Document:

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                                                                    EXHIBIT 10.4

                 SECOND AMENDMENT TO LETTER OF CREDIT AGREEMENT

       THIS SECOND AMENDMENT TO LETTER OF CREDIT AGREEMENT, dated as of
March 31, 2000 (the "Amendment"), amends the Letter of Credit Agreement, dated
as of January 27, 1998 (as heretofore amended, the "Credit Agreement"), among
Oracle Reinsurance Company, Ltd., a Bermuda insurance company (the "Company"),
the various financial institutions parties thereto (collectively, the "Banks")
and Bank of America, National Association (formerly known as Bank of America
National Trust and Savings Association), as letter of credit administrator and
as agent (the "Agent"), The Bank of New York, as co-agent, Deutsche Bank AG, as
co-agent, Dresdner Bank AG, New York Branch as co-agent and Fleet National Bank,
as co-agent. Terms defined in the Credit Agreement are, unless otherwise defined
herein or the context otherwise requires, used herein as defined therein.

         WHEREAS, the parties hereto have entered into the Credit Agreement,
which provides for the Bank to extend certain credit facilities to the Company
from time to time; and

         WHEREAS, the parties hereto desire to amend the Credit Agreement in
certain respects as hereinafter set forth;

         NOW, THEREFORE, in consideration of the premises and for other good and
valuable consideration (the receipt and sufficiency of which are hereby
acknowledged), the parties hereto agree as follows:

         SECTION 1 AMENDMENTS. Effective as of the date hereof, the Credit
Agreement shall be amended in accordance with Sections 1.1 through 1.10 below.

         1.1 Adjusted Asset Value. The definition of "Adjusted Asset Value" in
Section 1.1 is amended to state in its entirety as follows:

         Adjusted Asset Value means, without duplication, on any date an amount
equal to the sum of (i) the Fair Market Value of the Investments Pledged by the
Parent or the Company listed in column (a) below multiplied by the factor
specified in column (b) below and (ii) the Fair Market Value of the Investments
Pledged by the Subsidiary Pledgor listed in column (a) below multiplied by the
factor specified in column (b) below multiplied by the Subsidiary Pledgor
Factor:
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(a) Type of Pledged Investment                    (b) Multiplication Factor
------------------------------                    -------------------------
(i) Cash and Cash Equivalents                                1.500
                                                  (or the Borrowing Base Factor
                                                  then applicable, if less)

(ii) Money Market Mutual Fund Shares                         1.470
                                                  (or .980 times the Borrowing
                                                  Base Factor then applicable,
                                                  if such product is less)

(iii) Commercial Paper rated at                              1.470
least "A-1" by S&P or "P-1" by Moody's            (or .980 times the Borrowing
                                                  Base Factor then applicable,
                                                  if such product is less)

(iv) Commercial Paper rated "A-2" by                         1.425
S&P or "P-2" by Moody's                           (or .950 times the Borrowing
                                                  Base Factor then applicable,
                                                  if such product is less)

(v) U.S. Government Mutual Fund Shares                       1.425
                                                  (or .950 times the Borrowing
                                                  Base Factor then applicable,
                                                  if such product is less)

(vi) Securities issued or directly                           1.450
and fully guaranteed or insured by                (or .967 times the Borrowing
the United States of America or any               Base Factor then applicable,
agency or instrumentality thereof                 if such product is less)
(provided that the full faith and
credit of the United States of
America is pledged in support thereof)

(vii) Industry Bonds rated at least                          1.400
"AA-" by S&P or "Aa3" by Moody's                  (or .933 times the Borrowing
                                                  Base Factor then applicable,
                                                  if such product is less)

(viii) Industry Bonds rated at least                         1.380
"A-" (but not higher than "A+")                   (or .920 times the Borrowing
by S&P or "A3" (but not higher than               Base Factor then applicable,
"A1") by Moody's                                  if such product is less)

(ix) Industry Bonds rated at least                           1.350
"BBB-" (but not higher than "BBB+") by            (or .900 times the Borrowing
S&P or "Baa3" (but not higher than                Base Factor then applicable,
"Baa1") by Moody's                                if such product is less)

(x) Industry Bonds rated at least                            1.050
"BB-" (but not higher than "BB+")                 (or .700 times the Borrowing
by S&P or "Ba3" (but not                          Base Factor then applicable,
higher than "Ba1") by Moody's                     if such product is less)

(xi) Industry Bonds rated at least                           0.825
"B-" (but not higher than "B+") by                (or .550 times the Borrowing
S&P or "B3'" (but not higher                      Base Factor then applicable,
than "B1") by Moody's                             if such product is less)

(xii) ABS rated "AAA" by S&P or                              1.425
"Aaa" by Moody's                                  (or .950 times the Borrowing
                                                  Base Factor then applicable,
                                                  if such product is less)

(xiii) MBS (Agency Pass-Throughs                             1.350
and Agency CMOs) rated at least                   (or .900 times the Borrowing
"A" by S&P or "A2" by Moody's                     Base Factor then applicable,
                                                  if such product is less)

(xiv) MBS (Non-Agency CMOs)                                  1.275
rated at least "A" by S&P                         (or .850 times the Borrowing
or "A2" by Moody's                                Base Factor then applicable,
                                                  if such product is less)

(xv) Equity Mutual Fund Shares,                              1.200
Foreign Equity Mutual Fund Shares,                (or .800 times the Borrowing
Bond Mutual Fund Shares and                       Base Factor then applicable,
High Yield Mutual Fund Shares                     if such product is less)

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(a) Type of Pledged Investment                    (b) Multiplication Factor
------------------------------                    -------------------------
(xvi) Fund Investments, Managed Accounts,                     1.000
Structured Notes and Investment Subsidiaries, the
stock of which is Pledged

       Notwithstanding the foregoing, if the total Fair Market Value of any of
the following categories of Pledged Investments exceeds the applicable
percentage of the total Fair Market Value of all Pledged Investments, as set
forth in the table below, the total Fair Market Value of such category shall be
reduced, for the purpose only of the Adjusted Asset Value determination, by the
amount of such excess (with such reduction to be applied as determined by the
Company in any manner consistent with this Agreement):

<TABLE>
<CAPTION>

 Type of                                                              Percentage of
 Pledged                                                              Total Fair
Investment                                                            Market Value
----------                                                            ------------
<S>                                                                   <C>
I.  INDUSTRY BONDS/ HIGH YIELD MUTUAL FUND SHARES

Industry Bonds and High Yield Mutual Fund Shares described in                45%
clauses (viii), (ix), (x), (xi) and (xv) above

Industry Bonds of any single issue described in clauses (vii), (viii)        7.5%
and (ix) above and High Yield Mutual Fund Shares and Bond
Mutual Fund Shares described in clause (xv) above of a particular
portfolio manager

Industry Bonds and High Yield Mutual Fund Shares described in                15%
clauses (x),(xi) and (xv) above

Industry Bonds of any single issue, issuer or Industry described in           3%
clauses (x) and (xi) above

Industry Bonds in any one Industry                                           10%

Industry Bonds in any three Industries                                       15%

Industry Bonds in any eight Industries                                       75%

II. ABS/MBS INVESTMENTS

ABS and MBS Investments described in clauses (xii), (xiii) and               30%
(xiv) above

MBS Investments secured by Commercial Mortgages described in                 10%
clauses (xiii) and (xiv) above

MBS Investments described in clause (xiv) above                              15%

ABS and MBS Investments of any single issue described in clauses             7.5%
(xii) and (xiii) above

MBS Investments of any single issuer described in clause (xiv)               7.5%
above

MBS Investments of any single issue described in clause (xiv)                 5%
above
</TABLE>
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III. EQUITY MUTUAL FUND SHARES/FOREIGN EQUITY MUTUAL FUND
SHARES
<TABLE>
<CAPTION>

<S>                                                                     <C>
Equity Mutual Fund Shares and Foreign Equity Mutual Fund                25%
Shares described in clause (xv) above

Foreign Equity Mutual Fund Shares described in clause (xv) above        20%

Equity Mutual Fund Shares described in clause (xv) above of a           7.5%
particular portfolio manager
</TABLE>

