Document:

EX-10.6

 

Exhibit 10.6

TERM LOAN NOTE

			
	 	 	 
	$16,500,000.00
	 	August 10, 2007
	 
	 	Chicago, Illinois

     FOR VALUE RECEIVED, DIVERSICARE LEASING CORP., a Tennessee corporation, DIVERSICARE ASSISTED
LIVING SERVICES NC I, LLC, a Delaware limited liability company, DIVERSICARE ASSISTED LIVING
SERVICES NC II, LLC, a Delaware limited liability company, DIVERSICARE LAMPASAS, LLC, a Delaware
limited liability company, DIVERSICARE YORKTOWN, LLC, a Delaware limited liability company,
DIVERSICARE BALLINGER, LLC, a Delaware limited liability company, DIVERSICARE DOCTORS, LLC, a
Delaware limited liability company, DIVERSICARE ESTATES, LLC, a Delaware limited liability company,
DIVERSICARE HUMBLE, LLC, a Delaware limited liability company, DIVERSICARE KATY, LLC, a Delaware
limited liability company, DIVERSICARE NORMANDY TERRACE, LLC, a Delaware limited liability company,
DIVERSICARE TEXAS I, LLC, a Delaware limited liability company, DIVERSICARE TREEMONT, LLC, a
Delaware limited liability company, DIVERSICARE ROSE TERRACE, LLC, a Delaware limited liability
company (such entities individually and collectively, the “Term Loan Borrower”), hereby
jointly and severally promise to pay to the order of LASALLE BANK NATIONAL ASSOCIATION, a national
banking association (the “Lender”), at its office at 135 South LaSalle Street, Chicago,
Illinois 60603, or at such other place as the holder hereof may designate in writing, in lawful
money of the United States of America, the principal sum of Sixteen Million Five Hundred Thousand
and No/100 Dollars ($16,500,000.00), or such lesser principal sum as may then be owed by the Term
Loan Borrower to the Lender hereunder, on or before August 10, 2012 (the “Stated Maturity
Date”).

     THE INDEBTEDNESS EVIDENCED HEREBY SHALL BECOME IMMEDIATELY DUE AND PAYABLE UPON THE EARLIEST
TO OCCUR OF (X) THE STATED MATURITY DATE; (Y) THE ACCELERATION OF THE LIABILITIES (AS DEFINED IN
THE LOAN AND SECURITY AGREEMENT OF EVEN DATE HEREWITH AMONG THE BORROWER (AS DEFINED IN THE LOAN
AGREEMENT (AS DEFINED BELOW)) AND THE LENDER (AS AMENDED OR MODIFIED FROM TIME TO TIME, THE
“LOAN AGREEMENT”)) PURSUANT TO SECTION 11.2 OF THE LOAN AGREEMENT; AND (Z) THE
TERMINATION OF THE LOAN AGREEMENT (WHETHER BY PREPAYMENT OR OTHERWISE) IN ACCORDANCE WITH ITS
TERMS. Capitalized terms used but not defined herein shall have the meanings ascribed to such
terms in the Loan Agreement.

     This Term Loan Note shall bear interest on the unpaid principal amount hereof from time to
time outstanding from the date hereof until the Stated Maturity Date, or until maturity due to
acceleration or otherwise and, after maturity, until paid, at the rates per annum and upon the
terms specified in the Loan Agreement. Accrued interest on the Term Loan shall be due and payable
and shall be made by the Term Loan Borrower to the Lender in accordance with Section 2.2 of
the Loan Agreement. Interest payments on such Term Loan shall be computed using the interest rate
then in effect pursuant to the Loan Agreement and based on the outstanding principal balance of the
Term Loan.

 

 

The principal balance of the Term Loan shall be amortized over a ten (10) year period and shall be
repaid in consecutive equal monthly installments of One Hundred Thirty Seven Thousand Five Hundred
and No/100 Dollars ($137,500.00), together with interest accrued thereon, payable on the first day
of each calendar month commencing on the first day of the calendar month immediately following the
Closing Date and ending on the Stated Maturity Date, with a final payment of all remaining
principal under, and all accrued and unpaid interest on, the Term Loan due and payable on the
Credit Termination Date.

All payments on account of indebtedness evidenced by this Term Loan Note shall be first applied to
interest on the unpaid balance and the remainder to principal, unless otherwise specified in the
Loan Agreement. Payments of both principal and interest hereunder are to be made in same day or
immediately available funds.

     This Term Loan Note is the Term Loan Note referred to in the Loan Agreement, and is subject to
all of the terms and conditions of the Loan Agreement, as such Loan Agreement may from time to time
be amended, supplemented, or modified, which terms and conditions are hereby made a part of this
Term Loan Note to the same extent and with the same force and effect as if they were fully set
forth herein.

     Upon the occurrence or existence of any Event of Default, including, without limitation, the
failure to pay any principal, interest and/or fees in accordance with the terms set forth in the
Loan Agreement, which shall constitute an Event of Default under this Term Loan Note, the Lender
shall be entitled, at its sole option, to accelerate the then outstanding indebtedness hereunder
and take such other action as may be provided for in the Loan Agreement, any Financing Agreements,
or otherwise by law.

     The remedies of the holder hereof as provided in this Term Loan Note, in the Loan Agreement,
and in any other Financing Agreements shall be cumulative and concurrent, and may be pursued
singly, successively, or together against the Term Loan Borrower, and/or against any Collateral or
guarantor (including, without limitation, the Guarantor), at the sole discretion of the holder
hereof.

     The Term Loan Borrower hereby waives presentment for payment, demand, notice of nonpayment,
notice of dishonor, protest of any dishonor, notice of protest, and protest of this Term Loan Note
and all other notices in connection with the delivery, acceptance, performance, default, or
enforcement of the payment of this Term Loan Note, and agrees that its liability shall be
unconditional without regard to the liability of any other party or person and shall not in any
manner be affected by any indulgence, extension of time, renewal, waiver or modification granted or
consented to by the holder hereof; and the Term Loan Borrower agrees that additional makers,
endorsers, guarantors, or sureties may become parties hereto without notice to the Term Loan
Borrower or affecting the Term Loan Borrower’s liability hereunder.

