<PAGE>

                                                                    EXHIBIT 10.2


                             MASTER LEASE AGREEMENT
                             ----------------------

                          DATED AS OF DECEMBER 12, 2001

                                  BY AND AMONG

                       VENTAS REALTY, LIMITED PARTNERSHIP,

                                   AS LESSOR,

                                       AND

                            KINDRED HEALTHCARE, INC.

                                       AND

                       KINDRED HEALTHCARE OPERATING, INC.,

                                   AS TENANTS

<PAGE>


                                TABLE OF CONTENTS
<TABLE>
<CAPTION>
<S>                                                                                                               <C>
ARTICLE I.........................................................................................................2

   Section 1.1  Leased Property; Term.............................................................................2
   Section 1.2  Term..............................................................................................2
   Section 1.3  Original Master Lease.............................................................................3
   Section 1.4  Additional Provisions Regarding Predecessor Lease.................................................6
ARTICLE II........................................................................................................7

   Section 2.1  Definitions.......................................................................................7
ARTICLE III......................................................................................................23

   Section 3.1  Rent.............................................................................................23
   Section 3.2  Option to Reset Base Rent, Current Rent and Accrued Rent.........................................24
   Section 3.3  Additional Charges...............................................................................27
   Section 3.4  Survival.........................................................................................28
   Section 3.5  Net Lease........................................................................................28
   Section 3.6  New Common Stock.................................................................................28
ARTICLE IV.......................................................................................................29

   Section 4.1  Payment of Impositions...........................................................................29
   Section 4.2  Notice of Impositions............................................................................29
   Section 4.3  Adjustment of Impositions........................................................................29
ARTICLE V........................................................................................................30

   Section 5.1  No Termination, Abatement, etc...................................................................30
ARTICLE VI.......................................................................................................30

   Section 6.1  Ownership of the Leased Properties...............................................................30
   Section 6.2  Tenant's Personal Property.......................................................................31
ARTICLE VII......................................................................................................31

   Section 7.1  Condition of the Leased Property.................................................................31
   Section 7.2  Use of the Leased Property.......................................................................32
   Section 7.3  Granting of Easements, etc.......................................................................34
ARTICLE VIII.....................................................................................................35

   Section 8.1  Compliance with Legal and Insurance Requirements, Instruments, etc...............................35
   Section 8.2  Legal Requirement Covenants......................................................................35
   Section 8.3  Permitted Encumbrances...........................................................................36
ARTICLE IX.......................................................................................................37

   Section 9.1  Maintenance and Repair...........................................................................37
   Section 9.2  Encroachments....................................................................................39
ARTICLE X........................................................................................................39
</TABLE>

                                        i

<PAGE>

<TABLE>
<S>                                                                                                              <C>
   Section 10.1  Construction of Capital Alterations to the Leased Property(ies).................................39
   Section 10.2  Capital Alterations Financed by Tenant..........................................................40
   Section 10.3  Capital Alterations Financed by Lessor..........................................................40
   Section 10.4  Non-Capital Alterations.........................................................................42
   Section 10.5  Salvage.........................................................................................42
   Section 10.6  Additional Requirements for Capital Alterations and Non-Capital Alterations.....................42
   Section 10.7  Mortgagee's Consent.............................................................................43
ARTICLE XI.......................................................................................................43

   Section 11.1  Liens...........................................................................................43
ARTICLE XII......................................................................................................44

   Section 12.1  Permitted Contests..............................................................................44
ARTICLE XIII.....................................................................................................45

   Section 13.1  General Insurance Requirements..................................................................45
   Section 13.2  Replacement Cost................................................................................48
   Section 13.3  Additional Insurance............................................................................48
   Section 13.4  Waiver of Subrogation...........................................................................48
   Section 13.5  Form Satisfactory, etc..........................................................................49
   Section 13.6  Limits; Deductibles.............................................................................49
   Section 13.7  Blanket Policy..................................................................................49
   Section 13.8  No Separate Insurance...........................................................................50
   Section 13.9  Survival........................................................................................50
ARTICLE XIV......................................................................................................50

   Section 14.1  Insurance Proceeds..............................................................................50
   Section 14.2  Reconstruction in the Event of Damage or Destruction Covered by Insurance.......................51
   Section 14.3  Reconstruction in the Event of Damage or Destruction Not Covered by Insurance...................52
   Section 14.4  Tenant's Property...............................................................................52
   Section 14.5  Restoration of Tenant's Property................................................................52
   Section 14.6  No Abatement of Rent............................................................................52
   Section 14.7  Restoration.....................................................................................52
   Section 14.8  Notice..........................................................................................53
   Section 14.9  Waiver..........................................................................................53
ARTICLE XV.......................................................................................................53

   Section 15.1  Definitions.....................................................................................53
   Section 15.2  Parties' Rights and Obligations.................................................................54
   Section 15.3  Total Taking....................................................................................54
   Section 15.4  Partial Taking..................................................................................54
   Section 15.5  Restoration.....................................................................................54
   Section 15.6  Award-Distribution..............................................................................54
   Section 15.7  Temporary Taking................................................................................55
</TABLE>

                                       ii

<PAGE>
<TABLE>
<S>                                                                                                              <C>
ARTICLE XVI......................................................................................................55

   Section 16.1  Events of Default...............................................................................55
   Section 16.2  Certain Remedies................................................................................61
   Section 16.3  Damages.........................................................................................61
   Section 16.4  Certain Effects of Separate Lease...............................................................63
   Section 16.5  Waiver..........................................................................................63
   Section 16.6  Application of Funds............................................................................63
   Section 16.7  Notice to Lessor................................................................................63
   Section 16.8  Nature of Remedies..............................................................................63
   Section 16.9  Allocable Rent..................................................................................63
   Section 16.10  Special Remedies Provisions....................................................................64
   Section 16.11  No Mediation or Arbitration....................................................................73
   Section 16.12  Special Purchase Provisions....................................................................74
ARTICLE XVII.....................................................................................................79

   Section 17.1  Lessor's Right to Cure Tenant's Default.........................................................79
ARTICLE XVIII....................................................................................................79

   Section 18.1  Provisions Relating to Purchase of the Leased Property..........................................79
ARTICLE XIX......................................................................................................80

   Section 19.1  Exercise of Renewal Options.....................................................................80
   Section 19.2  Renewal Terms...................................................................................81
   Section 19.3  Fair Market Rental Determination................................................................82
   Section 19.4  Extended Period New Lease.......................................................................82
   Section 19.5  Revocation of Renewal Option Exercise...........................................................82
ARTICLE XX.......................................................................................................83

   Section 20.1  Holding Over....................................................................................83
ARTICLE XXI......................................................................................................84

   Section 21.1  Subordination...................................................................................84
   Section 21.2  Attornment......................................................................................84
   Section 21.3  Mortgagee Cure Rights...........................................................................84
   Section 21.4  Modifications...................................................................................85
   Section 21.5  Existing Ground Leases..........................................................................85
ARTICLE XXII.....................................................................................................87

   Section 22.1  Notice to Lessor................................................................................87
   Section 22.2  Definitions.....................................................................................87
   Section 22.3  Consent of Leasehold Mortgagee Required.........................................................87
   Section 22.4  Default Notice..................................................................................87
   Section 22.5  Procedure for Foreclosure on Default............................................................88
   Section 22.6  Assignment or Transfer in Lieu of Foreclosure...................................................88
   Section 22.7  Separate Lease..................................................................................91
</TABLE>

                                       iii

<PAGE>
<TABLE>
<S>                                                                                                              <C>
   Section 22.8  Separate Lease Properties.......................................................................92
   Section 22.9  Legal Proceedings...............................................................................92
   Section 22.10  Future Amendments..............................................................................92
   Section 22.11  Estoppel Certificate...........................................................................93
   Section 22.12  Notices........................................................................................93
   Section 22.13  Erroneous Payments.............................................................................93
   Section 22.14  Exercise by Leasehold Mortgagee of Remedies Against One or More Leased Properties..............93
ARTICLE XXIII....................................................................................................94

   Section 23.1  Risk of Loss....................................................................................94
ARTICLE XXIV.....................................................................................................94

   Section 24.1  Indemnification.................................................................................94
ARTICLE XXV......................................................................................................95

   Section 25.1  Subletting and Assignment.......................................................................95
   Section 25.2  Attornment.....................................................................................103
   Section 25.3  Sublease Limitation............................................................................103
   Section 25.4  Leasehold Mortgagee Rights.....................................................................103
ARTICLE XXVI....................................................................................................103

   Section 26.1  Financial Statements and Reporting.............................................................104
   Section 26.2  Furnishing Notice..............................................................................107
   Section 26.3  Quarterly Meetings; Facility Level Meetings and Reviews........................................107
   Section 26.4  Non-Ventas Lessors.............................................................................107
ARTICLE XXVII...................................................................................................108

   Section 27.1  Lessor's Right to Inspect......................................................................108
ARTICLE XXVIII..................................................................................................108

   Section 28.1  No Waiver......................................................................................108
ARTICLE XXIX....................................................................................................108

ARTICLE XXX.....................................................................................................108

   Section 30.1  Acceptance of Surrender........................................................................108
ARTICLE XXXI....................................................................................................108

   Section 31.1  No Merger of Title.............................................................................108
ARTICLE XXXII...................................................................................................109

   Section 32.1  Conveyance by Lessor...........................................................................109
ARTICLE XXXIII..................................................................................................109

   Section 33.1  Quiet Enjoyment................................................................................109
</TABLE>

                                       iv

<PAGE>
<TABLE>
<S>                                                                                                              <C>
ARTICLE XXXIV...................................................................................................109

   Section 34.1  Notices........................................................................................109
ARTICLE XXXV....................................................................................................111

   Section 35.1  Appraisals.....................................................................................111
   Section 35.2  Appointment of Appraisers......................................................................111
   Section 35.3  Section 35.3 Qualifications of Appraisers......................................................112
   Section 35.4  Section 35.4 Appraisal Process.................................................................112
   Section 35.5  Section 35.5 Binding Nature....................................................................112
   Section 35.6  Section 35.6 Costs.............................................................................112
ARTICLE XXXVI...................................................................................................113

   Section 36.1  General REIT Provisions........................................................................113
ARTICLE XXXVII..................................................................................................114

   Section 37.1  Intentionally Omitted..........................................................................114
   Section 37.2  Lessor's Option to Purchase the Tenant's Personal Property.....................................114
ARTICLE XXXVIII.................................................................................................114

   Section 38.1  Lessor May Grant Liens.........................................................................114
ARTICLE XXXIX...................................................................................................115

   Section 39.1  Environmental Indemnity........................................................................115
ARTICLE XL......................................................................................................115

   Section 40.1  Miscellaneous..................................................................................115
   Section 40.2  Non-Recourse...................................................................................116
   Section 40.3  Transition of Operations.......................................................................116
   Section 40.4  Right to Enter.................................................................................119
   Section 40.5  Integration....................................................................................119
   Section 40.6  Severability...................................................................................119
   Section 40.7  Subject to Law.................................................................................119
   Section 40.8  Waivers........................................................................................119
   Section 40.9  Binding Character..............................................................................120
   Section 40.10  Modification..................................................................................120
   Section 40.11  Forbearance...................................................................................120
   Section 40.12  Lease Guaranty................................................................................120
   Section 40.13  Intentionally omitted.........................................................................120
   Section 40.14  Confidentiality...............................................................................120
   Section 40.15  New Lease.....................................................................................125
   Section 40.16  Partial Expiration/Termination................................................................129
   Section 40.17  Creation of New Master Lease..................................................................131
   Section 40.18  Combination of Leases.........................................................................131
   Section 40.19  Unified Commercial Operating Lease............................................................134
   Section 40.20  Intentionally Omitted.........................................................................135
</TABLE>

                                       v

<PAGE>
<TABLE>
<S>                                                                                                             <C>
   Section 40.21  No Credits....................................................................................135
ARTICLE XLI.....................................................................................................135

   Section 41.1  Memorandums of Lease...........................................................................135
</TABLE>




                         LIST OF EXHIBITS AND SCHEDULES

Exhibit A - Legal Descriptions of the Land
Exhibit B - Term/Commencement Date/Expiration Date
Exhibit C - Allocation Schedule-Applicable Transferred Property Percentage
Exhibit D - Renewal Groups
Exhibit E - Master Leases
Exhibit F - Intentionally Omitted
Exhibit G - Form of Lease Guaranty
Schedule 1.3 - Certain Breaches and Defaults
Schedule 2.1A - Base Patient Revenues
Schedule 2.1B - Example - Calculation of Base Rent, Current Rent, Accrued Rent
and Unpaid Accrued Rent
Schedule 2.1C - Existing Ground Leases
Schedule 13.7 - Insurance Summary
Schedule 16.1(m)A - Licensed Beds as of the Commencement Date
Schedule 16.1(m)B - Minimum Licensed Beds at Certain Facilities Due to
Involuntary Reduction
Schedule 25.1.7 - Certain Existing Subleases
Schedule 40.12 - Tenant - Affiliate Sublessees

                                       vi

<PAGE>

                             MASTER LEASE AGREEMENT

         THIS MASTER LEASE AGREEMENT (hereinafter this "Lease") is dated as of
                                                        -----
the ____ day of December, 2001 (the "Effective Date"), and is between VENTAS
                                     --------------
REALTY, LIMITED PARTNERSHIP, a Delaware limited partnership (together with its
successors and assigns, "Lessor"), and KINDRED HEALTHCARE, INC., a Delaware
                         ------
corporation formerly known as Vencor, Inc. ("Kindred"), and KINDRED HEALTHCARE
                                             -------
OPERATING, INC., a Delaware corporation formerly known as Vencor Operating, Inc.
("Operator"; Operator, jointly and severally with Kindred and permitted
  --------
successors and assignees of Operator and Kindred, "Tenant").
                                                   ------

                                    RECITALS

         A. Ventas Realty, Limited Partnership ("VRLP") and Tenant have
                                                 ----
previously entered into that certain Amended and Restated Master Lease Agreement
No. 1 (as heretofore or hereafter amended, the "Original Master Lease") dated as
                                                ---------------------
of April 20, 2001.

         B. Contemporaneously herewith, VRLP and Tenant entered into a
Lease Severance and Amendment Agreement (as heretofore or hereafter amended, the
"Lease Severance Agreement") dated as of December ___, 2001, pursuant to which
 -------------------------
they agreed to sever the Original Master Lease into two (2) leases.

         C. Pursuant to Section 40.15 of the Original Master Lease and to
                        -------------
the Lease Severance Agreement, VRLP and Tenant desire to enter into this Lease,
as a "New Lease" (as defined in the Original Master Lease) under the Original
Master Lease, with respect to the Leased Properties (as defined in Section 1.1
                                                                   -----------
below) referenced in this Lease.

         D. Tenant is the tenant (or subtenant, in the case of ground
leased properties) under the Original Master Lease and Tenant has not assigned
the Original Master Lease wholly or in part.

         E. Pursuant to the Bankruptcy Plan (as defined in Section 2.1
                                                           -----------
below) and as further described in Section 3.6 below, VRLP received New Common
                                   -----------
Stock (as defined in the Bankruptcy Plan) as additional rent under the Master
Leases (as defined in Section 2.1 below) and other leases deriving therefrom.
                      -----------

         F. Immediately following entry into this Lease, VRLP intends to
assign all of its right, title and interest in, to and under this Lease to its
Affiliate (as defined in Section 2.1 below), Ventas Finance I, LLC, a Delaware
                         -----------
limited liability company ("Ventas Finance"), and to convey title to the Leased
                            --------------
Properties to Ventas Finance.

         NOW, THEREFORE, in consideration of the foregoing, and of other good
and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged, Lessor and Tenant hereby agree as follows:

                                       1

<PAGE>

                                   ARTICLE I.

     Section 1.1. Leased Property; Term. Effective as of the Effective Date,
                  ---------------------
upon and subject to the terms and conditions hereinafter set forth, Lessor
hereby leases to Tenant, and Tenant hereby leases from Lessor, all of Lessor's
rights and interest in and to each of the following:

          (i) the tracts, pieces and parcels of land, as more particularly
     described in Exhibit A attached hereto (collectively, the "Land"; each
                  ---------                                     ----
     parcel of Land described in Exhibit A, as amended from time to time,
                                 ---------
     excluding those parcels which have been transferred to a New Lease pursuant
     to Section 40.15 (including, without limitation, a New Lease created
        -------------
     pursuant to Section 22.7 hereof) or to a New Master Lease pursuant to
                 ------------
     Section 40.17, together with the related property described in clauses (ii)
     -------------
     through (iv) below, being referred to herein as a "Leased Property" and all
                                                        ---------------
     of such parcels of Land, together with all of such related property, being
     referred to herein collectively as the "Leased Properties"),
                                             -----------------

          (ii) all buildings, structures, Fixtures (as hereinafter defined) and
     other improvements of every kind including, but not limited to, alleyways
     and connecting tunnels, sidewalks, utility pipes, conduits and lines
     (on-site and off-site), parking areas and roadways appurtenant to such
     buildings and structures presently situated upon the Land and Capital
     Alterations (collectively, the "Leased Improvements"),
                                     -------------------

          (iii) all easements, rights and appurtenances relating to the Land and
     the Leased Improvements, and

          (iv) all permanently affixed equipment, machinery, fixtures, and other
     items of real and/or personal property, including all components thereof,
     now and hereafter located in, on or used in connection with, and
     permanently affixed to or incorporated into the Leased Improvements,
     including, without limitation, all furnaces, boilers, heaters, electrical
     equipment, heating, plumbing, lighting, ventilating, refrigerating,
     incineration, air and water pollution control, waste disposal, air-cooling
     and air-conditioning systems and apparatus, sprinkler systems and fire and
     theft protection equipment, and built-in oxygen and vacuum systems, all of
     which to the greatest extent permitted by law, are hereby deemed by the
     parties hereto to constitute real estate, together with all replacements,
     modifications, alterations and additions thereto, but specifically
     excluding all items included within the category of Tenant's Personal
     Property as defined in Article II below (collectively the "Fixtures"),
                            ----------                          --------

     SUBJECT, HOWEVER, to the Permitted Encumbrances (as defined in Section 2.1
                                                                    -----------
hereof).

     Section 1.2 Term. To have and to hold for (1) a fixed term (the "Fixed
                 ----                                                 -----
Term") commencing on the Effective Date and ending at midnight on the Expiration
----
Date set forth in Exhibit B opposite the applicable Leased Property and (2) the
                  ---------
Extended Terms provided for in Article XIX, unless this Lease is sooner
                               -----------
terminated as hereinafter provided.

                                       2

<PAGE>

     Section 1.3 Original Master Lease.
                 ---------------------

          Section 1.3.1 This Lease shall govern and control as to all events,
acts, omissions, liabilities and obligations relating to the Leased Properties
first occurring, arising or accruing from and after the Effective Date.

          Section 1.3.2 Without limitation of the other provisions of this
Section 1.3 or the provisions of Section 1.4 hereof, the terms of the Original
-----------                      -----------
Master Lease shall continue to govern and control as to all events, acts,
omissions, liabilities and obligations occurring, arising and accruing prior to
the Effective Date, provided that, in the event that (1) prior to the Effective
Date, (a) a default or breach of the terms of the Original Master Lease, as the
same affects the Leased Properties under this Lease, shall have occurred, (b)
any act, event or omission to act shall have occurred, or circumstance shall
have arisen, relative to any Legal Requirement, Authorization, Permitted
Encumbrance or Superior Lease (each as defined in Section 2.1 below) affecting
                                                  -----------
any of the Leased Properties that is or is potentially adverse to Lessor or
Tenant, or (c) any casualty or condemnation shall have occurred relative to any
of the Leased Properties and (2) as of the Effective Date, such default or
breach remains uncured or such act, event, omission to act or circumstance
continues to be adverse or potentially adverse to Lessor or Tenant or such
casualty or condemnation has not been fully repaired and restored with all
claims on account thereof finally settled and paid and with the affected Leased
Property re-opened for use in accordance with its Primary Intended Use (as
defined in Section 7.2.2 hereof) and the other provisions of this Lease, the
           -------------
provisions of this Lease relative to cure periods, whether and when an Event of
Default shall be deemed to have occurred, rights and remedies on account of any
breach or default or Event of Default, contest rights, Lease enforcement rights,
casualty, condemnation, insurance and indemnification shall govern and control.
Subject to the foregoing, (x) any breach or default that occurs, arises or
accrues under the Original Master Lease prior to the Effective Date and is not
cured prior to such date is, and shall be deemed to be, a breach or default
under this Lease, to which the cure periods, rights and remedies and other
provisions of this Lease referenced in the preceding sentence shall be
applicable, unless such breach or default is specifically waived and released
under the terms of Section 1.3.4 of the Original Master Lease, and (y) with
                   -------------
respect to any breach or default described in subsection (x) above that is not
specifically waived and released under Section 1.3.4 of the Original Master
                                       -------------
Lease, although the cure periods, rights and remedies and other provisions of
this Lease referenced in the preceding sentence shall be applicable, the portion
of any cure period under the Original Master Lease that has elapsed as of the
Effective Date shall be counted in determining whether and when the applicable
cure period under this Lease has expired (for example, if (A) a breach or
default occurs under the Original Master Lease prior to the Effective Date, (B)
such breach or default remains uncured as of the Effective Date and is not
specifically waived and released under the terms of Section 1.3.4 of the
                                                    -------------
Original Master Lease, (C) Tenant receives from the lessor under the Original
Master Lease a written notice of default relative thereto prior to the Effective
Date, and (D) by the terms of this Lease, for a breach or default of the nature
assumed in this example a cure period of thirty (30) days following Tenant's
receipt of written notice of default is allowed prior to such breach or default
becoming an Event of Default under this Lease, then, as to such breach or
default, an Event of Default shall occur if such breach or default is not cured
on or prior to the thirtieth

                                       3

<PAGE>

(30th) day following Tenant's receipt of the aforesaid notice of default,
notwithstanding that such notice was received prior to the Effective Date).

               Section 1.3.2.1 In the event that (1) prior to the Effective

Date, (a) a default or breach of the terms of the Original Master Lease, as the
same affects the Leased Properties under this Lease, shall have occurred, (b)
any act, event or omission to act shall have occurred, or circumstances shall
have arisen, relative to any Legal Requirement, Authorization, Permitted
Encumbrance or Superior Lease (each as defined in Section 2.1 below) affecting
                                                  -----------
any of the Leased Properties that is or is potentially adverse to Lessor or
Tenant, or (c) any casualty or condemnation shall have occurred relative to any
of the Leased Properties and (2) prior to the Effective Date, such default or
breach has been cured or such act, event, omission to act or circumstance is no
longer adverse or potentially adverse to Lessor or Tenant or such casualty or
condemnation has been fully repaired and restored with all claims on account
thereof finally settled and paid and with the affected Leased Property re-opened
for use in accordance with its Primary Intended Use and the other provisions of
this Lease, then no such default or breach or other circumstance or matter
described in the foregoing subsections (a), (b) and (c) shall constitute an
Event of Default under this Lease, and neither party shall bring a claim against
the other in respect of any such default, breach, circumstance or matter,
whether hereunder or under the Original Master Lease. Notwithstanding the
foregoing, subject to Section 1.3.2 above, neither party waives or releases, and
                      -------------
neither party shall be precluded from exercising, any rights or remedies
(including, without limitation, default rights and remedies) that it may have
hereunder or under the Original Master Lease (i) on account of any
non-performance by the other party of indemnification obligations that such
other party has hereunder or under the Original Master Lease relative to any
default, breach, act, event, omission to act, circumstance, casualty or
condemnation referenced in subsection (a), (b), or (c) above or (ii) if, and
insofar as, the condition described in subsection (2) above is not, or by reason
of events occurring after the Effective Date is shown to have not been, cured,
repaired, restored, re-opened or otherwise satisfied.

          Section 1.3.3 Each party hereto represents and warrants to the other
party hereto that, as of February 23, 2001, such representing party had no
knowledge of any uncured breaches by it of, or uncured defaults by it under, the
Original Master Lease or the 1998 Master Lease, in each case as either of the
same affect the Leased Properties under this Lease, other than the breaches and
defaults disclosed by VRLP or Tenant, as applicable, in the portion of subpart A
of Schedule 1.3 of the Original Master Lease that is applicable to it.
   ------------

               Section 1.3.3.1 Lessor represents and warrants to Tenant that, as
of February 23, 2001, Lessor's Management Group (as defined below) had no Actual
Knowledge (as defined below) of any Section 1.3.3.1 Claim (as defined below) (1)
involving any act or omission by Tenant that constituted a breach or default of
the 1998 Master Lease by Tenant, and affecting any of the Leased Properties
under this Lease, that was continuing as of February 23, 2001, and (2) of which
the lessor under the Original Master Lease had not, on or prior to February 23,
2001, given Tenant written notice (which notice is not required to have been
given in accordance with the formalities of Section 34.1 below) or of which, on
                                            ------------
or prior to February 23, 2001, Tenant had not obtained actual knowledge or
notice (as opposed to, and

                                       4

<PAGE>

not including, constructive, imputed, assumed or other knowledge or notice). As
used in this Section 1.3.3.1, (a) the term "Lessor's Management Group" shall
             ---------------                -------------------------
mean Debra A. Cafaro, T. Richard Riney and John C. Thompson, (b) the term
"Actual Knowledge" shall mean actual knowledge (as opposed to, and not
 ----------------
including, constructive, imputed, assumed or other knowledge, and without any
obligation or duty of any kind to investigate or otherwise make inquiry) first
obtained on or after September 13, 1999 and on or prior to February 23, 2001,
and (c) the term "Section 1.3.3.1 Claim" shall mean a written claim that (x) is
                  ---------------------
made to the lessor under the Original Master Lease by any governmental agency or
private party that is not an Affiliate of Tenant, (y) is based upon an act or
omission of Tenant that constitutes a breach or default by Tenant of the 1998
Master Lease that affects any of the Leased Properties under this Lease, and (z)
describes the occurrence of an event that constitutes such a breach or default
by Tenant (other than a breach or default in the performance of Tenant's
obligations relative to payment of real estate taxes and assessments relating to
any of the Leased Properties and/or payment of any amounts owed on account of
work performed at, or materials provided to, any Leased Property, it being
agreed that claims based on any such breach or default by Tenant shall in no
event be considered a "Section 1.3.3.1 Claim" and that no representation or
warranty is made in this Section 1.3.3.1 regarding any breach or default of the
                         ---------------
nature referenced in this parenthetical clause). Lessor and Tenant further agree
that (i) Tenant shall have no rights or remedies against Lessor on account of
any breach of the representation and warranty of Lessor contained in this
Section 1.3.3.1 other than the rights and remedies set forth in subsection (ii)
---------------
below and (ii) any act or omission by Tenant that satisfies the terms of
subsections (1) and (2) above shall not constitute an Event of Default under the
Original Master Lease or the 1998 Master Lease or this Lease unless and until,
and shall constitute such an Event of Default only if, an Event of Default shall
occur on account of Tenant's failure (A) to perform its indemnification
obligations under the Original Master Lease or the 1998 Master Lease or this
Lease relative to any such act or omission and (B) to cure any such
indemnification non-performance within the cure period applicable to such
indemnification non-performance. Tenant's aforesaid indemnification obligations
shall remain enforceable by Lessor, notwithstanding any breach by Lessor of its
representation and warranty contained in this Section 1.3.3.1 and without any
                                              ---------------
limitation on, or impairment of, such indemnification rights due to any such
breach by Lessor.

          Section 1.3.4 Each of the parties hereto hereby waives and releases
any and all rights and claims it may have against the other party hereto for, on
account of or in connection with any breach or default by such other party of or
under the Original Master Lease or this Lease and which occurred prior to April
20, 2001 (including those matters set forth on subpart A of Schedule 1.3 of the
                                                            ------------
Original Master Lease, but subject to subpart B of Schedule 1.3 of the Original
                                                   ------------
Master Lease and the other terms and provisions of this Section 1.3), provided,
                                                        -----------
however, that, notwithstanding anything to the contrary contained in this
Section 1.3.4 or elsewhere in this Section 1.3, (1) Tenant agrees that it has no
-------------                      -----------
defenses or rights of deduction, set-off or abatement as to any of its
obligations hereunder or under the Original Master Lease, including, without
limitation, payment of Rent, and (2) without limitation of the foregoing
subsection (1), the parties are not waiving or releasing, and are expressly
preserving, (a) any and all rights and claims with respect to any breach or
default that was continuing as of April 20, 2001 (other than rights and claims
with respect to any such continuing breach that is identified in subpart B of
Schedule 1.3 of the Original Master Lease as a breach or default that
------------

                                       5

<PAGE>

is waived and released, and then only to the extent set forth in such subpart B
and subject to subsection (e) below and to the last two sentences of Section
                                                                     -------
1.3.3.1 above), and (b) any and all rights and claims with respect to any breach
-------
or default that is identified in subpart B of Schedule 1.3 of the Original
Master Lease as a breach or default that is not waived or released, and (c) any
and all rights and claims with respect to any breach or default that arises on
account of actions or omissions to act occurring after February 23, 2001 and
which continues after April 20, 2001, and (d) subject to Section 1.3.3.1 above,
                                                         ---------------
any and all rights and claims with respect to any breach or default of the
representations, warranties and agreements contained in Section 1.3.3 above, and
                                                        -------------
(e) any and all rights and claims based upon non-performance of indemnification
obligations hereunder or under the Original Master Lease relative to any breach
or default that is waived and released pursuant to Section 1.3 of the Original
                                                   -----------
Master Lease or to the acts, events, omissions to act or other circumstances on
account of which any such waived and released breach or default arose. Subject
to subsection (e) above and to the last two (2) sentences of Section 1.3.3.1
                                                             ---------------
above, each party agrees that at no time in the future shall it bring a claim
based on a breach or default that has been waived or released pursuant to
Section 1.3 of the Original Master Lease. Lessor further agrees that, because
-----------
Tenant paid all "Monthly Payments," as defined in the Rent Stipulation, for the
period from February 24, 2001 through April 20, 2001, Lessor waives any
"Agreement Rent Claim," as defined in the Rent Stipulation, for such period.

          Section 1.3.5 Nothing contained in this Section 1.3 shall limit or
                                                  -----------
impair Ventas, Inc.'s or Tenant's rights, duties and obligations under the
Indemnity Agreement (as defined in Section 2.1 below).
                                   -----------

     Section 1.4 Additional Provisions Regarding Predecessor Lease. This Lease
                 -------------------------------------------------
constitutes a New Lease created pursuant to Section 40.15 of the Original Master
                                            -------------
Lease. Subject to Section 22.7(g) of such predecessor lease and without
                  ---------------
limitation of and subject to the provisions of Sections 16.10, 19.1, 25.1.11 and
                                               --------------  ----  -------
40.18 of this Lease, and notwithstanding anything to the contrary contained in
-----
Section 1.3 of this Lease:
-----------

          (a) Tenant under this Lease shall be responsible for the payment,
performance and satisfaction of all duties, obligations and liabilities arising
under this Lease, insofar as they relate to the Leased Property(ies) subject to
this Lease, that were not paid, performed and satisfied in full prior to the
Effective Date (and Tenant, in its capacity as the tenant under such predecessor
lease, shall also be responsible for the payment, performance and satisfaction
of the aforesaid duties, obligations and liabilities not paid, performed and
satisfied in full prior to the Effective Date); and

          (b) The tenant under this Lease, in its capacity as the tenant under
this Lease, shall not be responsible for the payment, performance or
satisfaction of any duties, obligations and liabilities of the tenant under such
predecessor lease, in its capacity as the tenant under such predecessor lease,
arising after the Effective Date (Tenant acknowledges, however, that, because
Tenant is both the tenant under this Lease and under such predecessor lease as
of the Effective Date, Tenant, as a legal entity, is responsible for such
duties, obligations and liabilities under such predecessor lease).

                                       6

<PAGE>
                                   ARTICLE II

     Section 2.1 Definitions. For all purposes of this Lease, except as
                 -----------
otherwise expressly provided or unless the context otherwise requires, (i) the
terms defined in this Article have the meanings assigned to them in this Article
and include the plural as well as the singular, (ii) all accounting terms not
otherwise defined herein have the meanings assigned to them in accordance with
generally accepted accounting principles as at the time applicable, (iii) all
references in this Lease to designated "Articles," "Sections" and other
subdivisions are to the designated Articles, Sections and other subdivisions of
this Lease and (iv) the words "herein," hereof" and "hereunder" and other words
of similar import refer to this Lease as a whole and not to any particular
Article, Section or other subdivision:

     "Accrued Rent": (a) For the period from the Effective Date through April
      ------------
30, 2004, zero (0) and (b) for a particular Rent Calculation Year thereafter, an
amount equal to (i) the Base Rent for such Rent Calculation Year, less (ii) the
Current Rent for such Rent Calculation Year. One twelfth (1/12th) of the Accrued
Rent for a particular Rent Calculation Year shall be deemed earned by Lessor on
the first (1st) day of each month during such year. The Accrued Rent shall also
include, as Accrued Rent that is owing hereunder and fully earned by Lessor, all
Unpaid Accrued Rent, if any, that was owing as of the Effective Date under the
Original Master Lease and attributable to the Leased Properties under this Lease
pursuant to Section 40.15(a)(iii) of the Original Master Lease.
            ---------------------

     "Accrued Rent Interest": Interest, calculated in the manner hereinafter
      ---------------------
described, on any and all Accrued Rent under this Lease that is not paid in full
by Tenant on the date it is earned. Accrued Rent that is not paid in full by
Tenant on the date it is earned shall bear interest, until paid, at a rate equal
to the Accrued Rent Interest Rate, compounded annually on April 30 of each year,
and all such interest (including, without limitation, all additional interest
that results from compounding) is herein referred to collectively as "Accrued
Rent Interest".

     "Accrued Rent Interest Rate": On any date, a rate equal to the LIBO Rate
      --------------------------
plus 450 basis points per annum, but in no event greater than the maximum rate
then permitted under applicable law, provided, however, that, upon the
                                     --------  -------
occurrence of any Event of Default, the Accrued Rent Interest Rate shall equal,
on any date, a rate equal to the LIBO Rate plus 700 basis points per annum, but
in no event greater than the maximum rate then permitted under applicable law.
Interest at the aforesaid rates shall be determined for actual days elapsed
based upon a 360 day year.

     "Actual Knowledge": As defined in Section 1.3.3.1.
      ----------------                 ---------------

     "Additional Charges": As defined in Article III.
      ------------------                 -----------

     "Adjusted Base Patient Revenues": Base Patient Revenues from the Leased
      ------------------------------
Properties, adjusted as follows. Without limitation of Section 7.2.3 hereof, if
                                                       -------------
a particular Facility or Facilities within the Leased Properties, for any period
after December 31, 1999, for any reason is closed, the Base Patient Revenues
that correspond to any such closed Facility or Facilities (and, in the case of a
partial year closure, the Base Patient Revenues that correspond to any such
closed Facility or Facilities for the days or months such Facility or Facilities
were

                                       7

<PAGE>

closed) shall be excluded from Base Patient Revenues in order to arrive at
"Adjusted Base Patient Revenues."

     "Affiliate": means, with respect to any Person, any other Person directly
      ---------
or indirectly controlling (including, but not limited to, all partners,
directors, officers and members of such Person), controlled by or under direct
or indirect common control with any such Person. A Person shall be deemed to
control a corporation, a partnership, a trust, or a limited liability company if
such Person possesses, directly or indirectly, the power to direct or cause the
direction of the management and policies of such person, through the ownership
of voting securities, partnership interests or other equity interests.

     "Ancillary Agreement":  As defined in Section 25.1.7.
      -------------------                  --------------

     "Appraisal Notice":  As defined in Section 35.2.
      ----------------                  ------------

     "Arbitration Question":  As defined in Section 22.6(c).
      --------------------                  ---------------

     "Authorizations":  As defined in Section 40.3.
      --------------                  ------------

     "Award":  As defined in Article XV.
      -----                  ----------

     "Bankruptcy Plan": That certain Fourth Amended Joint Plan Of Reorganization
      ---------------
of Vencor, Inc. And Affiliated Debtors Under Chapter 11 Of The Bankruptcy Code
dated as of December 14, 2000, filed on December 14, 2000 at docket no. 4031 in
the United States Bankruptcy Court for the District of Delaware in the cases
known as In re: Vencor, Inc., et al., Case Nos. 99-3199 (MFW) through 99-3327
(MFW), as confirmed by such Bankruptcy Court by Order dated March 16, 2001,
filed on March 16, 2001 at docket no. 5975.

     "Base Patient Revenues": Patient Revenues from the Leased Properties
      ---------------------
(adjusted, in amounts agreed upon by Lessor and Tenant, relative to so-called
"Vencare programs", but which adjustment shall not otherwise be made in the
calculation of "Patient Revenues") for the twelve (12) month period ending on
December 31, 1999, as set forth on Schedule 2.1A attached hereto and
                                   -------------
incorporated herein.

     "Base Rent": (a) For the period from the Effective Date through April 30,
      ---------
2002, rent at an annual rate equal to Thirty One Million One Hundred Fifty Four
Thousand Thirty Dollars ($31,154,030.00) per annum, and (b) for a particular
Rent Calculation Year thereafter, an annual rental amount equal to the sum of
(i) the Prior Period Base Rent, plus (ii) if the Patient Revenues for the
calendar year preceding the commencement of such Rent Calculation Year equaled
or exceeded seventy-five percent (75%) of the Adjusted Base Patient Revenues,
three and one-half percent (3.5%) of the Prior Period Base Rent. (See Schedule
                                                                      --------
2.1B attached hereto and incorporated herein for an example of the calculation
----
of Base Rent, Current Rent, Accrued Rent and Unpaid Accrued Rent under certain
assumptions.) Notwithstanding the foregoing, (1) in the event Lessor exercises
the Reset Option referenced in Section 3.2 hereof, then, for periods from and
                               -----------
after the Reset Date, "Base Rent" shall mean the Fair Market Rental applicable
to such period, as determined pursuant to Section 3.2 hereof and including
                                          -----------

                                       8

<PAGE>

any escalations that are part of the Fair Market Rental as so determined, and
(2) exercise of the Reset Option shall not limit the applicability of Sections
                                                                      --------
19.2 and 19.3 hereof.
----     ----

     "Business Day": Each Monday, Tuesday, Wednesday, Thursday and Friday which
      ------------
is not a day on which national banks in the City of New York, New York are
authorized, or obligated, by law or executive order, to close.

     "Capital Alterations": With respect to any Leased Property: (i) the
      -------------------
addition of one or more new buildings, or (ii) the annexation of one or more
additional structures to any portion of any of the Leased Improvements on such
Leased Property, or (iii) the material expansion or contraction of the existing
improvements on such Leased Property, or (iv) any alteration or modification
affecting the foundation, floor slab, roof or roof structure, curtain wall,
structural columns, beams or shafts or other structural components of any of the
Leased Improvements on such Leased Property (other than any alterations or
modifications affecting any of such components that do not in any material
respect adversely affect the design, efficacy and/or quality of any such
component), or (v) any alteration or modification affecting any of the
electrical, plumbing, life safety, heating, ventilating, air conditioning or
other operating systems serving any of the Leased Improvements on such Leased
Property (other than any alterations or modifications affecting any of such
systems that do not in any material respect adversely affect the design,
operating capacity, efficiency and/or quality of any such system), or (vi) any
alterations or modifications to a Leased Property, the cost of which (excluding
cosmetic refurbishing alterations or modifications, such as painting,
wallpapering or carpeting), when taken together with all other alterations and
modifications (excluding cosmetic refurbishing alterations or modifications)
performed on such Leased Property in the twelve (12) month period immediately
preceding the subject alterations or modifications, would exceed One Million
Dollars ($1,000,000) (in the case of alterations or modifications to hospital
facilities) or Five Hundred Thousand Dollars ($500,000) (in the case of
alterations or modifications to nursing center facilities or any other facility
not operated as a hospital). "Capital Alterations" shall include, without
limitation, (1) the construction of a new wing or new story on a Leased
Property, (2) the repair, replacement, restoration, remodeling or rebuilding of
the existing improvements on a Leased Property or any portion thereof, where the
purpose and effect of such work is to provide a functionally new facility needed
to provide services not previously offered, and (3) any expansion, construction,
renovation or conversion in order to increase the bed capacity of the Facility
located on a Leased Property, to change the purpose for which such beds are
utilized or to improve materially the quality of such Facility.

     "Capital Alterations Cost": The term "Capital Alterations Cost" shall mean
      ------------------------
the cost of any Capital Alteration proposed to be made by Tenant at a Leased
Property, whether or not paid for by Tenant or Lessor. Such cost shall include
(a) the cost of construction of the Capital Alterations (including site
preparation and improvement, materials, labor, supervision, and certain related
design, engineering and architectural services), the cost of any fixtures, the
cost of construction financing and miscellaneous costs approved by Lessor, (b)
if agreed to by Lessor in writing, in advance, the cost of any land contiguous
to a Leased Property that is (1) to become part of such Leased Property and (2)
is purchased for the purpose of placing thereon the Capital Alterations or any
portion thereof or of providing means of access to such Capital Alterations or
any existing improvements on such Leased Property or of providing parking

                                       9

<PAGE>

facilities for such Capital Alterations or such existing improvements, including
the cost of surveying the same, (c) the cost of insurance, real estate taxes,
water and sewage charges and other carrying charges for such Capital Alterations
during construction, (d) the cost of title insurance, (e) reasonable fees and
expenses of legal counsel, (f) filing, registration and recording taxes and
fees, (g) documentary stamp taxes, if any, and (h) all reasonable costs and
expenses of Lessor and Tenant and, if agreed to in advance by Lessor, any
Lending Institution which has committed to finance the Capital Alterations,
including, but not limited to, (i) the reasonable fees and expenses of their
respective legal counsel, (ii) all printing expenses, (iii) the amount of any
filing, registration and recording taxes and fees, (iv) documentary stamp or
transfer taxes, if any, (v) title insurance charges and appraisal fees, if any,
(vi) rating agency fees, if any, and (vii) commitment fees, if any, charged by
any Lending Institution advancing or offering to advance any portion of the
financing for such Capital Alterations.

     "Code": The Internal Revenue Code of 1986, as amended.
      ----

     "Combined Leased Properties": The Leased Properties from time to time under
      --------------------------
this Lease, together with the leased properties from time to time under the
other Combined Leases.

     "Combined Leases": The following that are from time to time in existence:
      ---------------
this Lease, the Master Leases and any New Lease entered into pursuant to Section
                                                                         -------
40.15 of this Lease (including, without limitation, any Separate Lease entered
-----
into pursuant to the terms of Section 22.7 hereof) or the corresponding sections
                              ------------
of any of the Master Leases or of any New Lease(s) derived, directly or
indirectly, from any of the Master Leases.

     "Commencement Date": As to the applicable Leased Property, the date set
      -----------------
forth opposite such Leased Property in the column "Commencement Date" on Exhibit
                                                                         -------
B attached hereto.
-

     "Condemnation; Condemnor": As defined in Article XV.
      -----------------------                 ----------

     "Coverage Ratio": As to any one or more of the Combined Leased Properties,
      --------------
the ratio of the EBITDARM generated by such Combined Leased Property(ies) to
Base Rent allocable thereto under the applicable Combined Leases, in each case
for the four (4) full calendar quarters ending not less than sixty (60) days
prior to (a) the effective date of the New Master Lease, in the case of Section
                                                                        -------
40.17 hereof, or (b) the occurrence of a Section 16.10.3.1 New Lease
-----
Transaction, in the case of Section 16.10.3.1.
                            -----------------

     "Current Rent": (a) For the period from the Effective Date through April
      ------------
30, 2004, rent at an annual rate equal to the Base Rent applicable to such
period, and (b) for a particular Rent Calculation Year thereafter, an annual
rental amount equal to the sum of (i) the Prior Period Current Rent, plus (ii)
if the Patient Revenues for the calendar year preceding the commencement of such
Rent Calculation Year equaled or exceeded seventy-five percent (75%) of the
Adjusted Base Patient Revenues, two percent (2%) of the Prior Period Base Rent;
provided, however, that, from and after the Unpaid Accrued Rent Due Date, for
--------  -------
the remainder of the Rent Calculation Year during which such Unpaid Accrued Rent
Due Date occurs and for each Rent Calculation Year thereafter, subject to
satisfaction of the aforesaid 75% of Adjusted Base Patient Revenues test, the
amount referenced in this subsection (b) (ii) shall equal three

                                       10

<PAGE>

and one-half percent (3.5%), rather than two percent (2%), of the Prior Period
Base Rent (i.e. from and after the Unpaid Accrued Rent Due Date, Current Rent
shall equal Base Rent). Notwithstanding the foregoing, (x) in the event Lessor
exercises the Reset Option referenced in Section 3.2 hereof, then, for periods
                                         -----------
from and after the Reset Date, "Current Rent" shall mean the Fair Market Rental
applicable to such period, as determined pursuant to Section 3.2 hereof and
                                                     -----------
including any escalations that are part of the Fair Market Rental as so
determined, and (y) exercise of the Reset Option shall not limit the
applicability of Sections 19.2 and 19.3 hereof.
                 -------------     ----

     "Date of Taking":  As defined in Article XV.
      --------------                  ----------

     "Disclosing Party":  As defined in Section 40.14.
      ----------------                  -------------

     "Disclosure Date": As defined in Section 40.14.
      ---------------                 -------------

     "Disclosure Law":  As defined in Section 40.14.
      --------------                  -------------

     "Disclosure Notice": As defined in Section 40.14.
      -----------------                 -------------

     "Disclosure Notification Period":  As defined in Section 40.14.
      ------------------------------                  -------------

     "EBITDAR": As to any particular Leased Property or Leased Properties, or
      -------
any hospital, nursing center or other facility not covered by this Lease
(regardless of the identity of the landlord or tenant of any such other
facility) for a particular period, the earnings before interest, taxes,
depreciation, amortization and rent, attributable to such Leased Property or
Leased Properties or such other facility, as applicable, for such period, as
determined in accordance with the customary methods, procedures and accounting
principles from time to time used in the health care industry.

     "EBITDARM": As to any particular Leased Property or Leased Properties, or
      --------
any hospital, nursing center or other facility not covered by this Lease
(regardless of the identity of the landlord or tenant of any such other
facility) for a particular period, the earnings before interest, taxes,
depreciation, amortization, rent and management fees, attributable to such
Leased Property or Leased Properties or such other facility, as applicable, for
such period, as determined in accordance with the customary methods, procedures
and accounting principles from time to time used in the health care industry.

     "Effective Date":  As defined in the preamble hereof.
      --------------

     "Encumbrance":  As defined in Article XXXVIII.
      -----------                  ---------------

     "Event of Default":    As defined in Article XVI.
      ----------------                    -----------

     "Existing Ground Leases": Those ground leases, if any, listed on Schedule
      ----------------------                                          --------
2.1C attached hereto and made a part hereof, as the same may be amended or
----
modified in writing after the Effective Date with the written consent of Lessor
and Tenant, each acting in its sole discretion.

                                       11

<PAGE>

     "Exit Facility Documents": The documents evidencing and securing the Exit
      -----------------------
Financing (as defined in the Bankruptcy Plan), and any amendment, restatement,
modification, refinancing or replacement thereof from time to time following
April 20, 2001.

     "Expired/Terminated Properties":  As defined in Section 40.16.
      -----------------------------                  -------------

     "Extended Term":  As defined in Article XIX.
      -------------                  -----------

     "Facility": The facility being operated or proposed to be operated on the
      --------
applicable Leased Property.

     "Facility Default": An Event of Default that relates directly to one or
      ----------------
more of the Leased Properties and/or the Facilities operated thereon (such as,
for example only and without limitation, an Event of Default arising from a
failure to maintain or repair, or to operate for the Primary Intended Use, or to
maintain the required Authorizations for, one or more of the Facilities), as
opposed to an Event of Default that, by its nature, does not relate directly to
any of the Leased Properties or Facilities (such as, for example only and
without limitation, an Event of Default arising from a breach of Section
                                                                 -------
3.1(a)).
------

     "Facility Mortgage":  As defined in Article XIII.
      -----------------                  ------------

     "Facility Mortgagee":  As defined in Article XIII.
      ------------------                  ------------

     "Facility Termination":  As defined in Section 40.3.
      --------------------                  ------------

     "Fair Market Added Value: The Fair Market Value (as hereinafter defined) of
      -----------------------
the applicable Leased Property (including all Capital Alterations), less, if
Tenant has performed and financed a Capital Alteration to add a new building(s)
to such Leased Property, the Fair Market Value of such Leased Property
determined as if any such new building(s) had not been constructed.

     "Fair Market Rental": The annual amount per annum that a willing tenant
      ------------------
would pay, and a willing landlord would accept, at arm's length, for leasing of
the Leased Properties (or, if applicable, any one or more, but less than all, of
the Leased Properties) for the period of the Term (including, without
limitation, any Extended Terms) remaining from and after the date as of which
the Fair Market Rental is being determined (e.g. as of the Reset Date, in the
case of Section 3.2, and as of the commencement of an Extended Term, in the case
        -----------
of Sections 19.2 and 19.3). The Fair Market Rental may include therein such
   -------------     ----
escalations of rent as would be paid by such a tenant, and accepted by such a
landlord, as part of an arm's length transaction entered into as of the
aforesaid Fair Market Rental determination date; provided, however, that, in
                                                 --------  -------
addition to such other market factors as may be applicable in determining the
Fair Market Rental, the Fair Market Rental shall be determined on the basis, and
on the assumptions, that (a) the Fair Market Rental may not include therein any
rent, or method of rent calculation, that would adversely affect any landlord by
virtue of it being a real estate investment trust or the ability of any such
landlord to satisfy the requirements for maintaining its status as a real estate
investment trust (and, without limitation of the foregoing, the Fair Market
Rental shall not include any rent that would fail to qualify as "rents from real

                                       12

<PAGE>

property" for purposes of Section 856(d) of the Code), (b) the Fair Market
Rental amount is to be paid absolutely net to the aforesaid landlord, without
any rights of deduction, set-off or abatement, (c) all of the Leased Properties
as to which the Fair Market Rental is being determined are in good condition and
repair (given their respective ages and prevailing health care industry
standards with respect to what is considered good condition and repair), without
any deferred maintenance (but allowing for ordinary wear and tear), are in
material compliance with any and all applicable laws, codes, ordinances and
regulations and have in full force and effect, for the benefit of the aforesaid
tenant, the Facilities and the Leased Properties, any and all necessary or
appropriate material Authorizations for use thereof in accordance with the
respective Primary Intended Uses applicable thereto, (d) the aforesaid tenant
has complied, and shall be required to comply, with the requirements of this
Lease, including, without limitation, Article XXXVI hereof, (e) the respective
                                      -------------
replacement costs of the Leased Properties as to which Fair Market Rental is
being determined are not determinative of the Fair Market Rental of such Leased
Properties, and (f) the aforesaid tenant shall have available to it, with
respect to each Leased Property as to which the Fair Market Rental is being
determined, such remaining Term as then remains, and such number of Extended
Terms as then remain unexercised, with respect to such Leased Property under the
terms of this Lease. Notwithstanding anything to the contrary contained in this
Lease, "Fair Market Rental" shall take into account, for each of the applicable
Leased Properties, the market conditions, market levels of EBITDARM, the ratio
of market levels of EBITDARM to market levels of rent, and the actual levels of
EBITDARM at the applicable Leased Properties, in each case that are prevailing
or measured, as applicable, as of the date as of which the Fair Market Rental is
being determined, as well as historical levels of EBITDARM at the applicable
Leased Properties (including the EBITDARM of the Leased Properties measured as
of April 20, 2001).

     "Fair Market Value": The price that a willing buyer not compelled to buy
      -----------------
would pay a willing seller not compelled to sell for the applicable Leased
Property, including all Capital Alterations, and (a) assuming the same is
unencumbered by this Lease, (b) determined in accordance with the appraisal
procedures set forth in Article XXXV or in such other manner as shall be
                        ------------
mutually acceptable to Lessor and Tenant, and (c) not taking into account any
reduction in value resulting from any indebtedness to which such Leased Property
is subject except as expressly provided hereinbelow. In determining such Fair
Market Value the positive or negative effect on the value of the Leased Property
attributable to the interest rate, amortization schedule, maturity date,
prepayment penalty and other terms and conditions of any encumbrance which is
not removed at or prior to the closing of the transaction as to which such Fair
Market Value determination is being made shall be taken into account.

     "Fair Market Value Purchase Price": The Fair Market Value of the Leased
      --------------------------------
Property less the Fair Market Added Value.

     "Fiscal Year": The twelve (12) month period from January 1 to December 31.
      -----------

     "Final Appraiser":  As defined in Section 35.2.
      ---------------                  ------------

     "Fixed Term":  As defined in Article I.
      ----------                  ---------

                                       13

<PAGE>

     "Fixtures":  As defined in Article I.
      --------                  ---------

     "Guarantor": Each subtenant that is an Affiliate of Tenant to which a
      ---------
Leased Property or any portion thereof is subleased, including, without
limitation, as of the Effective Date, the Affiliates of Tenant that are
referenced on Schedule 40.12 attached hereto and incorporated herein.
              --------------

     "Impositions": Shall mean for each applicable Leased Property,
      -----------
collectively, all taxes (including, without limitation, all taxes imposed under
the laws of the State, as such laws may be amended from time to time, and all ad
valorem, sales and use, single business, gross receipts, transaction privilege,
rent or similar taxes as the same relate to or are imposed upon any rents from
the applicable Leased Property or upon Tenant or its business conducted upon the
applicable Leased Property, but excluding any tax based on the net income or net
profit of Lessor derived from any such rents), assessments (including, without
limitation, all assessments for public improvements or benefits, whether or not
commenced or completed prior to the date hereof and whether or not to be
completed within the Term), ground rents arising under any of the Existing
Ground Leases, water, sewer or other rents and charges, excises, tax levies,
fees (including, without limitation, license, permit, inspection, authorization
and similar fees), and all other governmental charges, in each case whether
general or special, ordinary or extraordinary, or foreseen or unforeseen, of
every character in respect of the applicable Leased Property or any rents
therefrom or the business conducted thereon by Tenant (including all interest
and penalties thereon due to any failure in payment by Tenant), which at any
time prior to, during or in respect of the Term hereof may be assessed or
imposed on or in respect of or be a lien upon (a) Lessor or Lessor's interest in
such Leased Property, (b) such Leased Property or any part thereof or any rent
therefrom or any estate, right, title or interest therein, or (c) any occupancy,
operation, use or possession of, or sales from, an activity conducted on, or in
connection with such Leased Property or the leasing or use of such Leased
Property or any part thereof by Tenant; provided, however, nothing contained in
this Lease shall be construed to require Tenant to pay (1) any tax based on net
income (whether denominated as a franchise or capital stock or other tax)
imposed on Lessor or any other person or (2) any transfer, or net revenue tax of
Lessor or any other person or (3) any tax imposed with respect to the sale,
exchange or other disposition by Lessor of the applicable Leased Property or the
proceeds thereof, except to the extent that any tax, assessment, tax levy or
charge, which Tenant is obligated to pay pursuant to the preceding provisions of
this definition and which is in effect at any time during the Term hereof is
totally or partially repealed, and a tax, assessment, tax levy or charge set
forth in clause (1) or (2) is levied, assessed or imposed expressly in lieu
thereof.

