EXHIBIT 1.1

                             HEALTH CARE REIT, INC.

                                  $150,000,000

                               8.0% Notes due 2012


                             UNDERWRITING AGREEMENT


                                                               September 6, 2002

Deutsche Bank Securities Inc.
UBS Warburg LLC
As Representatives of the Several Underwriters
   c/o Deutsche Bank Securities Inc.
   31 West 52nd Street, 25th Floor
   New York, New York  10019

Gentlemen:

         Health Care REIT, Inc., a Delaware corporation (the "Company"),
proposes to sell to the underwriters (the "Underwriters") named in Schedule I
hereto for whom you are acting as representatives (the "Representatives"), the
principal amount of its debt securities identified in Schedule I hereto (the
"Securities"), to be issued under the Indenture specified in such schedule (the
"Indenture") between the Company and the trustee identified in such schedule
(the "Trustee").

         As the Representatives, you have advised the Company (a) that you are
authorized to enter into this Agreement and (b) that the Underwriters are
willing to purchase the Securities set forth in Schedule I.

         In consideration of the mutual agreements contained herein and of the
interests of the parties in the transactions contemplated hereby, the parties
hereto agree as follows:

         1. REPRESENTATIONS AND WARRANTIES OF THE COMPANY. The Company
represents and warrants as follows:

                  (i) A registration statement on Form S-3 (File No. 333-73936)
         with respect to the Securities has been carefully prepared by the
         Company in conformity with the requirements of the Securities Act of
         1933, as amended (the "Securities Act"), and the Rules and Regulations
         (the "Rules and Regulations") of the Securities and Exchange Commission
         (the "Commission") thereunder and has been filed with the Commission
         under the Securities Act. The Company has complied with the conditions
         for the use of Form S-3. Copies of such registration statement,
         including any amendments thereto, the preliminary prospectuses (meeting
         the requirements of Rule 430A of the Rules and Regulations) contained
         therein, the exhibits, financial statements and schedules, as finally
         amended and revised, and all documents incorporated by reference have
         heretofore been delivered by the Company to you. Such registration
         statement, herein referred to as the "Registration Statement," which
         shall be deemed to include all information omitted therefrom in
         reliance upon Rule 430A and contained in the Prospectus referred to
         below and all information incorporated by reference therein, has been
         declared effective by the Commission under the Securities Act and no
         post-effective amendment to the Registration Statement has been

         filed as of the date of this Agreement; and the Registration Statement
         and Prospectus as referred to below comply, or will comply, as the case
         may be, in all material respects with the Securities Act and the Trust
         Indenture Act of 1939, as amended, and the rules and regulations of the
         Commission thereunder (collectively, the "Trust Indenture Act"). The
         form of prospectus first filed by the Company with the Commission
         pursuant to its Rule 424(b) and Rule 430A, or if no such filing is
         required, the form of final prospectus included in the Registration
         Statement at the time the Registration Statement is declared effective,
         is herein referred to as the "Prospectus." Each preliminary prospectus
         included in the Registration Statement prior to the time it becomes
         effective is herein referred to as a "Preliminary Prospectus." Any
         reference herein to any Preliminary Prospectus or the Prospectus shall
         be deemed to refer to and include the documents incorporated by
         reference therein and any supplements or amendments thereto filed with
         the Commission as of the date of such Preliminary Prospectus or
         Prospectus, as the case may be, and in the case of any reference herein
         to any Preliminary Prospectus or Prospectus, also shall be deemed to
         include any documents incorporated by reference therein pursuant to
         Item 12 of Form S-3 under the Securities Act, as of the date of such
         Preliminary Prospectus or Prospectus, and any supplements or amendments
         thereto, filed with the Commission after the date of the filing of the
         Prospectus under Rule 424(b) or 430A, and prior to the termination of
         the offering of the Securities by the Underwriters. Any reference to
         any amendment or supplement to any Preliminary Prospectus or
         Prospectus, as the case may be, shall be deemed to refer to and include
         any documents filed after the date of such Preliminary Prospectus or
         Prospectus, as the case may be, under the Securities and Exchange Act
         of 1934, as amended (the "Exchange Act"), and incorporated by reference
         into such Preliminary Prospectus or Prospectus, as the case may be; and
         any reference to any amendment to the Registration Statement shall be
         deemed to refer to and include any annual report of the Company filed
         pursuant to Section 13(a) or 15(d) of the Exchange Act after the
         effective date of the Registration Statement that is incorporated by
         reference into the Registration Statement. Any reference to the
         Prospectus herein shall be deemed to refer to and include the most
         recent prospectus supplement filed with respect to the Securities.

                  (ii) The Company has been duly organized and is validly
         existing as a corporation in good standing under the laws of the State
         of Delaware, with corporate power and authority to own its properties
         and conduct its business as described in the Registration Statement;
         the Company is duly qualified to transact business in all jurisdictions
         in which the conduct of its business requires such qualification, and
         in which the failure to qualify would (a) have a materially adverse
         effect upon the business of the Company and its Subsidiaries, taken as
         a whole, (b) adversely affect the issuance, validity, or enforceability
         of the Securities or the enforceability of the Indenture or (c)
         adversely affect the consummation of the transactions contemplated by
         this Agreement (each of (a), (b) and (c) above, a "Material Adverse
         Effect"); except for HCRI Pennsylvania Properties, Inc., HCRI Texas
         Properties, Inc., HCRI Overlook Green, Inc., HCRI Nevada Properties,
         Inc., Health Care REIT International, Inc., HCRI Southern Investments
         I, Inc., HCN BCC Holdings, Inc., HCRI Tennessee Properties, Inc., HCRI
         Limited Holdings, Inc., HCRI Texas Properties, Ltd., Pennsylvania BCC
         Properties, Inc., HCN Atlantic GP, Inc., HCN Atlantic LP, Inc., HCRI
         Louisiana Properties, L.P., HCRI North Carolina Properties, LLC, HCRI
         Massachusetts Properties, Inc., HCRI Massachusetts Properties Trust,
         HCRI Indiana Properties, Inc., HCRI Indiana Properties, LLC, HCRI
         Holdings Trust, HCRI Maryland Properties LLC, HCRI Satyr Hill, LLC,
         HCRI Friendship, LLC, HCRI St. Charles, LLC, HCRI Massachusetts
         Properties Trust II, HCRI Beachwood, Inc., HCRI Broadview, Inc., HCRI
         Westlake, Inc., HCRI Westmoreland, Inc., HCRI Wisconsin Properties,
         LLC, HCRI North Carolina Properties I, Inc., HCRI North Carolina
         Properties II, Inc., HCRI North Carolina Properties III, Limited
         Partnership, HCRI Kentucky Properties, LLC, HCRI Laurel, LLC, HCRI


                                       2

         Mississippi Properties, Inc., HCRI Illinois Properties, LLC and HCRI
         Missouri Properties, LLC, the Company has no Subsidiaries.

