Document:

<PAGE>
                                                                 EXHIBIT 10.41.6

                     FIFTH AMENDMENT TO AMENDED AND RESTATED
                             MASTER LEASE AGREEMENT

            THIS FIFTH AMENDMENT TO AMENDED AND RESTATED MASTER LEASE AGREEMENT
("Fifth Amendment") is dated effective as of December 4, 2003 (the "Fifth
Amendment Effective Date") by and among HEALTH CARE REIT, INC., a corporation
organized under the laws of the State of Delaware ("HCRI" and a "Landlord"),
HCRI INDIANA PROPERTIES, LLC, a limited liability company organized under the
laws of the State of Indiana ("HCRI-IN" and a "Landlord"), HCRI NORTH CAROLINA
PROPERTIES, LLC, a limited liability company organized under the laws of the
State of Delaware ("HCRI-NC" and a "Landlord"), HCRI TENNESSEE PROPERTIES, INC.,
a corporation organized under the laws of the State of Delaware ("HCRI-TN" and a
"Landlord"), HCRI TEXAS PROPERTIES, LTD., a limited partnership organized under
the laws of the State of Texas ("HCRI-TX" and a "Landlord"), and HCRI WISCONSIN
PROPERTIES, LLC, a limited liability company organized under the laws of the
State of Wisconsin ("HCRI-WI" and a "Landlord"), each Landlord having its
principal office located at One SeaGate, Suite 1500, P.O. Box 1475, Toledo, Ohio
43603-1475, and ALTERRA HEALTHCARE CORPORATION, a corporation organized under
the laws of the State of Delaware ("Tenant"), having its chief executive office
located at 10000 Innovation Drive, Milwaukee, Wisconsin 53226.

                                R E C I T A L S

            A. Landlord and Tenant entered into an Amended and Restated Master
Lease Agreement dated effective as of July 1, 2001 ("Master Lease"), as amended
pursuant to a certain First Amendment to Amended and Restated Master Lease
Agreement dated as of July 16, 2001 ("First Amendment"), as further amended
pursuant to a certain Second Amendment to Amended and Restated Master Lease
Agreement dated as of December 21, 2001 ("Second Amendment"), as further amended
pursuant to a certain Third Amendment to Amended and Restated Master Lease
Agreement dated as of March 19, 2002 ("Third Amendment") and as further amended
pursuant to a certain Fourth Amendment to Amended and Restated Master Lease
Agreement dated as of December 27, 2002 ("Fourth Amendment") (the Master Lease
together with the First Amendment, Second Amendment, Third Amendment, Fourth
Amendment and Fifth Amendment hereinafter referred to as "Lease").

            B. Landlord and Tenant desire to further amend the Lease to modify
certain provisions thereof and as otherwise set forth herein.

            NOW, THEREFORE, in consideration of the foregoing recitals and for
other good and valuable consideration, the receipt and sufficiency of which are
hereby acknowledged, the parties hereto agree as follows.

            1. Capitalized Terms. Any capitalized terms not defined in this
Fifth Amendment shall have the meaning set forth in the Lease.

<PAGE>

            2. Liability Insurance. Section 4.2 of the Lease is hereby amended
by the addition of paragraph (e) as follows:

                  (e) Landlord acknowledges that due to insurance market
            conditions, Tenant has secured insurance coverage for the general
            liability and professional liability insurance through a
            self-funding insurance program ("Captive Program") under which
            Tenant originally deposited funds equal to $2,000,000, which
            deposited funds have increased to $5,000,000 (the "Insurance
            Deposit"), with United SPC. Tenant represents that [i] the Insurance
            Deposit is now, and shall during the Term of this Lease be, solely
            owned by Tenant; and [ii] at the commencement of an insurance period
            or at least once every 12 months, the Insurance Deposit shall have a
            minimum balance of readily available funds of $5,000,000.
            Notwithstanding the terms and conditions set forth in Section 4.2,
            Landlord hereby [i] waives any prior default or Event of Default as
            a result of Tenant's failure to previously comply with the insurance
            requirements of Section 4.2 of the Lease as a result of the Captive
            Program, including without limitation, the amount of coverage, the
            ratings requirement and the policy's operation on a "claims made"
            rather than "occurrence" basis; and [ii] consents to Tenant
            maintaining general liability and professional insurance through the
            Captive Program, which Captive Program may operate on a "claims
            made" rather than "occurrence" basis and may not comply with the
            ratings requirements of the Lease, provided Tenant [a] agrees to
            continue to review the availability of insurance in an attempt to
            find coverage which will comply with Section 4.2 (excluding Section
            4.2(e)) and shall comply with Section 4.2 (excluding Section 4.2(e))
            as and when such insurance coverage becomes generally available to
            operators of assisted living facilities owned by institutional
            landlords and similar to the Facilities at commercially reasonable
            rates; [b] certifies to Landlord every 90 days the amount of the
            Insurance Deposit; [c] shall not modify (in any manner materially
            adverse to Landlord) or terminate the Captive Program without
            Landlord's prior written consent; [d] names Landlord as the
            equivalent of an additional insured under the Captive Program; and
            [e] does not grant a securing interest in the Captive Program to any
            other entity, other than any other Captive Program certificate
            holder. Tenant shall otherwise comply with all applicable Legal
            Requirements regarding general liability and professional liability
            insurance and shall maintain traditional liability insurance (as
            opposed to the self-funding program) if so required by applicable
            law.

