Execution Copy AMENDMENT NO. 1 AND WAIVER TO CREDIT AGREEMENT AMENDMENT NO. 1 AND WAIVER TO CREDIT AGREEMENT, dated as of March 5, 1998, (this "Amendment No. 1") by and among: The Multicare Companies, Inc. and certain Subsidiaries identified on the signature pages hereto as "Borrowers"; the institutions identified on the signature pages hereto as "Lenders"; Mellon Bank, N.A. as Issuer of Letters of Credit and as Administrative Agent; Citicorp USA, Inc. as Syndication Agent; First Union National Bank as Documentation Agent; and NationsBank, N.A. as Syndication Agent. Background A Credit Agreement, dated as of October 9, 1997, ("the Original Credit Agreement") was entered into by and among The Multicare Companies, Inc. and certain of its Subsidiaries as Borrowers, Mellon Bank, N.A. as Issuer of Letters of Credit and Administrative Agent, Citicorp USA, Inc. as Syndication Agent, First Union National Bank as Documentation Agent, Nationsbank, N.A. as Syndication Agent, and the Lenders and other Agents identified therein. Terms are used in this Amendment No. 1 as defined in the Original Credit Agreement unless otherwise specified. The Original Credit Agreement requires, among other things, (1) that the Borrowers maintain a December 31 fiscal year, (2) that the Borrowers deliver, among other financial statements, consolidated financial statements of Genesis and its subsidiaries, which for those purposes, was defined to include the Borrowers and (3) that certain dispositions be consummated on or before December 31, 1997. The Borrowers have requested the Agents and the Lenders to modify the terms of the Original Credit Agreement (a) to permit the fiscal year of the Borrowers to be changed to September 30, (b) to replace the requirement that the Borrowers deliver the aforesaid consolidated financial statements (including the Borrowers) with a requirement that the Borrowers deliver the financial statements of Genesis and its regularly consolidated subsidiaries (which currently excludes the Borrowers) and (c) to extend the date by which the Borrowers' institutional pharmacy business must be sold. The Agents and the Lenders are willing to so modify the Original Credit Agreement on the terms and subject to the conditions set forth below. NOW THEREFORE, the parties hereto, intending to be legally bound, hereby agree as follows. Agreement 1. Amendments to Original Credit Agreement. The Original Credit Agreement, as of the Amendment No. 1 Effective Date (as defined below), is amended in each of the following respects. 1.1 Excess Cash Flow. Section 1.5(b)(i) of the Original Credit Agreement (Excess Cash Flow) is amended by replacing the date "December 31, 1998" in the second line thereof with the date "September 30, 1998". 1.2 Reference to Fiscal Year in Provision Respecting Fee Calculation. Section 1.9(a) of the Original Credit Agreement (Commitment Fees) is amended by replacing the phrase "for the fiscal year ending December 31, 1997" in the sixth line thereof with the phrase "for the fiscal quarter ending December 31, 1997". 1.3 Delivery of Genesis Annual Financial Statements. Clause (ii) of Section 6.1(a) of the Original Credit Agreement (Annual Financial Statements) is amended in its entirety to read as follows: (ii) statements of income, cash flows and changes in stockholders' equity for Genesis and its consolidated Subsidiaries, on a consolidated basis, for such fiscal year and a balance sheet of Genesis and its consolidated Subsidiaries, on a consolidated basis, as of the close of such fiscal year. 1.4 Delivery of Genesis Quarterly Financial Statements. Clause (ii) of Section 6.1(b) of the Original Credit Agreement (Quarterly Financial Statements) is amended in its entirety to read as follows: (ii) statements of income, cash flows and changes in stockholders' equity for Genesis and its consolidated Subsidiaries, on a consolidated basis, for such fiscal quarter, together with the applicable year- to-date statements and a balance sheet of such Persons, on a consolidated basis, as of the end of such fiscal quarter. 1.5 Fiscal Year of Borrowers. The last sentence of Section 6.4 of the Original Credit Agreement (Maintenance of Records; Fiscal Year) is amended in its entirety to read as follows: "Each Borrower shall maintain, and shall cause the Surety to maintain, a fiscal year end of September 30." 1.6 Date for Sale of Pharmacy. Section 6.18 of the Original Credit Agreement (Certain Dispositions) shall be amended in its entirety to read as follows: -2- The Borrowers shall sell to Genesis and/or one or more of its Subsidiaries (other than Surety or Multicare or any Subsidiary of either of them) their contract therapy business for a cash purchase price of approximately $24,000,000.00 and their institutional pharmacy business for a cash purchase price of approximately $50,000,000.00, each on terms and conditions satisfactory to the Agents. The contract therapy sale shall be consummated on or before December 31, 1997 and the institutional pharmacy sale shall be consummated on or before June 30, 1998. 1.7 Reference to Fiscal Year in Lease Expenditure Provision. Paragraph (c) of Section 8.7 of the Original Credit Agreement (Leases) is amended by replacing the date "December 31, 1997" in the fourth line thereof with the date "September 30, 1997" and by replacing the date "December 31, 1998" in the sixth line thereof with the date "September 30, 1998". 1.8 Reference to Fiscal Year in Capital Expenditure Covenant. Section 8.15 of the Original Credit Agreement (Capital Expenditures) is amended by replacing the date "December 31, 1997" in the fourth line thereof with the date "September 30, 1997". 1.9 Reference to Fiscal Year in Definition of "Applicable Margin". The definition of "Applicable Margin" in Section 11.1 of the Original Credit Agreement (Certain Definitions) is amended by replacing the phrase "for the fiscal year ended December 31, 1997" in the fourth line thereof with the phrase "for the fiscal quarter ended December 31, 1997". 