                  Notwithstanding the foregoing, to the extent that the Fair
         Market Value of Pledged Fund Investments described in clause (xvi)
         above which pursue the same Strategy or group of Strategies exceeds the
         maximum Fair Market Value contained in any of the following Strategy
         concentration limits, the total Fair Market Value of such Pledged Fund
         Investments shall without duplication be reduced, for purposes only of
         determining the Adjusted Asset Value, by the amount of such excess: (i)
         the Fair Market Value of the Pledged Fund Investments which pursue the
         same Strategy in excess of 25% of the Fair Market Value of all Pledged
         Investments; (ii) the Fair Market Value of the Pledged Fund Investments
         in the Sector Long/Short, Statistical Arbitrage, Fixed Income
         Arbitrage, and Convertible Securities Arbitrage and Other Strategies in
         excess of 40% of the Fair Market Value of all Pledged Investments; and
         (iii) the Fair Market Value of the Pledged Fund Investments which
         pursue the four Strategies having the largest Fair Market Value of the
         Pledged Fund Investment in excess of 80% of the Fair Market Value of
         all Pledged Investments. Any such reduction shall be applied as
         determined by the Company in any manner consistent with this Agreement.

                  Notwithstanding the foregoing, the Pledged MBS Investments
         described in clauses (xiii) and (xiv) above shall be limited to TACs,
         PACs and Sequentials, as defined by Bloomberg and shall not include
         IO's, IOettes, PO's, Subordinated Z's and Support Tranches, as defined
         by Bloomberg. The weighted average duration of such Pledged MBS
         Investments shall be less than or equal to seven years. The maximum
         weighted average life of any single Pledged MBS Investment shall not
         exceed twelve years. To the extent the Pledged MBS Investments
         described in clauses (xiii) and (xiv) above violate the restrictions
         set forth in this paragraph, the Fair Market Value of such Pledged MBS
         Investments shall be excluded for the purposes of determining the
         Adjusted Asset Value; provided, however, that if one or more Pledged
         MBS Investments can be excluded for such purposes and thereby permit
         compliance with the aforementioned weighted average duration
         requirement to be satisfied, only the Pledged MBS Investments having
         the lowest aggregate Fair Market Value whose exclusion will result in
         compliance shall be excluded for the purposes of determining the
         Adjusted Asset Value.

                  1.2 Cash Equivalents. The definition of "Cash Equivalents" in
         Section 1.1 of the Credit Agreement is amended to state in its entirety
         as follows:

                  "Cash Equivalents means (a) securities with maturities of six
         (6) months or less from the date of acquisition issued or fully
         guaranteed or insured by the United States Government or any agency
         thereof, (b) certificates of deposit, Eurodollar time deposits,

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         overnight bank deposits, bankers' acceptances and repurchase agreements
         of any Bank or any other financial institution whose unsecured
         long-term debt obligations are rated at least BBB- by S&P's or Baa3 by
         Moody's having maturities of six months or less from the date of
         acquisition, and (c) with respect to the Company, amounts owed by any
         Fund to the Company (i) arising in connection with the Company's
         redemption of all or any part of the related Fund Investment and (ii)
         as reflected on the Company's balance sheet (net of any related
         reserve) determined pursuant to GAAP."

         1.3 Change of Control. The definition of "Change of Control" in Section
1.1 of the Credit Agreement is amended to state in its entirety as follows:

         (a) with respect to the Company, the failure by the Parent to own,
beneficially and of record, 100% of each class of common stock of the Company;

         (b) with respect to the Subsidiary Pledgor, the failure by the Company
and a Related Party to own, beneficially and of record, 100% of each class of
membership interests of the Subsidiary Pledgor;

         (c) Robert Rosenkranz or any other Standby Purchaser shall sell,
transfer or otherwise dispose of any shares of common stock of the Parent, if
upon such disposition the value of the stock held by Robert Rosenkranz and the
other Standby Purchasers in the aggregate shall be less than $5,000,000;

         (d) any Person shall own greater voting power in the Parent than Robert
Rosenkranz and members of management of the Parent; or

         (e) Robert Rosenkranz, an entity directly or indirectly beneficially
owned by Robert Rosenkranz and, if applicable, one or more Related Parties of
the Company, or a Related Party of the Company shall cease to act as investment
advisor to the Company or the Subsidiary Pledgor.

         1.4 Fair Market Value. The definition of "Fair Market Value" in Section
1.1 of the Credit Agreement is amended to state in its entirety as follows:

         "Fair Market Value shall mean (a) with respect to any publicly-traded
         security (other than those set forth in clause (b)) the closing price
         for such security on the largest exchange on which such security is
         traded (or if not traded on an exchange, then the average of the
         closing bid and ask prices quoted over-the-counter) on the date of the
         determination (as such prices are reported in The Wall Street Journal
         (Midwest Edition) or if not so reported, in any nationally recognized
         financial journal or newspaper), (b) with respect to any Fund
         Investment, other than a Managed Account, on any date of calculation,
         the amount that would be received with respect thereto if the entire
         amount of the applicable capital or other similar account relating
         thereto were withdrawn on

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         such date (regardless of whether a contractual right exists to make any
withdrawal on such date), (c) with respect to Cash and Cash Equivalents, the
amounts thereof, (d) with respect to Bond Mutual Fund Shares, U.S. Equity Mutual
Fund Shares, Foreign Equity Mutual Fund Shares, High Yield Mutual Fund Shares,
Money Market Mutual Fund Shares and U.S. Government Mutual Fund Shares, the
closing net asset value per share provided by the issuer of the applicable
shares on the date of determination and (e) with respect to any Investment
(other than those forth in clauses (a), (b), and (d)), the price for such
Investment on the date of calculation obtained from a generally recognized
source approved by the Agent or the most recent bid quotation from such approved
source (or, if no generally recognized source exists as to a particular
Investment, any other source specified by the Company to which the Agent does
not reasonably object). The Fair Market Value of a Managed Account shall equal
the sum of the value of the different kinds of Investments held therein less the
amount of any Indebtedness secured by the assets of, or otherwise financing
assets in, any Managed Account. The Fair Market Value of any Structured Note
shall equal the sum of the value of the different kinds of Investments held by
the issuers of such Structured Notes. The Fair Market Value of an Investment
Subsidiary shall equal the Fair Market Value of the Managed Accounts, Cash
Equivalents and Cash held by it.

        1.5 Interim Borrowing Base. The definition of "Interim Borrowing Base"
in Section 1.1 of the Credit Agreement is amended to state in its entirety as
follows:

         Interim Borrowing Base means, on any date, an amount equal to the
         result of (a) the Adjusted Asset Value divided by (b) the Borrowing
         Base Factor; provided, however, that for the purpose of the calculation
         of the Interim Borrowing Base only, the assets described in clause
         (xvi) of the definition of "Adjusted Asset Value" shall be divided by
         1.35 instead of by the Borrowing Base Factor.

         1.6 Additional Definitions. The following definitions are added to
Section 1.1 of the Credit Agreement in proper alphabetical order:

         ABS means any fixed-income instrument that entitles the holder of, or
         beneficial owner under, the instrument to the whole or any part of the
         rights or entitlements of a holder of a receivable or other asset and
         any other rights or entitlements in respect of a pool of receivables or
         other assets or any money payable by obligors under those receivables
         or other assets (whether or not the money is payable to the holder of,
         or beneficial owner under, the instrument on the same terms and
         conditions as under the receivables or other assets) in relation to
         receivables or other assets; provided however, such receivables or
         assets shall be limited to automobile loans, credit card receivables
         and home equity loans.

         Bond Mutual Fund Shares means shares (including shares held in a
         brokerage account) in an open-end diversified investment

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         company registered under the Investment Company Act of 1940, as
         amended, the investment objective of which is to invest its assets in
         investment grade debt securities more than 50% of which are issued by
         companies organized in the United States and none of the assets for any
         such company are Emerging Market Securities.

         Commercial Mortgage means a mortgage related to properties utilized to
         conduct business operations rather than residential properties.

