<PAGE>   1
                                                                    EXHIBIT 10.4

                SCHEDULE TO FORM OF HCRI CONSTRUCTION DISBURSING AGREEMENT
                PURSUANT TO INSTRUCTION 2 TO ITEM 601(a) OF REGULATION S-K


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<CAPTION>
               LANDLORD       TENANT          LOCATION        NUMBER     MAXIMUM         DEVELOPMENT
                                                              OF UNITS   LEASE AMOUNT    FEES

<S>            <C>            <C>             <C>             <C>        <C>             <C>
LEBANON,       Pennsylvania   Financial       Lebanon,        60         $4,181,799.00   $325,000
PENNSYLVANIA   BCC            Care            Pennsylvania                               
               Properties,    Investors of                                               
               Inc.           Lebanon, LLC                                               


LOYALSOCK,     Pennsylvania   Financial       Williamsport,   60         $4,440,815.00   $325,000
PENNSYLVANIA   BCC            Care            Pennsylvania                               
               Properties,    Investors of                                               
               Inc.           Loyalsock,                                                 
                              LLC                                                        


WESTERVILLE,   HCN BCC        Financial       Westerville,    106        $9,026,982.00   $475,000
OHIO           Holdings,      Care            Ohio                                       
               Inc.           Investors of                                               
                              Westerville,                                               
                              LLC                                                        


MORRISTOWN,    HCN BCC        Financial       Morristown,     60         $4,191,291.00   $325,000
TENNESSEE      Holdings,      Care            Tennessee                                  
               Inc.           Investors of                                               
                              Morristown,                                                
                              LLC                                                        


OAK RIDGE,     HCN BCC        Financial       Oak Ridge,      60         $4,498,968.00   $325,000
TENNESSEE      Holdings,      Care            Tennessee                                  
               Inc.           Investors of                                               
                              Oak Ridge,                                                 
                              LLC                                                        


SAGAMORE       HCN BCC        Financial       Sagamore        103        $8,315,468.00   $475,000
HILLS, OHIO    Holdings,      Care            Hills, Ohio                                
               Inc.           Investors of                                               
                              Sagamore                                                   
                              Hills, LLC                                                 
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<TABLE>
<CAPTION>
                       GENERAL                   STATE           TENANT'S EQUITY
                       CONTRACTOR                DEFINITION
                                                 REFERS TO
                                                 STATE OF

<S>                    <C>                       <C>             <C>       
LEBANON,               Consolidated              Pennsylvania    $808,000.00
PENNSYLVANIA           Construction  
                       Company

LOYALSOCK,             The Milnes                Pennsylvania    $793,000.00
PENNSYLVANIA           Company, Inc.

WESTERVILLE,           CCI                       Ohio            $1,545,500.00
OHIO                   Construction
                       Co., Inc.

MORRISTOWN,            The Milnes                Tennessee       $814,118.00
TENNESSEE              Company, Inc.

OAK RIDGE,             Weis Builders,            Tennessee       $821,115.00
TENNESSEE              Inc.

SAGAMORE HILLS,        Adena                     Ohio            $1,463,000.00
OHIO                   Corporation
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