     "Indemnity Agreement": That certain Agreement of Indemnity-Third Party
      -------------------
Leases, dated as of April 30, 1998, from Tenant and its Affiliates to Ventas,
Inc., which Indemnity Agreement remains in full force and effect in accordance
with its terms and is hereby reaffirmed and ratified.

     "Insurance Requirements": All terms of any insurance policy required by
      ----------------------
this Lease with respect to the applicable Leased Property and all requirements
of the issuer of any such policy.

                                       14

<PAGE>
     "Kindred":  As defined in the preamble hereof.
      -------

     "Land":  As defined in Article I.
      ----                  ---------

     "Lease":  As defined in the preamble hereof.
      -----

     "Lease Guaranty": A guaranty of certain obligations of Tenant under this
      --------------
Lease executed and delivered by each Guarantor substantially in the form of
Exhibit G annexed hereto.
---------

     "Lease Year": shall mean May 1 through April 30 of each year of the Term.
      ----------

     "Leased Improvements"; "Leased Property"; "Leased Properties":  Each as
      -------------------    ---------------    -----------------
defined in Section 1.1.
           -----------

     "Leasehold Mortgage":  As defined in Section 22.2(a).
      ------------------                  ---------------

     "Leasehold Mortgagee":  As defined in Section 22.2(b).
      -------------------                  ---------------

     "Legal Requirements": As to the applicable Leased Property, all federal,
      ------------------
state, county, parish, municipal and other governmental statutes, laws, rules,
orders, regulations, ordinances, judgments, decrees and injunctions affecting
such Leased Property or the maintenance, construction, use, operation or
alteration thereof, whether now or hereafter enacted and in force, including,
without limitation, (i) any licensure requirements, certification requirements
under applicable federal and/or state cost reimbursement programs, including
Medicare and Medicaid (provided the applicable Facility participates in such
reimbursement), building codes and zoning regulations, (ii) any which may (x)
require repairs, modifications or alterations in or to such Leased Property or
(y) in any way adversely affect the use and enjoyment thereof, and (iii) all
permits, licenses, certificates of need, authorizations and regulations
necessary to operate such Leased Property for its Primary Intended Use.

     "Lending Institution": Any insurance company, federally insured commercial
      -------------------
or savings bank, national banking association, savings and loan association,
credit union, employees' welfare, pension or retirement fund or system,
corporate profit sharing or pension trust, college or university, endowment
fund, real estate investment trust, or other institutional lender or financial
enterprise, including, without limitation, any corporation qualified to be
treated for federal tax purposes as a real estate investment trust, having a net
worth of at least $50,000,000 acting on its own behalf or as agent on behalf of
other Lending Institutions.

     "Lessor":  Ventas Realty, Limited Partnership, a Delaware limited
      ------
partnership and its successors and assigns.

     "Lessor's Management Group":  As defined in Section 1.3.3.1.
      -------------------------                  ---------------

     "LIBO Rate": On any day, the offered rate per annum for Dollar deposits in
      ---------
the London Interbank Offered Market for contracts with a three-month term, as
reported in The Wall Street Journal on the last Business Day of the calendar
            -----------------------
month immediately preceding such

                                       15

<PAGE>

day. If The Wall Street Journal shall cease to report such offered rate, then
        -----------------------
the LIBO Rate, on any day, shall be the aforesaid offered rate per annum as of
the last Business Day of the calendar month immediately preceding such day,
determined by Citibank, N.A., or any successor thereof, as the aforesaid offered
rate per annum as of such last Business Day. If the aforesaid offered rate is
determined by reference to The Wall Street Journal, the same shall be based upon
                           -----------------------
the effective rate per annum for the aforesaid contracts entered into such
number of days prior to the day for which the aforesaid offered rate is being
reported by The Wall Street Journal as is used by The Wall Street Journal. If
            -----------------------               -----------------------
the aforesaid offered rate is determined based upon the rate determined by
Citibank, N.A., or any successor thereof, the same shall be based upon the
effective rate per annum for the aforesaid contracts entered into as of
approximately 11:00 a.m. (London time) two (2) Business Days prior to the day
for which the aforesaid offered rate is being determined by Citibank, N.A., or
any successor thereof.

     "Litigation Costs": All costs reasonably incurred by Lessor in connection
      ----------------
with the enforcement of any provision of this Lease and/or in connection with
any third-party claim against Lessor or any Leased Property arising on account
of or in connection with any default or Event of Default hereunder by Tenant,
including, without limitation, costs reasonably incurred by Lessor in
investigating, settling and/or prosecuting claims and for attorney's and legal
assistant fees and expenses, court costs and fees and consultant and witness
fees and expenses.

     "Master Lease Leased Properties": The Leased Properties under the Original
      ------------------------------
Master Lease, exclusive of any Leased Properties that, pursuant to Section 40.17
                                                                   -------------
below or the corresponding section of the Original Master Lease or of any New
Lease derived, directly or indirectly, therefrom, are transferred into a New
Master Lease in accordance with the requirements of any such Section 40.17.
                                                             -------------

     "Master Leases": Collectively, all of those certain leases listed in
      -------------
Exhibit E attached hereto, and any New Master Lease entered into pursuant to
---------
Section 40.17 of this Lease and the corresponding section of any of the Combined
-------------
Leases.

     "Medicaid": A state program of medical aid established under Title XIX of
      --------
the Social Security Act of 1965, as amended, and any successor statute thereto
and any successor programs.

     "Medicare": The program of medical care benefits provided under Title XVIII
      --------
of the Social Security Act of 1965, as amended, and any successor statute
thereto and any successor programs thereto.

     "New Lease":  As defined in Section 40.15.
      ---------                  -------------

     "New Master Lease":  As defined in Section 40.17.
      ----------------                  -------------

     "1998 Master Lease":  The "Original Master Lease," as referenced and
      -----------------
defined in the Original Master Lease.

     "1998 Plan of Reorganization":  As defined in Section 16.11.
      ---------------------------                  -------------

                                       16

<PAGE>

     "Non-Capital Alterations":  As defined in Section 10.4.
      -----------------------                  ------------

     "Officer's Certificate": A certificate of Tenant signed by the chairman of
      ---------------------
the board of directors, the president, any vice president, the secretary, the
treasurer, the chief operating officer, the chief financial officer, the general
counsel or any other officer authorized to so sign by the board of directors or
by-laws of Tenant, or the general partner of Tenant or the managing member of
Tenant, as applicable, or any other person whose power and authority to act has
been authorized by delegation in writing by any person duly authorized to make
such delegation of authority.

     "Operator":  As defined in the preamble hereof.
      --------

     "Original Master Lease":  As defined in the recitals hereto.
      ---------------------

     "Overdue Rate": On any date, a rate equal to 2% per annum above the Prime
      ------------
Rate, but in no event greater than the maximum rate then permitted under
applicable law, provided, however, that, upon the occurrence of any Event of
Default, the Overdue Rate, when applied to any Accrued Rent, Accrued Rent
Interest or Unpaid Accrued Rent, shall equal, on any date, a rate equal to the
LIBO Rate plus 700 basis points per annum, but in no event greater than the
maximum rate then permitted under applicable law. Interest at the aforesaid
rates shall be determined for actual days elapsed based upon a 360 day year.

     "Paragraph Seven Notification Period":  As defined in Section 40.14.
      -----------------------------------                  -------------

     "Partial Expiration/Termination Date":  As defined in Section 40.16.
      -----------------------------------                  -------------

     "Partial Expiration/Termination Days":  As defined in Section 40.16.
      -----------------------------------                  -------------

     "Patient Revenues": Revenues generated from the sale of goods or services
      ----------------
at or through the Leased Properties, whether by Tenant or any subtenant or
licensee of Tenant, or any other party, which revenues are primarily derived
from services provided to patients (including, without limitation, revenues
received or receivable for the use of or otherwise by reason of all rooms, beds
and other facilities provided, meals served, services performed or goods sold at
the Leased Properties, but excluding revenues received by Tenant as rent or
other consideration from a permitted assignment of this Lease or any part
thereof or a permitted sublease of any Leased Property(ies) or any part
thereof), and which revenues shall be measured and computed using substantially
the same methodology as during the period between April 30, 1998 and April 20,
2001 and net of contractual adjustments of governmental and other third party
payors.

     "Payment Date":  Any due date for the payment of the installments of any
      ------------
component of Rent payable under this Lease.

     "Permissible Reduction Percentage":  As defined in Section 16.1.
      --------------------------------                  ------------

     "Permitted  Alteration":  Any Capital Alteration or Non-Capital Alteration
      ---------------------
to a Facility or Leased Property that is permitted pursuant to the terms of this
Lease.

                                       17

<PAGE>

     "Permitted Encumbrances": (a) all easements, covenants, conditions,
      ----------------------
restrictions, agreements and other matters with respect to the Leased Properties
that are of record as of the Commencement Date; (b) all easements, covenants,
conditions, restrictions, agreements and other matters with respect to the
Leased Properties, whether or not of record, that are executed by Tenant or
approved or consented to in writing by Tenant; (c) any easement or utility
agreement entered into by Lessor, or the lessor under the Original Master Lease,
with respect to a Leased Property(ies) after April 20, 2001, subject to Tenant's
consent, in its sole discretion; (d) any agreement required pursuant to any
Legal Requirement entered into by Lessor, or the lessor under the Original
Master Lease, with respect to a Leased Property(ies) after April 20, 2001,
subject to Tenant's consent, not to be unreasonably withheld, conditioned or
delayed; (e) any matter affecting title to the Leased Properties or any portion
thereof that is permitted under Section 7.3 or Section 9.2; and (f) any other
                                -----------    -----------
matters affecting title to the Leased Properties or any portion thereof caused
by Tenant or its assignees or sublessees or their respective agents or
employees, provided, however, that, for purposes of Section 24.1 below,
           --------  -------                        ------------
"Permitted Encumbrances" shall not include any Superior Lease (other than the
Existing Ground Leases), any Facility Mortgage or other lien created by Lessor
or its agents or employees or any Leasehold Mortgage and, for purposes of
Section 8.3 below, "Permitted Encumbrances" shall not include any Superior
-----------
Lease, any Facility Mortgage or other lien created by Lessor or its agents or
employees or any Leasehold Mortgage.

     "Person": Any individual, sole proprietorship, corporation, general
      ------
partnership, limited partnership, limited liability company or partnership,
joint venture, association, joint stock company, bank, trust, estate,
unincorporated organization, any federal, state, county, or municipal government
(or agency or political subdivision thereof), endowment fund or other form of
entity.

     "Plans and Specifications":  As defined in Section 10.1.
      ------------------------                  ------------

     "Previous Period Unreported Claims":  As defined in Section 13.1.4.
      ---------------------------------                  --------------

     "Primary Intended Use":  As defined in Section 7.2.2.
      --------------------                  -------------

     "Prime Rate":  On any date, a rate equal to the annual rate on such date
      ----------
announced by Citibank, N.A., or any successor thereof, to be its prime rate.

     "Prior Period Base Rent": As of any date after April 30, 2002, the Base
      ----------------------
Rent that was in effect immediately prior to the commencement of the Rent
Calculation Year containing such date.

     "Prior Period Current Rent": As of any date after April 30, 2003, the
      -------------------------
Current Rent that was in effect immediately prior to the commencement of the
Rent Calculation Year containing such date.

     "Property Transfer Date":  As defined in Section 40.15.
      ----------------------                  -------------

     "Purchase Option EBITDAR":  As defined in Section 16.12.5.
      -----------------------                  ---------------

                                       18

<PAGE>

     "Qualified Arbitrator":  As defined in Section 22.6(c).
      --------------------                  ---------------

     "Qualified Successor":  As defined in Section 40.3.
      -------------------                  ------------

     "Recipient":  As defined in Section 40.14.
      ---------                  -------------

     "Refinancing Transaction": The occurrence of any of the following:(i) any
      -----------------------
transaction pursuant to which all or substantially all of the indebtedness of
Tenant under the Tenant Senior Secured Credit Agreement or Tenant Senior Secured
Notes is purchased by Tenant or any Affiliate thereof, or by anyone else at the
direction of Tenant or any such Affiliate, or is repaid; (ii) any amendment of
the Tenant Senior Secured Credit Agreement or Tenant Senior Secured Notes
pursuant to which either (x) the principal amount of Tenant's indebtedness
thereunder (as such indebtedness is in effect immediately prior to such
amendment) is increased (excepting therefrom increases attributable to the
capitalization of accrued interest or protective advances by the Senior Lender),
or (y) the loan amount, maturity or other material terms and conditions thereof
(as such terms and conditions are in effect immediately prior to such amendment)
are modified to match, better or otherwise respond to the terms and conditions
of alternative financing which has been offered to Tenant; (iii) any bona fide,
binding offer is made to Tenant to provide financing on terms better than those
of the Tenant Senior Secured Credit Agreement and Tenant Senior Secured Notes,
sufficient to (x) pay in full, or purchase at or above par, all of the
indebtedness of Tenant under the Tenant Senior Secured Credit Agreement or
Tenant Senior Secured Notes and (y) pay in full all Unpaid Accrued Rent owing as
of such date, whether or not such offer is accepted or consummated; and (iv) the
termination or expiration of this Lease; provided, however, if such termination
                                         --------  -------
occurs in connection with the creation of a Separate Lease under Section 22.7
                                                                 ------------
hereof, such termination shall not constitute a "Refinancing Transaction" and
provided, further, that, if such termination or expiration occurs prior to the
occurrence of one of the events described in clauses (i) through (iii) above,
then, notwithstanding that a Refinancing Transaction shall have occurred and the
Unpaid Accrued Rent Due Date shall thereby be triggered, until one of the events
described in clauses (i) through (iii) above shall have occurred, Lessor's right
to receive, and receipt of, payment of Accrued Rent and Unpaid Accrued Rent
only, but not any other component of Rent or other amount due to Lessor
hereunder, shall be subordinate to the Senior Lender's right to receive, and
receipt of, payment of the indebtedness of Tenant under the Tenant Senior
Secured Credit Agreement and Tenant Senior Secured Notes and, upon the
occurrence of one of the events described in clauses (i) through (iii) above,
such subordination shall automatically terminate; and provided further that all
amounts received by Lessor from or for the account of Tenant with respect to
amounts due under this Lease shall, notwithstanding any characterization thereof
by Tenant, be first applied against Current Rent, Additional Charges and other
amounts then due from Tenant under this Lease (excluding Accrued Rent and Unpaid
Accrued Rent), until each of the foregoing is paid in full, before any such
amount is applied against Accrued Rent or Unpaid Accrued Rent. Notwithstanding
anything to the contrary contained herein, the term "Refinancing Transaction"
shall not include any forbearance, standstill agreement, extension of maturity
or other amendment of the Tenant Senior Secured Credit Agreement or Tenant
Senior Secured Notes entered into in order to facilitate a workout of defaults
or imminent defaults by Tenant.

                                       19

<PAGE>

     "Registration Rights Agreement": As defined in Section 40.14.
      -----------------------------                 -------------

     "Reimbursement Period": As defined in Section 40.3.
      --------------------                 ------------

     "REIT": As defined in Section 36.1.1.
      ----                 --------------

     "REIT Requirements": As defined in Section 36.1.1.
      -----------------                 --------------

     "Renewal Group": As defined in Section 19.1 hereof.
      -------------                 ------------

     "Rent": Collectively, Current Rent, Unpaid Accrued Rent and Additional
      ----
Charges (as defined in Section 3.3 hereof).
                       -----------

     "Rent Calculation Year": A period from May 1 of any year through April 30
      ---------------------
of the following year.

     "Rent Stipulation": That certain Stipulation and Order Pursuant to Section
      ----------------
365 of the Bankruptcy Code regarding Vencor, Inc., Vencor Operating, Inc. and
Vencor Nursing Centers Limited Partnership's Performance of Obligations under,
and Extending the Time within which Vencor, Inc., Vencor Operating, Inc. and
Vencor Nursing Centers Limited Partnership May Accept or Reject, Certain
Agreements between Vencor, Inc., Vencor Operating, Inc., Vencor Nursing Centers
Limited Partnership, Ventas, Inc. and Ventas Realty, Limited Partnership dated
September 13, 1999 and entered by the Bankruptcy Court in the bankruptcy
proceedings of Tenant on September 13, 1999, at docket no. 43, as the same may
heretofore have been, or hereafter may be, amended by Lessor and Tenant, each
acting in its sole discretion.

     "Reset Date":  As defined in Section 3.2.
      ----------                  -----------

     "Reset Exercise and Payment Date":  As defined in Section 3.2.
      -------------------------------                  -----------

     "Reset Fee":  As defined in Section 3.2.
      ---------                  -----------

     "Reset Option":  As defined in Section 3.2.
      ------------                  -----------

     "Second Lease": As defined in Section 40.18.
      ------------                 -------------

     "Section 1.3.3.1 Claim":  As defined in Section 1.3.3.1.
      ---------------------                  ---------------

     "Section 16.10.3.1 New Lease Transaction": As defined in Section 16.10.3.1.
      ---------------------------------------                 -----------------

     "Section 16.10.1 Number": As defined in Section 16.10.1.
      ----------------------                 ---------------

     "Section 16.10.2.3 Proviso": As defined in Section 16.10.2.3.
      -------------------------                 -----------------

     "Section 16.10.3.2 Number":  As defined in Section 16.10.3.2.
      ------------------------                  -----------------

     "Section 16.10.3.3 Lease": As defined in Section 16.10.3.3.
      -----------------------                 -----------------

     "Section 16.12 Notice":  As defined in Section 16.12.2.
      --------------------                  ---------------

                                       20

<PAGE>

     "Section 40.3 Notice": As defined in Section 40.3.
      -------------------                 ------------

     "Section 40.18 Date": As defined in Section 40.18.
      ------------------                 -------------

     "Section 40.18 Lease": As defined in Section 40.18.
      -------------------                 -------------

     "Senior Lender": The lender(s) under the Tenant Senior Secured Credit
      -------------
Agreement and Tenant Senior Secured Notes, from time to time.

     "Senior Officer's Certificate": An Officer's Certificate of Tenant signed
      ----------------------------
by the chairman of the board of directors, the president, the chief operating
officer or the general counsel of Tenant, or a Person having such title or the
equivalent thereof in the general partner or the managing member of Tenant.

     "Separate Lease": As defined in Section 22.7.
      --------------                 ------------

     "State": The State or Commonwealth in which the applicable Leased Property
      -----
is located.

     "Sublease Rent Payments":  As defined in Section 25.1.7.
      ----------------------                  --------------

     "Sub-Portfolio Properties":  As defined in Section 40.17.
      ------------------------                  -------------

     "Subsidiaries": The corporations or other entities of which securities or
      ------------
similar ownership interests representing (i) ordinary voting power to elect a
majority of the board of directors or other persons performing similar functions
or (ii) a majority of the economic interest therein, are at the time directly or
indirectly owned by Tenant or any Guarantor (individually, a "Subsidiary").

     "Superior Lease": Any ground lease or other lease to which the applicable
      --------------
Leased Property is subject.

     "Superior Lessor": The lessor under any ground lease or other lease to
      ---------------
which the applicable Leased Property is subject.

     "Superior Mortgage":  As defined in Section 21.1.
      -----------------                  ------------

     "Superior Mortgagee":  As defined in Section 21.1.
      ------------------                  ------------

     "Suspension Period":  As defined in Section 40.14.
      -----------------                  -------------

     "Taking": A taking or voluntary conveyance during the Term of all or part
      ------
of the applicable Leased Property, or any interest therein or right accruing
thereto or use thereof, as the result of, or in settlement of any condemnation
or other eminent domain proceeding affecting such Leased Property whether or not
the same shall have actually been commenced.

                                       21

<PAGE>

     "Tax Refund Escrow Agreement": The Tax Refund Escrow Agreement referenced
      ---------------------------
in the Bankruptcy Plan, as the same is hereafter amended, modified or
supplemented, in each case with the written consent of VRLP, in its sole
discretion.

     "Tenant":  As defined in the preamble hereof.
      ------

     "Tenant Senior Secured Credit Agreement": That certain Credit Agreement
      --------------------------------------
Providing for the Issuance of $300,000,000 Senior Secured Notes Due 2008 dated
as of April 20, 2001 between Tenant and the lenders party thereto and Morgan
Guaranty Trust Company of New York, as Collateral Agent and Administrative
Agent, and any amendment thereof following April 20, 2001 that does not
constitute a Refinancing Transaction.

     "Tenant Senior Secured Notes": The "Notes" (as defined in the Tenant Senior
      ---------------------------
Secured Credit Agreement) dated as of April 20, 2001 made by Kindred Healthcare
Operating, Inc. (formerly known as Vencor Operating, Inc.) payable to the order
of the Lenders that are parties to the Tenant Senior Secured Credit Agreement
and any amendment thereof following April 20, 2001 that does not constitute a
Refinancing Transaction.

     "Tenant Shares":  As defined in Section 40.14.
      -------------                  -------------

     "Tenant's Personal Property": All motor vehicles, machinery, equipment,
      --------------------------
furniture, furnishings, movable walls or partitions, computers or trade fixtures
or all other personal property, and consumable inventory and supplies, now owned
or hereafter acquired by Tenant and located on the applicable Leased Property or
used or useful in Tenant's business on such Leased Property, including without
limitation all modifications, replacements, alterations and additions to such
personal property installed at the expense of Tenant, except items, if any,
included within the definition of Fixtures.

     "Term": Collectively for each applicable Leased Property, the Fixed Term
      ----
and any Extended Terms, to the extent properly exercised pursuant to the
provisions of Article XIX, unless earlier terminated pursuant to the provisions
of this Lease.

     "Transferred Property(ies)":  As defined in Section 40.15.
      -------------------------                  -------------

     "Transferred Property Percentage(s)":  As defined in Section 40.15.
      ----------------------------------                  -------------

     "Unaffiliated Buyer":  As defined in Section 40.17.
      ------------------                  -------------

     "Unavoidable Delays": Delays due to strikes, lockouts, inability to procure
      ------------------
materials, power failure, acts of God, governmental restrictions, enemy action,
civil commotion, fire, unavoidable casualty or other causes beyond the control
of the party responsible for performing an obligation hereunder, provided that
lack of funds shall not be deemed a cause beyond the control of either party
hereto unless such lack of funds is caused by the failure of the other party
hereto to perform any obligations of such party, under this Lease, or any
guaranty of this Lease, including any obligation to provide financing undertaken
by Lessor pursuant to Article X below.

                                       22

<PAGE>

     "Unpaid Accrued Rent": As of any date, the amount equal to (a) the sum of
      -------------------
(i) the aggregate amount of all Accrued Rent earned hereunder from the Effective
Date through such date, plus (ii) the aggregate amount of all Accrued Rent
Interest from the Effective Date through such date, plus (iii) the aggregate
amount of all Unpaid Accrued Rent, if any, that was owing as of the Effective
Date under the Original Master Lease and attributable to the Leased Properties
under this Lease pursuant to Section 40.15(a)(iii) of the Original Master Lease,
                             ---------------------
less (b) the aggregate amount of all payments made by Tenant or any other party
from and after the Effective Date on account of Accrued Rent or Accrued Rent
Interest.

     "Unpaid Accrued Rent Due Date": The date that a Refinancing Transaction
      ----------------------------
occurs.

     "Unsuitable For Its Primary Intended Use": A state or condition of the
      ---------------------------------------
Facility located at the applicable Leased Property such that, by reason of
damage or destruction, or a partial taking by condemnation, in the good faith
judgment of Tenant, the Facility cannot be operated on a commercially
practicable basis for its Primary Intended Use taking into account, among other
relevant factors, the number of usable beds affected by such damage or
destruction or partial taking; provided, however that such Facility shall not be
                               --------  -------
deemed to be "Unsuitable For Its Primary Intended Use" if such Leased Property
can, within one (1) year after the occurrence of such damage, destruction or
taking, be restored to substantially the same state and condition as existed
immediately prior to such damage, destruction or taking.

     "Ventas Lessor": A lessor that is Ventas, Inc. and/or Ventas Realty,
      -------------
Limited Partnership and/or any successor to either of them (by merger or
otherwise) and/or any Affiliate of Ventas, Inc. or Ventas Realty, Limited
Partnership or any such successor.

     "VRLP": As defined in Recital A hereto.
      ----

                                   ARTICLE III

     Section 3.1 Rent. Tenant shall pay to Lessor, in lawful money of the United
                 ----
States of America which shall be legal tender for the payment of public and
private debts, at Lessor's address set forth in Section 34.1 below or at such
                                                ------------
other place or to such other person(s), firm(s) or corporation(s) as Lessor from
time to time may designate in writing, Current Rent, Unpaid Accrued Rent and
Additional Charges during the Term, including, without limitation, any Extended
Terms, as hereinafter provided. Any rental escalations required under this Lease
to be made on the May 1 immediately following the Effective Date shall be made
on such May 1, in the full amount required as if the Leased Properties had been
under this Lease for a full year, notwithstanding that the period from the
Effective Date to such succeeding May 1 may be less than one full year. Lessor
may, by written notice to Tenant at any time and from time to time, elect to
require that Rent (or portions thereof designated by Lessor) that is payable to
Lessor hereunder be paid by wire transfer of immediately available funds to such
wire transfer account(s) as Lessor may specify in writing, and, in such regard,
Rent payable to Lessor under this Lease shall, until further written notice from
Lessor, be paid by wire transfer of immediately available funds to the wire
transfer account specified in that certain Tenant Direction Letter bearing even
date herewith from Ventas Finance I, LLC to Tenant.

                                       23

<PAGE>

          (a) Current Rent. Current Rent shall be payable, in the manner
              ------------
provided in Section 3.1 above, in advance in equal, consecutive monthly
            -----------
installments, on the first day of each calendar month of the Term,
including, without limitation, any Extended Terms; provided, however, that, if
                                                   --------  -------
the Effective Date occurs other than on the first day of a calendar month, the
first monthly payment of Current Rent shall be payable on the Effective Date and
that the first and last monthly payments of Current Rent shall be prorated as to
any partial month (subject to adjustment as provided in Section 10.3(b)(iv)
                                                        -------------------
below).

          (b) Unpaid Accrued Rent. On or before the Unpaid Accrued Rent Due
              -------------------
Date, Tenant shall pay to Lessor, in the manner provided in Section 3.1 above,
                                                            -----------
all Unpaid Accrued Rent. Tenant shall have the right to prepay all or any
portion of the Unpaid Accrued Rent at any time, provided, however, that any such
                                                --------  -------
prepayment shall be applied first to any past due amounts owing under this Lease
(including, without limitation, any amounts due and owing as the result of an
Event of Default) and the balance to Unpaid Accrued Rent in the reverse order of
accrual (i.e. payments shall be applied first to the most recently accrued
Unpaid Accrued Rent).

     Section 3.2 Option to Reset Base Rent, Current Rent and Accrued Rent.
                 --------------------------------------------------------

          (a) Reset Option. Lessor shall have the unilateral, one-time right and
              ------------
option (the "Reset Option") to reset the Base Rent, Current Rent and Accrued
Rent for the balance of the Term (including, without limitation, any Extended
Terms) from and after the Reset Date (as hereinafter defined), on the terms and
conditions described in this Section 3.2.
                             -----------

          (b) Reset Proposal Notice. If Lessor desires to reset the aforesaid
              ---------------------
components of Rent, subject to subsection (c) below, Lessor shall give Tenant
notice (a "Reset Proposal Notice"), on any date that is not prior to January 20,
           ---------------------
2006 but not later than July 19, 2007, that, subject to a determination of the
Fair Market Rental in accordance with the provisions of this Section 3.2, Lessor
                                                             -----------
may be interested in resetting the aforesaid components of Rent for the
aforesaid balance of the Term. The Reset Proposal Notice shall set forth
Lessor's proposal of Fair Market Rental, for the aforesaid balance of the Term,
including any escalations proposed by Lessor, and shall further include Lessor's
proposal for an amended Exhibit C containing Lessor's proposed allocations of
                        ---------
Base Rent and Current Rent, and Transferred Property Percentages, for each of
the Leased Properties. Provided that Lessor exercises the Reset Option pursuant
to subsection (e) below, the date of delivery of the Reset Proposal Notice is
referred to herein as the "Reset Date", provided, however, that, if the Reset
                                        --------  -------
Proposal Notice is sent prior to July 19, 2006, the "Reset Date" shall be July
19, 2006.

          (c) No Periodic Reset Proposal Notice Option. Notwithstanding the
              ----------------------------------------
provisions of subsection (b) above, but subject to Section 40.15(a)(xiv) and
                                                   ---------------------
Section 40.17 hereof, Lessor may not send a Reset Proposal Notice under this
-------------
Lease if Lessor, as lessor under this Lease, has previously sent a Reset
Proposal Notice hereunder.

          (d) Determination of Fair Market Rental and Amended Exhibit C. Lessor
              ---------------------------------------------------------
and Tenant shall attempt to agree on the Fair Market Rental, and upon an amended
Exhibit C, promptly following the delivery of a Reset Proposal Notice. If Lessor
and Tenant are not able

                                       24

<PAGE>

to agree upon such Fair Market Rental, and upon an amended Exhibit C, within
                                                           ---------
thirty (30) days after the delivery of the Reset Proposal Notice, an appraisal
for the determination thereof under Article XXXV hereof shall be conducted.
                                    ------------
Within thirty (30) days after the expiration of the first 30-day period
referenced above, each party shall give notice to the other party specifying the
name and address of the person meeting the qualifications set forth in Section
                                                                       -------
35.3 below designated to act as an appraiser on its behalf. Thereafter, the Fair
----
Market Rental for the balance of the Term (including, without limitation, any
Extended Terms) from and after the Reset Date, and an amended Exhibit C, shall
be determined in accordance with Article XXXV hereof.
                                 ------------

          (e) Exercise of Reset Option. If the Fair Market Rental and amended
              ------------------------
Exhibit C, as determined pursuant to subsection (d) above, are acceptable to
Lessor, Lessor may exercise the Reset Option by delivering to Tenant a written
notice to such effect within thirty (30) days following the determination of the
Fair Market Rental, and an amended Exhibit C, as set forth in such subsection
(d), together with payment to Tenant of the Reset Fees applicable to this Lease,
the Original Master Lease and all other leases of Master Lease Leased Properties
and interest on the aforesaid Reset Fees at the annual rate of six percent (6%)
for the period from the applicable Reset Date through the date the aforesaid
Reset Fees are paid to Tenant (and, without limitation of subsection (g) below,
Lessor and Tenant agree that, as of the Effective Date, the Reset Fee applicable
to this Lease equals $861,971.29, as calculated pursuant to Section
                                                            -------
40.15(a)(viii) of the Original Master Lease (i.e. $861,971.29 represents the
--------------
product of the Transferred Property Percentages applicable under the Original
Master Lease to the Leased Properties under this Lease (41.3228% in aggregate)
times the Reset Fee applicable to the Original Master Lease ($2,085,946.00) as
of the Effective Date)). In such event, subject to and without limitation of
Sections 19.2 and 19.3 hereof, (i) the Base Rent, Current Rent and Accrued Rent
-------------     ----
shall, for the balance of the Term from and after the Reset Date (including,
without limitation, any Extended Terms), be reset and adjusted, as set forth in
the definitions of Base Rent, Current Rent and Accrued Rent contained in Section
                                                                         -------
2.1 hereof, using the Fair Market Rental, as so determined (including any
---
escalations of rent), in making such resettings and adjustments (e.g. per such
definitions, for the period following the Reset Date, without limitation of the
right of the Final Appraiser to include within the Fair Market Rental such rent
escalations and accruals, and other rent features, as he or she deems
appropriate in connection with his or her Fair Market Rental appraisals, Accrued
Rent shall equal zero), (ii) effective as of the Reset Date, the aforesaid
amended Exhibit C shall replace the existing Exhibit C hereto, (iii) Lessor
        ---------                            ---------
shall have no further right or option under this Section 3.2 to reset the
                                                 -----------
aforesaid components of Rent, and (iv) with respect to the period from and after
Lessor's issuance of a Reset Proposal Notice through and including the day
preceding the date (the "Reset Exercise and Payment Date") Lessor exercises the
Reset Option, and pays the Reset Fee and interest thereon, as aforesaid, Tenant
shall continue to pay Base Rent, Current Rent and Accrued Rent at the times, in
the manner and with any scheduled adjustments therein, in each case as set forth
in Section 3.1 hereof, and, upon Lessor's exercise of the Reset Option, and
   -----------
payment of the Reset Fee and interest thereon, as aforesaid, there shall
immediately be due and payable from Tenant to Lessor such additional amount of
Rent as is owing from Tenant to Lessor, or from Lessor to Tenant such amount as
is owing from Lessor to Tenant on account of any Rent overpayment, for the
period from the Reset Date through the Reset Exercise and Payment Date, after
taking into account the resettings and adjustments referenced in subsection (i)
above

                                       25

<PAGE>

and the amounts paid by Tenant with respect to such period on account of Rent
owing hereunder as set forth in this subsection (iv). If Lessor fails to notify
Tenant of its exercise of the Reset Option, and to pay to Tenant the Reset Fee
and any interest due and owing thereon, on or prior to such 30th day, Lessor
shall be deemed to have declined to exercise the Reset Option based upon the
Reset Proposal Notice and Fair Market Rental and amended Exhibit C
determinations relating thereto. Subject to Section 40.15(a)(xiv) and Section
                                            ---------------------     -------
40.17 hereof, such declination by Lessor shall prevent Lessor from thereafter
-----
issuing a Reset Proposal Notice under this Lease in accordance with subsection
(b) above.

          (f) Effect of Reset. Tenant acknowledges and agrees that, in the event
              ---------------
Lessor exercises the Reset Option, Tenant shall thereafter remain obligated to
pay Unpaid Accrued Rent and Additional Charges as provided in Sections 3.1 and
                                                              ------------
3.3 hereof, notwithstanding any resetting of Base Rent, Current Rent and Accrued
---
Rent pursuant to this Section 3.2.
                      -----------

          (g) Notwithstanding anything to the contrary contained in this Section
                                                                         -------
3.2 and pursuant to Section 40.15(a)(xiv) of the Original Master Lease, (i) the
---                 ---------------------
lessor under the Original Master Lease shall have the sole and exclusive power
and authority to exercise the rights of the lessor under Section 3.2 of each
                                                         -----------
lease of one or more Master Lease Leased Properties (including the rights of
Lessor under Section 3.2 of this Lease), and to bind such lessor with respect
             -----------
thereto, and (ii) the rights of Lessor under this Section 3.2, acting through
                                                  -----------
the lessor under the Original Master Lease as provided in subsection (i) above,
must be exercised consistently and simultaneously with the exercise of such
rights by the lessor of the Original Master Lease (for example, if a Reset
Proposal Notice is to be sent, or the Reset Option is to be exercised, or
determinations by appraisal are to be requested, the same must be done at the
same time for all of the Master Lease Leased Properties (including the Leased
Properties under this Lease)) and, if the Reset Option is to be exercised, the
Reset Fees applicable to this Lease, the Original Master Lease and all other
leases of Master Lease Leased Properties must be paid to Tenant in connection
with, and as a condition of, any such exercise (for example, if the Master Lease
Leased Properties have not changed since April 20, 2001, the amount that would
be required to be paid to Tenant with exercise of the Reset Option under this
Lease and all other leases demising any of the Master Lease Leased Properties
would equal $2,085,946.00. Alternatively, for example, if (x) a New Master Lease
is created pursuant to Section 40.17 of this Lease and of the Original Master
                       -------------
Lease and the Reset Fee attributable to the leased properties included in such
New Master Lease that were previously Master Lease Leased Properties equals
$100,000.00 and (y) prior to the creation of this Lease, a partial termination
of the Original Master Lease occurred pursuant to Section 40.16 thereof with
                                                  -------------
respect to certain leased properties and, as a result thereof, the Reset Fee
under the Original Master Lease was reduced by $25,000.00 pursuant to Section
                                                                      -------
40.16(f) of the Original Master Lease, the amount that would be required to be
--------
paid to Tenant with exercise of the Reset Option under this Lease and all other
leases of the remaining Master Lease Leased Properties would equal $1,960,946.00
($2,085,946.00 - ($100,000.00 + $25,000.00) = $1,960,946.00).)

                                       26

<PAGE>

     Section 3.3 Additional Charges. In addition to Current Rent and Unpaid
                 ------------------
Accrued Rent payable with respect to the Leased Properties, Tenant shall pay and
discharge as and when due and payable the following (collectively "Additional
                                                                   ----------
Charges"):
-------

     (1) Impositions. Tenant shall pay all Impositions before any fine, penalty,
         -----------
interest or cost may be added for non-payment, such payments to be made directly
to the taxing authorities where feasible or, if otherwise required by law, to
Lessor, and shall promptly upon request, furnish to Lessor copies of official
receipts or other satisfactory proof evidencing such payments. If any such
Imposition may, at the option of the taxpayer, lawfully be paid in installments
(whether or not interest shall accrue on the unpaid balance of such Imposition),
subject to the terms of any applicable Facility Mortgage, Tenant may exercise
the option to pay same (and any accrued interest on the unpaid balance of such
Imposition) in installments and, in such event, shall pay such installments
during the Term as the same may become due and before any fine, penalty,
premium, further interest or cost may be added thereto.

     (2) Utility Charges. Tenant shall pay all charges for electricity, power,
         ---------------
gas, oil, water, sanitary and storm sewer, refuse collection, medical waste
disposal and other utilities used or consumed in connection with each Leased
Property during the Term.

     (3) Insurance Premiums. Tenant shall pay all premiums for the insurance
         ------------------
coverage required to be maintained pursuant to Article XIII hereof.
                                               ------------

     (4) Other Charges. Tenant shall pay all other amounts, liabilities and
         -------------
obligations that Tenant assumes or agrees to pay under this Lease, including,
without limitation, all agreements to indemnify Lessor under Sections 12.1 and
                                                             -------------
24.1 and any and all fees, costs and expenses incurred by Tenant in the
----
operation of its business at the Facility.

     (5) Late Payment of Rent. If any installment of Current Rent, Unpaid
         --------------------
Accrued Rent or Additional Charges (but only as to those Additional Charges
which are payable directly to Lessor or Lessor's agent or assignee) shall not be
paid within five (5) Business Days after its due date, Tenant will pay to Lessor
on demand a late charge (to the extent permitted by law) computed at the Overdue
Rate (or at the maximum rate permitted by law, whichever is the lesser) on the
amount of such installment, from the due date of such installment to the date of
payment thereof.

     To the extent that Tenant pays any Additional Charges to Lessor pursuant to
any requirement of this Lease, Tenant shall be relieved of its obligation to pay
such Additional Charges to the entity to which they would otherwise be due. If
any Facility Mortgagee shall so require, or if any Additional Charges shall not
be paid to a third party payee within five (5) Business Days after its due date,
Lessor may at any time thereafter, at Lessor's option, require Tenant to deposit
into an escrow account under the sole dominion and control of Lessor (or the
applicable Facility Mortgagee), on the first day of each and every month, an
amount sufficient to insure that such escrow account shall contain an amount
sufficient to make such payment on its next due date, in which event Lessor
shall make all future payments for such expense from the escrow account. In the
event of any failure by Tenant to pay any Additional Charges when due, Tenant
shall promptly pay and discharge, as Additional Charges, every fine, penalty,

                                       27

<PAGE>

interest and cost that may be added for non-payment or late payment of such
items. Lessor shall have all legal, equitable and contractual rights, powers and
remedies provided either in this Lease or by statute or otherwise in the case of
non-payment of Rent.

     Section 3.4 Survival. Tenant's obligation to pay any Rent owing hereunder
                 --------
with respect to any period on or prior to the expiration or termination of this
Lease (including, without limitation, any Extended Terms), as this Lease applies
to any or all of the Leased Properties, shall survive any such expiration or
termination. Without limitation of the foregoing, Tenant's obligation to pay
Unpaid Accrued Rent that is owing as of the expiration or termination of this
Lease as to any or all of the Leased Properties shall survive any such
expiration or termination, and, following any such expiration or termination
until all Unpaid Accrued Rent is paid in full, Accrued Rent Interest shall
continue to accrue on Unpaid Accrued Rent, and be owing from Tenant to Lessor,
with interest at the Accrued Rent Interest Rate, compounded annually on April 30
of each year (including, without limitation, years after any such expiration or
termination of this Lease). For example, (a) if this Lease terminates for any
reason on January 1, 2006, (b) as of such date, $100.00 of Unpaid Accrued Rent
is owing, but not yet due because the Unpaid Accrued Rent Due date has not yet
occurred, and (c) the Unpaid Accrued Rent Due Date occurs on January 1, 2007,
then, notwithstanding such termination, Tenant shall remain obligated to pay to
Lessor on January 1, 2007 such $100.00 plus Accrued Rent Interest thereon from
January 1, 2006 through January 1, 2007 at the Accrued Rent Interest Rate and
with compounding on April 30, 2006.

     Section 3.5 Net Lease. The Rent shall be paid absolutely net to Lessor,
                 ---------
without any rights of deduction, set-off or abatement, so that this Lease shall
yield to Lessor the full amount of the installments of Current Rent, Unpaid
Accrued Rent and Additional Charges, throughout the Term, including, without
limitation, any Extended Terms. This Lease is intended to be and shall be
construed as an absolutely net lease pursuant to which Lessor shall not, under
any circumstances or conditions, whether presently existing or hereafter
arising, and whether foreseen or unforeseen by the parties, be required to make
any payment or expenditure of any kind whatsoever or be under any other
obligation or liability whatsoever, except as expressly set forth herein.

     Section 3.6 New Common Stock. Lessor and Tenant acknowledge that, pursuant
                 ----------------
to the Bankruptcy Plan, on or about April 20, 2001 VRLP received certain New
Common Stock (as defined in the Bankruptcy Plan). Lessor and Tenant acknowledge
and agree that (a) such New Common Stock was received by VRLP as additional rent
in consideration of the agreement of the lessors under the Master Leases to
enter into the Master Leases and thereby agree to charge Base Rent as provided
in the Master Leases and in leases to be derived therefrom, (b) such additional
rent was paid on or about April 20, 2001 by the delivery of such New Common
Stock to VRLP, (c) such additional rent is non-refundable by VRLP or Lessor, and
(d) the delivery of such New Common Stock to VRLP does not reduce the amount of
Base Rent due and payable hereunder, under the Master Leases or under any other
leases derived from this Lease or the Master Leases.

                                       28

<PAGE>
                                   ARTICLE IV

     Section 4.1 Payment of Impositions. Subject to Article XII relating to
                 ----------------------             -----------
permitted contests, Tenant shall pay all Impositions as set forth in Section
                                                                     -------
3.3. Tenant's obligation to pay such Impositions shall be deemed absolutely
---
fixed upon the date such Impositions become a lien upon the Leased Property or
any part thereof. Lessor, at its expense, shall, to the extent permitted by
applicable law, prepare and file all tax returns and reports as may be required
by governmental authorities in respect of Lessor's net income, gross receipts,
franchise taxes and taxes on its capital stock, and Tenant, at its expense,
shall, to the extent permitted by applicable laws and regulations, prepare and
file all other tax returns and reports in respect of any Imposition as may be
required by governmental authorities. If any refund shall be due from any taxing
authority in respect of any Imposition paid by Tenant, the same shall be paid
over to or retained by Tenant if no Event of Default shall have occurred
hereunder and be continuing. Any such funds retained by Lessor due to an Event
of Default shall be applied as provided in Article XVI. Lessor and Tenant shall,
                                           -----------
upon request of the other, provide such data as is maintained by the party to
whom the request is made with respect to the Leased Property as may be necessary
to prepare any required returns and reports. In the event governmental
authorities classify any property covered by this Lease as personal property,
Tenant shall file all personal property tax returns in such jurisdictions where
it may legally so file. Lessor, to the extent it possesses the same, and Tenant,
to the extent it possesses the same, will provide the other party, upon request,
with cost and depreciation records necessary for filing returns for any property
so classified as personal property. Where Lessor is legally required to file
personal property tax returns, Tenant will be provided with copies of assessment
notices indicating a value in excess of the reported value in sufficient time
for Tenant to file a protest. Tenant may, upon notice to Lessor, at Tenant's
option and at Tenant's sole cost and expense, protest, appeal, or institute such
other proceedings as Tenant may deem appropriate to effect a reduction of real
estate or personal property assessments and Lessor, at Tenant's expense as
aforesaid, shall fully cooperate with Tenant in such protest, appeal, or other
action (including, without limitation, signing all required forms and documents
reasonably necessary for Tenant to file and prosecute such appeal, protest or
other action), provided that Tenant shall indemnify Lessor from and against all
losses, claims, damages, costs and expenses (including, without limitation,
reasonable attorneys' fees) arising after April 20, 2001 suffered or incurred by
Lessor and caused by such cooperation, including, without limitation, signing or
providing any such forms and documents). Billings for reimbursement by Tenant to
Lessor of personal property taxes shall be accompanied by copies of a bill
therefor and payments thereof which identify the personal property with respect
to which such payments are made.

     Section 4.2 Notice of Impositions. Lessor shall give prompt notice to
                 ---------------------
Tenant of all Impositions payable by Tenant hereunder of which Lessor at any
time has knowledge, but Lessor's failure to give any such notice shall in no way
diminish Tenant's obligations hereunder to pay such Impositions.

     Section 4.3 Adjustment of Impositions. Impositions imposed in respect of
                 -------------------------
the tax-fiscal period during which the Term terminates or expires shall be
adjusted and prorated between Lessor and Tenant, whether or not such Imposition
is imposed before or after such

                                       29

<PAGE>

termination or expiration, and Tenant's obligation to pay its prorated share
thereof shall survive such termination or expiration.

                                   ARTICLE V

     Section 5.1 No Termination, Abatement, etc. Except as otherwise
                 ------------------------------
specifically provided in this Lease, Tenant, to the extent permitted by law,
shall remain bound by this Lease in accordance with its terms and shall neither
take any action without the consent of Lessor to modify, surrender or terminate
the same, nor seek nor be entitled to any abatement, deduction, deferment or
reduction of Rent, or set-off against the Rent, nor shall the respective
obligations of Lessor and Tenant be otherwise affected by reason of (a) any
damage to, or destruction of, any Leased Property or any portion thereof from
whatever cause or any Taking of any Leased Property or any portion thereof, (b)
the interruption or discontinuance of any service or utility servicing any
Leased Property, (c) the lawful or unlawful prohibition of, or restriction upon,
Tenant's use of any Leased Property, or any portion thereof, the interference
with such use by any person, corporation, partnership or other entity, or by
reason of eviction by paramount title, (d) any claim which Tenant has or might
have against Lessor or by reason of any default or breach of any warranty by
Lessor under this Lease or any other agreement between Lessor and Tenant, or to
which Lessor and Tenant are parties, (e) any bankruptcy, insolvency,
reorganization, composition, readjustment, liquidation, dissolution, winding up
or other proceedings affecting Lessor or any assignee or transferee of Lessor,
(f) any revocation, suspension or non-renewal of any license, permit, approval
or other Authorization necessary to operate any Facility, (g) any withholding,
non-payment, reduction or other adverse change respecting any Medicare, Medicaid
or other reimbursements due or available to Tenant with respect to any Facility,
or (h) for any other cause whether similar or dissimilar to any of the foregoing
other than a discharge of Tenant from any such obligations as a matter of law.
Tenant hereby specifically waives all rights, arising from any occurrence
whatsoever, which may now or hereafter be conferred upon it by law to (i)
modify, surrender or terminate this Lease or quit or surrender the Leased
Property or any portion thereof, or (ii) entitle Tenant to any abatement,
reduction, suspension or deferment of the Rent or other sums payable by Tenant
hereunder. The obligations of Lessor and Tenant hereunder shall be separate and
independent covenants and agreements and the Rent and all other sums payable by
Tenant hereunder shall continue to be payable in all events unless the
obligations to pay the same shall be terminated by termination of this Lease as
to any Leased Property other than by reason of an Event of Default.

                                   ARTICLE VI

     Section 6.1 Ownership of the Leased Properties. Tenant acknowledges that
                 ----------------------------------
the Leased Properties are the property of Lessor and that Tenant has only the
right to the exclusive possession and use of the Leased Properties upon and
subject to the terms and conditions of this Lease. Notwithstanding anything to
the contrary contained in this Lease or the Joinder hereto by Ventas, Inc., in
the case of any easement or other rights that are appurtenant to any property
owned by Lessor, Tenant agrees that neither Lessor nor Ventas, Inc. makes any
representation or warranty relative to Lessor's title thereto or whether such
appurtenances are encumbered, and neither Lessor nor Ventas, Inc. shall be
obligated to discharge any liens or

                                       30

<PAGE>

encumbrances with respect to, or otherwise to defend, Lessor's right, title and
interest, if any, in any such appurtenances. Tenant agrees that such
appurtenances shall constitute Permitted Encumbrances, as to which Tenant shall
have the obligations set forth in Section 8.3 and Section 24.1 of this Lease,
                                  -----------     ------------
provided that Tenant shall not be obligated to defend or preserve any such
appurtenances against any mortgages or other liens created by the owner of the
property burdened by the aforesaid appurtenances that are senior in priority to
Lessor's aforesaid appurtenant rights.

     Section 6.2 Tenant's Personal Property. Tenant may (and shall as provided
                 --------------------------
hereinbelow), at its expense, install, affix or assemble or place on any parcels
of the Land or in any of the Leased Improvements, any items of Tenant's Personal
Property and Tenant shall, subject to the conditions set forth below and except
for any Tenant's Personal Property that is purchased by Lessor pursuant to
Section 37.2 below, remove the same upon the expiration or any prior termination
------------
of the Term. Tenant shall provide and maintain during the entire Term all such
Tenant's Personal Property as shall be necessary in order to operate each
Facility in compliance with all licensure and certification requirements, in
compliance with all applicable Legal Requirements and Insurance Requirements and
otherwise in accordance with customary practice in the industry for the Primary
Intended Use. Lessor acknowledges that Leasehold Mortgagee has a security
interest in Tenant's Personal Property and, upon the expiration or earlier
termination of this Lease as it relates to a Leased Property, Lessor agrees to
permit Leasehold Mortgagee to enter on such Leased Property in order to remove
such Tenant's Personal Property, so long as Leasehold Mortgagee, at no expense
to Lessor, repairs or causes to be repaired, any damage to such Leased Property
caused by any such removal, and further agrees to subordinate, and hereby
subordinates, to the lien of Leasehold Mortgagee on such Tenant's Personal
Property any lien Lessor has thereon. All of Tenant's Personal Property not
removed by Tenant or Leasehold Mortgagee within twenty-one days following the
expiration or earlier termination of this Lease with respect to the applicable
Leased Property where such Tenant's Personal Property is located or sold to
Lessor pursuant to Section 37.2 below shall be considered abandoned by Tenant
                   ------------
and Leasehold Mortgagee and may be appropriated, sold, destroyed or otherwise
disposed of by Lessor without first giving notice thereof to Tenant or Leasehold
Mortgagee and without any payment to Tenant or Leasehold Mortgagee and without
any obligation to account therefor or otherwise dispose of the same in
accordance with applicable law. Tenant will, at its expense, restore such Leased
Property to the condition required by Section 9.1(d), including repair of all
                                      --------------
damage to the Leased Property caused by the removal of Tenant's Personal
Property, whether effected by Tenant, Leasehold Mortgagee or Lessor.

                                  ARTICLE VII

     Section 7.1 Condition of the Leased Property. Tenant acknowledges receipt
                 --------------------------------
and delivery of possession of each Leased Property and that Tenant has examined
and otherwise has knowledge of the condition of the Leased Property prior to the
execution and delivery of this Lease and has found the same to be in good order
and repair and satisfactory for its purposes hereunder. Tenant is leasing the
Leased Property "as is" in its present condition. Tenant waives any claim or
action against Lessor in respect of the condition of the Leased Property. LESSOR
MAKES NO WARRANTY OR REPRESENTATION EXPRESS OR

                                       31

<PAGE>

IMPLIED, IN RESPECT OF THE LEASED PROPERTY OR ANY PART THEREOF, EITHER AS TO ITS
FITNESS FOR USE, DESIGN OR CONDITION FOR ANY PARTICULAR USE OR PURPOSE OR
OTHERWISE AS TO THE QUALITY OF THE MATERIAL OR WORKMANSHIP THEREIN, LATENT OR
PATENT, IT BEING AGREED THAT ALL SUCH RISKS ARE TO BE BORNE BY TENANT. TENANT
ACKNOWLEDGES THAT THE LEASED PROPERTY HAS BEEN INSPECTED BY TENANT AND IS
SATISFACTORY TO IT.

     Section 7.2 Use of the Leased Property.
                 --------------------------

          Section 7.2.1 Tenant shall maintain or cause to be maintained all
licenses, permits, approvals and other Authorizations needed to use and operate
for its Primary Intended Use (or any other use permitted under the terms of this
Lease) each Leased Property and the Facility located at each such Leased
Property under and in accordance with all applicable local, state and federal
laws and all applicable state and federal programs including but not limited to
appropriate certifications for reimbursement and licensure. All of such
Authorizations shall, to the maximum extent permitted by law, relate and apply
exclusively to one or more of the Leased Properties and/or the Facilities
operated thereon. Tenant acknowledges and agrees that, subject to applicable
law, the certificates of need issued for the Facilities are appurtenant to such
Facilities, both during and following the termination or expiration of the Term.
In jurisdictions where the certificate of need is issued to Tenant or its
subtenant, as the Facility operator, Tenant agrees that it shall cooperate with
Lessor, in accordance with Section 40.3 hereof, to turn over all of Tenant's
                           ------------
rights in connection with such certificate of need to Lessor or its designee.

