeds
the number or dollar amount of securities that can be sold, the Company will
include the securities in the registration in the following order of priority:
first, all securities the Company proposes to sell; second, up to the full
number or dollar amount of Registrable Securities requested to be included in
the registration (allocated pro rata among the holders of Registrable Securities
on the basis of the dollar amount or number of Registrable Securities requested
to be included, as the case may be); and third, any other securities (provided
they are of the same class as the securities sold by the Company) requested to
be included, allocated among the holders of the securities in such proportions
as the Company and those holders may agree.  In the event that the managing
underwriter advises the Company that an underwriters' over-allotment option is
necessary or advisable, the preceding priority shall apply to the determination
of which securities are to be included in the primary portion of such
registration.

    (d)  PRIORITY ON SECONDARY REGISTRATIONS.  If a Piggyback Registration is
an underwritten secondary registration on behalf of holders of the Company's
securities who hereafter obtain registration rights from the Company in
accordance with SECTION 11(i), and the managing underwriter gives the Company
its written opinion that the dollar amount or number of securities requested to
be included in the registration exceeds the dollar amount or number of
securities that can be sold, the Company will include in the registration:  (1)
to the extent of 50% of the number or dollar amount of securities other than
Registrable Securities that in the underwriter's opinion can be sold, the
securities requested to be included in the registration, allocated among the
holders of those securities in such proportions as the Company and those holders
may agree; and (2) to the extent of the balance, the Registrable Securities
requested to be included, allocated pro rata among the holders of Registrable
Securities on the basis of the dollar amount or number of securities (as the
case may be) requested to be included.  If after including all of the
Registrable Securities the underwriters determine that there are additional
securities that can be sold, then securities other than Registrable Securities
may be added to the registration.  In the event that the managing underwriter
advises the Company that an underwriters' over-allotment option is necessary or
advisable, the preceding priority shall apply to the determination of which
securities are to be included in the primary portion of such registration.


                                         -6-



    (e)  SELECTION OF UNDERWRITERS.  If any Piggyback Registration is an
underwritten offering, the Company will select the investment banker(s) and
manager(s) that will administer the offering, as long as the investment
banker(s) and manager(s) are reasonably satisfactory to the holders of a
majority of the Registrable Securities, and shall enter into a customary
underwriting agreement with the investment banker(s) and manager(s).

    (f)  OTHER REGISTRATIONS.  The Company agrees that after filing a
registration statement with respect to Registrable Securities pursuant to
SECTION 3 or this SECTION 4 that has not been withdrawn or abandoned, the
Company will not register any of its equity securities or securities convertible
or exchangeable into or exercisable for its equity securities under the
Securities Act, whether on its own behalf or at the request of any holder of
those securities until at least three months have elapsed from the effective
date of the previous registration, and the parties hereto agree that the Company
will not be required to effect any such registration notwithstanding the other
provisions of this Agreement.  This three-month hiatus does not apply to
registrations of securities to be issued in connection with employee benefit
plans, to permit exercise or conversions of previously issued options, warrants,
or other convertible securities, or in connection with a Demand Registration.

    SECTION 5.  HOLDBACK AGREEMENTS.

    (a)  RESTRICTIONS ON PUBLIC SALE BY SECURITIES HOLDERS.  Each holder of
Registrable Securities whose securities are included in a registration statement
agrees not to make any public sale or distribution of equity securities of the
Company (except as part of the underwritten registration or pursuant to
registration on Form S-8 or any successor form), including a sale pursuant to
Rule 144, during the seven days prior to and the 180 days after the effective
date of such registration statement unless the managing underwriters agree
otherwise.