         Emerging Market Securities means securities issued by entities
         organized in nations not named by Morningstar Inc. on its list of
         developed markets, as in effect from time to time. The Company agrees
         to give prompt written notice to the Agent in the event that this
         definition requires it to take into account, for purposes of any
         calculation under this Agreement, any addition to, or subtraction from,
         Morningstar Inc.'s list of developed markets that is made subsequent to
         the date of this Agreement.

         Foreign Equity Mutual Fund Shares means shares (including shares held
         in a brokerage account) in an open-end diversified investment company
         registered under the Investment Company Act of 1940, as amended, the
         investment objective of which is to invest its assets primarily in
         equity securities issued by companies organized in or outside the
         United States (including Emerging Market Securities); provided that
         Emerging Market Securities shall not constitute more than 35% of any
         such investment company's asset portfolio determined based on the
         complete statement of net assets most recently made publicly available
         by the Company.

         High Yield Mutual Fund Shares means shares (including shares held in a
         brokerage account) in an open-end diversified investment company
         registered under the Investment Company Act of 1940, as amended, the
         investment objective of which is to invest primarily in non-investment
         grade bonds issued by companies organized in the United States.

         Industry means any sector described on Schedule 1.1C hereto.

         Industry Bonds means bonds issued by corporations; provided however
         that Emerging Market Securities shall not be Industry Bonds.

         MBS (Agency Pass-Through) means any instrument, issued by the Federal
         National Mortgage Association, the Government National

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         Mortgage Association or the Federal Home Loan Mortgage Corporation,
         that entitles the holder of, or beneficial owner under, the instrument
         to the whole or any part of the rights or entitlements of a mortgagee
         and any other rights or entitlements in respect of a pool of mortgages
         or any money payable by mortgagors under those mortgages in relation to
         real estate mortgages, and the money payable to the holder of, or
         beneficial owner under, the instrument is based on actual or scheduled
         payments on the underlying mortgages.

         MBS (Agency CMOs) means collateralized mortgage obligations or real
         estate mortgage investment conduit pass through securities, in any case
         issued by the Federal National Mortgage Association, the Government
         National Mortgage Association or the Federal Home Loan Mortgage
         Corporation.

         MBS (Non-Agency CMOs) means collateralized mortgage obligations or real
         estate mortgage investment conduit pass through securities, not issued
         by the Federal National Mortgage Association, the Government National
         Mortgage Association or the Federal Home Loan Mortgage Corporation.

         Money Market Mutual Fund Shares means shares (including shares held in
         a brokerage account) in an open-end diversified investment company
         registered under the Investment Company Act of 1940, as amended, the
         investment objective of which is to invest in Cash, Cash Equivalents
         (other than the amounts referenced in clause (d) of the definition
         thereof) and similar instruments and which seeks to maintain a constant
         net asset value of $1.00 per share.

         Subsidiary Pledgor Factor means the fraction (expressed as a decimal)
         of all classes of membership interests of the Subsidiary Pledgor owned
         by the Company.

         U.S. Equity Mutual Fund Shares means shares (including shares held in a
         brokerage account) in an open-end diversified investment company
         registered under the Investment Company Act of 1940, as amended, the
         investment objective of which is to invest its assets in equity
         securities more than 50% of which are issued by companies organized in
         the United States and not more than 25% of which assets for any such
         company, determined based on the complete statement of net assets most
         recently made publicly available by the Company, are Emerging Market
         Securities.

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         U.S. Government Mutual Fund Shares means shares (including shares held
         in a brokerage account) in an open-end diversified investment company
         registered under the Investment Company Act of 1940, the investment
         objective of which is to invest primarily in fixed income securities
         issued or guaranteed by the United States, its agencies and
         instrumentalities.

         1.7 Investments Available for Withdrawal. Section 7.13 of the Credit
Agreement is hereby amended to state in its entirety as follows:

         "7.13 Investments Available for Withdrawal. The Company shall not
permit the aggregate Fair Market Value of all Investments Pledged by the
Company, the Parent and the Subsidiary Pledgor and Investments made by a Pledged
Investment Subsidiary on any day which are available for withdrawal, sale or use
by the Parent, the Company, the Subsidiary Pledgor or the Pledged Investment
Subsidiary, as the case may be, (i) on at least a quarterly basis to be less
than 65% of the aggregate Fair Market Value of all Investments Pledged by the
Company, the Parent and the Subsidiary Pledgor or owned by a Pledged Investment
Subsidiary on such day, and (ii) on an immediate basis to be less than 4% of the
aggregate Fair Market Value of all Investments Pledged by the Company, the
Parent and the Subsidiary Pledgor and Investments owned by a Pledged Investment
Subsidiary on such day; provided, however, that if said Investments are less
than said 65% limit solely because of appreciation, the Company shall not be in
violation of this Section 7.13 if (i) all Investments thereafter Pledged by the
Company, the Parent or the Subsidiary Pledgor to the Agent or made by a Pledged
Investment Subsidiary are subject to withdrawal on at least a quarterly basis
until the Company, the Parent, the Subsidiary Pledgor and the Pledged Investment
Subsidiary shall be in compliance with such limit, (ii) no Investments so
Pledged subject to such quarterly or more frequent withdrawal are withdrawn or
have been withdrawn during the quarter in which the limit was exceeded until the
Company, Parent, the Subsidiary Pledgor and Investment Subsidiary are in
compliance and (iii) the Company, the Parent and the Subsidiary Pledgor shall be
in compliance with such limit at the end of each fiscal year. For the purpose of
this covenant, all Investments held by issuers of Structured Notes shall be
treated as if held by the Company."

         1.8 Deletion of Section 7.14 and Section 7.15. Sections 7.14 and 7.15
of the Credit Agreement are hereby deleted in their entirety.

       1.9 Schedule 1.1B, Exhibit A and Exhibit B. Schedule 1.1B, Exhibit A and
Exhibit B of the Credit Agreement are hereby amended and restated in their
entirety to read as set forth on Schedule 1.1B, Exhibit A and Exhibit B hereof,
respectively.

       1.10 Addition of Schedule 1.1C.  Schedule 1.1C attached hereto is added
as Schedule 1.1C to the Credit Agreement.

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       SECTION 2 CONDITIONS PRECEDENT. This Amendment shall become effective as
of the date hereof when each of the conditions precedent set forth in this
Section 2 shall have been satisfied, and notice thereof shall have been given by
the Agent to the Company and the Banks.

         2.1 Receipt of Documents. The Agent shall have received all of the
following documents duly executed, dated the date hereof or such other date as
shall be acceptable to the Agent, and in form and substance satisfactory to the
Agent:

         (a) Amendment. This Amendment, duly executed by the Company, the Agent
and the Required Banks.

         (b) Secretary's Certificate. A certificate of the Secretary or an
Assistant Secretary of the Company, as to (i) resolutions of the executive
committee of the Company then in full force and effect authorizing the
execution, delivery and performance of this Amendment and each other document
described herein, and (ii) the incumbency and signatures of those officers of
the Company authorized to act with respect to this Amendment and each other
document described herein.

         (c) Opinion of Counsel. An opinion, addressed to the Agent and the
Banks, from Conyers Dill & Pearman, counsel to the Company in form satisfactory
to the Agent.

         (d) Consent. A consent of the Parent and the Subsidiary Pledgor in the
form attached hereto.

         (e) Fees. Evidence of payment by the Company of all fees payable under
the letter agreement between the Company and the Agent dated as of March 16,
2000.

         2.2 Compliance with Warranties, No Default, etc. Both before and after
giving effect to the effectiveness of this Amendment, the following statements
by the Company shall be true and correct (and the Company, by its execution of
this Amendment, hereby represents and warrants to the Agent and each Bank that
such statements are true and correct as at such times):

         (a) the representations and warranties set forth in Article V of the
Credit Agreement, as hereby amended, shall be true and correct with the same
effect as if then made (unless stated to relate solely to an earlier date, in
which case such representations and warranties shall be true and correct as of
such earlier date); and

         (b) no Event of Default or Unmatured Event of Default shall have then
occurred and be continuing.