                                      - 2 -

<PAGE>

            3. Portfolio Coverage Ratio. Section 15.7.2 of the Lease is hereby
deleted in its entirety and substituted with the following:

            Tenant shall maintain for each fiscal quarter for the year set forth
            below a Portfolio Coverage Ratio of not less than the following:

                   0.80 to 1.00 for 2004
                   1.00 to 1.00 for 2005
                   1.20 to 1.00 for 2006 and thereafter.

            4. Net Worth Requirement Upon Merger. Section 15.7.3 of the Lease is
hereby deleted in its entirety and substituted with the following:

               15.7.3 Net Worth. If Tenant is seeking to effect a merger,
               consolidation or other structural change in Tenant as permitted
               by the parenthetical phrase in clause [i] of Section 18.1, then,
               in addition to all other requirements set forth herein regarding
               a merger consolidation or other structural changes in Tenant,
               immediately following such merger, consolidation or other
               structural change, Tenant shall have a Net Worth of $50,000,000.
               As used herein, "Net Worth" means consolidated stockholder's
               equity as determined in accordance with GAAP.

            5. Most Favored Lessor Provisions. Section 15.9 the Lease is hereby
deleted in its entirety and Landlord hereby waives any prior default or Event of
Default as a result of Tenant's failure to comply with any financial covenant
deemed to be included in Section 15.9 pursuant to the terms thereof.

            6. Consent to Amended Plan Transactions. Landlord hereby consents to
the transactions contemplated by the Second Amended Plan of Reorganization of
Alterra Healthcare Corporation dated September 15, 2003, as subsequently amended
(the "Plan Transactions") and agrees that such Plan Transactions, as effected,
do not and shall not constitute defaults or Events of Default under the Lease.

            7. Affirmation. Except as specifically modified by this Fifth
Amendment, the terms and provisions of the Lease are hereby affirmed and shall
remain in full force and effect.

            8. Binding Effect. This Fifth Amendment will be binding upon and
inure to the benefit of the successors and permitted assigns of Landlord and
Tenant.

            9. Further Modification. The Lease may be further modified only by
writing signed by Landlord and Tenant.

            10. Counterparts. This Fifth Amendment may be executed in multiple
counterparts, each of which shall be deemed an original hereof, but all of which
will constitute one and the same document.

            11. Subtenant. Manlius Clare Bridge Operator, Inc. is signing this
Fifth Amendment for the sole purpose of consenting to the terms and conditions
set forth herein.

                                      - 3 -

<PAGE>

            IN WITNESS WHEREOF, Landlord and Tenant have executed this Fifth
Amendment as of the date first set forth above.

Signed and acknowledged in the presence of:   HEALTH CARE REIT, INC.

Signature /s/ Rita J. Regge                   By: /s/ Erin C. Ibele
          ---------------------------------      ------------------------------
Print Name Rita J. Regge                                VP & Corp. Secretary
           --------------------------------   Title:---------------------------

Signature /s/ Kathleen A. Sullivan
          ---------------------------------
Print Name Kathleen A. Sullivan
           --------------------------------

Signed and acknowledged in the presence of:   HCRI INDIANA PROPERTIES, LLC

                                              By: Health Care REIT, Inc.
                                                  Member

Signature /s/ Rita J. Regge                    By: /s/ Erin C. Ibele
          ---------------------------------       ------------------------------
Print Name Rita J. Regge                       Title: VP & Corp. Secretary
                                                      --------------------------

Signature /s/ Kathleen A. Sullivan
          ---------------------------------

Print Name Kathleen A. Sullivan
           --------------------------------

Signed and acknowledged in the presence of:   HCRI NORTH CAROLINA PROPERTIES,
                                              LLC

                                              By: Health Care REIT, Inc.
                                                  Member

Signature /s/ Rita J. Regge                       By: /s/ Erin C. Ibele
          ---------------------------------           --------------------------
Print Name Rita J. Regge                          Title: VP & Corp. Secretary
           --------------------------------              -----------------------

Signature /s/ Kathleen A. Sullivan
          ---------------------------------

Print Name Kathleen A. Sullivan
           --------------------------------

Signed and acknowledged in the presence of:   HCRI TENNESSEE PROPERTIES, INC.

Signature /s/ Rita J. Regge                       By: /s/ Erin C. Ibele
          ---------------------------------           --------------------------
Print Name Rita J. Regge                          Title: VP & Corp. Secretary
           --------------------------------              -----------------------

Signature /s/ Kathleen A. Sullivan
          ---------------------------------

Print Name Kathleen A. Sullivan
           --------------------------------

                                      S-1

<PAGE>

Signed and acknowledged in the presence of:   HCRI TEXAS PROPERTIES, LTD.

                                              By: Health Care REIT, Inc.
                                                  General Partner

Signature /s/ Rita J. Rogge                   By: /s/ Erin C. Ibele
          ________________________________        _____________________________
Print Name Rita J. Rogge
           ________________________________     Title: VP & Corp. Secretary
                                                       ________________________

Signature /s/ Kathleen A. Sullivan
          ________________________________
Print Name Kathleen A. Sullivan
           ________________________________

Signed and acknowledged in the presence of:   HCRI WISCONSIN PROPERTIES, LLC

                                              By: Health Care REIT, Inc.
                                                  Member

Signature /s/ Rita J. Rogge                   By: /s/ Erin C. Ibele
          ________________________________        ______________________________
Print Name Rita J. Rogge
           ________________________________
                                                 Title: VP & Corp. Secretary
                                                        ________________________
Signature /s/ Kathleen A. Sullivan
          ________________________________
Print Name Kathleen A. Sullivan
           ________________________________

Signed and acknowledged in the presence of:   ALTERRA HEALTHCARE CORPORATION

Signature /s/ Amy Hickman                     By: /s/ Kristin A. Ferge
          ________________________________        ______________________________
Print Name Amy Hickman
           ________________________________
                                                 Title: VP
                                                        ________________________
Signature /s/ Jeff Jensen
          __________________________________
Print Name Jeff Jensen
           _________________________________   Tax I.D. No.: 39-1771281
                                                             ___________________

Signed and acknowledged in the presence of:   MANLIUS CLARE BRIDGE OPERATOR,
                                              INC.