          Section 7.2.2 After the Commencement Date and during the entire Term,
Tenant shall use each Leased Property and the Leased Improvements thereof as a
hospital or a nursing center and each Facility that is being used as a hospital
on the Commencement Date shall continue to be used as a hospital during the
entire Term and each Facility being used as a nursing center on the Commencement
Date shall continue to be used as a nursing center during the entire Term (such
use being the applicable Leased Property's "Primary Intended Use"). Tenant shall
                                            --------------------
not use the applicable Leased Property or any portion thereof for any other use
without the prior written consent of Lessor, which consent shall not be
unreasonably withheld, delayed or conditioned. No use shall be made or permitted
to be made of the applicable Leased Property, and no acts shall be done, that
will cause the cancellation of any insurance policy covering such Leased
Property or any part thereof, nor shall Tenant sell or otherwise provide to
occupants or patients therein, or permit to be kept, used or sold in or about
such Leased Property any article which may be prohibited by law or by the
standard form of fire insurance policies, or any other insurance policies
required to be carried hereunder, or fire underwriters regulations. Tenant
shall, at its sole cost, comply with all of the requirements pertaining to the
applicable Leased Property or other improvements of any insurance board,
association, organization or company necessary for the maintenance of insurance,
as herein provided, covering such Leased Property and Tenant's Personal
Property.

          Section 7.2.3 Tenant shall during the Term operate continuously each
Leased Property in accordance with all applicable federal, state and local laws
as a provider of health

                                       32

<PAGE>

care services in accordance with its Primary Intended Use and maintain its
certifications for reimbursement and licensure and its accreditation, if
compliance with accreditation standards is required to maintain the operations
of the Facility and if a failure to comply would adversely affect operations of
the Facility.

          Section 7.2.4 Tenant shall not commit or suffer to be committed any
waste on any Leased Property, or in any Facility, nor shall Tenant cause or
permit any nuisance thereon. Tenant shall not take or omit to take any action,
the taking or omission of which may materially impair the value or the
usefulness of such Leased Property or any part thereof for its Primary Intended
Use.

          Section 7.2.5 Tenant shall neither suffer nor permit any Leased
Property or any portion thereof, including any Capital Alteration whether or not
financed by Lessor, or Tenant's Personal Property, to be used in such a manner
as (i) might reasonably tend to impair Lessor's (or Tenant's, as the case may
be) title thereto or to any portion thereof, or (ii) may reasonably make
possible a claim or claims of adverse usage or adverse possession by the public,
as such, or of implied dedication of the applicable Leased Property or any
portion thereof.

          Section 7.2.6 Nothing contained in this Section 7.2 shall be deemed to
                                                  -----------
prevent Tenant from (i) voluntarily withdrawing from the Medicaid program, and
voluntarily de-activating its certification for participation therein, as the
same apply to a Facility(ies), or (ii) voluntarily reducing the number of beds
at a Facility(ies) as to which a certification for reimbursement under the
Medicaid program is applicable (but without affecting Tenant's certification for
participation in the Medicaid program as to any such Facility(ies) and without
reducing the number of beds at any Facility(ies) as to which a certification for
participation in the Medicaid program is applicable below any legally required
minimum number of beds), or (iii) voluntarily reducing the number of beds at a
Facility(ies) as to which a certification for reimbursement under the Medicare
program is applicable (but without affecting Tenant's certification for
participation in the Medicare program as to any such Facility(ies) and without
reducing the number of beds at any Facility(ies) as to which a certification for
participation in the Medicare program is applicable below any legally required
minimum number of beds), in each case if and so long as, in accordance with any
and all laws, statutes, rules, regulations and orders applicable to the Medicaid
and Medicare programs and certifications for participation therein and to any
such Facility(ies), Tenant or any successor operator of such Facility(ies) may
at any time at its election, without the necessity of any governmental approval
or additional Authorization (other than routine governmental re-inspections of
such Facility(ies) and any ministerial approvals and other Authorizations), as
applicable depending upon whether subsection (i), (ii) and/or (iii) above is
applicable, (a) promptly rejoin the Medicaid program, and re-activate its
certification for participation in the Medicaid program, at any such
Facility(ies) and/or (b) promptly re-activate its certification for
participation in the Medicaid program and/or Medicare program, as applicable, as
to any beds as to which a voluntary reduction under subsection (ii) and/or (iii)
above is applicable. At the time, and as a condition, of any such voluntary
withdrawal and de-activation, or voluntary reduction, by Tenant and thereafter
within twenty (20) days after receipt of a written request therefor from Lessor
from time to time (but not more often than twice in any calendar year, unless,
after Lessor has made

                                       33

<PAGE>

two (2) such requests in a calendar year, a change(s) in Legal Requirements
becomes effective, or Lessor obtains knowledge of other facts or circumstances,
suggesting a possible violation of this Section 7.2.6), Tenant shall deliver to
                                        -------------
Lessor a Senior Officer's Certificate, in form and substance reasonably
satisfactory to Lessor, certifying that Tenant has made diligent inquiry
relative to the applicable Legal Requirements and has consulted with its legal
counsel and, based on the foregoing, certifies that Tenant has complied, and
continues to comply, with the provisions of this Section 7.2.6 in connection
                                                 -------------
with such voluntary withdrawal and de-activation and/or voluntary reduction.

     Section 7.3 Granting of Easements, etc.
                 --------------------------

          Section 7.3.1 Lessor and Tenant will, from time to time so long as no
Event of Default has occurred and is continuing, at the request of the other
party and at such requesting party's cost and expense (but subject to the
approval of the non-requesting party, which approval shall not be unreasonably
withheld, delayed or conditioned, and provided, however, that if the
                                      --------  -------
non-requesting party has not responded to any such request of the requesting
party within 30 days after receipt thereof, such request shall be deemed
approved), (i) grant easements and other rights in the nature of easements, (ii)
release existing easements or other rights in the nature of easements which are
for the benefit of the applicable Leased Property, (iii) dedicate or transfer
unimproved portions of the applicable Leased Property for road, highway or other
public purposes, (iv) execute petitions to have the applicable Leased Property
annexed to any municipal corporation or utility district, (v) execute amendments
to any covenants and restrictions affecting the applicable Leased Property and
(vi) execute and deliver to any person any instrument appropriate to confirm or
effect such grants, releases, dedications and transfers (to the extent of its
interests in the applicable Leased Property), but only upon delivery of all
documentation the non-requesting party reasonably shall deem necessary and, if
Lessor is the requesting party, only if such grant, release, dedication,
transfer, petition or amendment (a) is not detrimental to the proper conduct of
the business of Tenant on the applicable Leased Property and (b) does not
materially reduce the value of the Leased Property, as reasonably determined by
Tenant, and, if Tenant is the requesting party, only if such grant, release,
dedication, transfer, petition or amendment does not materially reduce the value
of the Leased Property, as reasonably determined by Lessor.

          Section 7.3.2 Notwithstanding anything to the contrary contained in
Section 7.3.1, Section 8.3, Section 24.1 or elsewhere in this Lease, in the case
-------------  -----------  ------------
of any easement or license for a cell tower, antenna, satellite dish or other
telecommunications equipment, a parking lot or a billboard or other signage (a)
that is entered into pursuant to Section 7.3.1 hereof at the written request of
                                 -------------
Lessor and (b) from which profit is generated and all of such profit, and any
reimbursements of out of pocket costs and expenses incurred by Lessor in
connection therewith, are payable to Lessor, without any obligation of Lessor to
pay, or credit, any of the same to Tenant, (i) Tenant shall be obligated under
this Section 7.3, Section 8.3, Section 24.1 and the other provisions of this
     -----------  -----------  ------------
Lease only to refrain from taking, and to prevent its assignees and sublessees,
and the agents, employees, contractors, invitees, licensees and concessionaires
of Tenant and its assignees and sublessees, from taking, any action that would
cause or result in a breach, default, violation or termination of any such
easement or license and (ii) Lessor shall protect, indemnify, save harmless and
defend Tenant from and against all

                                       34

<PAGE>

out of pocket costs and expenses (including, without limitation, Litigation
Costs), to the maximum extent permitted by law, incurred by Tenant due to any
liabilities, obligations, claims, damages, penalties or causes of action
asserted against Tenant primarily by reason of any such easement or license and
not arising due to any breach by Tenant of its obligations under subsection (i)
above.

                                  ARTICLE VIII

     Section 8.1 Compliance with Legal and Insurance Requirements, Instruments,
                 --------------------------------------------------------------
etc. Subject to Article XII relating to permitted contests, Tenant, at its
---             -----------
expense, will promptly (a) comply with all material Legal Requirements and
Insurance Requirements in respect of the use, operation, maintenance, repair and
restoration of the applicable Leased Property, whether or not compliance
therewith shall require structural changes in any of the Leased Improvements or
interfere with the use and enjoyment of such Leased Property, and (b) procure,
maintain and comply with all licenses, certificates of need and other
Authorizations required for any use of the applicable Leased Property and
Tenant's Personal Property then being made, and for the proper erection,
installation, operation and maintenance of the applicable Leased Property or any
part thereof, including without limitation any Capital Alterations. In addition,
Tenant shall promptly send to Lessor any material deficiency report Tenant
receives from any federal, state or local licensure board or certification
agency or authority with respect to any Facility if Tenant has not cured such
deficiency within the applicable cure period.

          Section 8.1.1 Authorization Non-Compliance. In the event that Tenant
                        ----------------------------
shall receive notice from any federal, state or local agency or authority that
Tenant is not in compliance with any material Legal Requirement, license,
permit, approval, certificate of need, certification for reimbursement under
Medicare or Medicaid (with respect to any Facility that participates in such
programs) or other Authorization, Tenant shall promptly send notice to Lessor
and Tenant shall either (a) remedy any condition causing such noncompliance
within any cure period allowed therefor by the applicable agency or authority
(or, if no such cure period shall be allowed or specified by the applicable
agency or authority, promptly and diligently following Tenant's receipt of such
notice and, in any event, prior to the final unappealable revocation of any
license, permit, approval, certificate of need, certification for reimbursement
or other Authorization) or (b) prior to the expiration of such cure period (or
if no such cure period shall be allowed or specified by the applicable agency or
authority, promptly following receipt of such notice and, in any event, prior to
the final unappealable revocation of any license, permit, approval, certificate
of need, certification for reimbursement or other Authorization), commence
appropriate proceedings to contest such notice, and, thereafter, diligently
pursue such contest until there is a final unappealable determination, all in
accordance with the provisions of Sections 8.2 and 12.1 hereof.
                                  ------------     ----

     Section 8.2 Legal Requirement Covenants. Subject to the provisions of
                 ---------------------------
Article XII relating to permitted contests, Tenant covenants and agrees that
-----------
none of the Leased Properties nor any of Tenant's Personal Property shall be
used for any unlawful purpose, and Tenant shall acquire and maintain, or cause
to be acquired and maintained, all licenses, certificates, permits, provider
agreements, approvals and other Authorizations needed to operate the applicable
Leased Property in its customary manner for the Primary Intended Use, and any

                                       35

<PAGE>

other use conducted on such Leased Property as may be permitted from time to
time hereunder. Subject to Article XII, Tenant further covenants and agrees that
                           -----------
Tenant's use of each Leased Property and maintenance, alteration, and operation
of the same, and all parts thereof, shall at all times conform to all applicable
local, state, and federal laws, ordinances, rules and regulations unless the
same are held by a court of competent jurisdiction to be unlawful. Tenant may,
however, upon prior written notice to Lessor, contest the legality or
applicability of any law, ordinance, rule or regulation, or any other Legal
Requirement or any licensure, certification or other Authorization decision
(including, without limitation, any notice of non-compliance referred to in
Section 8.1.1 hereof) or other Authorization if Tenant, at Tenant's own expense,
-------------
maintains such action in good faith, by appropriate proceedings and with due
diligence, and on a regular basis fully informs Lessor of the status of, and
material developments in, any such contest and furnishes Lessor with such
additional documents and information concerning such contest as Lessor may
reasonably request from time to time. If, by the terms of any such law,
ordinance, rule or regulation or any Legal Requirement or any such licensure,
certification or other Authorization decision or any applicable court order or
stay, compliance therewith pending the prosecution of any such proceeding may
legally be delayed (a) without the incurrence of any lien, charge or liability
of any kind against the applicable Facility or Lessor's interest therein, (b)
without any loss of licensure, certification or other Authorization that would
materially and adversely impair Tenant's ability to continue to operate the
affected Facility in accordance with its Primary Intended Use during Tenant's
contest, and (c) without subjecting Lessor to any liability, civil or criminal,
for failure so to comply therewith, Tenant may delay compliance therewith until
the final unappealable determination of such proceeding, provided, however, if
                                                         --------  -------
any such lien, charge or civil or criminal liability would be incurred by reason
of any such delay, Tenant may nonetheless contest as aforesaid and delay as
aforesaid provided that such delay would not subject Lessor to criminal
liability and Tenant (i) furnishes to Lessor security reasonably satisfactory to
Lessor against any loss or injury by reason of such contest or delay, (ii)
prosecutes the contest with due diligence and in good faith, and (iii) keeps
Lessor informed, and provides additional documentation and information, relative
to such contest as described above. Following the final unappealable
determination of any such proceeding adversely to Lessor or Tenant, Tenant shall
comply with all requirements of such determination in accordance with Section
                                                                      -------
12.1(g).
-------

     Section 8.3 Permitted Encumbrances.
                 ----------------------

          Section 8.3.1 Subject to Section 7.3.2 hereof, Tenant shall, at its
                                   -------------
own cost and expense, fully observe, perform and comply with all Permitted
Encumbrances as the same apply to or bind Lessor or any of the Leased
Properties. Subject to Section 7.3.2 hereof, Tenant shall not cause, or permit
                       -------------
its respective agents, employees, contractors, invitees, subtenants, licensees,
concessionaires or assigns (whether or not permitted hereunder) to cause,
whether by act or omission, any breach of, default under or termination of any
Permitted Encumbrance applicable to or binding upon Lessor or any of the Leased
Properties. Notwithstanding anything to the contrary contained in Section 16.1
                                                                  ------------
or elsewhere in this Lease but subject to Section 7.3.2 hereof, an Event of
                                          -------------
Default shall be deemed to have occurred under this Lease on account of Tenant's
breach of this Section 8.3.1, when, but only if, (a) Tenant's breach of this
               -------------
Section 8.3.1 also results in a breach or default of an obligation under a
-------------
Permitted Encumbrance, (b) such Permitted Encumbrance breach or default is not
cured by

                                       36

<PAGE>

Tenant on or prior to the expiration of the cure period, if any, applicable to
such breach or default by the terms of the instrument creating such Permitted
Encumbrance (or such longer cure period as may be expressly authorized by an
order of a court of competent jurisdiction), and (c) on account of such
Permitted Encumbrance breach or default, a real property interest, or a
covenant, condition, restriction, license or other beneficial right, created
under such Permitted Encumbrance and benefiting Lessor or a Leased Property is
terminated or otherwise lost or at material risk of being terminated or
otherwise lost. Lessor agrees that, in the event Lessor receives any written
notice of default from a party to a Permitted Encumbrance, Lessor shall promptly
forward a copy thereof to Tenant. Tenant agrees that, if Lessor, at its option,
elects to cure an Event of Default by Tenant under this Section 8.3.1, such cure
                                                        -------------
shall not excuse Tenant from, or be deemed a cure of, such Event of Default, nor
shall Tenant's reimbursement to Lessor of any costs and expenses incurred by
Lessor in effecting any such cure be deemed a cure of any such Event of Default,
provided, however, that, notwithstanding the foregoing, even after the
--------  -------
occurrence of such an Event of Default by Tenant and/or Lessor's cure thereof,
Lessor agrees to accept Tenant's cure thereof, or reimbursement of Lessor's
costs and expenses to effect such cure, provided, and on the condition, that
Lessor has not, prior thereto, terminated this Lease as it affects the Leased
Property to which such Permitted Encumbrance relates or dispossessed Tenant from
such Leased Property. Nothing contained in this Section 8.3 shall limit or
                                                -----------
impair Lessor's indemnification rights under Section 24.1 below.
                                             ------------

          Section 8.3.2 If (a) a Permitted Encumbrance breach or default of the
nature described in Section 8.3.1(a) above occurs, and (b) on account thereof,
                    ----------------
if the same is not cured, the condition referenced in Section 8.3.1(c) above
                                                      ----------------
would, or is likely to, be satisfied, Tenant agrees that, notwithstanding
anything to the contrary contained in Section 17.1 below or elsewhere in this
                                      ------------
Lease, Lessor may, but shall not be obligated to, in its discretion and
regardless of whether Tenant is proceeding to cure, or attempting to cure, the
Permitted Encumbrance breach or default referenced in Section 8.3.1(a) above or
                                                      ----------------
whether the cure period referenced in Section 8.3.1(b) above has expired or is
                                      ----------------
likely to expire before completion of necessary cure efforts, take such actions
as it deems necessary or appropriate to attempt to cure such Permitted
Encumbrance breach or default, provided, however, that, if the breach or default
                               --------  -------
referenced in subsection (a) above has applicable thereto, by the express terms
of the applicable Permitted Encumbrance, a stated period to cure the same,
Lessor agrees not to commence to cure such breach or default unless and until
one-half (1/2) of the aforesaid stated cure period has elapsed. If Lessor so
proceeds to attempt to cure any such Permitted Encumbrance breach or default,
Tenant agrees, within fifteen (15) days following receipt of a written demand
therefor and reasonable supporting documentation, to reimburse Lessor for the
reasonable amount of all costs and expenses incurred by Lessor in curing, or
attempting to cure, any such Permitted Encumbrance breach or default.

                                   ARTICLE IX

     Section 9.1 Maintenance and Repair.
                 ----------------------

          (a) Tenant, at its expense, shall keep each Leased Property and all
private roadways, sidewalks and curbs appurtenant thereto and which are under
Tenant's control (and Tenant's Personal Property) in good order and repair,
reasonable wear and tear excepted

                                       37

<PAGE>

(whether or not the need for such repairs occurs as a result of Tenant's use,
any prior use, the elements or the age of such Leased Property, Tenant's
Personal Property, or any portion thereof), and, except as otherwise provided in
Article XIV, shall promptly make all necessary and appropriate repairs and
-----------
replacements thereto, of every kind and nature, whether interior or exterior,
structural or non-structural, ordinary or extraordinary, foreseen or unforeseen
or arising by reason of a condition existing prior to the commencement of the
Term (concealed or otherwise). All repairs shall, to the extent reasonably
achievable, be made in good, workmanlike and first-class manner, in accordance
with all applicable federal, state and local statutes, ordinances, by-laws,
codes, rules and regulations relating to such work. Tenant will not take or omit
to take any action the taking or omission of which might materially impair the
value or usefulness of the applicable Leased Property or any part thereof for
its Primary Intended Use.

          (b) Lessor shall not under any circumstances be required to build or
rebuild any improvements on any Leased Property, or to make any repairs,
replacements, alterations, restorations or renewals of any nature or description
to the applicable Leased Property, whether ordinary or extraordinary, structural
or non-structural, foreseen or unforeseen, or to make any expenditure whatsoever
with respect thereto, in connection with this Lease, or to maintain any Leased
Property in any way, except as expressly provided herein. Tenant hereby waives,
to the extent permitted by law, the right to make repairs at the expense of
Lessor pursuant to any law in effect at the time of the execution of this Lease
or thereafter enacted.

          (c) Except as expressly set forth in this Lease, nothing contained in
this Lease and no action or inaction by Lessor shall be construed as (i)
constituting the consent or request of Lessor, express or implied, to any
contractor, subcontractor, laborer, materialman or vendor to or for the
performance of any labor or services or the furnishing of any materials or other
property for the construction, alteration, addition, repair or demolition of or
to any Leased Property or any part thereof, or (ii) giving Tenant any right,
power or permission to contract for or permit the performance of any labor or
services or the furnishing of any materials or other property in such fashion as
would permit the making of any claim against Lessor in respect thereof or to
make any agreement that may create, or in any way be the basis for, any right,
title, interest, lien, claim or other encumbrance upon the estate of Lessor in
any Leased Property, or any portion thereof.

          (d) Tenant will, upon the expiration or prior termination of the Term,
vacate and surrender the applicable Leased Property to Lessor in the condition
in which such Leased Property was originally received from Lessor, except as
repaired, rebuilt, restored, altered or added to as permitted or required by the
provisions of this Lease and except for ordinary wear and tear (subject to the
obligation of Tenant to maintain the Leased Property in good order and repair
during the entire Term).

          (e) Tenant shall establish and maintain any reserve accounts
reasonably required by a Superior Mortgagee for deferred maintenance conditions
and for capital expenditures at the Leased Property.

                                       38

<PAGE>
     Section 9.2 Encroachments. If any of the Leased Improvements on any Leased
                 -------------
Property shall, at any time, encroach upon any property, street or right-of-way
adjacent to such Leased Property, then, promptly upon the request of Lessor or
at the behest of any person affected by any such encroachment, Tenant shall, at
its expense, subject to its right to contest the existence of any encroachment
and, in such case, in the event of any adverse final determination, either (i)
obtain valid and effective waivers or settlements of all claims, liabilities and
damages resulting from each such encroachment, whether the same shall affect
Lessor or Tenant, or (ii) make such changes in the Leased Improvements, and take
such other actions, as Tenant, in good faith exercise of its judgment deems
reasonably practicable, to remove such encroachment, including, if necessary,
the alteration of any of the Leased Improvements, and in any event take all such
actions as may be necessary in order to be able to continue the operation of the
Leased Improvements for the Primary Intended Use substantially in the manner and
to the extent the Leased Improvements were operated prior to the assertion of
such encroachment. Any such alteration shall be made in conformity with the
applicable requirements of Article X. Tenant's obligations under this Section
                           ---------                                  -------
9.2 shall be in addition to and shall in no way discharge or diminish any
---
obligation of any insurer under any policy of title or other insurance and
Tenant shall not be entitled to a credit for any sums recovered by Lessor under
any such policy of title or other insurance.

                                   ARTICLE X

     Section 10.1 Construction of Capital Alterations to the Leased
                  -------------------------------------------------
Property(ies). Tenant shall not, without the prior written consent of Lessor,
-------------
which consent, except as expressly set forth below relative to tie in/connecting
Capital Alterations of the nature described below, shall not be unreasonably
withheld, delayed or conditioned, construct or install Capital Alterations on
any Leased Property. In the event that Tenant wishes to construct or install any
Capital Alteration, Tenant shall submit to Lessor in writing a proposal setting
forth in reasonable detail such Capital Alteration and shall provide to Lessor
for approval such plans and specifications, permits, licenses, contracts,
construction schedules, construction budgets and other information concerning
the proposed Capital Alteration as Lessor may reasonably request showing in
reasonable detail the scope and nature of the Capital Alteration that Tenant
desires to construct (collectively the "Plans and Specifications"). It is the
                                        ------------------------
intent of the parties hereto that the level of detail shall be comparable to
that which is referred to in the architectural profession as "design development
drawings" as opposed to working or biddable drawings. Without limiting the
generality of the foregoing, such proposal shall indicate the approximate
projected cost of constructing such Capital Alteration and the use or uses to
which it will be put. In the event that Lessor consents in writing to any
Capital Alteration, prior to commencing construction of any Capital Alteration,
Tenant shall first request Lessor to provide funds to pay for such Capital
Alteration in accordance with the provisions of Section 10.3. If Lessor declines
                                                ------------
or is unable to provide such financing on terms acceptable to Tenant, Tenant
shall provide to Lessor, prior to commencement of any construction, proof
reasonably acceptable to Lessor that Tenant has sufficient capital to complete
the construction. Furthermore, no Capital Alteration shall be made which would
tie in or connect any Leased Improvements on a Leased Property with any other
improvements on property adjacent to such Leased Property (and not part of the
Land covered by this Lease) including, without limitation, tie-ins of buildings
or other structures or utilities, unless Tenant shall have obtained the prior
written approval of

                                       39

<PAGE>

Lessor, which approval in Lessor's sole discretion may be granted, withheld,
delayed or conditioned. Tenant shall reimburse Lessor for all reasonable costs
and expenses incurred by Lessor in reviewing the proposal and the Plans and
Specifications for a Capital Alteration and for inspecting the applicable Leased
Property and otherwise monitoring the construction of the Capital Alteration,
including, without limitation, the reasonable cost of engaging consultants to
assist Lessor in connection with any or all of the foregoing.

     Section 10.2 Capital Alterations Financed by Tenant. If Tenant provides or
                  --------------------------------------
arranges such financing, there shall be no adjustment in Base Rent, Current Rent
or Unpaid Accrued Rent by reason of any such Capital Alteration.

     Section 10.3 Capital Alterations Financed by Lessor.
                  --------------------------------------

          (a)   Tenant shall request that Lessor provide or arrange financing
for a Capital Alteration by providing to Lessor such information about the
Capital Alteration as Lessor may reasonably request including without limitation
all information referred to in Section 10.1 above. Lessor may, but shall be
                               ------------
under no obligation to, obtain the funds necessary to meet the request. Within
sixty (60) days after receipt of a request, Lessor shall notify Tenant as to
whether it will finance the proposed Capital Alteration and, if so, the terms
and conditions upon which it would do so, including the terms of any amendment
to this Lease. In no event shall the portion of the projected Capital
Alterations Cost comprised of land, if any, materials, labor charges and
fixtures be less than ninety percent (90%) of the total amount of such cost.
Tenant may withdraw its request by notice to Lessor at any time before or after
receipt of Lessor's terms and conditions. If Tenant desires to accept Lessor's
offer to finance the proposed Capital Alteration, Tenant shall notify Lessor
within thirty (30) days after Tenant's receipt of Lessor's offer.

          (b)   If Lessor agrees to finance the proposed Capital Alteration,
Tenant shall provide Lessor with the following prior to any advance of funds:

          (i)   all customary or other reasonably required loan documentation;

          (ii)  any information, certificates, licenses, permits or documents
     requested by either Lessor or any third party lender with whom Lessor has
     agreed or may agree to provide financing which are necessary to confirm
     that Tenant will be able to use the Capital Alteration upon completion
     thereof in accordance with the Primary Intended Use, including all required
     federal, state or local government licenses and approvals;

          (iii) an Officer's Certificate and, if requested, a certificate from
     Tenant's architect, setting forth in reasonable detail the projected (or
     actual, if available) cost of the proposed Capital Alteration;

          (iv)  an amendment to this Lease, duly executed and acknowledged, in
     form and substance reasonably satisfactory to Lessor and Tenant, providing
     for (1) any change in the Rent that is set forth in Lessor's offer to
     finance and accepted by Tenant, any change in the legal description of the
     Land, and any change in Exhibit C hereof (including any and all allocations
                             ---------
     of Rent and Transferred Property Percentages

                                       40

<PAGE>

     contained therein) that is appropriate on account of any change in the Rent
     as aforesaid (specifically, Lessor's and Tenant's agreed upon changes to
     the Base Rent and Current Rent allocable to the affected Leased
     Property(ies), if any, shall be incorporated into an amended Exhibit C, and
                                                                  ---------
     the Transferred Property Percentages allocable to all of the Leased
     Properties shall then be recalculated and incorporated into such amended
     Exhibit C) and (2) any other Lease amendments as may be necessary or
     ---------
     appropriate;

          (v) a deed (in the customary form used to convey commercial properties
     within the relevant jurisdiction) conveying title to Lessor to any land
     acquired for the purpose of constructing the Capital Alterations free and
     clear of any liens or encumbrances except those approved by Lessor,
     accompanied by a final as-built survey thereof satisfactory to Lessor if
     reasonably required by Lessor;

          (vi) endorsements to any outstanding policy of title insurance, if
     any, covering the applicable Leased Property or commitments therefor
     satisfactory in form and substance to Lessor (A) updating the same without
     any additional exception except as may be permitted by Lessor; and (B)
     increasing the coverage thereof by an amount equal to the Fair Market Value
     of the Capital Alteration (except to the extent covered by the owner's
     policy of title insurance referred to in subsection (vii) below);

          (vii) if appropriate, (A) an owner's policy of title insurance
     insuring fee simple title to any land conveyed to Lessor pursuant to
     subsection (v) free and clear of all liens and encumbrances except those
     approved by Lessor and (B) a lender's policy of title insurance
     satisfactory in form and substance to Lessor and the lending institution
     advancing any portion of the Capital Alterations Cost;

          (viii) if deemed necessary by Lessor, an M.A.I. appraisal of the
     Leased Property indicating that the value of the applicable Leased Property
     upon completion of the Capital Alteration exceeds the Fair Market Value
     thereof prior thereto by an amount not less than 95% of the Capital
     Alterations Cost; and

          (ix) such other certificates (including, but not limited to,
     endorsements increasing the insurance coverage, if any, at the time
     required by Section 13.1), documents, opinions of counsel, appraisals,
                 ------------
     surveys, certified copies of duly adopted resolutions of the Board of
     Directors of Tenant authorizing the execution and delivery of the lease
     amendment and any other instruments as may be reasonably required by Lessor
     and any lending institution advancing or reimbursing Tenant for any portion
     of the Capital Alterations Cost.

          (c) Upon making a request to finance a Capital Alteration, if and when
such financing is actually consummated, Tenant shall pay or agree to pay all
reasonable costs and expenses of Lessor and any Lending Institution which has
committed to finance such Capital Alteration paid or incurred by them in
connection with the financing of the Capital Alterations, including, but not
limited to, (i) the reasonable fees and expenses of their respective counsel,
(ii) all printing expenses, (iii) the amount of any filing, registration and
recording taxes and fees, (iv) documentary stamp taxes, if any, (v) title
insurance and survey charges, appraisal

                                       41

<PAGE>

fees, if any, and rating agency fees, if any, (vi) any other applicable
consulting fees (including without limitation engineering and environmental),
and (vii) commitment fees, if any.

     Section 10.4 Non-Capital Alterations. Tenant shall have the right to make
                  -----------------------
additions, modifications or improvements to any Leased Property which are not
Capital Alterations ("Non-Capital Alterations") from time to time as it, in its
                      -----------------------
discretion, may deem to be desirable for its uses and purposes, provided that
such action will not alter the character or purpose or detract from the value or
operating efficiency thereof and will not impair the revenue producing
capability of the affected Leased Property or adversely affect the ability of
Tenant to comply with the provisions of this Lease. The cost of such Non-Capital
Alterations, modifications or improvements to a Leased Property shall be paid by
Tenant.

     Section 10.5 Salvage. All materials which are scrapped or removed in
                  -------
connection with the making of either Capital Alterations permitted by Section
                                                                      -------
10.1 or Non-Capital Alterations permitted by Section 10.4 or repairs required by
----                                         ------------
Article IX shall be or become the property of Lessor or Tenant depending on
----------
which party is paying for, or providing the financing for, such work.

     Section 10.6 Additional Requirements for Capital Alterations and
                  ---------------------------------------------------
Non-Capital Alterations. Tenant shall comply with the following requirements in
-----------------------
connection with Permitted Alterations:

          (a) In the case of Capital Alterations, the Permitted Alteration shall
be made substantially in accordance with the Plans and Specifications submitted
to Lessor, to the extent applicable.

          (b) The Permitted Alterations and the installation thereof shall
comply with all applicable Legal Requirements and all Insurance Requirements.

          (c) The Permitted Alterations shall be performed in a good and
workmanlike manner, shall not impair the value or the structural integrity of
the applicable Leased Property, and shall be free and clear of mechanic's liens.

          (d) Intentionally omitted.

          (e) Tenant shall, at Tenant's expense, obtain a builder's completed
value risk policy of insurance insuring against the risks of physical loss,
including collapse and transit coverage, in a nonreporting form, covering the
total value of the work performed, and equipment, supplies and materials, and
insuring initial occupancy. Lessor and any Facility Mortgagee shall be
additional named insureds of such policy. Lessor shall have the right to approve
the form and substance of such policy, which approval shall not be unreasonably
withheld, delayed or conditioned.

          (f) Tenant shall pay the premiums required to increase the amount of
insurance coverages required by Article XIII to reflect the increased value of
                                ------------
the applicable Leased Property resulting from the Permitted Alterations, and
shall deliver to Lessor a certificate evidencing the increase in coverage.

                                       42

<PAGE>

          (g) In the case of Capital Alterations, Tenant shall, not less than
sixty (60) days after completion of the Capital Alterations, deliver to Lessor a
revised "as-built" set of Plans and Specifications for the Capital Alterations
in form and substance reasonably satisfactory to Lessor.

          (h) In the case of Capital Alterations, Tenant shall, not later than
thirty (30) days after Lessor sends an invoice, reimburse Lessor for any
reasonable costs and expenses, including attorneys' fees and architects' and
engineers' fees, incurred in connection with reviewing proposed Capital
Alterations and ensuring Tenant's compliance with the terms of this Article X.
                                                                    ---------

          (i) All Capital Alterations and Non-Capital Alterations shall, without
payment by Lessor at any time (other than as expressly agreed by Lessor pursuant
to Section 10.3 above), be included under the terms of this Lease and upon
   ------------
expiration or earlier termination of this Lease shall pass to and become the
property of Lessor free and clear of all encumbrances, other than Permitted
Encumbrances.

          (j) Except as expressly agreed by Lessor and Tenant pursuant to
Section 10.3(b)(iv) above, (1) there shall be no adjustment in Base Rent,
-------------------
Current Rent or Unpaid Accrued Rent by reason of any Capital Alteration or
Non-Capital Alteration and (2) no Capital Alteration or Non-Capital Alteration
shall be treated by Lessor or Tenant as rent, or amounts in lieu of rent, paid
by Tenant, or any other kind of gross income to Lessor, for income tax purposes.

     Section 10.7 Mortgagee's Consent. Tenant shall not commence construction of
                  -------------------
any Capital Alteration until Lessor shall have obtained the consent of any
applicable Facility Mortgagee or Superior Lessor, if such consent is required.
Lessor agrees to use commercially reasonable efforts to obtain promptly any such
consent, if such consent is necessary.

                                   ARTICLE XI

     Section 11.1 Liens. Subject to the provisions of Article XII relating to
                  -----                               -----------
permitted contests, Tenant will not directly or indirectly create or allow to
remain and will promptly discharge at its expense any lien, encumbrance,
attachment, title retention agreement or claim upon any Leased Property or any
attachment, levy, claim or encumbrance in respect of the Rent, not including,
however, (a) Permitted Encumbrances, (b) restrictions, liens and other
encumbrances which are consented to in writing by Lessor, or any easements
granted pursuant to the provisions of this Lease, (c) liens for those taxes of
Lessor which Tenant is not required to pay hereunder, (d) subleases permitted by
Article XXV, (e) liens for Impositions or for sums resulting from noncompliance
-----------
with Legal Requirements so long as (1) the same are not yet payable or are
payable without the addition of any fine or penalty or (2) such liens are in the
process of being contested as permitted by Article XII, (f) liens of mechanics,
                                           -----------
laborers, materialmen, suppliers or vendors for sums either disputed in good
faith or not yet due, provided that (1) the payment of such sums shall not be
postponed under any related contract for more than sixty (60) days after the
completion of the action giving rise to such lien and such reserve or other
appropriate provisions as shall be required by law or generally accepted

                                       43

<PAGE>

accounting principles shall have been made therefor or (2) any such liens are in
the process of being contested as permitted by Article XII, and (g) any liens
                                               -----------
which are the responsibility of Lessor pursuant to the provisions of Article
                                                                     -------
XXXVIII. Notwithstanding the foregoing, Tenant shall bond over any lien
-------
affecting the applicable Leased Property if Lessor shall reasonably request, or
if any applicable Facility Mortgagee shall so require.

                                  ARTICLE XII

     Section 12.1 Permitted Contests. Tenant, on its own or on Lessor's behalf
                  ------------------
(or in Lessor's name), but at Tenant's expense, may contest, by appropriate
legal proceedings conducted in good faith and with due diligence, the amount or
validity or application, in whole or in part, of any Imposition or any Legal
Requirement or any lien, attachment, levy, encumbrance, charge or claim not
otherwise permitted by Article XI, provided that (a) in the case of an unpaid
                       ----------
Imposition, lien, attachment, levy, encumbrance, charge, or claim, the
commencement and continuation of such proceedings shall suspend the collection
thereof from Lessor and from the applicable Leased Property, (b) neither the
applicable Leased Property nor any Rent therefrom nor any part thereof or
interest therein would be reasonably likely to be in danger of being sold,
forfeited, attached or lost, (c) in the case of a Legal Requirement, Lessor
would not be in any immediate danger of criminal liability for failure to comply
therewith pending the outcome of such proceedings and the contest provisions of
Section 8.2 have been satisfied, (d) Tenant shall indemnify and hold harmless
-----------
Lessor from and against any cost, claim, damage, penalty or reasonable expense,
including reasonable attorneys' fees, incurred by Tenant in connection therewith
or as a result thereof, (e) in the case of a Legal Requirement and/or
Imposition, lien, encumbrance or charge, Tenant shall give such reasonable
security as may be demanded by Lessor to insure ultimate payment of or
compliance with the same and to prevent any sale or forfeiture of the affected
Leased Property or the Rent by reason of such non-payment or non-compliance,
provided, however, the provisions of this Article XII shall not be construed to
--------  -------                         -----------
permit Tenant to contest the payment of Rent (except as to contests concerning
the method of computation or the basis of levy of any Imposition or the basis
for the assertion of any other claim) or any other sums payable by Tenant to
Lessor hereunder, (f) in the case of an Insurance Requirement, the coverage
required by Article XIII shall be maintained, and (g) if such contest is
            ------------
resolved against Lessor or Tenant by a final unappealable determination, Tenant
shall, as Additional Charges due hereunder, pay to the appropriate payee the
amount required to be paid, together with all interest and penalties accrued
thereon, within ten (10) days after such determination (or within such shorter
period as may be required by the terms of such determination), and comply,
within any cure period allowed therefor by the applicable agency or authority
(or if no such cure period shall be allowed or specified by the applicable
agency or authority, promptly and diligently following the effective date of
such determination and, in any event, prior to the final unappealable revocation
of any license, permit, approval, certificate of need, certificate for
reimbursement or other Authorization), with the applicable Legal Requirement,
Insurance Requirement, plan of correction or other remedial requirements of the
applicable agency or authority; provided, however, that this subsection (g) is
                                --------  -------
not intended, and shall not be construed, to afford Tenant any cure or grace
period beyond the effective date of any final unappealable determination, unless
and only to the extent that (i) such determination specifically conditions the
imposition or taking effect of the adverse legal, regulatory or other
consequences in issue upon Tenant's failure to make a

                                       44

<PAGE>

specified payment or to take specified compliance, curative or remedial action
following the effective date of such determination or (ii) Tenant is proceeding
diligently and in good faith to effect an assignment or sublet under Section
                                                                     -------
25.1.11 hereof and the applicable agency(ies) or authority(ies) is not enforcing
-------
such final order, pending consummation of such assignment or sublet. Lessor, at
Tenant's expense, shall execute and deliver to Tenant such authorizations and
other documents as may reasonably be required in any such contest, and, if
reasonably requested by Tenant or if Lessor so desires, Lessor shall join as a
party therein. Tenant shall indemnify and save Lessor harmless against any
liability, cost or expense of any kind that may be imposed upon Lessor in
connection with any such contest and any loss resulting therefrom.

                                  ARTICLE XIII

     Section 13.1 General Insurance Requirements. During the Term, Tenant shall
                  ------------------------------
at all times keep each Leased Property, and all property located in or on any
Leased Property, including Leasehold Improvements, Fixtures and Tenant's
Personal Property, insured with the kinds and amounts of insurance described
below. This insurance shall be written by companies authorized to do insurance
business in the State in which the applicable Leased Property is located, which
companies shall have a rating at least as high as the rating required by any
applicable Facility Mortgagee. The policies must name as loss payee (i) the
holder of any mortgage, deed of trust or other security agreement ("Facility
                                                                    --------
Mortgagee") securing any Encumbrance placed on the applicable Leased Property in
---------
accordance with the provisions of Article XXXVIII ("Facility Mortgage") by way
                                  ---------------   -----------------
of a standard form of mortgagee's loss payable endorsement or (ii) if no such
Facility Mortgage encumbers the applicable Leased Property, Lessor and, in the
case of any commercial general liability and/or umbrella liability insurance
coverages, must name Lessor and any Superior Mortgagee(s) as additional
insureds. Losses shall be payable to Lessor and/or Superior Mortgagee as
provided in Article XIV. Any loss adjustment shall require the written consent
            -----------
of Lessor, Tenant, Leasehold Mortgagee and Facility Mortgagee whenever the loss
exceeds Two Hundred Fifty Thousand Dollars ($250,000.00) (or such larger amount
as is agreed to in writing by Lessor's Facility Mortgagee(s)). Evidence of
insurance shall be deposited with Lessor and, if requested, with any Superior
Lessor, Leasehold Mortgagee and Facility Mortgagee(s). If any provision of any
Facility Mortgage requires deposits of insurance premiums to be made with such
Facility Mortgagee, Tenant shall either pay to Lessor monthly the amounts
required and Lessor shall transfer such amounts to each Facility Mortgagee, or,
pursuant to written direction by Lessor, Tenant shall make such deposits
directly with such Facility Mortgagee. The policies on each Leased Property,
including the Leasehold Improvements, and Fixtures and Tenant's Personal
Property, shall insure against the following risks:

     Section 13.1.1 Loss or damage by fire, vandalism and malicious mischief,
extended coverage perils commonly known as "All Risk", including flood, the
backup of sewers and drains, earthquake, breakage of plate glass and all
physical loss perils including but not limited to sprinkler leakage, in an
amount not less than one hundred percent (100%) of the then full replacement
cost thereof (as defined below in Section 13.2), subject to no coinsurance
                                  ------------
requirement or on an agreed amount basis;

                                       45

<PAGE>

          Section 13.1.2 Broad form comprehensive boiler and machinery
insurance, on a blanket repair and replace basis, with limits for each accident
in an amount not less than one hundred percent (100%) of the then full
replacement cost (as defined in Section 13.2) of the Leased Property;
                                ------------

          Section 13.1.3 Business Interruption insurance on a Business
Interruption, Gross Profits or Gross Rents form, including all standing charges,
with a period of indemnity of no less than twelve (12) months, resulting from
loss or damage as described in Section 13.1.1 or 13.1.2, subject to no
                               --------------    ------
coinsurance requirement or on an agreed amount basis;

          Section 13.1.4 Claims for bodily injury, including death resulting
therefrom, personal injury and property damage on an occurrence basis, under a
policy of commercial general liability ("CGL") insurance (including, without
limitation, broad form property damage and broad form contractual liability) for
a limit of not less than Fifty Million and No/100 Dollars ($50,000,000.00) per
occurrence, combined single limit. Relative to the insurance referenced in this
Section 13.1.4, Tenant shall be permitted to use a claims made policy form
--------------
rather than an occurrence based policy form for its primary, and/or its excess
liability, CGL insurance, only if:

          (a) an occurrence based form of primary or excess liability, as
applicable, CGL insurance policy cannot be obtained solely because occurrence
based forms of primary or excess liability, as applicable, CGL insurance are not
offered in the insurance market place for for-profit hospital and/or nursing
center companies or

          (b) a majority of the five (5) largest (determined by revenue)
companies (exclusive of Tenant) in the for-profit hospital and/or nursing center
industry maintain claims made forms of primary or excess liability, as
applicable, CGL insurance for their primary or excess liability, as applicable,
CGL insurance policies.

     (For example, relative to the foregoing conditions, if occurrence based
forms of primary CGL insurance are offered in the insurance market place for
for-profit hospital and/or nursing center companies, but Tenant is unable to
obtain an occurrence based form of excess liability CGL insurance solely because
occurrence based forms of excess liability CGL insurance are not offered in the
insurance market place for for-profit hospital and/or nursing center companies,
and a majority of the aforesaid five largest companies maintain occurrence based
forms of primary CGL insurance and claims made forms of excess liability CGL
insurance, a claims made form of excess liability CGL insurance would be
permitted subject to compliance with the other requirements of this Section
                                                                    -------
13.1.4, but a claims made form of primary CGL insurance would not be permitted).
------
Prior to making any such switch to or renewing any claims made policy, Tenant
shall be obligated to provide to Lessor supporting evidence demonstrating the
existence of condition (a) or (b), and the sufficiency of such evidence shall be
subject to the advance written approval of Lessor, in its reasonable discretion.
If Tenant so switches to a claims made form of policy, in addition to complying
with the requirements referenced below in this Section 13.1.4, Tenant shall be
                                               --------------
obligated to switch back to occurrence based coverage at the end of the then
current claims made policy term unless condition (a) or (b) exists as
demonstrated by supporting evidence reasonably

                                       46

<PAGE>

approved in advance and in writing by Lessor. If Tenant satisfies the above
referenced tests for switching to, or continuing to maintain, a claims made form
of policy, any claims made policy that it purchases must include therein the
right to purchase a "tail" that insures against so called "incurred but not
reported claims" for a period of at least three (3) years following the
expiration of such claims made policy. In addition, from and after any such
switch to a claims made form of policy, Tenant must, after the expiration of
each claims made policy that Tenant obtains, as to each such expiring claims
made policy, either:

          (i) continue to insure Lessor and all Facility Mortgagees and Superior
     Lessors with the required amount of primary and/or excess liability, as
     applicable depending upon the nature of such expiring claims made policy,
     CGL insurance coverage, on a claims made policy form that includes coverage
     against all so-called "incurred but not reported claims" relating to any
     period on or prior to the expiration of the expiring policy ("Previous
     Period Unreported Claims"), an additional ten (10) years following the
     expiration of such expiring claims made policy (which coverage may be
     obtained, for example, (A) through the renewal or rolling-over of a claims
     made based CGL policy providing the required amounts of coverage and
     including coverage against Previous Period Unreported Claims for
     consecutive 1-year periods for such ten (10) year period, or (B) through
     the purchase of a three (3) year claims made based CGL "tail" policy
     providing the required amounts of coverage and including coverage against
     Previous Period Unreported Claims followed by purchases of claims made
     based CGL policies providing the required amounts of coverage and including
     coverage against all Previous Period Unreported Claims for consecutive
     1-year periods for the remaining seven (7) years of such ten (10) year
     period) (in connection with the purchase of claims made CGL insurance
     coverage pursuant to this subsection (i), any claims made CGL insurance
     coverage that is obtained by Tenant may exclude therefrom any claims
     incurred during any period that an occurrence based form of primary or
     excess liability, as applicable depending on the nature of the expiring
     claims made policy, CGL insurance policy providing the required amounts of
     coverage and insuring Lessor and all Facility Mortgagees and Superior
     Lessors was in effect), or

          (ii) insure Lessor and all Facility Mortgagees and Superior Lessors by
     obtaining the required amount of primary and/or excess liability, as
     applicable, CGL insurance on an occurrence based policy form that includes
     therein as insured claims all claims (x) incurred prior to the inception of
     such occurrence based CGL insurance policy and after the latest of (1)
     April 20, 2001, (2) the date that is ten (10) years prior to the inception
     of such occurrence based CGL insurance policy or (3) the day preceding the
     date that Tenant, pursuant to the terms of this Section 13.1.4, first
                                                     --------------
     switched to a claims made form of primary or excess liability, as
     applicable depending on the nature of such expiring claims made policy, CGL
     insurance policy (relative to the period described in this subsection
     (ii)(x), any occurrence based CGL policy that is obtained by Tenant
     pursuant to this subsection (ii) may exclude therefrom any claims incurred
     during any period that an occurrence based form of primary or excess
     liability, as applicable depending on the nature of the expiring claims
     made policy, CGL insurance policy providing the required amounts of
     coverage and insuring Lessor and

                                       47

<PAGE>

     all Facility Mortgagees and Superior Lessors was in effect) and (y) not yet
     reported prior to such inception;

          Section 13.1.5 Claims arising out of malpractice in an amount not less
than Twenty Five Million and No/100 Dollars ($25,000,000.00) for each person and
for each claim in the aggregate;

          Section 13.1.6 Intentionally Omitted;

          Section 13.1.7 Intentionally Omitted;

          Section 13.1.8 Loss or damage commonly covered by blanket crime
insurance including employee dishonesty, loss of money orders or paper currency,
depositor's forgery, in commercially reasonable amounts acceptable to Lessor for
a limit of not less than Five Million and No/100 Dollars ($5,000,000.00).

     Section 13.2 Replacement Cost. The term "full replacement cost," as used
                  ----------------
herein, shall mean the actual replacement cost of the property requiring
replacement from time to time including an increased cost of construction
endorsement, without reduction or deduction for depreciation. Tenant shall have
the full replacement cost redetermined by an accredited appraiser approved by
Lessor (which approval shall not be unreasonably withheld, delayed or
conditioned), hereinafter referred to as "impartial appraiser", every five years
during the Term, and at such other times that either party believes that full
replacement cost has increased or decreased. Tenant shall forthwith, on receipt
of such determination by such impartial appraiser, give written notice thereof
to Lessor. The determination of such impartial appraiser shall be final and
binding on the parties hereto, and Tenant shall forthwith increase, or may
decrease, the amount of the insurance carried pursuant to this Section, as the
case may be, to the amount so determined by the impartial appraiser. Each party
shall pay one-half (1/2) of the fee, if any, of the impartial appraiser.

     Section 13.3 Additional Insurance. In addition to the insurance described
                  --------------------
above, Tenant shall maintain such additional insurance as may reasonably be
required from time to time by any Facility Mortgagee and, further, shall at all
times maintain adequate worker's compensation insurance coverage for all persons
employed by Tenant on each Leased Property. Such worker's compensation insurance
shall be in accordance with the requirements of applicable local, state and
federal law.

     Section 13.4 Waiver of Subrogation. Lessor and Tenant agree that (insofar
                  ---------------------
as and to the extent that such agreement may be effective without invalidating
or making it impossible to secure insurance coverage from responsible insurance
companies doing business in the State) with respect to any property loss that is
covered by insurance then being carried by Lessor or Tenant, respectively, the
party carrying such insurance and suffering said loss releases the other of and
from any and all claims with respect to such loss where such insurance is valid
and collectible respecting any such loss; and they further agree that their
respective insurance companies shall have no right of subrogation against the
other on account thereof, even though extra premium may result therefrom.
Nothing contained herein is intended, nor shall it be construed, to require that
Lessor maintain any insurance coverage.

                                       48

<PAGE>

     Section 13.5 Form Satisfactory, etc. All of the policies of insurance
                  ----------------------
referred to in this Section shall be written in form satisfactory to Lessor and
any Superior Lessor and Facility Mortgagee and by insurance companies
satisfactory to Lessor and any Superior Lessor and Facility Mortgagee. Lessor
agrees that it will not unreasonably withhold, delay or condition its approval
as to the form of the policies of insurance or as to the insurance companies
selected by Tenant. Tenant shall pay all of the premiums therefor not later than
the earlier of the date which is thirty (30) days after Tenant's receipt of an
invoice therefor or the due date of the applicable premium, and shall deliver
such policies or certificates thereof to Lessor prior to their effective date
(and, with respect to any renewal policy, prior to the expiration of the
existing policy), and in the event of the failure of Tenant either to effect
such insurance in the names herein called for or to pay the premiums therefor,
or to deliver such policies or certificates thereof to Lessor and each Superior
Lessor and Facility Mortgagee at the times required, Lessor shall be entitled,
but shall have no obligation, to effect such insurance and pay the premiums
therefor, which premiums shall be repayable to Lessor upon written demand
therefor, and failure to repay the same shall constitute an Event of Default
within the meaning of Section 16.1(c). Each insurer mentioned in this Section
                      ---------------
shall agree, by endorsement on the policy or policies issued by it, or by
independent instrument furnished to Lessor and any Superior Lessor and Facility
Mortgagee, that it will give to Lessor thirty (30) days' written notice before
the policy or policies in question shall be materially altered, allowed to
expire or canceled.

     Section 13.6 Limits; Deductibles. In the event that either party shall at
                  -------------------
any time deem the limits of the personal injury or property damage public
liability insurance then carried to be either excessive or insufficient or in
the event that Lessor shall at any time deem the deductible amount under any
insurance then carried by Tenant pursuant to this Article XIII to be excessive,
                                                  ------------
the parties shall endeavor to agree on the proper and reasonable limits or
deductible amount, as applicable, for such insurance to be carried; and such
insurance shall thereafter be carried with the limits or deductible amount, as
applicable, thus agreed on until further change pursuant to the provisions of
this Section. If the parties shall be unable to agree thereon, the proper and
reasonable limits or deductible amount, as applicable, for such insurance to be
carried shall be determined by an impartial third party selected by the parties.
Nothing herein shall permit the amount of insurance to be reduced below, or the
deductible amount under any insurance carried by Tenant pursuant to this Article
                                                                         -------
XIII to be increased above, the amount or amounts required by any of the
----
Facility Mortgages or by any Superior Lessor.

     Section 13.7 Blanket Policy. Notwithstanding anything to the contrary
                  --------------
contained in this Section but subject to any requirements of any applicable
Facility Mortgagee, Tenant's obligations to carry the insurance provided for
herein may be brought within the coverage of a so-called blanket policy or
policies of insurance carried and maintained by Tenant; provided, however, that
                                                        --------  -------
the coverage afforded Lessor will not be reduced or diminished or otherwise be
different from that which would exist under a separate policy meeting all other
requirements of this Lease by reason of the use of such blanket policy of
insurance, and provided further that the requirements of this Article XIII are
                                                              ------------
otherwise satisfied and provided further that, from time to time promptly
following receipt of a written request therefor from Lessor, Tenant shall
deliver to Lessor a schedule of the properties covered by any such blanket
policy, which schedule shall include therein the location and size of each of
such properties and such other

                                       49

<PAGE>

pertinent information relative to such properties (or any of them) as Lessor may
from time to time reasonably request. Lessor agrees that the blanket coverage
described in Schedule 13.7 attached hereto and incorporated herein satisfied the
             -------------
requirements of Section 13.1 as of February 23, 2001.
                ------------

     Section 13.8 No Separate Insurance. Tenant shall not on Tenant's own
                  ---------------------
initiative or pursuant to the request or requirement of any third party, take
out separate insurance concurrent in form or contributing in the event of loss
with that required in this Article, or increase the amounts of any then existing
insurance by securing an additional policy or additional policies, unless all
parties having an insurable interest in the subject matter of the insurance,
including in all cases Lessor and all Superior Lessors and Facility Mortgagees,
are included therein as additional insureds, and the loss is payable under said
insurance in the same manner as losses are payable under this Lease. Tenant
shall immediately notify Lessor of the taking out of any such separate insurance
or of the increasing of any of the amounts of the then existing insurance by
securing an additional policy or additional policies.

     Section 13.9 Survival. All of Tenant's obligations under this Article XIII
                  --------                                         ------------
or otherwise relating to obtaining, and maintaining, claims made coverages,
and/or switching back to occurrence based coverage, shall survive the expiration
or termination of this Lease as it applies to any or all of the Leased
Properties.