    (b)  RESTRICTIONS ON PUBLIC SALE BY THE COMPANY AND OTHERS.  The Company
agrees not to make any public sale or distribution of its equity securities, or
any securities convertible into or exchangeable or exercisable for its equity
securities, including a sale under Regulation D under the Securities Act or
under any other exemption of the Securities Act (except as part of the
underwritten registration or pursuant to registrations on Forms S-8 or S-4 or
any successor form), during the seven days prior to and the 180 days after the
effective date of any underwritten Demand Registration or any underwritten
Piggyback Registration unless the managing underwriters agree otherwise.  The
Company also agrees to use reasonable efforts to cause each holder of at least
5% (on a fully-diluted basis) of its equity securities (other than Registrable
Securities) or any securities convertible


                                         -7-



into or exchangeable or exercisable for its equity securities (other than
Registrable Securities), purchased from the Company at any time on or after the
date of this Agreement (other than in a registered public offering) to agree not
to make any public sale or distribution of those securities, including a sale
pursuant to Rule 144 (except as part of the underwritten registration, if
permitted), during the seven days prior to and the 180 days after the effective
date of the registration unless the managing underwriter agrees otherwise.

    SECTION 6.  REGISTRATION PROCEDURES.

    (a)  Whenever the holders of Registrable Securities request the
registration of any Registrable Securities pursuant to this Agreement, the
Company shall use its best efforts to register and to permit the sale of the
Registrable Securities in accordance with the intended method of disposition.
To carry out this obligation, the Company shall, as expeditiously as possible:

         (1)    prepare a registration statement on the appropriate form; at
    least ten days before filing a registration statement or prospectus or at
    least three business days before filing any amendments or supplements
    thereto including Registrable Securities, furnish to the counsel for the
    holders of a majority of the Registrable Securities being registered copies
    of all documents proposed to be filed for that counsel's review and
    approval, which approval shall not be unreasonably withheld or delayed;
    file the registration statement with the SEC and use its best efforts to
    cause the registration statement to become effective;

         (2)    notify immediately each seller of Registrable Securities of any
    stop order threatened or issued by the SEC and take all actions reasonably
    required to prevent the entry of a stop order or if entered to have it
    rescinded or otherwise removed;

         (3)    prepare and file with the SEC such amendments and supplements
    to the registration statement and the corresponding prospectus necessary to
    keep the registration statement effective for 90 days or such shorter period
    as may be required to sell all Registrable Securities covered by the
    registration statement; and comply with the provisions of the Securities Act
    with respect to the disposition of all securities covered by the
    registration statement during each period in accordance with the sellers'
    intended methods of disposition as set forth in the registration statement;

         (4)    furnish to each seller of Registrable Securities a sufficient
    number of copies of the registration statement, each amendment and


                                         -8-



    supplement thereto (in each case including all exhibits), the corresponding
    prospectus (including each preliminary prospectus), and such other
    documents as a seller may reasonably request to facilitate the disposition
    of the seller's Registrable Securities;

         (5)    use its best efforts to register or qualify the Registrable
    Securities under securities or blue sky laws of jurisdictions in the United
    States of America as any seller requests and will do any and all other
    reasonable acts and things that may be necessary or advisable to enable the
    seller to consummate the disposition of the seller's Registrable Securities
    in such jurisdictions; PROVIDED, HOWEVER, that the Company shall not be
    obligated to qualify as a foreign corporation to do business under the laws
    of any jurisdiction in which it is not then qualified to file any general
    consent to service or process;

         (6)    notify each seller of Registrable Securities, at any time when
    a prospectus is required to be delivered under the Securities Act, of any 
    event as a result of which the prospectus or any document incorporated 
    therein by reference contains an untrue statement of a material fact or
    omits to state any material fact necessary to make the statements therein
    not misleading, and will prepare a supplement or amendment to the prospectus
    or any such document incorporated therein by reference so that thereafter
    the prospectus will not contain an untrue statement of a material fact or
    omit to state any material fact necessary to make the statements therein not
    misleading;

         (7)    cause all registered Registrable Securities to be listed on
    each securities exchange, if any, on which similar securities issued by the
    Company are then listed;

         (8)    provide an institutional transfer agent and registrar and a
    CUSIP number for all Registrable Securities on or before the effective date
    of the registration statement;

         (9)    enter into such customary agreements (including an underwriting
    agreement in customary form) and take all other actions in connection with
    those agreements as the holders of the Registrable Securities being
    registered or the underwriters, if any, reasonably request to expedite or
    facilitate the disposition of the Registrable Securities;

         (10)   make available for inspection by any seller of Registrable
    Securities, any underwriter participating in any disposition pursuant


