EXHIBIT 1.1


                             HEALTH CARE REIT, INC.

                                  $100,000,000

                               8.0% Notes due 2012

                             UNDERWRITING AGREEMENT
                             ----------------------


                                                                  March 12, 2003

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 II 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 Mississippi Properties, Inc., HCRI Illinois
     Properties, LLC, HCRI Missouri Properties, LLC,




                                       2


     HCRI Surgical Properties, LLC and HCRI Tucson Properties, Inc., 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 December 31, 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, 2002 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
West 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, 2002 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, either such counsel or Arnold & Porter, special tax
     counsel to the Company, 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, 1999 through December 31, 2002,
     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, 2003. 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, 2002
     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, such counsel 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 such counsel 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, the opinion of Shumaker, Loop & Kendrick, LLP 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, Shumaker, Loop &




                                       11



     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 March 12, 2003, 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 March 12, 2003 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 West 52nd Street, 25th Floor, New York, New York, 10019, Attention: Carlos
DelCristo; 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 II

<Table>
                                                           
BY:   DEUTSCHE BANK SECURITIES INC.

      By:     /s/ Erich Mauff
              ------------------------------------
            Name:  Erich Mauff
            Title: Managing Director


      By:     /s/  Anguel Zaprianov
              ------------------------------------
            Name:  Anguel Zaprianov
            Title: Associate


BY:   UBS WARBURG LLC


      By:     /s/ Christopher Forshner                           /s/ Ryan Donovan
              ------------------------------------               -----------------------------------
            Name:  Christopher Forshner                          Ryan Donovan
            Title: Executive Director                            Associate Director
</Table>








                                       18






                                   SCHEDULE I
                                   ----------




                                      
Underwriters:                             Deutsche Bank Securities Inc.
                                          UBS Warburg LLC
                                          Banc of America Securities LLC
                                          McDonald Investments Inc.

Underwriting Agreement Date:              March 12, 2003

Registration Statement No.:               333-73936

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

Aggregate Principle Amount:               $100,000,000

Price to Public:                          104.036% of the principal amount of the Notes (plus
                                          accrued interest)

Underwriting Discount:                    0.750%

Purchase Price to Underwriter:            103.286% of the principal amount of the Notes (plus
                                          accrued interest)

Indenture:                                Indenture, dated as of September 6, 2002, as amended by
                                          the Supplemental Indenture No. 1, between Health Care
                                          REIT, Inc. and The Fifth Third Bank, as amended

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:        March 17, 2003

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







                                       19




                                   SCHEDULE II

                            SCHEDULE OF UNDERWRITERS


                                                         AMOUNT OF SECURITIES TO
UNDERWRITER                                                   BE PURCHASED
- -----------                                                   ------------

Deutsche Bank Securities Inc.................................   $37,500,000
UBS Warburg LLC..............................................   $37,500,000
Banc of America Securities LLC...............................   $20,000,000
McDonald Investments Inc.....................................    $5,000,000
                                                                 ----------

         Total...............................................  $100,000,000
                                                               ============








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