     It being the intent of the Lender and the Term Loan Borrower that the rate of interest and all
other charges to the Term Loan Borrower be lawful, if for any reason the payment of a portion of
the interest or other charges otherwise required to be paid under this Term Loan Note would exceed
the limit which the Lender may lawfully charge the Term Loan Borrower, then the obligation to pay
interest or other charges shall automatically be reduced to such limit and, if any amounts in
excess of such limit shall have been paid, then such amounts shall at the option of the

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Lender either be refunded to the Term Loan Borrower or credited to the principal amount of
this Term Loan Note so that under no circumstances shall the interest or other charges required to
be paid by the Term Loan Borrower hereunder exceed the maximum rate allowed by law.

     The holder hereof shall not by any act of omission or commission be deemed to waive any of its
rights or remedies hereunder unless such waiver be in writing and signed by the holder hereof (and
then only to the extent specifically set forth therein). A waiver of any one event shall not be
construed as continuing or as a bar to or waiver of such right or remedy on a subsequent event.

     Whenever possible, each provision of this Term Loan Note and the Loan Agreement shall be
interpreted in such manner as to be effective and valid under Applicable Law, but if any provision
of this Term Loan Note or the Loan Agreement shall be prohibited or invalid under such law, such
provision shall be ineffective only to the extent of such prohibition or invalidity, without
invalidating the remainder of such provisions of this Term Loan Note or the Loan Agreement.

     This Term Loan Note shall not be amended, supplemented or modified except pursuant to a
writing signed by both Lender and Term Loan Borrower.

     Without limiting the expansiveness of any similar provision contained in the Loan Agreement,
if at any time or times, Lender: (a) employs counsel in good faith for advice or other
representation (i) with respect to this Term Loan Note, the Loan Agreement, any of the other
Financing Agreements or any collateral securing this Term Loan Note, (ii) to represent Lender in
any restructuring, workout, litigation, contest, dispute, suit or proceeding or to commence, defend
or intervene or to take any other action in or with respect to any litigation, contest, dispute or
proceeding (whether instituted by Lender, Term Loan Borrower or any other person or entity) in any
way or respect relating to this Term Loan Note, the Loan Agreement, any of the other Financing
Agreements, any collateral securing this Term Loan Note or Term Loan Borrower’s affairs, or (iii)
to enforce any rights of Lender against Term Loan Borrower; (b) takes any action to protect,
collect, sell, liquidate or otherwise dispose of any collateral securing this Term Loan Note;
and/or (c) attempts to or enforces any of Lender’s rights and remedies against Term Loan Borrower;
the costs and expenses incurred by Lender in any manner or way with respect to the foregoing shall
be part of the indebtedness evidenced by this Term Loan Note, payable by Term Loan Borrower to
Lender on demand. Without limiting the generality of the foregoing, such expenses and costs
include: court costs, reasonable attorneys’ fees and expenses, and accountants’ fees and expenses.

     Payment of this Term Loan Note is secured by the Collateral.

     Payment of this Note has been guaranteed by Advocat Inc., a Delaware corporation
(“Guarantor”), under a certain Guaranty dated of even date herewith. It is a covenant and
condition hereof that in case Guarantor shall be declared a bankrupt, or shall file a petition in
voluntary bankruptcy, or under Title 11 of the United States Code, or under any similar State or
Federal law, or Guarantor files any declaration, answer or pleading admitting Guarantor’s
insolvency or inability to pay or discharge Guarantor’s liabilities, or if a trustee or a receiver
is appointed for Guarantor, or for the property or estate of Guarantor, or should any court take
jurisdiction of Guarantor’s property or estate or should Guarantor make an assignment for the

- 3 -

 

benefit of Guarantor’s creditors, then upon the occurrence of any such event, the Lender or
the holder of this Term Loan Note may declare that a default has occurred hereunder, and in
consequences thereof the entire unpaid principal balance and all accrued and unpaid interest
thereon shall be immediately due and payable; and in addition, the Lender or the holder of this
Term Loan Note may avail itself of any other right or remedy reserved to it under or identified in
the Loan Agreement and the Financing Agreements securing this Term Loan Note, and as provided in
law or equity.

     The Term Loan Borrower shall use the proceeds represented by this Term Loan Note solely for
proper business purposes, and consistently with all Applicable Laws and statutes. The Term Loan
Borrower further covenants with the Lender that the Term Loan Borrower is not in the business of
extending credit for the purpose of purchasing or carrying margin security (within the meaning of
Regulation U issued by the Board of Governors of the Federal Reserve System), and no proceeds
represented by this Term Loan Note will be used to purchase or carry any margin securities or to
extend credit to others for the purpose of purchasing or carrying any margin securities.

     This Term Loan Note shall inure to the benefit of Lender and its successors and assigns and
shall be binding upon the Term Loan Borrower and its successors and permitted assigns. As used
herein the term “Lender” shall mean and include the successors and assigns of the identified payee
and the holder or holders of this Term Loan Note from time to time.

     THIS TERM LOAN NOTE SHALL BE CONSTRUED IN ALL RESPECTS IN ACCORDANCE WITH, AND ENFORCED AND
GOVERNED BY THE INTERNAL LAWS OF THE STATE OF ILLINOIS, WITHOUT REGARD TO CONFLICTS OF LAW
PRINCIPLES.

