Document:

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Exhibit 10.134

                     LETTER OF CREDIT AGREEMENT (CUMBERLAND)

                  This LETTER OF CREDIT AGREEMENT (CUMBERLAND) (this
"Agreement") is dated as of          , 2000, by and between NATIONWIDE HEALTH
PROPERTIES, INC., a Maryland corporation ("Beneficiary"), and those entities
listed as LC Party on Schedule 1 hereto which is incorporated herein by this
reference (collectively, "LC Party").

                                R E C I T A L S

                  A. The Beneficiary, as landlord, and LC Party, as tenant, have
entered into that certain Master Lease and Security Agreement (Cumberland) dated
as of July 1, 2000 (the "Lease") whereby Beneficiary has leased to LC Party
certain property as more particularly described therein. All initially
capitalized terms used herein and not otherwise defined herein shall have the
same meanings given such terms in the Lease.

                  B. To secure LC Party's performance under the Lease, Balanced
Care Corporation, a Delaware corporation, and those entities listed as Guarantor
on Schedule 1 (collectively "Guarantor"), have executed that certain Guaranty of
Master Lease and Security Agreement (Cumberland) and Letter of Credit Agreement
(Cumberland) (the "Guaranty") of even date herewith guarantying the full
performance by LC Party under the Lease and this Agreement.

                  C. LC Party acknowledges and agrees that this Agreement is
given as an inducement to Beneficiary to enter into the Lease and that
Beneficiary would not enter into the Lease without the execution and delivery by
LC Party of this Agreement.

                                A G R E E M E N T

                  NOW, THEREFORE, for valuable consideration, the receipt and
sufficiency of which are acknowledged, the parties agree as follows:

                  1. Letter of Credit.

                        (a) Form of Letter of Credit. On or before the date
            required under Section 11 of the Lease, LC Party, at LC Party's
            expense, shall cause a bank or financial institution approved by
            Beneficiary in its reasonable

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            discretion subject to the criteria set forth in Section 3(a) (the
            "Issuer") to issue an irrevocable letter of credit in the form of
            Exhibit A attached hereto, with such modifications as the Issuer may
            request that are acceptable to Beneficiary in its reasonable
            discretion (the "Letter of Credit") naming Beneficiary, as
            beneficiary. The Letter of Credit shall partially secure the
            performance by LC Party as tenant under the Lease and the
            performance by Guarantor under the Guaranty. As used herein,
            "Letters of Credit" and "Letter of Credit" shall include the Letter
            of Credit and all Supplemental Letters of Credit (as hereinafter
            defined) and Replacement Letters of Credit (as hereinafter defined).

                        (b) Letter of Credit Amount. The aggregate amount of all
            issued and outstanding Letters of Credit shall, at all times during
            the term hereof as provided in Section 5, be Eight Hundred Three
            Thousand Dollars ($803,000), as adjusted from time to time pursuant
            to Section 11 of the Lease (as so adjusted, the "Letter of Credit
            Amount"). Each Letter of Credit shall be for a term of not less than
            twelve (12) months and a Letter of Credit shall be in effect for at
            least thirty (30) days after the date upon which the Term expires.

                        (c) Replacement Letter of Credit. The term "Reissuance
            Date" shall mean a date thirty (30) days prior to the expiration
            date of the then issued and outstanding Letter of Credit. On or
            before each Reissuance Date, LC Party, at LC Party's expense, shall
            cause the Issuer to issue a replacement of the then issued and
            outstanding Letter of Credit, which replacement shall be in the form
            of Exhibit A hereto, with such modifications as the Issuer may
            request that are acceptable to Beneficiary in its reasonable
            discretion (the "Replacement Letter of Credit"). The Replacement
            Letter of Credit shall be effective immediately as of the expiration
            of the then issued and outstanding Letter of Credit.

                        (d) Supplemental Letter of Credit. If all or any portion
            of any Letter of Credit is drawn against by Beneficiary as a result
            of Beneficiary's proper exercise of its rights under the Lease, LC
            Party shall, within two (2) business days after demand by
            Beneficiary, order Issuer to issue to Beneficiary, at LC Party's
            expense, a replacement or supplementary Letter of Credit in the form
            of Exhibit A hereto, with such modifications as the Issuer may
            request that are acceptable to Beneficiary in its reasonable
            discretion (a "Supplemental Letter of Credit") such that

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            at all times during the term of this Agreement, Beneficiary shall
            have the ability to draw on one or more Letters of Credit totaling,
            in the aggregate, the Letter of Credit Amount. If Issuer does not
            issue to Beneficiary such Supplemental Letter of Credit within ten
            (10) business days after Beneficiary's demand to LC Party, it shall
            be a default by LC Party under this Agreement and an Event of
            Default under the Lease.