                                         -9-



    to the registration statement, and any attorney, accountant, or other agent
    of any seller or underwriter, all financial and other records, pertinent
    corporate documents and properties of the Company, and cause the Company's
    officers, directors and employees to supply all information requested by
    any seller, underwriter, attorney, accountant or agent in connection with
    the registration statement; provided that an appropriate confidentiality
    agreement is executed by any such seller, underwriter, attorney, accountant
    or other agent;

         (11)   in connection with any underwritten offering, obtain a
    "comfort" letter from the Company's independent public accountants in
    customary form and covering those matters customarily covered by "comfort"
    letters as the holders of the Registrable Securities being registered or the
    managing underwriter reasonably requests (and the letter shall be addressed
    to holders of the Registrable Securities, the Company and the underwriters);

         (12)   furnish, at the request of any holder of Registrable Securities
    being registered, an opinion of the counsel representing the Company for the
    purposes of the registration, in the form and substance customarily given to
    underwriters in an underwritten public offering and reasonably satisfactory
    to the counsel representing the holders of Registrable Securities being
    registered, addressed to the underwriters, if any, and to the holders of
    Registrable Securities being registered; and

         (13)   use its best efforts to comply with all applicable rules and
    regulations of the SEC and make available to its security holders, as soon
    as reasonably practicable, an earnings statement complying with the
    provisions of Section 11(a) of the Securities Act and covering the period of
    at least twelve months, but not more than eighteen months, beginning with
    the first month after the effective date of the Registration Statement.

    (b)  From time to time, the Company may require each seller of Registrable
Securities subject to the registration to furnish to the Company information
regarding the distribution of the securities subject to the registration.

    (c)  Each holder of Registrable Securities agrees by acquisition of those
securities that, upon receipt of any notice from the Company of any event of the
kind described in SECTION 6(a)(6), the holder will discontinue disposition of
Registrable Securities until the holder receives copies of the supplemented or
amended prospectus contemplated by SECTION 6(a)(6).  In addition, if the Company
requests,


                                         -10-



the holder will deliver to the Company (at the Company's expense) all copies,
other than permanent file copies then in the holder's possession, of the
prospectus covering the Registrable Securities current at the time of receipt of
the notice.  If the Company gives any such notice, the time period mentioned in
SECTION 6(A)(3) shall be extended by the number of days elapsing between the
date of notice and the date that each seller receives the copies of the
supplemented or amended prospectus contemplated by SECTION 6(a)(3).

    (d)  Whenever the holders of Registrable Securities have requested that any
Registrable Securities be registered pursuant to this Agreement, those holders
shall notify the Company, at any time when a prospectus relating thereto is
required to be delivered under the Securities Act, of the happening of any
event, which as to any holder of Registrable Securities is (i) to his or its
respective knowledge and (ii) uniquely within his or its respective knowledge
and (iii) solely as to matters concerning that holder of the Registrable
Securities, as a result of which the prospectus included in the registration
statement contains an untrue statement of a material fact or omits any fact
necessary to make the statements therein not misleading.

    SECTION 7.  REGISTRATION EXPENSES.

    (a)  All Registration Expenses incident to the Company's performance of or
compliance with this Agreement shall be paid as provided in this Agreement.  The
term "Registration Expenses" includes without limitation all registration filing
fees, professional fees and other expenses of compliance with federal, state and
other securities laws (including fees and disbursements of counsel for the
underwriters in connection with state or other securities law qualifications and
registrations), printing expenses, messenger, telephone and delivery expenses;
reasonable fees and disbursements of counsel for the Company and for one counsel
for the sellers of the Registrable Securities (subject to the provisions of
SECTION 7(b)); reasonable fees and disbursements of all independent certified
public accountants (including the expenses of any audit or "comfort" letters
required by or incident to performance of the obligations contemplated by this
Agreement); fees and expenses of the underwriters (excluding discounts and
commissions); fees and expenses of any special experts retained by the Company
at the request of the managing underwriters in connection with the registration;
and fees and expenses of other Persons retained by the Company in connection
with the registration.  The term "Registration Expenses" does not include the
Company's internal expenses (including, without limitation, all salaries and
expenses of its officers and employees performing legal or accounting duties),
the expense of any annual audit and the fees and expenses incurred in connection
with the listing of the securities to be registered on each securities exchange
on which similar securities issued by the Company are then listed, all of which
shall be paid by the Company.