                  (iii) The Securities have been duly authorized and, when
         issued, authenticated and delivered pursuant to this Agreement and the
         Indenture, will be duly and validly executed, authenticated, issued and
         delivered and will constitute valid and binding obligations of the
         Company entitled to the benefits provided by the Indenture and
         enforceable against the Company in accordance with their terms, except
         to the extent that enforcement thereof may be limited by (A)
         bankruptcy, insolvency, reorganization, fraudulent conveyance,
         moratorium or similar laws now or hereafter in effect relating to
         creditors' rights generally and (B) general principles of equity, the
         limits of specific performance and injunctive relief, and the exercise
         of judicial discretion (regardless of whether enforceability is
         considered in a proceeding at law or in equity); the Indenture has been
         duly authorized and qualified under the Trust Indenture Act and
         constitutes a valid and binding instrument of the Company enforceable
         against the Company in accordance with its terms, except to the extent
         that enforcement thereof may be limited by (A) bankruptcy, insolvency,
         reorganization, fraudulent conveyance, moratorium or similar laws now
         or hereafter in effect relating to creditors' rights generally and (B)
         general principles of equity, the limits of specific performance and
         injunctive relief, and the exercise of judicial discretion (regardless
         of whether enforceability is considered in a proceeding at law or in
         equity); and the Securities and the Indenture will conform to the
         statements relating thereto contained in the Prospectus, and any
         amendments and supplements thereto.

                  (iv) The Company's authorized, issued and outstanding
         capitalization as of June 30, 2002 is set forth in the Prospectus; and
         all of the issued shares of capital stock of the Company have been duly
         and validly authorized and issued, are fully paid and non-assessable.

                  (v) The Commission has not issued an order preventing or
         suspending the use of any Preliminary Prospectus relating to the
         proposed offering of the Securities nor instituted proceedings for that
         purpose. The Registration Statement and the Prospectus, and any
         amendments or supplements thereto, contain or will contain, all
         statements which are required to be stated therein by, and in all
         material respects conform to or will conform to, as the case may be,
         the requirements of the Securities Act, the Rules and Regulations and
         the Trust Indenture Act. The documents incorporated by reference in the
         Prospectus, at the time they were or will be filed with the Commission,
         conformed or will conform at the time of filing, in all material
         respects to the requirements of the Exchange Act or the Securities Act,
         as applicable, and the Rules and Regulations of the Commission
         thereunder. Neither the Registration Statement nor any amendment
         thereto, and neither the Prospectus nor any supplement thereto,
         including any documents incorporated by reference therein, contains or
         will contain, as the case may be, any untrue statement of a material
         fact or omits or will omit to state any material fact required to be
         stated therein or necessary to make the statements therein, in the
         light of the circumstances under which they were made, not misleading;
         provided, however, that the Company makes no representations or
         warranties as to (a) that part of the Registration Statement which
         constitutes the Statement of Eligibility and Qualification (Form T-1)
         under the Trust Indenture Act of the Trustee, and (b) information
         contained in or omitted from the Registration Statement or the
         Prospectus, or any such amendment or supplement, or any documents
         incorporated by reference therein, in reliance upon, and in conformity
         with, written information furnished to the Company by or on behalf of
         the Underwriters, specifically for use in the preparation thereof.

                  (vi) The financial statements of the Company, together with
         related notes and schedules as set forth or incorporated by reference
         in the Registration Statement, present fairly the financial position
         and the results of operations of the Company at the indicated dates and
         for


                                       3

         the indicated periods. Such financial statements and the related notes
         and schedules have been prepared in accordance with generally accepted
         accounting principles, consistently applied throughout the periods
         involved, and all adjustments necessary for a fair presentation of
         results for such periods have been made. The summary financial and
         statistical data included or incorporated by reference in the
         Registration Statement present fairly the information shown therein
         and, to the extent based upon or derived from the financial statements,
         have been compiled on a basis consistent with the financial statements
         presented therein.

                  (vii) There is no action or proceeding pending or, to the
         knowledge of the Company, threatened against the Company or involving
         any property of the Company before any court or administrative agency
         which might reasonably be expected to result in any Material Adverse
         Effect, except as set forth in the Registration Statement.

                  (viii) The Company has good and marketable title to all of the
         properties and assets reflected in the financial statements hereinabove
         described (or as described in the Registration Statement as owned by
         it), subject to no lien, mortgage, pledge, charge or encumbrance of any
         kind except those reflected in such financial statements (or as
         described in the Registration Statement) or which are not material in
         amount or which do not interfere with the use made or proposed to be
         made of the property. The leases, agreements to purchase and mortgages
         to which the Company is a party, and the guaranties of third parties
         (a) are the legal, valid and binding obligations of the Company and, to
         the knowledge of the Company, of all other parties thereto, and the
         Company knows of no default or defenses currently existing with respect
         thereto which might reasonably be expected to result in any Material
         Adverse Effect, and (b) conform to the descriptions thereof set forth
         in the Registration Statement. Each mortgage which the Company holds on
         the properties described in the Registration Statement constitutes a
         valid mortgage lien for the benefit of the Company on such property.

                  (ix) The Company has filed all Federal, state and foreign
         income tax returns which have been required to be filed and has paid
         all taxes indicated by said returns and all assessments received by it
         to the extent that such taxes have become due and are not being
         contested in good faith. All tax liabilities have been adequately
         provided for in the financial statements of the Company.

                  (x) Since the date as of which information is given in the
         Registration Statement, as it may be amended or supplemented, there has
         not been any material adverse change or any development involving a
         prospective material adverse change in or affecting the condition,
         financial or otherwise, of the Company or the earnings, business
         affairs, management, or business prospects of the Company, whether or
         not occurring in the ordinary course of business, and the Company has
         not incurred any material liabilities or obligations and there has not
         been any material transaction entered into by the Company, other than
         transactions in the ordinary course of business and changes and
         transactions contemplated by the Registration Statement, as it may be
         amended or supplemented. The Company has no material contingent
         obligations which are not disclosed in the Registration Statement, as
         it may be amended or supplemented.

                  (xi) The Company is not (a) in default under any agreement,
         lease, contract, indenture or other instrument or obligation to which
         it is a party or by which it or any of its properties is bound or the
         Company's certificate of incorporation or by-laws, (b) in violation of
         any statute, or (c) in violation of any order, rule or regulation
         applicable to the Company or its properties, of any court or of any
         regulatory body, administrative agency or other governmental body, any
         of which defaults or violations described in clauses (a) through (c)
         will have, or after any required notice and passage of any applicable
         grace period would have, a Material Adverse Effect. The issue and


                                       4

         sale of the Securities and the performance by the Company of all of the
         provisions of its obligations under the Securities, the Indenture and
         this Agreement and the consummation of the transactions herein and
         therein contemplated and the fulfillment of the terms hereof and
         thereof will not conflict with or constitute a violation of any statute
         or conflict with or result in a breach of any of the terms or
         provisions of, or constitute a default under, any indenture, mortgage,
         deed of trust or other agreement or instrument to which the Company is
         a party or by which the Company or the Company's properties may be
         bound, or of the certificate of incorporation or by-laws of the Company
         or any order, rule or regulation applicable to the Company or the
         Company's properties or of any court or of any regulatory body,
         administrative agency or other governmental body.

                  (xii) Each approval, consent, order, authorization,
         designation, declaration or filing by or with any regulatory,
         administrative or other governmental body necessary in connection with
         the execution and delivery by the Company of this Agreement and the
         consummation of the transactions contemplated by this Agreement and the
         Indenture (except for the filing of a prospectus supplement relating to
         the Securities or such additional steps as may be required by the
         National Association of Securities Dealers, Inc. (the "NASD") or may be
         necessary to qualify the Securities for public offering by the
         Underwriters under state securities or Blue Sky laws) has been obtained
         or made by the Company, and is in full force and effect.