                        (e) Replacement of Cash Security Deposit. Beneficiary
            shall return to LC Party any cash security deposit held with respect
            to the Lease immediately upon receipt of a photocopy of the initial
            Letter of Credit required to be delivered under Section 11 of the
            Lease, as signed by the Issuer, together with a signed letter
            agreement from the Issuer stating that the original of such Letter
            of Credit will be delivered to Beneficiary by overnight courier upon
            receipt by LC Party of the cash security deposit.

                  2. Beneficiary's Right to Draw.

                        (a) General. Beneficiary shall be entitled to draw on
            each Letter of Credit one or more times for the purpose of
            compensating Beneficiary for any amounts due to Beneficiary under
            the Lease by reason of an Event of Default occurring under the
            Lease. Any amount drawn by Beneficiary shall not be deemed: (i) to
            fix or determine the amounts to which Beneficiary is entitled to
            recover under the Lease, the Guaranty or otherwise; (ii) to waive or
            cure any default under the Lease or the Guaranty; or (iii) to limit
            or waive Beneficiary's right to pursue any remedies provided for in
            the Lease or the Guaranty.

                        (b) Replacement Letters of Credit. Upon the issuance and
            delivery to Beneficiary of a Replacement Letter of Credit,
            Beneficiary shall have the right to draw solely on such Replacement
            Letter of Credit and Beneficiary shall have no right to draw against
            the Letter of Credit which is replaced by such Replacement Letter of
            Credit. If LC Party fails to cause the issuance of a Replacement
            Letter of Credit by the Reissuance Date, then Beneficiary shall, in
            addition to all other rights and remedies available at law or
            equity, have the right to draw the full amount of the then issued
            and outstanding Letters of Credit.

                        (c) Supplemental Letters of Credit. If LC Party fails to
            cause the issuance of any Supplemental Letter of

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            Credit as required pursuant to Section 1(d) hereof, then Beneficiary
            shall, in addition to all other rights and remedies available at law
            or equity, have the right to draw the full amount of the then issued
            and outstanding Letters of Credit.

                  3. Replacement of Issuer.

                        (a) Supplemental and Replacement Letters of Credit. All
            Letters of Credit, including Supplemental Letters of Credit and
            Replacement Letters of Credit, shall be issued by a financial
            institution acceptable to Beneficiary in the exercise of its
            reasonable discretion, provided, however, Beneficiary shall have no
            obligation to approve any financial institution which does not
            either (i) have capital and surplus, as determined in accordance
            with rules promulgated by the appropriate government agency
            regulating such Issuer, in excess of One Billion Dollars
            ($1,000,000,000) or (ii) have a rating by Standard & Poors of A-1,
            or by Moody's of P-1 (the standards set forth in the foregoing
            clauses (i) and (ii) referred to individually as a "Credit Standard"
            and collectively as the "Credit Standards"). Any such replacement
            financial institution shall be deemed to be the "Issuer" hereunder.

                        (b) Creditworthiness of Issuer. In the event the Issuer
            at any time does not meet at least one of the Credit Standards or if
            Issuer shall admit in writing its inability to pay its debts
            generally as they become due, shall file a petition in bankruptcy or
            a petition to take advantage of any insolvency statute, shall
            consent to the appointment of a receiver or conservator of itself or
            the whole or any substantial part of its property, shall file a
            petition or answer seeking reorganization or arrangement under the
            Federal Bankruptcy Laws, shall have a receiver or conservator
            appointed for it, or if, in Beneficiary's reasonable determination,
            Issuer is not sufficiently creditworthy or shall become subject to
            operational supervision by any federal or state regulatory
            authority, then within thirty (30) days after a written demand by
            Beneficiary, LC Party shall obtain a Replacement Letter of Credit
            from another financial institution meeting the criteria set forth in
            Section 3(a) hereof, whereupon such replacement financial
            institution shall be deemed to be the "Issuer" under this Agreement.