     THE TERM LOAN BORROWER HEREBY IRREVOCABLY AND UNCONDITIONALLY:

     (a) SUBMITS FOR ITSELF AND ITS PROPERTY IN ANY LEGAL ACTION OR PROCEEDING RELATING TO THIS
AMENDED AND RESTATED TERM LOAN NOTE, OR FOR RECOGNITION AND ENFORCEMENT OF ANY JUDGMENT IN RESPECT
THEREOF, TO THE NON-EXCLUSIVE GENERAL JURISDICTION OF THE COURTS OF THE STATE OF ILLINOIS, THE
COURTS OF THE UNITED STATES OF AMERICA FOR THE NORTHERN DISTRICT OF ILLINOIS AND APPELLATE COURTS
FROM ANY THEREOF;

     (b) CONSENTS THAT ANY SUCH ACTION OR PROCEEDING MAY BE BROUGHT IN SUCH COURTS AND WAIVES TO
THE FULLEST EXTENT PERMITTED BY LAW IN CONNECTION WITH ANY SUCH ACTION OR PROCEEDING (i) ANY
OBJECTION THAT IT MAY NOW OR HEREAFTER HAVE TO THE VENUE OF ANY SUCH ACTION OR PROCEEDING IN ANY
SUCH COURT OR THAT SUCH ACTION OR PROCEEDING WAS BROUGHT IN AN INCONVENIENT COURT AND AGREES NOT TO
PLEAD OR CLAIM THE SAME, (ii) THE RIGHT TO ASSERT OR IMPOSE ANY CLAIM, NONCOMPULSORY SET-OFF,
COUNTERCLAIM OR CROSS-CLAIM IN RESPECT THEREOF IN SUCH PROCEEDING; PROVIDED, HOWEVER, THIS WAIVER
DOES NOT PRECLUDE THE RIGHT TO ASSERT A DEFENSE IN SUCH ACTION OR PROCEEDING

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OR TO ASSERT OR IMPOSE ANY CLAIM, COUNTERCLAIM OR CROSS-CLAIM WHICH THE TERM LOAN BORROWER
WISHES TO PURSUE IN A SEPARATE PROCEEDING AT ITS SOLE COST AND EXPENSE, AND (iii) ALL STATUTES OF
LIMITATIONS WHICH MAY BE RELEVANT THERETO; AND

     (c) AGREES THAT SERVICE OF PROCESS IN ANY SUCH ACTION OR PROCEEDING MAY BE EFFECTED BY MAILING
A COPY THEREOF BY CERTIFIED MAIL (OR ANY SUBSTANTIALLY SIMILAR FORM OF MAIL), POSTAGE PREPAID,
RETURN RECEIPT REQUESTED, TO THE TERM LOAN BORROWER AT ITS ADDRESS SET FORTH IN THE LOAN AGREEMENT
OR AT SUCH OTHER ADDRESS OF WHICH THE LENDER SHALL HAVE BEEN NOTIFIED PURSUANT THERETO. THE TERM
LOAN BORROWER AGREES THAT SUCH SERVICE, TO THE FULLEST EXTENT PERMITTED BY LAW (i) SHALL BE DEEMED
IN EVERY RESPECT EFFECTIVE SERVICE OF PROCESS UPON THE TERM LOAN BORROWER IN ANY SUIT, ACTION OR
PROCEEDING, AND (ii) SHALL BE TAKEN AND HELD TO BE VALID PERSONAL SERVICE UPON AND PERSONAL
DELIVERY TO THE TERM LOAN BORROWER. SOLELY TO THE EXTENT PROVIDED BY APPLICABLE LAW, SHOULD THE
TERM LOAN BORROWER, AFTER BEING SERVED, FAIL TO APPEAR OR ANSWER TO ANY SUMMONS, COMPLAINT, PROCESS
OR PAPERS SO SERVED WITHIN THE NUMBER OF DAYS PRESCRIBED BY LAW AFTER THE DELIVERY OR MAILING
THEREOF, THE TERM LOAN BORROWER SHALL BE DEEMED IN DEFAULT AND AN ORDER AND/OR JUDGMENT MAY BE
ENTERED BY THE COURT AGAINST THE TERM LOAN BORROWER AS DEMANDED OR PRAYED FOR IN SUCH SUMMONS,
COMPLAINT, PROCESS OR PAPERS. NOTHING HEREIN SHALL AFFECT THE LENDER’S RIGHT TO SERVE PROCESS IN
ANY OTHER MANNER PERMITTED BY LAW, OR LIMIT THE LENDER’S RIGHT TO BRING PROCEEDINGS AGAINST THE
TERM LOAN BORROWER OR ITS PROPERTY IN ANY COURT OR ANY OTHER JURISDICTION.

     THE TERM LOAN BORROWER (AND THE LENDER) HEREBY IRREVOCABLY AND KNOWINGLY WAIVE (TO THE FULLEST
EXTENT PERMITTED BY LAW) ANY RIGHT TO A TRIAL BY JURY IN ANY ACTION OR PROCEEDING (INCLUDING,
WITHOUT LIMITATION, ANY COUNTERCLAIM) ARISING OUT OF THIS TERM LOAN NOTE, ANY OF THE FINANCING
AGREEMENTS OR ANY OTHER AGREEMENTS OR TRANSACTIONS RELATED HERETO OR THERETO, INCLUDING, WITHOUT
LIMITATION, ANY ACTION OR PROCEEDING (A) TO ENFORCE OR DEFEND ANY RIGHTS UNDER OR IN CONNECTION
WITH THIS TERM LOAN NOTE OR ANY INSTRUMENT, DOCUMENT OR AGREEMENT DELIVERED OR WHICH MAY IN THE
FUTURE BE DELIVERED IN CONNECTION HEREWITH, OR (B) ARISING FROM ANY DISPUTE OR CONTROVERSY IN
CONNECTION WITH OR RELATED TO THIS TERM LOAN NOTE AND THE FINANCING AGREEMENTS. THE LENDER AND THE
TERM LOAN BORROWER AGREE THAT ANY SUCH ACTION OR PROCEEDING SHALL BE TRIED BEFORE A COURT AND NOT A
JURY.

[Signature Page Follows.]

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Exhibit 10.6

     IN WITNESS WHEREOF, the Term Loan Borrower has caused this Term Loan Note to be duly executed
by its authorized officer as of the date first above written.