Signature /s/ Mary J. Quinat                  By: /s/ Colleen Endsley
          __________________________________      ______________________________
Print Name Mary J. Quinat
           _________________________________
                                                 Title: President
                                                        ________________________
Signature /s/ Amy Hickman
          __________________________________
Print Name Amy Hickman                          Tax I.D. No.: 16-1564848
           _________________________________                  __________________

                                      S-2

<PAGE>

STATE OF OHIO                  )
                               ) SS:
COUNTY OF LUCAS                )

            The foregoing instrument was acknowledged before me this 3 day of
December, 2003 by Erin C. Ibele, the VP & Corp. Secretary of Health Care REIT,
Inc., a Delaware corporation, on behalf of the corporation.

                                              /s/ Rita J. Rogge
                                              __________________________________
                                              Notary Public

My Commission Expires: 8/26/05                                            [SEAL]
                       _____________________

STATE OF OHIO                  )
                               ) SS:
COUNTY OF LUCAS                )

            The foregoing instrument was acknowledged before me this 3 day of
December, 2003 by Erin C. Ibele, the VP & Corp. Secretary of Health Care REIT,
Inc., a Delaware corporation and the sole member of HCRI Indiana Properties,
LLC, a limited liability company organized under the laws of the State of
Indiana on behalf of the limited liability company.

                                              /s/ Rita J. Rogge
                                              __________________________________
                                              Notary Public

My Commission Expires: 8/26/05                                            [SEAL]
                      _____________________
STATE OF OHIO                  )
                               ) SS:
COUNTY OF LUCAS                )

            The foregoing instrument was acknowledged before me this 3 day of
December, 2003 by Erin C. Ibele, the VP & Corp. Secretary of Health Care REIT,
Inc., a Delaware corporation and the sole member of HCRI North Carolina
Properties, LLC, a limited liability company organized under the laws of the
State of Delaware on behalf of the limited liability company.

                                              /s/ Rita J. Rogge
                                              __________________________________
                                              Notary Public

My Commission Expires: 8/26/05                                            [SEAL]
                      _____________________
                                      S-3

<PAGE>

STATE OF OHIO                  )
                               ) SS:
COUNTY OF LUCAS                )

            The foregoing instrument was acknowledged before me this 3 day of
December, 2003 by Erin C. Ibele, the VP & Corp. Secretary of HCRI Tennessee
Properties, Inc., a corporation organized under the laws of the State of
Delaware on behalf of the corporation.

                                              /s/ Rita J. Rogge
                                              __________________________________
                                              Notary Public

My Commission Expires: 8/26/05                                            [SEAL]
                      _____________________
STATE OF OHIO                  )
                               ) SS:
COUNTY OF LUCAS                )

            The foregoing instrument was acknowledged before me this 3 day of
December, 2003 by Erin C. Ibele, the VP & Corp. Secretary of Health Care REIT,
Inc., a Delaware corporation and the general partner of HCRI Texas Properties,
Ltd., a limited liability partnership organized under the laws of the State of
Texas on behalf of the limited partnership.

                                              /s/ Rita J. Rogge
                                              __________________________________
                                              Notary Public

My Commission Expires: 8/26/05                                            [SEAL]
                      _____________________
STATE OF OHIO                  )
                               ) SS:
COUNTY OF LUCAS                )

            The foregoing instrument was acknowledged before me this 3 day of
December, 2003 by Erin C. Ibele, the VP & Corp. Secretary of Health Care REIT,
Inc., a Delaware corporation and the sole member of HCRI Wisconsin Properties,
LLC, a limited liability company organized under the laws of the State of
Delaware on behalf of the limited liability company.

                                              /s/ Rita J. Rogge
                                              __________________________________
                                              Notary Public

My Commission Expires: 8/26/05                                            [SEAL]
                      _____________________
                                      S-4

<PAGE>

STATE OF Wisconsin        )
         _______________
                          ) SS:
COUNTY OF Milwaukee       )
          _______________

            The foregoing instrument was acknowledged before me this 3 day of
December, 2003 by Kristin A. Ferge, the VP of Alterra Healthcare Corporation, a
Delaware corporation, on behalf of the corporation.

                                              /s/ JC Hansen
                                              __________________________________
                                              Notary Public

My Commission Expires: 5/21/06                                            [SEAL]
                      _____________________
STATE OF Wisconsin        )
         ________________
                          ) SS:
COUNTY OF Milwaukee       )
          _______________

            The foregoing instrument was acknowledged before me this 2 day of
December, 2003 by Colleen Endsley, the President of Manlius Clare Bridge
Operator, Inc., a New York corporation, on behalf of the corporation.