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                  4. Successors and Assigns.

                        (a) The rights of Beneficiary under this Agreement and
            any outstanding Letter of Credit shall be transferrable and
            assignable to any assignee of, or successor in interest to,
            Beneficiary's rights under the Lease (including any assignment for
            security purposes of Beneficiary's rights under the Lease, this
            Agreement or any Letter of Credit) and the term "Beneficiary" as
            used herein shall refer to each entity comprising Landlord and to
            each successor and assign of all or any portion of its interest
            under the Lease. LC Party and Issuer shall accept and agree to
            tender performance of their obligations hereunder and under any
            Letter of Credit to any such successor or assign of which LC Party
            and Issuer have been given written notice of by Beneficiary.

                        (b) LC Party shall not have the right to assign its
            rights or duties under this Agreement without the prior written
            consent of Beneficiary, which consent may be granted or withheld in
            Beneficiary's sole discretion.

                  5. Termination of Obligation to Provide Letters of Credit.

                  The obligation of LC Party to cause the issuance of any
Letters of Credit shall terminate on the date which is thirty (30) days after
the date upon which the Lease Term expires, other than an expiration or
termination of the Lease Term pursuant to an Event of Default.

                  6. Attorneys' Fees.

                  If any party brings any action to interpret or enforce this
Agreement, or for damages for any alleged breach thereof, the prevailing party
in any such action shall be entitled to reasonable attorneys' fees and costs as
awarded by the court in addition to all other recovery, damages and costs.

                  7. Miscellaneous.

                  All terms and provisions of this Agreement shall be binding
upon and inure to the benefit of the parties hereto and their respective
successors and assigns. The headings in this Agreement are for the convenience
of reference only and shall not limit or otherwise affect the meaning hereof.
This Agreement and all rights and duties of LC Party and Beneficiary, arising
from or relating in any way to the subject matter of this Agreement shall be
governed by, construed and enforced in accordance with the laws of the State of
California, without

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regard to the conflict of law rules of such State, except to the extent provided
expressly to the contrary in the Lease. This Agreement may be executed in
separate counterparts, each of which shall be considered as original when such
party has executed and delivered to the other one or more copies of this
Agreement. The Recitals set forth above are hereby incorporated by reference and
made a part hereof. LC Party represents and warrants that the Recitals are true
and correct in all material respects.

                  8. Notices.

                  All notices, requests and demands to be made hereunder to the
parties hereto shall be made in writing to the addresses set forth below and
shall be given by any of the following means: (a) personal service; (b)
electronic communication, whether by telex, telegram or telecopying; (c)
certified or registered mail, postage prepaid, return receipt requested; or (d)
nationally recognized courier or delivery service. Such addresses may be changed
by notice to the other parties given in the same manner as provided above. Any
notice, demand or request sent pursuant to either subsection (a), (b) or (d)
hereof shall be deemed received upon the actual delivery thereof, and, if sent
pursuant to subsection (c) shall be deemed received five (5) days following
deposit in the mail. Refusal to accept delivery of any notice, request or demand
shall be deemed to be delivery thereof. If LC Party is not an individual, notice
may be made on any officer, general partner or principal thereof. Notice to any
one co-LC Party shall be deemed notice to all co-LC Parties. In the event
Beneficiary notifies LC Party of the name and address of Beneficiary's lender,
LC Party shall cause a copy of all notices delivered to Beneficiary by LC Party
to be concurrently therewith delivered to such lender.

If to Beneficiary:     c/o Nationwide Health Properties, Inc.
                       610 Newport Center Drive, Suite 1150
                       Newport Beach, California  92660
                       Attention: Gary E. Stark, General Counsel
                       Facsimile No.: (949) 759-6876

with a copy to:        O'Melveny & Myers LLP
                       610 Newport Center Drive, Suite 1700
                       Newport Beach, California 92660
                       Attention: Steven L. Edwards, Esq.
                       Facsimile No.: (949) 823-6994

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If to LC Party:        c/o Balanced Care Corporation
                       1215 Manor Drive
                       Mechanicsburg, Pennsylvania 17055
                       Attention: Robin Barber, General Counsel
                       Facsimile No.: (717) 796-6294

with a copy to:        Kirkpatrick & Lockhart, LLP
                       Henry W. Oliver Building
                       535 Smithfield Street
                       Pittsburgh, Pennsylvania 15222
                       Attention:  Steven Adelkoff, Esq.
                       Facsimile No.:  (412) 355-6501

                  9. Joint and Several Obligations. The liability and
obligations of each entity comprising LC Party hereunder shall be joint and
several.