                                  ARTICLE XIV

     Section 14.1 Insurance Proceeds. All proceeds payable by reason of any loss
                  ------------------
or damage to the applicable Leased Property, or any portion thereof, and insured
under any policy of insurance required by Article XIII (excluding Business
                                          ------------
Interruption Insurance, as described in Section 13.1.3, covering Tenant's
                                        --------------
obligations under this Lease for the payment of Rent, the disposition of the
proceeds of which is described below) shall be paid to Lessor or a third party
designated by Lessor and held by Lessor or such third party in trust and shall
be made available for reconstruction or repair, as the case may be, of any
damage to or destruction of the Leased Property, or any portion thereof, and
shall be paid out by Lessor or such third party from time to time for the
reasonable costs of such reconstruction or repair. Any excess proceeds of
insurance remaining after the completion of the restoration or reconstruction
shall be paid to Tenant upon completion of any such repair and restoration,
except that, in the event neither Lessor nor Tenant is required or elects to
repair and restore as aforesaid, all such insurance proceeds shall be retained
by Lessor free and clear (except as otherwise provided in Section 14.2.4). All
                                                          --------------
salvage resulting from any risk covered by insurance shall belong to Lessor
except that any salvage relating to Tenant's Personal Property shall belong to
Tenant. All proceeds of the aforesaid Business Interruption Insurance shall be
paid to Lessor or a third party designated by Lessor and held by Lessor or such
third party in trust. Business Interruption Insurance proceeds shall be applied
first towards payment of any Rent that is due to Lessor as of the date such
proceeds are received by Lessor or such third party, and the balance of such
proceeds shall be immediately paid to Tenant, except if and to the extent that
the same have been paid by the insurer as a prepayment on account of Rent to
become due under this Lease in which event Lessor or such third party shall hold
any such funds in trust and apply such funds to such Rent as the same becomes
due.

                                       50

<PAGE>
     Section 14.2 Reconstruction in the Event of Damage or Destruction Covered
                  ------------------------------------------------------------
by Insurance.
------------

          Section 14.2.1 If, during the Term, any Leased Property is totally or
partially destroyed from a risk covered by the insurance described in Article
                                                                      -------
XIII and the Facility located thereon is rendered Unsuitable for Its Primary
----
Intended Use, Tenant shall either (A) restore the Facility to substantially the
same condition as existed immediately before the damage or destruction, or (B)
offer to acquire the applicable Leased Property from Lessor for a purchase price
equal to the Fair Market Value Purchase Price of the Leased Property immediately
prior to such damage or destruction. In the event Lessor does not accept
Tenant's aforesaid offer to purchase, Tenant may (i) withdraw its offer to
purchase the Leased Property and proceed to restore the Facility to
substantially the same condition as existed immediately before the damage or
destruction or (ii) provided and on the conditions that, at the time of such
damage or destruction, Tenant had in full force and effect the insurance
required under Section 13.1.1 and Section 13.1.2 above, there exists no defense
               --------------     --------------
to, or limitation upon, the insurer's coverage of such damage or destruction
under such insurance, and Tenant pays to Lessor, on or prior to the hereinafter
described termination, the amount of any deductible or other uninsured portion
of the loss resulting from any such damage or destruction, terminate this Lease
as to such Leased Property, in which event Lessor shall be entitled to retain
the insurance proceeds.

          Section 14.2.2 If, during the Term, any Leased Property is totally or
partially destroyed from a risk covered by the insurance described in Article
                                                                      -------
XIII, but the Facility located thereon is not thereby rendered Unsuitable for
----
its Primary Intended Use, Tenant shall restore such Facility to substantially
the same condition as existed immediately before the damage or destruction. Such
damage or destruction shall not terminate this Lease as to such Leased Property.

          Section 14.2.3 If the cost of the repair or restoration of any Leased
Property exceeds the amount of proceeds received by Lessor from the insurance
required under Article XIII, Tenant shall be obligated to contribute any excess
               ------------
amounts needed to restore such Leased Property. Prior to commencement of
construction, Tenant shall either (a) provide Lessor with an irrevocable,
unconditional, freely transferable letter of credit issued by a Lending
Institution, in the full amount of such difference and in form and substance
acceptable to Lessor (and Lessor shall be entitled to draw thereon if Tenant
fails to proceed diligently with such construction or to pay its contractors for
such construction in a timely manner or to renew or extend such letter of credit
at any time the same is scheduled to expire within forty-five (45) days, and the
funds from any such draw shall be held in trust and be disbursed by Lessor as
provided in subsection (b) below and elsewhere in this Article XIV), or (b) pay
                                                       -----------
such difference to Lessor, to be held in trust by Lessor, together with any
other insurance proceeds, for application to the cost of repair and restoration.

          Section 14.2.4 In the event Lessor accepts Tenant's offer to purchase
the applicable Leased Property as provided above, this Lease shall terminate as
to the applicable Leased Property upon payment of the purchase price and the
provisions of Section 40.16 hereof shall apply. Upon receipt of the purchase
              -------------
price from Tenant, Lessor shall remit to

                                       51

<PAGE>

Tenant all insurance proceeds pertaining to such Leased Property then held in
trust by Lessor or any third party designated by Lessor and shall assign to
Tenant all of Lessor's rights in and to any insurance proceeds payable on
account of such damage or destruction.

     Section 14.3 Reconstruction in the Event of Damage or Destruction Not
                  --------------------------------------------------------
Covered by Insurance. If during the Term any Leased Property and the Facility
--------------------
located thereon is totally or partially destroyed from a risk not covered by the
insurance described in Article XIII, whether or not such damage or destruction
                       ------------
renders the Facility Unsuitable for Its Primary Intended Use, Tenant shall
restore the Facility to substantially the same condition it was in immediately
before such damage or destruction and such damage or destruction shall not
terminate this Lease as to such Leased Property.

     Section 14.4 Tenant's Property. All insurance proceeds payable by reason of
                  -----------------
any loss of or damage to any of the Tenant's Personal Property or Permitted
Alterations financed by Tenant shall be paid to Tenant and Tenant shall hold
such insurance proceeds in trust to pay the cost of repairing or replacing
damaged Tenant's Personal Property or Permitted Alterations financed by Tenant.

     Section 14.5 Restoration of Tenant's Property. If Tenant is required or
                  --------------------------------
elects to restore the applicable Leased Property as provided in Section 14.2 or
                                                                ------------
14.3, Tenant shall also restore all alterations and improvements made by Tenant,
----
Tenant's Personal Property and all Capital Alterations financed by Tenant.

     Section 14.6 No Abatement of Rent. This Lease shall remain in full force
                  --------------------
and effect and Tenant's obligation to make payments of Rent and to pay all other
charges required under this Lease shall remain unabated during the Term
notwithstanding any damage involving any Leased Property (provided that Lessor
shall credit against such payments any amounts paid to Lessor as a consequence
of such damage under any business interruption insurance obtained by Tenant);
provided, however, that, effective upon the purchase of any Leased Property or
--------  -------
termination of this Lease as to the applicable Leased Property pursuant to and
in accordance with Section 14.2, this Lease shall terminate as to such Leased
                   ------------
Property and the provisions of Section 40.16 hereof shall apply. The provisions
                               -------------
of this Article XIV shall be considered an express agreement governing any cause
        -----------
of damage or destruction to the applicable Leased Property and, to the maximum
extent permitted by law, no local or state statute, law, rule, regulation or
ordinance in effect during the Term which provides for such a contingency shall
have any application in such case.

     Section 14.7 Restoration. If Tenant is required or elects to restore the
                  -----------
applicable Leased Property as provided in Section 14.2 or 14.3, Tenant shall
                                          ------------    ----
promptly repair, rebuild, or restore the applicable Leased Property, so as to
make such Leased Property at least equal in value to such Leased Property as it
existed immediately prior to such occurrence and as nearly similar to it in
character as is practicable and reasonable. Prior to commencing such repairs or
rebuilding, Tenant shall submit to Lessor for Lessor's approval, which approval
shall not be unreasonably withheld, delayed or conditioned, Plans and
Specifications pursuant to Section 10.1. Promptly after receiving Lessor's
                           ------------
approval of the Plans and Specifications, Tenant shall commence repairs and
rebuilding and will prosecute the repairs and rebuilding to completion

                                       52

<PAGE>

with diligence, subject, however, to strikes, lockouts, acts of God, embargoes,
governmental restrictions, and other causes beyond Tenant's reasonable control.
Subject to the provisions of any applicable Facility Mortgage, Lessor shall make
available to Tenant the insurance proceeds (net of all administrative and
collection costs, including reasonable attorneys' fees) paid to Lessor for such
repair and rebuilding as it progresses. Payments shall be made against
certification of the architect approved by Lessor (which approval shall not be
unreasonably withheld. delayed or conditioned) responsible for the supervision
of the repairs and rebuilding that the work had been performed substantially in
conformance with the Plans and Specifications and the value of the work in place
is equal to not less than 110% of the aggregate amount advanced by Lessor for
the payment of such work. Prior to commencing the repairing and rebuilding,
Tenant shall deliver to Lessor for Lessor's approval a schedule setting forth
the estimated monthly draws for such work. Subject to the provisions of any
applicable Facility Mortgage, Lessor shall contribute to such payments out of
the insurance proceeds being held in trust by Lessor an amount equal to the
proportion that the total net amount so held by Lessor bears to the total
estimated cost of repairing and rebuilding, multiplied by the payment by Tenant
on account of such work. Lessor may, however, withhold ten percent (10%) from
each payment until the work has been completed and proof has been furnished to
Lessor that no lien or liability has attached or will attach to the applicable
Leased Property or to Lessor in connection with repairing and rebuilding.

     Section 14.8 Notice. If during the Term any Leased Property and/or the
                  ------
Facility located thereon is totally or partially damaged or destroyed, and the
restoration and repair of such damage or destruction is in Tenant's reasonable
estimation likely to cost in excess of $200,000.00 in the aggregate, then Tenant
shall provide Lessor with written notice of such damage or destruction within
fifteen (15) days after Tenant's discovery thereof. The notice requirement of
this Section 14.8 shall apply regardless of whether such damage or destruction
     ------------
is from a risk covered by the insurance described in Article XIII, and
                                                     ------------
regardless of whether such damage or destruction renders the Facility Unsuitable
for Its Primary Intended Use.

     Section 14.9 Waiver. Tenant hereby waives any statutory rights of
                  ------
termination which may arise by reason of any damage or destruction of the
applicable Leased Property which Tenant is obligated to restore or may restore
under any of the provisions of this Lease.

                                   ARTICLE XV

     Section 15.1 Definitions.
                  -----------

          Section 15.1.1 "Condemnation" means, as to any Leased Property,
                          ------------
(a) the exercise of any governmental power, whether by legal proceedings or
otherwise, by a Condemnor, (b) a voluntary sale or transfer by Lessor to any
Condemnor, either under threat of condemnation or while legal proceedings for
condemnation are pending and (c) a taking or voluntary conveyance of all or part
of such Leased Property, or any interest therein, or right accruing thereto or
use thereof, as the result or in settlement of any condemnation or other eminent
domain proceeding affecting such Leased Property.

                                       53

<PAGE>

          Section 15.1.2 "Date of Taking" means, as to the applicable Leased
                          --------------
Property, the date the Condemnor has the right to possession of such Leased
Property, or any portion thereof, in connection with a Condemnation.

          Section 15.1.3 "Award" means all compensation, sums or anything of
                          -----
value awarded, paid or received on a total or partial condemnation.

          Section 15.1.4 "Condemnor" means any public or quasi-public authority,
                          ---------
or private corporation or individual, having the power of condemnation.

     Section 15.2 Parties' Rights and Obligations. If during the Term there is
                  -------------------------------
any taking of all or any part of the applicable Leased Property by Condemnation,
the rights and obligations of the parties shall be determined by this Article
                                                                      -------
XV.
--

     Section 15.3 Total Taking. If any Leased Property is totally taken by
                  ------------
condemnation, this Lease shall terminate as to such Leased Property on the Date
of Taking, in which event the provisions of Section 40.16 hereof shall apply.
                                            -------------

     Section 15.4 Partial Taking. If a portion of any Leased Property is taken
                  --------------
by Condemnation, this Lease shall remain in effect as to such Leased Property if
the Facility located thereon is not thereby rendered Unsuitable for Its Primary
Intended Use, but, if the Facility is thereby rendered Unsuitable for its
Primary Intended Use, this Lease shall terminate as to such Leased Property on
the Date of Taking, in which event the provisions of Section 40.16 hereof shall
                                                     -------------
apply.

     If as a result of any such partial taking by Condemnation, this Lease is
not terminated as provided above, Tenant's obligation to make payments of Rent
and to pay all other charges required under this Lease shall remain unabated
during the Term notwithstanding such Condemnation (provided that Lessor shall
credit against such payments any amount of any Award attributable to Tenant's
business interruption).

     Section 15.5 Restoration. If there is a partial taking of the applicable
                  -----------
Leased Property and this Lease remains in full force and effect pursuant to
Section 15.4, Tenant at its cost shall accomplish all necessary restoration.
------------

     Section 15.6 Award-Distribution.
                  ------------------

          (a) In the event of any partial taking of any Leased Property, the
entire Award shall belong to and be paid to Lessor, except that, subject to the
rights of the Facility Mortgagees, Tenant shall be entitled to receive from the
Award, if and to the extent such Award specifically includes such item, the
following:

          (i) A sum attributable to the Capital Alterations paid for by Tenant;
     and

          (ii) A sum specifically attributable to Tenant's Personal Property and
     any reasonable removal and relocation costs included in the Award; and

                                       54

<PAGE>

          (iii) A sum specifically attributable to the cost of restoring the
     Leased Property in accordance with Section 15.5 hereof.
                                        ------------

          (b)   In the event of a total taking of any Leased Property, the Award
shall be divided between Lessor and Tenant in such proportions relative to the
appraised values of their relative estates determined in accordance with Section
                                                                         -------
35.1, taking into account the value of improvements owned by Lessor and
----
Permitted Alterations paid for by Tenant. Tenant shall also receive a sum
specifically attributable to Tenant's Personal Property and any reasonable
removal and relocation costs included in the Award.

     Section 15.7 Temporary Taking. The taking of any Leased Property, or any
                  ----------------
part thereof, by military or other public authority shall constitute a taking by
condemnation only when the use and occupancy by the taking authority has
continued for longer than six (6) months. During any such six (6) month period
all the provisions of this Lease shall remain in full force and effect and Base
Rent, Current Rent and Unpaid Accrued Rent shall not be abated or reduced during
such period of taking.

                                  ARTICLE XVI

     Section 16.1 Events of Default. The occurrence of any one or more of the
                  -----------------
following events shall constitute an "Event of Default" under this Lease:
                                      ----------------

          (a)   if a default by Tenant shall occur under the Indemnity Agreement
and, in the case of a monetary default, such default is not cured within a
period of five (5) days after receipt of notice from Lessor or, in the case of a
non-monetary default, such default is not cured within a period of thirty (30)
days after receipt of notice from Lessor, unless such default cannot with due
diligence be cured within a period of thirty (30) days, in which case such
period of time shall be extended to such period of time (not to exceed 180 days)
as may be necessary to cure such default with all due diligence, provided that
such cure is completed within 180 days (this subsection (a) shall not apply if
and for so long as Lessor is neither Ventas Realty, Limited Partnership, nor
Ventas, Inc. nor an Affiliate of either of such entities), or

          (b)   if Tenant shall fail to make payment of the Rent or any other
sum payable under or pursuant to the terms of this Lease when the same becomes
due and payable and such failure is not cured within a period of five (5) days
after receipt of notice from Lessor, or

          (c)   if Tenant shall fail to observe or perform any term, covenant or
condition of this Lease not specifically provided for in this Section 16.1 and
                                                              ------------
such failure is not cured within a period of thirty (30) days after receipt of
notice from Lessor, unless such failure cannot with due diligence be cured
within a period of thirty (30) days, in which case such period of time shall be
extended to such period of time (not to exceed 180 days) as may be necessary to
cure such default with all due diligence provided that such cure is completed
within 180 days, or

                                       55

<PAGE>

          (d) if Tenant shall fail to observe or perform any term, covenant or
agreement on its part to be performed or observed pursuant to Section 8.1.1,
                                                              -------------
Section 11.1, the last sentence of Section 8.2, Section 12.1(g) or Section 13.1,
                                   -----------  ---------------    ------------
or

          (e) any Guarantor shall fail to observe or perform any term, covenant
or agreement on its part to be performed or observed pursuant to any Lease
Guaranty and such failure shall not be cured within any applicable cure period
provided in such Lease Guaranty, or

          (f) there shall occur a final unappealable determination by applicable
federal, state or local authorities of Tenant's non-compliance with Legal
Requirements applicable to a Facility located on any Leased Property, or of the
revocation of any license, permit, approval or other Authorization (including,
without limitation, any certificate of need) required for the lawful operation
of the Facility located on any Leased Property in accordance with its Primary
Intended Use, or any other circumstances under which Tenant is required by a
final unappealable determination of any such authority to cease operations of
such Facility in accordance with its Primary Intended Use as currently operated
(provided, however, that, without limitation of Section 12.1(g) hereof, before
                                                ---------------
any such determination becomes final and unappealable, Tenant shall have the
right to contest the same in accordance with Sections 8.1.1, 8.2 and 12.1(a)-(f)
                                             --------------  ---     -----------
hereof), or

          (g) any material representation or warranty made by or on behalf of
Tenant or any Guarantor under or in connection with this Lease or any document,
certificate or agreement delivered in connection with this Lease shall prove to
have been false or misleading in any material respect on the day when made or
deemed made, or

          (h) if any Tenant or any Guarantor shall:

          (i) admit in writing its inability to pay its debts generally as they
     become due,

          (ii) file a petition in bankruptcy or a petition to take advantage of
     any insolvency act,

          (iii) make an assignment for the benefit of its creditors,

          (iv) consent to the appointment of a receiver of itself or of the
     whole or any substantial part of its property, or

          (v) file a petition or answer seeking reorganization or arrangement
     under the Federal bankruptcy laws or any other applicable law or statute of
     the United States of America or any State thereof, or

          (i) any petition shall be filed by or against any Tenant or any
Guarantor or any subsidiary of either under Federal bankruptcy laws, or any
other proceeding shall be instituted by or against any Tenant or any Guarantor
or such subsidiary seeking to adjudicate it a bankrupt or insolvent, or seeking
liquidation, reorganization, arrangement, adjustment or


                                       56

<PAGE>

composition of it or its debts under any law relating to bankruptcy, insolvency
or reorganization or relief of debtors, or seeking the entry of an order for
relief or the appointment of a receiver, trustee, custodian or other similar
official for any Tenant or any Guarantor or such subsidiary, or for any
substantial part of the property of any Tenant or any Guarantor or such
subsidiary, and such proceeding is not dismissed within ninety (90) days after
institution thereof, or any Tenant or any Guarantor or such subsidiary shall
take any action to authorize or effect any of the actions set forth above in
this subsection (i) (this subsection (i) shall not apply to the appointment of a
receiver, trustee, custodian or other similar official in any proceeding(s)
other than bankruptcy, reorganization, insolvency and other creditors' rights
proceedings of the nature referenced in this subsection (i)), or

          (j) if any Tenant or any Guarantor shall be liquidated or dissolved,
or shall begin proceedings toward such liquidation or dissolution, or

          (k) if the estate or interest of Tenant in any Leased Property or any
part thereof shall be levied upon or attached in any proceeding and the same
shall not be vacated or discharged within the later of ninety (90) days after
commencement thereof or 30 days after receipt by Tenant of notice thereof from
Lessor, (unless Tenant shall be contesting such lien or attachment in good faith
in accordance with Article XII hereof), or
                   -----------

          (l) if any receiver, trustee, custodian or other similar official is
appointed for any Tenant, any Guarantor or any of the Facilities and any such
appointment is not dismissed prior to the entry of a final, unappealable order
approving such appointment (provided, however, that this subsection (l) shall
not apply to any such official appointed in bankruptcy, reorganization,
insolvency or other creditors' rights proceedings of the nature referenced in
subsection (i) above), and, in the case of the appointment of any such official
as to whom this subsection (l) does apply, prior to the entry of a final
unappealable order approving the appointment of such official and denying any
requested dismissal thereof, without limitation of Section 12.1(g) hereof, no
                                                   ---------------
Event of Default shall be deemed to have occurred under this subsection (l) so
long as Tenant is contesting such appointment in accordance with Sections 8.2
                                                                 ------------
and 12.1(a)-(f) hereof), or
    -----------

          (m) Subject to Section 16.10 hereof:
                         -------------

          (i) an Event of Default shall occur hereunder if the number of
     licensed beds for any Facility is reduced by more than the Permissible
     Reduction Percentage (as hereinafter defined) applicable to such Facility
     of the number of licensed beds in such Facility on the Commencement Date
     (which number of licensed beds, as of the Commencement Date and after
     adjusting for the effect of subsection (m)(i)(1) below, Tenant represents
     and warrants to Lessor is as set forth in Schedule 16.1(m)A attached hereto
                                               -----------------
     and made a part hereof) (provided, however, that, (1) intentionally
                              --------  -------
     omitted, (2) intentionally omitted, and (3) the voluntary removal from
     service (so called "bed banking") of not more than twenty-five percent
     (25%) of the number of licensed beds in a particular Facility on the
     Commencement Date shall not constitute a reduction of licensed beds for
     purposes of this subsection (m), if and for so long as, for purposes of
     this subsection (3), (a) any such beds that are voluntarily removed from
     service by


                                       57

<PAGE>

     Tenant are removed from service with the approval of all applicable
     governmental authorities, (b) such beds continue to be considered "licensed
     beds" by the applicable governmental authorities, (c) after diligent
     inquiry relative to the applicable Legal Requirements and after
     consultation with its legal counsel, Tenant is not aware of any reason why
     the applicable regulatory authorities would not authorize such
     reintroduction by Tenant or any successor operator at any time, in the
     discretion of Tenant or such successor operator, as applicable, and without
     the necessity of any governmental approval or reapproval or additional
     Authorization (other than routine governmental re-inspections of such
     Facility(ies) and any ministerial approvals, re-approvals or other
     Authorizations), and (d) at the time, and as a condition, of any such
     voluntary removal and thereafter within twenty (20) days after receipt of a
     written request therefor from Lessor from time to time (but not more often
     than twice in any calendar year, unless, after Lessor has made two (2) such
     requests in a calendar year, a change(s) in Legal Requirements becomes
     effective, or Lessor obtains knowledge of other facts or circumstances,
     suggesting a possible violation of subsection (a), (b) or (c) above or of
     the other provisions of this Section 16.1(m)), Tenant shall deliver to
                                  ---------------
     Lessor a Senior Officer's Certificate, in form and substance reasonably
     satisfactory to Lessor, certifying that Tenant has made diligent inquiry
     relative to the applicable Legal Requirements and has consulted with its
     legal counsel and, based on the foregoing, certifies that Tenant has
     complied, and continues to be in compliance, with the provisions of
     subsections (a), (b) and (c) above and the other provisions of this Section
                                                                         -------
     16.1(m)); and
     -------

          (ii) As used in this subsection (m), the "Permissible Reduction
     Percentage" for a particular Facility shall equal the lesser of (1) ten
     percent (10%) or (2) the difference between twenty-five percent (25%) and
     the percentage of licensed beds at such Facility on the Commencement Date
     that, as of the calculation date, have been voluntarily removed from
     service by Tenant in accordance with subsection (m)(i)(3) above, provided,
                                                                      --------
     however, that (x) intentionally omitted, (y) intentionally omitted, and (z)
     -------
     in the case of any Facilities listed on Schedule 16.1(m)B attached hereto
                                             -----------------
     and made a part hereof as to which any involuntary reduction in the number
     of licensed beds has occurred in compliance with subsection (m)(iii) below,
     the reference in subsection (m)(ii)(1) above shall equal, as of any date,
     subject to subsection (m)(iii)(5) below, the greater of (A) five percent
     (5%) or (B) that percentage, not greater than ten percent (10%), calculated
     by subtracting from the number of licensed beds at such Facility as of such
     date the number of licensed beds set forth in the "95% of Minimum" column
     of Schedule 16.1(m)B as it applies to such Facility and then dividing the
        -----------------
     result of such subtraction by the number of licensed beds at such Facility
     as of such date. (For example, if Tenant voluntarily removes from service,
     in accordance with the requirements of subsection (m)(i)(3) above, fifteen
     percent (15%) or less of the aforesaid licensed beds at a particular
     Facility as to which neither subsection (m)(ii)(x) nor (m)(ii)(y) nor
     (m)(ii)(z) above applies, the "Permissible Reduction Percentage" would
     equal ten percent (10%) for such Facility, but if, for example, Tenant
     voluntarily removes from service, in accordance with the requirements of
     subsection (m)(i)(3) above, twenty percent (20%) of the aforesaid licensed
     beds at such Facility, the "Permissible Reduction Percentage" applicable to
     such Facility would equal five

                                       58

<PAGE>

     percent (5%) (i.e., under subsection (m)(ii)(2) above, 25%-20%=5%). Also,
     for example, if a particular Facility listed on Schedule 16.1(m)B had, as
                                                     -----------------
     of the Commencement Date, 120 licensed beds, such Facility had not lost any
     licensed beds other than 38 licensed beds lost through an involuntary
     reduction that complies with subsection (m)(iii) below (so that, as of a
     particular date, such Facility has 82 licensed beds), and Schedule 16.1(m)B
                                                               -----------------
     sets forth 80 licensed beds in the "Minimum Number of Licensed Beds" column
     as it applies to such Facility and 76 licensed beds in the "95% of Minimum"
     column as it applies to such Facility, the percentage referenced in the
     foregoing subsection (m)(ii)(z) would equal 7.317% (82 licensed beds minus
     76 licensed beds equals 6 licensed beds and 6 licensed beds divided by 82
     licensed beds equals 7.317%, which is greater than the 5.0% referenced in
     subsection (m)(ii)(z)(A) above)); and

          (iii) The provisions of this subsection (m)(iii) shall not apply to
     any of the Leased Properties other than the three (3) Leased Properties
     referenced on Schedule 16.1(m)B: An involuntary reduction of the nature
                   -----------------
     referenced in subsection (m)(iii)(1) below in the number of licensed beds
     for any Facility listed on Schedule 16.1(m)B below the minimum number of
                                -----------------
     licensed beds set forth in the "Minimum Number of Licensed Beds" column of
     Schedule 16.1(m)B as it applies to such Facility shall constitute an Event
     -----------------
     of Default under this Section 16.1(m), but, notwithstanding any voluntary
                           ---------------
     removal from service of licensed beds, an involuntary reduction in the
     number of licensed beds for any of the three (3) Facilities listed on
     Schedule 16.1(m)B down to, but not below, the minimum number of licensed
     -----------------
     beds set forth in the "Minimum Number of Licensed Beds" column of Schedule
                                                                       --------
     16.1(m)B as it applies to such Facility shall not constitute an Event of
     --------
     Default under this Section 16.1(m) provided and on the conditions that (1)
                        ---------------
     the involuntary reduction is required by the applicable state regulatory
     authority primarily because of physical space limitations at the applicable
     Facility and any such physical space limitations are not the result of any
     alterations to the Facility made after April 20, 2001; (2) Tenant uses its
     best efforts and due diligence to contest through all available processes
     (but not including any obligation on Tenant's part to make physical
     alterations to the affected Facility) the involuntary reduction and, in
     regular and timely consultation with Lessor, explores other alternatives
     (e.g. sale or banking of the licensed beds that are the subject of such
     involuntary reduction, with any such sale of beds to be subject to the
     prior written approval of Lessor, in its sole discretion, and with all
     proceeds from any such sale to be paid, and belong, to Lessor); (3) Tenant
     provides written notice to Lessor of such involuntary reduction within two
     (2) Business Days of Tenant's receipt of notice of the involuntary
     reduction and allows Lessor, if it so desires in its sole discretion, to
     participate in the contest of such involuntary reduction and, if it so
     desires in its sole discretion, to require that Tenant allow Lessor, at
     Tenant's cost, to control such contest (including, without limitation,
     prosecuting legal proceedings in Lessor's and/or Tenant's name); (4) Tenant
     shall not settle any contest of any such involuntary reduction without
     Lessor's prior written consent, in its sole discretion; and (5) following
     any such involuntary reduction as to a particular Facility listed on
     Schedule 16.1(m)B and whether or not Tenant has complied with the preceding
     -----------------
     conditions (1),

                                       59

<PAGE>

     (2), (3) and (4), Tenant shall in no event voluntarily reduce the number of
     licensed beds at such Facility by any amount, or

          (n) if Tenant shall become subject to regulatory sanctions and Tenant
has failed to cure or satisfy such regulatory sanctions (including, without
limitation, through payment of any such sanctions, if the same are monetary in
nature) within its specified regulatory cure period in any material respect with
respect to any Facility (provided, however, that, without limitation of Section
                         --------  -------                              -------
12.1(g) hereof, prior to the imposition of such sanctions on Tenant by final
-------
unappealable order of any governmental agency or authority, no Event of Default
shall be deemed to have occurred under this subsection (n) so long as Tenant is
contesting the imposition of such sanctions in accordance with Sections 8.2 and
                                                               ------------
12.1(a)-(f) hereof), or
-----------

          (o) if, except pursuant to the terms hereof, Tenant voluntarily ceases
operations on any Leased Property, or

          (p) if Tenant shall fail to observe or perform any term, covenant or
other obligation of Tenant set forth in Article XXVI hereof and such failure is
                                        ------------
not cured within a period of ten (10) days after receipt of notice thereof from
Lessor, or

          (q) subject to Section 16.10 hereof, there shall occur a revocation of
                         -------------
certification for reimbursement under Medicare or Medicaid with respect to any
Facility that participates in such programs and, within one hundred twenty (120)
days following such revocation, Tenant fails to have its aforesaid certification
fully restored (provided, however, that Tenant shall be given an additional
                --------  -------
sixty (60) days beyond the aforesaid one hundred twenty (120) day period to have
its aforesaid certification fully restored if, on or prior to the aforesaid one
hundred twentieth (120th) day, Tenant delivers to Lessor a Senior Officer's
Certificate, in form and substance reasonably satisfactory to Lessor, certifying
that (i) the only requirement that remains unsatisfied in order for Tenant to
have its aforesaid certification fully restored is a re-inspection of the
applicable Facility by the applicable regulatory authority, and (ii) Tenant has
made diligent inquiry relative to the applicable Legal Requirements and has
consulted with its legal counsel and, based on the foregoing, certifies that
Tenant is not aware of any reason why Tenant will not pass its aforesaid
re-inspection, or why Tenant's aforesaid certification will not be fully
restored, in each case within the aforesaid additional sixty (60) day period),
or

          (r) an Event of Default shall occur as described in Section 8.3.1
                                                              -------------
above, or

          (s) an Event of Default shall occur as described in Section 21.5.1
                                                              --------------
below, or

          (t) If Tenant shall exercise a purchase option relative to a Leased
Property(ies) in accordance with Section 16.12 hereof and thereafter fail to
                                 -------------
purchase the subject Leased Property(ies), and otherwise perform and discharge
its duties, liabilities and obligations on account of such exercise, strictly in
accordance with the terms and conditions of Section 16.12 hereof, or
                                            -------------

                                       60

<PAGE>

          (u) An Event of Default (as defined in the Tenant Senior Secured
Credit Agreement) arising from the failure to pay principal or interest with
respect to the Tenant Senior Secured Notes, or any other event of default
arising from the failure to pay principal or interest with respect to any other
indebtedness for borrowed money of Tenant with an aggregate outstanding
principal amount equal to or exceeding $50 million, shall have occurred; or

          (v) the acceleration of the maturity of the Tenant Senior Secured
Notes, or the acceleration of the maturity of any other indebtedness for
borrowed money of Tenant with an aggregate outstanding principal amount equal to
or exceeding $50 million, shall have occurred.

     Upon the occurrence of any Event of Default, Lessor may, at its option,
terminate this Lease (i) in the case of any Event of Default, as to all Leased
Properties and/or (ii) if such Event of Default is a Facility Default, as to any
of the Leased Property(ies) to which such Event of Default relates, by giving
not less than ten (10) days' notice of such termination and upon the expiration
of such 10-day period or other time period fixed in such notice, if any, during
which 10-day or other time period Tenant shall have no right to cure the Event
of Default in question, the Term shall terminate as to all Leased Properties or
as to the Leased Property(ies) to which such Event of Default relates, as
specified in such notice, all rights of Tenant under this Lease shall cease as
to the Leased Property(ies) so specified, and, if the Leased Property(ies) so
specified are less than all of the Leased Properties, the provisions of Section
                                                                        -------
40.16 hereof shall apply. Lessor shall have all rights at law and in equity
-----
available to Lessor as a result of Tenant's breach of this Lease, subject to
Section 16.10.
-------------

     Tenant shall pay, to the maximum extent permitted by law, as Additional
Charges all Litigation Costs as a result of any Event of Default hereunder.

     Section 16.2 Certain Remedies. If an Event of Default shall have occurred
                  ----------------
(and the event giving rise to such Event of Default has not been cured within
the curative period relating thereto, if any, as set forth in the applicable
subsection of Section 16.1 above or elsewhere herein), whether or not this Lease
              ------------
has been terminated pursuant to Section 16.1, Tenant shall, to the maximum
                                ------------
extent permitted by law, if and to the extent required by Lessor so to do,
immediately surrender to Lessor the Leased Property(ies) as to which the Lease
has been or may be terminated pursuant to Section 16.1 and quit the same, and
                                          ------------
Lessor may enter upon and repossess the Leased Properties by reasonable force,
summary proceedings, ejectment or otherwise, and may remove Tenant and all other
persons and any and all personal property from the Leased Properties subject to
rights of any occupants or patients and to any requirement of law.

     Section 16.3 Damages. To the extent permitted by law, neither (a) the
                  -------
termination of this Lease pursuant to Section 16.1, (b) the repossession of any
                                      ------------
or all of the Leased Properties or any portion thereof, (c) the failure of
Lessor to relet any or all of the Leased Properties or any portion thereof, (d)
the reletting of any or all of the Leased Properties or any portion thereof, nor
(e) the failure of Lessor to collect or receive any rentals due upon any such
reletting, shall relieve Tenant of any of its liability and obligations
hereunder, all of which

                                       61

<PAGE>

shall survive any such termination, repossession or reletting. In the event of
any such termination, subject to Section 16.4 below, Tenant shall forthwith pay
                                 ------------
to Lessor, at Lessor's option, as liquidated damages with respect to Rent for
each Leased Property as to which such termination has occurred, either:

     (A) the sum of:

          (i) the unpaid Rent allocable to each such Leased Property in
     accordance with Section 16.9 hereof which had been earned at the time of
                     ------------
     termination, which Rent and other sums shall bear interest at the lesser of
     the Overdue Rate and the maximum annual rate permitted by law from the date
     when due until paid; and

          (ii) whether or not Lessor previously collected any amounts pursuant
     to clause (B) below, the then net present value (computed using a discount
     rate equal to the Prime Rate) of the amount of unpaid Rent allocable to
     each such Leased Property in accordance with Section 16.9 hereof for the
                                                  ------------
     balance of the Term following the date of termination (excluding, however,
     any period following termination on account of which Lessor previously
     collected Rent pursuant to clause (B) below) without any obligation or
     deemed obligation on the part of Lessor to mitigate damages, or

     (B) each installment of Rent allocable to each such Leased Property in
accordance with Section 16.9 hereof and other sums payable with respect to each
                ------------
such Leased Property by Tenant to Lessor under this Lease as the same becomes
due and payable, which Rent and other sums shall bear interest at the lesser of
the Overdue Rate and the maximum annual rate permitted by law from the date when
due until paid, to the extent that such Rent and other sums exceed the rent and
other sums actually collected by Lessor for the corresponding period pursuant to
any reletting of each such Leased Property (without any obligation or deemed
obligation on the part of Lessor to mitigate damages).

     In case of any Event of Default, re-entry, expiration and dispossession by
summary proceedings or otherwise, Lessor may, with or without terminating this
Lease, (a) relet any or all of the Leased Properties or any part or parts
thereof, either in the name of Lessor or otherwise, for a term or terms which
may, at Lessor's option, be equal to, less than or exceed the period which would
otherwise have constituted the balance of the Term and may grant concessions or
free rent to the extent that Lessor considers advisable and necessary to relet
the same, and (b) make such reasonable alterations, repairs and decorations in
the applicable Leased Property or any portion thereof as Lessor, in its sole
judgment, considers advisable and necessary for the purpose of reletting the
applicable Leased Property; and such reletting and the making of such
alterations, repairs and decorations shall not operate or be construed to
release Tenant from liability hereunder as aforesaid (subject to Section 16.3(B)
                                                                 ---------------
above if and to the extent the same is applicable). Lessor shall in no event be
liable in any way whatsoever for failure to relet any Leased Property, or, in
the event that any Leased Property is relet, for failure to collect the rent
under such reletting. To the fullest extent permitted by law, Tenant hereby
expressly waives any and all rights of redemption granted under any present or
future laws in the event of Tenant's being evicted or dispossessed, or in the
event of Lessor's

                                       62

<PAGE>

obtaining possession of any Leased Property, by reason of the violation by
Tenant of any of the covenants and conditions of this Lease.

     Section 16.4 Certain Effects of Separate Lease. Lessor agrees that, in the
                  ---------------------------------
event this Lease is terminated as to a particular Leased Property and
immediately thereafter a Separate Lease is entered into with respect to such
Leased Property pursuant to Section 22.7 below, (a) Lessor shall not proceed
                            ------------
against Tenant under Section 16.3(A) above relative to such Leased Property
                     ---------------
unless and until an Event of Default shall occur under such Separate Lease and
(b) Rent collected by Lessor under any such Separate Lease relative to such
Leased Property shall be credited by Lessor against the amounts owing to Lessor
under Section 16.3(B) above relative to such Leased Property. Nothing contained
      --------------
in this Section 16.4 shall affect or impair Lessor's rights under Sections
        ------------                                              --------
16.3(A) and (B) above relative to other Leased Properties.
-------     ---

     Section 16.5 Waiver. If this Lease is terminated pursuant to Section 16.1,
                  ------                                          ------------
whether in whole or, in the case of any Facility Default, in part, Tenant
waives, to the maximum extent permitted by applicable law, (a) any right of
redemption, re-entry or repossession, (b) any right to a trial by jury in the
event of summary proceedings to enforce the remedies set forth in this Article
                                                                       -------
XVI, and (c) the benefit of any moratorium laws or any laws now or hereafter in
---
force exempting property from liability for rent or for debt.

     Section 16.6 Application of Funds. Any payments received by Lessor under
                  --------------------
any of the provisions of this Lease during the existence or continuance of any
Event of Default (and such payment is made to Lessor rather than Tenant due to
the existence of an Event of Default) shall be applied to Tenant's obligations
in the order which Lessor may determine or as may be prescribed by the laws of
the State where the applicable Leased Property is located.

     Section 16.7 Notice to Lessor. If Tenant or any subtenant receives a notice
                  ----------------
of any material regulatory deficiency from any regulatory agency, Tenant shall
deliver a copy of such notice to Lessor in accordance with Section 34.1.
                                                           ------------

     Section 16.8 Nature of Remedies. To the maximum extent permitted by law,
                  ------------------
the rights and remedies of Lessor and Tenant under this Lease, at law and in
equity shall be cumulative and may be exercised concurrently or successively, on
one or more occasions, as Lessor or Tenant, as applicable, deems appropriate in
its sole discretion, as often as occasion therefor arises. To the maximum extent
permitted by law, each such right and remedy shall be in addition to all other
such rights and remedies, and the exercise by Lessor or Tenant, as applicable,
of any one or more of such rights and remedies shall not preclude the
simultaneous or subsequent exercise of any or all other such rights and
remedies. Without limiting the generality of the foregoing, liquidated damages
in respect of Rent provided for in clauses (A) and (B) of Section 16.3 hereof,
                                                          ------------
and in Section 20.1 hereof, shall be payable by Tenant in addition to, and not
       ------------
in lieu of, any other damages suffered by Lessor in connection with any default
or Event of Default by Tenant (including, without limitation, Litigation Costs
and costs of reletting).

     Section 16.9 Allocable Rent. For purposes of this Lease, without limitation
                  --------------
of Section 40.15 or 40.16 hereof, (a) the Additional Charges allocable to a
   -------------    -----
Leased Property shall

                                       63

<PAGE>

be the Additional Charges with respect to such Leased Property, and (b) the
Current Rent, Accrued Rent, Unpaid Accrued Rent and Accrued Rent Interest
allocable to a Leased Property shall be, for each such item, the product of (i)
the amount of such item, multiplied by (ii) the Transferred Property Percentage
for such Leased Property as set forth in Exhibit C (as modified from time to
time in accordance herewith).

     Section 16.10 Special Remedies Provisions. The intention of this Section
                   ---------------------------                        -------
16.10 is to set forth certain special provisions applicable to Events of Default
-----
under Section 16.1(m) and/or Section 16.1(q) of this Lease and to Lessor's
      ---------------        ---------------
rights and remedies upon the occurrence of such Events of Default. This Section
                                                                        -------
16.10 has no application to other Events of Default under this Lease and is not
-----
intended to alter or limit Lessor's rights and remedies with respect to such
other Events of Default or, except as specifically set forth in this Section
                                                                     -------
16.10, for any other purpose. Subject to the foregoing, Lessor and Tenant agree
-----
that, notwithstanding anything to the contrary contained in this Lease:

          Section 16.10.1 For purposes of this Lease, subject to Sections
                                                                 --------
16.10.3.1 and 16.10.3.2 below, references to the "Section 16.10.1 Number" shall,
---------     ---------                           ----------------------
as of a particular date, mean and refer to (a) the number 1 (if the number of
Leased Properties as to which this Lease remains in full force and effect as of
such date equals twenty (20) or less), (b) the number 2 (if the number of Leased
Properties as to which this Lease remains in full force and effect as of such
date equals between twenty-one (21) and forty (40), both inclusive), or (c) the
number 3 (if the number of Leased Properties as to which this Lease remains in
full force and effect as of such date equals forty-one (41) or more).

          Section 16.10.2

               Section 16.10.2.1 If the Section 16.10.1 Number applicable to
this Lease, as determined pursuant to Section 16.10.1 above, equals one (1), the
                                      ---------------
following provisions shall apply:

     If, and for so long as, one or more Events of Default of the nature
     referenced in Section 16.1(m) and/or Section 16.1(q) of this Lease has
                   --------------         ---------------
     occurred and is continuing (as described below), Lessor shall be entitled
     to exercise all rights and remedies available to it under this Lease on
     account of any then continuing Event of Default under Section 16.1(m)
                                                           ---------------
     and/or Section 16.1(q), provided that Lessor may only exercise termination
            ---------------
     and/or dispossession rights and remedies on account of such Section 16.1(m)
     and/or Section 16.1(q) Event(s) of Default against either (i) any one or
            ---------------
     more of the Leased Properties to which such Event(s) of Default relate or
     (ii) all Leased Properties covered by this Lease.

               Section 16.10.2.2 If the Section 16.10.1 Number applicable to
this Lease, as determined pursuant to Section 16.10.1 above, equals two (2) or
                                      ---------------
more, the following provisions shall apply:

     If, and for so long as, an Event of Default of the nature referenced in
     Section 16.1(m) and/or Section 16.1(q) of this Lease has occurred and is
     ---------------        ---------------
     continuing (as described below) with respect to fewer than the Section
     16.10.1 Number (as determined pursuant

                                       64

<PAGE>

     to Section 16.10.1 hereof) of the Leased Properties, then, on account of
        ---------------
     any Event of Default under Section 16.1(m) and/or Section 16.1(q) of this
                                ---------------        ---------------
     Lease, Lessor may not exercise any termination and/or dispossession rights
     and remedies available to it under this Lease on account of such Section
     16.1(m) and/or Section 16.1(q) Event(s) of Default against any Leased
     Property other than the Leased Property to which the aforesaid Event of
     Default relates. If, however, an Event of Default of the nature referenced
     in such Section 16.1(m) and/or Section 16.1(q) of this Lease has occurred
             ---------------        ---------------
     and is continuing (as described below) with respect to the Section 16.10.1
     Number or more Leased Properties, Lessor shall be entitled to exercise all
     rights and remedies available to it under this Lease on account of any then
     continuing Event of Default under Section 16.1(m) and/or Section 16.1(q),
                                       ---------------        ---------------
     provided that Lessor may only exercise termination and/or dispossession
     rights and remedies on account of such Section 16.1(m) and/or Section
                                            --------------         -------
     16.1(q) Event(s) of Default against either (i) any one or more of the
     -------
     Leased Properties to which such Event(s) of Default relate or (ii) all
     Leased Properties covered by this Lease.

               Section 16.10.2.3 For purposes of Sections 4.1, 16.1(m), 16.1(q),
                                                 ------------  -------  -------
16.10, 17.1, 19.1, 25.1.1, 25.1.2 and 25.1.3 of this Lease, if an Event of
-----  ----  ----  ------  ------     ------
Default shall occur under Section 16.1(m) or Section 16.1(q) of this Lease,
                          ---------------    ---------------
except as otherwise agreed in writing by Lessor, in its sole and absolute
discretion, the same shall be deemed to be "continuing" at all times from and
after the date that such Event of Default first arises (including, without
limitation, at all times from and after the date that Lessor terminates this
Lease as it applies to the Leased Property to which the aforesaid Event of
Default relates or dispossesses Tenant from such Leased Property), unless, prior
to the date that Lessor terminates this Lease as it applies to the Leased
Property to which the aforesaid Event of Default relates or dispossesses Tenant
from such Leased Property, such Event of Default is cured "in-kind" by
rectifying and reversing the particular event, circumstance or condition that
constitutes or causes such Event of Default; provided (the "Section 16.10.2.3
                                                            -----------------
Proviso"), however, that, if the applicable Section 16.10.1 Number, as
-------
determined pursuant to Section 16.10.1 above, equals two or more, if (a) an
                       ---------------
Event of Default of the nature referenced in Section 16.1(m) and/or Section
                                             ---------------        -------
16.1(q) of this Lease has occurred and is continuing (as described above) with
-------
respect to fewer than the Section 16.10.1 Number of the Leased Properties and
(b) Lessor has terminated this Lease as it applies to a Leased Property to which
an aforesaid Event of Default relates or has dispossessed Tenant from such
Leased Property, then, for purposes of Sections 4.1, 17.1, 25.1.1, 25.1.2 and
                                       ------------  ----  ------  ------
25.1.3, the aforesaid Event of Default relating to such Leased Property shall
------
not be deemed to be "continuing" as to Leased Properties other than such
terminated or dispossessed Leased Property; in such event, the rights and
remedies available to Lessor or the limitation of Tenant's rights under such
sections which arise in the case of a continuing Event of Default shall apply
only to the Leased Property on which the Event of Default under Section 16.1(m)
                                                                ---------------
or Section 16.1(q) has occurred, as illustrated by Examples 5, 6 and 7 of
   ---------------                                 ----------  -     -
Section 16.10.5 below.
---------------

               Section 16.10.2.4 The limitations on Lessor's rights and remedies
set forth in this Section 16.10.2: (a) apply only to Events of Default under
                  ---------------
Section 16.1(m) and/or Section 16.1(q) of this Lease and not to any other Events
---------------        ---------------
of Default under this Lease, (b) apply only to Lessor's termination and
dispossession rights and remedies on account of Events of

                                       65

<PAGE>

Default under Section 16.1(m) and/or Section 16.1(q) of this Lease and, subject
              ---------------        ---------------
to the terms of the Section 16.10.2.3 Proviso, not to any other rights and
remedies available to Lessor on account of any such Events of Default, and (c)
do not change any of the other provisions of this Lease as they may relate to
Events of Default under Section 16.1(m) and/or Section 16.1(q) of this Lease
                        ---------------        ---------------
(e.g. pursuant to Section 24.1(d) of this Lease, Tenant shall remain obligated
to indemnify Lessor with respect to any such Section 16.1(m) and/or Section
                                             ---------------        -------
16.1(q) Event of Default).
------

          Section 16.10.3 The intention of this Section 16.10.3 is to set forth
                                                ---------------
special rules regarding the calculation of the Section 16.10.1 Number and
thereby to limit the ability of Lessor and Tenant, through transactions of the
specified nature described in this Section 16.10.3, to evade certain of the
                                   ---------------
intended goals of this Section 16.10.
                       -------------

               Section 16.10.3.1 Notwithstanding Section 16.10.1 above, if
                                                 ---------------
(a)(i) a New Lease under Section 40.15 hereof (other than a New Lease that is a
                         -------------
Separate Lease created under Section 22.7 hereof) is created from this Lease or
(ii) this Lease constitutes a New Lease created under Section 40.15 of another
                                                      -------------
lease demising any of the Master Lease Leased Properties (other than a New Lease
that is a Separate Lease created under Section 22.7 of such other lease) and (b)
                                       ------------
as of the date immediately prior to such New Lease creation transaction (a
"Section 16.10.3.1 New Lease Transaction"), under this Lease (if subsection
 -----------------
(a)(i) above is applicable) or the other lease referenced in subsection (a)(ii)
above (if subsection (a)(ii) above is applicable) one or more Events of Default
of the nature referenced in Section 16.1(m) and/or Section 16.1(q) of such lease
                            ---------------        ---------------
had occurred and were continuing (as described in Section 16.10.2.3 hereof or of
                                                  -----------------
such other lease, as applicable) with respect to any of the Master Lease Leased
Properties covered hereby or thereby, as applicable, then, the Section 16.10.1
Number that would otherwise apply to this Lease, but for the terms of this
Section 16.10.3.1, shall be increased by one (1) if and only if all of the
-----------------
following conditions are met relative to this Lease:

     (x) As of the date immediately following the aforesaid Section 16.10.3.1
New Lease Transaction, an Event of Default of the nature referenced in Section
                                                                       -------
16.1(m) and/or Section 16.1(q) of this Lease (whether this Lease is the New
-------        ---------------
Lease, or the lease from which a New Lease is created, involved in the aforesaid
Section 16.10.3.1 New Lease Transaction) has occurred and is continuing (as
described in Section 16.10.2.3 hereof) with respect to a number of the Leased
             -----------------
Properties then covered by this Lease that equals or exceeds the Section 16.10.1
Number that would be applicable to this Lease as of such date (assuming, for
purposes of this subsection (x), that this Section 16.10.3.1 is not applicable);
                                           -----------------
and

     (y) For the four (4) full calendar quarters ending not less than sixty (60)
days prior to the aforesaid Section 16.10.3.1 New Lease Transaction, (1) the
Leased Properties, if any, that continue to be covered by this Lease (whether
this Lease is the New Lease, or the lease from which a New Lease is created,
involved in the aforesaid Section 16.10.3.1 New Lease Transaction) and have as
their Primary Intended Use use as a hospital have a Coverage Ratio that is
fifteen percent (15%) or more higher than the Coverage Ratio of all of the
Master Lease Leased Properties that are covered by this Lease and the other
lease involved in the aforesaid Section 16.10.3.1 New Lease Transaction or (2)
the Leased Properties, if any, that continue to

                                       66

<PAGE>

be covered by this Lease and have as their Primary Intended Use use as a nursing
center have a Coverage Ratio that is ten percent (10%) or more higher than the
Coverage Ratio of all of the Master Lease Leased Properties that are covered by
this Lease and the other lease involved in the aforesaid Section 16.10.3.1 New
Lease Transaction; and

     (z) No Event(s) of Default (other than Section 16.1(m) and/or Section
                                            ---------------        -------
16.1(q) Events of Default) have occurred and are continuing under this Lease.
-------

     Example 1: Assume this Lease covers 25 Leased Properties and that no Event
     ---------
of Default under Section 16.1(m) and/or Section 16.1(q) or any other provision
                 ---------------        ---------------
of this Lease has occurred or is continuing. Assume further that a New Lease
covering 10 Leased Properties and not constituting a Separate Lease under
Section 22.7 is created from this Lease pursuant to Section 40.15 hereof. This
------------                                        -------------
Section 16.10.3.1 would not apply, and the Section 16.10.1 Number applicable to
-----------------
this Lease would be determined pursuant to Section 16.10.1(a) hereof (because
                                           ------------------
this Lease would then cover 15 Leased Properties), without any adjustment
pursuant to this Section 16.10.3.1, because requirement (b) above is not met.
                 -----------------
The Section 16.10.1 Number for this Lease would equal one (1). For the aforesaid
New Lease (because such New Lease would cover 10 Leased Properties), the Section
16.10.1 Number would also equal one (1).

     Example 2: Same assumed facts as in Example 1, except that, as of the
     ---------                           ---------
date immediately prior to the Section 16.10.3.1 New Lease Transaction referenced
in Example 1, an Event of Default under Section 16.1(m) and/or Section 16.1(q)
                                        ---------------        ---------------
had occurred and was continuing with respect to one (1) Leased Property and such
Leased Property remains a part of this Lease (thus satisfying requirement (b)
above). Requirement (x) above would be met as to this Lease, because,
immediately following the assumed Section 16.10.1.1 New Lease Transaction, an
Event of Default under Section 16.1(m) and/or Section 16.1(q) would exist under
                       ---------------        ---------------
this Lease with respect to one (1) Leased Property, and such number of Leased
Properties equals the Section 16.10.1 Number that would be applicable to this
Lease as a 15 Leased Properties lease, assuming, for purposes of requirement (x)
above, that this Section 16.10.3.1 is not applicable. Also, requirement (z)
                 -----------------
above would be met, as assumed in Example 1. Accordingly, in the circumstances
                                  ---------
of Example 2, a review of Coverage Ratios pursuant to subsection (y) above would
   ---------
be needed in order to determine whether a change in the Section 16.10.1 Number
applicable to this Lease is mandated by this Section 16.10.3.1. On the other
                                             -----------------
hand, for the aforesaid New Lease (because such New Lease would cover 10 Leased
Properties and because requirement (x) above is not met), the Section 16.10.1
Number would equal one (1).