                                         -11-



    (b)  In connection with each registration for which the Company is required
to pay the Registration Expenses of the holders of Registrable Securities, the
Company will promptly reimburse those holders for the reasonable fees and
disbursements of one law firm, selected by the holders of a majority of the
Registrable Securities, to serve as counsel to all the holders.

    (c)  To the extent the Company is not required to pay Registration
Expenses, each holder of securities included in any registration will pay those
Registration Expenses allocable to the holder's securities so included, and any
Registration Expenses not allocable will be borne by all sellers in proportion
to the number of securities each registers.

    SECTION 8.  INDEMNIFICATION.

    (a)  INDEMNIFICATION BY COMPANY.  In the event of any registration of
Registrable Securities under the Securities Act pursuant to this Agreement, to
the full extent permitted by law, the Company agrees to indemnify each holder of
Registrable Securities, its officers and directors, and each Person who controls
the holder (within the meaning of the Securities Act and the Exchange Act)
against all losses, claims, damages, liabilities and expenses caused by any
untrue or allegedly untrue statement of material fact contained in any
registration statement under which such Registrable Securities were registered
under the Securities Act, any prospectus or preliminary prospectus contained
therein or any omission or alleged omission to state a material fact required to
be stated therein or necessary to make the statements therein not misleading,
except to the extent the untrue statement or omission resulted from information
that the holder furnished in writing to the Company expressly for use therein,
or caused by the holder's failure to deliver information required to be included
therein or by the holder's failure to deliver a copy of the registration
statement or prospectus or any amendments or supplements thereto to any
purchaser after the Company has furnished the holder with a sufficient number of
copies of the relevant documents.  In connection with a firm or best efforts
underwritten offering, to the extent customarily required by the managing
underwriter, the Company will indemnify the underwriters, their officers and
directors and each Person who controls the underwriters (within the meaning of
the Securities Act and the Exchange Act), to the extent customary in such
agreements.

    (b)  INDEMNIFICATION BY HOLDERS OF SECURITIES.  In connection with any
registration statement, each participating holder of Registrable Securities will
furnish to the Company in writing such information and affidavits as the Company
reasonably requests for use in connection with any registration statement or
prospectus, and each holder agrees to indemnify, to the extent permitted by law,
the


                                         -12-



Company, its directors and officers, and each Person who controls the Company
(within the meaning of the Securities Act and the Exchange Act) against any
losses, claims, damages, liabilities and expenses resulting from any untrue or
allegedly untrue statement of a material fact or any omission or alleged
omission of a material fact required to be stated in the registration statement
or prospectus or any amendment thereof or supplement thereto necessary to make
the statements therein not misleading, but only to the extent that the untrue
statement or omission is contained in or omitted from any information or
affidavit the holder furnished in writing, or resulting from the holder's
failure to deliver information required to be included therein or to deliver a
copy of the registration statement or prospectus or any amendments or
supplements thereto to any purchaser after the Company has furnished the holder
with a sufficient number of copies of the relevant documents.

    (c)  INDEMNIFICATION PROCEEDINGS.  Any Person entitled to indemnification
under this Agreement will (i) give prompt notice to the indemnifying party of
any claim with respect to which it seeks indemnification and (ii) unless in the
indemnified party's reasonable judgment a conflict of interest may exist between
the indemnified and indemnifying parties with respect to the claim, permit the
indemnifying party to assume the defense of the claim with counsel reasonably
satisfactory to the indemnified party.  If the indemnifying party does not
assume the defense, the indemnifying party will not be liable for any settlement
made without its consent (but that consent may not be unreasonably withheld).
No indemnifying party will consent to entry of any judgment or will enter into
any settlement that does not include as an unconditional term the claimant's or
plaintiff's release of the indemnified party from all liability concerning the
claim or litigation.  An indemnifying party who is not entitled to or elects not
to assume the defense of a claim will not be obligated to pay the fees and
expenses of more than one counsel for all parties indemnified by the
indemnifying party with respect to the claim, unless in the reasonable judgment
of any indemnified party a conflict of interest may exist between the
indemnified party and any other indemnified party with respect to the claim, in
which event the indemnifying party shall be obligated to pay the fees and
expenses of additional counsel.