                        [Signatures begin on next page.]

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                 EXECUTED as of the date first set forth above.

                                   "LC PARTY"

                                       C&G HEALTHCARE AT HAGERSTOWN,
                                       L.L.C., a Delaware limited
                                       liability company

                                       By:/s/Robin L. Barber
                                       Name:    Robin L. Barber
                                       Title:   Vice President and Secretary

                                       C&G HEALTHCARE AT JOHNSON CITY,
                                       L.L.C., a Delaware limited
                                       liability company

                                       By:/s/Robin L. Barber
                                       Name:    Robin L. Barber
                                       Title:   Vice President and Secretary

                                       ELDER CARE OPERATORS OF BRISTOL,
                                       LLC, a Delaware limited liability
                                       company

                                       By:/s/Robin L. Barber
                                       Name:    Robin L. Barber
                                       Title:   Vice President and Secretary

                                       ELDER CARE OPERATORS OF
                                       MURFREESBORO, LLC, a Delaware
                                       limited liability company

                                       By:/s/Robin L. Barber
                                       Name:    Robin L. Barber
                                       Title:   Vice President and Secretary

                                      S-1
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                                       C & G HEALTHCARE AT TEAY'S VALLEY,
                                       L.L.C., a Delaware
                                       limited liability company

                                       By:/s/Robin L. Barber
                                       Name:    Robin L. Barber
                                       Title:   Vice President and Secretary

                                      S-2
<PAGE>   10

ACCEPTED AND AGREED TO:                "GUARANTOR"

                                       BALANCED CARE CORPORATION,
                                       a Delaware corporation

                                       By:/s/Robin L. Barber
                                       Name:    Robin L. Barber
                                       Title:   Senior Vice
                                                President, Legal Counsel
                                                and Assistant Secretary

                                       BALANCED CARE AT HAGERSTOWN, INC.,
                                       a Delaware corporation

                                       By:/s/Robin L. Barber
                                       Name:    Robin L. Barber
                                       Title:   Vice President and
                                                Secretary

                                       BALANCED CARE AT JOHNSON CITY,
                                       INC., a Delaware corporation

                                       By:/s/Robin L. Barber
                                       Name:    Robin L. Barber
                                       Title:   Vice President and
                                                Secretary

                                       BALANCED CARE AT BRISTOL, INC.,
                                       a Delaware corporation

                                       By:/s/Robin L. Barber
                                       Name:    Robin L. Barber
                                       Title:   Vice President and
                                                Secretary

                                       BALANCED CARE AT MURFREESBORO,
                                       INC., a Delaware corporation

                                       By:/s/Robin L. Barber
                                       Name:    Robin L. Barber
                                       Title:   Vice President and
                                                Secretary

                                      S-3
<PAGE>   11

                                       BALANCED CARE AT TEAY'S VALLEY, INC.,
                                       a Delaware corporation

                                       By:/s/Robin L. Barber
                                       Name:    Robin L. Barber
                                       Title:   Vice President and
                                                Secretary

                                      S-4
<PAGE>   12

                           SCHEDULE 1 TO LC AGREEMENT

                         LC Party and Guarantor Entities

LC Party:

1.       C&G Healthcare at Hagerstown, L.L.C., a Delaware limited liability
         company

2.       Elder Care Operators of Bristol, LLC, a Delaware limited liability
         company

3.       C&G Healthcare at Johnson City, L.L.C., a Delaware limited liability
         company

4.       Elder Care Operators of Murfreesboro, LLC, a Delaware limited liability
         company

5.       C&G Healthcare at Teay's Valley, L.L.C., a Delaware limited liability
         company

Guarantor:

1.       Balanced Care Corporation, a Delaware corporation

2.       Balanced Care at Hagerstown, Inc., a Delaware corporation

3.       Balanced Care at Bristol, Inc., a Delaware corporation

4.       Balanced Care at Johnson City, Inc., a Delaware corporation

5.       Balanced Care at Murfreesboro, Inc., a Delaware corporation

6.       Balanced Care at Teay's Valley, Inc., a Delaware corporation

                                  Schedule 1-1
<PAGE>   13

                            EXHIBIT A TO LC AGREEMENT

                                   [NAME] BANK

IRREVOCABLE LETTER OF CREDIT NO.