     Example 3: Same assumed facts as in Example 2. Assume further that the
     ---------                           ---------
Coverage Ratios of the hospitals and nursing centers that remain subject to this
Lease, determined for the four (4) full calendar quarters ending not less than
sixty (60) days prior to the assumed Section 16.10.3.1 New Lease Transaction,
equal, respectively, 1.575:1 and 1.500:1 and that the Coverage Ratios of the
hospitals and nursing centers included in the 25 Leased Properties that were
covered by this Lease immediately prior to the aforesaid transaction, for the
same period, equal, respectively, 1.500:1 and 1.450:1. In the circumstances of
this Example 3, this Section 16.10.3.1 would not apply, and the Section 16.10.1
     ---------       -----------------
Number applicable to this Lease would be

                                       67

<PAGE>

determined pursuant to Section 16.10.1(a) hereof (because this Lease would then
                       ------------------
cover 15 Leased Properties), without any adjustment pursuant to this Section
                                                                     -------
16.10.3.1, because requirement (y) above is not met. The Section 16.10 Number
---------
for this Lease would equal one (1). For the aforesaid New Lease, for the reasons
stated in Example 2, the Section 16.10.1 Number would also equal one (1).
          ---------

     Example 4: Same assumed facts as in Example 2. Assume further that the
     ---------                           ---------
Coverage Ratios of the hospitals and nursing centers that remain subject to this
Lease, determined for the four (4) full calendar quarters ending not less than
sixty (60) days prior to the assumed Section 16.10.3.1 New Lease Transaction,
equal, respectively, 1.575:1 and 1.653:1 and that the Coverage Ratios of the
hospitals and nursing centers included in the 25 Leased Properties that were
covered by this Lease immediately prior to the aforesaid transaction, for the
same period, equal, respectively, 1.500:1 and 1.450:1. In the circumstances of
this Example 4, the Section 16.10.1 Number that is applicable to this Lease
     ---------
immediately following the assumed Section 16.10.3.1 New Lease Transaction,
would, pursuant to this Section 16.10.3.1, be increased from one (1) to two (2),
                        -----------------
because both requirement (a) and requirement (b) above are met, and all of
        ----
requirement (x) (as described in Example 2), requirement (y) (because the
                                 ---------
Coverage Ratio for nursing centers covered by this Lease is fourteen percent
(14%) higher (1.45 x. 1.14 = 1.653) than the Coverage Ratio for all nursing
centers covered by the pre-transaction 25 Leased Properties lease) and
requirement (z) (as described in Example 2) above are met. For the aforesaid New
                                 ---------
Lease, for the reasons stated in Example 2, the Section 16.10.1 Number would
                                 ---------
equal one (1).

               Section 16.10.3.2 Notwithstanding Section 16.10.1 above, if (a)
                                                 ---------------
this Lease is, pursuant to Section 40.18 hereof, the Section 40.18 Lease (as
                           -------------             -------------------
defined in Section 40.18) and (b) as a result of Section 16.1(m) and/or Section
           -------------                         ---------------        -------
16.1(q) Events of Default that had occurred and were continuing under this Lease
-------
and the other lease(s) involved in the Section 40.18 lease combination
                                       -------------
transaction immediately prior to such transaction, immediately following the
transaction pursuant to which this Lease became a Section 40.18 Lease, an Event
of Default of the nature referenced in Section 16.1(m) and/or Section 16.1(q) of
                                       ---------------        ---------------
this Lease has occurred and is continuing (as described in Section 16.10.2.3
                                                           -----------------
hereof) with respect to a number of the Leased Properties then covered by this
Lease (the "Section 16.10.3.2 Number") that equals or exceeds the Section
            -----------------
16.10.1 Number that would be applicable to this Lease as of such date (assuming,
for purposes of this subsection (b), that this Section 16.10.3.2 is not
                                               -----------------
applicable), and (c) immediately following the transaction pursuant to which
this Lease became a Section 40.18 Lease, no Event of Default (other than Section
                                                                         -------
16.1(m) and/or Section 16.1(q) Events of Default) has occurred and is continuing
-------        ---------------
under this Lease, then, the Section 16.10.1 Number that would otherwise apply to
this Lease, but for the terms of this Section 16.10.3.2, shall be increased by
                                      -----------------
one (1) (and provided further that, if requirements (a), (b) and (c) above are
met and this Lease, as the Section 40.18 Lease, (X) covers forty-one (41) or
more Leased Properties and the Section 16.10.3.2 Number for this Lease, as the
Section 40.18 Lease, exceeds three (3), then the Section 16.10.1 Number
applicable to this Lease shall be adjusted to equal the aforesaid Section
16.10.3.2 Number plus one (1) or (Y) covers twenty-one (21) to forty (40), both
inclusive, Leased Properties and the number (the "Subsection Y Number") equal to
the Section 16.10.3.2 Number for this Lease, as the Section 40.18 Lease, minus
the number of Leased Properties, if any, as to which, following such lease
combination

                                       68

<PAGE>

transaction, Tenant will continue to have an available and exercisable purchase
option under Section 16.12 exceeds two (2), then the Section 16.10.1 Number
             -------------
applicable to this Lease shall be adjusted to equal the Subsection (Y) Number
plus one (1) or (Z) covers twenty (20) or less Leased Properties and the number
(the "Subsection Z Number") equal to the Section 16.10.3.2 Number for this
Lease, as the Section 40.18 Lease, minus the number of Leased Properties, if
any, as to which, following such lease combination transaction, Tenant will
continue to have an available and exercisable purchase option under Section
                                                                    -------
16.12 exceeds one (1), then the Section 16.10.1 Number applicable to this Lease
-----
shall be adjusted to equal the Subsection Z Number plus one (1)).

     Example 1: Assume that a lease covering 50 Master Lease Leased Properties
     ---------
is subdivided into Lease A covering 35 Master Lease Leased Properties and Lease
B covering 15 Master Lease Leased Properties and that no Event of Default under
Section 16.1(m) and/or Section 16.1(q) or any other provision has occurred or is
---------------        ---------------
continuing under either of such leases. Assume further that, pursuant to Section
                                                                         -------
40.18, such two (2) leases are combined and that Lease A is the Section 40.18
-----
Lease. This Section 16.10.3.2 would not apply, and the Section 16.10.1 Number
            -----------------
applicable to Lease A would be determined pursuant to Section 16.10.1(c) hereof
                                                      ------------------
(because Lease A would then cover 50 Master Lease Leased Properties), without
any adjustment pursuant to this Section 16.10.3.2, because, although
                                -----------------
requirements (a) and (c) above are met relative to Lease A, requirement (b)
above is not met as to Lease A.

     Example 2: Same assumed facts as in Example 1, except assume three (3)
     ---------                           ---------
Master Lease Leased Properties are subject to continuing Section 16.1(m) and/or
                                                         ---------------
Section 16.1(q) Events of Default immediately prior to the assumed Section 40.18
---------------                                                    -------------
transaction, 2 of which are within the 35 Master Lease Leased Properties Lease A
and 1 of which is within the 15 Master Lease Leased Properties Lease B.
Immediately following the assumed Section 40.18 transaction, the recombined 50
                                  -------------
Master Lease Leased Properties Lease A would have included therein 3 Master
Lease Leased Properties that are subject to continuing Section 16.1(m) and/or
                                                       ---------------
Section 16.1(q) Events of Default, which number equals the Section 16.10.1
--------------
Number that would be applicable to the combined 50 Master Lease Leased
Properties Lease A pursuant to Section 16.10.1(c) above, but for this Section
                               ------------------                     -------
16.10.3.2, and therefore, pursuant to Section 16.10.3.2, the Section 16.10.1
---------                             -----------------
Number that is applicable to the combined Lease A would be increased from three
(3) to four (4).

     Example 3: Same assumed facts as in Example 1, except assume four (4)
     ---------                           ---------
Master Lease Leased Properties are subject to continuing Section 16.1(m) and/or
                                                         ---------------
Section 16.1(q) Events of Default immediately prior to the assumed Section 40.18
---------------                                                    -------------
transaction, 2 of which are within the 35 Master Lease Leased Properties Lease A
and 2 of which are within the 15 Master Lease Leased Properties Lease B.
Immediately following the assumed Section 40.18 transaction, the recombined 50
                                  -------------
Master Lease Leased Properties Lease A would have included therein 4 Master
Lease Leased Properties that are subject to continuing Section 16.1(m) and/or
                                                       ---------------
Section 16.1(q) Events of Default, which number exceeds the Section 16.10.1
---------------
Number that would be applicable to the combined 50 Master Lease Leased
Properties Lease A pursuant to Section 16.10.1(c) above, but for this Section
                               ------------------                     -------
16.10.3.2. Requirements (a), (b) and (c) above are met relative to Lease A, and,
---------
in addition, Lease A meets the requirements of the proviso at the end of Section
                                                                         -------
16.10.3.2. Therefore, pursuant to Section 16.10.3.2, the Section 16.10.1 Number
---------                         -----------------

                                       69

<PAGE>

that is applicable to the combined Lease A would equal five (5) (i.e. the
Section 16.10.3.2 Number+1).

               Section 16.10.3.3 If a Separate Lease is created under Section
                                                                      -------
22.7 of any lease of any of the Master Lease Leased Properties and, at the time
----
such lease is created an Event of Default under Section 16.1(m) and/or Section
                                                ---------------        -------
16.1(q) has occurred and is continuing with respect to any Master Lease Leased
-------
Property(ies) included in such Separate Lease or, within two (2) years
thereafter, such an Event of Default arises under such Separate Lease with
respect to any Master Lease Leased Property(ies) included in such Separate
Lease, then, for all purposes of each Section 16.10.3.3 Lease (as hereinafter
defined), (a) any such Event of Default under such Separate Lease shall also be
considered an Event of Default under Section 16.1(m) and Section 16.1(q) of any
                                     ---------------     ---------------
lease (a "Section 16.10.3.3 Lease") that, or that derives from a lease that, at
          -----------------
any time during the two (2) years that preceded the creation of such Separate
Lease, included any Master Lease Leased Property included in such Separate Lease
and as to which such a Section 16.1(m) and/or Section 16.1(q) Event of Default
                       ---------------        ---------------
has occurred and is continuing under such Separate Lease and (b) each Master
Lease Leased Property as to which such a Section 16.1(m) and/or Section 16.1(q)
                                         ---------------        ---------------
Event of Default has occurred and is continuing under such Separate Lease shall,
for all purposes of Section 16.10 and Section 19.1(b) of each Section 16.10.3.3
                    -------------     ---------------
Lease, be counted as a leased property as to which a Section 16.1(m) and/or
                                                     ---------------
Section 16.1(q) Event of Default had occurred and was continuing the same as if
---------------
a Section 16.1(m) and/or Section 16.1(q) Event of Default had occurred and was
  ---------------        ---------------
continuing under such Section 16.10.3.3 Lease relative to a Master Lease Leased
Property included in such Section 16.10.3.3 Lease.

     Example 1: Assume that a lease of 15 Master Lease Leased Properties
     ---------
includes Property A as to which a Section 16.1(m) Event of Default has occurred
                                  ---------------
and is continuing and that, on account of an Event of Default under such lease,
Lessor terminates such lease as it applies to Property A, so that the remaining
lease covers 14 Master Lease Leased Properties. Assume further that, pursuant to
Section 22.7 of such lease, a Separate Lease under Section 22.7 is entered into
------------                                       ------------
with a leasehold mortgagee or its designee relative to Property A. As a result
of Section 16.10.3.3, the Section 16.1(m) Event of Default relative to Property
   -----------------      ---------------
A will also be considered an Event of Default under Section 16.1(m) of the
                                                    ---------------
aforesaid remaining lease of 14 Master Lease Leased Properties and Property A
will, for all purposes of Section 16.10 and Section 19.1(b) of such remaining
                          -------------     ---------------
lease, be counted as a leased property as to which a Section 16.1(m) Event of
                                                     ---------------
Default had occurred and was continuing the same as if a Section 16.1(m) Event
                                                         ---------------
of Default had occurred and was continuing under such remaining lease relative
to a Master Lease Leased Property included in such remaining lease.

     Example 2: Assume that a lease of 15 Master Lease Leased Properties
     ---------
includes no properties as to which a Section 16.1(m) and/or Section 16.1(q)
                                     ---------------        ---------------
Event of Default has occurred and is continuing and that, on account of an Event
of Default under such lease, Lessor terminates such lease as it applies to
Property A, so that the remaining lease covers 14 Master Lease Leased
Properties. Assume further that, pursuant to Section 22.7 of such lease, a
                                             ------------
Separate Lease under Section 22.7 is entered into with a leasehold mortgagee or
its designee relative to Property A. Assume further that several months later a
Section 16.1(m) Event of Default arises relative to Property A. As a result of
Section 16.10.3.3, the Section 16.1(m)
-----------------
                                       70

<PAGE>

Event of Default relative to Property A will also be considered an Event of
Default under Section 16.1(m) of the aforesaid remaining lease of 14 Master
              ---------------
Lease Leased Properties and Property A will, for all purposes of Section 16.10
                                                                 -------------
and Section 19.1(b) of such remaining lease, be counted as a leased property as
    ---------------
to which a Section 16.1(m) Event of Default had occurred and was continuing the
same as if a Section 16.1(m) Event of Default had occurred and was continuing
             ---------------
under such remaining lease relative to a Master Lease Leased Property included
in such remaining lease.

     Example 3: Same assumed facts as in Example 2, except assume further that
     ---------                           ---------
the 15 Master Lease Leased Properties lease referenced in such example was
formed several months prior to the creation of the Separate Lease as the result
of the division of a 60 Master Lease Leased Properties lease into two leases,
the aforesaid 15 Master Lease Leased Properties lease and a 45 Master Lease
Leased Properties lease. As a result of Section 16.10.3.3, the Section 16.1(m)
                                        -----------------      ---------------
Event of Default relative to Property A will also be considered an Event of
Default under Section 16.1(m) of both the remaining lease of 14 Master Lease
              ---------------
Leased Properties and the aforesaid 45 Master Lease Leased Properties lease and
Property A will, for all purposes of Section 16.10 and Section 19.1(b) of such
                                     -------------     ---------------
remaining lease and such 45 Master Lease Leased Properties lease, be counted as
a leased property as to which a Section 16.1(m) Event of Default had occurred
                                ---------------
and was continuing the same as if a Section 16.1(m) Event of Default had
                                    ---------------
occurred and was continuing under such remaining lease relative to a Master
Lease Leased Property included therein and under such 45 Master Lease Leased
Properties lease relative to a Master Lease Leased Property included therein.
This is because, several months prior to the creation of the Separate Lease,
Property A was included in the aforesaid 60 Master Lease Leased Properties lease
and both the 14 Master Lease Leased Properties lease and the 45 Master Lease
Leased Properties lease derive from such 60 Master Lease Leased Properties
lease.

          Section 16.10.4 Lessor shall have no obligation of any kind or nature
to accept, or to treat as a default cure, any monetary or other form of cure in
lieu of the mandated "in-kind", Facility-specific cure. For example, even if
Lessor, in its sole and absolute discretion, receives, and accepts, full
monetary compensation from Tenant on account of all damages suffered by Lessor
due to the loss of certification for reimbursement under Medicaid at a
particular Facility and whether such receipt occurs through a voluntary
arrangement or through the exercise of any remedy hereunder, the Section 16.1(q)
                                                                 ---------------
Event of Default arising from such loss of certification shall, unless Lessor
otherwise agrees in writing, in its sole and absolute discretion, for purposes
of Sections 4.1, 16.1(q), 16.10, 17.1, 19.1, 25.1.1, 25.1.2 and 25.1.3 of this
   ------------  -------  -----  ----  ----  ------  ------     ------
Lease, subject, if the Section 16.10.1 Number is 2 or greater, to the Section
16.10.2.3 Proviso, be considered to be "continuing" unless, prior to termination
of this Lease as it applies to such Facility, or dispossession of Tenant from
such Facility, as described in Section 16.10.2.3 above, such certification for
                               -----------------
such Facility is fully restored. Nothing contained in this Section 16.10 shall
                                                           -------------
limit or affect the provisions of this Article XVI providing that Lessor has no
obligation or deemed obligation to mitigate damages on account of any default by
Tenant.

          Section 16.10.5 The following examples are intended to illustrate
further the application of this Section 16.10:
                                -------------

                                       71

<PAGE>

     Example 1: If an Event of Default occurs under Section 16.1(m) hereof
     ---------                                      ---------------
because the number of licensed beds at a particular Facility has been reduced to
a number below the required number of licensed beds for such Facility, such
Event of Default shall be deemed to be "continuing" for purposes of Sections
                                                                    --------
4.1, 16.1(m), 16.10, 17.1, 19.1, 25.1.1, 25.1.2 and 25.1.3 of this Lease,
---  -------  -----  ----  ----  ------  ------     ------
subject, if applicable, to the Section 16.10.2.3 Proviso, unless, prior to
termination of this Lease as it applies to such Facility, or dispossession of
Tenant from such Facility, as described in Section 16.10.2.3 above, the number
                                           -----------------
of licensed beds at such Facility is returned to the required number.

     Example 2: If an Event of Default of the type described in Example 1 has
     ---------                                                  ---------
occurred and is continuing (as described above) with respect to a Leased
Property, and Lessor has terminated this Lease as it applies to the Leased
Property to which such aforesaid Event of Default relates or Lessor has
dispossessed Tenant from such Leased Property, then, if the Section 16.10.1
Number applicable to this Lease equals two (2) or more and Events of Default of
the nature referenced in Section 16.1(m) and/or Section 16.1(q) of this Lease
                         ---------------        ---------------
have occurred and are continuing (as described above) with respect to fewer than
the Section 16.10.1 Number of the Leased Properties, such Event of Default, for
purposes of Sections 4.1, 17.1, 25.1.1, 25.1.2 and 25.1.3, shall not be deemed
            ------------  ----  ------  ------     ------
to be "continuing" as to any other Leased Properties; in such event, the rights
and remedies available to Lessor or the limitation of Tenant's rights under such
sections which arise in the case of a continuing Event of Default shall apply
only to the Leased Property on which the Event of Default under Section 16.1(m)
                                                                ---------------
has occurred (as illustrated in Examples 5, 6 and 7 below).
                                ----------  -     -

     Example 3: If an Event of Default occurs under Section 16.1(q) hereof due
     ---------                                      ---------------
to a loss of Medicaid certification at a particular Facility, such Event of
Default shall be deemed to be "continuing" for purposes of Sections 4.1,
                                                           ------------
16.1(q), 16.10, 17.1, 19.1, 25.1.1, 25.1.2 and 25.1.3 of this Lease, subject, if
-------  -----  ----  ----  ------  ------     ------
applicable, to the Section 16.10.2.3 Proviso, unless, prior to termination of
this Lease as it applies to such Facility, or dispossession of Tenant from such
Facility, as described above, such Facility's certification for reimbursement
under Medicaid is fully restored.

     Example 4: If an Event of Default of the type described in Example 3 has
     ---------                                                  ---------
occurred and is continuing (as described above) with respect to a Leased
Property, and Lessor has terminated this Lease as it applies to the Leased
Property to which such aforesaid Event of Default relates or Lessor has
dispossessed Tenant from such Leased Property, then, if the Section 16.10.1
Number applicable to this Lease equals two (2) or more and Events of Default of
the nature referenced in Section 16.1(m) and/or Section 16.1(q) of this Lease
                         ---------------        ---------------
have occurred and are continuing (as described above) with respect to fewer than
the Section 16.10.1 Number of the Leased Properties, such Event of Default, for
purposes of Sections 4.1, 17.1, 25.1.1, 25.1.2 and 25.1.3, shall not be deemed
            ------------  ----  ------  ------     ------
to be "continuing" as to any other Leased Properties; in such event, the rights
and remedies available to Lessor or the limitation of Tenant's rights under such
sections which arise in the case of a continuing Event of Default shall apply
only to the Leased Property on which the Event of Default under Section 16.1(q)
                                                                ---------------
has occurred (as illustrated in Examples 5, 6 and 7 below).
                                ----------  -     -

                                       72

<PAGE>

     Example 5: If (i) an Event of Default of the nature referenced in Section
     ---------                                                         -------
16.1(m) and/or Section 16.1(q) of this Lease has occurred and is continuing (as
-------        ---------------
described above) with respect to Leased Property X and no other Leased
Properties, (ii) Lessor has terminated this Lease as it applies to Leased
Property X or dispossessed Tenant from such Leased Property X, (iii) the Section
16.10.1 Number applicable to this Lease exceeds 1 (so that Section 16.10.2.2 is
                                                           -----------------
applicable and, in light of subsections (i) and (ii) of this Example,
requirements (a) and (b) of the Section 16.10.2.3 Proviso are met), and (iv)
pursuant to Section 4.1, a refund shall be due from a taxing authority in
            -----------
respect of an Imposition paid by Tenant relative to Leased Property X, then
Tenant would not receive such refund and such refund would be retained by Lessor
and applied as provided in Article XVI, but Tenant would continue to be paid or
                           -----------
retain (as provided in Section 4.1) any Imposition refund from Leased Properties
                       -----------
other than Leased Property X.

     Example 6: If (i) an Event of Default of the nature referenced in Section
     ---------                                                         -------
16.1(m) and/or Section 16.1(q) of this Lease has occurred and is continuing (as
-------        ---------------
described above) with respect to Leased Property X and no other Leased
Properties, (ii) Lessor has terminated this Lease as it applies to Leased
Property X or dispossessed Tenant from such Leased Property X, and (iii) the
Section 16.10.1 Number applicable to this Lease exceeds 1 (so that Section
                                                                   -------
16.10.2.2 is applicable and, in light of subsections (i) and (ii) of this
---------
Example, requirements (a) and (b) of the Section 16.10.2.3 Proviso are met),
then, pursuant to Section 17.1, Lessor would be entitled, to the extent
                  ------------
permitted by law, to enter on Leased Property X for the purpose of curing such
continuing Event of Default, but Lessor would not be entitled to exercise the
remedies provided in Section 17.1 with respect to any other Leased Properties.
                     ------------

     Example 7: If (i) an Event of Default of the nature referenced in Section
     ---------                                                         -------
16.1(m) and/or Section 16.1(q) of this Lease has occurred and is continuing (as
-------        ---------------
described above) with respect to Leased Property X and no other Leased
Properties, (ii) Lessor has dispossessed Tenant from Leased Property X, (iii)
the Section 16.10.1 Number applicable to this Lease exceeds 1 (so that Section
                                                                       -------
16.10.2.2 is applicable and, in light of subsections (i) and (ii) of this
---------
Example, requirements (a) and (b) of the Section 16.10.2.3 Proviso are met), and
(iv) Tenant desires to sublet, pursuant to Section 25.1.2(ii), up to an
                                           ------------------
aggregate of 20% of the rentable square footage of each of Leased Properties X
and Y without obtaining the consent of Lessor, then Tenant would not be entitled
to sublet any portion of Leased Property X without the consent of Lessor, but
Tenant would be entitled to sublet such portion of Leased Property Y without
obtaining the consent of Lessor.

     Example 8: Same assumed facts as in Example 7, except that the Section
     ---------                           ---------
16.10.1 Number applicable to this Lease equals 2, and an Event of Default of the
nature referenced in Section 16.1(m) has also occurred and is continuing
                     ---------------
relative to another of the Leased Properties. Section 16.10.2.2 would be
                                              -----------------
applicable, but requirement (a) of the Section 16.10.2.3 Proviso would not be
met. Tenant would not be entitled to sublet any portion of Leased Property X or
Leased Property Y without the consent of Lessor.

     Section 16.11 No Mediation or Arbitration. Notwithstanding anything to the
                   ---------------------------
contrary set forth herein or in that certain Agreement and Plan of
Reorganization dated as of April 30, 1998 by and between Ventas, Inc. (prior to
April 30, 1998, known as Vencor, Inc.) and

                                       73

<PAGE>

Kindred Healthcare, Inc. (from May 1, 1998 until April, 2001, known as Vencor,
Inc.) ("1998 Plan of Reorganization"), (a) upon any Event of Default by Tenant,
        ---------------------------
Lessor shall be entitled to proceed immediately to enforce its rights and
remedies pursuant to this Article XVI and the other terms of this Lease, (b)
                          -----------
neither any Event of Default, nor the rights and obligations of Tenant and
Lessor under this Lease, shall be subject to mediation or arbitration of any
kind, and (c) the provisions of Article VI of the 1998 Plan of Reorganization
                                ----------
shall not apply to this Lease or any of the other Combined Leases.

     Section 16.12 Special Purchase Provisions. It is the intention of this
                   ---------------------------
Section 16.12 to set forth specific provisions that, in limited circumstances,
-------------
for a limited number of times and only in connection with the occurrence of
Events of Default under Section 16.1(m) and/or Section 16.1(q) of this Lease,
                        ---------------        ---------------
allow Tenant a non-renewing right to purchase a Leased Property(ies) and thereby
to reduce the number of Leased Properties as to which Section 16.1(m) and/or
                                                      ---------------
Section 16.1(q) Events of Default continue to exist to below the applicable
---------------
Section 16.10.1 Number, and, by doing so strictly on the terms and conditions
provided in this Section 16.12, thereby to avoid the exercise by Lessor of
                 -------------
termination and/or dispossession rights and remedies against all Leased
Properties covered hereby on account of such Section 16.1(m) and/or Section
                                             ---------------        -------
16.1(q) Event(s) of Default. Tenant's purchase rights as set forth in this
-------
Section 16.12 are not applicable to any other Events of Default or in any other
-------------
circumstances and are strictly limited in number and non-renewing.

          Section 16.12.1

               Section 16.12.1.1 If the number of Leased Properties as to which
this Lease is in full force and effect equals twenty (20) or less, subject to
Section 16.12.1.2 below, a purchase option will be exercisable by Tenant on
-----------------
account of a Section 16.1(m) and/or Section 16.1(q) Event of Default with
             ---------------        ---------------
respect to only two (2) Leased Properties in the aggregate during the Term,
after which no further purchase option under this Section 16.12 will be
                                                  -------------
available to, or exercisable by, Tenant.

               Section 16.12.1.2 If the number of Leased Properties as to which
this Lease is in full force and effect equals twenty-one (21) to forty (40),
both inclusive, a purchase option will be exercisable by Tenant on account of a
Section 16.1(m) and/or Section 16.1(q) Event of Default with respect to only one
---------------        ---------------
(1) Leased Property in the aggregate during the Term, after which no further
purchase option under this Section 16.12 will be available to, or exercisable
                           -------------
by, Tenant, and provided that, if (a) this Lease at any time was in full force
and effect with respect to twenty-one (21) to forty (40), both inclusive, Leased
Properties and at such time Tenant exercised a purchase option under this
Section 16.12 and on account of a Section 16.1(m) and/or Section 16.1(q) Event
-------------                     ---------------        ---------------
of Default with respect to a Leased Property and (b) this Lease thereafter is in
full force and effect with respect to less than twenty-one (21) Leased
Properties due to creation of a Separate Lease under Section 22.7, a casualty or
                                                     ------------
condemnation termination relative to a Leased Property(ies) or for any other
reason (other than Lessor's unilateral creation of a New Lease under Section
                                                                     -------
40.15 or a New Master Lease under Section 40.17), no further purchase option
-----                             -------------
under this Section 16.12 will be available to, or exercisable by, Tenant.
           -------------

                                       74

<PAGE>

               Section 16.12.1.3 If the number of Leased Properties as to which
this Lease is in full force and effect equals forty-one (41) or more, then,
notwithstanding anything to the contrary contained in this Section 16.12, this
                                                           -------------
Section 16.12 shall not apply, and no purchase option will be available to, or
-------------
exercisable by, Tenant on account of a Section 16.1(m) and/or Section 16.1(q)
                                       ---------------        ---------------
Event of Default.

               Section 16.12.1.4 For all purposes of this Section 16.12, once a
purchase option is exercised relative to a Leased Property(ies), it may not be
revoked, and it shall exhaust Tenant's available purchase options, as described
in Section 16.12.1.1 and Section 16.12.1.2, as applicable, above, to the extent
   -----------------     -----------------
of the number of Leased Properties as to which such exercise applies.

               Section 16.12.1.5 No purchase option will be available to, or
exercisable by, Tenant on account of any Event of Default under this Lease other
than Section 16.1(m) and/or Section 16.1(q) Events of Default.
     ---------------        ---------------

               Section 16.12.2 If (a) an Event of Default under Section 16.1(m)
                                                           ---------------
and/or Section 16.1 (q) of this Lease has occurred and is continuing (as
       ----------------
described in Section 16.10.2.3 hereof) with respect to a number of the Leased
             -----------------
Properties covered by this Lease that equals or exceeds the Section 16.10.1
Number that is applicable to this Lease and (b) Lessor intends to exercise
termination and/or dispossession rights and remedies against all Leased
Properties covered by this Lease on account of such Event(s) of Default and (c)
no Events of Default (other than Section 16.1(m) and/or Section 16.1(q) Events
                                 ---------------        ---------------
of Default) have occurred and are continuing under this Lease, then, unless (i)
Tenant has previously exhausted its available purchase option(s) (as described
in Section 16.12.1.1 or Section 16.12.1.2, as applicable, above) or (ii) if
   -----------------    -----------------
Tenant has any remaining purchase option(s), by exercising the same Tenant would
not be able to reduce the number of Leased Properties as to which an Event of
Default under Section 16.1(m) and/or Section 16.1(q) of this Lease has occurred
              ---------------        ---------------
and is continuing (as described in Section 16.10.2.3 hereof) to a number fewer
                                   -----------------
than the Section 16.10.1 Number that is applicable to this Lease:

          (x)  Lessor will provide to Tenant a written notice (a "Section 16.12
                                                                  -------------
               Notice") that Lessor intends to exercise termination and/or
               -------
               dispossession rights and remedies against all Leased Properties
               covered by this Lease on account of such Section 16.1(m) and/or
                                                        ---------------
               Section 16.1(q) Events(s) of Default. If the number of Leased
               ---------------
               Properties as to which an Event of Default under Section 16.1(m)
                                                                ---------------
               and/or Section 16.1(q) has occurred and is continuing exceeds the
                      ---------------
               number of Leased Properties as to which a purchase option remains
               available to Tenant and, by exercising its available purchase
               option(s), Tenant would be able to reduce the number of Leased
               Properties as to which an Event of Default under Section 16.1(m)
                                                                ---------------
               and/or Section 16.1(q) of this Lease has occurred and is
                      ---------------
               continuing to a number fewer than the Section 16.10.1 Number that
               is applicable to this Lease, the aforesaid Section 16.12 Notice
               shall specify as to which Leased Property(ies) a purchase option
               shall be applicable. Otherwise, the purchase option will apply to
               each Leased Property as to


                                       75

<PAGE>

               which a Section 16.1(m) and/or Section 16.(q) Event of Default
                       ---------------        --------------
               has occurred and is continuing.

          (y)  If Tenant desires to exercise its purchase option, Tenant must so
               notify Lessor in writing within seven (7) days of its receipt of
               the aforesaid Section 16.12 Notice relating thereto and Tenant
               must exercise such purchase option against all Leased Properties
               as to which the purchase option is applicable as provided in
               subsection (x) above. If Tenant does not so exercise its purchase
               option, Tenant shall be deemed to have waived its purchase option
               relative to all of the Leased Properties to which the same is
               applicable.

          (z)  If Lessor provides a Section 16.12 Notice as aforesaid, all of
               the references in the penultimate paragraph of Section 16.1 of
                                                              ------------
               this Lease to 10 days shall be revised so that any notice of
               termination given by Lessor as provided in such penultimate
               paragraph shall take effect no sooner than three (3) Business
               Days following the later of (1) Lessor's giving of its notice of
               termination or (2) the expiration of Tenant's seven (7) day
               period, as provided in subsection (y) above, relative to such
               Section 16.12 Notice, and not otherwise be restricted as to the
               effective date thereof by such penultimate paragraph.

          Section 16.12.3 If Tenant exercises a purchase option relative to a
particular Leased Property(ies), the closing with respect thereto will occur
within forty-five (45) days of Tenant's receipt of the applicable Section 16.12
Notice. At such closing, Lessor will, by special warranty deed, convey to Tenant
or its designee all of Lessor's right, title and interest in the subject Leased
Property(ies), subject to the Permitted Encumbrances, and will cause to be
released any Facility Mortgage(s) or other liens created by Lessor or its agents
or employees relative to the subject Leased Property(ies) (and, if Lessor is
unable to cause such release(s) as of the initially scheduled closing date, the
closing date shall be extended as necessary to allow Lessor additional time to
cause such release(s)), and Tenant will pay in cash, to or as directed by
Lessor, the purchase price therefor, as described in Section 16.12.5 below,
                                                     ---------------
subject, if applicable as described below, to a credit against the purchase
price in favor of Tenant and in the amount, if any, described below. Such
conveyance will be on an "AS IS", "WITH ALL FAULTS" basis and without any
representation or warranty (except as set forth in the aforesaid special
warranty deed). Upon the occurrence of such closing, this Lease will terminate,
in accordance with Section 40.16, insofar as it applies to the purchased Leased
                   -------------
Property(ies), but all accrued obligations, or obligations that survive
termination, with respect to the purchased Leased Property(ies) shall survive
such termination. Relative to the foregoing, if Tenant closes with respect to a
particular Leased Property strictly in accordance with the terms and conditions
provided in this Section 16.12, and, prior to such closing, Lessor has sued, and
                 -------------
collected damages from, Tenant on account of a Section 16.1(m) and/or Section
                                               ---------------        -------
16.1(q) Event of Default relative to such Leased Property, Tenant shall be
-------
entitled to a credit against the purchase price for such Leased Property equal
to a sum, not to exceed the purchase price, equal to (a) the amount of the
damages so collected by Lessor from Tenant in the aforesaid lawsuit, less (b)
the amount of all attorneys' fees, court costs, witness fees and other


                                       76

<PAGE>

costs and expenses incurred by Lessor in connection with such lawsuit or Section
                                                                         -------
16.1(m) and/or Section 16.1(q) Event of Default.
-------        ---------------

          Section 16.12.4 If Tenant exercises a purchase option relative to a
Leased Property(ies), and closes with respect thereto strictly in accordance
with the terms and conditions provided in this Section 16.12, then, for purposes
                                               -------------
of Sections 16.1 and 16.10 of this Lease, the Section 16.1(m) and/or Section
                                              ---------------        -------
16.1(q) Event of Default relative to the purchased Leased Property(ies) will be
-------
deemed to have been cured (but without limitation of Lessor's indemnity rights
under Section 24.1 hereof and other rights and remedies that survive the
      ------------
applicable termination of this Lease that results from Tenant's purchase of such
Leased Property(ies)), but, for purposes of Section 16.12.1.1 and Section
                                            -----------------     -------
16.12.1.2, Tenant will have exhausted that number of its available purchase
---------
options as equals the number of Leased Properties as to which it has so
exercised its purchase option. If, as a result of such cure, the number of the
Leased Properties as to which an Event of Default under Section 16.1(m) and/or
Section 16.1(q) of this Lease is reduced to a number fewer than the Section
16.10.1 Number that is applicable to this Lease, Lessor will, for so long as
such condition continues to exist, be precluded from exercising termination
and/or dispossession rights and remedies against all Leased Properties covered
by this Lease on account of the then remaining Event(s) of Default under Section
                                                                         -------
16.1(m) and/or Section 16.1(q) of this Lease, but not on account of any other
-------        ---------------
Event of Default under this Lease.

          Section 16.12.5 The purchase price for each Leased Property as to
which a purchase option is exercised by Tenant will be separately determined for
each Leased Property and will equal, at Lessor's separate election for each
Leased Property, either (a) the sum calculated by dividing the Base Rent per
annum applicable to such Leased Property for the year next following the
applicable closing date by nine percent (9.0%) or (b) the product of ten (10.0)
times the Purchase Option EBITDAR, as hereinafter defined, for such Leased
Property. The Purchase Option EBITDAR for a particular Leased Property will
equal the highest twelve (12) consecutive month EBITDAR for such Leased Property
occurring during the period commencing three (3) years prior to (i) the first
day of the month during which a Section 16.1(m) Event of Default first occurred
                                ---------------
with respect to such Leased Property or (ii) the first day of the month during
which a revocation of certification for reimbursement under Medicare or Medicaid
first occurred with respect to such Leased Property, whichever is earlier, and
ending on the last day of the month preceding the month during which the closing
occurs with respect to such Leased Property. For example, if Tenant exercises a
purchase option relative to a particular Leased Property, the closing with
respect thereto occurs on April 15, 2004, a Section 16.1(m) Event of Default
                                            ---------------
arose on January 14, 2004, such Leased Property was decertified for Medicare on
July 15, 2003 and a Section 16.1(q) Event of Default arose on account thereof on
                    ---------------
November 12, 2003, the period referenced above would commence on July 1, 2000
and end on March 31, 2004.

          Section 16.12.6 If this Lease and a Second Lease are combined as
provided in Section 40.18 of this Lease, for purposes of determining whether any
            -------------
further purchase option is available to Tenant in such combined lease and, if
so, as to how many Leased Properties such an option is available, all purchase
option exercises that occurred under


                                       77

<PAGE>

this Lease and the Second Lease prior to such combination shall be counted the
same as if they occurred under the combined lease.

          Section 16.12.7 Notwithstanding anything to the contrary contained in
this Section 16.12, this Section 16.12 will be included in the Lease and be
     -------------       -------------
effective only if and for so long as inclusion thereof does not cause this Lease
to be considered a capital lease, rather than an operating lease, for all
accounting, tax and legal purposes, as determined by the independent auditors
for both Lessor and Tenant.

          Section 16.12.8 The following examples are intended to illustrate
further the application of this Section 16.12:
                                -------------

     Example 1: Assume that, within a lease of 25 Master Lease Leased
     ---------
     Properties, no Events of Default exist other than Events of Default under
     Section 16.1(m) and/or Section 16.1(q) that have occurred and are
     ---------------        ---------------
     continuing relative to Property A and Property B and that Lessor provides a
     Section 16.12 Notice on account thereof, which notice specifies Property A
     as the property as to which Tenant's one (1) available purchase option
     (pursuant to the number limitation set forth in Section 16.12.1.2) shall be
                                                     ------------------
     available. Assume further that Tenant exercises its purchase option
     relative to Property A and closes its purchase of Property A in strict
     accordance with the terms and conditions provided in this Section 16.12. On
                                                               -------------
     account of such exercise, Tenant would have exhausted its purchase option
     rights under such lease, and, on account of such purchase, (a) the Section
                                                                        -------
     16.1(m) and/or Section 16.1(q) Event of Default relative to Property A
     -------        ---------------
     would have been cured, leaving Property B as the only leased property as to
     which a continuing Section 16.1(m) and/or Section 16.1(q) Event of Default
                        ---------------        ---------------
     continues, and (b) because the Section 16.10.1 Number applicable to such
     lease would equal 2, the continuation of a Section 16.1(m) and/or Section
                                                ---------------        -------
     16.1(q) Event of Default with respect to Property B and no other leased
     -------
     properties would not, pursuant to the terms of Section 16.10.2.2, be
                                                    -----------------
     sufficient to permit Lessor to exercise termination and/or dispossession
     rights and remedies against any leased property other than Property B.

     Example 2: Same assumed facts as in Example 1 and assume further that an
     ---------                           ---------
     additional Section 16.1(m) Event of Default arises under such lease with
                ---------------
     respect to Property C. Lessor would be permitted to exercise termination
     and/or dispossession rights and remedies against all leased properties
     under such lease, in accordance with Section 16.10.2.2, because the number
                                          -----------------
     of such Section 16.1(m) and/or Section 16.1(q) Events of Default under such
             ---------------        ---------------
     lease would equal 2 (Property B and Property C), which number equals the
     Section 16.10.1 Number applicable to such lease. Also, because Tenant has
     exhausted its purchase option rights under such lease as described on
     Example 1, Section 16.12 would no longer be applicable to grant Tenant any
     ---------  -------------
     purchase option rights and Lessor would be permitted to exercise such
     termination and/or dispossession rights and remedies against all leased
     properties under such lease without providing any Section 16.12 Notice to
                                                       -------------
     Tenant or additional purchase option to Tenant.


                                       78

<PAGE>

     Example 3: Assume that, within a lease of 10 Master Lease Leased
     ---------
     Properties, no Events of Default exist other than Events of Default under
     Section 16.1(m) and/or Section 16.1(q) that have occurred and are
     ---------------        ---------------
     continuing relative to Property X, Property Y and Property Z. Lessor would
     not be obligated to provide a Section 16.12 Notice to Tenant prior to
     exercise of termination and/or dispossession rights and remedies against
     all leased properties under such lease. A lease of 10 leased properties is
     eligible for purchase options with respect to 2 leased properties during
     the Term (Section 16.12.1.1). Even if Tenant exercised such 2 purchase
               -----------------
     options and closed thereunder, a Section 16.1(m) and/or Section 16.1(q)
                                      ---------------        ---------------
     Event of Default would continue to exist under such lease and the
     precondition to an exercisable purchase option, and receipt of a Section
                                                                      -------
     16.12 Notice, referenced in Section 16.12.2(ii) would therefore not be met.
     -----                       -------------------

                                  ARTICLE XVII

     Section 17.1 Lessor's Right to Cure Tenant's Default. If an Event of
                  ---------------------------------------
Default shall have occurred and be continuing, Lessor, without waiving or
releasing any obligation or Event of Default, may (but shall be under no
obligation to) at any time thereafter make such payment or perform such act for
the account and at the expense of Tenant, and may, to the extent permitted by
law, enter upon any or each Leased Property or any portion thereof for the
purpose of curing such Event of Default and take all such action thereon as, in
Lessor's opinion, may be necessary or appropriate in connection with curing such
Event of Default. No such entry shall be deemed an eviction of Tenant. All
reasonable sums so paid by Lessor and all reasonable costs and expenses
(including, without limitation, reasonable attorneys' fees and expenses, in each
case, to the maximum extent permitted by law) so incurred, together with
interest thereon (to the maximum extent permitted by law) as Additional Charges
hereunder at the Overdue Rate from the date on which such sums or expenses are
paid or incurred by Lessor, shall be paid by Tenant to Lessor on demand. The
obligations of Tenant and rights of Lessor contained in this Article shall
survive the expiration or earlier termination of this Lease. Nothing contained
in this Section 17.1 shall limit or impair Lessor's rights and remedies under
        ------------
Section 8.3.2 or Section 21.5.2.
-------------    --------------

                                 ARTICLE XVIII

     Section 18.1 Provisions Relating to Purchase of the Leased Property. In the
                  ------------------------------------------------------
event Tenant purchases any Leased Property from Lessor pursuant to any of the
terms of Article XIV hereof, Lessor shall, upon receipt from Tenant of the
         -----------
applicable purchase price, together with full payment of all Rent due and
payable or other charges due and payable with respect to any period ending on or
before the date of the purchase, deliver to Tenant an appropriate deed or other
conveyance (in the customary form used to convey commercial properties within
the relevant jurisdiction) conveying the entire interest of Lessor in and to
such Leased Property to Tenant free and clear of all encumbrances other than (i)
those that Tenant has agreed hereunder to pay or discharge, (ii) those mortgage
liens, if any, which Tenant has agreed in writing to accept and to take title
subject to and (iii) Permitted Encumbrances. The difference between the
applicable purchase price and the total of the encumbrances assumed or taken
subject to shall be paid in cash to Lessor or as Lessor may direct, in federal
or other immediately available funds except as otherwise mutually agreed by
Lessor and Tenant other than as


                                       79

<PAGE>

specifically provided above, such Leased Property shall be conveyed to Tenant on
an "as is" basis, and in its then physical condition. Closing of any such sale
shall be contingent upon and subject to Tenant obtaining all required
governmental consents and approvals for such transfer and if such sale shall
fail to be consummated by reason of the inability of Tenant to obtain all such
approvals and consents, any options to extend the Term of this Lease which
otherwise would have expired during the escrow period to such proposed sale
shall be deemed to remain in effect for 30 days after termination of the escrow
or other arrangement covering the closing of such proposed sale. All expenses of
such conveyance, including, without limitation, the cost of title examination or
standard coverage title insurance, if reasonably required under the
circumstances then existing, attorneys' fees incurred by Lessor in connection
with such conveyance and release, and transfer taxes, shall be paid by Lessor.
Recording fees shall be paid for by Tenant. Upon the closing of any such sale,
the provisions of Section 40.16 hereof shall apply.
                  -------------

                                  ARTICLE XIX

     Section 19.1 Exercise of Renewal Options. Tenant is hereby granted the
                  ---------------------------
right to renew this Lease, with respect to all, but not less than all, of those
Leased Properties within the applicable group as shown on Exhibit D annexed
                                                          ---------
hereto (herein, a "Renewal Group") for three (3), 5-year option renewal terms
                   -------------
(collectively, the "Extended Terms" and each an "Extended Term") upon giving
                    --------------               -------------
written notice to Lessor of each such renewal at least one (1) year but not more
than eighteen (18) months prior to the termination of the then current Term
applicable to such Renewal Group, provided and on the conditions that, at the
time Tenant gives a renewal notice as set forth above relative to a Renewal
Group and at the time of the commencement of the applicable Extended Term for
such Renewal Group, (a) an Event of Default (other than any Facility Defaults of
the nature referenced in Section 16.1(m) and/or Section 16.1(q) of this Lease)
                         ---------------        ---------------
shall not have occurred and be continuing (as described in Section 16.10.2.3
                                                           -----------------
above) under this Lease and (b) Facility Defaults of the nature referenced in
Section 16.1(m) and/or Section 16.1(q) of this Lease shall not have occurred and
---------------        ---------------
be continuing (as described in Section 16.10.2.3 above) with respect to the
                               -----------------
Section 16.10.1 Number or more Leased Properties. Tenant may not exercise its
option for more than one Extended Term at a time. If Tenant exercises a renewal
option as aforesaid relative to a Renewal Group, Tenant may nevertheless revoke
such exercise, if and so long as the requirements of Section 19.5 below are
                                                     ------------
strictly complied with. For purposes of this Section 19.1, if an Event of
                                             ------------
Default shall occur under Section 16.1(m) or Section 16.1(q) of this Lease,
                          ---------------    ---------------
whether the same is, or is deemed to be, "continuing" shall be determined as
provided in Section 16.10 above.
            -------------

     Example 1: If (i) an Event of Default of the nature referenced in Section
     ---------                                                         -------
16.1(m) and/or Section 16.1(q) of this Lease has occurred and is continuing (as
-------        ---------------
described in Section 16.10.2.3 above) with respect to Leased Property X and no
             -----------------
other Leased Properties, (ii) Lessor has terminated this Lease as it applies to
Leased Property X or dispossessed Tenant from such Leased Property X, (iii) the
Section 16.10.1 Number applicable to this Lease exceeds 1 (so that the condition
referenced in Section 19.1(b) is met), and (iv) Tenant desires to renew this
              ---------------
Lease, pursuant to Section 19.1, with respect to a Renewal Group which does not
                   ------------
include Leased Property X, then Tenant would be entitled to renew this Lease
with respect to all of the Leased Properties in such Renewal Group. See the
following examples for examples

                                       80

<PAGE>

of Lessor's and Tenant's respective rights relative to renewal of the Renewal
Group that includes Lease Property X.

     Example 2: Same assumed facts as in Example 1, except assume that Lessor
     ---------                           ---------
has not terminated this Lease as it applies to Leased Property X, but Lessor has
dispossessed Tenant from Leased Property X, and that the Renewal Group that
Tenant desires to renew includes Leased Property X. Tenant would be entitled to
renew this Lease with respect to all of the Leased Properties in such Renewal
Group, but any such renewal would include renewal of Leased Property X. Section
                                                                        -------
19.1 does not create any right allowing Tenant to renew less than all of a
----
Renewal Group as to which this Lease remains in effect. As to Leased Property X,
Tenant has been dispossessed, not terminated, and therefore any renewal would
need to include Leased Property X.

     Example 3: Same assumed facts as in Example 2, except assume that Lessor
     ---------                           ---------
has terminated this Lease as it applies to Leased Property X. Tenant would be
entitled to renew this Lease with respect to all of the Leased Properties in the
Renewal Group that formerly included Leased Property X, without being obligated
to renew this Lease as to Leased Property X. Due to the termination of this
Lease as it applies to Leased Property X, the aforesaid Renewal Group no longer
includes Leased Property X, and Tenant is entitled to renew this Lease as to all
of the Renewal Group as to which this Lease remains in effect.

     Example 4: Same assumed facts as in Examples 1, 2, and 3, except that, in
     ---------                           ----------  -      -
each case, assume that the applicable Section 16.10.1 Number is 1. Tenant would
not be entitled to renew this Lease as to any Renewal Group included in this
Lease, as the condition referenced in Section 19.1(b) would not be met in each
                                      ---------------
of such Examples.

     Example 5: Same assumed facts as in Example 3, except assume that the
     ---------                           ---------
Section 16.10.1 Number applicable to this Lease is 2 and that a Section 16.1(m)
                                                                ---------------
Event of Default has occurred and is continuing with respect to Master Lease
Leased Property Y included in a Separate Lease as to which this Lease is a
Section 16.10.3 Lease and as to which Sections 16.10.3(a) and (b) are
                                      -------------------     ---
applicable. Tenant would not be entitled to renew this Lease as to any Renewal
Group included in this Lease. The aforesaid Section 16.1(m) Event of Default
                                            ---------------
under such Separate Lease relative to Master Lease Leased Property Y would count
as a Section 16.1(m) Event of Default under this Lease the same as if Master
     ---------------
Lease Leased Property Y was included in this Lease, and, after aggregating such
Section 16.1(m) Event of Default relative to Master Lease Leased Property Y with
---------------
the Section 16.1(m) Event of Default relative to Leased Property X, the
    ---------------
condition referenced in Section 19.1(b) would not be met.
                        ---------------

     Section 19.2 Renewal Terms. During each Extended Term, all of the terms and
                  -------------
conditions of this Lease shall continue in full force and effect, subject,
however, to the following provisions. In the first Extended Term, Base Rent,
Current Rent and Accrued Rent shall be calculated using the method applicable
during the last year of the Fixed Term. In the case of each Extended Term after
the first Extended Term, if the portion of Base Rent applicable to the
applicable Renewal Group (based upon the aggregate Transfer Property Percentages
for the Leased Properties in such Renewal Group) for the first year of any such
Extended Term is less than Fair Market Rental of such Renewal Group (as
determined in

                                       81

<PAGE>

accordance with this Section 19.2 and Section 19.3 hereof), then Base Rent and
                     ------------     ------------
Current Rent for such year for such Renewal Group shall each be an amount equal
to such Fair Market Rental. If Base Rent and Current Rent for such first year of
any such Extended Term for such Renewal Group are based upon Fair Market Rental
as determined pursuant to this Section 19.2 and Section 19.3 hereof, the Base
                               ------------     ------------
Rent and Current Rent in the remaining years of such Extended Term and any
subsequent Extended Terms for such Renewal Group (subject, however, to the
re-application of this Section to the first year and subsequent years of any
subsequent Extended Term) shall be escalated as is determined and required by
the terms of the Fair Market Rental determination for such Renewal Group.

     Section 19.3 Fair Market Rental Determination. At any time within thirty
                  --------------------------------
(30) days after receipt from Tenant of a notice of renewal under Section 19.1
                                                                 ------------
hereof (other than a notice of renewal for the first Extended Term), Lessor may,
by written notice to Tenant, request that Fair Market Rental of the applicable
Renewal Group, and Fair Market Rental of each Leased Property within such
Renewal Group, be determined by appraisal under the procedures of Article XXXV
                                                                  ------------
hereof and in such event such Fair Market Rentals shall be so determined in
accordance with the procedures of such Article XXXV. Lessor's failure to deliver
                                       ------------
such notice to Tenant within thirty (30) days after receiving Tenant's notice of
renewal shall preclude Lessor from any claim that Base Rent for the first year
of the Extended Term to which such notice of renewal relates for the applicable
Renewal Group is less than Fair Market Rental of such Renewal Group, and
thereafter Base Rent and Current Rent for such Renewal Group for such Extended
Term (but only for that particular Extended Term) shall be determined as set
forth in the definitions of "Base Rent" and "Current Rent" set forth in Section
                                                                        -------
2.1 hereof, without any application of Section 19.2. If Lessor has timely
---                                    ------------
delivered such notice to Tenant, and thereafter Fair Market Rental of the
applicable Renewal Group is determined under Article XXXV hereof, the
                                             ------------
determination of whether such appraised Fair Market Rental is higher than Base
Rent applicable to the applicable Renewal Group shall be made by Lessor, in its
sole and exclusive discretion, which determination shall be binding on Lessor
and Tenant and not subject to further review.

     Section 19.4 Extended Period New Lease. If Base Rent and Current Rent for a
                  -------------------------
Renewal Group for the first year of any Extended Term after the first Extended
Term are based upon Fair Market Rental as determined pursuant to Section 19.2
                                                                 ------------
and Section 19.3 hereof, then effective as of the first day of such Extended
    ------------
Term, such Renewal Group shall be transferred from this Lease to a New Lease
entered into pursuant to, and otherwise in compliance with, the terms and
conditions of Section 40.15 hereof and this Lease shall be amended as set forth
              -------------
in such Section 40.15. Such New Lease shall include therein an Exhibit C that
        -------------                                          ---------
allocates the aggregate Base Rent and Current Rent payable thereunder to the
individual Leased Properties covered by such New Lease, and assigns Transferred
Property Percentages to such Leased Properties, in a manner that is consistent
with the respective Fair Market Rentals of such Leased Properties as determined
pursuant to Section 19.2 and Section 19.3 hereof.
            ------------     ------------

     Section 19.5 Revocation of Renewal Option Exercise. In the event (a) Tenant
                  -------------------------------------
exercises a renewal option relative to a Renewal Group in accordance with
Section 19.1 above, (b) such renewal option relates to an Extended Term for such
------------
Renewal Group other than the

                                       82

<PAGE>

first Extended Term applicable to such Renewal Group, and (c) Lessor, in
accordance with Section 19.3 above, requests that Fair Market Rental of the
                ------------
applicable Renewal Group, and Fair Market Rental of each Leased Property within
such Renewal Group, be determined by appraisal under the procedures of Article
                                                                       -------
XXXV hereof, Tenant may revoke its aforesaid exercise, provided and on the
----
condition that, whether or not the Fair Market Rental determinations referenced
in subsection (c) above have been completed, Tenant must notify Lessor of its
revocation of its aforesaid exercise not less than one (1) year prior to the
termination of the then current Term applicable to such Renewal Group; provided,
                                                                       --------
however, if Tenant gives its written renewal notice to Lessor in accordance with
-------
Section 19.1 above on or before the date which is seventeen (17) months prior to
------------
the termination of the then current Term applicable to such Renewal Group, then
Tenant shall have until the earlier of (i) nine (9) months prior to the
termination of the then current Term applicable to such Renewal Group and (ii)
fifteen (15) days after the date upon which the Fair Market Rental
determinations referenced in subsection (c) above have been completed to notify
Lessor of its revocation. In the event Tenant so revokes its aforesaid exercise
relative to a Renewal Group, Tenant's remaining renewal option(s) relative to
such Renewal Group shall be deemed to have been irrevocably waived and
terminated.

