Heritage

                   AMENDMENT NO. 3 TO LEASE AGREEMENT

     THIS AMENDMENT NO. 3 TO LEASE AGREEMENT (this "Amendment No. 3")
is made this 3 day of September, 1998, by and between HERITAGE
ASSOCIATES LIMITED PARTNERSHIP, a Maryland limited partnership (the
"Landlord"), and ET-SUB MERIDIAN LIMITED PARTNERSHIP, L.L.P., a
Virginia limited liability partnership ("Tenant").

                                RECITALS

     A.  Landlord and Meridian Healthcare, Inc. (formerly known as MHC
Acquisition Corporation), a Pennsylvania corporation ("Meridian"),
entered into a Lease Agreement dated as of November 30, 1993 (the
"Original Lease Agreement"), wherein Landlord leased to Meridian certain
real property and the improvements thereon known as Meridian Nursing
Center-Heritage, located in Baltimore County, Maryland, as more
particularly described in Exhibit A attached hereto (the "Property"),
upon the terms and conditions set forth in the Lease.

     B.  The Original Lease Agreement previously has been amended by that
certain Amendment No. 1 to Lease Agreement dated as of August 1, 1994
("Amendment No. 1") and that certain Amendment No. 2 to Lease Agreement
dated as of August 1, 1994 ("Amendment No. 2"; the Original Lease
Agreement as amended by Amendment No. 1 and Amendment No. 2 hereinafter
shall be known as the "Lease Agreement").

     C.  By Assignment of Lease Agreement of even date herewith, Meridian
has assigned all of its right, title and interest as tenant under the
Lease to Tenant.

     D.  Landlord and Tenant now desire to amend certain terms and
conditions of the Lease Agreement as set forth herein.

     NOW, THEREFORE, in consideration of the mutual promises hereinafter
set forth, Landlord and Tenant hereby agree as follows:

     1.  The foregoing Recitals are hereby incorporated herein by
reference.  The defined terms used in the Lease Agreement shall have
the same meaning when used herein, unless a contrary intent is indicated.

     2.  Landlord and Tenant agree that the fair market value of that
portion of the Premises leased by Tenant that consists of personal
property accounts (including any personal property that will be treated
as property of the Landlord under Section 13.01 of the Lease Agreement)
for less than ten percent (10%) of the aggregate fair market value of
the Premises.

     3.  Section 1.02 of the Lease Agreement hereby is deleted in its
entirety and in lieu thereof is inserted the following:

          Section 1.02  The term of the Lease (the "Initial Term")
     commenced on November 30, 1993 (the "Commencement Date") and
     shall end onMarch 1, 2009.

     4.  Section 1.03 of the Lease Agreement hereby is deleted in its
entirety and in lieu thereof is inserted the following:

          Section 1.03 Tenant shall have the option to renew this Lease
     for one ten (10) year term (the "Renewal Term") provided that Tenant
     shall give Landlord notice of intent to renew at least twelve (12)
     months prior to the expiration of the Initial Term and that Tenant
     shall not be in default beyond any applicable notice and cure
     periods hereunder.  The Renewal Term shall begin on the day after
     the Initial Term ends and shall end on the tenth anniversary of the
     last day of the Initial Term.  The Initial Term and the Renewal Term
     are hereinafter collectively referred to as the "Term".  The Initial
     Term and Renewal Term shall be extended if necessary to allow Tenant
     to exercise its rights under the last two sentences of Paragraph 2.A.
     of the Purchase Option.