                  (xiii) The Company holds all material licenses, certificates
         and permits from governmental authorities which are necessary to the
         conduct of its businesses and the Company has not received any notice
         of infringement or of conflict with asserted rights of others with
         respect to any patents, patent rights, trade names, trademarks or
         copyrights, which infringement is material to the business of the
         Company.

                  (xiv) The Company qualifies as a real estate investment trust
         pursuant to Sections 856 through 860 of the Internal Revenue Code of
         1986, as amended, has so qualified for the taxable years ended December
         31, 1984 through December 31, 2001 and no transaction or other event
         has occurred or is contemplated which would prevent the Company from so
         qualifying for its current taxable year.

                  (xv) To the best of the Company's knowledge, Ernst & Young
         LLP, who have certified certain of the financial statements and related
         schedules filed with the Commission as part of, or incorporated by
         reference in, the Registration Statement, are independent public
         accountants as required by the Securities Act and the Rules and
         Regulations.

                  (xvi) To the knowledge of the Company, after inquiry of its
         officers and directors, there are no affiliations with the NASD among
         the Company's officers, directors, or principal stockholders, except as
         set forth in the Registration Statement or as otherwise disclosed in
         writing to the Underwriters.

                  (xvii) This Agreement and the Indenture have been duly
         authorized, executed and delivered by the Company.

                  (xviii) Neither the Company nor any of its officers or
         directors has taken nor will any of them take, directly or indirectly,
         any action resulting in a violation of Regulation M promulgated under
         the Exchange Act, or designed to cause or result in, or which has
         constituted or which reasonably might be expected to constitute, the
         stabilization or manipulation of the price of the Securities. The
         Company acknowledges that the Underwriters may engage in transactions
         that


                                       5

         stabilize, maintain or otherwise affect the price of the Securities,
         including stabilizing bids, syndicate covering transactions and the
         imposition of penalty bids.

                  (xix) The Company is not, and immediately after the sale of
         the Securities pursuant to the terms and conditions of this Agreement
         will not be, an "investment company" or a company "controlled" by an
         "investment company" within the meaning of the Investment Company Act
         of 1940.

         2. PURCHASE, SALE AND DELIVERY OF THE SECURITIES. On the basis of the
representations, warranties and covenants herein contained, and subject to the
conditions herein set forth, the Company agrees to sell to the Underwriters and
the Underwriters agree to purchase severally and not jointly from the Company
the principal amount of Securities set forth in Schedule I hereto at the
purchase price set forth in Schedule I hereto plus accrued interest, if any,
from the date specified in Schedule I hereto to the date of payment and
delivery.

                  Payment for the Securities to be sold hereunder is to be made
in New York Clearing House funds by federal funds wire transfer or by certified
or bank cashier's checks drawn to the order of the Company for the Securities to
be sold by it against delivery of the Securities to the Representatives. Such
payment and delivery are to be made at the offices of Deutsche Bank Securities
Inc., 31 52nd Street, 25th Floor, New York, New York, at 10:00 a.m. New York
time, on the third business day after the date of this Agreement or at such
other time and date not later than three business days thereafter as you and the
Company shall agree upon, such time and date being herein referred to as the
"Closing Date." (As used herein, "business day" means a day on which the New
York Stock Exchange is open for trading and on which banks in New York are open
for business and not permitted by law or executive order to be closed). The
Securities will be registered in such names and in such denominations as the
Representatives request in writing not later than the second full business day
prior to the Closing Date, and will be delivered through book-entry facilities
of The Depository Trust Company ("DTC") and made available for inspection by the
Representatives at least one business day prior to the Closing Date at such
place as the Representatives, DTC and the Company shall agree.

         3. OFFERING BY THE UNDERWRITERS. It is understood that the several
Underwriters are to make a public offering of the Securities as soon as the
Representatives deem it advisable to do so. The Securities are to be initially
offered to the public at the price and upon the terms set forth in the
Prospectus. The Representatives may from time to time thereafter change the
public offering price and other selling terms.

         4. COVENANTS OF THE COMPANY. The Company covenants and agrees with the
Underwriters that:

                  (i) The Company will (a) prepare and timely file with the
         Commission under Rule 424(b) of the Rules and Regulations, if the final
         form of the prospectus is not included in the Registration Statement at
         the time the Registration Statement is declared effective, a Prospectus
         containing information previously omitted at the time of effectiveness
         of the Registration Statement in reliance on Rule 430A, if applicable,
         of the Rules and Regulations, (b) use its best efforts to cause the
         Registration Statement to remain in effect as to the Securities for so
         long as the Representatives may deem necessary in order to complete the
         distribution of the Securities, (c) not file any amendment to the
         Registration Statement or supplement to the Prospectus, or document
         incorporated by reference therein, of which the Representatives shall
         not previously have been advised and furnished with a copy or to which
         the Representatives shall have reasonably objected in writing or which
         is not in compliance with the Rules and Regulations for so long as the
         Representatives may deem necessary in order to complete the
         distribution of the


                                       6

         Securities and (d) file on a timely basis all reports and any
         definitive proxy or information statements required to be filed by the
         Company with the Commission subsequent to the date of the Prospectus
         and prior to the termination of the offering of the Securities by the
         Underwriters; provided, however, that for each such report or
         definitive proxy or information statement, the Company will not file
         any such report or definitive proxy or information statement, or
         amendment thereto, of which the Representatives shall not previously
         have been advised and furnished with a copy or to which the
         Representatives shall have reasonably objected in writing or which is
         not in compliance with the Rules and Regulations.

                  (ii) The Company will advise the Representatives promptly of
         any request of the Commission for amendment of the Registration
         Statement or for supplement to the Prospectus or for any additional
         information, of the issuance by the Commission of any stop order
         suspending the effectiveness of the Registration Statement or the use
         of the Prospectus or of the institution of any proceedings for that
         purpose for so long as the Representatives may deem necessary in order
         to complete the distribution of the Securities, or of the suspension of
         the qualification of the Securities for offering or sale in any
         jurisdiction, and the Company will use its best efforts to prevent (a)
         the issuance of any such stop order preventing or suspending the use of
         the Prospectus, or (b) any such suspension of the qualification of the
         Securities for offering or sale in any jurisdiction, and to obtain as
         soon as possible the lifting of any such stop order, if issued, or such
         suspension of qualification.

                  (iii) The Company will deliver to, or upon the order of, the
         Representatives, from time to time, as many copies of any Preliminary
         Prospectus as the Representatives may reasonably request. The Company
         will deliver to, or upon the order of, the Representatives during the
         period when delivery of a Prospectus is required under the Securities
         Act, as many copies of the Prospectus in final form, or as thereafter
         amended or supplemented, as the Representatives may reasonably request.
         The Company will deliver to the Representatives at or before the
         Closing Date, six signed copies of the Registration Statement and all
         amendments thereto including all exhibits filed therewith, and will
         deliver to the Representatives such number of copies of the
         Registration Statement, including documents incorporated by reference
         therein, but without exhibits, and of all amendments thereto, as the
         Representatives may reasonably request.