         2.3 Satisfactory Legal Form. All documents executed or submitted
pursuant hereto by or on behalf of the Company or the Subsidiary Pledgor shall
be satisfactory in form and substance to the Agent and its counsel; and the
Agent and its counsel shall have received all

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information, approvals, opinions, documents or instruments as the Agent or its
counsel may reasonably request.

         SECTION 3 REPRESENTATIONS AND WARRANTIES. To induce the Banks and the
Agent to enter into this Amendment, the Company hereby represents and warrants
to the Agent and each Bank as follows:

         3.1 Due Authorization, Non-Contravention, etc. The execution, delivery
and performance by the Borrower of this Amendment are within the Company's
powers, as applicable, have been duly authorized by all necessary action, and do
not

                  (a) contravene the Company's Organization Documents;

                  (b) contravene any contractual restriction, law or
         governmental regulation or court decree or order binding on or
         affecting the Company; or

                  (c) result in, or require the creation or imposition of, any
         Lien on any of the Company's properties except for the benefit of the
         Agent and the Banks.

         3.2 Government Approval, Regulation, etc. No authorization or approval
or other action by, and no notice to or filing with, any governmental authority
or regulatory body or other Person is required for the due execution, delivery
or performance by the Company of this Amendment.

         3.3 Validity, etc. This Amendment constitutes the legal, valid and
binding obligation of the Company enforceable in accordance with their
respective terms.

         SECTION 4 MISCELLANEOUS.

         4.1 Continuing Effectiveness, etc. This Amendment shall be deemed to be
an amendment to the Credit Agreement, and the Credit Agreement, as amended
hereby, shall remain in full force and effect and is hereby ratified, approved
and confirmed in each and every respect. After the effectiveness of this
Amendment in accordance with its terms, all references to the Credit Agreement
in the Loan Documents or in any other document, instrument, agreement or writing
shall be deemed to refer to the Credit Agreement as amended hereby.

         4.2 Payment of Costs and Expenses. The Company agrees to pay on demand
all reasonable expenses of the Agent (including the reasonable fees and
out-of-pocket expenses of counsel to the Agent) in connection with the
negotiation, preparation, execution and delivery of this Amendment.

         4.3 Severability. Any provision of this Amendment which is prohibited
or unenforceable in any jurisdiction shall, as to such provision and such
jurisdiction, be ineffective to the extent of such prohibition or
unenforceability without invalidating the remaining

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provisions of this Amendment or affecting the validity or enforceability of
such provision in any
other jurisdiction.

         4.4 Headings. The various headings of this Amendment are inserted for
convenience only and shall not affect the meaning or interpretation of this
Amendment or any provisions hereof.

         4.5 Execution in Counterparts. This Amendment may be executed by the
parties hereto in several counterparts, each of which shall be deemed to be an
original and all of which shall constitute together but one and the same
agreement.

         4.6 Governing Law. THIS AMENDMENT SHALL BE DEEMED TO BE A CONTRACT MADE
UNDER AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF ILLINOIS.

         4.7 Successors and Assigns. This Amendment shall be binding upon and
shall inure to the benefit of the parties hereto and their respective successors
and assigns.

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       IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be
executed by their respective officers thereunto duly authorized as of the day
and year first above written.

                                      ORACLE REINSURANCE COMPANY, LTD.

                                      By:
                                          -------------------------------
                                      Title:
                                          -------------------------------

                                       S-1
<PAGE>   14
                                       BANK OF AMERICA, National Association,
                                       as Agent, L/C Administrator, Fronting
                                       Bank and a Bank

                                       By:
                                         -------------------------------
                                       Title:
                                         -------------------------------

                                      S-2
<PAGE>   15
                                     THE BANK OF NEW YORK,  as Co-Agent and as a
                                     Bank

                                     By:
                                         -------------------------------
                                     Title:
                                         -------------------------------

                                      S-3
<PAGE>   16
                                     DEUTSCHE BANK AG, New York and/or Cayman
                                     Islands Branches, as Co-Agent and as a Bank

                                     By:
                                         -------------------------------
                                     Title:
                                         -------------------------------

                                     By:
                                         -------------------------------
                                     Title:
                                         -------------------------------

                                      S-4
<PAGE>   17
                                  DRESDNER BANK AG, New York Branch and
                                  Grand Cayman Branch, as Co-Agent and as a Bank

                                  By:
                                      -------------------------------
                                  Title:
                                      -------------------------------
                                  By:
                                      -------------------------------
                                  Title:
                                      -------------------------------

                                      S-5
<PAGE>   18
                                     FLEET NATIONAL BANK, as Co-Agent and as a
                                     Bank

                                     By:
                                         -------------------------------
                                     Title:
                                         -------------------------------

                                      S-6
<PAGE>   19
                                    THE BANK OF BERMUDA LTD., as a Bank

                                     By:
                                         -------------------------------
                                     Title:
                                         -------------------------------

                                      S-7
<PAGE>   20
                             AGREEMENT AND CONSENT

         The undersigned hereby agree and consent to the terms and provisions of
the foregoing Second Amendment to Credit Agreement, and agree that the Loan
Documents executed by the undersigned shall remain in full force and effect
notwithstanding the provisions of the foregoing Second Amendment to Credit
Agreement.

       Dated: March , 2000

                                     DELPHI INTERNATIONAL LTD.

                                     By:
                                         -------------------------------
                                     Title:
                                         -------------------------------

                                     INMAN PARTNERS LLC

                                     By: Chestnut Investors II,Inc.,
                                         its Managing Member

                                     By:
                                         -------------------------------
                                     Title:
                                         -------------------------------
<PAGE>   21
                                  SCHEDULE 1.1B

                                   STRATEGIES

Strategy                            General Description
--------                            -------------------

Hedged Equity                       The purchase and sale (short) of securities
                                    in portfolios which tend to have a low
                                    correlation to the U.S. stock market. In
                                    general, managers of Funds in this category
                                    will have a correlation with the S&P 500
                                    stock index of less than .4, indicating that
                                    historically, less than 16% of their
                                    performance can be explained by the
                                    fluctuations of the market.

Specialized Trading/                Investing in common stock and other
Common Stocks                       instruments, selling short and opportunistic
                                    trading. In general, the portfolio tend to
                                    be more highly correlated to the U.S. stock
                                    market than hedged equity portfolios. Some
                                    managers are growth oriented, or value
                                    investors while others are opportunistic
                                    traders and investors.

Short Selling                       Selling securities prior to their purchase
                                    by borrowing the shares from a broker in
                                    anticipation of being able to purchase the
                                    securities at a later date at a lower price.

Risk Arbitrage                      The purchase of securities which are
                                    expected to become the subject of tender
                                    offers, exchange offers or mergers or other
                                    types of corporate reorganizations and then
                                    tendering these securities for cash or other
                                    securities. This strategy also includes
                                    special situations and other event-driven
                                    transactions.

Distressed Securities               Opportunistic trading in the securities of
                                    distressed companies and countries. This
                                    strategy includes, among others, financially
                                    troubled companies, those in bankruptcy
                                    proceedings, reorganizations or liquidation.

Commodities, Financial              Investing, trading and speculating in
Instruments and                     commodity futures contracts on both domestic
Foreign Currencies                  and foreign exchanges, forward contracts on
                                    foreign currencies and other commodities,
                                    options on futures contracts and physical
                                    commodities and cash commodities, or other
                                    investments that have a risk-reward profile
                                    of commodity trading.

Foreign Portfolio                   Investing in common stocks and debt
                                    instruments of non-U.S. issuers.

                                       1
<PAGE>   22
Sector Long/Short            The purchase and sale (short) of equities
                             within specific industries frequently
                             equally weighted, e.g. banks, utilities.

Statistical Arbitrage        Quantative forecasting models following
                             long/short strategies in individual country
                             stocks, stock and bond indices, currencies,
                             etc.

Fixed Income Arbitrage       Relative value trading strategies in fixed
                             income securities. Offsetting positions are
                             taken to exploit a deviation from the
                             historical mathematical relation between two
                             securities.