     5.  Section 2.01 of the Lease Agreement hereby is deleted in its
entirety and in lieu thereof is inserted the following:

         Section 2.01 The amounts required to be paid pursuant to this
     Section 2.01 are called "Basic Rent". For each Lease Year (as
     defined in Article 31) commencing with the Lease Year that
     commences on the date hereof and continuing until the end of the
     Initial Term, Tenant shall pay to Landlord in lawful money of the
     United States of America, or by check subject to collection, at the
     address of Landlord specified above or at such other place as
     Landlord may from time to time designate, without any deduction or
     offset, the amounts set forth on Exhibit B hereto.  For each Lease
     Year during the Renewal Term, if any, the Basic Rent shall be the
     greatest of (a) the amounts set forth on Exhibit B hereto, (b) the
     amount that would provide a debt service coverage of 1.3:1 on a loan
     in the principal amount of the outstanding balance under the Loan
     Documents on the first day of the Renewal Term, at the then
     prevailing interest rate, having a fully amortizing schedule of
     25 years or (c) the Fair Rental Value (as defined in Article 31).

                                   -2-

     Basic Rent shall be payable in advance in equal monthly
     installments due on the first day of each calendar month during
     the Term.

          So long as any amounts are outstanding to German American
     Capital Corporation or any successor or assignee thereof (the
     "Lender") under those certain Note, Deed of Trust/Mortgage, Loan
     Agreement or other documents executed in connection with the loan
     (the "Loan") from Lender to Landlord of even date herewith
     (collectively, the "Loan Documents"), Tenant shall make all
     payments of Basic Rent, additional rent, and all escrows, impounds,
     and reserves as required by Lender pursuant to the Loan Documents
     into the "Deposit Account" established pursuant to that certain
     Deposit Account Agreement dated of even date herewith among
     Landlord, the Lender and the Deposit Bank (as defined therein),
     whether or not any of such escrows, impounds, or reserves are
     otherwise specifically required under the terms of this Lease.

     6.  Section 4.02.A. of the Lease Agreement hereby is amended to
insert the following at the end of the paragraph:

     ; provided, however, that if proceeds of insurance payable by
     reason of any loss or damage to the Leased Property are less than
     $100,000, such amount shall be paid to Tenant only.

     7.  Section 8.03 of the Lease Agreement hereby is amended to delete
the first sentence and in lieu thereof is inserted the following:

          Anything herein to the contrary notwithstanding, in the event
     the Premises is totally or partially destroyed and cannot be used
     as a nursing home, and the Premises cannot be fully repaired or
     restored within a nine (9) month period from the date of damage or
     destruction to substantially the same condition as existed
     immediately before the damage or destruction, then Tenant shall
     have the right and option to either (A) terminate this Lease by
     giving Landlord notice of such termination within sixty (60) days
     after the date of such damage or destruction, and the effective
     date shall be thirty (30) days following such notice of termination
     or (B) exercise the Purchase Option (as defined in Section 31.01)
     within sixty (60) days after the date of such damage or destruction,
     and Tenant shall be entitled to receive, and Landlord shall assign
     to Tenant all of its right, title and interest in any insurance
     proceeds applicable to the Premises.

     8.  Section 8.06 of the Lease Agreement is hereby deleted in its
entirety.

                                   -3-

     9.  Section 11.01 of the Lease Agreement hereby is amended by the
deletion of the last sentence therefrom.

     10.  Notwithstanding Section 13.03 or Article 24 of the Lease
Agreement to the contrary, Landlord acknowledges that Tenant itself
shall not be obligated to operate a nursing home on the Premises or
to maintain a license to operate a nursing home on the Premises;
provided, however, that Tenant agrees that during the term of the Lease
Agreement it will sublease the Premises to an entity that will operate a
nursing home on the Premises and that such sublease will require the
subtenant to maintain a license to operate a nursing home on the Premises.

     11.  Section 17.04 of the Lease Agreement hereby is amended by the
deletion of the second sentence thereof.

     12.  Section 22.01 of the Lease Agreement hereby is modified to
require each party to deliver the certificate described in said Section
22.01 within twenty (20) days after written request therefor.

     13.  The notice address for Tenant set forth in Section 23.01 of
the Lease Agreement hereby is modified and restated in its entirety to
read as follows:


          If to Tenant:

             ET Sub-Meridian Limited Partnership, L.L.P.
             c/o ET Meridian, L.L.C.
             101 East State Street
             Suite 100
             Kennett Square, Pennsylvania 19348
             Attention:  Edward B. Romanov, Jr.
             Sole Member

          With a required copy to:

             Hogan & Hartson L.L.P.
             8300 Greensboro Drive
             McLean, Virginia 22102
             Attention:  Lee E. Berner, Esq.