                  (iv) Subject to the provisions of Section 4(i) above, if
         during the period in which a prospectus is required by law to be
         delivered by an Underwriter or a dealer any event shall occur as a
         result of which, in the judgment of the Company or in the opinion of
         counsel for the Underwriters, it becomes necessary to amend or
         supplement the Prospectus in order to make the statements therein, in
         the light of the circumstances existing at the time the Prospectus is
         delivered to a purchaser, not misleading, or, if it is necessary at any
         time to amend or supplement the Prospectus to comply with any law, the
         Company promptly will either (a) prepare and file with the Commission
         an appropriate amendment to the Registration Statement or supplement to
         the Prospectus or (b) prepare and file with the Commission an
         appropriate filing under the Exchange Act which shall be incorporated
         by reference in the Prospectus so that the Prospectus as so amended or
         supplemented will not, in the light of the circumstances when it is so
         delivered, be misleading, or so that the Prospectus will comply with
         law.

                  (v) The Company will timely file such reports pursuant to the
         Exchange Act as are necessary in order to make generally available to
         security holders as soon as practicable an earnings statement for the
         purpose of, and to provide the benefits contemplated by, the last
         paragraph of Section 11(a) of the Securities Act.


                                       7

                  (vi) The Company will, for a period of five years from the
         Closing Date, deliver to the Representatives copies of annual reports
         and copies of all other documents, reports and information furnished by
         the Company to its stockholders or filed with any securities exchange
         pursuant to the requirements of such exchange or with the Commission
         pursuant to the Securities Act or the Exchange Act. The Company will
         deliver to the Representatives similar reports with respect to
         significant subsidiaries, as that term is defined in the Rules and
         Regulations, which are not consolidated in the Company's financial
         statements.

                  (vii) The Company will not, during the period beginning on the
         date hereof and continuing to and including the business day following
         the Closing Date, offer, sell, contract to sell or otherwise dispose of
         any debt securities of or guaranteed by the Company which are
         substantially similar to the Securities without the Representatives'
         prior written consent.

         5. COSTS AND EXPENSES. The Company will pay all costs, expenses and
fees incident to the performance of its obligations under this Agreement and the
Indenture, including, without limiting the generality of the foregoing, the
following: the fees incident to the preparation, issuance, execution,
authentication and delivery of the Securities, including any expenses of the
Trustee; the fees payable to rating agencies in connection with the rating of
the Securities; accounting fees of the Company; the fees and disbursements of
counsel for the Company; the cost of printing and delivering to, or as requested
by, the Underwriters, copies of the Registration Statement, Preliminary
Prospectuses, the Prospectus, this Agreement, the Indenture and any supplements
or amendments thereto; the filing fees of the Commission; the filing fees and
expenses (including legal fees and disbursements) incident to securing any
required review by the NASD of the terms of the sale of the Securities; and the
fees incident to the listing of the Securities on any stock exchange. Any
transfer taxes imposed on the sale of the Securities to the Underwriters will be
paid by the Company. The Company shall not, however, be required to pay for any
of the Underwriters' expenses except that, if this Agreement shall not be
consummated because the conditions in Section 7 hereof are not satisfied, or
because this Agreement is terminated by the Representatives pursuant to Section
6 hereof, or this Agreement is terminated pursuant to Section 10(i)(a) or
Section 10(i)(h) hereof, or by reason of any failure, refusal or inability on
the part of the Company to perform any undertaking or satisfy any condition of
this Agreement or to comply with any of the terms hereof on its part to be
performed, unless such failure to satisfy said condition or to comply with said
terms be due to the default or omission of any Underwriter, then the Company
shall reimburse the several Underwriters for reasonable out-of-pocket expenses,
including fees and disbursements of counsel, reasonably incurred in connection
with investigating, marketing and proposing to market the Securities or in
contemplation of performing its obligations hereunder, but the Company shall not
in any event be liable to any of the several Underwriters for damages on account
of loss of anticipated profits from the sale by any of them of the Securities.

         6. CONDITIONS OF OBLIGATIONS OF THE UNDERWRITERS. The several
obligations of the Underwriters to purchase the Securities on the Closing Date
are subject to the accuracy, as of the Closing Date, of the representations and
warranties of the Company contained herein, and to the performance by the
Company of its covenants and obligations hereunder and to the following
additional conditions:

                  (i) No stop order suspending the effectiveness of the
         Registration Statement, as amended from time to time, shall have been
         issued and no proceedings for that purpose shall have been taken or, to
         the knowledge of the Company, shall be contemplated by the Commission.

                  (ii) Subsequent to the execution and delivery of this
         Agreement and prior to the Closing Date, there shall not have occurred
         any downgrading, nor shall any notice have been given of (a) any
         intended or potential downgrading or (b) any review or possible change
         that does not indicate an improvement in the rating, if any, accorded
         any securities of or guaranteed by the


                                       8

         Company by any "nationally recognized statistical rating organization,"
         as such term is defined for purposes of Rule 436(g)(2) under the
         Securities Act.

                  (iii) The Representatives shall have received on the Closing
         Date, the opinion of Shumaker, Loop & Kendrick, LLP, counsel for the
         Company, dated the Closing Date and addressed to the Representatives,
         as representatives of the several Underwriters, to the effect that:

                           (a) The Company has been duly incorporated and is
                  validly existing as a corporation in good standing under the
                  laws of the State of Delaware, with corporate power and
                  authority to own its properties and conduct its business as
                  described in the Prospectus.

                           (b) The Company is duly qualified to transact
                  business in all jurisdictions in which the conduct of its
                  business requires such qualification, and in which the failure
                  to qualify would have a Material Adverse Effect.

                           (c) The Company has authorized and outstanding
                  capital stock as set forth under the caption "Capitalization"
                  in the Prospectus or a referenced amendment or supplement
                  thereto; the authorized shares of its Common Stock have been
                  duly authorized; the outstanding shares of its Common Stock
                  have been duly authorized and validly issued and are fully
                  paid and nonassessable.

                           (d) The Registration Statement has become effective
                  under the Securities Act and, to such counsel's knowledge no
                  stop order proceedings with respect thereto have been
                  instituted or are pending or threatened under the Securities
                  Act.

                           (e) The Registration Statement, the Prospectus and
                  each amendment or supplement thereto and documents
                  incorporated by reference therein comply as to form in all
                  material respects with the requirements of the Securities Act,
                  the Exchange Act or the Trust Indenture Act, as applicable,
                  and the applicable rules and regulations thereunder (except
                  that such counsel need express no opinion as to the financial
                  statements, schedules and other financial or statistical
                  information included or incorporated by reference therein).

                           (f) The statements contained in the Prospectus under
                  the captions "Description of Notes" and "Description of Debt
                  Securities," insofar as such statements constitute a summary
                  of documents referred to therein or matters of law, are
                  accurate summaries and fairly and correctly present in all
                  material respects the information called for with respect to
                  such documents and matters.

                           (g) The statements under the caption "Certain
                  Government Regulations" in the Company's Annual Report on Form
                  10-K, and any amendments thereto, for the fiscal year ended
                  December 31, 2001 as to matters of law stated therein, have
                  been reviewed by such counsel and constitute fair summaries of
                  the matters described therein which are material to the
                  business or condition (financial or otherwise) of the Company.

                           (h) Such counsel does not know of any contracts or
                  documents required to be filed as exhibits to or incorporated
                  by reference in the Registration Statement or described in the
                  Registration Statement or the Prospectus or any amendment or
                  supplement thereto which are not so filed, incorporated by
                  reference or described as required, and such contracts and
                  documents as are summarized in the Registration


                                       9

                  Statement or the Prospectus or any amendment or supplement
                  thereto are fairly summarized in all material respects.