    (d)  CONTRIBUTION.  If the indemnification provided for in SECTION 8(a) or
(b) is unavailable to an indemnified party in respect of any losses, claims,
damages, liabilities or expenses referred to therein, then each indemnifying
party thereunder shall contribute to the amount paid or payable by such
indemnified party as a result of such losses, claims, damages or liabilities in
such proportion as is appropriate to reflect the relative fault of the Company
and the participating holders of Registrable Securities in connection with the
statements or omissions that resulted in such losses, claims, damages,
liabilities or expenses, as well as any other relevant equitable considerations.
The relative fault of the Company and the participating


                                         -13-



holders of Registrable Securities shall be determined by reference to, among
other things, whether the untrue or alleged untrue statement of a material fact
or the omission or alleged omission to state a material fact relates to
information supplied by the Company or by the participating holders of
Registrable Securities and the parties' relative intent and knowledge.

    The parties hereto agree that it would not be just and equitable if
contribution pursuant this SECTION 8(d) were determined by pro rata allocation
or by any other method of allocation that does not take account of the equitable
considerations referred to in the immediately preceding paragraph.
Notwithstanding anything herein to the contrary, no participating holder of
Registrable Securities shall be required to contribute any amount in excess of
the amount by which the net proceeds of the offering (before deducting expenses,
if any) received by such participating holder exceeds the amount of any damages
that such participating holder has otherwise been required to pay by reason of
such untrue or alleged untrue statement or omission or alleged omission.  No
person guilty of fraudulent misrepresentation (within the meaning of Section
11(f) of the Securities Act) shall be entitled contribution from any person who
was not guilty of such fraudulent misrepresentation.

    SECTION 9.  RULE 144.

    (a)  If the Company files a registration statement pursuant to the
requirements of the Securities Act or Section 12 of the Exchange Act, the
Company covenants that it will file the reports required to be filed by it under
the Securities Act and the Exchange Act and the rules and regulations adopted by
the SEC thereunder, and it will take such further action as any holder of
Registrable Securities reasonably may request, all to the extent required from
time to time, to enable the holder to sell Registrable Securities without
registration under the Securities Act within the limitation of the exemptions
provided by (i) Rule 144 under the Securities Act as amended from time to time,
or (ii) any similar rule or regulation hereafter adopted by the SEC.  Upon the
request of any holder of Registrable Securities, the Company will deliver to the
holder a written statement as to whether it has complied with the requirements
of Rule 144 or any successor rule.

    (b)  If any proposed sale of Registrable Securities may be effected by the
holders thereof pursuant to Rule 144(k) without any adverse effect on the
proposed sale, including without limitation the contemplated sale price or the
quantity of Registrable Securities to be sold, then the holders of the
Registrable Securities covenant to rely upon Rule 144(k) in the sale thereof in
lieu of requesting a Demand Registration; PROVIDED, HOWEVER, the holders of
Registrable Securities shall not be obligated to take any action so that they
are eligible to use or rely upon Rule 144(k) in connection with any sale or
distribution.


                                         -14-



    SECTION 10.  PARTICIPATION IN UNDERWRITTEN REGISTRATIONS.  No Person may
participate in any underwritten registration without (a) agreeing to sell
securities on the basis provided in underwriting arrangements approved by the
persons entitled hereunder to approve such arrangements (the holders of the
Registrable Securities in a Demand Registration pursuant to SECTION 3(d) and the
Company in a piggyback registration pursuant to SECTION 4(e)), and (b)
completing and executing all questionnaires, powers of attorney, indemnities,
underwriting agreements and other documents required by the underwriting
arrangements.

    SECTION 11.  MISCELLANEOUS.

    (a)  AMENDMENT.  This Agreement may be amended or modified only by a
written agreement executed by the Company and the holders of a majority of the
Registrable Securities then issued and outstanding.

    (b)  ATTORNEYS' FEES.  In any legal action or proceeding brought to enforce
any provision of this Agreement, the prevailing party shall be entitled to
recover all reasonable expenses, charges, court costs and attorneys' fees in
addition to any other available remedy at law or in equity.