                                   ARTICLE XX

     Section 20.1 Holding Over. If Tenant shall for any reason remain in
                  ------------
possession of any Leased Property after the expiration of the Term or earlier
termination of the Term (other than solely due to Lessor's failure, on or prior
to (a) the ninetieth (90th) day preceding the expiration of the Term as to such
Leased Property or (b) if this Lease is terminated prior to such expiration due
to Lessor's default, the earlier termination of the Term as to such Leased
Property, to have notified Tenant that Lessor has procured a Qualified Successor
for such Leased Property), such possession shall, at the option of Lessor in its
sole discretion as to each such Leased Property, be as a month-to-month tenant
during which time Tenant shall pay as rental each month (which rental
constitutes liquidated damages with respect to Rent, and not a penalty for the
period to which it relates), one and one-half times the aggregate of (i)
one-twelfth of the aggregate annual amounts of Current Rent and Accrued Rent
payable as of the end of the preceding Term and, in the case of a month-to-month
tenancy as to less than all of the Leased Properties, allocable to the Leased
Property(ies) in question in accordance with Section 16.9 hereof; (ii) all
                                             ------------
Additional Charges accruing during the month and (iii) all other sums, if any,
payable by Tenant pursuant to the provisions of this Lease with respect to the
Leased Property(ies) in question. During such period of month-to-month tenancy,
Tenant shall be obligated to perform and observe all of the terms, covenants and
conditions of this Lease with respect to the Leased Property(ies) in question,
but shall have no rights hereunder other than the right, to the extent given by
law to month-to-month tenancies to continue its occupancy and use of the
applicable Leased Property. Subject to Section 40.3, nothing contained herein
                                       ------------
shall constitute the consent, express or implied, of Lessor to the holding over
of Tenant after the expiration or earlier termination of this Lease.

                                       83

<PAGE>

                                  ARTICLE XXI

     Section 21.1 Subordination. This Lease and all rights of Tenant hereunder
                  -------------
are subject and subordinate to all Facility Mortgages and all Superior Leases
which may now or hereafter affect Lessor's interest in the applicable Leased
Property and any interest of any Superior Lessor (all such leases and mortgages,
collectively, the "Superior Mortgages"), and to all renewals, modifications,
                   ------------------
consolidations, replacements and extensions of the Superior Mortgages, provided,
                                                                       --------
however, that, in the case of any Superior Mortgages (other than the Existing
-------
Ground Leases), Tenant's aforesaid subordination shall be conditioned on
Tenant's receipt of a so-called "non-disturbance" agreement in favor of Tenant
from any such Superior Lessor (other than the Superior Lessors under the
Existing Ground Leases) or Superior Mortgagee (defined below) on such Superior
Lessor's or Superior Mortgagee's commercially reasonable standard form. This
Section shall be self-operative and no further instrument of subordination shall
be required. In confirmation of such subordination, Tenant agrees to execute and
deliver promptly any commercially reasonable form of instrument (in recordable
form, if requested) that Lessor, any Superior Lessor or the holder of any
Superior Mortgage (a "Superior Mortgagee") may request to evidence such
                      ------------------
subordination. Lessor shall use its reasonable efforts to obtain from each
currently existing Facility Mortgagee a so-called "non-disturbance" agreement in
favor of Tenant on such Facility Mortgagee's standard form.

     Section 21.2 Attornment. If the interests of Lessor under this Lease are
                  ----------
transferred by reason of, or assigned in lieu of, foreclosure or other
proceedings for enforcement of any such Superior Mortgage, or if any Superior
Lease shall be terminated then Tenant shall, at the option of such purchaser,
assignee or any Superior Lessor, as the case may be, (x) attorn to such party
and perform for its benefit all the terms, covenants and conditions of this
Lease on Tenant's part to be performed with the same force and effect as if such
party were the landlord originally named in this Lease, or (y) enter into a New
Lease with such party, as landlord, pursuant to Section 40.15 hereof for the
                                                -------------
remaining Term and otherwise on the same terms and conditions of this Lease
except that such successor landlord shall not be (i) liable for any previous
act, omission or negligence of Lessor under this Lease; (ii) subject to any
counterclaim, defense or offset which theretofore shall have accrued to Tenant
against Lessor; (iii) bound by any previous modification or amendment of this
Lease or by any previous prepayment of more than one month's rent, unless such
modification, amendment or prepayment shall have been approved in writing by the
Superior Lessor or the Superior Mortgagee through or by reason of which such
successor landlord shall have succeeded to the rights of Lessor under this Lease
or, in case of any such prepayment, such prepayment of rent has actually been
delivered to such successor landlord; or (iv) liable for any security deposited
pursuant to this Lease unless such security has actually been delivered to such
successor landlord. Nothing contained in this Section shall be construed to
impair any right otherwise exercisable by any such owner, holder or lessee.

     Section 21.3 Mortgagee Cure Rights. If any act or omission by Lessor would
                  ---------------------
give Tenant the right, immediately or after lapse of time, to cancel or
terminate this Lease or to claim a partial or total eviction, or abatement of
rent, setoff or counterclaim not otherwise expressly permitted by the terms of
this Lease, Tenant will not exercise any such right until (i) it has given
written notice of such act or omission to each Superior Mortgagee whose name and

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<PAGE>

address shall have previously been furnished to Tenant, by delivering notice of
such act or omission addressed to each such party at its last address so
furnished, (ii) Lessor shall have failed to cure the same within the time limits
set forth in this Lease, and (iii) following the giving of such notice, no
Superior Mortgagee and no Superior Lessor shall have remedied such act or
omission (x) in the case of an act or omission which is capable of being
remedied without possession of this Leased Property, within the cure period
available to Lessor under this Lease plus sixty (60) days and (y) in the case of
any act or omission which is incapable of being remedied without possession of
the applicable Leased Property, within sixty (60) days following the date on
which possession is obtained (either by such Superior Mortgagee or Superior
Lessor or by a receiver in an action commenced by such Superior Mortgagee or
Superior Lessor), provided a Superior Mortgagee or Superior Lessor has promptly
                  --------
commenced action to obtain possession and shall diligently pursue such action to
completion and provided further that such Superior Mortgagee or Superior Lessor
shall, with reasonable diligence, give Tenant notice of its intention to, and
commence and continue to, remedy such act or omission or cause the same to be
remedied.

     Section 21.4 Modifications. Tenant shall execute any modification of this
                  -------------
Lease requested by any Superior Mortgagee or prospective Superior Mortgagee to
cause the terms of this Lease to conform with customary and reasonable mortgage
financing requirements, provided that such modifications (i) do not materially
adversely increase the obligations of Tenant hereunder or materially diminish
Tenant's rights under this Lease or materially impair the right of a Leasehold
Mortgagee, (ii) do not increase Rent payable hereunder, and (iii) are requested
by any such Superior Mortgagee or prospective Superior Mortgagee only at the
time of its initial loan advance or any subsequent extension of the maturity
date of its loan or material modification of the terms of its loan. Tenant will
not unreasonably withhold, delay or condition its consent to such modification,
provided subsections (i), (ii) and (iii) above are complied with.

     Section 21.5 Existing Ground Leases.
                  ----------------------

          Section 21.5.1 Tenant shall, at its own cost and expense, fully
observe, perform and comply with all of the obligations of Lessor, as lessee,
under all Existing Ground Leases, if any, including, without limitation, all
obligations relating to use of the Leased Properties, payment of ground rents,
taxes, assessments and utility charges, maintenance and alterations of the
Leased Properties and assignment and subletting. Tenant shall not cause, or
permit its respective agents, employees, contractors, invitees, subtenants,
licensees, concessionaires or assigns (whether or not permitted hereunder) to
cause, whether by act or omission, any breach of, default under or termination
of any Existing Ground Lease. Notwithstanding anything to the contrary contained
in Section 16.1 or elsewhere in this Lease, an Event of Default shall be deemed
   ------------
to have occurred under this Lease on account of Tenant's breach of this Section
                                                                        -------
21.5.1, when, and only if, (i) Tenant's breach of this Section 21.5.1 also
------                                                 --------------
results in a breach or default of an obligation under an Existing Ground Lease
and (ii) such Existing Ground Lease breach or default is not cured by Tenant on
or prior to the expiration of the cure period, if any, applicable to such breach
or default by the terms of such Existing Ground Lease (or such longer cure
period as may be expressly authorized by an order of a court of competent
jurisdiction), and (iii) if the Existing Ground Lease breach or default

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<PAGE>

referenced in subsection (i) above is a non-monetary, non-material breach or
default of the Existing Ground Lease, on account of such Existing Ground Lease
breach or default, such Existing Ground Lease is at material risk of being
terminated or has been terminated. Lessor agrees that, in the event Lessor
receives any written notice of default from the ground lessor under any Existing
Ground Lease, Lessor shall promptly forward a copy thereof to Tenant, and, in
the event Lessor's Management Group obtains actual knowledge (as opposed to, and
not including, constructive, imputed, assumed or other knowledge, and without
any obligation to investigate or otherwise make inquiry) of any breach or
default by the ground lessee under any Existing Ground Lease, then, unless
Lessor's Management Group has the aforesaid actual knowledge that Tenant already
has knowledge of such breach or default, Lessor shall promptly notify Tenant in
writing of such breach or default. Lessor further agrees that Lessor shall
timely exercise any options to renew or extend contained in the Existing Ground
Leases, as and to the extent necessary from time to time so that each Existing
Ground Lease shall not expire prior to the expiration or termination of this
Lease as it applies to the Leased Property affected by such Existing Ground
Lease (including any Extended Terms applicable to such Leased Property). Tenant
agrees that, if Lessor, at its option, elects to cure an Event of Default under
this Section 21.5.1, such cure shall not excuse Tenant from, or be deemed a cure
     --------------
of, such Event of Default, nor shall Tenant's reimbursement to Lessor of any
costs and expenses incurred by Lessor in affecting any such cure be deemed a
cure of any such Event of Default, provided, however, that, notwithstanding the
                                   --------  -------
foregoing, even after the occurrence of such an Event of Default by Tenant
and/or Lessor's cure thereof, Lessor agrees to accept Tenant's cure thereof, or
reimbursement of Lessor's costs and expenses to effect such cure, provided, and
on the condition, that Lessor has not, prior thereto, terminated this Lease as
it affects the Leased Property to which such Existing Ground Lease relates or
dispossessed Tenant from such Leased Property. Nothing contained in this Section
                                                                         -------
21.5 shall limit or impair Lessor's indemnification rights under Section 24.1
----                                                             ------------
below.
-----

          Section 21.5.2 If (a) an Existing Ground Lease breach or default of
the nature described in Section 21.5.1(i) above occurs, and (b) in the case of a
                        -----------------
non-monetary, non-material Existing Ground Lease breach or default, on account
thereof, if the same is not cured, the condition referenced in Section
                                                               -------
21.5.1(iii) above would, or is likely to, be satisfied, Tenant agrees that,
-----------
notwithstanding anything to the contrary contained in Section 17.1 above or
                                                      ------------
elsewhere in this Lease, Lessor may, but shall not be obligated to, in its
discretion and regardless of whether Tenant is proceeding to cure, or attempting
to cure, the Existing Ground Lease breach or default referenced in Section
                                                                   -------
21.5.1(i) above or whether the cure period referenced in Section 21.5.1(ii)
---------                                                ------------------
above has expired or is likely to expire before completion of necessary cure
efforts, take such actions as it deems necessary or appropriate to attempt to
cure such Existing Ground Lease breach or default, provided, however, that, if
                                                   --------  -------
the breach or default referenced in subsection (a) above has applicable thereto,
by the express terms of the applicable Existing Ground Lease, a stated period to
cure the same, Lessor agrees not to commence to cure such breach or default
unless and until one-half (1/2) of the aforesaid stated cure period has elapsed.
If Lessor so proceeds to attempt to cure any such Existing Ground Lease breach
or default, Tenant agrees, within fifteen (15) days following receipt of a
written demand therefor and reasonable supporting documentation, to reimburse
Lessor for the reasonable amount of all costs and expenses incurred by Lessor in
curing, or attempting to cure, any such Existing Ground Lease breach or default.

                                       86

<PAGE>

                                  ARTICLE XXII

     Section 22.1 Notice to Lessor. If Tenant shall mortgage Tenant's interest
                  ----------------
in one or more Leased Properties to a Lending Institution in accordance with the
terms of this Lease, and if the holder of the Leasehold Mortgage shall provide
Lessor with a true copy of the Leasehold Mortgage and the name and address of
the Leasehold Mortgagee (as hereinafter defined) and Lessor shall approve the
Leasehold Mortgage, Lessor and Tenant agree that the provisions of this Section
shall apply in respect to such Leasehold Mortgage. Lessor has heretofore
approved the Leasehold Mortgages dated April 20, 2001 securing the Tenant Senior
Secured Notes and the Exit Financing, provided that such approval shall not
constitute an agreement by Lessor to be bound by the terms of any such Leasehold
Mortgage. In the event of any assignment of a Leasehold Mortgage or in the event
of a change of address of a Leasehold Mortgagee or of an assignee of a Leasehold
Mortgage, notice of the new name and address shall be provided to Lessor and any
Facility Mortgagee(s) (provided that Lessor has notified Tenant (and any
Leasehold Mortgagee(s) of which Lessor has been provided the name(s) and
address(es)) of the name(s) and address(es) of any such Facility Mortgagee(s)).

     Section 22.2 Definitions.
                  -----------

          (a) The term "Leasehold Mortgage" as used in this Section shall
include a mortgage, a deed of trust, a deed to secure debt, or other security
instrument by which Tenant's leasehold estate is mortgaged or otherwise
transferred, to secure a debt. "Leasehold Mortgage" shall be deemed to refer to
all of the Leasehold Mortgages delivered to secure a debt.


          (b) The term "Leasehold Mortgagee" as used in this Section shall refer
to any and all holders of a Leasehold Mortgage approved by Lessor pursuant to
the terms hereof. Lessor hereby approves of JP Morgan Chase Bank (formerly The
Chase Manhattan Bank, successor-by-merger to Morgan Guaranty Trust Company of
New York), as collateral agent, as the initial Leasehold Mortgagee, and any
agent for any credit facilities secured by Tenant's leasehold interest hereunder
that are entered into by Tenant as part of the Bankruptcy Plan.

     Section 22.3 Consent of Leasehold Mortgagee Required. No cancellation or
                  ---------------------------------------
surrender (other than a termination following the occurrence of an Event of
Default) and no amendment to or modification of, this Lease shall be effective
as to the Leasehold Mortgagee without the prior written consent of such
Leasehold Mortgagee, unless an amendment or modification is not reasonably
likely to result in a material adverse effect on the rights of the Leasehold
Mortgagee, the lien of the Leasehold Mortgages, or the value of the leasehold
interest demised hereunder.

     Section 22.4 Default Notice. Lessor, upon providing Tenant any notice of:
                  --------------
(a) default under this Lease or (b) a termination of this Lease, in whole or in
part, shall at the same time provide a copy of such notice to the Leasehold
Mortgagee. From and after the time such notice has been given to a Leasehold
Mortgagee, the Leasehold Mortgagee shall have the same period, after the giving
of such notice upon it, for remedying any default or acts or omissions which are
the subject matter of such notice or causing the same to be remedied, as is

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<PAGE>

given Tenant after the giving of such notice to Tenant, plus (i) except if
subsection (ii) below is applicable, thirty (30) days to remedy, commence to
remedy or cause to be remedied the defaults or acts or omissions which are the
subject matter of such notice specified in any such notice, provided that such
defaults are capable of being cured by the Leasehold Mortgagee or on behalf of
the Leasehold Mortgagee, or (ii) fifteen (15) days to remedy any Rent defaults
which are the subject matter of such notice specified in any such notice. Lessor
shall accept such performance by or at the instigation of the Leasehold
Mortgagee as if the same had been done by Tenant. Tenant authorizes each
Leasehold Mortgagee to take any such action at the Leasehold Mortgagee's option
and does hereby authorize entry upon the Leased Properties by the Leasehold
Mortgagee for such purpose. If Leasehold Mortgagee has failed to cure Tenant's
default within the above-mentioned time period, Lessor may exercise its rights
and remedies specified in Sections 16.2, 16.3 and 17.1.
                          -------------  ----     ----

     Section 22.5 Procedure for Foreclosure on Default.
                  ------------------------------------

          (a) If the Leasehold Mortgagee has commenced taking steps to acquire
or sell Tenant's interest in this Lease by foreclosure of the Leasehold Mortgage
or other appropriate means, the Leasehold Mortgagee shall provide notice of the
same to Lessor and any Facility Mortgagee(s) and shall prosecute the same to
completion with due diligence.

          (b) Following Lessor's receipt of such notice and so long as the
Leasehold Mortgagee continues to prosecute to completion with due diligence such
foreclosure or other means of acquiring or selling Tenant's interest in this
Lease, and provided that the Leasehold Mortgagee complies with its obligations
under subsection (c) below, this Lease shall not then terminate, and the time
for completion by such Leasehold Mortgagee of its proceedings shall continue so
long as such Leasehold Mortgagee is enjoined or stayed and thereafter for so
long as such Leasehold Mortgagee proceeds to complete steps to acquire or sell
Tenant's interest in this Lease by foreclosure of the Leasehold Mortgage or by
other appropriate means with reasonable diligence and continuity. Nothing in
this Section 22.5, however, shall be construed to extend this Lease beyond the
     ------------
original term thereof, as extended by any options to extend the term of this
Lease properly exercised by Tenant or a Leasehold Mortgagee in accordance with
Article XIX, nor to require a Leasehold Mortgagee to continue such foreclosure
-----------
proceedings after the default by Tenant has been cured. If the default by Tenant
shall be cured and the Leasehold Mortgagee shall discontinue such foreclosure
proceedings, this Lease shall continue in full force and effect as if Tenant had
not defaulted under the Lease.

          (c) In addition, during such period, the Leasehold Mortgagee shall pay
or cause to be paid the rent, additional rent and other monetary obligations of
Tenant under this Lease as the same become due, and continue its good faith
efforts to perform, or cause to be performed, all of Tenant's other obligations
under this Lease.

     Section 22.6 Assignment or Transfer in Lieu of Foreclosure.
                  ---------------------------------------------

          (a) For the purposes of this Section 22.6, the making of a Leasehold
                                       ------------
Mortgage shall not be deemed to constitute an assignment or transfer of this
Lease or of the leasehold estate hereby created, nor shall any Leasehold
Mortgagee, as such, be deemed to be

                                       88

<PAGE>

an assignee or transferee of this Lease or of the leasehold estate hereby
created so as to require the Leasehold Mortgagee, as such, to assume the
performance of any of the terms, covenants or conditions on the part of Tenant
to be performed hereunder, but the purchaser at any sale of this Lease and of
the leasehold estate hereby created in any proceedings for the foreclosure of
any Leasehold Mortgage, or the assignee or transferee of this Lease and of the
leasehold estate hereby created under any instrument of assignment or transfer
in lieu of the foreclosure of any Leasehold Mortgage, shall be deemed to be an
assignee or transferee within the meaning of this Section 22.6, and shall be
                                                  ------------
deemed to have agreed to perform all of the terms, covenants and conditions on
the part of Tenant to be performed hereunder from and after the date of such
purchase and assignment.

          (b) Prior to any such purchase or assignment pursuant to a foreclosure
or similar proceeding, or any transaction in lieu thereof, the Leasehold
Mortgagee shall notify Lessor of the proposed transferee and obtain Lessor's
written consent to such purchase or assignment. Subject to any state or other
governmental requirements, Lessor shall not unreasonably withhold, condition or
delay its consent to any sale or assignment, provided that (a) the purchaser or
assignee (1) shall be a creditworthy entity with sufficient financial stability
to satisfy its financial obligations under the Lease, (2) shall have not less
than four years experience in operating health care facilities for the purpose
of the applicable Facility's Primary Intended Use, (3) has a favorable business
and operational reputation and character and (4) shall assume in writing and
agree to keep and perform all of the terms of this Lease on the part of Tenant
to be performed hereunder from and after the date of such purchase and
assignment and (b) an original counterpart of each such purchase and sale
agreement or instrument of assignment or transfer in lieu of foreclosure of any
Leasehold Mortgage, duly executed by Tenant and such purchaser or assignee, as
the case may be, in the form and substance satisfactory to Lessor, shall be
delivered promptly to Lessor. Lessor's obligation to consent to a sale or
assignment is subject to any reasonable approval rights of any Facility
Mortgagee.

          (c) (i) In the event of any dispute between Lessor and any Leasehold
Mortgagee or Tenant regarding whether Lessor has unreasonably withheld,
conditioned or delayed its consent to any sale or assignment in violation of
Section 22.6(b) or whether the other requirements of Section 22.6(b) have been
---------------                                      ---------------
satisfied (the questions of whether Lessor has so violated Section 22.6(b)
                                                           ---------------
and/or whether the aforesaid other requirements of Section 22.6(b) have been
                                                   ---------------
satisfied are herein referred to collectively as the "Arbitration Question"), as
                                                      --------------------
their sole remedy on account of any such dispute, Lessor may initiate an
arbitration under this Section 22.6(c) by written notice to Tenant and such
                       ---------------
Leasehold Mortgagee, or such Leasehold Mortgagee or Tenant may initiate an
arbitration under this Section 22.6(c) by written notice to Lessor, in each case
                       ---------------
to decide the Arbitration Question.

          (ii) In such event, within ten (10) days following the issuance of any
such arbitration initiation notice, each of Lessor and such Leasehold Mortgagee
(for itself and Tenant) shall appoint a Qualified Arbitrator (as defined below),
and, within seven (7) days following the appointment of such two (2) Qualified
Arbitrators, such two (2) Qualified Arbitrators shall appoint a third Qualified
Arbitrator. If either Lessor or such Leasehold Mortgagee (for itself and Tenant)
shall fail to appoint a Qualified Arbitrator within the

                                       89

<PAGE>

aforesaid ten (10) day period, the Qualified Arbitrator appointed by the other
shall alone proceed to determine the Arbitration Question. If the two (2)
Qualified Arbitrators appointed by Lessor and such Leasehold Mortgagee (for
itself and Tenant) are unable to agree within the aforesaid seven (7) day period
upon a third Qualified Arbitrator, then either Lessor or such Leasehold
Mortgagee (for itself and Tenant), upon written notice to the other, may apply
for such appointment to the American Arbitration Association in New York City
(or any organization successor thereto) in accordance with the rules then
prevailing of the American Arbitration Association (or such successor
organization) and, if the American Arbitration Association (or such successor
organization) shall fail to appoint said third Qualified Arbitrator within
fifteen (15) days after such request is made, then either Lessor or such
Leasehold Mortgagee (for itself and Tenant) may apply, on notice to the other to
the Supreme Court, New York County (or any other court in New York City having
jurisdiction) for the appointment of such third Qualified Arbitrator.

          (iii) The three (3) Qualified Arbitrators that are so appointed (or
the single Qualified Arbitrator appointed by Lessor or such Leasehold Mortgagee
(for itself and Tenant) in the limited circumstance referenced above) shall
decide the Arbitration Question within fifteen (15) days following their or his
appointment.

          (iv) Each of Lessor and such Leasehold Mortgagee (for itself and
Tenant) shall be entitled to present evidence and arguments to the
arbitrator(s). If either Lessor or such Leasehold Mortgagee (for itself and
Tenant) submits one or more affidavits as part of its submission, the submitting
party agrees, if requested by the other party, to produce such affiants for
cross-examination under oath on the record at the hearings before the
arbitrator(s). There shall be no pre-hearing discovery of any sort, unless
specifically ordered by the arbitrator(s) upon a finding that such discovery is
essential to the decision-making process. The parties to the arbitration shall
conduct the arbitration in a cooperative spirit, in good faith, and in a manner
designed to achieve expedition and economy.

          (v) The determination of the Arbitration Question by the three (3)
Qualified Arbitrator(s) (or the single Qualified Arbitrator acting alone as
above provided) shall be conclusive upon Lessor, such Leasehold Mortgagee and
Tenant and a final, unappealable judgment rendered by such arbitrator(s)
relative to the Arbitration Question may be entered in any court having
appropriate jurisdiction. The arbitrator or arbitrators, as the case may be,
shall be required to give written notice to Lessor, such Leasehold Mortgagee and
Tenant stating his or their determination relative to the Arbitration Question,
and shall furnish to each of Lessor, such Leasehold Mortgagee and Tenant a
signed copy of such determination.

          (vi) Each of Lessor and such Leasehold Mortgagee (for itself and
Tenant) shall pay its own counsel fees and the witness fees and similar expenses
of preparing for its presentation of evidence and arguments at the arbitration
hearing(s) and of making such presentation. Lessor and such Leasehold Mortgagee
(for itself and Tenant) shall equally share any fees payable to the
arbitrator(s), provided, however, that the three (3) Qualified Arbitrators (or
               --------  -------
the single Qualified Arbitrator acting alone as above provided) shall have the
authority to award costs to the prevailing party in the arbitration if such
arbitrator(s) finds that the non-prevailing party acted in bad faith in
connection with any arbitration hereunder.

                                       90

<PAGE>

          (vii) As used in this subsection (c), the term "Qualified Arbitrator"
means a person or entity that is neither an Affiliate of Lessor, such Leasehold
Mortgagee or Tenant nor interested in any financial manner in the outcome of the
Arbitration Question or in Lessor, Tenant or any Leasehold Mortgagee and has at
least ten (10) years experience as an owner or operator of nursing centers or
hospitals or as a senior executive officer and/or director of the American
Health Care Association and/or the Federation of American Health Systems or any
successor organizations thereto or as a senior executive officer of a publicly
traded healthcare real estate investment trust.

     Section 22.7 Separate Lease. In the event of any termination of this Lease,
                  --------------
in whole or in part, Lessor agrees to enter into a new lease ("Separate Lease")
                                                               --------------
of the Leased Property(ies) in question with the Leasehold Mortgagee or its
designee for the remainder of the term of this Lease, effective as of the date
of termination, at the rent and additional rent, and upon the terms, covenants
and conditions (including all options to renew but excluding requirements which
are not applicable or which have already been fulfilled) identical to this
Lease, provided:

          (a) The Leasehold Mortgagee shall make written request upon Lessor for
such Separate Lease within sixty (60) days after the date the Leasehold
Mortgagee receives Lessor's notice of termination of this Lease given pursuant
to Section 22.4.
   ------------

          (b) At the time of the execution and delivery of such Separate Lease,
the Leasehold Mortgagee or its designee shall pay or cause to be paid to Lessor
any and all sums which would at the time of execution and delivery thereof be
due pursuant to this Lease but for such termination and, in addition thereto,
all reasonable expenses, including reasonable attorneys' fees, which Lessor
shall have incurred by reason of such termination and the execution and delivery
of the Separate Lease and which have not otherwise been received by Lessor from
Tenant or other party in interest under Tenant. Upon the execution of such
Separate Lease, Lessor shall allow to the tenant named therein as an offset
against the sums otherwise due under this Section 22.7(b) or under the Separate
                                          ---------------
Lease, an amount equal to the net income derived by Lessor from the Leased
Properties during the period from the date of termination of this Lease to the
date of the beginning of the lease term of such Separate Lease. In the event of
a controversy as to the amount to be paid to Lessor pursuant to this Section
                                                                     -------
22.7(b), the payment obligation shall be satisfied if Lessor shall be paid the
-------
amount not in controversy, and the Leasehold Mortgagee or its designee shall
agree to pay any additional sum ultimately determined to be due plus interest at
the Overdue Rate and such obligation shall be adequately secured.

          (c) Such Separate Lease shall be deemed to be a New Lease and the
provisions of Section 40.15 shall apply.
              -------------

          (d) The Leasehold Mortgagee or its designee shall agree to remedy any
of Tenant's defaults of which said Leasehold Mortgagee was notified by Lessor's
notice of termination given pursuant to Section 22.4 and which are reasonably
                                        ------------
susceptible of being so cured by Leasehold Mortgagee or its designee.

                                       91

<PAGE>

          (e) The tenant under such Separate Lease shall have the same right,
title and interest in and to the Leased Properties to which such Separate Lease
relates and the buildings and improvements thereon as Tenant had under this
Lease.

          (f) The tenant under any such Separate Lease shall be liable to
perform the obligations imposed on Tenant by such Separate Lease only during the
period such tenant under such Separate Lease has ownership of such leasehold
estate.

          (g) Notwithstanding anything to the contrary contained in this Section
                                                                         -------
22.7, in connection with obtaining a New Lease with respect to a particular
----
Leased Property as provided herein and in Section 40.15, (i) if, prior to the
                                          -------------
effective date of any such New Lease, Lessor has exercised its right to collect
amounts from Tenant with respect to such Leased Property pursuant to Section
                                                                     -------
16.3(A)(ii) hereof, in order to cure existing monetary defaults relative to such
-----------
Leased Property, Leasehold Mortgagee or its designee shall not be obligated to
pay to Lessor any amount on account of the net present value of any Rent
allocable to such Leased Property for the period from and after the effective
date of such New Lease, but instead shall pay such Rent for such period at the
time and in the manner set forth in such New Lease and consistent with Article
                                                                       -------
III hereof; (ii) Leasehold Mortgagee or its designee shall not be required to
---
cure any non-monetary defaults by Tenant that are not reasonably susceptible of
being cured by Leasehold Mortgagee or its designee; and (iii) notwithstanding
clause (iv) of the definition of "Refinancing Transaction," although Leasehold
Mortgagee or its designee shall be obligated to assume Tenant's liability for
all Unpaid Accrued Rent allocable to the applicable Leased Property as part of
such New Lease, such Unpaid Accrued Rent, including any Unpaid Accrued Rent
accruing after the effective date of such New Lease, shall not be due and
payable until a Refinancing Transaction occurs under clause (i), (ii) or (iii)
of the definition of "Refinancing Transaction."

     Section 22.8 Separate Lease Properties. If more than one Leasehold
                  -------------------------
Mortgagee shall request a Separate Lease pursuant to Section 22.7(a) as to the
                                                     ---------------
same Leased Property(ies), Lessor shall enter into such Separate Lease with the
Leasehold Mortgagee whose mortgage is prior in lien, or with the designee of the
Leasehold Mortgagee. Lessor, without liability to Tenant or any Leasehold
Mortgagee with an adverse claim, may rely upon a mortgagee title insurance
policy or policies issued by a responsible title insurance company as the basis
for determining the appropriate Leasehold Mortgagee who is entitled to such
Separate Lease.

     Section 22.9 Legal Proceedings. Lessor shall give each Leasehold Mortgagee
                  -----------------
prompt notice of any legal proceedings between Lessor and Tenant involving
obligations under this Lease. Each Leasehold Mortgagee shall have the right to
intervene in any such proceedings and be made a party to such proceedings, and
the parties hereto do hereby consent to such intervention. In the event that any
Leasehold Mortgagee shall not elect to intervene or become a party to any such
proceedings, Lessor shall give the Leasehold Mortgagee notice of, and a copy of
any decision made in, any such proceedings, which shall be binding on all
Leasehold Mortgagees not intervening after receipt of notice of such
proceedings.

     Section 22.10 Future Amendments. In the event on any occasions hereafter
                   -----------------
Tenant seeks to mortgage the leasehold estate created hereby, Lessor agrees to
amend this Lease from

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<PAGE>

time to time to the extent reasonably requested by a Lending Institution
proposing to make Tenant a loan secured by a first lien upon Tenant's leasehold
estate, provided that such proposed amendments do not adversely affect the
rights of Lessor or its interest in the Leased Properties. All reasonable
expenses incurred by Lessor in connection with any such amendment shall be paid
by Tenant.

     Section 22.11 Estoppel Certificate. Lessor and Tenant shall, without
                   --------------------
charge, at any time and from time to time hereafter, within ten (10) days after
written request of the other party to do so, certify by written instrument duly
executed and acknowledged to any mortgagee or purchaser, or proposed Leasehold
Mortgagee or Superior Mortgagee or proposed purchaser, or any other person, firm
or corporation specified in such request: (a) as to whether this Lease has been
supplemented or amended, and if so, the substance and manner of such supplement
or amendment; (b) as to the validity and force and effect of this Lease; (c) as
to the existence of any Event of Default hereunder; (d) as to the existence of
any offsets, counterclaims or defenses hereto on the part of either party; (e)
as to the commencement and expiration dates of the Term of this Lease; and (f)
as to any other matters as may be reasonably so requested. Any such certificate
may be relied upon by the other party and any other person, firm or corporation
to whom the same may be exhibited or delivered, and the contents of such
certificate shall be binding on the party so certifying.

     Section 22.12 Notices. Notices from Lessor to the Leasehold Mortgagee shall
                   -------
be mailed to the address furnished Lessor pursuant to Section 22.1 and those
                                                      ------------
from the Leasehold Mortgagee to Lessor shall be mailed to the address designated
pursuant to the provisions of Section 34.1 hereof. Such notices, demands and
                              ------------
requests shall be given in the manner described in Section 34.1 and shall in all
                                                   ------------
respects be governed by the provisions of that section.

     Section 22.13 Erroneous Payments. No payment made to Lessor by a Leasehold
                   ------------------
Mortgagee shall constitute agreement that such payment was, in fact, due under
the terms of this Lease; and a Leasehold Mortgagee having made any payment to
Lessor pursuant to Lessor's wrongful, improper or mistaken notice or demand
shall be entitled to the return of any such payment or portion thereof provided
such Leasehold Mortgagee shall have made demand therefor not later than one year
after the date of its payment.

     Section 22.14 Exercise by Leasehold Mortgagee of Remedies Against One or
                   ----------------------------------------------------------
More Leased Properties. Lessor acknowledges that each of the Leased Properties
----------------------
is covered, and may in the future be covered, by a separate Leasehold Mortgage
and that, due to the fact that the applicable law of each jurisdiction differs
as to the procedures (including, without limitation, the periods for notices of
sale to be published) for the exercise by a Leasehold Mortgagee of remedies
under a Leasehold Mortgage and that certain of the Leasehold Mortgages may be of
Leased Properties located in jurisdictions that are subject to anti-deficiency
judgment, election of remedies and/or one-form-of-action statutes making it
advisable for a Leasehold Mortgagee to exercise remedies with respect to such
Leased Properties in a certain order, the Leasehold Mortgagee may be required
under applicable law to, or due to applicable remedial limitations including
those described above, may reasonably elect to exercise remedies against less
than all of the Leased Properties at a particular time

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<PAGE>

and/or may elect, or may be required by applicable law, to exercise remedies
against the Leased Properties in a particular order. Therefore, Lessor agrees
that its obligations under this Article XXII are applicable to each Leased
                                ------------
Property. For example, Lessor may be asked to enter into a Separate Lease with
respect to less than all of the Leased Properties pursuant to Section 22.7
                                                              ------------
and/or Lessor may be asked to approve a proposed transferee of a particular
Leased Property pursuant to Section 22.6(b).
                            ---------------

                                 ARTICLE XXIII

     Section 23.1 Risk of Loss. During the Term of this Lease, the risk of loss
                  ------------
or of decrease in the enjoyment and beneficial use of each Leased Property in
consequence of the damage or destruction thereof by fire, the elements,
casualties, thefts, riots, wars or otherwise, or in consequence of foreclosures,
attachments, levies or executions (other than by Lessor and those claiming from,
through or under Lessor) is assumed by Tenant, and, in the absence of gross
negligence, willful misconduct or breach of this Lease by Lessor pursuant to
Section 38.3, Lessor shall in no event be answerable or accountable therefor nor
------------
shall any of the events mentioned in this Section entitle Tenant to any
abatement of Rent.

                                  ARTICLE XXIV

     Section 24.1 Indemnification. Notwithstanding the existence of any
                  ---------------
insurance provided for in Article XIII, and without regard to the policy limits
                          ------------
of any such insurance, Tenant will protect, indemnify, save harmless and defend
Lessor from and against all liabilities, obligations, claims, damages,
penalties, causes of action, costs and reasonable expenses (including, without
limitation, Litigation Costs), to the maximum extent permitted by law, imposed
upon or incurred by or asserted against Lessor by reason of: (a) any accident,
injury to or death of persons or loss of or damage to property occurring on or
about any Leased Property or adjoining sidewalks, including without limitation
any claims of malpractice, (b) any use, misuse, non-use, condition, maintenance
or repair by Tenant or anyone claiming under Tenant, including agents,
contractors, invitees or visitors of any Leased Property or Tenant's Personal
Property, (c) any Impositions (which are the obligations of Tenant to pay
pursuant to the applicable provisions of this Lease), (d) any failure on the
part of Tenant or anyone claiming under Tenant to perform or comply with any of
the terms of this Lease, (e) subject to Section 7.3.2 hereof, any failure by
                                        -------------
Tenant to observe, perform and comply with the terms of any Existing Ground
Lease or other Permitted Encumbrance applicable to or binding upon Lessor or any
of the Leased Properties or any breach of, default under or termination of any
such Existing Ground Lease or other Permitted Encumbrance caused, whether by act
or omission, by Tenant or its agents, employees, contractors, invitees,
subtenants, licensees, concessionaires or assigns (whether or not permitted
hereunder), and (f) the non-performance of any of the terms and provisions of
any and all existing and future subleases of any Leased Property to be performed
by the subtenant thereunder. Any amounts which become payable by Tenant under
this Section shall be paid within ten (10) days after liability therefor on the
part of Tenant is determined by litigation or otherwise, and if not timely paid,
shall bear interest (to the extent permitted by law) at the Overdue Rate from
the date of such determination to the date of payment. Tenant, at its expense,
shall contest, resist and defend any such claim, action or proceeding asserted
or instituted against Lessor or,

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<PAGE>

subject to clauses (A) and (B) below, may compromise or otherwise dispose of the
same as Tenant sees fit. Nothing herein shall be construed as indemnifying
Lessor against its own negligent acts or omissions or willful misconduct. If at
any time Lessor shall have notice of a claim, Lessor shall give reasonably
prompt written notice of such claim to Tenant; provided that (i) Lessor shall
                                               -------------
have no liability for a failure to give notice of any claim of which Tenant has
otherwise been notified or has knowledge and (ii) the failure of Lessor to give
such a notice to Tenant shall not limit the rights of Lessor or the obligations
of Tenant with respect to such claim except to the extent that Tenant incurs
actual expenses or suffers actual monetary loss as a result of such failure.
Tenant shall have the right to control the defense or settlement of any claim,
provided that (A) Tenant shall first confirm in writing to Lessor that such
claim is within the scope of this indemnity and that Tenant shall pay any and
all amounts required to be paid in respect of such claim and (B) if the
compromise or settlement of any such claim shall not result in the complete
release of Lessor from the claim so compromised or settled, the compromise or
settlement shall require the prior written approval of Lessor. Lessor shall have
the right to approve counsel engaged to defend such claim and, at its election
and sole cost and expense, shall have the right, but not the obligation, to
participate in the defense of any claim.

     Lessor shall indemnify, save harmless and defend Tenant from and against
all liabilities, obligations, claims, damages, penalties, causes of action,
costs and expenses imposed upon or incurred by or asserted against Tenant as a
result of the gross negligence or willful misconduct of Lessor under and in
connection with this Lease.

     Tenant's and Lessor's respective duties, liabilities and obligations under
this Article shall survive the expiration or termination of this Lease as to any
or all of the Leased Properties. For example, if (x) John Doe is injured in a
slip-and-fall accident that occurs at Leased Property A on January 1, 2002 and
of which Lessor has no notice or knowledge, (y) this Lease terminates for any
reason on March 1, 2002 with respect to Leased Property A, and (z) on July 1,
2002, John Doe begins a lawsuit against Lessor on account of the aforesaid
accident, then, notwithstanding such termination, Tenant's indemnification and
other obligations with respect to such accident and lawsuit under subsection (a)
above and the other provisions of this Article shall survive such termination
with respect to Leased Property A.

                                  ARTICLE XXV

     Section 25.1 Subletting and Assignment.
                  -------------------------

          Section 25.1.1 Notwithstanding anything to the contrary contained in
this Lease but subject to Sections 25.4 and 25.1.11 below, Tenant shall have no
                          -------------     -------
right, directly or indirectly, to assign this Lease in part under any
circumstances. Subject to the foregoing, except as expressly provided herein,
Tenant shall not, without the prior written consent of Lessor, which consent
shall not be unreasonably withheld, delayed or conditioned so long as no Event
of Default has occurred and is continuing hereunder, assign this Lease in its
entirety or mortgage, pledge, hypothecate, encumber or otherwise transfer any
interest in this Lease in whole or in part or sublease all or any part of any
Leased Property or suffer or permit this Lease or the leasehold estate created
hereby or thereby or any other rights arising under this Lease to be assigned in
its entirety or to be transferred, mortgaged, pledged, hypothecated or

                                       95

<PAGE>

encumbered, in whole or in part, whether voluntarily or involuntarily or by
operation of law, or permit the use or occupancy of any Leased Property to be
offered or advertised for assignment or subletting except as hereinafter
provided. For purposes of this Section 25.1, an assignment of this Lease shall
                               ------------
be deemed to include any change in control of any Tenant, as if such change in
control or transaction were an assignment of this Lease. Changes in control of
any Tenant shall include, without limitation, (a) a change in the composition of
the board of directors of any Tenant or any Guarantor such that at the end of
any period of twelve (12) consecutive months the persons constituting a majority
of such board of directors are not the same as the persons constituting a
majority at the start of such period (or persons appointed by such majority),
(b) the sale or other disposition of (i) all or any part of its interest in any
Guarantor or (ii) all or substantially all of the assets of any Guarantor or any
Tenant (other than a bona fide pledge in connection with a financing approved by
Lessor), and (c) a merger or consolidation involving any Guarantor or any
Tenant, which results in the stockholders of any Guarantor or any Tenant
immediately prior to such event owning less than 50% of the capital stock of the
surviving entity or any public parent of the surviving entity. For purposes of
this Section 25.1, a sublease of all or any part of any Leased Property shall be
     ------------
deemed to include any concessionaire agreement, license agreement or other
agreement involving use or possession of all or any part of any Leased Property.

          Section 25.1.2 Subject to the provisions of Section 25.3 below and any
                                                      ------------
other express conditions or limitations set forth herein, so long as no Event of
Default has occurred and is continuing hereunder, Tenant may, without the
consent of Lessor, (i) assign this Lease in its entirety or sublet all or any
part of any Leased Property to any Affiliate of Tenant, or (ii) sublet up to an
aggregate of 20% of the rentable square footage of any Facility (x) in the
normal course of the Primary Intended Use such as but not limited to leasing of
space for major moveable equipment or functional departments such as pathology,
pharmacy and radiology, or (y) to concessionaires or other third party users or
operators of portions of the Leased Property, provided that, in the case of both
clauses (i) and (ii) above, the assignee or subtenant in question is duly
licensed and possessed of all Authorizations necessary for the conduct of its
activities and the operation of such Leased Property or portion thereof in
accordance with all applicable laws. So long as no Event of Default has occurred
and is continuing hereunder, Lessor shall not unreasonably withhold, delay or
condition its consent to any other subletting of the Leased Properties in whole
or in part or assignment of this Lease in its entirety, provided that (a) in the
case of a subletting, (1) the subtenant shall comply with the provisions of
Section 25.2, and (2) if the subtenant is an Affiliate of any Tenant, the
------------
subtenant shall execute and deliver to Lessor a Lease Guaranty in accordance
with Section 40.12 hereof, (b) the assignee or subtenant (1) shall be a
     -------------
creditworthy entity with sufficient financial stability to satisfy its
obligations under the Lease, (2) shall have not less than four years experience
in operating health care facilities for the purpose of the applicable Facility's
Primary Intended Use, (3) has a favorable business and operational reputation
and character, (4) has all licenses, permits, approvals and other Authorizations
required to operate the Leased Property(ies) in question for the Primary
Intended Use (or any other use permitted under the terms of this Lease), and (5)
in the case of an assignment, shall assume in writing and agree to keep and
perform all of the terms of this Lease on the part of Tenant to be kept and
performed and shall be, and become, jointly and severally liable with Tenant for
the performance thereof, (c) an original counterpart of each such sublease and
assignment and assumption, duly executed by

                                       96

<PAGE>

Tenant and such subtenant or assignee, as the case may be, in the form and
substance satisfactory to Lessor, shall be delivered promptly to Lessor, and (d)
in case of either an assignment or subletting, Tenant shall remain primarily
liable, as principal rather than as surety, for the prompt payment of the Rent
and for the performance and observance of all of the covenants and conditions to
be performed by Tenant hereunder. Lessor's obligation to consent to a subletting
or assignment is subject to any reasonable approval rights of any Facility
Mortgagee.

          Section 25.1.3 If this Lease is assigned or if any Leased Property or
any part thereof is sublet (or occupied by any entity other than Tenant and its
employees), Lessor, after an Event of Default occurs and so long as it is
continuing, may collect the rents from such assignee, subtenant or occupant, as
the case may be, and apply the net amount collected to the Rent herein reserved,
but no such collection shall be deemed a waiver of the provisions set forth in
Section 25.1.1, the acceptance by Lessor of such assignee, subtenant or
--------------
occupant, as the case may be, as a tenant or release of Tenant from the future
performance of its covenants, agreements or obligations contained in this Lease.

          Section 25.1.4 No subletting or assignment shall in any way impair the
continuing primary liability of Tenant hereunder, and no consent to any
subletting or assignment in any particular instance shall be deemed a waiver of
the prohibition set forth in this Section 25.1. No assignment, subletting or
                                  ------------
occupancy shall affect the Primary Intended Use. Any subletting, assignment or
other transfer of Tenant's interest in this Lease in contravention of this
Section 25.1 shall be void at Lessor's option.
------------

          Section 25.1.5 If Tenant shall desire to assign this Lease or sublet
all (but not a portion) of any Leased Property other than an assignment or
sublease to an Affiliate, it shall first submit in writing to Lessor a notice
("Tenant's Notice") indicating (a) the name of the proposed assignee or
  ---------------
subtenant, (b) the material terms of the proposed assignment or sublease, (c)
the nature and character of the business which the proposed assignee or
subtenant will conduct at the applicable Leased Property, (d) reasonable
financial data concerning the proposed assignee or subtenant, and (e) the
effective date of the proposed assignment or the commencement date and
expiration date of the proposed sublease. Tenant shall additionally submit to
Lessor any other information concerning the proposed assignment or sublease
which Lessor may reasonably request and, prior to the effective date of any
assignment permitted hereunder or the commencement date of any sublease
permitted hereunder, Tenant shall deliver to Lessor evidence reasonably
satisfactory to Lessor that the assignee or subtenant has all licenses, permits,
approvals and other Authorizations necessary to operate each Leased Property for
the Primary Intended Use (or any other use permitted under the terms of this
Lease). Except to the extent such subletting or assignment is authorized under
Section 25.1.11 below, if such notice is given, Lessor may, at its option,
---------------
terminate this Lease as to the applicable Leased Property, in which event, the
provisions of Section 40.16 hereof shall apply. Lessor shall exercise its option
              -------------
by notice to Tenant within 30 days after Tenant's Notice (or receipt by Lessor
of all information reasonably requested by Lessor pursuant to this Section
                                                                   -------
25.1.5), and during such 30-day period, Tenant shall not have the right to
------
assign this Lease or sublet such space. Relative to Tenant's Notice and the
other deliveries to Lessor referenced in this Section 25.1.5, contemporaneously
                                              --------------
with the delivery of the foregoing items to Lessor,

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<PAGE>

Tenant agrees to deliver copies thereof to any Facility Mortgagee(s), provided
that Lessor has notified Tenant of the name(s) and address(es) of any such
Facility Mortgagee(s).

          Section 25.1.6 If Lessor exercises its option under Section 25.1.5 to
                                                              --------------
terminate this Lease, this Lease shall terminate (either as to each Leased
Property or as to the applicable Leased Property, whichever is applicable) on
the date which is 60 days following Tenant's Notice or on such later date as may
be specified in Tenant's Notice, all Rent allocable to the Leased Property(ies)
in question in accordance with Section 16.9 hereof shall be paid and apportioned
                               ------------
to the date of such termination and the provisions of Section 40.16 hereof shall
                                                      -------------
apply in the event this Lease remains in effect as to any Leased Properties. If
Lessor shall exercise its options under Section 25.1.5, Lessor may, and shall
                                        --------------
have no liability to Tenant if Lessor shall, lease to Tenant's prospective
subtenant or assignee.

          Section 25.1.7 (a) Except in the case of an assignment or sublet
pursuant to Section 25.1.2(i) hereof and subject to subsections (b) and (c)
            -----------------
below, Tenant shall pay to Lessor, as Additional Charges, (i) as and when
received by Tenant, 80% of any consideration (including, without limitation,
capital stock, stock options or warrants, license fees and all other forms of
remuneration) received on account of any assignment and (ii) 80% (50%, rather
than 80%, in the case of the existing subleases scheduled on Schedule 25.1.7
                                                             ---------------
attached hereto and made a part hereof, as such subleases are in effect on
December 14, 2000 and only for the remaining term thereof, it being agreed that,
if any such sublease is extended (other than pursuant to the terms of sublease
extension rights in existence as of December 14, 2000), or after December 14,
2000 is materially amended, for the extension term, or after any such material
amendment, the applicable percentage in this subsection (ii) shall be 80%, not
50%) of the excess of:

               (x) any rents, additional charges, or other consideration
               (including, without limitation, capital stock, stock options or
               warrants, license fees and all other forms of remuneration)
               payable to Tenant under any sublease, after deducting therefrom
               brokerage commissions and legal fees paid by Tenant in connection
               with such subletting, over (y) the sum of (1) a share of the Base
               Rent, real estate taxes and assessments, insurance premiums and
               charges for utility usage that, on a monthly basis, are owing
               with respect, or otherwise allocable, to the applicable Leased
               Property (with such share to be equal to (A) if the applicable
               sublease relates primarily to use of areas within the
               Facility(ies) located on the applicable Leased Property, the
               product of the total of the aforesaid Base Rent, real estate
               taxes and assessments, insurance premiums and utility usage
               charges owing with respect, or allocable, to the applicable
               Leased Property for a particular month times a fraction, the
               numerator of which is the number of rentable square feet under
               the applicable sublease and the denominator of which is the
               aggregate number of rentable square feet in the Facility(ies)
               located on the applicable Leased Property, and (B) if the
               applicable sublease relates primarily to use of areas outside the
               Facility(ies) located on the applicable Leased Property, that
               portion of the aforesaid real estate

                                       98

<PAGE>

               taxes, insurance premiums and charges for utility usage as are,
               in the reasonable judgment of Tenant (and with supporting
               documentation to be delivered to Lessor upon written request),
               attributable to the areas outside the Facility(ies) located on
               the applicable Leased Property), plus (2) the amount (amortized,
               if applicable, as described below) of the actual out of pocket
               costs, if any, incurred by Tenant (on behalf of itself and, to
               the extent related to "Sublease Rent Payments" (as defined
               below), on behalf of Lessor's 80% (or 50%, if applicable as
               described above) share thereof) from time to time during the
               applicable sublease and directly attributable to (aa) extending
               telephone service to the portion of the applicable Leased
               Property that is subleased per the applicable sublease or (bb)
               performing repairs to the portion of the applicable Leased
               Property that is subleased per the applicable sublease (and, for
               purposes of this subsection (2) and the calculation of "Sublease
               Rent Payments", as hereinafter defined, (X) in the case of any
               costs of the nature referenced in this subsection (2) that, in
               accordance with generally accepted accounting principles, are
               treated as capital costs, such costs shall be amortized on a
               straight line basis over the longer of the useful life of the
               improvements or repairs to which such costs relate or the initial
               term of the applicable sublease, and in each month the amortized
               amount of such costs shall be deemed to have been incurred by
               Tenant, and (Y) in the case of all other costs of the nature
               referenced in this subsection (2), such costs shall be treated as
               incurred by Tenant as and when expended),

(such excess of (ii)(x) over (ii)(y) is referred to herein as the "Sublease Rent
                                                                   -------------
Payments"). Lessor's share, as aforesaid, of any such Sublease Rent Payments
--------
shall be paid by Tenant to Lessor as and when the Sublease Rent Payments are
received by Tenant; provided, however, that:
                    --------  -------

               (cc) within sixty (60) days after the end of each calendar year,
               Tenant shall deliver to Lessor a Senior Officer's Certificate
               certifying the amount of Lessor's share of Sublease Rent Payments
               for the preceding calendar year and setting forth how such amount
               was calculated and containing a detailed breakdown of the
               revenues and expenses used in making such calculation, and,
               within thirty (30) days after Lessor's receipt of such
               certificate, if the aggregate amount paid by Tenant to Lessor
               during such preceding calendar year on account of Lessor's share
               of Sublease Rent Payments for such year exceeds the amount of
               Lessor's share as shown in such certificate, then, subject to
               subsection (dd) below, Lessor shall pay the overage to Tenant,
               and, if the aggregate amount paid by Tenant to Lessor during such
               preceding calendar year on account of Lessor's share of Sublease
               Rent Payments for such year is less than the amount of Lessor's
               share as shown in such certificate, Tenant shall pay such
               deficiency to Lessor. Lessor shall be entitled, upon three (3)
               Business Days prior written notice and within normal

                                       99

<PAGE>

               business hours, to review, and make abstracts from and copies of,
               Tenant's books, accounts and records relative to Tenant's
               subleases of any Leased Property and the calculation of Lessor's
               share of Sublease Rent Payments for any period; and

               (dd) for purposes of subsection (cc) above and the other
               provisions of this Section 25.1.7, Lessor's share of Sublease
                                  --------------
               Rent Payments shall in no event be a negative number and, for all
               purposes of subsection (cc) above and the other provisions of
               this Section 25.1.7, for any calendar year in which the amount
                    --------------
               referenced in subsection (ii)(x) above for such year is less than
               the amount referenced in subsection (ii)(y) above for such year,
               the "Sublease Rent Payments" shall be deemed to equal zero for
               such year. (For example, if Tenant subleases a portion of a
               Leased Property, subsection (ii) above is applicable thereto,
               during a particular calendar year Sublease Rent Payments are
               received by Tenant in the aggregate amount of $100.00, and during
               such calendar year Tenant paid to Lessor the following monthly
               amounts on account of Lessor's share of Sublease Rent Payments:
               for each of the months January through July, $20.00 (i.e.:
               $140.00 in aggregate) and for each of the months August through
               December, $0.00, then, within thirty (30) days after Lessor's
               receipt of Tenant's aforesaid Senior Officer's Certificate for
               such calendar year, Lessor would be obligated to pay to Tenant
               $60.00, representing the overage of the aggregate amount received
               by Lessor during such calendar year ($140.00) over Lessor's share
               of the Sublease Rent Payments for such calendar year ($80.00 or
               80% of $100.00). Alternatively, if the preceding facts are
               assumed except that, during the subject calendar year, the amount
               referenced in subsection (ii)(x) above is less than the amount
               referenced in subsection (ii)(y) above by $50.00, then, pursuant
               to subsection (dd) above, the Sublease Rent Payments for such
               calendar year shall be deemed to equal $0.00, and, consequently,
               within thirty (30) days following receipt of Tenant's aforesaid
               Senior Officer's Certificate for such calendar year, Lessor would
               be obligated to pay to Tenant $140.00, representing the overage
               of the aggregate amount received by Lessor during such calendar
               year ($140.00) over Lessor's share of the deemed Sublease Rent
               Payments for such calendar year ($0.00 or 80% of $0.00)).

