1 EXHIBIT 10.10 SEVENTH AMENDMENT TO AGREEMENT REGARDING RELATED LEASE TRANSACTIONS MEDITRUST ACQUISITION CORPORATION III/ALS LEASING, INC. ($150,000,000 MEDITRUST INVESTMENT) Reference is hereby made to the Agreement Regarding Related Lease Transactions ($150,000,000 Meditrust Investment) (the "Related Transactions Agreement"), dated as of November 21, 1997, by and among (i) ALS LEASING, INC., a Delaware Corporation, having its principal place of business at 450 North Sunnyslope Road, Suite 300, Brookfield, Wisconsin 53005 ("Lessee"); (ii) ALTERNATIVE LIVING SERVICES, INC., a Delaware Corporation, having its principal place of business at 450 North Sunnyslope Road, Suite 300, Brookfield, Wisconsin 53005 ("ALS"); and (iii) MEDITRUST ACQUISITION CORPORATION III, a Delaware corporation, having a principal place of business of c/o Meditrust Mortgage Investments, Inc., 197 First Avenue, Needham Heights, Massachusetts 02194 ( "Meditrust"). W I T N E S S E T H WHEREAS, the parties desire to reflect that additional assisted living facilities have become subject to the transactions between Meditrust and Lessee. NOW, THEREFORE, for good and valuable consideration the sufficiency and receipt of which is hereby acknowledged, the parties hereto agree as follows: 1. Exhibit D to the Related Transactions Agreement is hereby deleted and the following new Exhibit D is substituted therefor in order to reflect that Hamilton House of Grand Blanc I, Holly, Michigan, Wynwood of Grand Blanc II, Holly, Michigan, Hamilton House of Troy I, Troy, Michigan, and Wynwood of Troy II, Troy, Michigan, have been added as acquisition facilities to the transactions described in the Related Transactions Agreement; and 2. Except as expressly modified above, the Related Transactions Agreement, as previously amended, remains unchanged and in full force and effect. 1 2 IN WITNESS WHEREOF, the parties have executed this Seventh Amendment to Agreement Regarding Related Lease Transactions under seal as of the 4th day of September, 1998. WITNESS: ALS LEASING, INC., a Delaware corporation /s/ LESLEY GARBAR - ----------------------------- By: /s/ DAVID M. BOITANO Name: Lesley Garbar -------------------------------------- Name: DAVID M. BOITANO ------------------------------- Title: VICE PRESIDENT ------------------------------ WITNESS: MEDITRUST ACQUISITIONS CORPORATION III, a Delaware corporation /s/ - ----------------------------- By: /s/ MICHAEL F. BUSHEE Name: -------------------------------------- Name: Michael F. Bushee ------------------------------- Title: Chief Operating Officer ------------------------------ [Seventh Amendment of Agreement Regarding Related Lease Transactions] 2 3 JOINDER AND CONSENT Sterling House Corporation, being a guarantor of the various obligations of ALS Leasing Inc. under one or more guaranties (collectively, the "Guaranty") delivered to the Meditrust Parties in connection with the Meditrust/ALS Transactions (as defined in the Related Transactions Agreement), hereby (A) joins in this Seventh Amendment and consents to the provisions hereof, and (B) agrees that it will not in any way raise any aspect of this Seventh Amendment as a defense to any action or proceeding instituted by any of the Meditrust Parties to enforce the Guaranty. WITNESS: STERLING HOUSE CORPORATION, a Kansas corporation /s/ ALICE LASSLEY - ------------------------------ By: /s/ R. GAIL KNOTT Name: Alice Lassley ----------------------------- Name: R. Gail Knott ------------------------ Title: Vice President ----------------------- JOINDER AND CONSENT Alternative Living Services, Inc., being a guarantor of the various obligations of the ALS Leasing Inc. under one or more guaranties (collectively, the "Guaranty") delivered to the Meditrust Parties in connection with the Meditrust/ALS Transactions (as defined in the Related Transactions Agreement), hereby (A) joins in this Seventh Amendment and consents to the provisions hereof, and (B) agrees that it will not in any way raise any aspect of this Seventh Amendment as a defense to any action or proceeding instituted by any of the Meditrust Parties to enforce the Guaranty. WITNESS: ALTERNATIVE LIVING SERVICES, INC., a Delaware corporation /s/ LESLEY GARBAR - ----------------------------- By: /s/ DAVID M. BOITANO Name: Lesley Garbar -------------------------------------- Name: David