    (c)  BENEFIT OF PARTIES; ASSIGNMENT.  All of the terms and provisions of
this Agreement shall be binding on and inure to the benefit of the parties and
their respective successors and assigns, including without limitation all
subsequent holders of Registrable Securities entitled to the benefits of this
Agreement who agree in writing to become bound by the terms of this Agreement;
PROVIDED, HOWEVER, the Company may not transfer or assign its rights or
obligations under this Agreement.

    (d)  CAPTIONS.  The captions of the sections and subsections of this
Agreement are solely for convenient reference and shall not be deemed to affect
the meaning or interpretation of any provision of this Agreement.

    (e)  COOPERATION.  The parties agree that after execution of this Agreement
they will from time to time, upon the request of any other party and without
further consideration, execute, acknowledge and deliver in proper form any
further instruments and take such other action as any other party may reasonably
require to carry out effectively the intent of this Agreement.

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


                                         -15-



    (g)  ENTIRE AGREEMENT.  This Agreement contains the entire understanding of
the parties with respect to the subject matter of this Agreement.  There are no
promises, covenants or undertakings other than those expressly set forth or
provided for in this Agreement.

    (h)  GOVERNING LAW AND CHOICE OF FORUM.  The internal law of the State of
Ohio will govern the interpretation, construction and enforcement of this
Agreement and all transactions and agreements contemplated hereby,
notwithstanding any state's choice of law rules to the contrary.  Any litigation
related to this Agreement may be maintained only in the federal district court
for the Southern District of Ohio, Columbus Division (or any successor
jurisdiction) or in an Ohio state court in Franklin County, and each party
hereby irrevocably consents and submits in the jurisdiction of that federal or
state court and irrevocably waives any objection the party may have based upon
improper venue, FORUM NON CONVENIENS or other similar doctrines or rules.

    (i)  NO INCONSISTENT AGREEMENTS.  Except with the prior written consent of
the holders of a majority of the Registrable Securities then issued and
outstanding, the Company will not enter into any agreement with respect to its
securities that shall grant to any Person registration rights that in any way
conflict with, or have priority over, the rights provided under this Agreement.

    (j)  NOTICES.  All notices, requests, demands or other communications that
are required or may be given pursuant to the terms of this Agreement shall be in
writing and delivery shall be deemed sufficient in all respects and to have been
duly given on the date of service if delivered personally to the party to whom
notice is to be given, or on the third day after mailing if mailed by first
class mail - return receipt requested, postage prepaid, and properly addressed
to the addresses set forth in the Investment Agreement or to such other
address(es) as the respective parties hereto shall from time to time designate
to the other(s) in writing.

    (k)  SPECIFIC PERFORMANCE.  Each of the parties agrees that damages for a
breach of or default under this Agreement would be inadequate and that in
addition to all other remedies available at law or in equity the parties and
their successors and assigns shall be entitled to specific performance or
injunctive relief, or both, in the event of a breach or a threatened breach of
this Agreement.

    (l)  VALIDITY OF PROVISIONS.  Should any part of this Agreement for any
reason be declared by any court of competent jurisdiction to be invalid, that
decision shall not affect the validity of the remaining portion, which shall
continue in full force and effect as if this Agreement had been executed with
the invalid portion eliminated, it being the intent of the parties that they
would have executed the remaining


                                         -16-



portion of the Agreement without including any part or portion that may for any
reason be declared invalid.

         IN WITNESS WHEREOF, the parties have caused this Agreement to be
executed as of the date first written above.


                                  KARRINGTON HEALTH, INC.


                                  By /s/Alan B. Satterwhite
                                     ------------------------------
                                        Alan B. Satterwhite
                                        Chief Operating Officer and
                                        Chief Financial Officer


                                  JMAC, INC.


                                  By /s/Michael H. Thomas
                                     -------------------------------
                                        Michael H. Thomas
                                        Executive Vice President and Treasurer


                                  /s/Richard R. Slager
                                  -------------------------------
                                     Richard R. Slager


                                  /s/Alan B. Satterwhite
                                  -------------------------------
                                     Alan B. Satterwhite


                                  /s/Gregory M. Barrows
                                  -------------------------------
                                     Gregory M. Barrows


                                         -17-