1.10 Definition of "Genesis Group". The definition of "Genesis Group" in Section 11.1 of the Original Credit Agreement (Certain Definitions) is amended in its entirety to read as follows: "Genesis Group" means Genesis and its consolidated Subsidiaries, provided, however, whether or not the Multicare Group shall ever be consolidated with Genesis for GAAP purposes, the "Genesis Group" shall not include the Multicare Group. 2. Representations and Warranties. In order to induce the Lenders, the Issuer and the Agents to agree to amend the Original Credit Agreement, each of the Borrowers, jointly and severally, makes the following representations and warranties, which shall survive the execution and delivery of this Amendment No. 1: -3- (a) The change in the fiscal year of the Borrowers and Surety was made as of September 30, 1997 such that the fiscal year ending September 30, 1998 will include four full fiscal quarters; (b) No Default or Event of Default has occurred and is continuing or would exist immediately after giving effect to the amendments contained herein; and (c) Each of the representations and warranties set forth in the Credit Agreement is true and correct in all material respects both before and after giving effect to the amendments and transactions contemplated hereby as though each such representation and warranty were made at and as of the date hereof and as of the Amendment No. 1 Effective Date. 3. Amendment No. 1 Effective Date. The amendments set forth in Section 1 above and the waivers set forth in Section 4 below shall be effective on the date (the "Amendment No. 1 Effective Date") that each of the following conditions is satisfied: 3.1 Execution of Amendment. Each of the Borrowers and the Required Lenders shall have executed this Amendment No. 1 and the Surety shall have executed the acknowledgement set forth below. 3.2 Other Documents and Information. The Administrative Agent shall have received such other documents and information as it shall reasonably request. 4. Waiver. The Lenders waive any default that might have occurred under those provisions of the Original Credit Agreement amended pursuant to Section 1 above as a direct result of the failure to sell the institutional pharmacy business prior to December 31, 1997 or as a direct result of the change in the fiscal year prior to the Amendment No. 1 Effective Date. In addition, the Lenders waive any default that might have occurred under the Original Credit Agreement amended pursuant to Section 1 above as a direct result of the failure of Multicare to deliver the consolidated financial statements of Genesis and its consolidated Subsidiaries and Multicare and its consolidated Subsidiaries (whether or not all such entities are consolidated under GAAP) as at, and for the period ended, December 31, 1997, so long as the requirements to deliver the financial statements specified in this Amendment No. 1 are satisfied. The aforesaid waivers are limited to their express terms and do not imply (a) any further waiver if the sale is not consummated by June 30, 1998 in accordance with the terms of the Credit Agreement or (b) any other or future waivers. 5. Counterparts. This Amendment No. 1 may be executed in counterparts and by different parties hereto in separate counterparts, each of which, when executed and -4- delivered, shall be deemed to be an original and all of which, when taken together, shall constitute one and the same instrument. A photocopied or facsimile signature shall be deemed to be the functional equivalent of a manually executed original for all purposes. 6. Ratification. The Original Credit Agreement, as amended by this Amendment No. 1, and the other Loan Documents are, and shall continue to be, in full force and effect and are hereby in all respects confirmed, approved and ratified. Without limiting the generality of the foregoing, the undersigned Borrowers and Surety, in their capacity as pledgors under the Pledge Agreement, confirm that the security interest granted pursuant to the Pledge Agreement continues to secure all of the Obligations (as defined in the Pledge Agreement) and the undersigned Surety confirms that the Suretyship Agreement continues to guaranty, and provide a suretyship for, all of the Guaranteed Obligations (as defined in the Suretyship Agreement). 7. Payment of Expenses. Without limiting other payment obligations of the Borrowers set forth in the Loan Documents, the Borrowers hereby, jointly and severally, agree to pay all costs and expenses incurred by the Administrative Agent in connection with the preparation, execution and delivery of this Amendment No. 1 and any other documents or instruments which may be delivered in connection herewith, including, without limitation, the reasonable fees and expenses of its counsel, Drinker Biddle & Reath LLP. 8. Authorization to Agents. Each Lender hereby authorizes the Administrative Agent to take such action (including, without limitation, signing amendments to Loan Documents) as shall be consistent with the purposes hereof and as it shall deem necessary or appropriate to carry out the purposes of this Amendment No. 1. 9. Governing Law. This Amendment No. 1 shall be construed in accordance with, and governed by, the laws of the Commonwealth of Pennsylvania, without regard to choice of law principles. 