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                                                                   EXHIBIT 10.10



                               SEVENTH AMENDMENT
                                       TO
                 AGREEMENT REGARDING RELATED LEASE TRANSACTIONS
            MEDITRUST ACQUISITION CORPORATION III/ALS LEASING, INC.
                      ($150,000,000 MEDITRUST INVESTMENT)


         Reference is hereby made to the Agreement Regarding Related Lease
Transactions ($150,000,000 Meditrust Investment) (the "Related Transactions
Agreement"), dated as of November 21, 1997, by and among (i) ALS LEASING, INC.,
a Delaware Corporation, having its principal place of business at 450 North
Sunnyslope Road, Suite 300, Brookfield, Wisconsin 53005 ("Lessee"); (ii)
ALTERNATIVE LIVING SERVICES, INC., a Delaware Corporation, having its principal
place of business at 450 North Sunnyslope Road, Suite 300, Brookfield,
Wisconsin 53005 ("ALS"); and (iii) MEDITRUST ACQUISITION CORPORATION III, a
Delaware corporation, having a principal place of business of c/o Meditrust
Mortgage Investments, Inc., 197 First Avenue, Needham Heights, Massachusetts
02194 ( "Meditrust").


                              W I T N E S S E T H

         WHEREAS, the parties desire to reflect that additional assisted living
facilities have become subject to the transactions between Meditrust and
Lessee.

         NOW, THEREFORE, for good and valuable consideration the sufficiency
and receipt of which is hereby acknowledged, the parties hereto agree as
follows:

         1.       Exhibit D to the Related Transactions Agreement is hereby
                  deleted and the following new Exhibit D is substituted
                  therefor in order to reflect that Hamilton House of Grand
                  Blanc I, Holly, Michigan, Wynwood of Grand Blanc II, Holly,
                  Michigan, Hamilton House of Troy I, Troy, Michigan, and
                  Wynwood of Troy II, Troy, Michigan, have been added as
                  acquisition facilities to the transactions described in the
                  Related Transactions Agreement; and

         2.       Except as expressly modified above, the Related Transactions
                  Agreement, as previously amended, remains unchanged and in
                  full force and effect.



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         IN WITNESS WHEREOF, the parties have executed this Seventh Amendment
to Agreement Regarding Related Lease Transactions under seal as of the 4th day
of September, 1998.


WITNESS:

                                    ALS LEASING, INC., a Delaware corporation

/s/ LESLEY GARBAR
-----------------------------       By: /s/ DAVID M. BOITANO
Name: Lesley Garbar                    --------------------------------------
                                         Name:  DAVID M. BOITANO
                                              -------------------------------
                                         Title: VICE PRESIDENT
                                               ------------------------------

WITNESS:

                                    MEDITRUST ACQUISITIONS
                                    CORPORATION III, a Delaware
                                    corporation

/s/
-----------------------------       By: /s/ MICHAEL F. BUSHEE
Name:                                  --------------------------------------
                                         Name: Michael F. Bushee
                                              -------------------------------
                                         Title: Chief Operating Officer
                                               ------------------------------



[Seventh Amendment of Agreement Regarding Related Lease Transactions]



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                              JOINDER AND CONSENT

         Sterling House Corporation, being a guarantor of the various
obligations of ALS Leasing Inc. under one or more guaranties (collectively, the
"Guaranty") delivered to the Meditrust Parties in connection with the
Meditrust/ALS Transactions (as defined in the Related Transactions Agreement),
hereby (A) joins in this Seventh Amendment and consents to the provisions
hereof, and (B) agrees that it will not in any way raise any aspect of this
Seventh Amendment as a defense to any action or proceeding instituted by any of
the Meditrust Parties to enforce the Guaranty.

WITNESS:                                  STERLING HOUSE CORPORATION,
                                          a Kansas corporation

/s/ ALICE LASSLEY
------------------------------            By: /s/ R. GAIL KNOTT
Name: Alice Lassley                          -----------------------------
                                             Name: R. Gail Knott
                                                  ------------------------
                                             Title: Vice President
                                                   -----------------------



                              JOINDER AND CONSENT

         Alternative Living Services, Inc., being a guarantor of the various
obligations of the ALS Leasing Inc. under one or more guaranties (collectively,
the "Guaranty") delivered to the Meditrust Parties in connection with the
Meditrust/ALS Transactions (as defined in the Related Transactions Agreement),
hereby (A) joins in this Seventh Amendment and consents to the provisions
hereof, and (B) agrees that it will not in any way raise any aspect of this
Seventh Amendment as a defense to any action or proceeding instituted by any of
the Meditrust Parties to enforce the Guaranty.

WITNESS:                            ALTERNATIVE LIVING SERVICES,
                                    INC., a Delaware corporation

/s/ LESLEY GARBAR
-----------------------------       By: /s/ DAVID M. BOITANO
Name: Lesley Garbar                    --------------------------------------
                                         Name: David M. Boitano
                                              -------------------------------
                                         Title: Vice President
                                               ------------------------------



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                                   EXHIBIT D

                            MEDITRUST/ALS FACILITIES


                                     KANSAS

1.       Sterling House of Wichita, Wichita, Kansas
2.       Sterling House of Derby, Derby, Kansas
3.       Sterling House of Wellington, Wellington, Kansas
4.       Sterling House of Hays, Hays, Kansas
5.       Sterling House of Abilene II, Abilene, Kansas