                           (i) Such counsel knows of no material legal
                  proceedings pending or threatened against the Company, except
                  as set forth in the Prospectus or any amendment or supplement
                  thereto.

                           (j) The execution and delivery of this Agreement and
                  the Indenture and the consummation of the transactions herein
                  contemplated, including the issuance and sale of the
                  Securities and the performance by the Company of its
                  obligations under the Securities, the Indenture and this
                  Agreement, do not and will not conflict with or constitute a
                  violation of any statute or conflict with or result in a
                  breach of any of the terms or provisions of, or constitute a
                  default under, the certificate of incorporation or by-laws of
                  the Company, any material agreement or instrument known to
                  such counsel to which the Company is a party or by which the
                  Company or the Company's properties may be bound or any order
                  known to such counsel or rule or regulation applicable to the
                  Company or the Company's properties of any court or
                  governmental agency or body.

                           (k) This Agreement has been duly authorized, executed
                  and delivered by the Company.

                           (l) The Indenture has been duly authorized, executed
                  and delivered by the Company and constitutes a valid and
                  binding instrument of the Company enforceable against the
                  Company in accordance with its terms, except to the extent
                  that enforcement thereof may be limited by (A) bankruptcy,
                  insolvency, reorganization, fraudulent conveyance, moratorium
                  or similar laws now or hereafter in effect relating to
                  creditors' rights generally and (B) general principles of
                  equity, the limits of specific performance and injunctive
                  relief, and the exercise of judicial discretion (regardless of
                  whether enforceability is considered in a proceeding at law or
                  in equity); and the Indenture has been duly qualified under
                  the Trust Indenture Act.

                           (m) The Securities have been duly authorized and
                  executed by the Company and when authenticated in accordance
                  with the terms of the Indenture and delivered to and paid for
                  by the Underwriters in accordance with the terms of the
                  Agreement, will constitute a valid and binding obligation of
                  the Company entitled to the benefits provided by the
                  Indenture, enforceable against the Company in accordance with
                  their terms, except to the extent that enforcement thereof may
                  be limited by (A) bankruptcy, insolvency, reorganization,
                  fraudulent conveyance, moratorium or similar laws now or
                  hereafter in effect relating to creditors' rights generally
                  and (B) general principles of equity, the limits of specific
                  performance and injunctive relief, and the exercise of
                  judicial discretion (regardless of whether enforceability is
                  considered in a proceeding at law or in equity).

                           (n) The Indenture and the Securities conform in all
                  material respects to the descriptions thereof contained in the
                  Registration Statement and the Prospectus.

                           (o) No approval, consent, order, authorization,
                  designation, declaration or filing by or with any regulatory,
                  administrative or other governmental body is necessary in
                  connection with the execution and delivery of this Agreement
                  or the Indenture and the consummation of the transactions
                  contemplated this Agreement or the Indenture (other than (i)
                  the filing of a supplement to the Prospectus with the
                  Commission, and (ii) as may be required by the NASD or as
                  required by state securities and Blue Sky laws as to which


                                       10

                  such counsel need express no opinion) except such as have been
                  obtained or made by the Company, specifying the same.

                           (p) The Company is not an "investment company" or a
                  company "controlled" by an "investment company" within the
                  meaning of the Investment Company Act of 1940.

                  In addition, such counsel will provide an opinion, based on
         such counsel's own review of the Company's certificate of
         incorporation, stating that the Company was organized and continues to
         be organized in conformity with the requirements for qualification as a
         real estate investment trust under subchapter M of the Internal Revenue
         Code of 1986, as amended (the "Code") and, based on such counsel's
         review of the Company's federal income tax returns and discussions with
         management and independent public accountants for the Company, that the
         Company, taking into account operations for its taxable and fiscal
         years ended December 31, 1998 through December 31, 2001, satisfied the
         requirements for qualification and taxation as a real estate investment
         trust under the Code for such years and that its proposed method of
         operation will enable it to meet the requirements for qualification and
         taxation as a real estate investment trust under the Code for its
         taxable and fiscal year ending December 31, 2002. Furthermore, such
         counsel shall opine that the statements contained under the heading
         "Taxation" in the Registration Statement or Prospectus and in the
         Company's Annual Report on Form 10-K, and any amendments, for the
         fiscal year ended December 31, 2001 are correct and accurate in all
         material respects and present fairly and accurately the material
         aspects of the federal income tax treatment of the Company and of its
         stockholders.

                  In rendering such opinion, Shumaker, Loop & Kendrick, LLP may
         rely as to matters governed by the laws of states other than the laws
         of State of Ohio, the corporate laws of the State of Delaware or
         Federal laws on local counsel in such jurisdictions, provided that in
         such case Shumaker, Loop & Kendrick, LLP shall state that they believe
         that they and the Underwriters are justified in relying on such other
         counsel and such other counsel shall indicate that the Underwriters may
         rely on such opinion. As to matters of fact, to the extent they deem
         proper, such counsel may rely on certificates of officers of the
         Company and public officials so long as such counsel states that they
         have no reason to believe that either the Representatives or they are
         not justified in relying on such certificates. In addition to the
         matters set forth above, such opinion shall also include a statement to
         the effect that nothing has come to the attention of such counsel which
         leads them to believe that the Registration Statement, as of the time
         it became effective under the Securities Act, the Prospectus or any
         amendment or supplement thereto, on the date it was filed pursuant to
         Rule 424(b), or any of the documents incorporated by reference therein,
         as of the date of effectiveness of the Registration Statement or, in
         the case of documents incorporated by reference into the Prospectus
         after the date of effectiveness of the Registration Statement, as of
         the date when such document was filed with the Commission, contained an
         untrue statement of a material fact or omitted to state a material fact
         required to be stated therein or necessary to make the statements
         therein not misleading, and the Registration Statement and the
         Prospectus, or any amendment or supplement thereto, or any of the
         documents incorporated by reference therein, as of the date of
         effectiveness of the Registration Statement or, in the case of
         documents incorporated by reference into the Prospectus after the date
         of effectiveness of the Registration Statement, as of the respective
         date when such documents were filed with the Commission, or as of the
         Closing Date, contain an untrue statement of a material fact or omit to
         state a material fact required to be stated therein or necessary to
         make the statements therein not misleading (except that such counsel
         need express no view as to financial statements, schedules and other
         financial or statistical information included therein). With respect to
         such statement,


                                       11

         Shumaker, Loop & Kendrick, LLP, may state that this statement is based
         upon the procedures set forth or incorporated by reference therein, but
         is without independent check and verification.

                  (iv) The Representatives shall have received from Calfee,
         Halter & Griswold LLP, counsel for the Underwriters, an opinion dated
         the Closing Date, with respect to the organization of the Company, the
         validity of the Indenture and the Securities, the Registration
         Statement, the Prospectus and other related matters as the
         Representatives reasonably may request and such counsel shall have
         received such papers and information as they reasonably request to
         enable them to pass upon such matters.

