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                                                                   EXHIBIT 10.47

                               GUARANTY AGREEMENT

     THIS GUARANTY AGREEMENT (this "AGREEMENT") is made and given as of November
19, 2004 by FIVE STAR QUALITY CARE, INC., a Maryland corporation (the
"GUARANTOR"), for the benefit of SENIOR HOUSING PROPERTIES TRUST, a Maryland
real estate investment trust (together with its successors and assigns, "SNH"),
and the parties listed on EXHIBIT A hereto (together with their successors and
assigns, collectively, the "LANDLORD" and, together with SNH, collectively, the
"BENEFICIARIES").

                                   WITNESSETH:

     WHEREAS, pursuant to a Lease Agreement, dated as of the date hereof (the
"LEASE"), the Landlord has agreed to lease to certain affiliates of Five Star
Quality Care Trust, a wholly-owned subsidiary of the Guarantor (collectively,
the "TENANT"), and the Tenant has agreed to lease from the Landlord, certain
real property, together with certain related improvements and personal property,
as more particularly described in the Lease; and

     WHEREAS, it is a condition precedent to the Landlord's entering into the
Lease that the Guarantor guarantee all of the payment and performance
obligations of the Tenant with respect to the Lease; and

     WHEREAS, the transactions contemplated by the Lease are of direct material
benefit to the Guarantor;

     NOW, THEREFORE, in consideration of the foregoing and for other good and
valuable consideration, the mutual receipt and legal sufficiency of which are
hereby acknowledged, the Guarantor hereby agrees as follows:

     1. CERTAIN TERMS. Capitalized terms used and not otherwise defined in this
Agreement shall have the meanings ascribed to such terms in the Lease. The Lease
and the Incidental Documents are herein collectively referred to as the
"TRANSACTION DOCUMENTS."

     2. GUARANTEED OBLIGATIONS. For purposes of this Agreement, the term
"GUARANTEED OBLIGATIONS" shall mean (i) the payment and performance of each and
every obligation of the Tenant to the Landlord under the Transaction Documents
or relating thereto, whether now existing or hereafter arising, and including,
without limitation, the payment of the full amount of the Rent payable under the
Lease and (ii) the repayment to

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Landlord and its Affiliated Persons of any and all amounts from time to time
advanced or incurred by Landlord or such Affiliated Persons in connection with
any guaranty or other agreement provided by Landlord or such Affiliated Persons
to any Governmental Agency to facilitate the licensing of any Facility located
upon the Leased Property.

     3.   REPRESENTATIONS AND COVENANTS. The Guarantor represents, warrants,
covenants, and agrees that:

          3.1 INCORPORATION OF REPRESENTATIONS AND WARRANTIES. The
representations and warranties of the Tenant and its Affiliated Persons set
forth in the Transaction Documents are true and correct on and as of the date
hereof in all material respects.

          3.2 PERFORMANCE OF COVENANTS AND AGREEMENTS. The Guarantor hereby
agrees to take all lawful action in its power to cause the Tenant duly and
punctually to perform all of the covenants and agreements set forth in the
Transaction Documents.

          3.3 VALIDITY OF AGREEMENT. The Guarantor has duly and validly executed
and delivered this Agreement; this Agreement constitutes the legal, valid and
binding obligation of the Guarantor, enforceable against the Guarantor in
accordance with its terms, except as the enforceability thereof may be subject
to bankruptcy, fraudulent conveyance, insolvency, reorganization, moratorium and
other laws relating to or affecting creditors' rights generally and subject to
general equitable principles, regardless of whether enforceability is considered
in a proceeding at law or in equity; and the execution, delivery and performance
of this Agreement have been duly authorized by all requisite action of the
Guarantor and such execution, delivery and performance by the Guarantor will not
result in any breach of the terms, conditions or provisions of, or conflict with
or constitute a default under, or result in the creation of any lien, charge or
encumbrance upon any of the property or assets of the Guarantor pursuant to the
terms of, any indenture, mortgage, deed of trust, note, other evidence of
indebtedness, agreement or other instrument to which it may be a party or by
which it or any of its property or assets may be bound, or violate any provision
of law, or any applicable order, writ, injunction, judgment or decree of any
court or any order or other public regulation of any governmental commission,
bureau or administrative agency.