                                              /s/ JC Hansen
                                              __________________________________
                                              Notary Public

My Commission Expires: 5/21/06                                            [SEAL]
                      _______________
THIS INSTRUMENT PREPARED BY:

OKSANA M. LUDD, ESQ.
SHUMAKER, LOOP & KENDRICK, LLP
1000 JACKSON
TOLEDO, OHIO 43624

                                      S-5<PAGE>
                                                                 EXHIBIT 10.41.7

                     SIXTH AMENDMENT TO AMENDED AND RESTATED
                             MASTER LEASE AGREEMENT

            THIS SIXTH AMENDMENT TO AMENDED AND RESTATED MASTER LEASE AGREEMENT
("Sixth Amendment") is dated effective as of June 30, 2004 (the "Sixth
Amendment Effective Date") by and among HEALTH CARE REIT, INC., a corporation
organized under the laws of the State of Delaware ("HCRI" and a "Landlord"),
HCRI INDIANA PROPERTIES, LLC, a limited liability company organized under the
laws of the State of Indiana ("HCRI-IN" and a "Landlord"), HCRI NORTH CAROLINA
PROPERTIES III, LIMITED PARTNERSHIP, a limited partnership organized under the
laws of the State of North Carolina ("HCRI-NC" and a "Landlord"), HCRI TENNESSEE
PROPERTIES, INC., a corporation organized under the laws of the State of
Delaware ("HCRI-TN" and a "Landlord"), HCRI TEXAS PROPERTIES, LTD., a limited
partnership organized under the laws of the State of Texas ("HCRI-TX" and a
"Landlord"), and HCRI WISCONSIN PROPERTIES, LLC, a limited liability company
organized under the laws of the State of Wisconsin ("HCRI-WI" and a "Landlord"),
each Landlord having its principal office located at One SeaGate, Suite 1500,
P.O. Box 1475, Toledo, Ohio 43603-1475, and ALTERRA HEALTHCARE CORPORATION, a
corporation organized under the laws of the State of Delaware ("Tenant"), having
its chief executive office located at 10000 Innovation Drive, Milwaukee,
Wisconsin 53226.

                                R E C I T A L S

            A. Landlord and Tenant entered into an Amended and Restated Master
Lease Agreement dated effective as of July 1, 2001 ("Master Lease"), as amended
pursuant to a certain First Amendment to Amended and Restated Master Lease
Agreement dated as of July 16, 2001 ("First Amendment"), as further amended
pursuant to a certain Second Amendment to Amended and Restated Master Lease
Agreement dated as of December 21, 2001 ("Second Amendment"), as further amended
pursuant to a certain Third Amendment to Amended and Restated Master Lease
Agreement dated as of March 19, 2002 ("Third Amendment") as amended pursuant to
a certain Fourth Amendment to Amended and Restated Master Lease Agreement dated
as of December 27, 2002 ("Fourth Amendment") and as further amended pursuant to
a certain Fifth Amendment to Amended and Restated Master Lease Agreement dated
as of December 3, 2003 ("Fifth Amendment") (the Master Lease together with the
First Amendment, Second Amendment, Third Amendment, Fourth Amendment, Fifth
Amendment and Sixth Amendment hereinafter referred to as "Lease").

            B. HCRI North Carolina Properties, LLC, a landlord under the Master
Lease, has transferred those Facilities together with the real property located
in the State of North Carolina to HCRI-NC and HCRI-NC is now a Landlord under
the Lease.

            C. Landlord and Tenant desire to further amend the Lease to amend
certain provisions thereof and as otherwise set forth herein.

<PAGE>

            NOW, THEREFORE, in consideration of the foregoing recitals and for
other good and valuable consideration, the receipt and sufficiency of which are
hereby acknowledged, the parties hereto agree as follows.

            1.    Capitalized Terms. Any capitalized terms not defined in this
Sixth Amendment shall have the meaning set forth in the Lease.

            2.    Definitions. The following definition of Payment Date is
hereby added to Section 1.4 of the Lease:

            "Payment Date" means the date on which Landlord makes a Lease
Advance.

            3.    Definitions. The following definition of Rent Schedule is
hereby added to Section 1.4 of the Lease:

            "Rent Schedule" means the schedule issued by Landlord to Tenant
showing the Base Rent to be paid by Tenant pursuant to the terms of this Lease,
as such schedule is amended from time to time by Landlord in accordance with the
terms of this Lease.

            4.    Base Rent Adjustment. The Lease is hereby amended by adding
the following Section 2.1.1 to the Lease:

                  Section 2.1.1 Base Rent Adjustment. If Landlord makes a Lease
                  Advance after the Sixth Amendment Effective Date, the Base
                  Rent will be increased effective on the Payment Date based
                  upon the applicable Lease Rate in effect on the Payment Date.
                  Until Tenant receives a revised Rent Schedule from Landlord,
                  Tenant shall for each month [i] continue to make installments
                  of Base Rent according to the payment schedule existing on the
                  Sixth Amendment Effective Date or according to the Rent
                  Schedule in effect on the day before the Payment Date; and
                  [ii] within 10 days following Landlord's issuance of an
                  invoice, pay the difference between the installment of Base
                  Rent that Tenant paid to Landlord for such month and the
                  installment of Base Rent actually due to Landlord for such
                  month as a result of the Lease Advance. On the first day of
                  the month following receipt of the revised Rent Schedule,
                  Tenant shall pay the monthly installment of Base Rent
                  specified in the revised Rent Schedule.