Convertible Securities       The purchase of convertible bonds,
Arbitrage and Other          convertible preferred stock, etc. and the
                             sale (short) of the underlying equity
                             securities. This strategy also includes
                             pairs trading and other long/short
                             strategies.

                                       2
<PAGE>   23
                                  Schedule 1.1C

                                   INDUSTRIES

Aerospace & Defense

Automobiles

Banking, Financing & Real Estate

Broadcasting and Media

Buildings & Materials

Cable

Chemicals

Computers & Electronics

Consumer Products

Energy

Environmental Services

Farming & Agriculture

Food, Beverage & Tabasco

Gaming, Lodging and Restaurants

Healthcare & Pharmaceuticals

Industrial/Manufacturing

Insurance

Leisure & Entertainment

Metals & Mining

Miscellaneous

                                        1
<PAGE>   24
Paper & Forest Products

Retail

Sovereign

Supermarkets and Drug Stores

Telecommunications

Textiles & Furniture

Transportation

Utilities

                                       2
<PAGE>   25

                                    EXHIBIT A

                       FORM OF BORROWING BASE CERTIFICATE

To:    Bank of America, N.A.,
         as Agent
       231 S. LaSalle St.
       Chicago, Illinois 60697

Re:    Oracle Reinsurance Company, Ltd.

Ladies and Gentlemen:

         We refer to the Credit Agreement dated as of January 27, 1998 (as
amended or otherwise modified from time to time, the "Credit Agreement") among
Oracle Reinsurance Company, Ltd. (the "Company"), various financial institutions
from time to time party thereto (the "Banks"), and Bank of America, N.A.
(formerly known as Bank of America National Trust and Savings Association), as
agent for the Banks (the "Agent"). This certificate (this "Certificate"),
together with supporting calculations attached hereto set forth in reasonable
detail, is delivered to you pursuant to the terms of the Credit Agreement.
Capitalized terms used but not otherwise defined herein and in the Schedule
hereto shall have the same meanings herein as in the Credit Agreement.

         We hereby certify and warrant to the Agent and the Banks that at the
close of business on ___________ , _____________ (the "Borrowing Base
Calculation Date"), the Borrowing Base was $______________, computed as set
forth on the schedule attached hereto.

         We hereby further certify and warrant to the Agent and the Banks that
the information and computations contained herein are true and correct in all
material respects as of the Borrowing Base Calculation Date.

         IN WITNESS WHEREOF, the Company has caused this Certificate to be
executed and delivered by a Responsible Officer this _____ day of __________,
_____.

                                             ORACLE REINSURANCE COMPANY, LTD.

                                             By:__________________________

                                             Title:_______________________

<PAGE>   26
  Oracle Reinsurance Company
  Schedule to Borrowing Base Certificate

  I.      Borrowing Base Calculation
          "BBF" = Borrowing Base Factor in effect on the date to which this
                  Certificate relates
          "SPF" = Subsidiary Pledgor Factor in effect on the date to which this
                  Certificate relates

<TABLE>
<CAPTION>
                                                           Fair Market Value
                                                         Pledged and Included in                                     Adjusted Asset
Type of Pledged Investment                              Adjusted Asset Value ($)(*)    Multiplication Factor (x)        Value ($)
--------------------------                              ---------------------------    -------------------------        ---------

<S>                                                     <C>                            <C>                           <C>
Oracle Re/Parent                                                                                          BBF

(i)    Cash and Cash Equivalents

(ii)   Money Market Mutual Fund Shares                                                              .98 x BBF

(iii)  Commercial Paper rated "A-1" by S&P
       or "P-1" by Moody's                                                                          .98 x BBF

(iv)   Commercial Paper rated "A-2" by S&P
       or "P-2" by Moody's                                                                          .95 x BBF

(v)    U.S. Government Mutual Fund Shares                                                           .95 x BBF

(vi)   U.S. Government Securities                                                                  .967 x BBF

(vii)  Industry Bonds rated at least "AA-"
       by S&P or "Aa3" by Moody's                                                                  .933 x BBF

(viii) Industry Bonds rated at least "A-"
       (but not higher than "A+") by S&P or
       "A3" (but not higher than "A1") by Moody's                                                   .92 x BBF
</TABLE>
-----------
* After giving effect to any applicable reduction therein pursuant to the
  diversification calculations in Section II below

                                        2
<PAGE>   27
  Oracle Reinsurance Company
  Schedule to Borrowing Base Certificate

<TABLE>
<CAPTION>

                                                              Fair Market Value
                                                           Pledged and Included in                                    Adjusted Asset
Type of Pledged Investment                                Adjusted Asset Value ($)(*)    Multiplication Factor (x)       Value($)
--------------------------                                ---------------------------    -------------------------       --------
<S>                                                       <C>                            <C>                         <C>
(ix)  Industry Bonds rated at least                                                                .90 x BBF
      "BBB-" (but not higher
      than "BBB+") by S&P or "Baa3" (but not higher
      than "Baa1") by Moody's

(x)   Industry Bonds rated at least "BB-"                                                           70 x BBF
      (but not higher than "BB+") by S&P or "Ba3"
      (but not higher than "Ba1") by Moody's

(xi)   Industry Bonds rated at least "B-"                                                          .55 x BBF
       (but not higher than "B+") by S&P
       or "B3" (but not higher than "B1")
       by Moody's

(xii)  ABS rated "AAA" by S&P or "Aaa" by                                                          .95 x BBF
       Moody's

(xiii) MBS (Agency Pass-Throughs and
       Agency CMOs) rated at least "A" by
       S&P or "A2" by Moody's                                                                       .90 x BBF

(xiv)  MBS (Non-Agency CMOs) rated "A" by S&P or                                                    .85 x BBF
       "A2"  by Moody's

(xv)   Equity Mutual Fund Shares, Foreign Equity Mutual                                             .80 x BBF
       Fund Shares, Bond Mutual Fund Shares and High
       Yield Mutual Fund Shares

(xvi)  Fund Investments, Managed Accounts, Structured                                                     1.0
       Notes and Investment Subsidiaries the Stock of
       which is pledged

                                                            -----------------------                                     ---------
       Total - Oracle Re/Parent
                                                            =======================                                     ==========
  Subsidiary Pledgor

  (i)     Cash and Cash Equivalents                                                                  SPF x BBF

</TABLE>

                                        3

<PAGE>   28
  Oracle Reinsurance Company
  Schedule to Borrowing Base Certificate

<TABLE>
<CAPTION>
                                                             Fair Market Value
                                                            Pledged and Included in                                 Adjusted Asset
Type of Pledged Investment                                 Adjusted Asset Value ($)(*)    Multiplication Factor (x)     Value($)
--------------------------                                 ---------------------------    -------------------------    --------
<S>                                                        <C>                            <C>                         <C>

(ii)     Money Market Mutual Fund Shares                                                       SPF x. 98 x BBF

(iii)    Commercial Paper rated "A-1" by S&P
         or "P-1" by  Moody's                                                                  SPF x. 98 x BBF

(iv)     Commercial Paper rated "A-2" by S&P
         or "P-2" by Moody's                                                                   SPF x .95 x BBF

(v)      U.S. Government Mutual Fund Shares                                                    SPF x .95 x BBF

(vi)     U.S. Government Securities                                                           SPF x .967 x BBF

(vii)    Industry Bonds rated at least "AA-"                                                  SPF x .933 x BBF
          by S&P or "Aa3" by Moody's

(viii)   Industry Bonds rated at least "A-"                                                    SPF x .92 x BBF
         (but not higher than "A+") by S&P or
         "A3" (but not higher than "A1") by Moody's

(ix)     Industry Bonds rated at least "BBB-"                                                  SPF x .90 x BBF
         (but not higher than "BBB+") by S&P or
         "Baa3" (but not higher than "Baa1") by Moody's

(x)      Industry Bonds rated at least "BB-"                                                   SPF x .70 x BBF
          (but not higher than "BB+") by S&P
          or "Ba3" (but not higher than
          "Ba1") by Moody's