	 	 	 	 	 	 	 
	 	 	DIVERSICARE LEASING CORP., a Tennessee
corporation	 	 
	 
	 	 	 	 	 	 
	 

	 	By:

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 
	 
	 	 	 	 	 	 
	 	 	DIVERSICARE ASSISTED LIVING SERVICES NC I,
LLC, a Delaware limited liability company	 	 
	 
	 	 	 	 	 	 
	 	 	BY:	 	DIVERSICARE ASSISTED LIVING
SERVICES NC, LLC, its sole member	 
	 
	 	 	 	 	 	 
	 

	 	By:

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 
	 
	 	 	 	 	 	 
	 	 	DIVERSICARE ASSISTED LIVING SERVICES NC II,
LLC, a Delaware limited liability company	 	 
	 
	 	 	 	 	 	 
	 	 	BY:	 	DIVERSICARE ASSISTED LIVING
SERVICES NC, LLC, its sole member	 
	 
	 	 	 	 	 	 
	 

	 	By: :

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 
	 
	 	 	 	 	 	 
	 	 	DIVERSICARE LAMPASAS, LLC, a Delaware limited
liability company	 	 
	 
	 	 	 	 	 	 
	 	 	BY:	 	DIVERSICARE LEASING CORP.,
its sole member	 
	 
	 

	 	By: :

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 

 

 

	 	 	 	 	 	 	 
	 	 	DIVERSICARE YORKTOWN, LLC, a Delaware limited
liability company	 	 
	 
	 	 	 	 	 	 
	 	 	BY:	 	DIVERSICARE LEASING CORP.,
its sole member	 
	 
	 

	 	By: :

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 
	 
	 	 	 	 	 	 
	 	 	DIVERSICARE BALLINGER, LLC, a Delaware limited
liability company	 	 
	 
	 	 	 	 	 	 
	 	 	BY:	 	DIVERSICARE TEXAS I, LLC, its
sole member	 
	 
	 

	 	By: :

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 
	 
	 	 	 	 	 	 
	 	 	DIVERSICARE DOCTORS, LLC, a Delaware limited
liability company	 	 
	 
	 	 	 	 	 	 
	 	 	BY:	 	DIVERSICARE TEXAS I, LLC, its
sole member	 
	 
	 

	 	By: :

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 
	 
	 	 	 	 	 	 
	 	 	DIVERSICARE ESTATES, LLC, a Delaware limited
liability company	 	 
	 
	 	 	 	 	 	 
	 	 	BY:	 	DIVERSICARE TEXAS I, LLC, its
sole member	 
	 
	 

	 	By: :

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 
	 
	 	 	 	 	 	 
	 	 	DIVERSICARE HUMBLE, LLC, a Delaware limited
liability company	 	 
	 
	 	 	 	 	 	 
	 	 	BY:	 	DIVERSICARE TEXAS I, LLC, its
sole member	 
	 
	 

	 	By: :

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 

 

 

	 	 	 	 	 	 	 
	 	 	DIVERSICARE KATY, LLC, a Delaware limited
liability company	 	 
	 
	 	 	 	 	 	 
	 	 	BY:	 	DIVERSICARE TEXAS I, LLC, its
sole member	 
	 
	 

	 	By: :

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 
	 
	 	 	 	 	 	 
	 	 	DIVERSICARE NORMANDY TERRACE, LLC, a Delaware
limited liability company	 	 
	 
	 	 	 	 	 	 
	 	 	BY:	 	DIVERSICARE TEXAS I, LLC, its
sole member	 
	 
	 

	 	By: :

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 
	 
	 	 	 	 	 	 
	 	 	DIVERSICARE TEXAS I, LLC, a Delaware limited
liability company	 	 
	 
	 	 	 	 	 	 
	 

	 	By: :

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 
	 
	 	 	 	 	 	 
	 	 	DIVERSICARE TREEMONT, LLC, a Delaware limited
liability company	 	 
	 
	 	 	 	 	 	 
	 	 	BY:	 	DIVERSICARE TEXAS I, LLC, its
sole member	 
	 
	 

	 	By: :

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial Officer	 	 
	 
	 	 	 	 	 	 
	 	 	DIVERSICARE ROSE TERRACE, LLC, a Delaware
limited liability company	 	 
	 
	 	 	 	 	 	 
	 
	 	 	BY:	 	DIVERSICARE LEASING CORP.,
its sole member	 
	 
	 

	 	By: :

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Its:
	 	Executive Vice President &
Chief Financial OfficerEX-10.7

 

Exhibit 10.7

FIFTH AMENDMENT TO CONSOLIDATED

AMENDED AND RESTATED MASTER LEASE

     This Fifth Amendment to Consolidated Amended and Restated Master Lease (this
“Amendment”) is executed and delivered as of August 10, 2007 by and between STERLING
ACQUISITION CORP., a Kentucky corporation (“Lessor”), the address of which is 9690 Deereco
Road, Suite 100, Timonium, MD 21093, and DIVERSICARE LEASING CORP., a Tennessee corporation, the
address of which is 1621 Galleria Boulevard, Brentwood, TN 37027.

RECITALS:

     A. Lessee has executed and delivered to Lessor a Consolidated Amended and Restated Master
Lease dated as of November 8, 2000, but effective as of October 1, 2000, as amended by a First
Amendment to Consolidated Amended and Restated Master Lease dated as of September 30, 2001, a
Second Amendment to Consolidated Amended and Restated Master Lease dated as of June 15, 2005 (the
“Second Amendment”), a Third Amendment to Consolidated Amended and Restated Master Lease
dated as of October 20, 2006 (the “Third Amendment”), and a Fourth Amendment to
Consolidated Amended and Restated Master Lease dated as of April 1, 2007 (the “Existing Master
Lease”) pursuant to which Lessee leased from Lessor certain healthcare facilities.

     B. Pursuant to that certain First Amended Chapter 11 Plan Proposed by the Debtors dated May
17, 2007 and an Operations Transfer Agreement effective as of July 20, 2007 among the Texas
Sublessees (as defined below) and Senior Management Services of America North Texas, Inc., a Texas
corporation (“SMSA”), and certain affiliates of SMSA, the Texas Sublessees are acquiring from SMSA
its rights as tenant under that certain Consolidated Master Lease dated as of June 1, 2005 (the
“SMSA Master Lease”) between SMSA and OHI Asset (TX), LLC, a Delaware limited liability
company (“OHI Texas”). Pursuant to the SMSA Master Lease, SMSA had leased the Texas
Facilities from OHI Texas.

     C. Concurrently with the execution of this Amendment, (i) OHI Texas and the Texas Sublessees
have terminated the SMSA Master Lease and (ii) OHI Texas has transferred to Lessor the Texas
Facilities to Lessor.

     D. Lessee and Lessor desire to amend the Existing Lease to add the Texas Facilities to the
Existing Master Lease on the terms and conditions of this Amendment.