          3.4 PAYMENT OF EXPENSES. The Guarantor agrees, as principal obligor
and not as guarantor only, to pay to the Beneficiaries forthwith, upon demand,
in immediately available

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federal funds, all costs and expenses (including reasonable attorneys' fees and
disbursements) incurred or expended by the Beneficiaries in connection with the
enforcement of this Agreement, together with interest on amounts recoverable
under this Agreement from the time such amounts become due until payment at the
Overdue Rate. The Guarantor's covenants and agreements set forth in this SECTION
3.4 shall survive the termination of this Agreement.

          3.5 NOTICES. The Guarantor shall promptly give notice to the
Beneficiaries of any event known to it which might reasonably result in a
material adverse change in its financial condition.

          3.6 REPORTS. The Guarantor shall promptly provide to the Landlord each
of the financial reports, certificates and other documents required of it under
the Transaction Documents.

          3.7 BOOKS AND RECORDS. The Guarantor shall at all times keep proper
books of record and account in which full, true and correct entries shall be
made of its transactions in accordance with generally accepted accounting
principles and shall set aside on its books from its earnings for each fiscal
year all such proper reserves, including reserves for depreciation, depletion,
obsolescence and amortization of its properties during such fiscal year, as
shall be required in accordance with generally accepted accounting principles,
consistently applied, in connection with its business. The Guarantor shall
permit access by the Beneficiaries and their agents to the books and records
maintained by the Guarantor during normal business hours and upon reasonable
notice. Any proprietary information obtained by the Landlord with respect to the
Guarantor pursuant to the provisions of this Agreement shall be treated as
confidential, except that such information may be disclosed or used, subject to
appropriate confidentiality safeguards, pursuant to any court order or in any
litigation between the parties and except further that the Landlord may disclose
such information to its prospective lenders, provided that the Landlord shall
direct such lenders to maintain such information as confidential.

          3.8 TAXES, ETC. The Guarantor shall pay and discharge promptly as they
become due and payable all taxes, assessments and other governmental charges or
levies imposed upon the Guarantor or the income of the Guarantor or upon any of
the property, real, personal or mixed, of the Guarantor, or upon any part
thereof, as well as all claims of any kind (including claims for labor,
materials and supplies) which, if unpaid, might by law become a lien or charge
upon any property and

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result in a material adverse change in the financial condition of the Guarantor;
PROVIDED, HOWEVER, that the Guarantor shall not be required to pay any such tax,
assessment, charge, levy or claim if the amount, applicability or validity
thereof shall currently be contested in good faith by appropriate proceedings or
other appropriate actions promptly initiated and diligently conducted and if the
Guarantor shall have set aside on its books such reserves of the Guarantor, if
any, with respect thereto as are required by generally accepted accounting
principles.

          3.9 LEGAL EXISTENCE OF GUARANTOR. The Guarantor shall do or cause to
be done all things necessary to preserve and keep in full force and effect its
legal existence.

          3.10 COMPLIANCE. The Guarantor shall use reasonable business efforts
to comply in all material respects with all applicable statutes, rules,
regulations and orders of, and all applicable restrictions imposed by, all
governmental authorities in respect of the conduct of its business and the
ownership of its property (including, without limitation, applicable statutes,
rules, regulations, orders and restrictions relating to environmental, safety
and other similar standards or controls).

          3.11 INSURANCE. The Guarantor shall maintain, with financially sound
and reputable insurers, insurance with respect to its properties and business
against loss or damage of the kinds customarily insured against by owners of
established reputation engaged in the same or similar businesses and similarly
situated, in such amounts and by such methods as shall be customary for such
owners and deemed adequate by the Guarantor.

          3.12 NO CHANGE IN CONTROL. The Guarantor shall not permit the
occurrence of any direct or indirect Change in Control of the Tenant or the
Guarantor.

     4.   GUARANTEE. The Guarantor hereby unconditionally guarantees that the
Guaranteed Obligations which are monetary obligations shall be paid in full when
due and payable, whether upon demand, at the stated or accelerated maturity
thereof pursuant to any Transaction Document, or otherwise, and that the
Guaranteed Obligations which are performance obligations shall be fully
performed at the times and in the manner such performance is required by the
Transaction Documents. With respect to the Guaranteed Obligations which are
monetary obligations, this guarantee is a guarantee of payment and not of
collectibility and is absolute and in no way conditional or contingent. In case
any part of the Guaranteed Obligations

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shall not have been paid when due and payable or performed at the time
performance is required, the Guarantor shall, in the case of monetary
obligations, within five (5) Business Days after receipt of notice from the
applicable Beneficiary, pay or cause to be paid to such Beneficiary the amount
thereof as is then due and payable and unpaid (including interest and other
charges, if any, due thereon through the date of payment in accordance with the
applicable provisions of the Transaction Documents) or, in the case of
nonmonetary obligations, perform or cause to be performed such obligations in
accordance with the Transaction Documents.