In the event of a foreclosure by a Leasehold Mortgagee as to a particular Leased
Property(ies), Lessor's right to 80% (50%, in the circumstances described above
relative to the existing subleases scheduled on Schedule 25.1.7 hereof) of such
                                                ---------------
Sublease Rent Payments relating to such Leased Property(ies) shall be
subordinate to such Leasehold Mortgagee's right of payment. In the event of an
assignment or sublet pursuant to Section 25.1.2(i) hereof, the provisions of
this Section 25.1.7 shall apply to any further assignment or sublet to a person
     --------------
or entity that is not an Affiliate of Tenant.

                                       100

<PAGE>


          (b) Notwithstanding anything to the contrary provided in this Lease,
in the event Tenant enters into a sublease, license agreement, easement or other
agreement (an "Ancillary Agreement") pursuant to which a third party is given
               -------------------
the right to access, maintain or operate on any Leased Property, any antenna,
cell tower, satellite dish, cable or wire installation, or other communication
or telecommunication equipment, any billboard or signage, or any facility or
service not within the primary scope of Tenant's business as it was conducted on
April 20, 2001, Tenant shall pay Lessor, as Additional Charges as and when
payable to Tenant, 80% of any consideration (including, without limitation,
capital stock, stock options or warrants, license fees and all other forms of
remuneration) received on account of such Ancillary Agreement. At the request of
Lessor, Tenant shall direct the third party in any Ancillary Agreement to pay
Lessor's 80% share of such consideration directly to Lessor. No such Ancillary
Agreement shall be entered into by Tenant without the prior written consent of
Lessor, which consent shall not be unreasonably withheld, delayed or conditioned
so long as Tenant complies with the applicable requirements of subsections (a)
through (d) of Section 25.1.2 above.
               --------------

          (c) Notwithstanding anything to the contrary contained in subsection
(a)(ii) above, Lessor shall not be entitled to any Sublease Rent Payments on
account of any sublease of space within a Leased Property for a flower shop,
beauty salon, barber shop, gift shop, restaurant, cafeteria, coffee shop, snack
shop or the like or any other concessionaires (which term shall not include,
without limitation, medical offices and clinics and other providers of medical
services) typically found in nursing centers or hospitals (as applicable
depending upon the Primary Intended Use of the particular Leased Property)
(including those subleases of the nature referenced in this subsection (c)
existing at the Leased Properties as of April 20, 2001), so long as the
aggregate square footage of such Leased Property that is subleased for such uses
does not exceed twenty percent (20%) of the rentable space within the
Facility(ies) located on such Leased Property.

          Section 25.1.8 Any assignment and/or sublease must provide that (a) it
shall be subject and subordinate to all of the terms and conditions of this
Lease, (b) the use of the applicable Leased Property shall be restricted to the
applicable Primary Intended Use and shall not conflict with any Legal
Requirement, Insurance Requirement or any other provision of this Lease, (c) no
sublessee or assignee shall be permitted to further sublet all or any part of
the applicable Leased Property or assign this Lease or its sublease except as
expressly provided in this Lease and (d) in the event of cancellation or
termination of this Lease for any reason whatsoever or of the surrender of this
Lease whether voluntary, involuntary or by operation of law, prior to the
expiration date of such sublease, including extensions and renewals granted
thereunder, at Lessor's option, the subtenant shall make full and complete
attornment to Lessor for the balance of the term of the sublease, which
attornment shall be evidenced by an agreement in form and substance reasonably
satisfactory to Lessor and which the subtenant shall execute and deliver within
5 days after request by Lessor, its successors or assigns and the subtenant
shall waive the provisions of any law now or hereafter in effect which may give
the subtenant any right of election to terminate the sublease or to surrender
possession in the event any proceeding is brought by Lessor to terminate this
Lease. Relative to the foregoing, Lessor acknowledges that Tenant's existing
sublease with IHC Health Services at Federal Heights Rehabilitation & Nursing
Center, Salt Lake City, Utah (Facility 655) does not include

                                      101

<PAGE>

the language required by this Section 25.1.8, and Lessor waives and releases
                              --------------
such breach and default, provided, however, that, in the event such sublease is
amended after April 20, 2001, Tenant shall cause the language required by this
Section 25.1.8 to be added to such sublease.
--------------

          Section 25.1.9 Any assignment of this Lease or sublease of the
applicable Leased Property in contravention of the express terms of this Article
                                                                         -------
XXV shall be voidable at Lessor's option and the acceptance of rent by Lessor
---
from any such unauthorized assignee or subtenant shall not constitute a
recognition or acceptance of the tenancy of such unauthorized assignee or
subtenant.

          Section 25.1.10 Tenant shall pay to Lessor, within ten (10) business
days after request therefor, all costs and expenses, including without
limitation reasonable attorneys' fees, incurred by Lessor in connection with any
request by Tenant to assign this Lease or sublet the applicable Leased Property.

          Section 25.1.11 Notwithstanding the other prohibitions and
restrictions on assignment and subletting contained in this Section 25.1,
                                                            ------------
provided Tenant shall have complied with the notice and information requirements
of Section 25.1.5 above, Tenant shall have the right to assign or sublet to a
   --------------
non-Affiliate (x) without the consent of Lessor (but with the consent of any
Facility Mortgagee(s)(which consent shall not be unreasonably withheld provided
appropriate rating agency confirmations are issued in connection with any such
assignment or subletting)), not more than ten percent (10%) in the aggregate of
the Master Lease Leased Properties which are nursing centers and (y) with
Lessor's consent (which consent shall not be unreasonably withheld, delayed or
conditioned) and with the consent of any Facility Mortgagee(s) (which consent
shall not be unreasonably withheld provided appropriate rating agency
confirmations are issued in connection with any such assignment or subletting),
not more than two (2) Master Lease Leased Properties which are hospitals, but
only if either (i) the applicable regulatory authorities have threatened, or
commenced proceedings, to revoke Tenant's Medicaid or Medicare certification for
reimbursement or other Authorizations necessary to operate such nursing center
or hospital Leased Property, as applicable, or (ii) Tenant cannot profitably
operate such Leased Property, in which event:

          (a) such assignment and/or subletting shall comply in all respects
with clauses (a) through (d) of the second sentence of Section 25.1.2 above
                                                       --------------
(upon Tenant's request, Lessor agrees to provide an estoppel certificate
certifying that, to the best of Lessor's knowledge, such clauses (a) through (d)
have been satisfied or, if such is not the case to the best of Lessor's
knowledge, certifying the manner in which such clauses have not been satisfied
to the best of Lessor's knowledge);

          (b) Lessor shall give such assignee or subtenant assurances of quiet
enjoyment, in accordance with a mutually satisfactory non-disturbance and
attornment agreement, such that so long as such assignee or subtenant pays Rent
allocable to such Leased Property and otherwise complies with all covenants and
obligations of the Tenant under this Lease with respect to such Leased Property,
no other default under this Lease shall affect or give rise to any right to
terminate its leasehold of such Leased Property; and

                                      102

<PAGE>

          (c) any default by such assignee or subtenant in the payment of Rent
or in complying with all other covenants and obligations of the Tenant with
respect to such Leased Property shall continue to constitute a default under
this Lease, entitling Lessor to all its rights and remedies hereunder.

To the extent that any of the Master Lease Leased Properties are the subject of
a New Lease derived, directly or indirectly, from the Original Master Lease,
Tenant shall continue to have the right to assign or sublet such Master Lease
Leased Properties upon compliance with this Section 25.1.11 or the corresponding
                                            ---------------
section of such New Lease, as applicable, but such right to assign or sublet,
whether under Section 25.1.11 of the Original Master Lease or the corresponding
              ---------------
section of any and all New Leases derived, directly or indirectly, from the
Original Master Lease (including, without limitation, this Lease), shall never
exceed ten percent (10%) in the aggregate of the nursing centers included within
the Master Lease Leased Properties or two (2) hospitals included within the
Master Lease Leased Properties.

     Section 25.2 Attornment. Tenant shall insert in each sublease permitted
                  ----------
under Section 25.1 provisions to the effect that (a) such sublease is subject
      ------------
and subordinate to all of the terms and provisions of this Lease and to the
rights of Lessor hereunder (except to the extent such subtenant is entitled to
quiet enjoyment assurances under Section 25.1.11 above), (b) in the event this
                                 ---------------
Lease shall terminate before the expiration of such sublease, the subtenant
thereunder will, at Lessor's option, attorn to Lessor and waive any right the
subtenant may have to terminate the sublease or to surrender possession
thereunder, as a result of the termination of this Lease, and (c) in the event
the subtenant receives a written notice from Lessor or Lessor's assignees, if
any, stating that an Event of Default has occurred, the subtenant shall
thereafter be obligated to pay all rentals accruing under said sublease directly
to the party giving such notice, or as such party may direct. All rentals
received from the subtenant by Lessor or Lessor's assignees, if any, as the case
may be, shall be credited against the amounts owing by Tenant under this Lease.

     Section 25.3 Sublease Limitation. Anything contained in this Lease to the
                  -------------------
contrary notwithstanding, Tenant shall not sublet any Leased Property on any
basis such that the rental to be paid by the subtenant thereunder would be
based, in whole or in part, on either (i) the income or profits derived by the
business activities of the subtenant, or (ii) any other formula such that any
portion of the sublease rental received by Lessor would fail to qualify as
"rents from real property" within the meaning of Section 856(d) of the Code, or
any similar or successor provision thereto.

     Section 25.4 Leasehold Mortgagee Rights. Nothing contained in this Article
                  --------------------------                            -------
XXV shall limit or impair any rights of the Leasehold Mortgagee under Article
---                                                                   -------
XXII, including, without limitation, any such rights to obtain a Leasehold
----
Mortgage upon less than all of the Leased Properties and, in the circumstances
referenced in Section 22.7, to obtain a Separate Lease as to less than all of
              ------------
the Leased Properties.

                                      103

<PAGE>

                                  ARTICLE XXVI

     Section 26.1 Financial Statements and Reporting. Each Tenant shall
                  ----------------------------------
maintain, for itself and its subsidiaries, a system of accounting established
and administered in accordance with generally accepted accounting principles,
and shall provide Lessor with the following information:

          (a) As soon as available but in no event later than forty-five (45)
days after the close of each fiscal month and within fifty (50) days after the
close each of the first three fiscal quarters, for Tenant, an unaudited
consolidated balance sheet and statement of operations as of the close of each
such period and the related unaudited consolidated statements of income, cash
flows and stockholders equity for such period and for the year to date of Tenant
and its Subsidiaries (collectively, "Financial Statements"), setting forth in
                                     --------------------
each case in comparative form the corresponding figures for the previous year,
all prepared in accordance with generally accepted accounting principles and all
certified in an Officer's Certificate to Lessor as being complete and accurate
to the best of Tenant's knowledge, subject to normal year end adjustments. In
the case of any Officer's Certificate and related financial statements that are
required under this subsection (a) and relate to any period on or prior to the
date which is 120 days after April 20, 2001, Tenant may, to the extent
necessary, qualify the same by stating that they remain subject to any
adjustments required by "fresh-start accounting", provided and on the conditions
that (i) as soon as reasonably practicable following the completion of such
"fresh-start accounting" adjustments, but in any event within five (5) Business
Days following such completion, Tenant shall deliver to Lessor a revised
Officer's Certificate and related financial statements that comply with this
subsection (a) and omit the aforesaid "fresh-start accounting" qualifications
and (ii) Tenant shall at all times comply with all applicable securities and
other Legal Requirements relative to the reporting and disclosure of Tenant's
financial condition;

          (b) Within one hundred (100) days after the close of each Fiscal Year,
(i) for Tenant, consolidated Financial Statements, in each case with
accompanying notes and schedules, prepared in accordance with generally accepted
accounting principles and audited by a firm of independent certified public
accountants of recognized standing selected by Tenant, which accountants shall
have issued an audit report thereon; and (ii) an Officer's Certificate
certifying to Lessor the amount of Patient Revenues for such Fiscal Year for
each Facility, for all of the Facilities in the aggregate under this Lease and
for all of the Facilities in the aggregate under all of the Master Leases, and
attaching reasonably detailed documentation thereof;

          (c) Within fifty (50) days after the close of each of the first three
fiscal quarters, and within one hundred (100) days after the close of each
Fiscal Year, the following information and data for each Facility, in each case
in paper format or electronic computer format: (1) income statements that
include, without limitation, a breakdown of Patient Revenues and other revenues
itemized by payor type and a breakdown of operating expenses to the extent
reasonably available under the then current facility operation reports, but
including, at a minimum, itemization of Facility rental expense, overhead
charges or management fees, bad debt expense and any material non-recurring
charges; and (2) patient census by payor type;

                                      104

<PAGE>

          (d) As soon as available but in no event later than sixty (60) days
following the commencement of each Fiscal Year, annual budgets for the operation
during such Fiscal Year of each Facility, of all Facilities in the aggregate
under this Lease and of all Facilities in the aggregate under all of the Master
Leases, and to the extent reasonably available, a breakdown of projected Patient
Revenues and other revenues itemized by payor type and a breakdown of projected
operating expenses itemized to reflect, at a minimum, Facility rental expense,
overhead charges or management fees, bad debt expense and any non-recurring
charges;

          (e) Within one hundred (100) days after the close of each Fiscal Year,
or otherwise upon request by Lessor in connection with a proposed sale or
refinancing of a Facility or Facilities by Lessor, for Tenant and each
Guarantor, as applicable, an Officer's Certificate certifying to Lessor and
Lessor's designees (which certificate may be relied upon by Lessor and any
prospective purchaser or mortgagee of any Leased Property) the following
information:

          (i) this Lease is unmodified and is in full force and effect (or that
     this Lease is in full force and effect as modified and setting forth the
     modifications);

          (ii) the dates to which Rent has been paid;

          (iii) all Facilities are in good standing with respect to all
     necessary federal, state and local licenses, permits and other
     Authorizations;

          (iv) each Facility that participates in the Medicare program is in
     compliance with the terms of its Medicare Provider Agreement and in good
     standing with the Medicare program;

          (v) each Facility that participates in the Medicaid program is in
     compliance with the terms of its Medicaid Provider Agreement and in good
     standing with the Medicaid program;

          (vi) the current number of licensed beds at each Facility; and

          (vii) Tenant and each applicable Guarantor is not in default in the
     performance of this Lease or its Guaranty, as applicable, or if an Event of
     Default exists, specifying the same in reasonable detail;

at the request of Lessor, together with complete and accurate copies (originals
of which shall be made available for inspection upon request by Lessor) of all
licenses, permits and other Authorizations necessary to operate the Facilities
in accordance with all applicable laws;

          (f) As soon as reasonably available, copies of any Forms 10K, 10Q and
8K and any other annual, quarterly, monthly or other reports, copies of all
registration statements and any other public information which any Tenant or any
of its Subsidiaries files with the Securities Exchange Commission or any other
governmental authority;

                                      105

<PAGE>

          (g) Promptly upon the furnishing thereof to the shareholders of any
Tenant, copies of all statements, reports, notices and proxy statements so
furnished;

          (h) Such supplements to the foregoing documents and such other
information and reports (including, without limitation non-financial
information), as any Senior Lender, any Facility Mortgagee or any Superior
Mortgagee may reasonably request, provided such supplements, and such
information and reports, are consistent with the types of supplements, reports
and information generally utilized by such institutions within the financing
industry;

          (i) (i) On a weekly basis until April 20, 2002, (x) a consolidated
weekly cash flow report of Tenant and its Subsidiaries and (y) a consolidated
weekly patient census report (reported separately for hospitals and nursing
centers) for Tenant, with each of such reports to be in substance (but not
necessarily in form) consistent with the forms of such reports that Lessor
received during the first ten (10) months of 2000, (ii) on a monthly basis
during the Term, (x) a consolidated monthly cash flow report of Tenant and its
Subsidiaries and (y) a consolidated monthly patient census report (reported
separately for hospitals and nursing centers) for Tenant, (iii) all other
information, reports, materials and certificates that are from time to time
delivered, pursuant to the requirements of any loan documents that are from time
to time binding upon Tenant or any of its Subsidiaries or Affiliates, by Tenant
or any of its Subsidiaries or Affiliates to any of the Senior Lenders, or any of
the holders of any of the Exit Facility Documents or any other loan documents
evidencing or securing borrowed indebtedness of Tenant or its Subsidiaries or
Affiliates, or any of their respective agents, representatives or consultants,
with all such information, reports, materials and certificates to be delivered
to Lessor at the same time and in the same manner as the same are delivered to
any of the Senior Lenders, any of the aforesaid holders and/or any of their
respective agents, representatives or consultants, (iv) on a monthly basis
during the Term, a monthly consolidated survey deficiency summary report, with
such report to be in substance (but not necessarily in form) consistent with the
report dated October 2000 that was delivered to Lessor and listing each of the
Master Lease Leased Properties and indicating for each Master Lease Leased
Property whether any survey, citation or report alleging a deficiency that is
material in relation to such Master Lease Leased Property (using the October
2000 report as a baseline) has been issued with respect thereto during the
period covered by such report and, if so, setting forth the identity of the
agency or authority that issued such citation or report, a description of the
alleged material deficiency and the timetable or deadline for curing the same
(and, promptly following receipt of a written request therefor from Lessor to
Tenant, Tenant shall further deliver to Lessor any Facility-specific survey
reports requested by Lessor), and (v) promptly following receipt of a written
request therefor from Lessor to Tenant, copies of any Facility-specific
environmental, engineering or other reports or studies that are in Tenant's
possession or control and so requested by Lessor; and

          (j) If Lessor is a Ventas Lessor, within fifty (50) days following the
close of each fiscal quarter, a Senior Officer's Certificate setting forth
whether any Event(s) of Default under Section 16.1(m) and/or Section 16.1(q) of
                                      ---------------        ---------------
this Lease or any other lease demising any of the Master Lease Leased Properties
has occurred and is continuing (as described in Section 16.10) and, if so,
                                                -------------
specifying the Master Lease Leased Property(ies) at which such Event(s) of
Default has so occurred and is continuing.

                                      106

<PAGE>

     Section 26.2 Furnishing Notice. Within five (5) days after Tenant receives
                  ------------------
notice or otherwise obtains knowledge of any of the following occurrences,
Tenant shall give written notice thereof in the form of an Officer's Certificate
to Lessor and any Facility Mortgagee(s) the name(s) and address(es) of which
have been provided to Tenant, which notice shall set forth details of the
occurrence referred to therein and shall state what action Tenant has taken, and
proposes to take, with respect thereto:

          (a) any written notice of termination or suspension of any Facility
     from participation in the Medicare or Medicaid program; and

          (b) any written notice of non-renewal of any license or other
     Authorization affecting any of the Facilities or its operation (including
     copies thereof).

     Section 26.3 Quarterly Meetings; Facility Level Meetings and Reviews. On a
                  --------------------------------------------------------
quarterly basis, Tenant shall permit, and upon request by Lessor shall make
appropriate arrangements for, Lessor and/or its representatives to discuss the
affairs, operations, finances and accounts of Tenant and its Subsidiaries and
Affiliates with, and be advised as to the same by, senior officers of Tenant
(and such of Tenant's independent accountants and other financial advisors as
would be relevant to the topic of the particular meeting), all as Lessor may
deem appropriate for the purpose of verifying any report(s) delivered by Tenant
to Lessor under this Lease or for otherwise ascertaining compliance with this
Lease by Tenant or the business, operational or financial condition of Tenant
and/or its Subsidiaries and Affiliates and/or any of their respective
Facilities. Without limitation of the foregoing, from time to time promptly
following receipt of written notice from Lessor to Tenant (and in any event
within ten (10) Business Days of such receipt), Tenant shall permit, and shall
make appropriate arrangements for, Lessor and/or its representatives or
designees to discuss the business, operational and financial condition of
specific Facility(ies) designated by Lessor with, and be advised as to the same
by, appropriate personnel of Tenant and its Subsidiaries and Affiliates having
operational and accounting responsibilities for the Facility(ies) so specified
by Lessor and to review, and make abstracts from and copies of, the books,
accounts and records of Tenant and its Subsidiaries and Affiliates relative to
any such Facility(ies), in each case provided, and on the condition, that any
such discussions or reviews, abstracting or copying shall not materially
interfere with Tenant's business operations relative to any affected
Facility(ies). Unless otherwise agreed in writing by Lessor and Tenant, all of
the discussions, reviews, abstracting and copying referenced in this Section
26.3 shall occur during normal business hours.

     Section 26.4 Non-Ventas Lessors. Notwithstanding anything to the contrary
                  -------------------
contained in this Article XXVI, if and for so long as the lessor under this
                  ------------
Lease is not a Ventas Lessor, Tenant (a) shall not be required under this Lease
to provide to such non-Ventas Lessor Facility-specific information related to
Facilities or Leased Properties which are not included in this Lease, (b) shall
exclude from consolidated facility information that is required under Section
                                                                      -------
26.1 of this Lease facility information which relates to Facilities or Leased
----
Properties not included in this Lease, and (c) shall continue to be required to
provide information relative to Tenant, as opposed to Leased Properties and
Facilities, on the same basis as such information is provided to a Ventas
Lessor.

                                      107

<PAGE>

                                 ARTICLE XXVII

     Section 27.1 Lessor's Right to Inspect. Tenant shall permit Lessor, any
                  --------------------------
then current or prospective Superior Mortgagee or other lender to Lessor, any
then current or prospective investment banker, mortgage broker or other
professional engaged by Lessor, any prospective purchaser of any Leased Property
or any interest in Lessor or any Affiliate of Lessor and/or, only during any
permitted exhibition period under Section 40.4 below, any prospective lessee,
                                  ------------
and its and their respective authorized representatives, to enter upon and
conduct a physical inspection of any Leased Property during usual business hours
and, except in an emergency, upon not less than three (3) business days prior
notice, subject to any security, health, safety or confidentiality requirements
of any governmental agency or insurance requirement relating to the Leased
Properties, or imposed by law or applicable regulations and provided that no
such entry or inspection shall materially interfere with Tenant's business
operations within the affected Leased Property(ies). Nothing contained in this
Section 27.1 shall limit or impair Lessor's right to enter upon and inspect the
------------
Leased Properties, or any of Lessor's other rights or remedies, upon the
occurrence of any Event of Default by Tenant.

                                 ARTICLE XXVIII

     Section 28.1 No Waiver. No failure by Lessor or Tenant to insist upon the
                  ----------
strict performance of any term hereof or to exercise any right, power or remedy
consequent upon a breach thereof, and no acceptance of full or partial payment
of Rent during the continuance of any such breach, shall constitute a waiver of
any such breach or of any such term. To the extent permitted by law, no waiver
of any breach shall affect or alter this Lease, which shall continue in full
force and effect with respect to any other then existing or subsequent breach.

                                  ARTICLE XXIX

                             Intentionally omitted.

                                  ARTICLE XXX

     Section 30.1 Acceptance of Surrender. No surrender to Lessor of this Lease
                  ------------------------
or of any Leased Property or any part of any thereof, or of any interest herein
or therein, shall be valid or effective unless agreed to and accepted in writing
by Lessor and no act by Lessor or any representative or agent of Lessor, other
than such a written acceptance by Lessor, shall constitute an acceptance of any
such surrender.

                                  ARTICLE XXXI

     Section 31.1 No Merger of Title. There shall be no merger of this Lease or
                  -------------------
of the leasehold estate created thereby by reason of the fact that the same
person, firm, corporation or other entity may acquire, own or hold, directly or
indirectly, (a) this Lease or the leasehold estate created hereby or any
interest in this Lease or such leasehold estate and (b) the fee estate in any
Leased Property.

                                      108

<PAGE>

                                 ARTICLE XXXII

     Section 32.1 Conveyance by Lessor. Lessor may, without the consent or
                  ---------------------
approval of Tenant, sell, transfer, assign, convey or otherwise dispose of any
or all of the Leased Properties. If Lessor or any successor owner of any Leased
Property shall sell, transfer, assign, convey or otherwise dispose of any Leased
Property in accordance with the terms hereof other than as security for a debt,
and the purchaser, grantee, assignee or transferee of the Leased Property shall
expressly assume all obligations of Lessor hereunder with respect to such Leased
Property arising or accruing from and after the date of such sale, conveyance,
transfer, assignment or other disposition and shall be reasonably capable of
performing the obligations of Lessor hereunder, Lessor or such successor owner,
as the case may be, shall thereupon be released from all future liabilities and
obligations of Lessor under this Lease with respect to such Leased Property
arising or accruing from and after the date of such sale, conveyance, transfer,
assignment or other disposition as to such Leased Property and all such future
liabilities and obligations with respect to such Leased Property shall thereupon
be binding upon such purchaser, grantee, assignee or transferee. Lessor agrees
to deliver to Tenant and any Leasehold Mortgagee, promptly following the
consummation of any such sale, conveyance, transfer, assignment or other
disposition (other than as security for a debt), written notice of such sale,
conveyance, transfer, assignment or other disposition and, if applicable, a copy
of the aforesaid assumption agreement. In the event of any such sale, transfer,
assignment, conveyance or other disposition (other than as security for a debt)
of less than all of the Leased Properties, the provisions of Section 40.15
                                                             -------------
hereof shall apply.

                                 ARTICLE XXXIII

     Section 33.1 Quiet Enjoyment. So long as Tenant shall pay all Rent as the
                  ----------------
same becomes due and shall fully comply with all of the terms of this Lease and
fully perform its obligations hereunder and thereunder, Tenant shall peaceably
and quietly have, hold and enjoy each Leased Property for the Term hereof, free
of any claim or other action by Lessor or anyone claiming by, through or under
Lessor, but subject to all Permitted Encumbrances, including, without
limitation, liens and encumbrances of record as of the date hereof or otherwise
permitted to be created by Lessor hereunder, liens as to the obligations of
Lessor that are either not yet due or which are being contested in good faith
and by proper proceedings, and liens hereafter consented to by Tenant. No
failure by Lessor to comply with the foregoing covenant shall give Tenant any
right to cancel or terminate this Lease or abate, reduce or make a deduction
from or offset against the Rent or any other sum payable under this Lease, or to
fail to perform any other obligation of Tenant hereunder. Notwithstanding the
foregoing, Tenant shall have the right, by separate and independent action, to
pursue any claim it may have against Lessor as a result of a breach by Lessor of
the covenant of quiet enjoyment contained in this Section.

                                 ARTICLE XXXIV

     Section 34.1 Notices. All notices, demands, requests, consents, approvals
                  --------
and other communications hereunder shall be in writing and delivered or mailed
(by registered or

                                      109

<PAGE>

certified mail, return receipt requested or reputable nationally recognized
overnight courier service and postage prepaid), addressed to the respective
parties, as follows:

                          (a) if to either Tenant:

                          Kindred Healthcare, Inc.
                          Kindred Healthcare Operating, Inc.
                          680 South 4th Avenue
                          Louisville, Kentucky 40202-2612
                          Attention:  Chief Financial Officer


                  with copies to:

                          Kindred Healthcare, Inc.
                          Kindred Healthcare Operating, Inc.
                          680 South 4th Avenue
                          Louisville, Kentucky 40202-2612
                          Attention:  General Counsel
                  and

                          Douglas Ogle
                          JP Morgan Chase & Company
                          52 Broadway, 3rd Floor
                          New York, NY 10004

                  and

                          Houston A. Stebbins
                          Morgan Guaranty Trust Company
                          60 Wall Street, 23rd Floor
                          New York, New York 10260

                          (b) if to Lessor:

                          Ventas Finance I, LLC
                          c/o Ventas Realty, Limited Partnership
                          4360 Brownsboro Road
                          Suite 115
                          Louisville, Kentucky 40207
                          Attention:  President

                                      110

<PAGE>

                          with a copy to:

                          Ventas, Inc.
                          Ventas Realty, Limited Partnership
                          4360 Brownsboro Road
                          Suite 115
                          Louisville, Kentucky 40207
                          Attention:  General Counsel

or to such other address as either party may hereunder designate, and shall be
effective upon receipt.

                                  ARTICLE XXXV

     Section 35.1 Appraisals. In the event that it becomes necessary to
                  -----------
determine the Fair Market Rental of the Leased Properties or any thereof or the
allocation of Base Rent and Current Rent among the Leased Properties or any
thereof, or the Transferred Property Percentages applicable to the Leased
Properties or any thereof, to be contained in Exhibit C hereto or the Fair
                                              ---------
Market Value or Fair Market Value Purchase Price of any property, in each case
for any purpose of this Lease, and the parties cannot agree amongst themselves
on such values, allocations or percentages, the procedures of this Article XXXV
                                                                   ------------
shall apply.

     Section 35.2 Appointment of Appraisers. The party required or permitted to
                  --------------------------
request an appraisal or other determination under this Article XXXV shall,
                                                       ------------
within the applicable time period, if any, specified in this Lease, give written
notice (an "Appraisal Notice") to the other party, which Appraisal Notice shall
state the requesting party's desire for an appraisal or other determination
under this Article XXXV, and identify which matters are to be appraised or
           ------------
determined (e.g., Fair Market Rental of the Leased Properties, and creation of
an amended Exhibit C hereto, pursuant to Section 3.2 hereof). Within thirty (30)
           ---------                     -----------
days after receipt of any such Appraisal Notice by the party to which such
Appraisal Notice is directed, each party shall, by written notice to the other
party, appoint an appraiser meeting the qualifications set forth below selected
by such party to act as appraiser on its behalf. If either party fails so to
appoint an appraiser within the aforesaid thirty (30) day period, the appraiser
selected by the other party shall act as the "Final Appraiser" hereinafter
described. If both parties appoint an appraiser as aforesaid in a timely manner,
within ten (10) days after such two appraisers are appointed, such two
appraisers shall meet and agree upon a third appraiser meeting the
qualifications set forth below (herein, the "Final Appraiser"). The two
                                             ---------------
appraisers selected by the parties shall, promptly following their agreement
upon a Final Appraiser, provide written notice of the identity of the aforesaid
Final Appraiser to each of Lessor and Tenant. Such appointment shall be binding
on the parties. If the two appraisers selected by the parties are unable to
agree upon a Final Appraiser within the aforesaid ten (10) day period, then
either party may request that the American Arbitration Association or any
successor organization thereto appoint a Final Appraiser meeting the
qualifications set forth below within twenty (20) days of such request, and both
parties shall be bound by any appointment so made within such twenty (20) day
period. If no such Final Appraiser shall have been appointed in such manner
within such twenty (20) day period or within ninety (90) days after issuance of
the original

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<PAGE>

Appraisal Notice, either Lessor or Tenant may apply to any court having
jurisdiction to have such appointment made by such court.

     Section 35.3 Qualifications of Appraisers. Each of the two appraisers
                  -----------------------------
selected by the parties, and the Final Appraiser, must (a) be a member of the
American Institute of Real Estate Appraisers (or any successor organization
thereto) and/or a person employed by an accounting firm that, at the time of
such appointment, is one of the five (5) largest public accounting firms in the
United States and (b) have not less than five (5) years experience, and
substantial expertise, in valuing hospitals and nursing centers and/or
determining the fair market rental value of hospitals and nursing centers.

     Section 35.4 Appraisal Process. The Final Appraiser appointed in accordance
                  ------------------
with the foregoing procedures shall complete the appraisals, and make any other
determinations, submitted to him or her in accordance with the terms of this
Lease within sixty (60) days after his or her appointment and shall notify each
of Lessor and Tenant of his or her appraisals and other determinations. In
performing such appraisals, and making such other determinations, the Final
Appraiser shall make the assumptions, and follow any other directives or
instructions, contained in this Lease relative to the subject matter of the
Final Appraiser's appointment, and, without limitation of the foregoing, in the
case of any appraisal of Fair Market Rental applicable to the Leased Properties
or any thereof or any allocation of Base Rent and Current Rent among the Leased
Properties or any thereof (and any related amendment of Exhibit C hereto and
                                                        ---------
allocation of Transferred Property Percentages among the Leased Properties or
any thereof), the Final Appraiser shall not allocate an amount of Base Rent and
Current Rent to any particular Leased Property that would result in this Lease,
as it applies to such Leased Property, being treated as a capital lease, rather
than an operating lease, under generally accepted accounting principles or under
the applicable rules of the Financial Accounting Standards Board and, in making
determinations of the amount of Base Rent and Current Rent that will be
allocated to particular Leased Properties for purposes of Exhibit C, shall
                                                          ---------
consider the effect of his or her allocation of Base Rent and Current Rent to a
particular Leased Property upon Tenant's ability to obtain reimbursements at
such Facility under third party payor programs, but in all events without
increasing or decreasing the aggregate amount of Base Rent and Current Rent
payable under this Lease with respect to the Leased Properties as a whole.

     Section 35.5 Binding Nature. The provisions of this Article XXXV, and
                  ---------------                        ------------
related provisions of this Lease, providing for determination of certain values,
allocations, percentages and other matters by the Final Appraiser shall be
specifically enforceable to the extent such remedy is available under applicable
law, and any determination hereunder shall be final and binding upon the parties
except as otherwise provided by applicable law.

     Section 35.6 Costs. Lessor and Tenant shall each pay the fees and expenses
                  ------
of the appraiser appointed by it, and each shall pay one-half of the fees and
expenses of the Final Appraiser, and one-half of all other costs and expenses,
incurred in connection with each appraisal, provided, however, that,
                                            ------------------
notwithstanding the foregoing, Lessor, not Tenant, shall pay the fees and
expenses of the appraisers appointed by Lessor and Tenant, and of the Final
Appraiser, in the case of any appraisal initiated under Section 3.2 hereof.
                                                        -----------

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<PAGE>

                                 ARTICLE XXXVI

     Section 36.1 General REIT Provisions.
                  ------------------------

          Section 36.1.1 Tenant understands that, in order for Ventas, Inc.,
Lessor's Affiliate, to qualify as a real estate investment trust ("REIT"), the
                                                                   ----
following requirements (the "REIT Requirements") must be satisfied:
                             -----------------

          (i) Rent allocable for purposes of Section 856 of the Code to Lessor's
     personal property that is leased to Tenant under a lease at the beginning
     and end of a calendar year cannot exceed 15% of the total Rent under such
     lease.

          (ii) Tenant cannot sublet the property that is leased to it by Lessor,
     or enter into any similar arrangement, on any basis such that the rental or
     other amounts paid by the sublessee thereunder would be based, in whole or
     in part, on either (i) the net income or profits derived by the business
     activities of the sublessee or (ii) any other formula such that any portion
     of the rent paid by Tenant to Lessor would fail to qualify as "rents from
     real property" within the meaning of Section 856(d) of the Code.

          (iii) Tenant cannot transfer or assign Tenant's rights under the Lease
     to, or sublease the property leased to it by Lessor to, or enter into any
     similar arrangement with, any person in which Lessor has provided written
     notice to Tenant that it owns, directly or indirectly, a 10% or more
     interest, within the meaning of Section 856(d)(2)(B) of the Code.

          Section 36.1.2 Notwithstanding any other provisions of this Lease to
the contrary, Tenant agrees, and agrees to use reasonable efforts to cause its
Affiliates, to cooperate in good faith with Lessor to ensure that the REIT
Requirements are satisfied, including, but not limited to, providing Lessor with
information about the ownership of Tenant, and its Affiliates to the extent that
such information is reasonably available. Tenant agrees, and agrees to use
reasonable efforts to cause its Affiliates, upon request by Lessor to take
reasonable action necessary to ensure compliance with the REIT Requirements.
Immediately after becoming aware that the REIT Requirements are not, or will not
be, satisfied, Tenant shall notify, or use reasonable efforts to cause its
Affiliates to notify, Lessor of such noncompliance.

     Lessor agrees to reimburse Tenant for the reasonable amount of any out of
pocket expenses incurred by Tenant or its Affiliates in satisfying the
requirements of this Section 36.1.2.
                     --------------

          Section 36.1.3 Lessor and Tenant agree that, for all income tax
purposes, they shall accrue and report and maintain the Accrued Rent, Accrued
Rent Interest and Unpaid Accrued Rent for each Rent Calculation Year (or the
portion thereof falling within a taxable period) in the amounts specified in
this Lease for each Rent Calculation Year and shall not report as income or
deduct, as the case may be, amounts of income or deduction allocable to such
Rent Calculation Year in a manner inconsistent with such amounts, it being the
intent of the parties that accrual of income and deductions for federal and
other income tax purposes

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<PAGE>

shall be in the same amounts and at the same times as such amounts are specified
in this Lease. Lessor and Tenant acknowledge and agree that the provisions of
this Lease relative to Base Rent and the deferred payment of portions of the
Base Rent and the accrual of interest on such deferred Rent have been negotiated
at arms-length and have been included herein for the sole purpose of improving
the creditworthiness of Tenant and obtaining the necessary approvals of the
Bankruptcy Plan, including, without limitation, satisfying the requirements
relative to the feasibility of the Bankruptcy Plan. Neither Lessor nor Tenant
shall treat this Lease as subject to rent leveling (or constant rental accrual)
under the disqualified rental agreement rules of Section 467 of the Code.

                                 ARTICLE XXXVII

     Section 37.1 Intentionally Omitted.

     Section 37.2 Lessor's Option to Purchase the Tenant's Personal Property.
                  -----------------------------------------------------------
Effective on not less than ninety (90) days prior written notice given at any
time within one hundred eighty (180) days prior to the expiration of the Term,
but not later than ninety (90) days prior to such expiration, or such shorter
notice as shall be appropriate if this Lease is terminated in whole or in part
or Tenant is dispossessed of any of the Leased Properties prior to the
expiration of the Term, subject to the rights of any Leasehold Mortgagee in
respect of Tenant's Personal Property, Lessor or its designee shall have the
option to purchase all (but not less than all) of Tenant's Personal Property
located at the Leased Property(ies) in question, if any, at any expiration or
termination of the Term, for a purchase price equal to the unamortized portion
of the original cost based upon the economic useful life, as defined by the
American Hospital Guide (or, if such guide ceases to be published by the
American Hospital Association, a substitute guide or other economic useful life
reference book mutually agreed upon by Lessor and Tenant, each acting
reasonably), subject to, and with appropriate price adjustments for, all
equipment leases, conditional sale contracts, UCC-1 financing statements
(including those financing statements filed in connection with the Leasehold
Mortgages) and other encumbrances to which such Personal Property is subject.
Promptly following demand by Lessor (but in any event within thirty (30) days
following such demand), Tenant shall deliver to Lessor a computation and
statement, in form, content and detail reasonably satisfactory to Lessor, of the
purchase price described above as of the date of such expiration, termination or
dispossession, as the case may be, for all of Tenant's Personal Property located
at the Leased Property(ies) in question.

                                ARTICLE XXXVIII

     Section 38.1 Lessor May Grant Liens. Without the consent of Tenant, Lessor
                  -----------------------
may, subject to the terms and conditions set forth below in this Section 38.1,
                                                                 ------------
from time to time, directly or indirectly, create or otherwise cause to exist
any lien, encumbrance or title retention agreement ("Encumbrance") upon any
                                                     -----------
Leased Property or any portion thereof or interest therein, whether to secure
any borrowing or other means of financing or refinancing. Any lender, which
takes an interest in the applicable Leased Property pursuant to this Article
                                                                     -------
XXXVIII, (a) shall agree to give Tenant the same notice, if any, given to Lessor
-------
of any default or acceleration of any obligation underlying any such mortgage or
any sale in foreclosure

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<PAGE>

under such mortgage, (b) shall agree to permit Tenant to cure any such default
on Lessor's behalf within any applicable cure period, and Tenant shall be
reimbursed by Lessor for any and all out-of-pocket costs incurred to effect any
such cure (including reasonable attorneys' fees), (c) shall agree to permit
Tenant to appear by its representative and to bid at any sale in foreclosure
made with respect to any such mortgage and (d) shall agree not to disturb
Tenant's possession so long as Tenant is not in default in performing its
obligations hereunder.

                                 ARTICLE XXXIX

     Section 39.1 Environmental Indemnity. Tenant hereby agrees to hold harmless
                  ------------------------
Lessor, any successors to Lessor's interest in this Lease and in any Leased
Property, and Lessor's and such successors' directors, officers, partners,
members, employees and agents from and against any losses, claims, damages
(including consequential damages), penalties, fines, liabilities (including
strict liability), costs (including cleanup and recovery costs), and expenses
(including expenses of litigation and reasonable attorneys' fees) incurred by
Lessor or any other indemnitee or assessed against the Leased Property by virtue
of any claim or lien by any governmental or quasi-governmental unit, body, or
agency, or any third party, for cleanup costs or other costs pursuant to the
Comprehensive Environmental Response Compensation and Liability Act of 1980, the
Hazardous Materials Transportation Act, the Resource Conservation and Recovery
Act, all as amended from time to time, and all state laws and federal and state
regulations pursuant to the foregoing (collectively "Environmental Laws").
                                                     ------------------
Tenant's indemnity shall survive the expiration or any termination of this
Lease. Provided, however, Tenant shall have no indemnity obligation with respect
       -----------------
to (i) Hazardous Materials first introduced to the Leased Property subsequent to
the date that Tenant's occupancy of the applicable Leased Property shall have
fully terminated or (ii) Hazardous Materials first introduced to the Leased
Property prior to April 30, 1998, except to the extent arising from any
deterioration on or after April 30, 1998 in any condition existing prior to the
April 30, 1998. "Hazardous Materials" means any substance the presence of which
                 -------------------
poses a hazard to the health or safety of persons on or about the Leased
Property or which requires removal or remediation under any Environmental Law,
including without limitation, any substance which is toxic, explosive,
flammable, radioactive, or otherwise hazardous or is included within the meaning
of "hazardous substance", "hazardous waste", "toxic substance", or "pollutant"
as defined in any Environmental Law. At any time during the Term of this Lease,
Lessor may require one or more environmental audits of the Leased Properties, in
such form, scope and substance as specified by Lessor, at Tenant's expense.
Tenant shall, within thirty (30) days after receipt of an invoice from Lessor,
reimburse Lessor for all costs and expenses incurred in reviewing any
environmental audit, including without limitation, reasonable attorneys' fees
and costs.

                                   ARTICLE XL

     Section 40.1 Miscellaneous. Anything contained in this Lease to the
                  --------------
contrary notwithstanding, all claims against, and liabilities of, Tenant or
Lessor arising prior to any date of termination or expiration of this Lease
shall survive such termination or expiration. If any term or provision of this
Lease or any application hereof shall be invalid or unenforceable, the remainder
of this Lease and any other application of such term or provision shall not be

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<PAGE>

affected thereby. If any late charges provided for in any provision of this
Lease are based upon a rate in excess of the maximum rate permitted by
applicable law, the parties agree that such charges shall be fixed at the
maximum permissible rate. Neither this Lease nor any provision hereof may be
changed, waived, discharged or terminated except by an instrument in writing and
in recordable form signed by Lessor and Tenant. All the terms and provisions of
this Lease shall be binding upon and inure to the benefit of the parties hereto
and their respective successors and assigns. The headings in this Lease are for
convenience of reference only and shall not limit or otherwise affect the
meaning hereof.

     Section 40.2 Non-Recourse. Tenant specifically agrees to look solely to
                  -------------
Lessor's and any successor owner's interest in the Leased Properties for
recovery of any judgment from Lessor, it being specifically agreed that neither
Lessor, any such successor owner, nor any officer, director, employee, lender,
agent or Affiliate of Lessor or any such successor owner shall ever be
personally liable for any such judgment or for the payment of any monetary
obligation to Tenant. Tenant shall have no recourse against any other property
or assets of Lessor or any successor owner, or against any property or assets of
any officer, director, shareholder, partner, lender, agent or Affiliate of
Lessor or any successor owner. The provision contained in the foregoing sentence
is not intended to, and shall not, limit any right that Tenant might otherwise
have to obtain injunctive relief against Lessor or Lessor's successors in
interest, or any action not involving the personal liability of Lessor (original
or successor). Furthermore, except as otherwise expressly provided herein, in no
event shall Lessor (original or successor) ever be liable to Tenant for any
special, indirect or consequential damages suffered by Tenant from whatever
cause.

     Section 40.3 Transition of Operations.
                  ------------------------

          (a) Upon the expiration or earlier termination of the Term as to any
Leased Property, or any dispossession of Tenant as to any Leased Property,
Tenant shall, to the maximum extent permitted by applicable law, transfer to
Lessor or Lessor's designee and/or cooperate in all reasonable respects with
Lessor or Lessor's designee to enable Lessor or Lessor's designee to apply for
and obtain all licenses, operating permits, provider agreements, provider
status, certificates of need, certificates of exemption, approvals, waivers,
variances and other governmental, quasi-governmental and private authorizations
necessary for the operation of the Leased Property as to which the Term is
expired or terminated or as to which Tenant has been dispossessed and the
Facilities located thereon, or any of them, for their respective Primary
Intended Uses (collectively "Authorizations"); provided that the costs and
                             --------------    --------
expenses of any such transfer or obtaining of Authorizations shall be paid by
Lessor or Lessor's designee unless such termination or dispossession results
from an Event of Default, in which event the costs and expenses of any such
transfer or obtaining of Authorizations shall be paid by Tenant. It is the
express intention of the parties that at the expiration or earlier termination
of the Term as to any Leased Property, and upon any dispossession of Tenant in
connection with any Event of Default as to any Leased Property, any and all
Authorizations needed to operate each Leased Property as to which the Term is
expired or terminated, or as to which Tenant has been dispossessed, for its
Primary Intended Use shall, to the maximum extent permitted by applicable law,
remain with such Leased Property and shall be transferred into the name of
Lessor or Lessor's designee, regardless of whether such Authorization is in

                                      116

<PAGE>

the name of Tenant at any time during the Term. Without limiting the generality
of the foregoing, Tenant shall furnish to Lessor or its designee complete and
accurate documents and information in Tenant's possession, custody or control
necessary or reasonably requested by Lessor or its designee in connection with
any such transfer or the completion and processing of any applications for
Authorizations.

          (b) In anticipation of the expiration of this Lease as to any Leased
Property, upon the earlier termination of this Lease as to any Leased Property,
and/or upon any dispossession of Tenant in connection with any Event of Default
as to any Leased Property, Tenant shall cooperate with Lessor in all reasonable
respects to facilitate and effectuate the orderly transfer of operations at the
affected Facility(ies) as a going concern; provided, however, that, unless such
                                           -----------------
termination or dispossession results from an Event of Default by Tenant,
notwithstanding anything to the contrary contained in this subsection (b),
Tenant shall not be required to incur any out-of-pocket operating losses or
costs in so cooperating. Such cooperation shall include, without limitation: (i)
furnishing to Lessor or any prospective successor operator of a Facility
designated by Lessor complete and accurate books, records, files, documents and
information in Tenant's possession, custody or control necessary or reasonably
requested by Lessor or its designee in connection with the assessment and/or
assumption of the operations of such Facility(ies); (ii) facilitating the
evaluation and employment by Lessor or its designee of such employees of Tenant
as Lessor or its designee may elect to evaluate or employ, including, without
limitation, to the extent permitted by law, affording Lessor or its designee
access to all relevant personnel files, records, documents and information in
Tenant's possession, custody or control; and (iii) assigning to Lessor or its
designee such assignable patient, vendor, service provider and other contracts
relating to the Facility(ies) in question as Lessor or its designee may request;
provided, however, that Tenant's cooperation obligation shall not include
-----------------
undertaking primary responsibility for such transfer of operations.

          (c) Notwithstanding anything to the contrary contained in this Lease,
Tenant shall not, prior to the ninetieth (90th) day preceding the expiration of
this Lease as to any Leased Property, commence to wind up and terminate the
operations of the Facility operated thereon by relocating the patients or
occupants thereof to other health care facilities (a "Facility Termination"). If
                                                      --------------------
Lessor has not notified Tenant in writing prior to the ninetieth (90th) day
preceding the expiration of this Lease as to a Leased Property and the Facility
thereon that Lessor has procured a successor operator for such Facility who has
submitted applications for the Authorizations required to assume the operations
of such Facility (a "Qualified Successor"), then Tenant may commence the
                     -------------------
Facility Termination and, upon the expiration of this Lease as to such Leased
Property and Facility, Tenant shall vacate such Leased Property and surrender
possession thereof to Lessor in accordance with all of the applicable
requirements of this Lease. If, prior to the ninetieth (90th) day preceding the
expiration of this Lease as to a Leased Property and the Facility thereon,
Lessor notifies Tenant in writing that Lessor has procured a Qualified Successor
for such Facility, Tenant shall not commence the Facility Termination (any
notice of the nature referenced in this sentence is herein referred to as a
"Section 40.3 Notice"). In such event, Tenant shall thereafter operate such
 -------------------
Facility in accordance with all of the requirements of this Lease until the
earliest to occur of (i) the date (on or after the expiration of this Lease as
to such Leased Property and Facility) on which such

                                      117

<PAGE>

Qualified Successor will assume the operation of such Facility, as specified in
a written notice from Lessor to Tenant given not less than thirty (30) days
prior to the date of such assumption, (ii) the date that is ninety (90) days
after the expiration of this Lease as to such Leased Property and Facility, and
(iii) the date (on or after the expiration of this Lease as to such Leased
Property and Facility) which is ninety (90) days after Tenant receives written
notice from Lessor that, notwithstanding the foregoing, Tenant may commence the
Facility Termination, on which earliest date, Tenant shall vacate the Leased
Property in question and surrender possession thereof to Lessor in accordance
with all of the applicable requirements of this Lease. In the event Lessor sends
Tenant a Section 40.3 Notice and, as a result thereof, Tenant operates a
Facility beyond the aforesaid expiration date applicable thereto, then, from and
after the expiration of this Lease as to such Facility and until the earliest to
occur of the dates described in clauses (i), (ii) and (iii) above (the
"Reimbursement Period"), Lessor shall reimburse Tenant for any operating
 --------------------
deficits of such Facility that Tenant may be required to fund out-of-pocket on
account of operating losses and expenses of such Facility incurred by Tenant
with respect to the Reimbursement Period. Any such reimbursement shall be due
from Lessor to Tenant within thirty (30) days after written request by Tenant,
provided that Tenant shall furnish such documentation of such operating
deficits, losses and expenses as Lessor may reasonably request. For purposes of
determining the amount of any operating deficits, or operating losses and
expenses, so incurred by Tenant with respect to the Reimbursement Period, Lessor
and Tenant agree that (1) there shall be included therein, without limitation,
(x) Rent, which shall continue to be due and payable or accrue, as the case may
be, at the same rates as are in effect prior to the expiration of the Term, and
(y) any increase in employee severance, and all costs and liabilities, that may
be incurred by Tenant in connection with Tenant's employees' employment by
virtue of Tenant's delayed compliance with the Worker Adjustment and Retraining
Notification Act, or any similar State law, due to Tenant's cooperation and
other obligations under this subsection (c), and (2) Tenant shall serve upon its
employees any notice required under the Worker Adjustment and Retraining
Notification Act, or any similar State law, as soon as reasonably practicable
after it becomes clear when the Reimbursement Period will end, whether due to
Tenant's receipt of a written notice under subsection (i) or (iii) above or due
to the terms of subsection (ii) above which provides that, in all events, the
Reimbursement Period shall end no later than the date referenced in such
subsection (ii). In lieu of the aforesaid reimbursement from Lessor, Tenant may
instead elect to continue to be responsible for payment of all costs and
expenses of continuing to comply with this Lease as to such Facility during the
Reimbursement Period, provided and on the condition that Tenant provides written
notice to Lessor of such election within fifteen (15) days after Tenant's
receipt of Lessor's Section 40.3 Notice. In the event Tenant so elects to forego
its aforesaid reimbursement from Lessor, during the Reimbursement Period,
Current Rent and Accrued Rent allocable to such Facility shall be payable in the
manner set forth in Section 3.1 of this Lease, but with each such component of
                    -----------
Rent being reduced to one-half (1/2) of the respective amounts thereof that were
allocable to such Facility as of the expiration of the Term as to such Facility.
In the event Lessor sends Tenant a Section 40.3 Notice and, as a result thereof,
Tenant operates a Facility beyond the expiration date applicable thereto, any
Facility Default that occurs with respect to such Facility and Leased Property
during the Reimbursement Period shall in no event give rise to any right in
favor of Lessor to exercise

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<PAGE>

any rights or remedies under Article XVI hereof with respect to any other
                             -----------
Facility or Leased Property.

     Section 40.4 Right to Enter. Lessor and Lessor's agent shall have the right
                  --------------
to enter the applicable Leased Property at all reasonable times for the purpose
of exhibiting the Leased Property to others (i) if Tenant has not exercised its
right with respect to any applicable Extended Term within the time period set
forth in this Lease, or (ii) during the last eighteen (18) months of the Term
(if all available options for Extended Terms have previously been exercised).

     Section 40.5 Integration. This Lease contains the entire agreement between
                  -----------
Lessor and Tenant with respect to the subject matter hereof. No representations,
warranties or agreements have been made by Lessor except as set forth in this
Lease.

     Section 40.6 Severability. If any term or provision of this Lease is held
                  -------------
or deemed by Lessor to be invalid or unenforceable, such term or provision shall
be modified as slightly as possible so as to render it valid and enforceable; if
such term or provision, as modified, shall be held or deemed invalid or
unenforceable, such holding shall not affect the remainder of this Lease and
same shall remain in full force and effect, unless such holding substantially
deprives Tenant of the use of the Leased Property(ies) or Lessor of the rents
herein reserved, in which event this Lease shall forthwith terminate as if by
expiration of the Term.

     Section 40.7 Subject to Law.
                  --------------

          (a) All rights, powers and remedies provided herein may be exercised
only to the extent that the exercise thereof, including those which do not
require the giving of notice, does not violate any applicable law, and are
intended to be limited to the extent necessary so that they will not render this
Lease invalid or unenforceable under any applicable law. All waivers, consents,
confessions and releases provided for in this Lease are effective only to the
extent permitted by applicable law.

          (b) This Lease was negotiated in the State of New York, which State
the parties agree has a substantial relationship to the parties and to the
underlying transaction embodied hereby. In all respects, the law of the State of
New York shall govern the validity of and enforceability of the obligations of
the parties set forth herein, but all provisions hereof relating to the creation
of the leasehold estate and remedies set forth in Article XVI shall be governed
                                                  -----------
by the laws of the State in which each applicable Leased Property that is the
subject of dispute is located and the parties hereto will submit to jurisdiction
and the laying of venue for any suit on this Lease in the Commonwealth of
Kentucky.