M. Boitano ------------------------------- Title: Vice President ------------------------------ 3 4 EXHIBIT D MEDITRUST/ALS FACILITIES KANSAS 1. Sterling House of Wichita, Wichita, Kansas 2. Sterling House of Derby, Derby, Kansas 3. Sterling House of Wellington, Wellington, Kansas 4. Sterling House of Hays, Hays, Kansas 5. Sterling House of Abilene II, Abilene, Kansas OKLAHOMA 6. Sterling House of Bethany, Bethany, Oklahoma 7. Sterling House of Bartlesville II, Bartlesville, Oklahoma FLORIDA 8. Sterling House of Tequesta, Tequesta, Florida 9. Sterling House of West Melbourne, West Melbourne, Florida 10. Sterling House of Stuart, Stuart, Florida 11. Sterling House of Vero Beach, Vero Beach, Florida 12. Sterling House of Leesburg, Leesburg, Florida 13. Sterling House of Port Orange, Port Orange, Florida 14. Sterling House of Ocala, Ocala, Florida 15. Sterling House of Deland, Deland, Florida 16. Sterling House of Ormond Beach, Ormond Beach, Florida 17. Sterling House of West Melbourne II, West Melbourne, Florida 18. Clare Bridge of Fort Myers, Fort Myers, Florida 19. Clare Bridge of Tampa, Tampa, Florida 20. Clare Bridge of Jacksonville, Jacksonville, Florida 21. Sterling House of Tequesta ll, Tequesta, Florida TEXAS 22. Sterling House of Temple, Temple, Texas 23. Sterling House of Carrollton, Carrollton, Texas 24. Sterling House of Kerrville, Kerrville, Texas 25. Sterling House of San Antonio-Whitby Road, San Antonio, Texas 26. Sterling House of New Braunfels, New Braunfels, Texas 27. Sterling House of Lancaster, Lancaster, Texas 4 5 OHIO 28. Sterling House of Bowling Green, Bowling Green, Ohio 29. Sterling House of Englewood, Englewood, Ohio 30. Sterling House of Barberton, Barberton, Ohio 31. Sterling House of Mansfield, Mansfield, Ohio 32. Sterling House of Marion, Marion, Ohio WISCONSIN 33. WovenHearts of Brown Deer, Brown Deer, Wisconsin 34. WovenHearts of Sussex, Sussex, Wisconsin 35. WovenHearts of Onalaska, Onalaska, Wisconsin 36. WovenHearts of Menomonie, Menomonie, Wisconsin 37. WovenHearts of New Richmond, New Richmond, Wisconsin 38. WovenHearts of Wisconsin Rapids, Wisconsin Rapids, Wisconsin 39. WovenHearts of Plymouth, Plymouth, Wisconsin 40. The Evergreens, Plover, Wisconsin 41. The Evergreens South, Plover, Wisconsin 42. StoneCroft Manor, Medford, Wisconsin 43. The Pines, Wausau, Wisconsin 44. The Pines North, Wausau, Wisconsin 45. The Oaks, Wisconsin Rapids, Wisconsin 46. WovenHearts of Eau Claire, Eau Claire, Wisconsin 47. WovenHearts of Manitowoc, Manitowoc, Wisconsin 48. WovenHearts of Middleton, Middleton, Wisconsin 49. WovenHearts of Neenah, Neenah, Wisconsin 50. WovenHearts of Oshkosh, Oshkosh, Wisconsin 51. WovenHearts of Sun Prairie, Sun Prairie, Wisconsin 52. WovenHearts of Kenosha, Kenosha, Wisconsin MICHIGAN 53. Hamilton House of Farmington Hills I, Farmington Hills, Michigan 54. Hamilton House of Farmington Hills II, Farmington Hills, Michigan 55. Hamilton House of Ann Arbor, Ann Arbor, Michigan 56. Hamilton House of Utica, Utica, Michigan 57. Wynwood of Lansing, Lansing, Michigan 58. WovenHearts of Davison, Davison, Michigan 59. Hamilton House of Delta I, Lansing, Michigan 60. WovenHearts of Delta II, Lansing, Michigan 61. Hamilton House of Grand Blanc I, Holly, Michigan 5 6 62. Wynwood of Grand Blanc II, Holly, Michigan 63. Hamilton House of Troy I, Troy, Michigan 64. Wynwood of Troy II, Troy, Michigan PENNSYLVANIA 65. Northampton Manor, Richboro, Pennsylvania 66. Clare Bridge of Lower Makefield, Yardley, Pennsylvania 67. Clare Bridge of Montgomery and Wynwood of Montgomery, North Wales, Pennsylvania NEW YORK 68. Liberty Commons, Manlius, New York MINNESOTA 69. WovenHearts of Faribault, Faribault, Minnesota 70. WovenHearts of Mankato, Mankato, Minnesota 71. WovenHearts of Owatonna, Owatonna, Minnesota 72. WovenHearts of Sauk Rapids, Sauk Rapids, Minnesota 73. WovenHearts of Willmar, Willmar, Minnesota 74. WovenHearts of Winona, Winona, Minnesota NORTH CAROLINA 75. Clare Bridge of Charlotte, Charlotte, North Carolina 76. Wynwood of Charlotte, Charlotte, North Carolina 77. Clare Bridge of Greensboro, Greensboro, North Carolina 78. Wynwood of Greensboro, Greensboro, North Carolina SOUTH CAROLINA 79. Clare Bridge of Charleston, Mt. Pleasant, South Carolina 80. Clare Bridge of Columbia, Irmo, South Carolina [TO BE SUPPLEMENTED BY AMENDMENTS TO THIS AGREEMENT] 6