     5. SET-OFF. The Guarantor hereby authorizes the Landlord, at any time and
without notice to set off the whole or any portion or portions of any or all
sums credited by or due from the Landlord to it against amounts payable under
this Agreement. The Landlord shall promptly notify the Guarantor of any such
set-off made by the Landlord and the application made by the Landlord of the
proceeds thereof.

     6. UNENFORCEABILITY OF GUARANTEED OBLIGATIONS, ETC. If the Tenant is for
any reason under no legal obligation to discharge any of the Guaranteed
Obligations (other than because the same have been previously discharged in
accordance with the terms of the Transaction Documents), or if any other moneys
included in the Guaranteed Obligations have become unrecoverable from the Tenant
by operation of law or for any other reason, including, without limitation, the
invalidity or irregularity in whole or in part of any Guaranteed Obligation or
of any Transaction Document or any limitation on the liability of the Tenant
thereunder not contemplated by the Transaction Documents or any limitation on
the method or terms of payment thereunder which may now or hereafter be caused
or imposed in any manner whatsoever, the guarantees contained in this Agreement
shall nevertheless remain in full force and effect and shall be binding upon the
Guarantor to the same extent as if the Guarantor at all times had been the
principal debtor on all such Guaranteed Obligations.

     7. ADDITIONAL GUARANTEES. This Agreement shall be in addition to any other
guarantee or other security for the Guaranteed Obligations and it shall not be
prejudiced or rendered unenforceable by the invalidity of any such other
guarantee or security or by any waiver, amendment, release or modification
thereof.

     8. CONSENTS AND WAIVERS, ETC. The Guarantor hereby acknowledges receipt of
correct and complete copies of each of the Transaction Documents, and consents
to all of the terms and

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provisions thereof, as the same may be from time to time hereafter amended or
changed in accordance with the terms and conditions thereof, and, except as
otherwise provided herein, to the maximum extent permitted by applicable law,
waives (a) presentment, demand for payment, and protest of nonpayment, of any
principal of or interest on any of the Guaranteed Obligations, (b) notice of
acceptance of this Agreement and of diligence, presentment, demand and protest,
(c) notice of any default hereunder and any default, breach or nonperformance or
Event of Default under any of the Guaranteed Obligations or the Transaction
Documents, (d) notice of the terms, time and place of any private or public sale
of any collateral held as security for the Guaranteed Obligations, (e) demand
for performance or observance of, and any enforcement of any provision of, or
any pursuit or exhaustion of rights or remedies against the Tenant or any other
guarantor of the Guaranteed Obligations, under or pursuant to the Transaction
Documents, or any agreement directly or indirectly relating thereto and any
requirements of diligence or promptness on the part of the holders of the
Guaranteed Obligations in connection therewith, and (f) to the extent the
Guarantor lawfully may do so, any and all demands and notices of every kind and
description with respect to the foregoing or which may be required to be given
by any statute or rule of law and any defense of any kind which it may now or
hereafter have with respect to this Agreement, or any of the Transaction
Documents or the Guaranteed Obligations (other than that the same have been
discharged in accordance with the Transaction Documents).

     9. NO IMPAIRMENT, ETC. The obligations, covenants, agreements and duties of
the Guarantor under this Agreement shall not be affected or impaired by any
assignment or transfer in whole or in part of any of the Guaranteed Obligations
without notice to the Guarantor, or any waiver by any Beneficiary or any holder
of any of the Guaranteed Obligations or by the holders of all of the Guaranteed
Obligations of the performance or observance by the Tenant or any other
guarantor of any of the agreements, covenants, terms or conditions contained in
the Guaranteed Obligations or the Transaction Documents or any indulgence in or
the extension of the time for payment by the Tenant or any other guarantor of
any amounts payable under or in connection with the Guaranteed Obligations or
the Transaction Documents or any other instrument or agreement relating to the
Guaranteed Obligations or of the time for performance by the Tenant or any other
guarantor of any other obligations under or arising out of any of the foregoing
or the extension or renewal thereof (except that with respect to any extension
of time for payment or performance of any of the Guaranteed Obligations