            5.    Manlius Earnout Disbursement. Section 2.9 of the Lease is
hereby amended by adding the following sentence at the end of the existing
Section 2.9:

                  The parties have agreed that Landlord's obligation to disburse
                  the Manlius Earnout Amount will be tied to Tenant's capital
                  expenditures for facilities subject to this Lease. As a
                  result, in addition to any other requirements set forth in
                  this section, Landlord's obligation to so disburse is subject
                  to (i) Landlord's reasonable approval in writing of the scope
                  of work and budget, construction and disbursement schedules,
                  and contractor and construction agreements (if applicable),
                  and (ii) Landlord's receipt of written documentation that
                  $500,000.00 of capital improvements as set forth on the

                                     - 2 -
<PAGE>

                  Project Budget, as hereinafter defined, have been completed
                  and installed at a Facility, but Landlord shall not be
                  obligated to disburse more than the Manlius Earnout Amount and
                  not until at least eight Business Days following receipt of
                  all documentation required for such disbursement. In the event
                  the above conditions are not satisfied within one year after
                  the Sixth Amendment Effective Date, Landlord's obligation to
                  disburse the Manlius Earnout will terminate. As of the Sixth
                  Amended Effective Date, the budget for capital expenditures
                  ("Project Budget") is set forth on Schedule 2, attached
                  hereto.

                  Notwithstanding the obligation of Tenant in clause [b] above
                  to provide Landlord with an amendment to the Letter of Credit,
                  Tenant shall not be obligated to provide such amendment to the
                  Letter of Credit as a condition to Landlord's obligation to
                  disburse the Manlius Earnout Amount, but Tenant shall be
                  obligated to provide such amendment to the Letter of Credit in
                  accordance with the terms of a certain Agreement Regarding
                  Letter of Credit (Sixth Amendment).

            6.    Affirmation. Except as specifically modified by this Sixth
Amendment, the terms and provisions of the Lease are hereby affirmed and shall
remain in full force and effect.

            7.    Binding Effect. This Sixth Amendment will be binding upon and
inure to the benefit of the successors and permitted assigns of Landlord and
Tenant.

            8.    Further Modification. The Lease may be further modified only
by writing signed by Landlord and Tenant.

            9.    Counterparts. This Sixth Amendment may be executed in multiple
counterparts, each of which shall be deemed an original hereof, but all of which
will constitute one and the same document.

            10.   Subtenant. Manlius Clare Bridge Operator, Inc. is signing this
Sixth Amendment for the sole purpose of consenting to the terms and conditions
set forth herein.

            [THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK]

                                     - 3 -
<PAGE>

            IN WITNESS WHEREOF, Landlord and Tenant have executed this Sixth
Amendment as of the date first set forth above.

Signed and acknowledged in the presence of:      HEALTH CARE REIT, INC.

Signature  /s/ Evelyn Evans-Eck                  By: /s/ Erin C. Ibele
           ___________________________________      ____________________________

Print Name Evelyn Evans-Eck
           __________________________________        Title: VP & Corp. Secretary
                                                           _____________________

Signature /s/ Rita J. Rogge
          ____________________________________

Print Name Rita J. Rogge
          ___________________________________

Signed and acknowledged in the presence of:      HCRI INDIANA PROPERTIES, LLC

                                                 By: Health Care REIT, Inc.,
                                                     Member

Signature /s/ Evelyn Evans-Eck                       By: /s/ Erin C. Ibele
          ___________________________________           ________________________

Print Name Evelyn Evans-Eck
          __________________________________         Title: VP & Corp. Secretary
                                                           _____________________

Signature /s/ Rita J. Rogge
         ____________________________________

Print Name Rita J. Rogge
          ___________________________________

Signed and acknowledged in the presence of:      HCRI NORTH CAROLINA PROPERTIES
                                                 III, LIMITED PARTNERSHIP

                                                 By: HCRI North Carolina
                                                     Properties II, Inc., its
                                                     General Partner

Signature /s/ Evelyn Evans-Eck                       By: /s/ Erin C. Ibele
          ___________________________________           ________________________

Print Name Evelyn Evans-Eck
           __________________________________        Title: VP & Corp. Secretary
                                                           _____________________

Signature /s/ Rita J. Rogge
         ____________________________________

Print Name Rita J. Rogge
          ___________________________________

Signed and acknowledged in the presence of:      HCRI TENNESSEE PROPERTIES, INC.

Signature /s/ Evelyn Evans-Eck                   By: /s/ Erin C. Ibele
          ___________________________________       ____________________________

Print Name Evelyn Evans-Eck
           __________________________________        Title: VP & Corp. Secretary
                                                           _____________________

Signature /s/ Rita J. Rogge
         ____________________________________

Print Name /s/ Rita J. Rogge
          ___________________________________

                                       S-1
<PAGE>

Signed and acknowledged in the presence of:      HCRI TEXAS PROPERTIES, LTD.

                                                 By: Health Care REIT, Inc.,
                                                     General Partner

Signature /s/ Evelyn Evans-Eck                       By: /s/ Erin C. Ibele
          ___________________________________           ________________________

Print Name Evelyn Evans-Eck
           __________________________________
                                                     Title: VP & Corp. Secretary
                                                           _____________________

Signature /s/ Rita J. Rogge
         ____________________________________

Print Name Rita J. Rogge
          ___________________________________

Signed and acknowledged in the presence of:      HCRI WISCONSIN PROPERTIES, LLC

                                                 By: Health Care REIT, Inc.,
                                                     Member

Signature /s/ Evelyn Evans-Eck                       By: /s/ Erin C. Ibele
          ___________________________________           ________________________

Print Name Evelyn Evans-Eck
           __________________________________
                                                     Title: VP & Corp. Secretary
                                                           _____________________

Signature /s/ Rita J. Rogge
         ____________________________________

Print Name Rita J. Rogge
          ___________________________________

Signed and acknowledged in the presence of:      ALTERRA HEALTHCARE CORPORATION

Signature /s/ Amy Hickman                        By: /s/ Kristin A. Ferge
          ___________________________________       ____________________________

Print Name Amy Hickman
           __________________________________
                                                      Title: VP & CFO
                                                            ____________________

Signature /s/ Joanna Saver
         ____________________________________

Print Name Joanna Saver                          Tax I.D. No.: 39-1771281
          ___________________________________                 __________________

Signed and acknowledged in the presence of:      MANLIUS CLARE BRIDGE OPERATOR,
                                                 INC.

Signature /s/ Mary Quint                         By: /s/ Colleen Endsley
          ___________________________________       ____________________________

Print Name Mary Quint
           __________________________________
                                                   Title: President
                                                         _______________________

Signature /s/ Dan Keish
         ____________________________________

Print Name Dan Keish                             Tax I.D. No.: 16-1564848
          ___________________________________                 __________________

                                       S-2
<PAGE>

STATE OF OHIO                  )
                               ) SS:
COUNTY OF LUCAS                )

            The foregoing instrument was acknowledged before me this 30  day of
                                                                     ___
   June          2004 by Erin C. Ibele             the VP & Corp. Secretary
_______________,        _________________________,    _________________________
                           of Health Care REIT, Inc., a Delaware corporation, on
_________________________
behalf of the corporation.

                                                 /s/ Evelyn Evans-Eck
                                                 _______________________________
                                                 Notary Public

My Commission Expires:        9/9/08                                      [SEAL]
                      _______________________

STATE OF OHIO                  )
                               ) SS:
COUNTY OF LUCAS                )

            The foregoing instrument was acknowledged before me this 30  day of
                                                                     ___
    June         2004 by  Evelyn Evans-Eck          the   VP & Corp. Secretary
_______________,         _________________________,     ________________________
                          of Health Care REIT, Inc., a Delaware corporation and
_________________________
the sole member of HCRI Indiana Properties, LLC, a limited liability company
organized under the laws of the State of Indiana on behalf of the limited
liability company.

                                                 /s/ Evelyn Evans-Eck
                                                 _______________________________
                                                 Notary Public

My Commission Expires:        9/9/08                                      [SEAL]
                      _______________________

STATE OF OHIO                  )
                               ) SS:
COUNTY OF LUCAS                )

            The foregoing instrument was acknowledged before me this 30  day of
                                                                     ___
     June        2004 by  Erin C. Ibele             the   VP & Corp. Secretary
_______________,         _________________________,     ________________________
                          HCRI North Carolina Properties II, Inc., a North
_________________________
Carolina corporation, the General Partner of HCRI North Carolina Properties III,
Limited Partnership, on behalf of the partnership.

                                                 /s/ Evelyn Evans-Eck
                                                 _______________________________
                                                 Notary Public

My Commission Expires:       9/9/08                                       [SEAL]
                      _______________________

                                       S-3
<PAGE>

STATE OF OHIO                  )
                               ) SS:
COUNTY OF LUCAS                )

            The foregoing instrument was acknowledged before me this 30 day of
                                                                     ___
June                      Erin C. Ibele                 VP & Corp. Secretary
_______________, 2004 by _________________________, the_________________________
_________________________ of HCRI Tennessee Properties, Inc., a corporation
organized under the laws of the State of Delaware on behalf of the corporation.

                                                  /s/ Evelyn Evans-Eck
                                                 _______________________________
                                                 Notary Public

My Commission Expires:  9/9/08
                       _______________________                            [SEAL]

STATE OF OHIO                  )
                               ) SS:
COUNTY OF LUCAS                )

            The foregoing instrument was acknowledged before me this 30 day of

June                      Erin C. Ibele                  VP & Corp. Secretary
_______________, 2004 by _________________________, the ________________________
_________________________ of Health Care REIT, Inc., a Delaware corporation and
the general partner of HCRI Texas Properties, Ltd., a limited liability
partnership organized under the laws of the State of Texas on behalf of the
limited partnership.

                                                  /s/ Evelyn Evans-Eck
                                                 _______________________________
                                                 Notary Public

My Commission Expires:  9/9/08
                       _______________________                            [SEAL]

STATE OF OHIO                  )
                               ) SS:
COUNTY OF LUCAS                )

            The foregoing instrument was acknowledged before me this 30 day of

June                      Erin C. Ibele                  VP & Corp. Secretary
_______________, 2004 by _________________________, the ________________________
_________________________ of Health Care REIT, Inc., a Delaware corporation and
the sole member of HCRI Wisconsin Properties, LLC, a limited liability company
organized under the laws of the State of Delaware on behalf of the limited
liability company.

                                                  /s/ Evelyn Evans-Eck
                                                 _______________________________
                                                 Notary Public

My Commission Expires:  9/9/08
                       _______________________                            [SEAL]

                                      S-4
<PAGE>

STATE OF Wisconsin
         _______________                )
                                        ) SS:
COUNTY OF Milwaukee
          _______________               )

            The foregoing instrument was acknowledged before me this 21 day of
                                                                     ___
June                       Kristen A. Ferge               VP & CFO
_______________, 2004 by _________________________, the ________________________
_________________________ of Alterra Healthcare Corporation, a Delaware
corporation, on behalf of the corporation.