DATE:

EXPIRATION DATE:

c/o Nationwide Health Properties, Inc.
610 Newport Center Drive, Suite 1150
Newport Beach, CA  92660

Ladies and Gentlemen:

                  We hereby establish our Irrevocable Letter of Credit in your
favor for the account of              ("Customer") available by your draft(s) on
us payable at sight in an amount not to exceed a total of     Dollars ($       )
when accompanied by the following documents:

                  1. A certificate which on its face appears to have been
executed by an officer of Nationwide Health Properties, Inc., a Maryland
corporation ("Beneficiary"), stating the amount which Beneficiary is drawing and
that one or more of the following events has occurred: (i) an Event of Default
has occurred under the Master Lease and Security Agreement (Cumberland) dated as
of July 1, 2000 (the "Lease") between Beneficiary as landlord, and certain
Affiliates (as defined in the Lease) of BCC (as defined below), collectively as
tenant; (ii) a default under that certain Guaranty of Master Lease and Security
Agreement (Cumberland) and Letter of Credit Agreement (Cumberland) dated July 1,
2000, executed by Balanced Care Corporation, a Delaware corporation ("BCC") and
certain Affiliates thereof as identified therein, as guarantors for the benefit
of Beneficiary; or (iii) a default has occurred under that certain Letter of
Credit Agreement (Cumberland) dated July 1, 2000 by and between Customer and
Beneficiary.

                  2. The original Letter of Credit must accompany all drafts
unless a partial draw is presented, in which case the original must accompany
final draft.

                                  EXHIBIT A-1
<PAGE>   14

                  This Letter of Credit will be duly honored by us at sight upon
delivery of the statement set forth above without inquiry as to the accuracy of
such statement and regardless of whether Customer disputes the content of such
statement.

                  This Letter of Credit may be transferred or assigned by
Beneficiary to any successor or assign of Beneficiary's interests under the
Lease or to any lender obtaining a lien or security interest in the property
covered by the Lease. Each draft hereunder by any assignee or successor shall be
accompanied by a copy of the fully executed documents or judicial orders
evidencing such encumbrance, assignment or transfer.

                  Any draft drawn hereunder shall be in the form attached hereto
as Schedule 1. Partial drawings are permitted with the amount of the Letter of
Credit being reduced, without amendment, by the amount(s) drawn hereunder.

                  This Letter of Credit shall expire at 2:00 p.m., on the
expiration date set forth above.

                  Except so far as otherwise expressly stated, this Letter of
         Credit is subject to the "Uniform Customs and Practice for Documentary
         Credits (1/1/94 Revision), International Chamber of Commerce
         Publication No. 500." We hereby agree with you and all persons
         negotiating such drafts that all drafts drawn and negotiated in
         compliance with the terms of this Letter of Credit will be duly honored
         upon presentment and delivery of the documents specified above by
         certified or registered mail to      , if negotiated on or before the
         expiration date shown above.

                                                     Very truly yours,

                                                     Authorized Signature

                                  EXHIBIT A-2
<PAGE>   15

                         SCHEDULE 1 TO LETTER OF CREDIT

                                   SIGHT DRAFT

TO:

         Attention:

PAY TO THE ORDER OF:

         Nationwide Health Properties, Inc.,
         a Maryland corporation,
         c/o Wells Fargo Bank
         420 Montgomery Street
         San Francisco, California
         ABA No. 121000248
         for the benefit of Nationwide Health Properties, Inc.
         Account No. 4692089329

THE SUM OF:

                               Dollars ($              )

DRAWN ON:

         Irrevocable Letter of Credit No.
         dated                   , 20    issued by
                                   Bank

                                   NATIONWIDE HEALTH PROPERTIES, INC.,
                                   a Maryland corporation

                                   By:
                                   Name:
                                   Title:

                                  SCHEDULE 1-1<PAGE>   1
Exhibit 10.135
                              AMENDMENT AND JOINDER
                                       TO
                          REGISTRATION RIGHTS AGREEMENT

         This Amendment and Joinder (the "Amendment") to that certain
Registration Rights Agreement (the "Agreement") dated as of October 8, 1999 by
and between Balanced Care Corporation, a Delaware corporation (the "Company"),
and IPC Advisors S.a.r.l. ("IPC Advisors"), is entered into as of this 31st day
of July, 2000 by and among the Company, IPC Advisors, HR Investments Limited
("HR"), RH Investments Limited ("RH") and VXM Investments Limited
("VXM")(hereinafter, HR, RH and VXM shall be individually and collectively
referred to as the "Debenture Purchaser").