10. References. From and after the Amendment No. 1 Effective Date, each reference in the Credit Agreement to "this Agreement", "hereof", "hereunder" or words of like import, and all references to the Credit Agreement in any and all Loan Documents, other agreements, instruments, documents, certificates and writings of every kind and nature, shall be deemed to mean the Original Credit Agreement as modified and amended by this Amendment No. 1 and as the same may be further amended, modified or supplemented in accordance with the terms thereof. -5- IN WITNESS WHEREOF, the parties have caused this Amendment No. 1 to be duly executed as of the date first above written. BORROWERS: THE MULTICARE COMPANIES, INC., a Delaware corporation By____________________________________ Name: James V. McKeon Title: Vice President, Controller and Assistant Secretary Address for notices: 148 West State Street Kennett Square, PA 19348 Attention: Ira C. Gubernick, Esq. Telephone: (610) 444-6350 Facsimile: (610) 444-3365 ADS APPLE VALLEY LIMITED PARTNERSHIP, a Massachusetts limited partnership, by: ADS Apple Valley, Inc. its General Partner ADS RECUPERATIVE CENTER ADS DARTMOUTH GENERAL LIMITED PARTNERSHIP, a PARTNERSHIP, a Massachusetts general Massachusetts limited partnership, by partnership, by ADS Dartmouth ALF, Inc. ADS Recuperative Center, Inc., its and ADS Senior Housing, Inc., its General Partner General Partners ADS HINGHAM LIMITED CARE 4, L.P., a Delaware limited PARTNERSHIP, a Massachusetts limited partnership, by Institutional Health partnership, by ADS Hingham Nursing Care Services, Inc., its General Facility, Inc., its General Partner Partner -6- CARE HAVEN ASSOCIATES LIMITED PARTNERSHIP, a West Virginia limited partnership, by Glenmark Associates, Inc. and GMA Partnership Holding Company, Inc., its General Partners --------------------- Initials of Signor CUMBERLAND ASSOCIATES OF RHODE ISLAND, L.P., a Delaware limited partnership, by Health Resources of Cumberland, Inc., its General Partner GLENMARK PROPERTIES I, LIMITED PARTNERSHIP, a West Virginia limited partnership, by Glenmark Associates, Inc. and GMA Partnership Holding Company, Inc., its General Partners GROTON ASSOCIATES OF CONNECTICUT, L.P., a Delaware limited partnership, by Health Resources of Groton, Inc., its General Partner MIDDLETOWN (RI) ASSOCIATES OF RHODE ISLAND, L.P., a Delaware limited partnership, by Health Resources of Middletown (R.I.), Inc., its General Partner POINT PLEASANT HAVEN LIMITED PARTNERSHIP, a West Virginia limited partnership, by Glenmark Associates, Inc., its General Partner RALEIGH MANOR LIMITED PARTNERSHIP, a West Virginia limited partnership, by Glenmark Associates, Inc., its General Partner Address for notices: 148 West State Street Kennett Square, PA 19348 Attention: Ira C. Gubernick, Esq. Telephone: (610) 444-6350 Facsimile: (610) 444-3365 ROMNEY HEALTH CARE CENTER LIMITED PARTNERSHIP, a West Virginia limited partnership, by Glenmark Associates, Inc., its General Partner SISTERVILLE HAVEN LIMITED PARTNERSHIP, a West Virginia limited partnership, by Glenmark Associates, Inc., its General Partner TEAYS VALLEY HAVEN LIMITED PARTNERSHIP, a West Virginia limited partnership, by Glenmark Associates, Inc., its General Partner THE STRAUS GROUP - HOPKINS HOUSE, L.P., a New Jersey limited partnership, by Encare of Wyncote, Inc., its General Partner THE STRAUS GROUP - QUAKERTOWN MANOR, L.P., a New Jersey limited partnership, by Encare of Quakertown, Inc., its General Partner WALLINGFORD ASSOCIATES OF CONNECTICUT, L.P., a Delaware limited partnership, by Health Resources of Wallingford, Inc., its General Partner -7- WARWICK ASSOCIATES OF RHODE ISLAND, L.P., a Delaware limited partnership, by Health Resources of Warwick, Inc., its General Partner By:__________________________ On behalf of each of the foregoing as Vice President, Controller and Assistant Secretary of the General Partner HOLLY MANOR ASSOCIATES OF NEW JERSEY, L.P., a Delaware limited partnership, by Encare of Mendham, L.L.C., its General Partner, by Century Care Management, Inc., its authorized manager MERCERVILLE ASSOCIATES OF NEW JERSEY, L.P., a Delaware limited partnership, by Breyut Convalescent Center, L.L.C., its General Partner, by Century Care Management, Inc., its authorized manager POMPTON ASSOCIATES, L.P., a New Jersey limited partnership, by Pompton Corp., L.L.C., its General Partner, by Century Care Management, Inc., its authorized manager THE STRAUS GROUP - OLD BRIDGE, L.P., a New Jersey limited partnership, by Health Resources of Emery, L.L.C., its General Partner, by Century Care Management, Inc., its authorized manager THE STRAUS GROUP - RIDGEWOOD, L.P., a New Jersey limited partnership, by Health Resources of Ridgewood, L.L.C., its General Partner, by Century Care Management, Inc., its authorized manager -8- By:__________________________ On behalf of each of the foregoing as Vice President, Controller and Assistant Secretary of the manager Address for notices: 149 West State Street Kennett Square, PA 19348 Attention: Ira C. Gubernick, Esq. Telephone: (610) 444-6350 Facsimile: (610) 444-3365 ACADEMY NURSING HOME, INC., a Massachusetts corporation ADS APPLE VALLEY, INC., a Massachusetts corporation ADS CONSULTING, INC., a Massachusetts corporation ADS DANVERS ALF, INC., a Delaware corporation ADS DARTMOUTH ALF, INC., a Delaware corporation ADS HINGHAM ALF, INC., a Delaware Corporation ADS HINGHAM NURSING FACILITY, INC., a Massachusetts corporation ADS HOME HEALTH, INC., a Delaware corporation ADS MANAGEMENT, INC., a Massachusetts corporation ADS/MULTICARE, INC., a Delaware corporation ADS RECUPERATIVE CENTER, INC., a Massachusetts corporation ADS SENIOR HOUSING, INC., a Massachusetts corporation ADS VILLAGE MANOR, INC., a Massachusetts corporation ANR, INC., a Delaware corporation APPLEWOOD HEALTH RESOURCES, INC., a Delaware corporation -9- -------------------- Initials of Signor AUTOMATED PROFESSIONAL ACCOUNTS, INC., a West Virginia corporation BERKS NURSING HOMES, INC., a Pennsylvania corporation BETHEL HEALTH RESOURCES, INC., a Delaware corporation BRIGHTWOOD PROPERTY, INC., a West Virginia corporation CENTURY CARE CONSTRUCTION, INC., a New Jersey corporation CENTURY CARE MANAGEMENT, INC., a Delaware corporation CHATEAU VILLAGE HEALTH RESOURCES, INC., a Delaware corporation CHG INVESTMENT CORP., INC., a Delaware corporation CHNR-1, INC., a Delaware corporation COLONIAL HALL HEALTH RESOURCES, INC., a Delaware corporation COLONIAL HOUSE HEALTH RESOURCES, INC., a Delaware corporation COMPASS HEALTH SERVICES, INC., a West Virginia corporation CONCORD HEALTH GROUP, INC., a Delaware corporation CONCORD HOME HEALTH, INC., a Pennsylvania corporation CONCORD PHARMACY SERVICES, INC., a Pennsylvania corporation CONCORD REHAB, INC., a Pennsylvania corporation CONCORD SERVICE