                  (v) The Representatives shall have received on the Closing
         Date, a signed letter from Ernst & Young LLP, dated the Closing Date,
         which shall confirm, on the basis of a review in accordance with the
         procedures set forth in the letter, dated September 6, 2002, signed by
         such firm and delivered to the Representatives by Ernst & Young LLP,
         that nothing has come to their attention during the period from the
         date five days prior to the date hereof, to a date not more than five
         days prior to the Closing Date, which would require any change in its
         letter dated September 6, 2002 if it were required to be dated and
         delivered on the Closing Date. All such letters shall be in form and
         substance satisfactory to the Representatives.

                  (vii) The Representatives shall have received on the Closing
         Date, a certificate or certificates of the Chairman of the Board and
         Chief Executive Officer and the President and Chief Financial Officer
         of the Company to the effect that as of the Closing Date, each of them
         severally represents as follows:

                           (a) The Registration Statement has become effective
                  under the Securities Act and no stop order suspending the
                  effectiveness of the Registration Statement has been issued,
                  and no proceedings for such purpose have been taken or are, to
                  his knowledge, contemplated by the Commission.

                           (b) Subsequent to the delivery of this Agreement and
                  prior to the Closing date, there shall not have occurred any
                  downgrading, nor shall any notice have been given of (A) any
                  intended or potential downgrading or (B) any review or
                  possible change that does not indicate an improvement in the
                  rating, if any, accorded any securities of or guaranteed by
                  the Company by any "nationally recognized statistical rating
                  organization," as such term is defined for purposes of Rule
                  436(g)(2) of the Securities Act.

                           (c) He does not know of any litigation instituted or
                  threatened against the Company of a character required to be
                  disclosed in the Registration Statement which is not so
                  disclosed; he does not know of any material contract required
                  to be filed as an exhibit to the Registration Statement which
                  is not so filed; and the representations and warranties of the
                  Company contained in Section 1 hereof are true and correct as
                  of the Closing Date.

                           (d) He has carefully examined the Registration
                  Statement and the Prospectus and in his opinion, as of the
                  effective date of the Registration Statement, the statements
                  contained in the Registration Statement, including any
                  document incorporated by reference therein, were true and
                  correct, and such Registration Statement and Prospectus, or
                  any document incorporated by reference therein, did not omit
                  to state a material fact required to be stated therein or
                  necessary in order to make the statements therein not
                  misleading and, in his opinion, since the effective date of
                  the Registration Statement, no


                                       12

                  event has occurred which should have been set forth in a
                  supplement to or an amendment of the Prospectus which has not
                  been so set forth in such supplement or amendment.

         The opinions and certificates mentioned in this Agreement shall be
deemed to be in compliance with the provisions hereof only if they are in all
material respects reasonably satisfactory to the Representatives and to Calfee,
Halter & Griswold LLP, counsel for the Underwriters.

         If any of the conditions hereinabove provided for in this Section 6
shall not have been fulfilled when and as required by this Agreement to be
fulfilled, the obligations of the Underwriters hereunder may be terminated by
the Representatives by notifying the Company of such termination in writing or
by telegram at or prior to the Closing Date.

         In such event, the Company and the Underwriters shall not be under any
obligation to each other (except to the extent provided in Sections 5 and 8
hereof).

         7. CONDITIONS OF THE OBLIGATIONS OF THE COMPANY. The obligations of the
Company to sell and deliver the portion of the Securities required to be
delivered as and when specified in this Agreement are subject to the conditions
that at the Closing Date no stop order suspending the effectiveness of the
Registration Statement shall have been issued and in effect or proceedings
therefor initiated or threatened.

         8. INDEMNIFICATION.

                  (i) The Company agrees to indemnify and hold harmless each
         Underwriter, its officers and directors, and each person, if any, who
         controls any Underwriter within the meaning of the Securities Act
         against any losses, claims, damages or liabilities to which such
         Underwriter or such controlling person may become subject under the
         Securities Act or otherwise, insofar as such losses, claims, damages or
         liabilities (or actions or proceedings in respect thereof) arise out of
         or are based upon (a) any untrue statement or alleged untrue statement
         of any material fact contained or incorporated by reference in the
         Registration Statement, any Preliminary Prospectus, the Prospectus or
         any amendment or supplement thereto, (b) the omission or alleged
         omission to state therein a material fact required to be stated therein
         or necessary to make the statements therein not misleading in light of
         the circumstances under which they were made, or (c) any act or failure
         to act, or any alleged act or failure to act by any Underwriter in
         connection with, or relating in any manner to, the Securities or the
         offering contemplated hereby, and will reimburse each such Underwriter
         and each such controlling person for any legal or other expenses
         reasonably incurred by such Underwriter or such controlling person in
         connection with investigating or defending any such loss, claim,
         damage, liability, action or proceeding; provided, however, that the
         Company will not be liable in any such case to the extent that any such
         loss, claim, damage or liability arises out of or is based upon an
         untrue statement or alleged untrue statement, or omission or alleged
         omission made or incorporated by reference in the Registration
         Statement, any Preliminary Prospectus, the Prospectus, or such
         amendment or supplement, in reliance upon and in conformity with
         written information furnished to the Company by or through the
         Representatives specifically for use in the preparation thereof; and
         provided further that as to any Preliminary Prospectus this indemnity
         agreement shall not inure to the benefit of any Underwriter, its
         officers and directors, or any person controlling the Underwriter on
         account of any loss, claim, damage, liability or action arising from
         the sale of any Securities to any person by that Underwriter if that
         Underwriter failed to send or give a copy of the Prospectus, as the
         same may be amended or supplemented, to that person within the time
         required by the Securities Act, and the untrue statement or alleged
         untrue statement of a material fact or omission or alleged omission to
         state a material fact in such Preliminary Prospectus was corrected in
         the Prospectus, unless such failure resulted from non-compliance by the
         Company with Section 4(iv) or Section


                                       13

         4(v). This indemnity agreement will be in addition to any liability
         which the Company may otherwise have.

                  (ii) Each Underwriter severally and not jointly will indemnify
         and hold harmless the Company, each of its directors, each of its
         officers who have signed the Registration Statement, and each person,
         if any, who controls the Company within the meaning of the Securities
         Act, against any losses, claims, damages or liabilities to which the
         Company or any such director, officer or controlling person may become
         subject under the Securities Act or otherwise, insofar as such losses,
         claims, damages or liabilities (or actions or proceedings in respect
         thereof) arise out of or are based upon any untrue statement or alleged
         untrue statement of any material fact contained or incorporated by
         reference in the Registration Statement, any Preliminary Prospectus,
         the Prospectus or any amendment or supplement thereto, or arise out of
         or are based upon the omission or the alleged omission to state therein
         a material fact required to be stated therein or necessary to make the
         statements therein not misleading in the light of the circumstances
         under which they were made; and will reimburse any legal or other
         expenses reasonably incurred by the Company or any such director,
         officer or controlling person in connection with investigating or
         defending any such loss, claim, damage, liability, action or
         proceeding; provided, however, that each Underwriter will be liable in
         each case to the extent, but only to the extent, that such untrue
         statement or alleged untrue statement or omission or alleged omission
         has been made or incorporated by reference in the Registration
         Statement, any Preliminary Prospectus, the Prospectus or such amendment
         or supplement, in reliance upon and in conformity with written
         information furnished to the Company by or through the Representatives
         specifically for use in the preparation thereof. This indemnity
         agreement will be in addition to any liability which such Underwriter
         may otherwise have.