                                   WITNESSETH:

         WHEREAS, the Company and each Debenture Purchaser have entered into
those certain Purchase Agreements each dated as of June 30, 2000 (individually,
a "Purchase Agreement" and collectively, the "Purchase Agreements") pursuant to
which, among other things, the Company has agreed to issue and sell to each
Debenture Purchaser, and each Debenture Purchaser has agreed to purchase from
the Company, on the date hereof a debenture in the original principal amount of
approximately $4,666,667 (individually, a "Debenture" and collectively, the
"Debentures"); and

         WHEREAS, each Debenture is convertible into shares of the common stock,
par value $.001 per share, of the Company; and

         WHEREAS, the Purchase Agreements provide that the parties shall enter
into this Amendment as of the date hereof.

         NOW THEREFORE, the parties hereby agree as follows:

1. Incorporation of Recitals; Definitions. The recitals set forth above are
incorporated herein by reference and are made a part hereof to the same extent
as if such recitals were set forth herein. Capitalized terms used but not
defined herein shall have the meanings ascribed to them in the Agreement and, if
not defined in the Agreement, shall have the meanings ascribed to them in the
Subscription Agreement or the Debentures, as applicable.
<PAGE>   2
2. Definition of Registrable Securities. The definition of "Registrable
Securities" set forth in Section 1.2 of the Agreement is hereby amended and
restated in its entirety as follows:

                  "Registrable Securities" means (i) shares of common stock of
                  the Corporation acquired, directly or indirectly, pursuant to
                  the Subscription Agreement, or pursuant to any subdivision,
                  reclassification or other similar change in respect thereof,
                  including upon the conversion of the Series C Preferred
                  Shares, (ii) shares of the common stock of the Corporation
                  issued upon conversion of that certain Debenture, dated as of
                  July 31, 2000, in the original principal amount of $4,666,667
                  in favor of HR Investments Limited, or pursuant to any
                  subdivision, reclassification or other similar change in
                  respect thereof, in each case owned or held by a Holder, (iii)
                  shares of the common stock of the Corporation issued upon
                  conversion of that certain Debenture, dated as of July 31,
                  2000, in the original principal amount of $4,666,667 in favor
                  of RH Investments Limited, or pursuant to any subdivision,
                  reclassification or other similar change in respect thereof,
                  in each case owned or held by a Holder, and (iv) shares of the
                  common stock of the Corporation issued upon conversion of that
                  certain Debenture, dated as of July 31, 2000, in the original
                  principal amount of $4,666,667 in favor of VXM Investments
                  Limited, or pursuant to any subdivision, reclassification or
                  other similar change in respect thereof, in each case owned or
                  held by a Holder.

3. Definition of Holders. The definition of "Holders" set forth in Section 1.2
of the Agreement is hereby amended and restated in its entirety as follows:

                  "Holders" means the Purchaser, HR Investments Limited, RH
                  Investments Limited and VXM Investments Limited and such of
                  their

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<PAGE>   3
                  respective successors and affiliate transferees who acquire
                  Registrable Securities.

4. Joinder. By executing and delivering this Amendment, each Debenture Purchaser
hereby becomes a party to the Agreement, as amended hereby, and each party
hereto hereby acknowledges and agrees that each Debenture Purchaser shall hereby
be entitled to the rights and privileges of a Holder and that each such
Debenture Purchaser is bound by all of the provisions of the Agreement
applicable to a Holder thereunder.