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granted by the Landlord or any other holder of such Guaranteed Obligations to
the Tenant, the Guarantor's obligations to pay or perform such Guaranteed
Obligation shall be subject to the same extension of time for performance), or
the modification or amendment (whether material or otherwise) of any duty,
agreement or obligation of the Tenant or any other guarantor set forth in any of
the foregoing, or the voluntary or involuntary sale or other disposition of all
or substantially all the assets of the Tenant or any other guarantor or
insolvency, bankruptcy, or other similar proceedings affecting the Tenant or any
other guarantor or any assets of the Tenant or any such other guarantor, or the
release or discharge of the Tenant or any such other guarantor from the
performance or observance of any agreement, covenant, term or condition
contained in any of the foregoing without the consent of the holders of the
Guaranteed Obligations by operation of law, or any other cause, whether similar
or dissimilar to the foregoing.

     10. REIMBURSEMENT, SUBROGATION, ETC. The Guarantor hereby covenants and
agrees that it will not enforce or otherwise exercise any rights of
reimbursement, subrogation, contribution or other similar rights against the
Tenant (or any other person against whom the Landlord may proceed) with respect
to the Guaranteed Obligations prior to the payment in full of all amounts owing
with respect to the Lease, and until all indebtedness of the Tenant to the
Landlord shall have been paid in full, the Guarantor shall not have any right of
subrogation, and the Guarantor waives any defense it may have based upon any
election of remedies by the Landlord which destroys its subrogation rights or
its rights to proceed against the Tenant for reimbursement, including, without
limitation, any loss of rights the Guarantor may suffer by reason of any rights,
powers or remedies of the Tenant in connection with any anti-deficiency laws or
any other laws limiting, qualifying or discharging the indebtedness to the
Landlord. Until all obligations of the Tenant pursuant to the Transaction
Documents shall have been paid and satisfied in full, the Guarantor further
waives any right to enforce any remedy which the Landlord now has or may in the
future have against the Tenant, any other guarantor or any other person and any
benefit of, or any right to participate in, any security whatsoever now or in
the future held by the Landlord.

     11. DEFEASANCE. This Agreement shall terminate at such time as the
Guaranteed Obligations have been paid and performed in full and all other
obligations of the Guarantor to the Beneficiaries under this Agreement have been
satisfied in full; PROVIDED, HOWEVER, if at any time, all or any part of any

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payment applied on account of the Guaranteed Obligations is or must be rescinded
or returned for any reason whatsoever (including, without limitation, the
insolvency, bankruptcy or reorganization of the Tenant), this Agreement, to the
extent such payment is or must be rescinded or returned, shall be deemed to have
continued in existence notwithstanding any such termination.

     12. NOTICES. (a) Any and all notices, demands, consents, approvals, offers,
elections and other communications required or permitted under this Agreement
shall be deemed adequately given if in writing and the same shall be delivered
either in hand, by telecopier with written acknowledgment of receipt, or by mail
or Federal Express or similar expedited commercial carrier, addressed to the
recipient of the notice, postpaid and registered or certified with return
receipt requested (if by mail), or with all freight charges prepaid (if by
Federal Express or similar carrier).

     (b) All notices required or permitted to be sent hereunder shall be deemed
to have been given for all purposes of this Agreement upon the date of
acknowledged receipt, in the case of a notice by telecopier, and, in all other
cases, upon the date of receipt or refusal, except that whenever under this
Agreement a notice is either received on a day which is not a Business Day or is
required to be delivered on or before a specific day which is not a Business
Day, the day of receipt or required delivery shall automatically be extended to
the next Business Day.

     (c)  All such notices shall be addressed,

     if to any Beneficiary to:

          c/o Senior Housing Properties Trust
          400 Centre Street
          Newton, Massachusetts 02458
          Attn: Mr. David J. Hegarty
          [Telecopier No. (617) 796-8349]

     if to the Guarantor to:

          Five Star Quality Care, Inc.
          400 Centre Street
          Newton, Massachusetts 02458
          Attn: Mr. Evrett W. Benton
          [Telecopier No. (617) 796-8385]

     (d) By notice given as herein provided, the parties hereto and their
respective successors and assigns shall have the right

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from time to time and at any time during the term of this Agreement to change
their respective addresses effective upon receipt by the other parties of such
notice and each shall have the right to specify as its address any other address
within the United States of America.