CORPORATION, a Pennsylvania corporation CVNR, INC., a Delaware corporation DELM NURSING, INC., a Pennsylvania corporation ELMWOOD HEALTH RESOURCES, INC., a Delaware corporation ENCARE OF MASSACHUSETTS, INC., a Delaware corporation ENCARE OF PENNYPACK, INC., a Pennsylvania corporation ENCARE OF QUAKERTOWN, INC., a Pennsylvania corporation ENCARE OF WYNCOTE, INC., a Pennsylvania corporation ENR, INC., a Delaware corporation GLENMARK ASSOCIATES, INC., a West Virginia corporation GMA - BRIGHTWOOD, INC., a West Virginia corporation -10- -------------------- Initials of Signor GMA CONSTRUCTION, INC., a West Virginia corporation GMA - MADISON, INC., a West Virginia corporation GMA PARTNERSHIP HOLDING COMPANY, INC., a West Virginia corporation GMA - UNIONTOWN, INC., a Pennsylvania corporation HEALTH RESOURCES OF BROADMAN, INC., a Delaware corporation HEALTH RESOURCES OF CEDAR GROVE, INC., a New Jersey corporation HEALTH RESOURCES OF COLCHESTER, INC., a Connecticut corporation HEALTH RESOURCES OF COLUMBUS, INC., a Delaware corporation HEALTH RESOURCES OF CUMBERLAND, INC., a Delaware corporation HEALTH RESOURCES OF EATONTOWN, INC., a New Jersey corporation HEALTH RESOURCES OF FARMINGTON, INC., a Delaware corporation HEALTH RESOURCES OF GARDNER, INC., a Delaware corporation HEALTH RESOURCES OF GLASTONBURY, INC., a Connecticut corporation HEALTH RESOURCES OF GROTON, INC., a Delaware corporation HEALTH RESOURCES OF LAKEVIEW, INC., a New Jersey corporation HEALTH RESOURCES OF LEMONT, INC., a Delaware corporation HEALTH RESOURCES OF LYNN, INC., a New Jersey corporation HEALTH RESOURCES OF KARMENTA AND MADISON, INC., a Delaware corporation HEALTH RESOURCES OF MARCELLA, INC., a Delaware corporation HEALTH RESOURCES OF MIDDLETOWN (R.I.), INC., a Delaware corporation HEALTH RESOURCES OF MORRISTOWN, INC., a New Jersey corporation HEALTH RESOURCES OF NORFOLK, INC., a Delaware corporation HEALTH RESOURCES OF NORWALK, INC., a Connecticut corporation HEALTH RESOURCES OF PENNINGTON, INC., a New Jersey corporation -11- -------------------- Initials of Signor HEALTH RESOURCES OF ROCKVILLE, INC., a Delaware corporation HEALTH RESOURCES OF SOUTH BRUNSWICK, INC., a New Jersey corporation HEALTH RESOURCES OF TROY HILLS, INC., a New Jersey corporation HEALTH RESOURCES OF WALLINGFORD, INC., a Delaware corporation HEALTH RESOURCES OF WARWICK, INC., a Delaware corporation HEALTHCARE REHAB SYSTEMS, INC., a Pennsylvania corporation HORIZON ASSOCIATES, INC., a West Virginia corporation HORIZON MEDICAL EQUIPMENT AND SUPPLY, INC., a West Virginia corporation HORIZON MOBILE, INC., a West Virginia corporation HORIZON REHABILITATION, INC., a West Virginia corporation HR OF CHARLESTON, INC., a West Virginia corporation HRWV Huntington, Inc., a West Virginia corporation INSTITUTIONAL HEALTH CARE SERVICES, INC., a New Jersey corporation LAKEWOOD HEALTH RESOURCES, INC., a Delaware corporation LAUREL HEALTH RESOURCES, INC., a Delaware corporation LEHIGH NURSING HOMES, INC., a Pennsylvania corporation LWNR, INC., a Delaware corporation MABRI CONVALESCENT CENTER, INC., a Connecticut corporation MARKGLEN, INC., a West Virginia corporation MARSHFIELD HEALTH RESOURCES, INC., a Delaware corporation MONTGOMERY NURSING HOMES, INC., a Pennsylvania corporation MULTICARE AMC, INC., a Delaware Corporation MULTICARE HOME HEALTH OF ILLINOIS, INC., a Delaware corporation NATIONAL PHARMACY SERVICE, inc., a Pennsylvania corporation NURSING AND RETIREMENT CENTER OF THE ANDOVERS, INC., a Massachusetts corporation -12- -------------------- Initials of Signor PHC OPERATING CORP., a Delaware corporation POCAHONTAS CONTINUOUS CARE CENTER, INC., a West Virginia corporation PRESCOTT NURSING HOME, INC., a Massachusetts corporation PROGRESSIVE REHABILITATION CENTERS, INC., a Delaware corporation PROVIDENCE HEALTH CARE, INC., a Delaware corporation REST HAVEN NURSING HOME, INC, a West Virginia corporation RIDGELAND HEALTH RESOURCES, INC., a Delaware corporation RIVER PINES HEALTH RESOURCES, INC., a Delaware corporation RIVERSHORES HEALTH RESOURCES, INC., a Delaware corporation RLNR, INC., a Delaware corporation ROSE HEALTHCARE, INC., a New Jersey corporation ROSE VIEW MANOR, INC., a Pennsylvania corporation RSNR, INC., a Delaware corporation RVNR, INC., a Delaware corporation SENIOR LIVING VENTURES, INC., a Pennsylvania corporation SCHUYLKILL NURSING HOMES, INC., a Pennsylvania corporation SCHUYLKILL PARTNERSHIP ACQUISITION CORP., a Pennsylvania corporation SENIOR SOURCE, INC., a Massachusetts corporation SNOW VALLEY HEALTH RESOURCES, INC., a Delaware corporation SOLOMONT FAMILY FALL RIVER VENTURE, INC., a Massachusetts corporation SOLOMONT FAMILY MEDFORD VENTURE, INC., a Massachusetts corporation STAFFORD CONVALESCENT CENTER, INC., a Delaware corporation S.T.B. INVESTORS, LTD., a New York corporation -13- Address for notices: 148 West State Street Kennett Square, PA 19348 Attention: Ira C. Gubernick, Esq. Telephone: (610) 444-6350 Facsimile: (610) 444-3365 SVNR, INC., a Delaware corporation THE ADS GROUP, INC., a Massachusetts corporation TRI-STATE MOBILE MEDICAL SERVICES, INC., a West Virginia corporation WESTFORD NURSING AND RETIREMENT CENTER, INC., a Massachusetts corporation WILLOW MANOR NURSING HOME, INC., a Massachusetts corporation By:___________________________________ On behalf of each of the foregoing as Vice President, Controller and Assistant Secretary -14- BREYUT CONVALESCENT CENTER, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager ENCARE OF MENDHAM, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager HEALTH RESOURCES OF BRIDGETON, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager HEALTH RESOURCES OF CINNAMINSON, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager HEALTH RESOURCES OF CRANBURY, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager HEALTH RESOURCES OF EMERY, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager HEALTH RESOURCES OF ENGLEWOOD, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager HEALTH RESOURCES OF EWING, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager HEALTH RESOURCES OF FAIR LAWN, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager HEALTH RESOURCES OF JACKSON, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager HEALTH RESOURCES OF RIDGEWOOD, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager HEALTH RESOURCES OF WEST ORANGE, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager POMPTON CARE, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager ROEPHEL CONVALESCENT CENTER, L.L.C., a New Jersey limited liability company, by Century Care Management, Inc., its authorized manager - -------------------- Initials of Signor -15- TOTAL REHABILITATION CENTER, L.L.C., a New Jersey limited liability corporation, by Century Care Management, Inc., its authorized manager By:_______________________ On behalf of each of the foregoing Vice President, Controller and Assistant Secretary of the manager Address for notices: 148 West State Street Kennett Square, PA 19348 Attention: Ira C. Gubernick, Esq. Telephone: (610) 444-6350 Facsimile: (610) 444-3365 -16- AGENTS, ISSUER AND LENDERS: MELLON BANK, N.A., as a Lender, as Issuer and as Administrative Agent By________________________________ Name: Title: Address for notices: street address: AIM 199-5220 Mellon Independence Center 701 Market Street Philadelphia, Pennsylvania 19106 mailing address: AIM 199-5220 P.O. Box 7899 Philadelphia, Pennsylvania 19101-7899 Attention: Linda Sigler, Loan Administration Telephone: 215-553-4583 Facsimile: 215-553-4789 -17- With a copy to Plymouth Meeting Executive Campus 610 W. Germantown Pike, Suite 200 Plymouth Meeting, Pennsylvania 19462 Attention: Barbara J. Hauswald Vice President Telephone: 610-941-8412 Facsimile: 610-941-4136 With a copy for notices respecting assignments to: MELLON BANK, N.A. One Mellon Bank Center 45th Floor Pittsburgh, PA 15258-0001 Attention: Dean Hazelton Telephone: 412-236-0316 Facsimile: 412-234-4612 -18- CITICORP USA INC., as a Lender and as Syndication Agent By________________________________ Name: Title: Address for notices: 399 Park Avenue 8th Floor, Zone 6 New York, NY 10043 Attention: Margaret A. Brown Telephone: 212-559-0501 Facsimile: 212-793-0289 -19- FIRST UNION NATIONAL BANK, as a Lender and as Documentation Agent By________________________________ Name: Title: Address for notices: One First Union Center TW-5 Charlotte, NC 28288-0735 Attention: Matt MacIver Telephone: 704-374-4187 Facsimile: 704-383-9144 -20- NATIONSBANK, N.A., as a Lender and as a Syndication Agent By_______________________________ Name: Title: Address for notices: 101 North Tryon Street 15th Floor Charlotte, NC 28255 NC1-001-15-11 Attention: Jacquetta Banks Telephone: 704-388-1111 Facsimile: 704-386-8694 With a copy to 100 North Tryon Street 8th Floor Charlotte, NC 28255 NC1-007-0813 Attention: Scott Ward Telephone: 704-388-7839 Facsimile: 704-388-6002 -21- CORESTATES BANK, N.A. By:_______________________________ Name: Title: Address for notices: CoreStates Bank, N.A. 1339 Chestnut Street F.C. 1-8-3-22 P.O. Box 7618 Philadelphia, PA 19101-7618 Attention: Jennifer Leibowitz Telephone: (215) 786-3972 Facsimile: (215) 973-2738 -22- CREDIT LYONNAIS NEW YORK BRANCH By:______________________________ Name: Title: Address for notices: Credit Lyonnais New York Branch 1301 Avenue of the Americas New York, NY 10019 Attention: Evan S. Wasser Telephone: (212) 261-7685 Facsimile: (212) 261-3440 -23- FLEET NATIONAL BANK By:______________________________ Name: Title: Address for notices: Fleet National Bank One Federal Street MA OF 007B Boston, MA 02110 Attention: Carol Paige Telephone: (617) 346-4619 Facsimile: (617) 346-4699 -24- THE INDUSTRIAL BANK OF JAPAN, LIMITED By:_________________________________ Name: Title: Address for notices: The Industrial Bank of Japan, Limited 1251 Avenue of the Americas New York, NY 10020 Attention: Ken Takehisa Telephone: (212) 282-3321 Facsimile: (212) 282-4490 -25- NATIONAL WESTMINSTER BANK Plc By:______________________________ Name: Title: Address for notices: National Westminster Bank Plc 175 Water Street, 26th Floor New York, NY 10038 Attention: Andrew Weinberg Phone: (212) 602-4438 Facsimile: (212) 602-4506 with a copy to: Gleacher NatWest Inc. 660 Madison Avenue, 17th Floor New York, NY 10021 Attention: Field Smith Telephone: (212) 418-4525 Facsimile: (212) 418-4598 -26- THE SAKURA BANK, LIMITED By:______________________________ Name: Title: Address for notices: The Sakura Bank, Limited 277 Park Avenue, 45th Floor New York, NY 10172 Attention: Philip Schubert Telephone: (212) 756-6945 Facsimile: (212) 888-7651 -27- BANK OF AMERICA NATIONAL TRUST AND SAVINGS ASSOCIATION By:______________________________ Name: Title: Address for notices: Bank of America National Trust & Savings Associations 555 S. Flower Street, 11th Floor Los Angeles, CA 90071 Attention: Lucy Nixon Telephone: (213) 228-9716 Facsimile: (213) 228-2756 -28- BANQUE PARIBAS By:______________________________ Name: Title: Address for notices: Banque Paribas 787 Seventh Avenue New York, NY 10019 Attention: David R. Laffey Telephone: (212) 841-2216 Facsimile: (212) 841-2292 -29- BANKBOSTON, N.A. By:______________________________ Name: Title: Address for notices: BankBoston, N.A. 100 Federal Street, 01-08-06 Boston, MA 02110 Attention: Frank Fama Telephone: (617) 434-4144 Facsimile: (617) 434-0819 -30- THE BANK OF NEW YORK By:______________________________ Name: Title: Address for notices: The Bank of New York One Wall Street, 21st Floor New York, NY 10286 Attention: Walter C. Parelli Telephone: (212) 635-6820 Facsimile: (212) 635-7970 -31- BANK OF TOKYO-MITSUBISHI TRUST COMPANY By:____________________________________ Name: Title: Address for notices: Bank of Tokyo-Mitsubishi Trust Company 1251 Avenue of the Americas, 12th Floor New York, NY 10020-1104 Attention: Ned Komar Telephone: (212) 782-4584 Facsimile: (212) 782-4935 -32- CRESTAR BANK By:______________________________ Name: Title: Address for notices: Crestar Bank 120 E. Baltimore Street, 25th Floor Baltimore, MD 21202 Attention: Leesa McShane Telephone: (410) 986-1672 Facsimile: (410) 986-1670 -33- DRESDNER BANK AG, NEW YORK BRANCH AND GRAND CAYMAN BRANCH By:______________________________ Name: Title: Address for notices: By:______________________________ Name: Title: Address for notices: Dresdner Bank AG, New York 75 Wall Street, 25th Floor New York, NY 10005-2889 Attention: Felix K. Camacho Telephone: (212) 429-3007 Facsimile: (212) 429-2129 -34- FINOVA CAPITAL CORPORATION By:______________________________ Name: Title: Address for notices: Finova Capital Corporation 311 S. Wacker, Suite 4400 Chicago, IL 60606 Attention: Brian Williamson Telephone: (312) 294-4175 Facsimile: (312) 322-3553 -35- KEY CORPORATE CAPITAL INC. By:______________________________ Name: Angela Mago Title: Vice President Address for notices: Key Corporate Capital Inc. c/o Key Bank, N.A. 127 Public Square Cleveland, OH 44114 Attention: Angela Mago OH-01-27-0605 Telephone: (216) 689-3247 Facsimile: (216) 689-5970 -36- FIRST NATIONAL BANK OF MARYLAND By:______________________________ Name: Title: Address for notices: First National Bank of Maryland 25 S. Charles Street, 18th Floor Baltimore, MD 21201 Attention: Robert H. Hauver Telephone: (410) 244-4246 Facsimile: (410) 244-4388 -37- NATEXIS BANQUE BFCE By:______________________________ Name: Title: By:______________________________ Name: Title: Address for notices: Natexis Banque BFCE 645 Fifth Avenue, 20th Floor New York, NY 10022 Attention: Frank Madden Telephone: (212) 872-5180 Facsimile: (212) 872-5045 -38- NATIONAL CITY BANK OF PENNSYLVANIA By:______________________________ Name: Title: Address for notices: National City Bank of Pennsylvania 20 Stanwix Street, 46-25-191 Pittsburgh, PA 15222 Loc. 46-25-191 Attention: Debra W. Riefner Telephone: (412) 644-8880 Facsimile: (412) 471-4883 -39- THE SANWA BANK, LIMITED By:______________________________ Name: Title: Address for notices: The Sanwa Bank, Limited 55 E. 52nd Street New York, NY 10055 Attention: Christian Kambour Telephone: (212) 339-6232 Facsimile: (212) 754-1304 -40- THE SUMITOMO BANK, LIMITED By:______________________________ Name: Title: By:______________________________ Name: Title: Address for notices: The Sumitomo Bank, Limited One Liberty Place 1650 Market Street, Suite 2860 Philadelphia, PA 19103 Attention: J. Wade Bell Telephone: (215) 636-4440 Facsimile: (215) 636-4446 -41- SUMMIT BANK By:__________________________________________ Name: James P. Andersen Title: Vice President and Regional Manager Address for notices: Summit Bank 250 Moore Street, 2nd Floor Hackensack, NJ 07601 Attention: Christine Clausen Telephone: (201) 646-5080 Facsimile: (201) 646-9497 -42- THE DAI-ICHI KANGYO BANK, LTD. By:______________________________ Name: Title: Address for notices: The Dai-Ichi Kangyo Bank, Ltd. One World Trade Center, 48th Floor New York, NY 10048 Attention: Takayuki Kumagai Telephone: (212) 432-6651 Facsimile: (212) 488-8955 -43- CREDITANSTALT CORPORATE FINANCE, INC. By:______________________________ Name: Title: By:______________________________ Name: Title: Address for notices: Creditanstalt Corporate Finance, Inc. Two Greenwich Plaza Greenwich, CT 06830 Attention: Fiona McKone Telephone: (203) 861-6590 Facsimile: (203) 861-0297 -44- CREDIT SUISSE FIRST BOSTON By:______________________________ Name: Title: By:______________________________ Name: Title: Address for notices: Credit Suisse First Boston 11 Madison Avenue New York, NY 10010 Attention: Robert B. Potter Telephone: (212) 325-9154 Facsimile: (212) 325-8319 -45- FIRST NATIONAL BANK OF CHICAGO By:______________________________ Name: Title: Address for notices: First National Bank of Chicago 1 First National Plaza Chicago, IL 60670 Attention: Tom Harkless Telephone: (312) 732-2478 Facsimile: (312) 732-2016 -46- SCOTIABANC, INC. By:______________________________ Name: Title: Address for notices: ScotiaBanc, Inc. 600 Peachtree Street NE Suite 2700 Atlanta, GA 30308 Attention: Dana Maloney Telephone: (404) 877-1524 Facsimile: (404) 888-8998 -47- CIBC INC. By:______________________________ Name: Title: Address for notices: CIBC Inc. 425 Lexington Avenue, 8th Floor New York, NY 10025 Attention: Judith Kirshner Telephone: (212) 856-4157 Facsimile: (212) 856-2991 -48- AMSOUTH BANK By:______________________________ Name: Title: Address for notices: AmSouth Bank 1900 5th Ave. N. AST7FL Birmingham, AL 35203 Attention: Ken DiFatta Telephone: (205) 801-0358 Facsimile: (205) 326-4790 -49- PFL LIFE INSURANCE COMPANY By:__________________________________________ Name: Title: Address for notices: PFL Life Insurance Company c/o Aegon USA Investment Management, Inc. 4333 Edgewood Road, NE Cedar Rapids, IA 52499 Attention: John Bailey, Securities Analyst Telephone: (319) 369-2811 Facsimile: (319) 369-2666 -50- PEOPLES INTERNAL BOND FUND By:______________________________ Name: Title: Address for notices: Peoples Internal Bond Fund c/o Aegon USA Investment Management, Inc. 4333 Edgewood Road, NE Cedar Rapids, IA 52499 Attention: John Bailey, Securities Analyst Telephone: (319) 369-2811 Facsimile: (319) 369-2666 Payment Advice -------------- Attention: Securities Processing Peoples Internal Bond Fund c/o AEGON USA Investment Management, Inc. 400 W. Market Street Louisville, KY 40202 Fax Number: (502) 560-2068 -51- FLOATING RATE PORTFOLIO By: Chancellor LGT Senior Secured Management, Inc., as attorney in fact By:______________________________ Christopher A. Bondy, Vice President Address for notices: Floating Rate Portfolio c/o Chancellor LGT Senior Secured Management, Inc. 1166 Avenue of the Americas, 27th Floor New York, NY 10036 Attention: Christopher A. Bondy Telephone: (212) 278-9673 Facsimile: (212) 278-9619 -52- PRIME INCOME TRUST By:______________________________ Name: Title: Address for notices: Prime Income Trust c/o Dean Witter Intercapital, Inc. 72nd Floor Two World Trade Center New York, NY 10048 Attention: Louis A. Pistecchia Telephone: (212) 392-5845 Facsimile: (212) 392-5345 -53- DEEPROCK & COMPANY By: Eaton Vance Management as Investment Advisor By:______________________________ Name: Title: Address for notices: State Street Bank & Trust Company Corporate Trust Division One Enterprise Drive North Quincy, MA 02171 Attention: Patrick McEnroe Telephone: (617) 664-5367 Facsimile: (617) 664-5366 Eaton Vance Management Attention: Prime Rate Reserves 24 Federal Street, 6th Floor Boston, MA 02110 Attention: Payson Swaffield Telephone: (617) 654-8486 Telecopier: (617) 695-9594 Reference: -54- ING HIGH INCOME PRINCIPAL PRESERVATION OFFERING, L.P. By:______________________________ Name: Title: Address for notices: Ing High Income Principal Preservation Offering, L.P. c/o Ing Capital Advisors, Inc. 333 S. Grand Avenue, Suite 4250 Los Angeles, CA 90071 Attention: Kathleen Lenarcic Telephone: (213) 346-3971 Facsimile: (213) 346-3995 -55- MASSACHUSETTS MUTUAL LIFE INSURANCE CO. By:____________________________________ Name: Title: Address for notices: Massachusetts Mutual Life Insurance Co. 1295 State Street Springfield, MA 01111 Attention: John Wheeler, Managing Director Telephone: (413) 744-6228 Facsimile: (413) 744-6127 -56- MERRILL LYNCH SENIOR FLOATING RATE FUND, INC. By: Merrill Lynch Asset Management, L.P., as Investment Advisor By:______________________________ Name: Title: Address for notices: Merrill Lynch Senior Floating Rate Fund, Inc. c/o Merrill Lynch Asset Management 800 Scudders Mill Road - Area 1B Plainsboro, NJ 08536 Attention: Douglas Henderson Telephone: (609) 282-2059 Facsimile: (609) 282-2550 -57 METROPOLITAN LIFE INSURANCE COMPANY By:______________________________ Name: Title: Address for notices: Metropolitan Life Insurance Company 334 Madison Avenue Convent Station, NJ 07961-0633 Attention: James Dingler Asst. Vice President Telephone: (201) 254-3206 Facsimile: (201) 254-3050 -58- THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY By:______________________________ Name: Title: Address for notices: The Northwestern Mutual Life Insurance Company 720 E. Wisconsin Avenue Milwaukee, WI 53202 Attention: David A. Barras Associate Director Telephone: (414) 299-1618 Facsimile: (414) 299-7124 -59- NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION By: New York Life Insurance Company By:______________________________ Name: Title: Address for notices: New York Life Insurance and Annuity Corporation c/o New York Life Insurance Company 51 Madison Avenue, Room 206 New York, NY 10010 Attention: Elise Chowdhry Telephone: (212) 576-7830 Facsimile: (212) 447-4122 -60- OAK HILL SECURITIES FUND, L.P. By: Oak Hill Securities GenPar, L.P., Its General Partner By: Oak Hill Securities MGP, Inc., Its General Partner By:______________________________ Name: Title: Address for notices: Oak Hill Securities Fund, L.P. c/o Oak Hill Partners, Inc. 65 East 55th Street - 32nd Floor New York, NY 10022 Attention: Scott Krase, Vice President Telephone: (212) 326-1551 Facsimile: (212) 593-3596 -61- OCTAGON CREDIT INVESTORS LOAN PORTFOLIO (A Unit of The Chase Manhattan Bank) By:__________________________________________ Name: Title: Address for notices: Octagon Credit Investors Loan Portfolio (A Unit of The Chase Manhattan Bank) c/o Octagon Credit Investors 380 Madison Avenue, 12th Floor New York, NY 10017 Attention: James P. Ferguson Managing Director Telephone: (212) 622-3070 Facsimile: (212) 622-3797 -62- PARIBAS CAPITAL FUNDING LLC By:______________________________ Name: Title: Address for notices: Paribas Capital Funding LLC 787 Seventh Avenue, 32nd Floor New York, NY 10019 Attention: Michael Weinberg Telephone: (212) 841-2544 Facsimile: (212) 841-2144 with a copy to: State Street Bank & Trust Co. Corporate Trust Dept. Attn: Richard Wagman Amy Molisse Phone: (617) 664-5410 Fax: (617) 664-5366(67)(68) -63- PILGRIM AMERICA PRIME RATE TRUST By:______________________________ Name: Title: Address for notices: Pilgrim America Prime Rate Trust c/o Pilgrim America Investments, Inc. Two Renaissance Square 40 North Central Avenue, Suite 1200 Phoenix, AZ 85004-3444 Attention: Michael Bacevich, Vice President Telephone: (602) 417-8258 Facsimile: (602) 417-8327 -64- ROYALTON COMPANY By: Pacific Investment Management Company, as its Investment Advisor By:______________________________ Name: Title: Address for notices: Royalton Company c/o Pacific Investment Management Co. 840 Newport Center Drive Newport Beach, CA 92658 Attention: Richard Weil/Raymond Kennedy Telephone: (714) 717-7213 (Richard) (714) 717-7363 (Raymond) Facsimile: (714) 717-7076 -65- NORTHERN LIFE INSURANCE COMPANY By:______________________________ Name: Title: Address for notices: Northern Life Insurance Company c/o Reliastar Investment Research, Inc. 100 Washington Avenue South, Suite 800 Minneapolis, MN 55401-2121 Attention: Tim Warrick, Vice President Telephone: (612) 372-5258 Facsimile: (612) 372-5368 -66- KZH - SOLEIL CORPORATION By:______________________________ Name: Title: Address for notices: KZH - Soleil Corporation c/o The Chase Manhattan Bank 450 West 33rd Street - 15th Floor New York, NY 10001 Attention: Virginia Conway Telephone: (212) 946-7575 Facsimile: (212) 946-7776 -67- KZH HOLDING CORPORATION III By:______________________________ Name: Title: Address for notices: KZH Holding Corporation III c/o The Chase Manhattan Bank 450 West 33rd Street - 15th Floor New York, NY 10001 Attention: Virginia Conway Telephone: (212) 946-7575 Facsimile: (212) 946-7776 -68- KZH-CRESCENT CORPORATION By:______________________________ Name: Title: Address for notices: KZH-Crescent Corporation c/o The Chase Manhattan Bank 450 West 33rd Street - 15th Floor New York, NY 10001 Attention: Virginia Conway Telephone: (212) 946-7575 Facsimile: (212) 946-7776 -69- VAN KAMPEN AMERICAN CAPITAL PRIME RATE INCOME TRUST By:______________________________ Name: Title: VAN KAMPEN CLO I, LIMITED by: Van Kampen American Capital Management, Inc., as Collateral Manager, as Assignee By:______________________________ Name: Title: Address for notices: Van Kampen American Capital One Parkview Plaza Oakbrook Terrace, IL 60181 Attention: Jeffrey Maillet Telephone: (630) 684-6438 Facsimile: (630) 684-6740 or 6741 -70- CONTINENTAL ASSURANCE