     NOW THEREFORE, the parties agree as follows:

1. Definitions.

     (a) Any capitalized term used but not defined in this Amendment will have the meaning assigned
to such term in the Master Lease. From and after the date of this Amendment, each reference in the
Existing Master Leases or the other Transaction Documents to the “Lease”

 

 

or “Master Lease” means, as applicable, the Existing Master Lease or Existing Master Leases as
modified by this Amendment.

     (b) In addition to the other definitions contained herein, when used in this Amendment the
following terms shall have the following meanings:

     Asbestos Clean-Up Costs: means the actual, out of pocket cost of completing a
Required Asbestos Clean-Up, which amount does not include any amounts paid to Lessee or any
Affiliate of Lessee without the written consent of Lessor.

     Asbestos Management Plans: means the Asbestos Management Plans dated March 19,
2004 for Lessor by ATC Associates, Inc. for the Doctors & Fort Worth Facilities.

     Doctors & Fort Worth Facilities: means Facilities commonly known as (i) Estates
Healthcare Center located at 201 Sycamore School Road, Fort Worth, Texas 76134, and (ii) as
Doctors Healthcare Center and located at 9009 White Rock Trail, Dallas, Texas 75238.

     Existing Asbestos Containing Materials: means the asbestos containing materials
on the Doctors & Fort Worth Facilities identified in the Asbestos Management Plans.

     First Texas Renewal Term Expiration Date: September 30, 2030.

     Humble Facility: means the Facility commonly known as Oakmont Nursing and
Rehabilitation Center of Humble located in Humble, Texas.

     Katy Facility: means the Facility commonly known as the Oakmont Nursing and
Rehabilitation Center of Katy located in Katy, Texas.

     LaSalle: means LaSalle Bank National Association.

     LaSalle Loans: means the following loans and credit facilities extended by
LaSalle to Lessee, the Sublessees and certain of their Affiliates: (i) certain revolving
loans in an aggregate amount of up to Fifteen Million and No/100 Dollars ($15,000,000.00) to
support working capital needs of Lessee, the Sublessees and certain of their Affiliates,
(ii) certain transition revolving loans in an aggregate amount of up to Six Million and
No/100 Dollars ($6,000,000.00) to support working capital needs of Lessee, the Sublessees
and certain of their Affiliates for the six months following date of this Amendment (the
“Temporary Revolving Loan”), and (iii) a term loan of Sixteen Million Five Hundred
Thousand and No/100 Dollars ($16,500,000.00) (the “Term Loan”).

     Lien: means any interest in Property securing an obligation owed to, or a claim
by, any Person (other than the owner of the Property), whether such interest shall be based
on common law, statute, or contract, whether such interest shall be recorded or perfected,
and whether such interest shall be contingent upon the occurrence of some future event or
events or the existence of some future circumstance or circumstances,

2

 

including, without limitation, judgment liens, the lien or security interest arising,
from a mortgage, deed of trust, debenture, charge, guarantee, encumbrance, pledge,
hypothecation, assignment, deposit arrangement, security agreement, loan and security
agreement, adverse claim or charge, conditional sale or trust receipt, or from a lease,
consignment, or bailment for security purposes, and also including reservations, exceptions,
encroachments, easements, rights-of-way, covenants, conditions, restrictions, leases, other
title exceptions and encumbrances affecting any real property and the retained security
title of a conditional vendor or lessor.

     Lease Documents: means the following documents: this Lease, the Guaranty, the
Letter of Credit Agreement, the Security Agreement, the Pledge Agreements, the Subordination
Agreements, Texas Pledge Agreements, Texas Sublessees Guaranty, Texas Sublessee Security
Agreement, the Stock Issuance and Subscription Agreement, the Subordinated Note, and any
security agreements, pledge agreements, letter of credit agreements, guarantees, notes or
other documents which evidence, secure or otherwise relate to this Lease, or the
transactions contemplated by this Lease; and any and all amendments, modifications,
extensions and renewals of any of the foregoing documents

     Letter of Credit Agreement: means the Letter of Credit Agreement between Lessee
and Lessor.

     Master Texas Sublessee: DIVERSICARE TEXAS I, LLC, Delaware limited liability
company.

     Non-Texas Base Rent:

     (A) During the Initial Term, the Non-Texas Base Rent shall be:

(1) For the first Initial Term (being the period of October 1, 2000 thru
September 30, 2006), the amount set forth for such period in the Master
Lease as it existed prior to the Third Amendment;

(2) For the first (1st) Lease Year of the first Renewal Term
(October 1, 2006 thru September 30, 2007), the Base Amount plus the
Improvement Allowance Adjustment Amount (as adjusted during such Lease
Year);

(3) For each of the second (2nd) through twelfth
(12th) Lease Years of the first Renewal Term, the lesser of (i)
the Base Amount as of the end of first (1st) Lease Year of the Renewal Term
plus Improvement Allowance Adjustment Amount, increased by a percentage
equal to two (2) times the percentage increase in the CPI (if positive) from
the commencement date of the first Renewal Term to the Adjustment Date in
each of the second (2nd) through twelfth (12th) Lease Years, as
applicable (the “Adjustment Date”), and (ii) the product of the Base
Amount as of the end of the first Lease Year plus the Improvement Allowance
Adjustment Amount and the following factor:

3

 

	 	 	 	 	 
	Lease Year During	 	 
	First Renewal Term	 	Applicable Factor
	2
	 	 	1.030	 
	3
	 	 	1.061	 
	4
	 	 	1.093	 
	5
	 	 	1.126	 
	6
	 	 	1.159	 
	7
	 	 	1.194	 
	8
	 	 	1.230	 
	9
	 	 	1.267	 
	10
	 	 	1.305	 
	11
	 	 	1.344	 
	12
	 	 	1.384	 

Under no circumstances will the Non-Texas Base Rent in any Lease Year be
less than the Non-Texas Base Rent during the preceding Lease Year.