                  (iii) In case any proceeding (including any governmental
         investigation) shall be instituted involving any person in respect of
         which indemnity may be sought pursuant to this Section 8, such person
         (the "indemnified party") shall promptly notify the person against whom
         such indemnity may be sought (the "indemnifying party") in writing. No
         indemnification provided for in Sections 8(i) or (ii) shall be
         available to any party who shall fail to give notice as provided in
         this Section 8(iii) if the party to whom notice was not given was
         unaware of the proceeding to which such notice would have related and
         was prejudiced by the failure to give such notice, but the failure to
         give such notice shall not relieve the indemnifying party or parties
         from any liability which it or they may have to the indemnified party
         for contribution or otherwise than on account of the provisions of
         Sections 8(i) or (ii). In case any such proceeding shall be brought
         against any indemnified party and it shall notify the indemnifying
         party of the commencement thereof, the indemnifying party shall be
         entitled to participate therein and, to the extent that it shall wish
         jointly with any other indemnifying party similarly notified, to assume
         the defense thereof, with counsel satisfactory to such indemnified
         party and shall pay as incurred the fees and disbursements of such
         counsel related to such proceeding. In any such proceeding, any
         indemnified party shall have the right to retain its own counsel at its
         own expense. Notwithstanding the foregoing, the indemnifying party
         shall pay as incurred the fees and expenses of the counsel retained by
         the indemnified party in the event (a) the indemnifying party and the
         indemnified party shall have mutually agreed to the retention of such
         counsel or (b) the named parties to any such proceeding (including any
         impleaded parties) include both the indemnifying party and the
         indemnified party and representation of both parties by the same
         counsel would be inappropriate due to actual or potential differing
         interests between them, in which case the indemnifying party shall not
         be entitled to assume the defense of such suit notwithstanding its
         obligation to bear the fees and expenses of such counsel. It is
         understood that the indemnifying party shall not, in connection with
         any proceeding or related proceedings in the same jurisdiction, be
         liable for the reasonable fees and expenses of more than one separate
         firm


                                       14

         for all such indemnified parties. Such firm shall be designated in
         writing by you in the case of parties indemnified pursuant to Section
         8(i) and by the Company in the case of parties indemnified pursuant to
         Section 8(ii). The indemnifying party shall not be liable for any
         settlement of any proceeding effected without its written consent but
         if settled with such consent or if there be a final judgment for the
         plaintiff, the indemnifying party agrees to indemnify the indemnified
         party from and against any loss or liability by reason of such
         settlement or judgment. Notwithstanding the foregoing sentence, if at
         any time an indemnified party shall have requested an indemnifying
         party to reimburse the indemnified party for fees and expenses of
         counsel as contemplated by the fifth sentence of this paragraph, the
         indemnifying party agrees that it shall be liable for any settlement of
         any proceeding effected without its written consent to which the
         indemnification obligations of the Company hereunder are applicable if
         (a) such settlement is entered into more than 60 days after receipt by
         such indemnifying party of the aforesaid request and (b) such
         indemnifying party shall not have reimbursed the indemnified party in
         accordance with such request prior to the date of such settlement.

                  (iv) If the indemnification provided for in this Section 8 is
         unavailable to or insufficient to hold harmless to the extent required
         therein an indemnified party under Sections 8(i) or (ii) above in
         respect of any losses, claims, damages or liabilities (or actions or
         proceedings in respect thereof) referred to therein, then each
         indemnifying party shall contribute to the amount paid or payable by
         such indemnified party as a result of such losses, claims, damages or
         liabilities (or actions or proceedings in respect thereof) in such
         proportion as is appropriate to reflect the relative benefits received
         by the Company and the Underwriters from the offering of the
         Securities. If, however, the allocation provided by the immediately
         preceding sentence is not permitted by applicable law or if the
         indemnified party failed to give the notice required under Section
         8(iii) above, then each indemnifying party shall contribute to such
         amount paid or payable by such indemnified party in such proportion as
         is appropriate to reflect not only such relative benefits but also the
         relative fault of the Company and the Underwriters in connection with
         the statements or omissions which resulted in such losses, claims,
         damages or liabilities (or actions or proceedings in respect thereof),
         as well as any other relevant equitable considerations. The relative
         benefits received by the Company and the Underwriters shall be deemed
         to be in the same proportion as the total net proceeds from the
         offering (before deducting expenses) received by the Company and the
         Underwriters bear to the total proceeds of the offering (the proceeds
         received by the Underwriters being equal to the total underwriting
         discounts and commissions received by the Underwriters), in each case
         as set forth in the table on the cover page of the Prospectus. The
         relative fault 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 the Underwriters and the
         parties' relative intent, knowledge, access to information and
         opportunity to correct or prevent such statement or omission.

                  The Company and the Underwriters agree that it would not be
         just and equitable if contributions pursuant to this Section 8(iv) were
         determined by pro rata allocation or by any other method of allocation
         which does not take account of the equitable considerations referred to
         above in this Section 8(iv). The amount paid or payable by an
         indemnified party as a result of the losses, claims, damages or
         liabilities (or actions or proceedings in respect thereof) referred to
         above in this Section 8(iv) shall be deemed to include any legal or
         other expenses reasonably incurred by such indemnified party in
         connection with investigating or defending any such action or claim.
         Notwithstanding the provisions of this Section 8(iv), (a) no
         Underwriter shall be required to contribute any amount in excess of the
         underwriting discounts and commissions applicable to the Securities
         purchased by such Underwriter and (b) no person guilty of fraudulent
         misrepresentation (within the meaning of Section 11(f) of the
         Securities Act) shall be entitled to


                                       15

         contribution from any person who was not guilty of such fraudulent
         misrepresentation. The Underwriters' obligations in this Section 8(iv)
         to contribute are several in proportion to their respective
         underwriting obligations and not joint.

                  (v) In any proceeding relating to the Registration Statement,
         any Preliminary Prospectus, the Prospectus or any supplement or
         amendment thereto, each party against whom contribution may be sought
         under this Section 8 hereby consents to the jurisdiction over any other
         contributing party, agrees that process issuing from such court may be
         served upon him or it by any other contributing party and consents to
         the service of such process and agrees that any other contributing
         party may join him or it as an additional defendant in any such
         proceeding in which such other contributing party is a party.

         9. NOTICES. All communications hereunder shall be in writing and,
except as otherwise provided herein, will be mailed, delivered or telegraphed
and confirmed as follows: if to the Underwriters, to Deutsche Bank Securities
Inc., 31 52nd Street, 25th Floor, New York, New York, 10019, Attention: John W.
Patterson; if to the Company, to Health Care REIT, Inc., One SeaGate, Suite
1500, Toledo, Ohio 43603-1475, Attention: George L. Chapman, Chairman of the
Board and Chief Executive Officer.