(xi)     Industry Bonds rated at least "B-"                                                    SPF x .55 x BBF
           (but not higher than "B+") by S&P
           or "B3" (but not higher than "Ba1")
           by Moody's
</TABLE>

                                        4

<PAGE>   29
  Oracle Reinsurance Company
  Schedule to Borrowing Base Certificate

<TABLE>
<CAPTION>
                                                        Fair Market Value
                                                     Pledged and Included in                                    Adjusted Asset
Type of Pledged Investment                           Adjusted Asset Value ($)(*)    Multiplication Factor (x)       Value($)
--------------------------                           ---------------------------    -------------------------       --------
<S>                                                  <C>                            <C>                         <C>

(xii)   ABS rated "AAA" by S&P                                                        SPF x .95 x BBF
        or "Aaa" by Moody's

(xiii)  MBS (Agency Pass-Throughs and
        Agency CMOs) rated at least "A" by
        S&P or "A2" by Moody's                                                        SPF x. 90 x BBF

(xiv)   MBS (Non-Agency CMOs) rated "A" by S&P or                                     SPF x .85 x BBF
        "A2" by Moody's

(xv)    Equity Mutual Fund Shares, Foreign
        Equity Mutual Fund Shares, Bond
        Mutual Fund Shares and High Yield
        Mutual Fund Shares                                                            SPF x .80 x BBF

(xvi)   Fund Investments, Managed Accounts,
        Structured Notes and Investment
        Subsidiaries, the stock of which is
        pledged

        Total - Subsidiary Pledgor                       -------------                                            -------------
                                                         =============                                            =============
        Grand Total (Sum of Oracle Reinsurance
        Company/Parent and Subsidiary Pledgor
        Totals)                                                                                                   -------------

        BBF                                                                                                       -------------

        Borrowing Base  (Grand Total (divided by) BBF)                                                            -------------

        Outstanding L/C Obligations                                                                               -------------
</TABLE>

                                        5

<PAGE>   30

Oracle Reinsurance Company
Schedule to Borrowing Base Certificate

II.     Diversification Calculations

<TABLE>
<CAPTION>
                                                                                                                     Amount Included
                                                Total Fair Market    Percentage of                                  in Determining
                                                Value of Pledged     Total Fair Market    Maximum       Amount of   Adjusted Asset
Type of Pledged Investment                      Investments ($)      Value Pledged        Percentage    Excess ($)       Value
--------------------------                      ---------------      -------------        ----------    ----------       -----
<S>                                             <C>                  <C>                  <C>           <C>          <C>
Industrial Bonds and High Yield
Mutual Fund Shares
Industry Bonds and High Yield                                                                 45.0%
Mutual Fund Shares in (viii), (ix),
(x), (xi) and (xv) of
Section I above

Industry Bonds of any single issue                                                             7.5%
included in (vii), (viii) and (ix) of
Section I above and High Yield Mutual
Fund Shares and Bond Fund Shares of a
particular portfolio manager included in
(xv) of Section I above

Industry Bonds and High Yield Mutual                                                            15%
Fund Shares included in (x), (xi) and
(xv) of Section I above

Industry Bonds of any single issue,                                                              3%
issuer or Industry included in (x)
and (xi) of Section I above

Industry Bonds in any one Industry included                                                     10%
in (vii) through (xi) of Section I above

Industry Bonds in any three Industries                                                          15%
included in (vii) through (xi) of Section I
above

Industry Bonds in any eight Industries                                                          75%
included in (vii) through (xi) of Section I
above
</TABLE>

                                        6

<PAGE>   31
Oracle Reinsurance Company
Schedule to Borrowing Base Certificate

<TABLE>
<CAPTION>
                                                                                                                     Amount Included
                                             Total Fair Market     Percentage of                                     In Determining
                                            Value of Pledged      Total Fair Market      Maximum      Amount of      Adjusted Asset
Type of Pledged Investment                  Investments ($)       Value Pledged          Percentage   Excess ($)     Value
--------------------------                  ---------------       -------------          ----------   ----------     -----
<S>                                         <C>                   <C>                    <C>          <C>            <C>
ABS/MBS Investments

ABS and MBS Investments described
in (xii), (xiii) and (xiv) of
Section I above                                                                            30%

MBS Investments included in (xiii)
and (xiv) which are secured by
Commercial Mortgages included in (vii)
through (xi) of Section I above                                                            10%

MBS Investments included in (xiv) of
Section I above                                                                            15%

ABS and MBS Investments of any single
issue included in (xii) and (xiii) of
Section I above                                                                           7.5%

MBS Investments of any single issuer
included in (xiv) of Section I above                                                      7.5%

MBS Investment of any single issue
included in (xiv) of Section I above                                                        5%

Equity Mutual Fund Shares/Foreign
Equity
Mutual Fund Shares
Equity Mutual Fund Shares and Foreign
Equity
Mutual Fund Shares included in (xv)
of Section I above                                                                         25%

Foreign Equity Mutual Fund Shares
included in (xv) of Section I above                                                        20%

Equity Mutual Fund Shares included in
(xv) of a particular portfolio manager
of Section I above                                                                        7.5%
</TABLE>

                                        7

<PAGE>   32
Oracle Reinsurance Company
Schedule to Borrowing Base Certificate

<TABLE>
<CAPTION>
                                                                                                                     Amount Included
                                            Total Fair Market     Percentage of                                      In Determining
                                            Value of Pledged      Total Fair Market      Maximum      Amount of      Adjusted Asset
Type of Pledged Investment                  Investments ($)       Value Pledged          Percentage   Excess ($)     Value
--------------------------                  ---------------       -------------          ----------   ----------     -----
<S>                                         <C>                   <C>                    <C>          <C>            <C>
Investment Strategies of Funds
included in (xvi) of Section I above

Largest Strategy                                                                            25.0%

Second Largest Strategy                                                                     25.0%

Third Largest Strategy                                                                      25.0%

Fourth Largest Strategy                                                                     25.0%

Aggregate of Four Largest Strategies                                                        80.0%

Sector Long/Short, Statistical Arbitrage, Fixed                                             40.0%
Income Arbitrage and Convertible Securities
Arbitrage and Other Strategies
</TABLE>

                                        8
<PAGE>   33

                                    EXHIBIT B

                         FORM OF COMPLIANCE CERTIFICATE

To:  Bank of America, N.A., as Agent, and the Banks which are party to the
     Credit Agreement referred to below

      Reference is made to the Credit Agreement dated as of January 27, 1998 (as
amended or otherwise modified from time to time, the "Credit Agreement") among
Oracle Reinsurance Company, Ltd. (the "Company"), various financial institutions
from time to time party thereto (the "Banks"), and Bank of America, N.A.
(formerly known as Bank of America National Trust and Savings Association), as a
Bank and as agent for the Banks (the "Agent"). Terms used but not otherwise
defined herein are used herein as defined in the Credit Agreement.

I.   Reports. Enclosed herewith [is] [are] [(i)] a copy of the [annual
     audited/quarterly] report of the Company as at ___________________,
     __________ (the "Computation Date"), which report fairly presents in all
     material respects the financial condition and results of operations
     [(subject to normal year-end adjustments)] of the Company as of the
     Computation Date and has been prepared in accordance with GAAP consistently
     applied [and (ii) a copy of the Annual Statement of the Company as at the
     Computation Date which Annual Statement is complete and correct and present
     fairly in accordance with SAP the financial position of the Company for the
     fiscal year then ended.].