     (B) During the second Renewal Term, the Non-Texas Base Rent shall be:

     (1) For the first Lease Year of the second Renewal Term, the greater of (a) the
Non-Texas Base Rent during the last Lease Year of the Initial Term and (b) the Fair
Market Rent for the Facilities other than the Texas Facilities on the first day of
such Renewal Term as agreed upon by Lessor and Lessee, or, if prior to the
commencement of the Renewal Term they are unable to agree, as determined by an
appraisal pursuant to Article XXXII of this Lease; provided, however, that the
Non-Texas Base Rent for the first Lease Year of the second Renewal Term shall not
exceed one hundred ten percent (110%) of the Non-Texas Base Rent for the Lease Year
immediately preceding the commencement of the second Renewal Term; and

     (2) For each of the second (2nd) through the twelfth
(12th) Lease Years during the second Renewal Term, the lesser of (i) the
Non-Texas Base Rent for the first (1st) Lease Year of the second Renewal Term,
increased by a percentage equal to two (2) times the percentage increase in the CPI
(if positive) from the commencement date of the second Renewal Term to the
Adjustment Date in each of the second (2nd) through twelfth
(12th) Lease Years, as applicable (the “Adjustment Date”), and
(ii) the product of the Non-Texas Base Rent during the first (1st) Lease
Year of the second Renewal Term and the following factor:

4

 

	 	 	 	 	 
	Lease Year During	 	 
	Second Renewal Term	 	Applicable Factor
	2
	 	 	1.030	 
	3
	 	 	1.061	 
	4
	 	 	1.093	 
	5
	 	 	1.126	 
	6
	 	 	1.159	 
	7
	 	 	1.194	 
	8
	 	 	1.230	 
	9
	 	 	1.267	 
	10
	 	 	1.305	 
	11
	 	 	1.344	 
	12
	 	 	1.384	 

Under no circumstances will the Non-Texas Base Rent in any Lease Year during the
Renewal Term be less than the Non-Texas Base Rent during the preceding Lease Year.

     Pre-Existing Hazardous Substances: means Hazardous Substances located on, under
about or with respect to the Treemont Facility prior to February 1, 2003 or the Katy
Facility prior to July 1, 2003 or the Humble Facility prior to July 1, 2003.

     Pre-Existing Environmental Conditions: means any Contamination or other
environmental condition on, under, about or with respect to the Treemont Facility prior to
February 1, 2003 or the Katy Facility prior to July 1, 2003 or the Humble Facility prior to
July 1, 2003.

     Property: means any and all real, personal, or mixed property and assets,
including, without limitation, all types of tangible and intangible property.

     Second Texas Renewal Term Expiration Date: May 31, 2035.

     Texas Base Rent: During the Term, the Texas Base Rent shall be:

     (1) For each month during the period from the Commencement Date for the Texas
Facilities until January 31, 2008, Three Hundred Twenty Eight Thousand Five Hundred Ninety
Two and 79/100 Dollars ($328,592.79), which equal an annual Base Rent of Three Million Nine
Hundred Forty Three Thousand One Hundred Thirteen and 48/100 Dollars ($3,943,113.48) (the
“Initial Texas Annualized Base Rent”);

     (3) For period from February 1, 2008 thru January 31, 2009, the Initial Texas
Annualized Base Rent, increased by the product of (i) the Initial Texas Annualized Base Rent
and (ii) the lesser of one (1) times the change in CPI (expressed as a percentage) and two
and one-half percent (2.5%).

     (4) For the subsequent twelve month period (being February 1, 2009 thru January 31,
2010) and each succeeding twelve month (being February 1 thru January 31) until the end of
the Term (including any Renewal Terms), the Texas Base Rent for the previous Lease Year,
increased by the product of (i) the Texas Base Rent during the immediately preceding Lease
Year and (ii) the lesser of one (1) times the increase, if any, in CPI (expressed as a
percentage) and two and one-half percent (2.5%).

5

 

     Texas Facilities: means the Facilities located on the real property described
in Exhibits A-1 through A-7 to this Amendment.

     Texas Pledge Agreements: means the Pledge Agreements dated as of the same date
as this Amendment from the equity owners of the Texas Sublessees in favor Lessor.

     Texas Sublessees: means the Master Texas Sublessee and DIVERSICARE BALLINGER,
LLC, Delaware limited liability company, DIVERSICARE DOCTORS, LLC, Delaware limited
liability company, DIVERSICARE ESTATES, LLC, Delaware limited liability company, DIVERSICARE
HUMBLE, LLC, Delaware limited liability company, DIVERSICARE KATY, LLC, Delaware limited
liability company, DIVERSICARE NORMANDY TERRACE, LLC, Delaware limited liability company,
and DIVERSICARE TREEMONT, LLC, Delaware limited liability company.

     Texas Sublessees Guaranty: means the Guaranty dated as of the same date as this
Amendment from the Texas Sublessees in favor Lessor.

     Texas Sublessee Security Agreement: means the Security Agreement dated as of
the same date as this Amendment from the Texas Sublessees in favor of Lessor.

     Non-Texas Facilities: means the Facilities leased pursuant to this Lease other
than the Texas Facilities.

     (c) The following definitions defined in §2.1 of the Existing Master Lease are hereby amended
in their entirety as follows:

     Base Rent: means the sum of (i) the Non-Texas Base Rent and (ii) the Texas Base
Rent.

     Commencement Date: October 1, 2000 for the Non-Texas Facilities, and August
11, 2007 for the Texas Facilities.

     Expiration Date: means the First Renewal Term Expiration Date, the Second
Renewal Term Expiration Date, the First Texas Renewal Term Expiration Date, or the Second
Texas Renewal Term Expiration Date, as applicable.

     Facilit(y)(ies): Each health care facility on the Land, including the Leased
Property associated with such Facility, and together, all such facilities on the Leased
Properties; all of which Facilities are collectively listed on Exhibit B to this
Amendment.

     Intercreditor Agreement: means the Subordination and Intercreditor Agreement of
even date herewith by and between Lessor and LaSalle and any replacement intercreditor
agreement between Lessor and any working capital lender to whom a first priority security
interest in accounts receivable from the Facilities has been granted in accordance with the
requirements of Section 39.5 of this Lease.

6

 

     Land: The real property described in listed on attached Exhibit A to
the Existing Master Lease and Exhibit A to this Amendment.

     Permitted Encumbrances: Encumbrances listed on attached Exhibit C to
the Existing Master Lease and Exhibit C to this Amendment.