COMPANY Separate Account (E) By: TCW Asset Management Company as attorney-in-fact By:________________________________________________ Name: Title: Address for notices: By:________________________________________________ Name: Mark L. Gold Title: Managing Director Address for notices: Continental Assurance Company c/o TCW Asset Management Company 200 Park Avenue, Suite 2200 New York, NY 10166-0228 Attention: Mark L. Gold/Justin L. Driscoll Telephone: (212) 297-4137 Facsimile: (212) 297-4159 -71- CIBC INC. By:______________________________ Name: Title: Address for notices: CIBC Inc. c/o Canadian Imperial Bank of Commerce 425 Lexington Avenue, 7th Floor New York, NY 10025 Attention: William Swenson Telephone: (212) 856-3935 Facsimile: (212) 856-3799 -72- MORGAN STANLEY SENIOR FUNDING, INC. By:______________________________ Name: Title: Address for notices: MORGAN STANLEY SENIOR FUNDING, INC. 1585 Broadway, 10th Floor New York, New York 10036 Attention: James Morgan Telephone: (212) 761-4866 Facsimile: (212) 761-0592 -73- CRESCENT/MACH I PARTNERS, L.P. by: TCW Asset Management Company, its Investment Manager By:______________________________ Name: Title: Address for notices: Crescent/Mach I Partners L.P. c/o State Street Bank & Trust Co. Two International Place Boston, MA 02110 Attention: Jackie Kilroy Telephone: (617) 664-5477 Facsimile: (617) 664-5366 PLEASE COPY RATE SET NOTICE TO: ------------------------------- Mark L. Gold/Justin L. Driscoll Trust Company of the West 200 Park Avenue New York, NY 10166 Telephone: (212) 297-4137 Fax: (212) 297-4159 -74- PHADMIN:68311 NEW YORK LIFE INSURANCE COMPANY By:______________________________ Name: Title: Address for notices: New York Life Insurance and Annuity Corporation c/o New York Life Insurance Company 51 Madison Avenue Room 206 New York, New York 10010 Attention: Elise Chowdhry Telephone: (212) 576-7830 Facsimile: (212) 447-4122 -75- CITY NATIONAL BANK By:_______________________ Name: Title: Address for notices: -76- TORONTO-DOMINION BANK By:________________________ Address for notices: The Toronto-Dominion Bank 909 Fannin, Suite 1700 Houston, TX 77010 Attention: Sonja R. Jordan Telephone: 713/653-8244 Fax: 713/951-9921 -77- LEHMAN COMMERCIAL PAPER INC. By:_________________________ Address for notices: Lehman Commercial Paper Inc. 3 World Financial Center New York, NY 10285 Attention: Michele Swanson Telephone: 212/526-0330 Fax: 212/528-0819 -78- CAPTIVA II FINANCE LTD. By:__________________________________________ Address for notices: Captiva II Finance Ltd. c/o Deutsche Morgan Grenfell (Cayman) Limited P.O. Box 1984GT, Elizabethan Square Grand Cayman, Cayman Islands Attention: Director Telephone: (345) 949-8244 Facsimile: (345) 949-8178 with a copy to: Stanfield Capital Partners 175 Water Street New York, NY 10038 Attention: Christopher Jansen Telephone: (212) 602-3650 Facsimile: (212) 602-3670 -79- CERES FINANCE LTD. By:____________________________________________ Address for notices: Ceres Finance Ltd. c/o Deutsche Morgan Grenfell (Cayman) Limited P.O. Box 1984GT, Elizabethan Square Grand Cayman, Cayman Islands Attention: Director Telephone: (345) 949-8244 Facsimile: (345) 949-8178 with a copy to: Stanfield Capital Partners 175 Water Street New York, NY 10038 Attention: Christopher Jansen Telephone: (212) 602-3650 Facsimile: (212) 602-3670 -80- COOPERATIEVE CENTRALE RAIFFEIFEN- BEORENLEENBANK B.A. "RABOBANK NEDERLAND", NEW YORK BRANCH By:______________________________ Name: Title: -81- AMARA-2 FINANCE LTD. By:__________________________________ Name: Title: Address for notices: Amara-2 Finance Ltd. c/o Stanfield Capital Partners LLC 175 Water Street New York, NY 10038 Attention: Christopher E. Janson Telephone: (212) 602-3650 Facsimile: (212) 602-3670 -82- MLCBO IV (CAYMAN) LTD. BY: PROTECTIVE ASSET MANAGEMENT COMPANY, as Collateral Manager By:_______________________________________ Name: Title: Address for notices: MLCBO IV (CAYMAN) LTD. c/o Protective Asset Management Company, as Collateral Manager 13455 Noel Road Dallas, TX 75240 Attention: Cathy Ragsdale Telephone: (972) 233-4300 Facsimile: (972) 233-4343 -83- PAMCO CAYMAN LTD. BY: PROTECTIVE ASSET MANAGEMENT COMPANY, as Collateral Manager By:________________________________________ Name: Title: Address for notices: PAMCO CAYMAN LTD. c/o Protective Asset Management Company, as Collateral Manager 13455 Noel Road Dallas, TX 75240 Attention: Cathy Ragsdale Telephone: (972) 233-4300 Facsimile: (972) 233-4343 -84- JACKSON NATIONAL LIFE INSURANCE COMPANY By: PPM America, Inc., as attorney- in-fact, on behalf of Jackson National Life Insurance Company By:___________________________________ Name: Michael DiRe Title: Managing Director Address for notices: PPM America, Inc. c/o Michael King 225 W. Wacker, Suite 1200 Chicago, IL 60606 Attention: Michael DiRe Telephone: (312) 634-1206 Facsimile: (312) 634-0054 -85- CYPRESSTREE INVESTMENT PARTNERS I., Ltd. By: CypressTree Investment Management Company, Inc., as Portfolio Manager By:___________________________________ Name: Philip C. Robbins Title: Vice President Address for notices: -86- INDOSUEZ CAPITAL FUNDING III, LIMITED By: Indosuez Capital, as Portfolio Advisor By:________________________________________ Name: Title: Address for notices: Indosuez Capital Funding III, Limited c/o Texas Commerce Bank N.A. A/C 17499 600 Travis Street, 8th Floor Houston, TX 77002-8039 Attention: Joe Elston, Asset Backed Group Telephone: (713) 216-2704 Facsimile: (713) 216-2101 -87- THE ROYAL BANK OF SCOTLAND plc By:___________________________ Name: David Dougan Title: Vice President Address for notices: The Royal Bank of Scotland plc Wall Street Plaza 88 Pine Street, 26th Floor New York, NY 10005 Attention: David Dougan Telephone: (212) 269-0938 Facsimile: (212) 480-0791 -88- The foregoing Amendment No. 1 is acknowledged and agreed to by the undersigned Surety (whether in its capacity as Surety, pledgor under the Pledge Agreement or otherwise) as of the date first above written. GENESIS ELDERCARE CORP. By:_________________ Name: Title: