Exhibit (a)(4)





August 12, 2005

SUBJECT:  HIGHER OFFER TO PURCHASE UNITS at $23.00 per Unit, at least $2 per
          Unit more than the Proposed Sale!

Dear Unit Holder:

As described in the Offer to Purchase  and related  Letters of  Transmittal
(the "Offer") that we sent you a few weeks ago, we are offering to purchase up
to 1,540,000 Units or 100% of the outstanding limited partnership interests (the
"Units") in MERIDIAN HEALTHCARE GROWTH & INCOME FUND, L.P. (the "Partnership")
at a purchase price equal to:

            $23 per Unit--at least a $2 PREMIUM to the proposed Sale!

We are extending the Offer for an additional  week, until August 26, 2005.
In addition, we are taking this opportunity to respond to the General Partner's
"neutral" stance with respect to our Offer.

       o  The  General  Partner  acknowledges  that our  Offer  "represents  a
          premium of approximately $2 per Unit above the  approximately  $21 per
          Unit  the  Fund  expects  will be  available  for  distribution"  upon
          Formation Sale.

       o  The  General  Partner  stated  that  it  believed  that  there  was
          uncertainty  regarding  the  consummation  of our  Offer,  but gave no
          reasons  for this  belief.  In fact,  we offered to change some of the
          conditions  to our  Offer  if  the  General  Partner  would  agree  to
          recommend to you that you tender your Units,  but the General  Partner
          refused to do so.

       o  The General Partner agreed in the contract to sell the Facilities to
          recommend  the  Sale,  so  there is a  conflict  between  the  General
          Partner's  obligation  under that agreement and the General  Partner's
          fiduciary duty to you to recommend what's best for you.

       o  Although the General Partner states that it is possible that neither
          the Formation  Contract nor our Offer will be consummated,  we believe
          that to be highly  unlikely.  But in any event,  if we are right about
          the value of the Facilities,  there is only upside  potential for you!
          As  we  stated  in  our  proxy  statement,  Senior  Living  Investment
          Brokerage,  Inc.  believes  that  the  facilities  are  worth  between
          $62,300,000 and $68,500,000, or approximately 24% to 37% more than the
          Formation offer of $50,000,000!(a)

       o  The  General  Partner  points  to the fact  that  there is no public
          information  regarding our ability to fund this Offer. We believe this
          is misleading  because it fails to mention that we have represented to
          both you and the U.S.  Securities and Exchange Commission that we have
          adequate funds to consummate the Offer.

       o  This Offer is conditioned upon Formation Capital deal failing to get
          approval, so if you want to sell your Units, you should also send in a
          "DOES NOT CONSENT" form to the General  Partner or grant us a proxy to
          do so on your behalf.  Please note that while it is NOT a condition to
          our  accepting  your  Units  that you  submit  a proxy or a "Does  not
          Consent"  form,  failure  to do so  reduces  the  likelihood  that the
          condition that the consent fail will be satisfied.

After carefully  reading the Offer, if  you  elect  to  tender  your Units, mail
(using  the  enclosed  pre-addressed,  postage  paid  envelope)  or  fax a  duly
completed and executed copy of the Letter of Transmittal (printed on pink paper)
and change of address forms,  and any other documents  required by the Letter of
Transmittal, to the Depositary for the Offer at:

                        MacKenzie Patterson Fuller, Inc.
                               1640 School Street
                            Moraga, California 94556
                            Facsimile: (925) 631-9119




If  you  are  going to tender  your  Units and grant us a proxy,  please  review
our proxy  materials and the consent  solicitation  sent by the  Partnership and
consider our position.  If you have already  granted us a proxy,  or submitted a
"Does not Consent" form to the General Partner,  or if you have not voted (which
counts as a "no" vote), you do not need to take any further action.  Further, we
want to  clarify  that we are  making  this  Offer  at the  same  time as we are
soliciting  proxies to vote down the proposed  Sale.  Thus,  while we are making
this  Offer  with the  intent to  profit,  we also hope that our Offer will help
prevent  the Sale from  closing.  If our Offer is  successful,  we may  obtain a
majority  ownership  in the  Partnership,  but we have no plan with  respect  to
liquidation of the Partnership.  We may attempt to persuade the General Partners
to market the Facilities for sale. We may, at some point,  explore the option of
taking  over the role of General  Partner  if we are  unhappy  with the  General
Partners'  performance,  but there are restrictions in the Partnership Agreement
that may prevent us from doing so (replacement of a General Partner requires the
other General Partner's consent and limited partner approval). Also, please note
that in our  discussion of the Federal  Income Tax  Consequences  section of our
Offer, we assume that the  Partnership  will be treated as a partnership for tax
purposes;  we cannot assure you that it will not be treated as a publicly traded
partnership because the IRS could determine that the Units are readily traded on
a secondary market by virtue of the fact that there have been some tender offers
and auction trades of Units,  however  unlikely and  inconsistent  with the Code
that would be.

If you have any questions or need assistance, please call the Depository at
800-854-8357.

This Offer expires (unless extended) August 26, 2005.


- --------------------------------------------

(a) Senior Living Investment Brokerage, Inc. Report

Brief   Description   of   Qualifications:  The   principals  at  Senior  Living
Investment Brokerage, Inc. ("Senior Living") have the knowledge and expertise to
value and market the Facilities.  Senior Living has sold over 400 senior housing
facilities and has over $300 million in transactional  experience.  Representing
sellers of long-term  care  facilities  is all it does.  Its  principals  have a
combined  experience  of  over  62  years  in  financing,  developing,  selling,
acquiring, brokering, appraising, and managing commercial real estate.

Method  of  Selection:  One of our  affiliated  companies owns a nursing home in
Kansas that Senior  Living is currently  marketing  for sale.  Senior Living has
also consulted with us in the past about possible refinancing  opportunities for
two of our affiliates' nursing facilities. We asked Senior Living if it would be
willing to analyze  the  Facilities  and  prepare a proposal as if it were being
considered to market the  Facilities  for sale. We selected this  brokerage firm
because of the pre-existing  relationship our principals have with the firm, and
because we believe the firm is extremely  well-qualified  to determine the value
of the Facilities given its expertise and experience.

Relationship  and  Compensation  to  be  Received: The only relationship between
Senior  Living and us is the Listing  Agreement  between  Senior  Living and our
affiliate to sell a skilled nursing  facility owned by that affiliate in Kansas.
Pursuant  to that  Listing  Agreement,  Senior  Living  will be paid a customary
brokerage commission.  No compensation was paid or will be paid to Senior Living
for the analysis it performed on the value of the Facilities.

Summary of Report:
We  requested   Senior  Living   to  prepare   a  marketing   proposal  for  the
Facilities,  as if it were being considered to be the broker for the sale of the
Facilities (of course, this was hypothetical because we do not control who would
be  retained to market and sell the  Facilities  if the  Partnership  decided to
market them because we are not the General  Partners).  Senior Living determined
the two most common variables used when pricing Skilled Nursing Facilities:  the
Income  Approach (or  Capitalization  Rates and Gross Income  Multiple) and Sold
Comparables. Senior Living relied on information disclosed in Partnership's Form
10-K for the fiscal year ended  December 31, 2004. In order to determine a value
based  upon  capitalization  rates,  it had to choose an  appropriate  rate (the
Income Approach  determines value by dividing net operating income by the chosen
capitalization rate). It reviewed three sources, National Investment Center, The
Senior Care Investment Report, and Senior Housing Investment Survey to determine
the  range of recent  capitalization  rates for  similar  properties.  Given the
stability  of  the   Facilities'   performance,   as  well  as  other   positive
characteristics, Senior Living believes an 11.0% to 11.5% capitalization rate is
an appropriate range for valuation purposes. Applying these capitalization rates
to the  Facilities'  performance  yields  a value  of  between  $65,500,000  and
$68,500,000.




Using  the  Gross  Income  Multiple ("GIM")  analysis,  Senior  Living looked to
the average GIM for skilled nursing facilities in 2004 and 2003, 0.73, according
to the Senior Care Acquisition Report. It increased the GIM by 0.22 for the sale
of the  Facilities  because of the  increased  economies  of scale  offered in a
portfolio sale of multiple  properties.  Thus, it used a GIM of 0.95. The GIM is
the sale price divided by the gross revenue.  Thus, using a GIM of 0.95 yields a
probable sale price of  approximately  $62,300,000  based upon 2004 revenue,  as
disclosed by the Partnership.

Senior  Living  also  looked  at  several  comparable  sales of skilled  nursing
facilities in comparable markets to determine a value for the Facilities. It did
so by calculating the sale price "per bed" and multiplying by the number of beds
in the  Facilities.  Analyzing  the  comparable  sales  and  adjusting  for  the
attributes of the Facilities, Senior Living determined that at least $60,000 per
bed was  appropriate,  yielding a $66,200,000  value for the Facilities.  Senior
Living concluded,  based upon the information  available and the above analysis,
that it would ask  $70,000,000  for the  Facilities  were it the brokerage  firm
hired to sell the Facilities.