     (d) The subparagraphs (m) and (r) of the definition of “Event of Default” set forth in Section
2.1 of the Existing Master Lease is hereby amended and restated as follows:

*      *      *

     (n) A default occurs under the any Texas Sublessee Guaranty, Texas Pledge Agreement,
the Texas Sublessee Security Agreement, or the Letter of Credit Agreement, which default is
not cured within the applicable cure period, if any.

*      *      *

     (r) LaSalle (or its successors and assigns) or any working capital lender to whom a
first priority security interest in accounts receivable from the Facilities has been granted
in accordance with the requirements of Section 39.5 of this Lease, declares an event of
default under the loan documents evidencing or securing the LaSalle Loans or Line of Credit
Documents, and accelerates any or all of the indebtedness evidenced and secured thereby, or
commences any action against Lessee or Sublessee to realize on such lender’s interest in the
accounts receivable from the Facilities.

     2. Renewal Options. Section 1.3 of the Existing Master Lease is hereby amended and
restated as follows:

     1.3 Options to Renew.

     (a) Lessee is hereby granted two (2) options to renew this Lease (an “All
Facilities Option”) for an additional, successive period of twelve (12) Lease Years, for
a maximum Term if such options are exercised of thirty (30) Lease Years, on the following
terms and conditions:

     (i) the second option to renew is exercisable only by Notice to Lessor at least
three hundred sixty-five (365) days prior to the expiration of the first Renewal
Term;

     (ii)  the absence of any Event of Default both at the time a renewal option is
exercised and at the commencement of a Renewal Term is a condition precedent to any
renewal of the Term;

     (iii) during a Renewal Term, all of the terms and conditions of this Lease
shall remain in full force and effect; and

7

 

     (iv) Lessee may exercise its options to renew with respect to all (and no fewer
than all) of the Leased Properties.

Lessee and Lessor acknowledge and agree that Lessee exercised the first All Facilities
Option pursuant to the Third Amendment such that, as of the date of this Amendment, the
Expiration Date of the current Term of this Lease for all of the Facilities, including the
Texas Facilities, is the First Renewal Term Expiration Date of September 30, 2018.

     (b) Lessee is also hereby granted two (2) options to renew this Lease with respect to
the Texas Facilities only (the “Texas Options”) until September 30, 2030, with
respect to the first such Texas Option, and May 31, 2035, with respect to the second such
Texas Option, on the following terms and conditions:

     (i) a Texas Option is exercisable only by Notice to Lessor at least three
hundred sixty-five (365) days prior to the expiration of the prior period;

     (ii)  the absence of any Event of Default both at the time a Texas Option is
exercised and at the commencement of a Renewal Term is a condition precedent to any
renewal of the Term;

     (iii) during a Renewal Term, all of the terms and conditions of this Lease
shall remain in full force and effect; provided, however, that the Base Rent shall
be equal to the Texas Facilities Base Rent and the Security Deposit shall be reduced
to an amount equal to the Texas Facilities Base Rent divided by four (4) (such that
it is equal to three months Base Rent);

     (iv) Lessee may exercise its options to renew with respect to all (and no fewer
than all) of the Texas Facilities, and as to no other Facilities; and

     (v) Lessee may not exercise a Texas Option for any period with respect to which
Lessee exercises an All Facilities Option (for avoidance of doubt, because an All
Facilities Option is exercised as to all of the Facilities, including the Texas
Facilities, Lessee would not need to exercise a Texas Facilities Option for any
period for which an All Facilities Option has been exercised).

3. Environmental Amendments. Notwithstanding anything to the contrary in this Lease, (i)
Section 7.3 of the Existing Lease shall not apply to the Texas Facilities; and (ii) in lieu
thereof, Lessee’s environmental obligations with regard to the Texas Facilities shall be governed
by Exhibit D to this Amendment, which is incorporated herein by this reference.

4. Section 9.1.1 of the Existing Master Lease is hereby amended and restated in its entirety as
follows:

8

 

     9.1.1 Lessee, at its expense, will keep the Leased Properties, and all landscaping,
private roadways, sidewalks and curbs appurtenant thereto which are under Lessee’s control
and Lessee’s Personal Property in good order and repair, whether or not the need for such
repairs arises out of Lessee’s use, any prior use, the elements or the age of the Leased
Property or any portion thereof, or any cause whatsoever except the act or negligence of
Lessor, and with reasonable promptness shall make all necessary and appropriate repairs
thereto of every kind and nature, whether interior or exterior, structural or
non-structural, ordinary or extraordinary, foreseen or unforeseen or arising by reason of a
condition existing prior to the Commencement Date (concealed or otherwise) or existing after
February 1, 2003 with respect to the Treemont Facility, and July 1, 2003 with respect to the
Katy Facility and the Humble Facility; provided, however, that Lessee shall be permitted to
prosecute claims against Lessor’s predecessor in title for breach of any representation or
warranty made to or on behalf of Lessor, or for latent defects in any Leased Property.
Lessee shall at all times maintain, operate and otherwise manage the Leased Properties on a
quality basis and in a manner consistent with the standards of the highest quality competing
facilities in the market areas served by the Leased Properties. All repairs shall, to the
extent reasonably achievable, be at least equivalent in quality to the original work or,
subject to the provisions of Paragraph 9.1.4, below, the property to be repaired shall be
replaced. Lessee will not take or omit to take any action the taking or omission of which
might materially impair the value or the usefulness of the Leased Properties or any parts
thereof for the Primary Intended Use.

5. Section 8.2.1.4 of the Existing Master Lease is hereby amended and restated in its entirety as
follows:

          8.2.1.4 Equipment Financing. The aggregate amount of principal, interest and
lease payments due from Lessee and/or Sublessee with respect to any equipment leases or
financing secured by equipment utilized in the operation of the Facilities shall not at any
time during the Term exceed $1,000,000.00 in any one Lease Year.