     14.  The notice address for Landlord set forth in Section 23.01 of
the Lease Agreement hereby is modified and restated in its entirety to
read as follows:

                                  -4-

          If to Landlord:

             c/o Fairmount Associates, Inc.
             515 Fairmount Avenue, Suite 900
             Towson, Maryland 21286

         With a required copy to:

             Piper & Marbury L.L.P.
             36 South Charles Street
             Baltimore, Maryland 21201
             Attention:  Edward J. Levin, Esq.

     15.  Section 31.01C of the Lease Agreement hereby is deleted in
its entirety and in lieu thereof is inserted the following:

     "Fee Mortgagee" and "Fee Mortgage" mean the holder and the
     mortgage lien respectively of any mortgage or deed of trust
     secured by Landlord's fee simple interest in the Premises
     existing on the date of Amendment and any future such future
     holder and lien approved by Tenant in its sole and absolute
     discretion.

     16.  The definition of "Lease Year" set forth in Section 31.01F
of the Lease Agreement hereby is amended by the insertion, at the end
thereof, of the following:

     Notwithstanding the foregoing, the Lease Year that commenced
     on December 1, 1997 shall terminate on the date prior to the date
     hereof. Commencing on the date hereof, "Lease Year" shall mean
     each one year period that commences on the month and day hereof
     and ends on the month and day immediately preceding the month and
     day hereof in the following year, or, in the case of the final
     Lease Year, ends on the last day of the Term.

     17.  In the event there is a default under the Loan Documents
caused by a default by Tenant's subtenant under any sublease agreement
and the Premises is released from lien imposed by the Loan Documents,
Tenant shall be responsible for the payment of any and all costs of the
release of the Premises pursuant to the terms and conditions of the
Loan Documents, including, but not limited to, the cost of any
prepayment penalty and defeasance costs.

     18.  The following covenants are hereby added to the Lease
Agreement:

     (a) Landlord agrees that it will not consent to a request by Lender
         for any additional reserves under the terms and conditions of
         the Loan Documents without the consent of Tenant; and

                                   -5-

     (b) Landlord agrees that it will not consent to a request by Lender
         for any additional reporting requirements under the terms and
         conditions of the Loan Documents without the consent of Tenant.

     19.  Notwithstanding anything to the contrary contained in the Lease
Agreement, the Lease Agreement and all of the terms and provisions thereof
shall be subject and subordinate to the terms and provisions of that certain
Four Party Subordination, Non-Disturbance and Attornment Agreement dated of
even date herewith among German American Capital Corporation, a Maryland
corporation (the Fee Mortgagee on the date hereof), Landlord, Tenant and
Meridian.

     20.  The terms of the Lease Agreement, except as expressly modified
hereby, shall remain in full force and effect and are hereby ratified and
confirmed by the Landlord and Tenant. All references in the Lease Agreement
and in all other documents and instruments executed and delivered in
connection therewith hereinafter shall be deemed to be a reference to the
Lease Agreement as amended by this Amendment.



                        [SIGNATURE PAGE TO FOLLOW]

                                   -6-


     IN WITNESS WHEREOF, the undersigned have executed this Amendment
No. 3 to Lease Agreement or have caused this Amendment No. 3 to Lease
Agreement to be duly executed as of the day and year first above
written.