         10. TERMINATION. This Agreement may be terminated by you by notice to
the Company as follows:

                  (i) at any time prior to the Closing Date if any of the
         following has occurred: (a) since the date as of which information is
         given in the Prospectus, any material adverse change or any development
         involving a prospective material adverse change in or affecting the
         condition, financial or otherwise, of the Company or the earnings,
         business affairs, management or business prospects of the Company,
         whether or not arising in the ordinary course of business, (b) any
         outbreak or escalation of hostilities or declaration of war or national
         emergency after the date hereof or other national or international
         calamity or crisis or change in economic or political conditions if the
         effect of such outbreak, escalation, declaration, emergency, calamity,
         crisis or change on the financial markets of the United States would,
         in your judgment, make the offering or delivery of the Securities
         impracticable or inadvisable, (c) trading in securities generally or in
         the Company's securities on the New York Stock Exchange or the American
         Stock Exchange shall have been suspended or materially limited (other
         than limitations on hours or numbers of days of trading) or minimum
         prices shall have been established for securities on either such
         Exchange, (d) the enactment, publication, decree or other promulgation
         of any federal or state statute, regulation, rule or order of any court
         or other governmental authority which in your reasonable opinion
         materially and adversely affects or will materially or adversely affect
         the business or operations of the Company, (e) declaration of a banking
         moratorium by either federal or New York State authorities or material
         disruption in securities settlement or clearance services in the United
         States, (f) the taking of any action by any federal, state or local
         government or agency in respect of its monetary or fiscal affairs which
         in your reasonable opinion has a material adverse effect on the
         securities markets in the United States, (g) any litigation or
         proceeding is pending or threatened against any Underwriter which seeks
         to enjoin or otherwise restrain, or seeks damages in connection with,
         or questions the legality or validity of this Agreement or the
         transactions contemplated hereby, or (h) any downgrading in the rating
         of the Company's debt securities by any "nationally recognized
         statistical rating organization" (as defined for purposes of Rule
         436(g) under the Exchange Act); or

                  (ii) as provided in Section 6 of this Agreement.


                                       16

         11. DEFAULT OF UNDERWRITERS. If, at the Closing, any one or more of the
Underwriters shall fail or refuse to purchase Securities that it has or they
have agreed to purchase hereunder on such date, and the aggregate principal
amount of Securities which such defaulting Underwriter or Underwriters agreed
but failed or refused to purchase is ten percent or less of the aggregate
principal amount of Securities to be purchased on such date, the other
Underwriters may make arrangements satisfactory to the Representatives for the
purchase of such Securities by other persons (who may include one or more of the
non-defaulting Underwriters, including the Representatives), but if no such
arrangements are made by the Closing Date, the other Underwriters shall be
obligated severally in the proportions that the principal amount of Securities
set forth opposite their respective names in Schedule II hereto bears to the
aggregate principal amount of Securities set forth opposite the names of all
such non-defaulting Underwriters, or in such other proportions as the
Representatives may specify, to purchase the Securities which such defaulting
Underwriter or Underwriters agreed but failed or refused to purchase on such
date. If, at the Closing, any Underwriter or Underwriters shall fail or refuse
to purchase Securities and the aggregate principal amount of Securities with
respect to which such default occurs is more than ten per cent of the aggregate
principal amount of Securities to be purchased, and arrangements satisfactory to
the Representatives and the Company for the purchase of such Securities are not
made within 36 hours after such default, this Agreement shall terminate without
liability on the part of any non-defaulting Underwriter or the Company. In any
such case either the Representatives or the Company shall have the right to
postpone the Closing, but in no event for longer than seven days, in order that
the required changes, if any, in the Registration Statement and in the
Prospectus or in any other documents or arrangements may be effected. As used in
this Agreement, the term "Underwriter" includes any person substituted for an
Underwriter under this Section 11. Any action taken under this Section 11 shall
not relieve any defaulting Underwriter from liability in respect of any default
of such Underwriter under this Agreement.

         12. SUCCESSORS. This Agreement has been and is made solely for the
benefit of the Underwriters and the Company and their respective successors,
executors, administrators, heirs and assigns, and the officers, directors and
controlling persons referred to herein, and no other person will have any right
or obligation hereunder. The term "successors" shall not include any purchaser
of the Securities merely because of such purchase.

         13. MISCELLANEOUS. The reimbursement, indemnification and contribution
agreements contained in this Agreement and the representations, warranties and
covenants in this Agreement shall remain in full force and effect regardless of
(i) any termination of this Agreement, (ii) any investigation made by or on
behalf of any Underwriter or controlling person thereof, or by or on behalf of
the Company or its directors or officers and (iii) delivery of and payment for
the Securities under this Agreement.

         This Agreement may be executed in two or more counterparts, each of
which shall be deemed an original, but all of which together shall constitute
one and the same instrument.

         This Agreement shall be governed by, and construed in accordance with,
the laws of the State of New York.


             [The remainder of this page intentionally left blank.]


                                       17

         If the foregoing letter is in accordance with your understanding of our
agreement, please sign and return to us the enclosed duplicates hereof,
whereupon it will become a binding agreement among the Company and the
Underwriters in accordance with its terms.

                                           Very truly yours,

                                           HEALTH CARE REIT, INC.


                                           By:  /s/ George L. Chapman
                                                ---------------------
                                              Name: George L. Chapman
                                              Title: Chairman of the Board and
                                                     Chief Executive Officer


The foregoing Underwriting Agreement is
hereby confirmed and accepted as of the date
first above written.

DEUTSCHE BANK SECURITIES INC.
UBS WARBURG LLC
AS REPRESENTATIVES OF THE UNDERWRITERS LISTED ON SCHEDULE I

BY:      DEUTSCHE BANK SECURITIES INC.


         By:   /s/ John W. Patterson
               ---------------------
             Name:  John W. Patterson
             Title:  Managing Director


         By:   /s/ David M. DeMartino
               -------------------------
             Name: David M. DeMartino
             Title: Associate

BY:      UBS WARBURG LLC


         By:   /s/ David Gately
               ----------------
             Name:  David Gately
             Title:  Managing Director


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                                   SCHEDULE I


Underwriters:                       Deutsche Bank Securities Inc.
                                    UBS Warburg LLC

Underwriting Agreement Date:        September 6, 2002

Registration Statement No.:         333-73936

Title of Securities:                8.0% Senior Notes due September 12, 2012
                                    (the "Notes")

Aggregate Principle Amount:         $150,000,000

Price to Public:                    99.5% of the principal amount of the Notes

Underwriting Discount:              1.0%

Purchase Price to Underwriter:      98.5% of the principal amount of the Notes

Indenture:                          Indenture, dated as of September 12, 2002,
                                    as amended by the Supplemental Indenture No.
                                    1, between Health Care REIT, Inc. and The
                                    Fifth Third Bank

Trustee:                            The Fifth Third Bank

Maturity:                           September 12, 2012

Interest Rate:                      8.0%

Interest Payment Dates:             March 12 and September 12

Optional Redemption Provisions:     Make-Whole provision (T+25bps)

Sinking Fund Provisions:            No

Closing Date and Time of Delivery:  September 12, 2002

Closing Location:                   Calfee, Halter & Griswold LLP
                                    1400 McDonald Investment Center
                                    800 Superior Avenue
                                    Cleveland, Ohio  44114-2688


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                                   SCHEDULE II

                            SCHEDULE OF UNDERWRITERS




                                                     AMOUNT OF SECURITIES TO
UNDERWRITER                                               BE PURCHASED
- -----------                                               ------------
                                                  
Deutsche Bank Securities Inc..................            $56,250,000
UBS Warburg LLC...............................            $48,750,000
Banc of America Securities LLC................            $22,500,000
Legg Mason Wood Walker, Incorporated..........            $11,250,000
Raymond James & Associates, Inc...............            $11,250,000
                                                          -----------

         Total................................           $150,000,000
                                                         ============



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