                                                  /s/ JC Hansen
                                                 _______________________________
                                                 Notary Public

My Commission Expires:  5/21/06
                       _______________________                            [SEAL]

STATE OF Wisconsin
         _______________                )
                                        ) SS:
COUNTY OF Milwaukee
          _______________               )

            The foregoing instrument was acknowledged before me this  22  day of
June                       Colleen Endsley                President , 2004 by
_________________________, the ________________________
_________________________ of Manlius Clare Bridge Operator, Inc., a New York
corporation, on behalf of the corporation.

                                                  /s/ JC Hansen
                                                 _______________________________
                                                 Notary Public

My Commission Expires:  5/21/06
                       _______________________                            [SEAL]

THIS INSTRUMENT PREPARED BY:

OKSANA M. LUDD, ESQ.
SHUMAKER, LOOP & KENDRICK, LLP
1000 JACKSON
TOLEDO, OHIO 43624

                                       S-5
<PAGE>
                                   SCHEDULE 2

                   CAPITAL EXPENDITURE BUDGET (PROJECT BUDGET)
<TABLE>
<CAPTION>
                                                                                            TOTAL
        RESIDENCE                                      DESCRIPTION                          COST
-------------------------              --------------------------------------------        -------
<S>                                    <C>                                                 <C>
CBC-VALPARAISO                         CARPET EXTRACTOR                                      1,200
CBC-VALPARAISO                         CARPET, RESIDENT ROOM                                 4,500
    CBC-VALPARAISO TOTAL                                                                     5,700

SH-VALPARAISO                          CARPET, RESIDENT ROOM                                 4,500
SH-VALPARAISO TOTAL                                                                          4,500

SH-CANTON                              CARPET, COMMON AREA                                  26,000
SH-CANTON                              CARPET, RESIDENT ROOM                                 4,500
       SH-CANTON TOTAL                                                                      30,500

SH-FINDLAY                             CARPET & VINYL, RESIDENT ROOM                         4,500
SH-PIQUA                               CARPET, RESIDENT ROOM                                 4,500
       SH-PIQUA TOTAL                                                                        4,500

SH-TROY                                CARPET, COMMON AREA, CORRIDOR                        21,000
SH-TROY                                CARPET & VINYL, RESIDENT ROOM                         4,500
       SH-TROY TOTAL                                                                        25,500

CB-OK CITY                             CARPET, RESIDENT ROOM                                 4,500
     CB-OK CITY TOTAL                                                                        4,500

SH-BARTLESVILLE NO.                    CARPET, COMMON AREA, HALLWAY AND DINING              39,000
SH-BARTLESVILLE NO.                    CARPET, RESIDENT ROOM                                 4,500
 SH-BARTLESVILLE NO. TOTAL                                                                  43,500

SH-CHICKASHAW                          CARPET, COMMON AREA, DINING ROOM                     37,000
SH-CHICKASHAW                          CARPET, RESIDENT ROOM                                 4,500
  SH-CHICKASHAW TOTAL                                                                       41,500

SH-CLAREMORE                           CARPET, RESIDENT ROOM                                 4,500
  SH-CLAREMORE TOTAL                                                                         4,500

SH-DUNCAN                              CARPET, COMMON AREA                                  37,000
SH-DUNCAN                              CARPET, RESIDENT ROOM                                 4,500
       SH-DUNCAN TOTAL                                                                      41,500

SH-EDMOND                              CARPET, RESIDENT ROOM                                 4,500
       SH-EDMOND TOTAL                                                                       4,500

SH-ENID                                CARPET, COMMON AREA                                  37,000
SH-ENID                                CARPET, RESIDENT ROOM                                 4,500
         SH-ENID TOTAL                                                                      41,500

SH-LAWTON                              CARPET, RESIDENT ROOM                                 4,500
       SH-LAWTON TOTAL                                                                       4,500
</TABLE>

<PAGE>

<TABLE>
<CAPTION>
                                                                                            TOTAL
        RESIDENCE                                      DESCRIPTION                          COST
-------------------------              --------------------------------------------        -------
<S>                                    <C>                                                 <C>
SH-MIDWEST CITY                        CARPET, RESIDENT ROOM                                 4,500
  SH-MIDWEST CITY TOTAL                                                                      4,500

SH-NORMAN                              CARPET, RESIDENT ROOM                                 4,500
    SH-NORMAN TOTAL                                                                          4,500

SH-OK CITY NORTH                       CARPET, RESIDENT ROOM                                 4,500
SH-OK CITY NORTH                       CARPET, COMMON AREA                                  37,000
  SH-OK CITY NORTH TOTAL                                                                    41,500

SH-OK CITY SOUTH                       CARPET, RESIDENT ROOM                                 4,500
  SH-OK CITY SOUTH TOTAL                                                                     4,500

SH-OWASSO                              CARPET, RESIDENT ROOM                                 4,500
    SH-OWASSO TOTAL                                                                          4,500

SH-PONCA CITY                          CARPET, COMMON AREA                                  37,000
SH-PONCA CITY                          CARPET, RESIDENT ROOM                                 4,500
  SH-PONCA CITY TOTAL                                                                       41,500

SH-SHAWNEE                             CARPET, COMMON AREA                                  37,000
SH-SHAWNEE                             CARPET, RESIDENT ROOM                                 4,500
  SH-SHAWNEE TOTAL                                                                          41,500

SH-STILLWATER                          CARPET, RESIDENT ROOM                                 4,500
  SH-STILLWATER TOTAL                                                                        4,500