                                    OKLAHOMA

6.       Sterling House of Bethany, Bethany, Oklahoma
7.       Sterling House of Bartlesville II, Bartlesville, Oklahoma

                                    FLORIDA

8.       Sterling House of Tequesta, Tequesta, Florida
9.       Sterling House of West Melbourne, West Melbourne, Florida
10.      Sterling House of Stuart, Stuart, Florida
11.      Sterling House of Vero Beach, Vero Beach, Florida
12.      Sterling House of Leesburg, Leesburg, Florida
13.      Sterling House of Port Orange, Port Orange, Florida
14.      Sterling House of Ocala, Ocala, Florida
15.      Sterling House of Deland, Deland, Florida
16.      Sterling House of Ormond Beach, Ormond Beach, Florida
17.      Sterling House of West Melbourne II, West Melbourne, Florida
18.      Clare Bridge of Fort Myers, Fort Myers, Florida
19.      Clare Bridge of Tampa, Tampa, Florida
20.      Clare Bridge of Jacksonville, Jacksonville, Florida
21.      Sterling House of Tequesta ll, Tequesta, Florida

                                     TEXAS

22.      Sterling House of Temple, Temple, Texas
23.      Sterling House of Carrollton, Carrollton, Texas
24.      Sterling House of Kerrville, Kerrville, Texas
25.      Sterling House of San Antonio-Whitby Road, San Antonio, Texas
26.      Sterling House of New Braunfels, New Braunfels, Texas
27.      Sterling House of Lancaster, Lancaster, Texas



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                                      OHIO

28.      Sterling House of Bowling Green, Bowling Green, Ohio
29.      Sterling House of Englewood, Englewood, Ohio
30.      Sterling House of Barberton, Barberton, Ohio
31.      Sterling House of Mansfield, Mansfield, Ohio
32.      Sterling House of Marion, Marion, Ohio

                                   WISCONSIN

33.      WovenHearts of Brown Deer, Brown Deer, Wisconsin
34.      WovenHearts of Sussex, Sussex, Wisconsin
35.      WovenHearts of Onalaska, Onalaska, Wisconsin
36.      WovenHearts of Menomonie, Menomonie, Wisconsin
37.      WovenHearts of New Richmond, New Richmond, Wisconsin
38.      WovenHearts of Wisconsin Rapids, Wisconsin Rapids, Wisconsin
39.      WovenHearts of Plymouth, Plymouth, Wisconsin
40.      The Evergreens, Plover, Wisconsin
41.      The Evergreens South, Plover, Wisconsin
42.      StoneCroft Manor, Medford, Wisconsin
43.      The Pines, Wausau, Wisconsin
44.      The Pines North, Wausau, Wisconsin
45.      The Oaks, Wisconsin Rapids, Wisconsin
46.      WovenHearts of Eau Claire, Eau Claire, Wisconsin
47.      WovenHearts of Manitowoc, Manitowoc, Wisconsin
48.      WovenHearts of Middleton, Middleton, Wisconsin
49.      WovenHearts of Neenah, Neenah, Wisconsin
50.      WovenHearts of Oshkosh, Oshkosh, Wisconsin
51.      WovenHearts of Sun Prairie, Sun Prairie, Wisconsin
52.      WovenHearts of Kenosha, Kenosha, Wisconsin

                                    MICHIGAN

53.      Hamilton House of Farmington Hills I, Farmington Hills, Michigan
54.      Hamilton House of Farmington Hills II, Farmington Hills, Michigan
55.      Hamilton House of Ann Arbor, Ann Arbor, Michigan
56.      Hamilton House of Utica, Utica, Michigan
57.      Wynwood of Lansing, Lansing, Michigan
58.      WovenHearts of Davison, Davison, Michigan
59.      Hamilton House of Delta I, Lansing, Michigan
60.      WovenHearts of Delta II, Lansing, Michigan
61.      Hamilton House of Grand Blanc I, Holly, Michigan



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62.      Wynwood of Grand Blanc II, Holly, Michigan
63.      Hamilton House of Troy I, Troy, Michigan
64.      Wynwood of Troy II, Troy, Michigan

                                  PENNSYLVANIA

65.      Northampton Manor, Richboro, Pennsylvania
66.      Clare Bridge of Lower Makefield, Yardley, Pennsylvania
67.      Clare Bridge of Montgomery and Wynwood of Montgomery, North Wales,
         Pennsylvania

                                    NEW YORK

68.      Liberty Commons, Manlius, New York

                                   MINNESOTA

69.      WovenHearts of Faribault, Faribault, Minnesota
70.      WovenHearts of Mankato, Mankato, Minnesota
71.      WovenHearts of Owatonna, Owatonna, Minnesota
72.      WovenHearts of Sauk Rapids, Sauk Rapids, Minnesota
73.      WovenHearts of Willmar, Willmar, Minnesota
74.      WovenHearts of Winona, Winona, Minnesota

                                 NORTH CAROLINA

75.      Clare Bridge of Charlotte, Charlotte, North Carolina
76.      Wynwood of Charlotte, Charlotte, North Carolina
77.      Clare Bridge of Greensboro, Greensboro, North Carolina
78.      Wynwood of Greensboro, Greensboro, North Carolina

                                 SOUTH CAROLINA

79.      Clare Bridge of Charleston, Mt. Pleasant, South Carolina
80.      Clare Bridge of Columbia, Irmo, South Carolina



              [TO BE SUPPLEMENTED BY AMENDMENTS TO THIS AGREEMENT]



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