5. Notice. Any notice or other communication required or permitted to be given
hereunder shall be in writing and shall be given by prepaid first-class mail, by
facsimile or other means of electronic communication or by hand-delivery as
hereinafter provided. Any such notice or other communication, if mailed by
prepaid first-class mail at any time other than during a general discontinuance
of postal service due to strike, lock-out or otherwise shall be deemed to have
been received on the fourth (4th) Business Day after the post-marked date
thereof, or if sent by facsimile or other means of electronic communication,
shall be deemed to have been received on the Business Day following the sending,
or if delivery by hand shall be deemed to have been received at the time it is
delivered to the applicable address noted below either to the individual
designated below or to an individual at such address having apparent authority
to accept deliveries on behalf of the addressee. Notice of change of address
shall also be governed by this section. In the event of a general discontinuance
of postal service due to strike, lockout or otherwise, notices or other
communications shall be delivered by hand or sent by facsimile or other means of
electronic communication and shall be deemed to have been received in accordance
with this section. Notices and other communications shall be addressed as
follows:

         (a) if to the Company:

                      Balanced Care Corporation
                      1215 Manor Drive
                      Mechanicsburg, PA 17055 U.S.A.

                      Attention:      Robin L. Barber
                      Telecopier:     (717) 796-6294

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<PAGE>   4
                  with a copy to:

                      Kirkpatrick & Lockhart LLP
                      Henry W. Oliver Building
                      535 Smithfield Street
                      Pittsburgh, PA 15222 U.S.A.

                      Attention:      Kristen Larkin Stewart, Esq.
                      Telecopier:     (412) 355-6501

         (b)      if to the Debenture Purchaser:

                        HR Investments Limited
                      RH Investments Limited
                      VXM Investments Limited
                      c/o Unsworth & Associates
                      Herengrach 483
                      1017 BT
                      Amsterdam, Netherlands

                      Attention:      Brad Unsworth
                      Telecopier:     011-31-20-623-2285

                  with a copy to:

                      Manfred J. Walt
                      c/o Central Park Lodges Ltd.
                      175 Bloor Street East
                      South Tower
                      Toronto, Ontario
                      M4W 3R8

                      Attention:      Manfred J. Walt
                      Telecopier:     (416) 323-3818

                  with a further copy to:

                      Goodman Phillips & Vineberg
                      250 Yonge Street, Suite 2400
                      Toronto, Ontario
                      M5B 2M6

                      Attention:      Stephen Pincus
                      Telecopier:     (416) 979-1234

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<PAGE>   5
         (c)      if to IPC Advisors:

                      IPC Advisors S.a.r.l.
                      c/o Unsworth & Associates
                      Herengrach 483
                      1017 BT
                      Amsterdam, Netherlands

                      Attention:      Brad Unsworth
                      Telecopier:     011-31-20-623-2285

                  with a copy to:

                      Manfred J. Walt
                      c/o Central Park Lodges Ltd.
                      175 Bloor Street East
                      South Tower
                      Toronto, Ontario
                      M4W 3R8

                      Attention:      Manfred J. Walt
                      Telecopier:     (416) 323-3818

                  with a further copy to:

                      Goodman Phillips & Vineberg
                      250 Yonge Street, Suite 2400
                      Toronto, Ontario
                      M5B 2M6

                      Attention:      Stephen Pincus
                      Telecopier:     (416) 979-1234

6. Miscellaneous.

         (a) Except as expressly amended or modified by this Amendment, the
terms and condition of the Agreement shall remain in full force and effect.

         (b) This Amendment may be executed in one or more counterparts, each of
which shall constitute an original but all of which shall constitute one and the
same instrument.

         (c) This Amendment may be amended only by a writing signed by all of
the parties hereto.

                                       5
<PAGE>   6
         IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be
duly executed as of the date first above written.

                                      BALANCED CARE CORPORATION

                                      By:/s/ Robin L. Barber
                                      Print Name: Robin L. Barber
                                      Title: Senior Vice President
                                                 and Legal Counsel &
                                                 Assistant Secretary

                                      IPC ADVISORS S.A.R.L.

                                      By:/s/ J. B. Unsworth
                                      Print Name: J. B. Unsworth
                                      Title: Manager

                                      HR INVESTMENTS LIMITED

                                      By:/s/ J. B. Unsworth
                                      Print Name: J. B. Unsworth
                                      Title: Director

                                      RH INVESTMENTS LIMITED

                                      By:/s/ J. B. Unsworth
                                      Print Name: J. B. Unsworth
                                      Title: Director

                                      VXM INVESTMENTS LIMITED

                                      By:/s/ J. B. Unsworth
                                      Print Name: J. B. Unsworth
                                      Title: Director

                                       6

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