     13. SUCCESSORS AND ASSIGNS. Whenever in this Agreement any of the parties
hereto is referred to, such reference shall be deemed to include the successors
and assigns of such party, including without limitation the holders, from time
to time, of the Guaranteed Obligations; and all representations, warranties,
covenants and agreements by or on behalf of the Guarantor which are contained in
this Agreement shall inure to the benefit of the Landlord's successors and
assigns, including without limitation said holders, whether so expressed or not.

     14. APPLICABLE LAW. Except as to matters regarding the internal affairs of
the Beneficiaries and issues of or limitations on any personal liability of the
shareholders and trustees of the Beneficiaries for obligations of the
Beneficiaries, as to which the laws of the State of Maryland shall govern, this
Agreement, the Transaction Documents and any other instruments executed and
delivered to evidence, complete or perfect the transactions contemplated hereby
and thereby shall be interpreted, construed, applied and enforced in accordance
with the laws of The Commonwealth of Massachusetts applicable to contracts
between residents of Massachusetts which are to be performed entirely within
Massachusetts, regardless of (i) where any such instrument is executed or
delivered; or (ii) where any payment or other performance required by any such
instrument is made or required to be made; or (iii) where any breach of any
provision of any such instrument occurs, or any cause of action otherwise
accrues; or (iv) where any action or other proceeding is instituted or pending;
or (v) the nationality, citizenship, domicile, principal place of business, or
jurisdiction of organization or domestication of any party; or (vi) whether the
laws of the forum jurisdiction otherwise would apply the laws of a jurisdiction
other than The Commonwealth of Massachusetts; or (vii) any combination of the
foregoing.

     15. ARBITRATION. Any Beneficiary or the Guarantor may elect to submit to
arbitration any dispute hereunder that has an amount in controversy in excess of
$250,000. Any such arbitration submitted shall be conducted in Boston,
Massachusetts in accordance with the Commercial Arbitration Rules of the
American Arbitration Association then pertaining and the decision of the
arbitrators with respect to such dispute shall be binding, final and conclusive
on the parties.

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     In the event that any such dispute is submitted to arbitration hereunder,
the applicable Beneficiary and the Guarantor shall each appoint and pay all fees
of a fit and impartial person as arbitrator with at least ten (10) years' recent
professional experience in the general subject matter of the dispute. Notice of
such appointment shall be sent in writing by each party to the other, and the
arbitrators so appointed, in the event of their failure to agree within thirty
(30) days after the appointment of the second arbitrator upon the matter so
submitted, shall appoint a third arbitrator. If either the Landlord or the
Guarantor shall fail to appoint an arbitrator as aforesaid for a period of
twenty (20) days after written notice from the other party to make such
appointment, then the arbitrator appointed by the party having made such
appointment shall appoint a second arbitrator and the two (2) so appointed
shall, in the event of their failure to agree upon any decision within thirty
(30) days thereafter, appoint a third arbitrator. If such arbitrators fail to
agree upon a third arbitrator within forty five (45) days after the appointment
of the second arbitrator, then such third arbitrator shall be appointed by the
American Arbitration Association from its qualified panel of arbitrators, and
shall be a person having at least ten (10) years' recent professional experience
as to the subject matter in question. The fees of the third arbitrator and the
expenses incident to the proceedings shall be borne equally between the
applicable Beneficiary and the Guarantor, unless the arbitrators decide
otherwise. The fees of respective counsel engaged by the parties, and the fees
of expert witnesses and other witnesses called for the parties, shall be paid by
the respective party engaging such counsel or calling or engaging such
witnesses.

     The decision of the arbitrators shall be rendered within thirty (30) days
after appointment of the third arbitrator. Such decision shall be in writing and
in duplicate, one counterpart thereof to be delivered to the applicable
Beneficiary and one to the Guarantor. A judgment of a court of competent
jurisdiction may be entered upon the award of the arbitrators in accordance with
the rules and statutes applicable thereto then obtaining.

     The Landlord and the Guarantor acknowledge and agree that, to the extent
any such dispute shall involve any Manager and be subject to arbitration
pursuant to such Manager's Management Agreement, the Landlord and the Guarantor
shall cooperate to consolidate any such arbitration hereunder and under such
Management Agreement into a single proceeding.