II.  Financial Tests. The Company hereby certifies and warrants to you that the
     following is a true and correct computation as at the Computation Date of
     the following ratios and/or financial restrictions contained in the Credit
     Agreement:

            [FOR EACH QUARTERLY REPORT AND ANNUAL REPORT]

      A.    Section 7.12 Statutory Surplus

            (1)     Company's Statutory Surplus               $
                                                              -----------------

            (2)     Parent's Net Worth                        $
                                                              -----------------

            (3)     Item 1 plus Item 2                        $
                                                              -----------------

            (4)     Required Total                            $40,000,000
                                                              -----------------

[If Item 3 is less than Item 4 but greater than or equal to $35,000,000, then
Item 3 must be greater than Item 4 within 45 days]

                                       1

<PAGE>   34
      B.       Section 7.13 Investments Available for Withdrawal

<TABLE>

<S>                                                                      <C>
               (1)    Aggregate Fair Market Value of Investments          $
                      Pledged by Company, Parent and the Subsidiary       ------------------
                      Pledgor plus aggregate Fair Market Value of
                      Investments owned by Pledged Investment
                      Subsidiaries

               (2)    Aggregate Fair Market Value of Investments          $
                      included in Item 1 which are available for          -----------------
                      withdrawal on a quarterly or more frequent
                      basis

               (3)    Minimum amount required to be available for         $
                      quarterly or more frequent withdrawal               -----------------
                      (65% of Item 1)

               (4)    Aggregate Fair Market Value of Investments          $
                      included in Item 1 which are available for          -----------------
                      immediate withdrawal

               (5)    Minimum amount required to be available for         $
                      immediate withdrawal (4% of Item 1)                 -----------------
</TABLE>

                                        8<PAGE>   1
                                                                    Exhibit 10.1

                                 Loan Number 20-                        [99-407]

                           AMENDMENT TO LOAN DOCUMENTS

         This AMENDMENT TO LOAN DOCUMENTS (this "Amendment") is made this 27th
day of April, 2000, among HELLER HEALTHCARE FINANCE, INC., a Delaware
corporation formerly known as HCFP FUNDING, INC. ("Lender") and BALANCED CARE
CORPORATION (a Delaware corporation referred to herein as "Guarantor"), BALANCED
CARE REALTY AT STATE COLLEGE, INC., BALANCED CARE REALTY AT ALTOONA, INC.,
BALANCED CARE REALTY AT LEWISTOWN, INC., BALANCED CARE REALTY AT READING, INC.,
BALANCED CARE REALTY AT BERWICK, INC., BALANCED CARE REALTY AT PECKVILLE, INC.,
BALANCED CARE REALTY AT SCRANTON, INC., BALANCED CARE REALTY AT MARTINSBURG,
INC., BALANCED CARE REALTY AT MAUMELLE, INC., BALANCED CARE REALTY AT SHERWOOD,
INC., BALANCED CARE REALTY AT MOUNTAIN HOME, INC., and BALANCED CARE REALTY AT
MANSFIELD, INC. (all Delaware corporations collectively referred to herein as
"Outlook Pointe Borrowers"), BCC AT DARLINGTON, INC., BALANCED CARE AT EYERS
GROVE, INC., BALANCED CARE AT BUTLER, INC., BALANCED CARE AT SARVER, INC., and
BALANCED CARE AT NORTH RIDGE, INC. (all Delaware corporations collectively
referred to herein as "BCC Borrowers"). The Outlook Pointe Borrowers and BCC
Borrowers are collectively referred to herein as "Borrowers."

                                    RECITALS:

         A. Lender has made available to BCC Borrowers a revolving credit
facility in the maximum principal amount of $12,000,000 (the "Revolving Credit
Facility") subject to the terms and conditions contained in a Loan and Security
Agreement dated April 22, 1999, as amended by an Amendment No. 1 to Loan and
Security Agreement dated July 1, 1999 (the "First Amendment"), an Amendment No.
2 to Loan and Security Agreement dated July 29, 1999 (the "Second Amendment"),
and an Amendment No. 3 to Loan and Security Agreement dated December 31, 1999
(the "Third Amendment"), all among the Lender and BCC Borrowers (as well as
other entities that have since been released from the terms and conditions of
the Loan and Security Agreement as amended). The Loan and Security Agreement, as
amended by the First Amendment, the Second Amendment, and the Third Amendment,
is referred to herein as the "Loan and Security Agreement." The Loan and
Security Agreement and all other loan documents executed in connection with the
Loan and Security Agreement and the
<PAGE>   2
Revolving Credit Facility are collectively referred to herein as the "Revolving
Credit Facility Loan Documents."

         B. Lender has also made a loan (the "Outlook Pointe Loan") of
Thirty-Two Million and No/100 Dollars ($32,000,000.00) to Outlook Pointe
Borrowers subject to the terms and conditions contained in a Loan Agreement
dated December 30, 1999, between Lender and Outlook Pointe Borrowers (the Loan
Agreement, including all exhibits thereto and the Senior Housing Rider of even
date therewith, as amended from time to time, is referred to herein as the "Loan
Agreement"). The Outlook Pointe Loan is evidenced by a Promissory Note A of even
date with the Loan Agreement in the original principal amount of Twenty-Five
Million Six Hundred Thousand and No/100 Dollars ($25,600,000.00) ("Note A") and
by a Subordinated Promissory Note B of even date with the Loan Agreement in the
original principal amount of Six Million Four Hundred Thousand and No/100
Dollars ($6,400,000.00) ("Note B") (Note A and Note B and all amendments thereto
and substitutions therefor are hereinafter referred to collectively as the
"Note").

         C. As additional security for the Outlook Pointe Loan, Guarantor has
executed and delivered a Guaranty dated December 30, 1999, in favor of Lender
(as amended from time to time, the "Guaranty").

         D. Also in connection with the Outlook Pointe Loan, Guarantor and
Outlook Pointe Borrowers have executed and delivered a Hazardous Materials
Indemnity Agreement dated December 30, 1999, in favor of Lender (as amended from
time to time, the "Environmental Indemnity"). (The Loan Agreement, the Guaranty,
and the Environmental Indemnity, the New Note (as defined below), together with
all mortgages, deeds of trust and other documents and instruments executed and
delivered by one or more of the Outlook Pointe Borrowers or the Guarantor in
connection the Outlook Pointe Loan, are collectively referred to herein as the
"Outlook Pointe Loan Documents," and the Outlook Pointe Loan Documents,
collectively with the Revolving Credit Facility Loan Documents, are referred to
herein as the "Loan Documents.") Capitalized terms used herein without
definition shall have the meanings provided in the Loan Agreement.

         E. Also in connection with the Outlook Pointe Loan, Lender, Guarantor,
Outlook Pointe Borrowers, and various other entities have entered into a
Subordination Agreement dated April 18, 2000 (the "Subordination Agreement"),
addressing debt that is junior to the Outlook Pointe Loan.

                                      -2-
<PAGE>   3
         F. Lender has agreed to increase the Outlook Pointe Loan amount by Five
Million and No/100 Dollars ($5,000,000.00) (the "New Funds") to Thirty-Seven
Million and No/100 Dollars ($37,000,000.00) and in consideration thereof
requires Borrowers and Guarantor to enter into this Amendment amending the Loan
Documents. In conjunction with this Amendment, Outlook Pointe Borrowers have
executed and delivered to Lender an Amended and Restated Promissory Note A (the
"New Note A"), an Amended and Restated Promissory Note B (the "New Note B")
(said amended and restated promissory notes collectively referred to herein as
the "New Note"), and amendments to the mortgages and deeds of trust constituting
Outlook Pointe Loan Documents (the "Outlook Pointe Mortgages"), all of even date
herewith. In conjunction with this Amendment, BCC Borrowers have executed and
delivered to Lender amendments to the mortgages and deeds of trust constituting
Revolving Credit Facility Loan Documents (the "Revolving Credit Facility
Mortgages").