     Section 40.8 Waivers. No waiver of any condition or covenant herein
                  -------
contained, or of any breach of any such condition or covenant, shall be held or
taken to be a waiver of any subsequent breach of such covenant or condition, or
to permit or excuse its continuance or any future breach thereof or of any
condition or covenant herein construed as a waiver of such default, or of
Lessor's right to terminate this Lease or exercise any other remedy granted
herein on account of such existing default.

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<PAGE>

     Section 40.9 Binding Character. This Lease shall be binding upon and shall
                  -----------------
inure to the benefit of the heirs, successors, personal representatives, and
permitted assigns of Lessor and Tenant.

     Section 40.10 Modification. This Lease may be only be modified by a writing
                   ------------
signed by both Lessor and Tenant.

     Section 40.11 Forbearance. No delay or omission by either party hereto to
                   -----------
exercise any right or power accruing upon any noncompliance or default by the
other party with respect to any of the terms hereof shall impair any such right
or power or be construed to be a waiver thereof.

     Section 40.12 Lease Guaranty. In the event of any sublease of any Leased
                   --------------
Property(ies) or any portion thereof to an Affiliate of any Tenant pursuant to
the terms of this Lease, regardless of whether Lessor's prior consent is
required therefor, such subtenant shall execute and deliver a Lease Guaranty
relative to the Leased Property(ies) or portion thereof subleased by it. Tenant
represents and warrants to Lessor that Schedule 40.12 attached hereto and made a
                                       --------------
part hereof reflects the identities of all Affiliates of any Tenant from whom a
Lease Guaranty is required hereunder as of the Effective Date and the respective
Leased Properties (or parts thereof) subleased by each of such Affiliates.
Tenant agrees, from time to time within fifteen (15) days after receipt of a
written request therefor from Lessor, to deliver to Lessor an Officer's
Certificate which updates all of the information contained in Schedule 40.12.
                                                              --------------

     Section 40.13 Intentionally omitted.

     Section 40.14 Confidentiality.
                   ---------------

          (a) Each of Lessor and Tenant agrees that, except as otherwise
explicitly provided in this Section 40.14, all Information (as defined below)
                            -------------
provided by Lessor to Tenant and by Tenant to Lessor (the party providing such
Information being referred to as "Disclosing Party" and the party receiving the
                                  ----------------
Information being referred to as "Recipient") will be kept confidential and will
                                  ---------
not, without Disclosing Party's prior written consent, be disclosed by
Recipient, in whole or in part, to any person, in any manner whatsoever.

          (b) Recipient may disclose Information:

          (i) to those of Recipient's officers, directors and employees who are
     informed by Recipient of the confidential nature of the Information and who
     agree, for Disclosing Party's benefit, to act in accordance with the terms
     and conditions of this Section 40.14; Recipient will be responsible for any
                            -------------
     breach of this Section 40.14 by such persons.
                    -------------

          (ii) in the case where Lessor is the Recipient

               (A) to the extent the Information is both (x) of a financial,
          operating, regulatory, business or similar nature, and (y) has been
          aggregated to


                                      120

<PAGE>

          relate to any or all of the Master Leases, a jurisdiction or
          jurisdictions (such as a state or region), a class or classes of asset
          (e.g. nursing facilities or hospitals) or any other category, in each
          case so long as such disclosure is not on a per Leased Property basis;
          or

               (B) if Lessor is a Ventas Lessor, to the extent the Information
          relates to a particular Master Lease Leased Property(ies), and either

                    (w) is provided to Facility Mortgagees, prospective Facility
               Mortgagees, Superior Lessors, prospective Superior Lessors,
               purchasers, prospective purchasers, tenants or prospective
               tenants of such Master Lease Leased Property(ies); provided that
               any such party listed in this clause (w) who receives such
               Information is informed by Lessor or the Ventas Lessor(s) of the
               applicable Master Lease Leased Property(ies) of the confidential
               nature of the Information and agrees with Lessor or the Ventas
               Lessor(s) of the applicable Master Lease Leased Property(ies) to
               keep such Information confidential pursuant to a standard
               confidentiality agreement; and provided further that such
               Information may be disclosed to tenants or prospective tenants
               only if either (i) Tenant has not, at least seventeen (17) months
               prior to the then current Term applicable to the related Renewal
               Group, given to the Ventas Lessor of the applicable Master Lease
               Leased Property written notice of Tenant's intention to renew the
               applicable lease with respect to the Master Lease Leased
               Properties within such Renewal Group, or (ii) an Event of Default
               has occurred under the applicable lease of such Master Lease
               Leased Property(ies); or

                    (x) is disclosed in connection with or following a sale,
               closure, material casualty, default or prospective default with
               respect to such Master Lease Leased Property; or

                    (y) relates to the location or size of, or the number of
               licensed beds at, such Master Lease Leased Property or the rent
               for such Master Lease Leased Property; or

                    (z) is of the type customarily disclosed by a public
               healthcare real estate investment trust; or

               (C) if Lessor is not a Ventas Lessor, to the extent the
          Information relates to a particular Leased Property(ies), and either

                    (w) is provided to Facility Mortgagees, prospective Facility
               Mortgagees, Superior Lessors, prospective Superior Lessors,
               purchasers, prospective purchasers, tenants or prospective
               tenants of such Leased Property(ies); provided that any such
               party listed in this clause (w) who receives such Information is
               informed by Lessor of the confidential nature of the Information
               and agrees with Lessor to keep such

                                      121

<PAGE>

               Information confidential pursuant to a standard confidentiality
               agreement; and provided further that such Information may be
               disclosed to tenants or prospective tenants only if either (i)
               Tenant has not, at least seventeen (17) months prior to the then
               current Term applicable to the related Renewal Group, given to
               Lessor written notice of Tenant's intention to renew this Lease
               with respect to the Leased Properties within such Renewal Group,
               or (ii) an Event of Default has occurred under the Lease of such
               Leased Property(ies); or

                    (x) is disclosed in connection with or following a sale,
               closure, material casualty, default or prospective default with
               respect to such Leased Property; or

                    (y) relates to the location or size of, or the number of
               licensed beds at, such Leased Property or the rent for such
               Leased Property; or

                    (z) is of the type customarily disclosed by a public
               healthcare real estate investment trust.

          (iii) to the extent Recipient reasonably determines that disclosure of
     the Information is required by any Legal Requirement applicable to
     Recipient or any applicable rule, regulation, or requirement of any
     securities exchange on which the Recipient's securities are listed or
     admitted for trading (a "Disclosure Law") pursuant to the procedures set
                              --------------
     forth in Section 40.14(h) below.
              ----------------

          (iv) in connection with any proceeding in which Recipient is
     attempting to protect or enforce any rights and/or remedies in connection
     with this Lease or any of the other Combined Leases, but only to the extent
     necessary to protect or enforce such rights and/or remedies.

          (v) to any person in a confidential relationship with the Recipient,
     including Recipient's auditors, advisors, consultants, lawyers, and others
     who agree with Recipient to be bound by a standard confidentiality
     agreement, such as lenders, prospective lenders, purchasers, potential
     purchasers, tenants and prospective tenants; provided, however, that
     Recipient shall not be liable to Disclosing Party for any breach by such
     persons of such confidential relationship or confidentiality arrangements;
     provided further, however, that Recipient shall assign to Disclosing Party
     (or enforce on Disclosing Party's behalf and at Disclosing Party's cost)
     the Recipient's rights under such confidentiality agreement or obligations.

          (vi) to the extent legally compelled to disclose any of the
     Information pursuant to a subpoena or other legal process having the force
     of law. Recipient will provide Disclosing Party with prompt notice so that
     Disclosing Party or any of its representatives may seek a protective order
     or other appropriate remedy. In the event that such protective order or
     other remedy is not obtained, Recipient will furnish only that portion of
     the Information which Recipient has been advised is legally required and
     Recipient will exercise its reasonable efforts to attempt to obtain
     reliable assurance that

                                      122

<PAGE>

     confidential treatment will be accorded the Information so to be furnished.
     In any event, Recipient will cooperate with (and not oppose) any reasonable
     action by Disclosing Party to obtain an appropriate protective order or
     other reliable assurance that confidential treatment will be accorded such
     Information.

          (vii) in the case where Lessor is the Recipient, to the extent Lessor
     reasonably determines that the Information is required under Disclosure Law
     applicable to Recipient to be disclosed in connection with a distribution
     (a "Ventas Stockholder Distribution") by Recipient (or any of its
         -------------------------------
     transferees) to Recipient's stockholders of the common stock of Tenant
     received by VRLP upon consummation of Tenant's bankruptcy case (the "Tenant
                                                                          ------
     Shares") pursuant to the procedures set forth in Section 40.14(h) below;
     ------                                           ----------------
     provided; however, that in connection with a Ventas Stockholder
     Distribution pursuant to a registration statement prepared by Tenant under
     the terms of the Registration Rights Agreement by and among Tenant, VRLP
     and certain other parties thereto (the "Registration Rights Agreement"), no
                                             -----------------------------
     such disclosure shall be permitted during either (A) a Shelf Suspension
     pursuant to Section 3 of the Registration Rights Agreement, or (B) a
     "black-out period" applicable to "Holders" pursuant to Section 5 of the
     Registration Rights Agreement.

          (viii) in the case where Lessor is the Recipient, pursuant to the
     procedures set forth in Section 40.14(h) below, to the extent Lessor
                             ----------------
     reasonably determines that the Information is required to be disclosed
     under Disclosure Law applicable to Recipient in connection with a sale by
     Recipient of Tenant Shares and notice of such proposed disclosure occurs
     pursuant to a Disclosure Notice received by Tenant no later than 15
     Business Days after (A) the filing by Tenant of a report on Form 8-K, 10-Q
     or 10-K, (B) the termination of a Shelf Suspension pursuant to Section 3 of
     the Registration Rights Agreement, (C) the termination of a "black-out
     period" applicable to "Holders" pursuant to Section 5 of the Registration
     Rights Agreement, or (D) Tenant shall have provided Ventas, Inc. or VRLP
     with written notice of any "Accretive Transaction" as defined in and in
     accordance with the requirements of Article Twelfth of Tenant's Amended and
     Restated Certificate of Incorporation.

          (c) Information means (i) all and any data, reports, including any
survey deficiency reports or summaries thereof, forecasts, records, agreements
and other information (whether written, magnetic, digital or in any other form)
furnished after April 20, 2001 by Disclosing Party or by any of its
representatives or advisors to Recipient that is both (x) material and
proprietary, and (y) in the case where Tenant is the Disclosing Party, that is
required to be furnished pursuant to Section 8.1; 8.2; 26.1(b)(ii) (but only to
                                     -----------  ---  -----------
the extent furnished on a per Master Lease Leased Property basis (if Lessor is a
Ventas Lessor) or on a per Leased Property basis (if Lessor is not a Ventas
Lessor)); 26.1(c); 26.1(d); 26.1(e)(iii), (iv), (v) or (vii); 26.1(h); and
          -------  -------  ------------  ----  ---    -----  -------
26.1(i), and (ii) EBITDAR, profitability, census and regulatory deficiency data
-------
for each Master Lease Leased Property (if Lessor is a Ventas Lessor) or for each
Leased Property (if Lessor is not a Ventas Lessor). For purposes of this Section
                                                                         -------
40.14, information and other materials will be deemed furnished or prepared by,
-----
or furnished to, a person if furnished or prepared by, or if furnished to, such
person or an affiliate of such person, or any employee, agent, partner,
representative or advisor of such person. As used in

                                      123

<PAGE>

this Section 40.14, person means any natural person and any corporation,
     -------------
partnership, association, firm or other entity or organization of any kind
whatsoever, and all references to Recipient in this Section 40.14 shall include
                                                    -------------
its affiliates, and an affiliate of a designated person means a second person
which (directly or indirectly) controls, is controlled by, or is under common
control with, such designated person; provided, however, that Lessor and Tenant
shall not be deemed to be affiliates.

          (d) The obligations under Section 40.14(a) will not apply to any
                                    ----------------
Information which (i) was known to Recipient prior to Disclosing Party's
disclosure of such Information to Recipient (unless Recipient's knowledge was
obtained confidentially or from a source which to Recipient's knowledge was not
permitted to disclose such Information to Recipient) or (ii) becomes available
to Recipient on a nonconfidential basis from a source (other than Disclosing
Party or any of its employees, agents, representatives or advisors) who to the
knowledge of the Recipient is not prohibited from disclosing such Information to
Recipient by any legal, contractual or fiduciary obligation.

          (e) Recipient acknowledges that remedies at law may be inadequate to
protect against breach of the provisions of this Section 40.14, and Recipient
                                                 -------------
hereby in advance agrees that Disclosing Party shall not be obligated to
establish actual damages or the inadequacy of monetary damages in seeking an
injunction. Such injunctive relief will not be deemed to be the exclusive remedy
for a breach by Recipient of the provisions of this Section, but will be in
addition to all other remedies available at law or equity to Disclosing Party.

          (f) Lessor shall have the right to temporarily suspend Tenant's
obligation to provide it with Information pursuant to the terms of this Lease or
otherwise for a specified period of time or for a period of time terminating
upon the occurrence of a specified event, including notice from Lessor (the
"Suspension Period"). During the Suspension Period, Tenant shall, if requested
 -----------------
by Lessor, deliver such Information to a third party in a confidential
relationship with Lessor. Upon expiration or termination of the Suspension
Period, Tenant will deliver to Lessor within three Business Days all Information
that Tenant otherwise would have been required to deliver during the Suspension
Period and shall immediately, once again, be subject to all of the information
delivery requirements set forth in this Lease.

          (g) Recipient acknowledges that no failure or delay in exercising any
right under this Section 40.14 shall operate as a waiver thereof, nor will any
                 -------------
single or partial exercise thereof preclude any other or further exercise
thereof or the exercise of any other right hereunder.

          (h) In connection with any proposed disclosure pursuant to Section
                                                                     -------
40.14(b)(iii), (vii) or (viii), the Recipient shall provide the Disclosing Party
-------------  -----    ------
with advance written notice of the proposed disclosure shall set forth the
Information to be disclosed, the proposed date of disclosure (the "Disclosure
                                                                   ----------
Date"), the basis for such disclosure as well as the manner of such disclosure
----
(the "Disclosure Notice"). The Disclosure Notice shall be delivered to the
      -----------------
Disclosing Party no later than the Disclosure Notification Date (as defined
below). The Recipient and the Disclosing Party shall cooperate with one another
and negotiate in good faith to seek a mutually satisfactory resolution with
respect to such proposed

                                      124

<PAGE>

disclosure. In the event the Disclosing Party has not, prior to the Disclosure
Date, either (A) consented to the proposed disclosure (or such modified
disclosure as the Recipient and Disclosing Party may mutually agree) or (B)
itself made disclosure of the Information contained in such Disclosure Notice
(or such modified disclosure as the Recipient and Disclosing Party may mutually
agree) the Recipient may disclose such Information to the extent and in the
manner set forth in such Disclosure Notice.

          (i)   Disclosure Notification Date shall mean the latest of the dates
set forth below:

          (A)   five (5) Business Days prior to the Disclosure Date;

          (B)   in the case of Section 40.14(b)(iii), such shorter period of
                               ---------------------
time prior to the Disclosure Date which is reasonable (in light of the nature of
the Information to be disclosed and the Disclosure Law applicable thereto);

          (C)   in the case of Section 40.14(b)(vii), two Business Days
                               ---------------------
preceding any previously publicly announced date for the Ventas Stockholder
Distribution; and

          (D)   in the case of Section 40.14(b)(viii)(D), three (3) Business
                               -------------------------
Days in advance of the date Ventas, Inc. or VRLP is obligated to accept or
reject Tenant's offer to purchase securities in connection with the Accretive
Transaction.

     Section 40.15 New Lease. Lessor shall have the right, at any time and from
                   ---------
time to time during the Term for a legitimate business purpose, by written
notice to Tenant, to require Tenant to execute an amendment to this Lease
whereby one or more Leased Properties (individually, a "Transferred Property" or
                                                        --------------------
collectively, "Transferred Properties") is separated and removed from this
               ----------------------
Lease, and to simultaneously execute a substitute lease with respect to such
Transferred Property(ies), in which case:

          (a)   Lessor and Tenant shall execute a new lease (the "New Lease")
                                                                  ---------
for such Transferred Property(ies), effective as of the date specified in
subsection (c) below (the "Property Transfer Date"), in the same form and
                           ----------------------
substance as this Lease, but with the following changes thereto:

          (i)   The initial Base Rent for such Transferred Property(ies) shall
     be an amount equal to the product of (x) the percentage(s) set forth
     opposite the Transferred Property(ies) on Exhibit C, attached hereto and
                                               ---------
     made a part hereof (the "Transferred Property Percentage(s)"), and (y)
                              ----------------------------------
     aggregate Base Rent in effect under this Lease on the Property Transfer
     Date;

          (ii)  The initial Current Rent for such Transferred Property(ies)
     shall be an amount equal to the product of (x) the Transferred Property
     Percentage(s), and (y) aggregate Current Rent in effect under this Lease on
     the Property Transfer Date;

          (iii) To the extent that there is any Unpaid Accrued Rent under this
     Lease as of such Property Transfer Date, then an amount of such Unpaid
     Accrued Rent equal to

                                      125

<PAGE>

     the product of (x) the Transferred Property Percentage(s), and (y) the
     aggregate amount of Unpaid Accrued Rent under this Lease as of the Property
     Transfer Date, shall be deemed to be outstanding under the New Lease;

          (iv)   Any rental escalations required under the New Lease to be made
     on the May 1 immediately following the Property Transfer Date shall be made
     under the New Lease on such May 1, in the full amount required as if such
     Transferred Property(ies) had been under the New Lease for a full year,
     notwithstanding that the period from the Property Transfer Date to such
     succeeding May 1 may be less than one full year;

          (v)    "Base Patient Revenues" as defined in Section 2.1 of the New
                                                       -----------
     Lease shall mean the Base Patient Revenues from the Transferred
     Property(ies) for the calendar year ending on December 31, 1999 as set
     forth on Schedule 2.1A;
              -------------

          (vi)   Intentionally omitted;

          (vii)  Intentionally omitted;

          (viii) Without limitation of subsection (xiv) below, under Section 3.2
                                                                     -----------
     of the New Lease, the Reset Fee under such New Lease shall be an amount
     equal to the product of (x) the Transferred Property Percentage(s), and (y)
     the Reset Fee applicable to this Lease on the Property Transfer Date;

          (ix)   Exhibit C to such New Lease shall include (A) rent only for the
                 ---------
     Transferred Property(ies) covered by such New Lease; and (B) a Transferred
     Property Percentage for each such Transferred Property, equal to the
     percentage that the rent for such Transferred Property comprises of the
     aggregate rents for all Transferred Properties under such New Lease (and
     the aggregate of all Transferred Property Percentages under such New Lease
     shall equal 100%);

          (x)    Subject to Section 22.7(g) hereof and without limitation and
                            ---------------
     subject to the provisions of Sections 16.10, 19.1, 25.1.11 and
                                  --------------  ----  -------
     40.18 of this Lease and all other leases demising any of the Master Lease
     -----
     Leased Properties, the New Lease shall provide that the tenant thereunder
     shall be responsible for the payment, performance and satisfaction of all
     duties, obligations and liabilities arising under this Lease, insofar as
     they relate to the Transferred Property(ies) subject to the New Lease, that
     were not paid, performed and satisfied in full prior to the effective date
     of the New Lease (and Tenant, in its capacity as the tenant under this
     Lease, shall also be responsible for the payment, performance and
     satisfaction of the aforesaid duties, obligations and liabilities not paid,
     performed and satisfied in full prior to the effective date of such New
     Lease), and shall further provide that the tenant thereunder, in its
     capacity as the tenant under such New Lease, shall not be responsible for
     the payment, performance or satisfaction of any duties, obligations and
     liabilities of Tenant, in its capacity as the tenant under this Lease,
     arising after the Property Transfer Date (except that, because the tenant
     under such New Lease shall be the same as Tenant under this Lease, such New
     Lease will clarify that the tenant under such New Lease, as a legal entity,
     is responsible for such duties, obligations and liabilities under this
     Lease);

                                      126

<PAGE>

          (xi)   If the New Lease relates to a single Leased Property, the New
     Lease shall provide that (1) because, for example, such New Lease may
     thereafter be amended by agreement of Lessor and Tenant to include one or
     more other leased properties or such New Lease may thereafter be combined
     with a Second Lease pursuant to Section 40.18 of such New Lease, with such
     New Lease as the Section 40.18 Lease, Lessor and Tenant under such New
                      -------------
     Lease have, in creating such New Lease as a "New Lease" under Section 40.15
                                                                   -------------
     of one of the other Combined Leases, nevertheless retained in such New
     Lease references to multiple Leased Properties and provisions and terms
     that apply to multiple Leased Properties and (2) without limitation of and
     subject to Sections 16.10, 19.1, 25.1.11 and 40.18 of such New Lease and
                --------------  ----  -------     -----
     all other leases demising any of the Master Lease Leased Properties, for so
     long as such New Lease relates to a single Leased Property, the aforesaid
     references to multiple Leased Properties, and the aforesaid provisions and
     terms applicable to multiple Leased Properties, shall, if the context so
     requires in light of such New Lease relating to only a single Leased
     Property, be treated as references to a single Leased Property or as
     provisions and terms applicable to a single Leased Property;

          (xii)  The New Lease shall not include any cross-default provisions
     that would make Tenant's default under this Lease or under any other New
     Lease entered into in accordance with this Lease or under any of the Master
     Leases or under any New Lease entered into in accordance with any of such
     Master Leases an event of default under such New Lease; provided, however,
                                                             --------  -------
     the foregoing portion of this clause (xii) is without limitation of and
     subject to the provisions of Sections 16.10, 19.1, 25.1.11 and 40.18 of
                                  --------------  ----  -------     -----
     this Lease and all other leases demising any of the Master Lease Leased
     Properties;

          (xiii) At the election of Lessor, any one or more of the provisions of
     the New Lease pertaining to Ventas, Inc.'s REIT status shall be deleted,
     including, without limitation, Section 25.3 and Article XXXVI hereof; and
                                    ------------     -------------

          (xiv)  The New Lease (but not including any New Master Lease under
     Section 40.17 hereof) shall include within Section 3.2 thereof a new
     -------------                              -----------
     subsection (g) thereof providing that (1) the lessor under the Original
     Master Lease shall have the sole and exclusive power and authority to
     exercise the rights of the lessor under Section 3.2 of each lease relating
                                             -----------
     to one or more Master Lease Leased Properties (including the rights of the
     lessor under Section 3.2 of such New Lease), and to bind such lessor with
                  -----------
     respect thereto and (2) the rights of such lessor under Section 3.2 of such
                                                             -----------
     New Lease, acting through the lessor under the Original Master Lease as
     provided in subsection (1) above, must be exercised consistently and
     simultaneously with the exercise of such rights by the lessor under the
     Original Master Lease (for example, if a Reset Proposal Notice is to be
     sent, or the Reset Option is to be exercised, or determinations by
     appraisal are to be requested, the same must be done at the same time for
     all of the Master Lease Leased Properties (including the Transferred
     Properties subject to such New Lease)) and, if the Reset Option is to be
     exercised, the Reset Fees applicable to such New Lease and all other leases
     demising any of the Master Lease Leased Properties, must be paid to Tenant
     in connection with, and as a condition of, any such

                                      127

<PAGE>

     exercise (for example, if the Master Lease Leased Properties have not
     changed since April 20, 2001, the amount that would be required to be paid
     to Tenant with exercise of the Reset Option under such New Lease and all
     other leases demising any of the Master Lease Leased Properties would equal
     $2,085,946.00. Alternatively, for example, if (x) a New Master Lease is
     created pursuant to Section 40.17 of such New Lease and of the Original
                         -------------
     Master Lease and the Reset Fee attributable to the leased properties
     included in such New Master Lease that were previously Master Lease Leased
     Properties equals $100,000.00 and (y) prior to the creation of such New
     Lease, a partial termination of the Original Master Lease occurred pursuant
     to Section 40.16 thereof with respect to certain leased properties and, as
        -------------
     a result thereof, the Reset Fee under the Original Master Lease was reduced
     by $25,000.00 pursuant to Section 40.16(f) of the Original Master Lease,
                               ----------------
     the amount that would be required to be paid to Tenant with exercise of the
     Reset Option under such New Lease and all other leases of the remaining
     Master Lease Leased Properties would equal $1,960,946.00 ($2,085,946.00 -
     ($100,000.00 + $25,000.00) = $1,960,946.00).)

          (b)    Upon execution of such New Lease, and effective as of the
Property Transfer Date, this Lease shall be deemed to be modified and amended as
follows:

          (i)    The Transferred Property(ies) shall be excluded from the Leased
     Properties hereunder;

          (ii)   Base Rent hereunder shall be reduced by the amount set forth in
     Section 40.15(a)(i) above;
     -------------------

          (iii)  Current Rent hereunder shall be reduced by the amount set forth
     in Section 40.15(a)(ii) above;
        --------------------

          (iv)   To the extent that there is any Unpaid Accrued Rent under this
     Lease as of such Property Transfer Date, the amount of such Unpaid Accrued
     Rent shall be reduced by the amount set forth in Section 40.15(a)(iii)
                                                      ---------------------
     above;

          (v)    "Base Patient Revenues", as defined in Section 2.1 hereof,
     shall be deemed to be reduced by the amount set forth in Section
                                                              -------
     40.15(a)(v) above;
     -----------

          (vi)   Intentionally omitted;

          (vii) Under Section 3.2 of this Lease, the Reset Fee applicable to
                      -----------
     this Lease shall be reduced by the amount described in Section
                                                            -------
     40.15(a)(viii) above; and
     --------------

          (viii) Exhibit C shall be modified so as to remove the allocation of
                 ---------
     rents and the Transferred Property Percentage(s) for the Transferred
     Property(ies), and the Transferred Property Percentages of the Leased
     Properties remaining under this Lease shall be recalculated so that each
     such Leased Property shall have a Transferred Property Percentage equal to
     the percentage that the rent for such Leased Property comprises of the
     aggregate rents for all Leased Properties remaining under this Lease,

                                      128

<PAGE>

     and so that the aggregate of all Transferred Property Percentages for
     Leased Properties remaining under this Lease equals 100%.

          (c) In the case of any New Lease that is entered into in accordance
with Section 22.7 hereof, such New Lease shall be effective as of the date of
     ------------
termination of this Lease with respect to the applicable Leased Property(ies).
In the case of any New Lease that is entered into in accordance with Section
                                                                     -------
19.4 hereof, such New Lease shall be effective as of the effective date therefor
----
specified in such Section 19.4. In the case of all other New Leases, such New
                  ------------
Lease shall be effective on the date which is the earlier of (i) the date the
New Lease is fully executed and delivered by the parties thereto and (ii) the
date specified in the written notice from Lessor to Tenant requiring a New Lease
as described above, which date shall be no sooner than ten (10) days, nor later
than sixty (60) days, after the date such notice is issued.

          (d) Tenant shall take such actions and execute and deliver such
documents, including without limitation the New Lease and new or amended
Memorandum(s) of Lease and, if requested by Lessor, an amendment to this Lease,
as are reasonably necessary and appropriate to fully effectuate the provisions
and intent of this Section 40.15 and Lessor shall execute and deliver such new
                   -------------
or amended Memorandum(s) of Lease as are reasonably necessary and appropriate to
fully effectuate the provisions and intent of this Section 40.15 and an
                                                   -------------
amendment of this Lease in accordance with Section 40.15(b) above.
                                           ----------------

          (e) Each Leasehold Mortgagee, Superior Lessor and Superior Mortgagee
hereby consents to the provisions of this Section 40.15 and agrees, upon request
                                          -------------
of Lessor, to execute an instrument consenting to the execution and delivery of
the New Lease and of an amendment to this Lease, consistent with the foregoing
provisions.

          (f) Each party shall bear its own costs and expenses in connection
with any New Lease entered into in accordance with Section 19.4 hereof. In all
                                                   ------------
other cases, the party requesting a New Lease under this Section 40.15 (and, for
                                                         -------------
such purpose, Tenant shall be deemed to be the requesting party in the case of
any New Lease entered into in accordance with Section 22.7 hereof and Lessor
                                              ------------
shall be deemed to be the requesting party in the case of any New Lease entered
into in accordance with Section 40.17 hereof) shall, promptly following receipt
                        -------------
of a written demand therefor and reasonable supporting documentation, reimburse
the other party hereto for its out-of-pocket costs and expenses incurred in
connection with such New Lease, including, without limitation, reasonable
attorneys' fees and any recording fees incurred by such other party in
connection with the recording of new or amended Memorandum(s) of Lease.

     Section 40.16 Partial Expiration/Termination. In the event this Lease
                   ------------------------------
expires or terminates as to one or more, but less than all, of the Leased
Properties (herein, the "Expired/Terminated Properties"), but no Separate Lease
                         -----------------------------
pursuant to Section 22.7 or New Lease in accordance with the terms of Section
            ------------                                              -------
40.15 (e.g. pursuant to the terms of Section 19.4 or Section 40.15), is entered
-----                                ------------    -------------
into on account thereof, effective as of the date of such expiration or
termination (the "Partial Expiration/Termination Date"), the following
                  -----------------------------------
provisions shall be applicable:

                                      129

<PAGE>

          (a)  The Expired/Terminated Properties shall be excluded from the
Leased Properties hereunder (but without limitation and subject to the
provisions of Sections 16.10, 19.1, 25.1.11 and 40.18 of this Lease and all
              --------------  ----  -------     -----
other leases demising any of the Master Lease Leased Properties);

          (b)  All Base Rent and Current Rent attributable to the
Expired/Terminated Properties (determined based upon the aggregate of the
Transferred Property Percentages applicable to the Expired/Terminated
Properties), and all Additional Charges attributable to the Expired/Terminated
Properties, shall be due and payable as of the Partial Expiration/ Termination
Date, and all Unpaid Accrued Rent attributable to the Expired/Terminated
Properties (determined in the same manner) shall continue to be owing from
Tenant to Lessor and continue to bear Accrued Rent Interest, and shall be due
and payable as of the Unpaid Accrued Rent Due Date. The respective amounts of
the Base Rent, Current Rent and Unpaid Accrued Rent attributable to the Leased
Properties other than the Expired/Termination Properties as of the Partial
Expiration/Termination Date shall equal the respective amounts thereof
immediately prior to such Partial Expiration/Termination Date less the
respective amounts thereof allocated to the Expired/Terminated Properties as
aforesaid;

          (c)  "Base Patient Revenues", as defined in Section 2.1 hereof, shall
                                                      -----------
have excluded therefrom all Base Patient Revenues attributable to the
Expired/Terminated Properties, as set forth on Schedule 2.1A;
                                               -------------

          (d)  "Patient Revenues", as defined in Section 2.1 hereof, shall have
                                                 -----------
excluded therefrom all Patient Revenues attributable to the Expired/Terminated
Properties;

          (e)  Intentionally omitted;

          (f)  Under Section 3.2 of this Lease, the Reset Fee applicable to this
                     -----------
Lease shall be reduced by an amount equal to the product of (i) the aggregate of
the Transferred Property Percentages applicable to the Expired/Terminated
Properties and (ii) the Reset Fee applicable to this Lease as of the Partial
Expiration/Termination Date;

          (g)  Exhibit C shall be modified so as to remove the allocation of
               ---------
rents to the Expired/Terminated Properties, and the Transferred Property
Percentages of the Leased Properties remaining under this Lease shall be
recalculated so that each such Leased Property shall have a Transferred Property
Percentage equal to the percentage that the rent for such Leased Property
comprises of the aggregate rents for all Leased Properties remaining under this
Lease, and so that the aggregate of all Transferred Property Percentages for the
Leased Properties remaining under this Lease equals 100%;

          (h)  Nothing in this Section 40.16 shall be deemed to limit or impair
                              -------------
any of Lessor's or Tenant's rights and remedies at law, in equity, under this
Lease or otherwise relative to the Expired/Terminated Properties or the Leased
Properties that remain subject to this Lease;

          (i)  Tenant shall take such actions and execute and deliver such
documents, including, without limitation, if requested by Lessor, an amendment
to this Lease, as are

                                      130

<PAGE>

reasonably necessary and appropriate to fully effectuate the provisions and
intent of this Section 40.16.
               -------------

     (j)  Each Leasehold Mortgagee, Superior Lessor and Superior Mortgagee
hereby consents to the provisions of this Section 40.16 and agrees, upon request
                                          -------------
of Lessor, to execute an instrument consenting to the execution and delivery of
an amendment to this Lease, consistent with the foregoing provisions.

     Section 40.17 Creation of New Master Lease. In the event of a sale during
                   ----------------------------
the first twenty-four (24) full calendar months following April 20, 2001 to a
single purchaser that is not an Affiliate of Lessor (the "Unaffiliated Buyer")
                                                          ------------------
of twenty (20) or more of the Combined Leased Properties (collectively, the
"Sub-Portfolio Properties"), Lessor, acting in concert with the other lessors of
 ------------------------
Sub-Portfolio Properties, shall have the right to require that the Sub-Portfolio
Properties be excluded from the then existing Combined Leases and that Tenant
enter into an additional master lease (the "New Master Lease") of the
                                            ----------------
Sub-Portfolio Properties with the Unaffiliated Buyer, as lessor, provided that
each of the following conditions is satisfied: (i) the Coverage Ratio of the
Sub-Portfolio Properties that are operated as hospitals is not greater than
fifteen percent (15%) above or below the Coverage Ratio of the Combined Leased
Properties that are operated as hospitals other than the Sub-Portfolio
Properties (for example, if the Coverage Ratio of the Combined Leased Properties
that are operated as hospitals other than the Sub-Portfolio Properties were
1.5:1, then the Coverage Ratio of the Sub-Portfolio Properties that are operated
as hospitals must not exceed 1.72:1 or be less than 1.28:1); (ii) the Coverage
Ratio of the Sub-Portfolio Properties that are operated as nursing centers is
not greater than ten percent (10%) above or below the Coverage Ratio of the
Combined Leased Properties that are operated as nursing centers other than the
Sub-Portfolio Properties; and (iii) by the creation of the New Master Lease,
Lessor shall not cause any of the Combined Leases, as it applies to any of the
Combined Leased Properties, to be treated as a capital lease, rather than an
operating lease, under generally accepted accounting principles or under the
applicable rules of the Financial Accounting Standards Board. In the event that
Lessor wishes to exercise its rights under this Section 40.17, Lessor, together
                                                -------------
with the other lessors of Sub-Portfolio Properties, shall give written notice
thereof to Tenant not less than thirty (30) days prior to the anticipated date
of closing of the sale of the Sub-Portfolio Properties to the Unaffiliated Buyer
(it being agreed, however, that, in the event such notice is given but the
anticipated closing for any reason fails to occur, Lessor shall retain the
right, on the terms set forth in this Section 40.17, thereafter to send a
                                      -------------
further notice under this Section 40.17). The New Master Lease shall be deemed
                          -------------
to constitute a New Lease and shall be subject to Section 40.15, except that, as
                                                  -------------
set forth in subsection (a)(xiv) of Section 40.15, clauses (1) and (2) of such
                                    -------------
subsection (a)(xiv) shall not apply to such New Master Lease. For purposes of
such New Master Lease, the Sub-Portfolio Properties shall constitute the "Master
Lease Leased Properties" thereunder. Notwithstanding anything to the contrary
contained herein, the right under Section 40.17 of each of the Combined Leases
                                  -------------
to require Tenant to enter into the New Master Lease may only be exercised once
for all of the Combined Leases.

     Section 40.18 Combination of Leases. If Lessor is the lessor under both
                   ---------------------
this Lease and another lease demising a Master Lease Leased Property(ies) (the
"Second Lease"), Lessor shall have the right, at any time during the Term, by
 ------------
written notice to Tenant, to require that

                                      131

<PAGE>

this Lease and the Second Lease be combined and to require Tenant to execute an
amendment to this Lease whereby (a) if this Lease is the Section 40.18 Lease (as
hereinafter defined), the Master Lease Leased Properties covered by the Second
Lease are added as Leased Properties under this Lease and otherwise merged into
this Lease or (b) if the Second Lease is the Section 40.18 Lease, the Leased
Properties covered by this Lease are added as Leased Properties under the Second
Lease and otherwise merged into the Second Lease, in each case subject to the
following terms and conditions:

          (i)  References in this Lease to the "Section 40.18 Lease" shall mean
                                                -------------------
     and refer to whichever of this Lease or the Second Lease is chosen by
     Lessor to be the Section 40.18 Lease.

          (ii) If this Lease is the Section 40.18 Lease, effective as of the
     date specified in subsection (iv) below (the "Section 40.18 Date"), this
                                                   ------------------
     Lease shall be deemed to be modified and amended as follows:

               (1) The Master Lease Leased Properties included in the Second
Lease shall be included as the Leased Properties under this Lease;

               (2) Base Rent under this Lease shall be the combination of the
respective amounts of the Base Rent under this Lease and the Second Lease;

               (3) Current Rent under this Lease shall be the combination of the
respective amounts of the Current Rent under this Lease and the Second Lease;

               (4) The amount of the Unpaid Accrued Rent under this Lease shall
be the combination of the respective amounts of any Unpaid Accrued Rent under
this Lease and the Second Lease;

               (5) Any rental escalations that would otherwise have been
required to be made under the Second Lease on the May 1 immediately following
the Section 40.18 Date shall be made under this Lease on such May 1, in the full
amount required as if the Master Lease Leased Properties referenced in
subsection (1) above had been under this Lease for a full year, notwithstanding
that the period from the Section 40.18 Date to such succeeding May 1 may be less
than one full year;

               (6) "Base Patient Revenues", as defined in Section 2.1 of this
                                                          -----------
Lease, shall be increased by the amount of the Base Patient Revenues from the
Master Lease Leased Properties included in the Second Lease for the calendar
year ending on December 31, 1999 as set forth in Schedule 2.1A of the Second
                                                 -------------
Lease, and Schedule 2.1A of this Lease shall be deemed modified and amended
           -------------
accordingly;

               (7) If and for so long as the lessor under this Lease is not
Ventas, Inc. or Ventas Realty, Limited Partnership or any successor to either of
them (by merger or otherwise) or any Affiliate of Ventas, Inc. or Ventas Realty,
Limited Partnership or any such successor, Tenant (A) shall not be required
under this Lease to provide to such lessor Facility-specific information related
to Facilities or Leased Properties which are not included in this

                                      132

<PAGE>

Lease, (B) shall exclude from consolidated facility information that is required
under Section 26.1 of this Lease facility information which relates to
      ------------
Facilities or Leased Properties not included in this Lease and (C) shall
continue to be required to provide information relative to Tenant, as opposed to
Leased Properties and Facilities, on the same basis as such information is
provided to Ventas-related lessors;

               (8)  Under Section 3.2 of this Lease, the Reset Fee applicable to
                          -----------
this Lease shall be the combination of the respective amounts of the Reset Fee
applicable to this Lease and the Second Lease;

               (9)  Exhibit C to this Lease shall be modified and amended so as
                    ---------
to add thereto the allocations of rents relative to the Master Lease Leased
Properties included in the Second Lease that were previously included in Exhibit
                                                                          ------
C to the Second Lease, and the Transferred Properties Percentages of the Leased
-
Properties included in this Lease (including, without limitation, the additional
Master Lease Leased Properties referenced in subsection (1) above) shall be
recalculated so that each such Leased Property shall have a Transferred Property
Percentage equal to the percentage that the rent for such Leased Property
comprises of the aggregate rents for all Leased Properties included in this
Lease and so that the aggregate of all Transferred Property Percentages for
Leased Properties included in this Lease equals 100%;

               (10) Tenant under this Lease shall be responsible for the
payment, performance and satisfaction of all duties, obligations and liabilities
arising under the Second Lease, insofar as they relate to the Master Lease
Leased Properties subject to the Second Lease, that were not paid, performed and
satisfied in full prior to the Section 40.18 Date, and, without limitation of
the foregoing, (x) any Event of Default that had occurred, arisen or accrued
under the Second Lease prior to the Section 40.18 Date shall be, and shall be
deemed to be, an Event of Default under this Lease, as to which the rights and
remedies and other provisions of this Lease shall be applicable, (y) any breach
or default that had occurred, arisen or accrued under the Second Lease prior to
the Section 40.18 Date but had not yet become an Event of Default under the
Second Lease as of the Section 40.18 Date shall be, and be deemed to be, a
breach or default under this Lease, as to which the cure periods, rights and
remedies and other provisions of this Lease shall be applicable, and (z) with
respect to any breach or default described in subsection (y) above, although the
cure periods, rights and remedies and other provisions of this Lease shall be
applicable, the portion of any cure period under the Second Lease that had
elapsed as of the Section 40.18 Date shall be counted in determining whether and
when the applicable cure period under this Lease has expired; and

               (11) The Master Lease Leased Properties referenced in subsection
(1) above shall otherwise be incorporated into this Lease as Leased Properties
included under this Lease the same as if this Lease, from the inception of the
Second Lease, had included the aforesaid Master Lease Leased Properties as
Leased Properties hereunder on the rent, lease terms and other economic terms
described in the Second Lease.

         (iii) If this Lease is not the Section 40.18 Lease, effective as of
     the Section 40.18 Date, this Lease shall be modified and amended as
     necessary (x) to incorporate

                                      133

<PAGE>

     into the Second Lease as Leased Properties thereunder the Leased Properties
     covered by this Lease the same as if the Leased Properties covered by this
     Lease had, from the inception of this Lease, been included in the Second
     Lease as Leased Properties thereunder on the rent, lease terms and other
     economic terms described in this Lease and (y) otherwise to comply with the
     requirements of Section 40.18 of the Second Lease, as the Section 40.18
                     -------------
     Lease thereunder. Tenant acknowledges and agrees that, without limitation
     of Section 40.18(ii)(10) above, the modification and amendment referenced
        ---------------------
     in this subsection (iii) shall not result in Tenant being released from any
     duties, liabilities or obligations that had accrued under this Lease
     through the Section 40.18 Date.

          (iv) In the case of any combination of leases pursuant to this Section
                                                                         -------
     40.18, such combination shall be effective on the date which is the earlier
     -----
     of (x) the date the required modifications and amendments to the Lease and
     Second Lease are fully executed and delivered by the parties thereto and
     (y) the date specified in the written notice from Lessor to Tenant
     requiring a combination of this Lease and the Second Lease as described
     above, which date shall be no sooner than ten (10) days, nor later than
     sixty (60) days, after the date such notice is issued.

          (v)   Each of Lessor and Tenant shall take such actions and execute
     and deliver such documents, including, without limitation, required
     modifications and amendments to this Lease and the Second Lease and new or
     amended Memorandum(s) of Lease, as are reasonably necessary and appropriate
     to effectuate fully the provisions and intent of this Section 40.18.
                                                           -------------

          (vi)  Each Leasehold Mortgagee, Superior Lessor and Superior
     Mortgagee hereby consents to the provisions of this Section 40.18 and
                                                         -------------
     agrees, upon request of Lessor, to execute an instrument consenting to the
     execution and delivery of the required modifications and amendments to this
     Lease and the Second Lease, consistent with the foregoing provisions.

          (vii) Lessor shall, promptly following receipt of a written demand
     therefor and reasonable supporting documentation, reimburse Tenant for its
     out-of-pocket costs and expenses incurred in connection with the required
     modifications and amendments to this Lease and the Second Lease, including,
     without limitation, reasonable attorneys' fees and any recording fees
     incurred by Tenant in connection with the recording of new or amended
     Memorandum(s) of Lease.

     Section 40.19 Unified Commercial Operating Lease. It is acknowledged and
                   ----------------------------------
agreed that, except as otherwise expressly provided herein, the inclusion of
each of the Leased Properties on a continuing basis in the leasing transaction
provided for herein is an essential element of such transaction for Lessor, and
that, except as otherwise expressly provided herein, Lessor shall not be
obligated and may not be required to lease less than all of the Leased
Properties to Tenant pursuant to this Lease. It is further acknowledged and
agreed that this Lease is not a residential lease within the meaning of the U.S.
Bankruptcy Code, as

                                      134

<PAGE>

amended, and that this Lease is an operating lease, and not a capital lease, for
all accounting, tax and legal purposes.

     Section 40.20 Intentionally omitted.

     Section 40.21 No Credits. Notwithstanding anything to the contrary set
                   ----------
forth in this Lease or otherwise, except as otherwise expressly provided in the
Bankruptcy Plan relative to the Tax Refund Escrow Agreement, Lessor shall not be
required to pay, make or give to Tenant, and Tenant shall not be entitled to,
any credits, offsets, prorations or payments of any kind or nature whatsoever on
account of any payment, nonpayment or other event occurring prior to April 20,
2001.

                                  ARTICLE XLI

     Section 41.1 Memorandums of Lease. Lessor and Tenant shall, promptly upon
                  --------------------
the request of either, enter into short form memorandums of this Lease, in form
suitable for recording under the laws of the State in which each Leased Property
is located, in which reference to this Lease, and all extension options
contained herein, shall be made. Relative to the foregoing and notwithstanding
anything to the contrary contained in this Lease, any such Memorandums of Lease
shall not reference the existence of any option to purchase in favor of Tenant
under Section 16.12 of this Lease unless and until the number of Leased
      -------------
Properties covered by this Lease equals forty (40) or less, at which time, upon
the request of Tenant, any existing Memorandums of Lease shall be amended by
Lessor and Tenant, or new Memorandums of Lease shall be entered into by Lessor
and Tenant (for example in the circumstance where this Lease (a) constitutes a
New Lease as to which no previous Memorandums of Lease have been entered into
and (b) covers forty (40) or less Leased Properties), referencing that, in
limited circumstances following the occurrence of certain limited types of
Events of Default by Tenant, Tenant may have an option to purchase in certain
circumstances one (1) Leased Property, and in other circumstances two (2) Leased
Properties, covered by this Lease as to which the aforesaid types of Events of
Default have occurred and are continuing. Thereafter, when and if any such
option(s) to purchase under Section 16.12 of this Lease have ceased to be
                            -------------
available to and exercisable by Tenant for any reason (e.g. due to Tenant's
exercise of all of its available options to purchase under Section 16.12 or on
                                                           -------------
account of this Lease being involved in a Section 40.18 lease combination
transaction where the resulting Section 40.18 Lease covers in excess of forty
                                -------------
(40) Leased Properties or otherwise provides to Tenant no available and
exercisable option(s) to purchase under Section 16.12), upon the request of
                                        -------------
Lessor, any existing Memorandum(s) of Lease that reference any option to
purchase in favor of Tenant shall be amended to delete any such reference.
Without limitation of Lessor's obligations under and except as otherwise
provided in Section 40.15(f) and Section 40.18(vii), Tenant shall pay all costs
            ----------------     ------------------
and expenses of recording any such Memorandums of Lease or amendments thereto
and for releasing any such Memorandums of Lease that relate to a particular
Leased Property(ies) upon any expiration or termination of this Lease as it
relates to any such Leased Property(ies).

            [The remainder of this page is intentionally left blank]

                                      135

<PAGE>

     IN WITNESS WHEREOF, the parties have caused this Lease to be executed and
their respective corporate seals to be hereunto affixed and attested by their
respective officers hereunto duly authorized.

--------------------------------------------------------------------------------
Witness                                KINDRED HEALTHCARE, INC.

/s/ Marilyn A Weaver
----------------------------------
Name: Marilyn A. Weaver                By: /s/ Richard A. Schweinhart
                                          --------------------------------------
                                          Name: Richard A. Schweinhart
/s/ Kim Oakley                            Title: Senior Vice President &
----------------------------------               Chief Financial Officer
Name: Kim Oakley

--------------------------------------------------------------------------------
                                       KINDRED HEALTHCARE OPERATING, INC.

/s/ Marilyn A. Weaver
----------------------------------
Name: Marilyn A. Weaver                By: /s/ Richard A. Schweinhart
                                          --------------------------------------
                                          Name: Richard A. Schweinhart
/s/ Kim Oakley                            Title: Senior Vice President
----------------------------------
Name: Kim Oakley

--------------------------------------------------------------------------------
                                       VENTAS REALTY, LIMITED
                                       PARTNERSHIP

/s/ Bita S. Mir                        By:   VENTAS, INC, its general partner
----------------------------------
Name: Bita S. Mir

/s/ Mary Caliendo                      By: /s/ T. Richard Riney
----------------------------------        --------------------------------------
Name: Mary Caliendo                       Name:  T. Richard Riney
                                          Title: Executive Vice President
--------------------------------------------------------------------------------

                                       136

<PAGE>
                                     JOINDER
                                     -------

     The undersigned, VENTAS, INC., a Delaware corporation, hereby joins in the
foregoing Master Lease Agreement solely for the purpose of confirming to the
Tenant under the aforesaid Lease that, to the best of its knowledge, title to
the Leased Properties is held in the name of the Lessor under the aforesaid
Lease, rather than in the name of the respective entities that were the lessor
under the "1998 Master Lease" referenced in the aforesaid Lease, and that, if it
is determined that title has not properly been transferred to such Lessor,
Ventas, Inc. shall cause the conveyance of such title to Lessor, effective as of
the Effective Date referenced in the aforesaid Lease.

Witness                                VENTAS, INC.


/s/ William V. Georg                   By: /s/ T. Richard Riney
----------------------------------        --------------------------------------
Name:                                     Name:  T. Richard Riney
                                          Title: Executive Vice President

/s/ Mary Caliendo
----------------------------------
Name: Mary Caliendo

                                       137

<PAGE>


                           ALL PURPOSE ACKNOWLEDGMENT

STATE OF Ky                                 )
         ---------------------------
                                            )

COUNTY OF Jefferson                         )
          --------------------------

On December 7, 2001 before me, a notary public, personally appeared Ricard A.
Schweinhart,

"    personally known to me-OR-

"    proved to me on the basis of satisfactory evidence to be the person(s)
     whose name(s) is/are subscribed to the within instrument and acknowledged
     to me that he/she/they executed the same in his/her/their authorized
     capacity(ies), and that by his/her/their signature(s) on the instrument the
     person(s), or the entity upon behalf of which the person(s) acted, executed
     the instrument.

     Witness my hand and official seal.

     /s/ Kim Oakley
     -------------------
     SIGNATURE OF NOTARY



     IMPRESS NOTARY SEAL:

--------------------------------------------------------------------------------
CAPACITY CLAIMED BY SIGNER:                 SIGNER IS REPRESENTING

"    INDIVIDUALS(S)                         Kindred Healthcare, Inc., a Delaware
x    CORPORATE OFFICER(S)                   corporation

               TITLE  Senior V.P. and C.F.O.

               TITLE

"    PARTNER(S)
"    ATTORNEY-IN-FACT
"    TRUSTEE(S)
"    OTHER
          ------------------------
--------------------------------------------------------------------------------

                                             138

<PAGE>

STATE OF Kentucky                           )
                                            )
COUNTY OF Jefferson                         )

On December 7, 2001 before me, a notary public, personally appeared Richard A.
Schweinhart,

"    personally known to me-OR-

"    proved to me on the basis of satisfactory evidence to be the person(s)
     whose name(s) is/are subscribed to the within instrument and acknowledged
     to me that he/she/they executed the same in his/her/their authorized
     capacity(ies), and that by his/her/their signature(s) on the instrument the
     person(s), or the entity upon behalf of which the person(s) acted, executed
     the instrument.

     Witness my hand and official seal.

     /s/ Kim Oakley
     -----------------------------
     SIGNATURE OF NOTARY



IMPRESS NOTARY SEAL:



--------------------------------------------------------------------------------
CAPACITY CLAIMED BY SIGNER:                SIGNER IS REPRESENTING

"    INDIVIDUALS(S)                        Kindred Healthcare Operating, Inc., a
x    CORPORATE OFFICER(S)                  Delaware corporation

          TITLE  Senior V.P. and C.F.O.

          TITLE

"    PARTNER(S)
"    ATTORNEY-IN-FACT
"    TRUSTEE(S)
"    OTHER
          ------------------------
--------------------------------------------------------------------------------

                                       139

<PAGE>



STATE OF New York                           )
                                            )
COUNTY OF New York                          )

On December 11, 2001 before me, a notary public, personally appeared T. Richard
Riney,

     personally known to me-OR-

     proved to me on the basis of satisfactory evidence to be the person(s)
     whose name(s) is/are subscribed to the within instrument and acknowledged
     to me that he/she/they executed the same in his/her/their authorized
     capacity(ies), and that by his/her/their signature(s) on the instrument the
     person(s), or the entity upon behalf of which the person(s) acted, executed
     the instrument.

     Witness my hand and official seal.

     /s/ Kourosh Quincy Pirouz                  Kourosh Quincy Pirouz
     -----------------------------              Notary Public, State of New York
     SIGNATURE OF NOTARY                        No. 01P16058602
                                                Qualified in New York County
     IMPRESS NOTARY SEAL:                       Commission Expires 05/14/03

--------------------------------------------------------------------------------
CAPACITY CLAIMED BY SIGNER:                     SIGNER IS REPRESENTING

"    INDIVIDUALS(S)                             Ventas, Inc., a Delaware
x    CORPORATE OFFICER(S)                       corporation, in
                                                its capacity as the general
                                                partner of Ventas Realty,
                                                Limited Partnership, a Delaware
          TITLE - Executive Vice President      limited partnership

          TITLE

"    PARTNER(S)
"    ATTORNEY-IN-FACT
"    TRUSTEE(S)
"    OTHER
          ------------------------
--------------------------------------------------------------------------------

                                      140

<PAGE>


STATE OF New York                       )
         --------------------------
                                        )

COUNTY OF New York                      )
          -------------------------

On December 11, 2001 before me, a notary public, personally appeared T. Richard
Riney,

     personally known to me-OR-

     proved to me on the basis of satisfactory evidence to be the person(s)
     whose name(s) is/are subscribed to the within instrument and acknowledged
     to me that he/she/they executed the same in his/her/their authorized
     capacity(ies), and that by his/her/their signature(s) on the instrument the
     person(s), or the entity upon behalf of which the person(s) acted, executed
     the instrument.

     Witness my hand and official seal.


     /s/ Kourosh Quincy Pirouz                  Kourosh Quincy Pirouz
     -----------------------------              Notary Public, State of New York
     SIGNATURE OF NOTARY                        No. 01P16058602
                                                Qualified in New York County
     IMPRESS NOTARY SEAL:                       Commission Expires 05/14/03

________________________________________________________________________________

CAPACITY CLAIMED BY SIGNER:                 SIGNER IS REPRESENTING

"    INDIVIDUALS(S)                         Ventas, Inc., a Delaware corporation
x    CORPORATE OFFICER(S)

          TITLE - Executive Vice President

          TITLE

"    PARTNER(S)
"    ATTORNEY-IN-FACT
"    TRUSTEE(S)
"    OTHER__________________________

________________________________________________________________________________


                                      141