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     16. MODIFICATION OF AGREEMENT. No modification or waiver of any provision
of this Agreement, nor any consent to any departure by the Guarantor therefrom,
shall in any event be effective unless the same shall be in writing and signed
by the Beneficiaries, and such modification, waiver or consent shall be
effective only in the specific instances and for the purpose for which given. No
notice to or demand on the Guarantor in any case shall entitle the Guarantor to
any other or further notice or demand in the same, similar or other
circumstances. This Agreement may not be amended except by an instrument in
writing executed by or on behalf of the party against whom enforcement of such
amendment is sought.

     17. WAIVER OF RIGHTS BY THE BENEFICIARIES. Neither any failure nor any
delay on the Beneficiaries' part in exercising any right, power or privilege
under this Agreement shall operate as a waiver thereof, nor shall a single or
partial exercise thereof preclude any other or further exercise or the exercise
of any other right, power or privilege.

     18. SEVERABILITY. In case any one or more of the provisions contained in
this Agreement should be invalid, illegal or unenforceable in any respect, the
validity, legality and enforceability of the remaining provisions contained
herein shall not in any way be affected or impaired thereby, but this Agreement
shall be reformed and construed and enforced to the maximum extent permitted by
applicable law.

     19. ENTIRE CONTRACT. This Agreement constitutes the entire agreement
between the parties hereto with respect to the subject matter hereof and shall
supersede and take the place of any other instruments purporting to be an
agreement of the parties hereto relating to the subject matter hereof.

     20. HEADINGS; COUNTERPARTS. Headings in this Agreement are for purposes of
reference only and shall not limit or otherwise affect the meaning hereof. This
Agreement may be executed in any number of counterparts, each of which shall be
an original, but all of which together shall constitute one instrument, and in
pleading or proving any provision of this Agreement, it shall not be necessary
to produce more than one of such counterparts.

     21. REMEDIES CUMULATIVE. No remedy herein conferred upon the Beneficiaries
is intended to be exclusive of any other remedy, and each and every remedy shall
be cumulative and shall be in addition to every other remedy given hereunder or
now or hereafter existing at law or in equity or by statute or otherwise.

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     22. NON-LIABILITY OF TRUSTEES. THE DECLARATION OF TRUST ESTABLISHING SNH, A
COPY OF WHICH, TOGETHER WITH ALL AMENDMENTS THERETO (THE "DECLARATION"), ARE
DULY FILED WITH THE DEPARTMENT OF ASSESSMENTS AND TAXATION OF THE STATE OF
MARYLAND, PROVIDE THAT THE NAME "SENIOR HOUSING PROPERTIES TRUST" REFERS TO THE
TRUSTEE UNDER SUCH DECLARATION COLLECTIVELY AS TRUSTEES, BUT NOT INDIVIDUALLY OR
PERSONALLY, AND THAT NO TRUSTEE, OFFICER, SHAREHOLDER, EMPLOYEE OR AGENT OF SNH
SHALL BE HELD TO ANY PERSONAL LIABILITY, JOINTLY OR SEVERALLY, FOR ANY
OBLIGATION OF OR CLAIM AGAINST, SNH. ALL PERSONS DEALING WITH SNH, IN ANY WAY,
SHALL LOOK ONLY TO THE ASSETS OF SNH FOR THE PAYMENT OF ANY SUM OR THE
PERFORMANCE OF ANY OBLIGATION.

                  [Remainder of page intentionally left blank.]

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     WITNESS the execution hereof under seal as of the date above first written.

                                   FIVE STAR QUALITY CARE, INC.,
                                   a Maryland corporation


                                   By: /s/ Bruce J. Mackey Jr.
                                       -----------------------------------------
                                       Bruce J. Mackey Jr.
                                       Its Treasurer and Chief Financial Officer

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                                    EXHIBIT A

                                   "LANDLORD"

     MSD - MACON, LLC
     MSD - BEAUFORT, LLC
     MSD - CAMDEN, LLC
     MSD - HARTSVILLE, LLC
     MSD - LEXINGTON, LLC
     MSD - ORANGEBURG, LLC
     MSD - SENECA, LLC
     MSD - CULLMAN, LLC
     MSD - MADISON, LLC
     MSD - SHEFFIELD, LLC
     MSD - BOWLING GREEN, LLC
     MSD - PADUCAH, LLC
     MSD - CONYERS, LLC
     MSD - GAINESVILLE, LLC
     MSD - CLEVELAND, LLC
     MSD - COOKEVILLE, LLC