         NOW, THEREFORE, in consideration of the foregoing recitals and the
mutual conditions and agreements contained herein, and for other good and
valuable consideration (the receipt and sufficiency of which are hereby
acknowledged), Lender, the Borrowers and Guarantor hereby agree as follows:

         1. Conditions Precedent. Lender's obligation to disburse the New Funds
is subject to satisfaction of all of the following conditions:

                  A. Lender shall have received the following documents, all in
form and substance reasonably satisfactory to Lender:

                           (i) this Amendment;

                           (ii) the New Note; and

                           (iii) amendments to the Outlook Pointe Mortgages and
the Revolving Credit Facility Mortgages (the "Mortgage Amendments");

                  B. Lender shall have received an endorsement to each existing
Title Policy reasonably acceptable to Lender dating down the Title Policy to the
date hereof and increasing the coverage amount to the new Loan Allocation Amount
for each Property set forth as the "Total Loan Allocation" amount in Exhibit A
attached hereto;

                                      -3-
<PAGE>   4
                  C. Borrower shall have paid Lender a commitment fee in the
amount of One Hundred Thousand and No/100 Dollars ($100,000.00), which
commitment fee shall be nonrefundable and shall be deemed fully earned upon
receipt, and the balance due of which Lender acknowledges shall be Seventy-Five
Thousand and No/100 Dollars ($75,000.00) (reflecting a credit of the good faith
deposit in the amount of Twenty-five Thousand and No/100 Dollars ($25,000.00))
provided that all of the requirements have been met as set forth in Section 33
(Good Faith Deposit and Commitment Fee) of the Application for Loan dated March
31, 2000, from Guarantor;

                  D. Lender shall have determined that the annualized Net
Operating Income (as defined in Schedule I attached to the Loan Agreement) of
the Project is at least Five Million and No/100 Dollars ($5,000,000);

                  E. Lender shall have received such opinions of counsel to
Borrowers as Lender may reasonably require; and

                  F. Lender shall have received such other items as Lender may
reasonably require.

         2. Payment of Expenses. At the time of Lender's disbursement of the New
Funds, Outlook Pointe Borrowers shall pay all Expenses (as defined below)
incurred by Lender in connection with the transaction contemplated by this
Amendment, including without limitation, Lender's expenses incurred in the
negotiation and documentation related to the New Funds and this Amendment. For
the purposes hereof "Expenses" means all reasonable expenditures and expenses
that may be paid or incurred by or on behalf of Lender, including attorneys'
fees (of outside and inside counsel), engineers' fees, accountants' fees,
independent consultants' fees (including environmental consultants), all costs
and expenses incurred in connection with any of the foregoing fees and expenses,
Lender's out-of-pocket costs and expenses related to any audit or inspection of
the Project (as defined in the Loan Agreement), stamp taxes, mortgage taxes,
intangibles taxes, and costs for procuring any abstracts of title, title
searches, lien and UCC searches, and examination, title insurance policies and
endorsements, Torrens' Certificates (if applicable), and similar data and
assurances with respect to title as Lender may deem reasonably necessary.

         3. The New Funds shall not constitute Gross Revenue for purposes of
calculating Net Cash Flow under the Loan Agreement, nor shall any Expenses,
commitment fees or other expenses incurred by the Outlook Pointe Borrowers in
connection

                                      -4-
<PAGE>   5
with the loan of the New Funds constitute an "operating expense" for purposes of
calculating Net Cash Flow.

         4. Section 1.9 (Exit Fee) of the Loan Agreement is replaced in its
entirety with following language:

                  Exit Fee. As additional consideration for the Loan, Borrowers,
         on the date payment in full of the Loan is made, shall pay to Lender an
         amount (the "Final Exit Fee") equal to (A) One Million Two Hundred
         Sixty Thousand and No/100 Dollars ($1,260,000.00) if payment in full is
         made on or after October 1, 2000, otherwise Five Hundred Twenty
         Thousand and No/100 Dollars ($520,000.00), (B) less the sum of the
         Proportionate Exit Fees, if any, paid to Lender under Section 2.2
         below. The Proportionate Exit Fees, if any, payable to Lender and the
         Final Exit Fee payable to Lender are collectively referred to as the
         "Exit Fee."

         5. All references to the "Loan" in the Outlook Pointe Loan Documents,
including without limitation the Guaranty and Environmental Indemnity, shall
include the loan of the New Funds hereunder. Each "Loan Allocation Amount"
listed on Exhibit A of the Loan Agreement is replaced with the amount described
on Exhibit A attached hereto as the "Total Loan Allocation" assigned to that
Property. The two amounts shown as the "Proportionate Exit Fee" for each
Property, as listed on Exhibit A of the Loan Agreement, are replaced with the
two amounts described on Exhibit A attached hereto as the "Total Exit Fee"
assigned to that Property.

         6. All references in the Loan Documents to any of the Outlooke Pointe
Loan Documents shall mean the applicable Outlook Pointe Loan Document, as
amended hereby and by the Mortgage Amendments, New Note A, New Note B or the New
Note, as applicable.

         7. All references in the Loan Documents to any of the Revolving Credit
Facility Loan Documents shall mean the applicable Revolving Credit Facility Loan
Document as amended hereby and by the Mortgage Amendments.

         8. Except as expressly provided herein, in the New Note and in the
Mortgage Amendments, the Loan Documents (including without limitation the
Guaranty, Environmental Indemnity, Subordination Agreement, and the undated
Consent Form with attached letter dated February 16, 2000, to Lender and Heller
Financial, Inc. from Balanced Care Corporation) shall

                                      -5-
<PAGE>   6
remain unmodified and in full force and effect and are hereby ratified and
confirmed as amended by this Amendment.

         9. The provisions of this Amendment that pertain to the Outlook Pointe
Loan, the Outlook Pointe Loan Documents, and the Outlook Pointe Borrowers shall
be governed by and construed in accordance with the internal laws of the State
of Illinois. The provisions of this Amendment that pertain to the Revolving
Credit Facility, the Revolving Credit Facility Loan Documents, and the BCC
Borrowers shall be governed by and construed in accordance with the internal
laws of the State of Maryland.

         (Signature pages follow.)

                                      -6-
<PAGE>   7
         IN WITNESS WHEREOF, the parties hereto have executed this Amendment or
have caused this Amendment to be executed by their duly authorized
representatives as of the date first above written.

                                      OUTLOOK POINTE BORROWERS:

                                      BALANCED CARE REALTY AT STATE
                                      COLLEGE, INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE REALTY AT ALTOONA,
                                      INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE REALTY AT LEWISTOWN,
                                      INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE REALTY AT READING,
                                      INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE REALTY AT BERWICK,
                                      INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      -7-
<PAGE>   8
                                      BALANCED CARE REALTY AT PECKVILLE,
                                      INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE REALTY AT SCRANTON,
                                      INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE REALTY AT MARTINSBURG,
                                      INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE REALTY AT MAUMELLE,
                                      INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE REALTY AT SHERWOOD,
                                      INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE REALTY AT MOUNTAIN
                                      HOME, INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      -8-
<PAGE>   9
                                      BALANCED CARE REALTY AT MANSFIELD,
                                      INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BCC BORROWERS:

                                      BCC AT DARLINGTON, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE AT EYERS GROVE, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE AT BUTLER, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE AT SARVER, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      -9-
<PAGE>   10
                                      BALANCED CARE AT NORTH RIDGE, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      GUARANTOR:

                                      BALANCED CARE CORPORATION,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Senior Vice President and Legal
                                      Counsel & Assistant Secretary

                                      LENDER:

                                      HELLER HEALTHCARE FINANCE, INC.,
                                      a Delaware corporation formerly
                                      known as HCFP FUNDING, INC.

                                      By /s/Kevin J. McMeen
                                      Name Kevin J. McMeen
                                      Its Sr. V.P.

         Accepted and agreed to on the date first set forth above.

                                      -10-
<PAGE>   11
                                      MANAGERS OF PROJECTS:

                                      BCC AT STATE COLLEGE, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      TC REALTY OF ALTOONA, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      TC REALTY OF LEWISTOWN, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      TC REALTY OF READING, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      -11-
<PAGE>   12
                                      TC REALTY OF BERWICK, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BLACK BOX OF PECKVILLE, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      TC REALTY CORPORATION III,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE AT MARTINSBURG, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE AT MAUMELLE, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      -12-
<PAGE>   13
                                      BALANCED CARE AT SHERWOOD, INC.,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      BALANCED CARE AT MOUNTAIN HOME,
                                      INC., a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      TC REALTY CORPORATION II,
                                      a Delaware corporation

                                      By /s/Robin L. Barber
                                      Printed Name Robin L. Barber
                                      Its Vice President and Secretary

                                      -13-

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