CB-MIDDLETON                           CARPET, COMMON AREA, HALLWAYS, OFFICES               25,000
CB-MIDDLETON                           CARPET EXTRACTOR                                      1,700
CB-MIDDLETON                           CARPET & VINYL, RESIDENT ROOM                        15,000
  CB-MIDDLETON TOTAL                                                                        41,700

CB-BRADENTON                           CARPET, COMMON AREA                                  37,000
CB-BRADENTON                           CARPET, RESIDENT ROOM                                 4,500
  CB-BRADENTON TOTAL                                                                        41,500

CBC-CAPE CORAL                         CARPET, RESIDENT ROOM                                 4,500
 CBC-CAPE CORAL TOTAL                                                                        4,500

CBC-VERO BEACH                         CARPET, COMMON AREA, HALLWAYS, SITTING AREAS         30,000
CBC-VERO BEACH                         CARPET, RESIDENT ROOM                                 4,500
 CBC-VERO BEACH TOTAL                                                                       34,500

CB-SARASOTA                            CARPET, RESIDENT ROOM                                 4,500
       CB-SARASOTA TOTAL                                                                     4,500

SH-VERO BEACH                          CARPET, RESIDENT ROOM                                 4,500
  SH-VERO BEACH TOTAL                                                                        4,500
</TABLE>

                                      - 2 -
<PAGE>

<TABLE>
<CAPTION>
                                                                                            TOTAL
       RESIDENCE                                    DESCRIPTION                              COST
-------------------------              --------------------------------------------        -------
<S>                                    <C>                                                 <C>
CB-ASHEVILLE                           CARPET, RESIDENT ROOM                                 4,500
   CB-ASHEVILLE TOTAL                                                                       4,500

CB-WILMINGTON                          CARPET, COMMON AREA                                  15,000
CB-WILMINGTON                          CARPET, RESIDENT ROOM                                 2,700
    CB-WILMINGTON TOTAL                                                                     17,700

CB-HAMILTON                            REPLACE BUILDING CORRIDOR CARPET                     31,000
CB-HAMILTON                            CARPET, RESIDENT ROOM                                 4,500
    CB-HAMILTON TOTAL                                                                       35,500

SH-FLORENCE                            CARPET, RESIDENT ROOM                                 4,500
    SH-FLORENCE TOTAL                                                                        4,500

CB-MANLIUS                             CARPET, RESIDENT ROOM                                 4,500
       CB-MANLIUS TOTAL                                                                      4,500

SH-NO. AUGUSTA                         CARPET, COMMON AREA                                  23,000
SH-NO. AUGUSTA                         CARPET EXTRACTOR                                      1,900
SH-NO. AUGUSTA                         CARPET, RESIDENT ROOM                                 4,500
    SH-NO. AUGUSTA TOTAL                                                                    29,400

SH-CLARKSVILLE                         CARPET, COMMON AREA                                  33,000
SH-CLARKSVILLE                         CARPET EXTRACTOR                                      1,900
SH-CLARKSVILLE                         CARPET, RESIDENT ROOM                                 4,500
    SH-CLARKSVILLE TOTAL                                                                    39,400

SH-COLUMBIA                            CARPET, RESIDENT ROOM                                 4,500
    SH-COLUMBIA TOTAL                                                                        4,500

CB-HIGHLANDS RANCH                     CARPET, RESIDENT ROOM                                 4,500
  CB-HIGHLANDS RANCH TOTAL                                                                   4,500

CB-SALEM                               CARPET, RESIDENT ROOM                                 7,200
       CB-SALEM TOTAL                                                                        7,200

SH-CEDAR HILL                          CARPET EXTRACTOR                                      2,000
SH-CEDAR HILL                          CARPET, RESIDENT ROOM                                 4,500
       SH-CEDAR HILL TOTAL                                                                   6,500

SH-DESOTO                              CARPET EXTRACTOR                                      2,000
SH-DESOTO                              CARPET, RESIDENT ROOM                                 4,500
       SH-DESOTO TOTAL                                                                       6,500

SH-GEORGETOWN                          CARPET, RESIDENT ROOM                                 4,500
SH-GEORGETOWN                          CARPET EXTRACTOR                                      2,000
       SH-GEORGETOWN TOTAL                                                                   6,500

SH-PALESTINE                           CARPET, RESIDENT ROOM                                 4,500
       SH-PALESTINE TOTAL                                                                    4,500
</TABLE>

                                      - 3 -
<PAGE>

<TABLE>
<CAPTION>
                                                                                            TOTAL
        RESIDENCE                                   DESCRIPTION                             COST
-------------------------              --------------------------------------------        -------
<S>                                    <C>                                                 <C>
SH-TEXARKANA                           CARPET, RESIDENT ROOM                                 4,500
SH-TEXARKANA                           CARPET EXTRACTOR                                      2,000
    SH-TEXARKANA TOTAL                                                                       6,500

SH-WAXAHACHIE                          CARPET, RESIDENT ROOM                                 4,500
SH-WAXAHACHIE                          CARPET, COMMON AREA                                  30,000
    SH-WAXAHACHIE TOTAL                                                                     34,500

CB-SILVER LAKE                         CARPET, FOR LV ROOM AND LIBRARY                       2,000
CB-SILVER LAKE                         CARPET, RESIDENT ROOM                                 4,500
    CB-SILVER LAKE TOTAL                                                                     6,500
                                                                                           -------
                                                     TOTAL                                 727,600
                                                                                           =======
</TABLE>

                                      - 4 -

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00089-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00089-of-00352.parquet"}]]