                                    LANDLORD:

                                    HERITAGE ASSOCIATES LIMITED
                                    PARTNERSHIP, a Maryland limited
                                    partnership

                                    By:  MHC Holding Company SPV #3, a
                                         Maryland corporation, general
                                         partner

                                    By: /s/ Elizabeth K. Hochwarth
                                    Name:   Elizabeth K. Hochwarth
                                    Title:  Vice President


                                    TENANT:

                                    ET SUB-MERIDIAN LIMITED
                                    PARTNERSHIP, L.L.P., a Virginia
                                    limited liability partnership

                                    By:  ET Meridian, L.L.C., a Delaware
                                         limited liability company,
                                         general partner



                                    By:  /s/ Edward B. Romanov, Jr.
                                         Edward B. Romanov, Jr.
                                         Managing Member



                         [Continued on following page]


STATE OF NEW YORK:  )
                    ) to-wit:
COUNTY OF NEW YORK: )

     BE IT REMEMBERED, that on this 2nd day of September, 1998,
before me, the subscriber, a Notary Public authorized to take
acknowledgments and proofs in the County and State aforesaid,
personally appeared Elizabeth K. Hochwarth who acknowledged himself/
herself to be the Vice President of MHC Holding Company SPV #3, general
partner of Heritage Associates Limited Partnership, a Maryland limited
partnership and that he/she, being authorized to do so, executed the
foregoing instrument, as such general partner on behalf of the said
Partnership.

     IN WITNESS WHEREOF, I hereunto set my hand and official seal.



                                       /s/ Kimberley J. Frank
                                       Notary Public

                                       My Commission Expires:


[NOTARIAL SEAL]


STATE OF NEW YORK:  )
                    ) to-wit:
COUNTY OF NEW YORK: )

     BE IT REMEMBERED, that on this 2nd day of September, 1998,
before me, the subscriber, a Notary Public authorized to take
acknowledgments and proofs in the County and State aforesaid,
personally appeared Edward B. Romanov, Jr., who acknowledged himself
to be the managing member of ET Meridian, L.L.C., general partner of
ET Sub-Meridian Limited Partnership, L.L.P., a Virginia limited
liability partnership and that he, being authorized to do so,
executed the foregoing instrument, as such general partner on behalf
of the said Partnership.

     IN WITNESS WHEREOF, I hereunto set my hand and official seal.



                                     /s/ Kimberley J. Frank
                                     Notary Public

                                     My Commission Expires:

[NOTARIAL SEAL]




                                EXHIBIT A


                            Legal Description

BEGINNING for the same on the North side of German Hill Road at the
corner of Lot No. 6 running thence Westerly along the German Hill Road
204.96 feet to the whole outline of the property conveyed to the Cityco
Realty Company by Ambrose Hessler thence Northerly along said outline
450.66 feet to Lot No. 38 thence Easterly along Lot No. 38, 207.93 feet
to Lot No. 7 thence Southerly along Lots Nos. 7 and 6, 491.13 feet to
the place of beginning.

BEING known and designated as Lot No. 5 on a Plat entitled "Beverly
Farms" which plat is recorded among the Plat Records of Baltimore
County in Plat Book W.P.C. No. 4, folio 80.

The improvements thereon being known as No. 7308 German Hill Road.

SAVING AND EXCEPTING THEREFROM all that strip of land of irregular
dimensions containing 0.1764 acres, more or less, which was granted
and conveyed by August H. Koch and Catherine Koch, his wife, to Baltimore
County, Maryland, for the widening of German Hill Road by Deed dated
March 5, 1964 and recorded among the Land Records of Baltimore County in
Liber R.R.G. 4276, folio 285; reference to which Deed and Plat attached
thereto is made for a more complete description thereof.



                               Exhibit B

                               Heritage


Rent for year ending           Annualized                 Monthly
Ending August 31,                 Rent                     Rent
- --------------------           ----------               -----------
1999                              720,214                 60,017.83
2000                              720,214                 60,017.83
2001                              720,214                 60,017.83
2002                              720,214                 60,017.83
2003                              720,214                 60,017.83
2004                              720,214                 60,017.83
2005                              720,214                 60,017.83
2006                              720,214                 60,017.83
2007                              720,214                 60,017.83
2008                              906,589                 75,549.08


Renewal rent if renewal rent is 2.5% per year compounded annually
starting 9/1/98

Initial Genesis Rent			Renewal Rent
- --------------------                ------------
  1,688,354                          2,161,236