6. The Existing Master Lease is hereby amended to add the following new Section 8.2.5 as follows:

     8.2.5 Indebtedness. Neither Lessee nor any Sublessee will create, incur or
suffer to exist any Debt which is secured by a Lien in any of the Property with respect to
which Lessor has been granted a Lien in pursuant to the Lease Documents, except:

	 	(i)	 	The equipment financing permitted under Section 8.2.1.4;
	 
	 	(ii)	 	The Line of Credit permitted under Section 39.5;
	 
	 	(iii)	 	The LaSalle Loans; and
	 
	 	(iv)	 	Any Debt owed to Lessor or any Affiliate of Lessor.

9

 

7. Section 8.5 of the Existing Master Lease is hereby amended and restated in its entirety as
follows:

     8.5 Other Facilities. Neither Lessee nor any Affiliate shall own, operate or
manage any nursing home, rest home, assisted living facility, subacute facility, retirement
center or similar health care facility within a ten (10) mile radius of any Facility, other
than any Facility which is a Leased Property under this Lease or which Lessee or any
Affiliate of Lessee owns or operates as of the Commencement Date and set forth on Schedule C
attached hereto.

8. Paragraph 5 of the Second Amended is hereby amended and restated in its entirety as follows:

     5. Insurance.

     (a) Lessor acknowledges that the liability insurance coverage and the malpractice
insurance coverage required pursuant to Sections 13.2.4 and 13.2.5 of the Lease, are
currently unavailable generally in the nursing home industry at commercially affordable
rates and that Lessee currently maintains and has in place for all of the Facilities general
liability and malpractice insurance with single limit coverage of One Hundred Thousand
Dollars ($100,000.00) per occurrence and Five Hundred Thousand Dollars ($500,000.00)
cumulative, with a deductible of Twenty Five Thousand Dollars ($25,000.00). Lessor hereby
agrees that, the provisions of Sections 13.2.4 and 13.2.5 of the Lease to the contrary
notwithstanding, until such time as the insurance coverage required therein is generally
available in the nursing home industry at commercially affordable rates, Lessee shall not be
required obtain the coverages required therein and Lessor agrees to accept Lessee’s current
coverage in lieu thereof for the Non-Texas Facilities for the first Renewal Term of the
Lease. Lessee shall not be deemed to be in default of the provisions of Article XIII of the
Lease as a result thereof. Lessee shall provide Lessor, on an annual basis, information
from its insurance carrier and from comparable insurance carriers of the costs of insurance
premiums to meet Lessor’s insurance requirements. At such time as the premium amounts
quoted are commercially affordable, Lessee shall immediately purchase any and all insurance
policies necessary to meet the requirements of Sections 13.2.4 and 13.2.5 of the Lease.
This provision does not relieve Lessee from its agreement of indemnity under Article XXI of
the Lease nor does it modify the provisions thereof. Notwithstanding the foregoing, Lessee
acknowledges and agrees that the provisions of this Paragraph 5 shall not be applicable in
the event of any Transfer. Lessee acknowledges and agrees that Lessor shall have the right
to withhold its consent to any proposed Transfer unless, among other things, the Transferee
agrees to provide the insurance coverage required by the provisions of Sections 13.2.4 and
13.2.5 of the Lease.

     (b) Lessor hereby agrees that, the provisions of Sections 13.2.4 and 13.2.5 of the
Lease to the contrary notwithstanding Lessee’s failure to obtain the coverages required by
Sections 13.2.4 and 13.2.5 for the Texas Facilities shall not be an Event of

10

 

Default under this Lease. Lessee shall not be required to obtain the coverages
required therein and Lessor agrees to accept such lesser coverage, if any, as Lessee elects
to maintain for the Texas Facilities for the Term of the Lease, including any Renewal Term.
This provision does not relieve Lessee from its agreement of indemnity under Article XXI of
the Lease nor does it modify the provisions thereof.

9. Section 39.1 of the Existing Master Lease is hereby amended and restated in its entirety as
follows:

     39.1 Security Deposit. Prior to the date of this Amendment, Lessor was holding
as the Security Deposit the sum of $340,000 in cash. Concurrently with the delivery of this
Amendment, (A) Lessor shall return to Lessee the $340,000 in cash, and (B) Lessee shall
deliver to Lessor a Security Deposit in the amount equal to $8,116,726.10, in the form of an
absolute, unconditional site draft letter of credit for a term of one (1) year (renewable
automatically) issued by an “A” rated financial institution (“Security Deposit”),
which Lessor shall hold as security for the full and faithful performance by Lessee of each
and every term, provision, covenant and condition of this Lease in accordance with, and
subject to, the terms and conditions of the Letter of Credit Agreement. If at any time the
Security Deposit is in the form of cash, the Security Deposit shall be deposited by Lessor
into an account which shall earn interest for the benefit of Lessee, which cash shall remain
on deposit as security and be available to Lessor as provided in this Article. The Security
Deposit shall not be considered an advance payment of Rent (or of any other sum payable to
Lessee under this Lease) or a measure of Lessor’s damages in case of a default by Lessee.
The Security Deposit shall not be considered a trust fund, and Lessee expressly acknowledges
and agrees that Lessor is not acting as a trustee or in any fiduciary capacity in
controlling or using the Security Deposit. Notwithstanding the foregoing, if at any time
the Security Deposit is in the form of cash, then (i) Lessor shall maintain the Security
Deposit separate and apart from Lessor’s general and/or other funds and (ii) provided that
Lessee is not then in default, Lessor shall disburse to Lessee the earnings on the Security
Deposit on a quarterly basis. The Security Deposit, less any portion thereof applied as
provided in Section 39.3 or the Letter of Credit Agreement, shall be returned to Lessee
within sixty (60) days following the expiration of the Term or earlier termination of this
Lease.

10. Section 39.5 of the Existing Master Lease is hereby amended and restated in its entirety as
follows:

     39.5 Line of Credit; A/R Replacement Security Deposit.

     (a) Line of Credit. Prior to the date of this Amendment, pursuant to the
Security Agreement, Lessee has granted to Lessor a first priority security interest in the
accounts receivable generated by the Facilities. LaSalle currently has a security interest
in the accounts receivable from the Facilities to secure the LaSalle Loans. Lessor and
LaSalle have entered into the Intercreditor Agreement pursuant to which Lessor has agreed to
subordinate its security interest in the accounts receivable generated by the

11

 

Facilities. If Lessee and/or the Sublessees, or any Affiliate of Lessee (other than
Affiliates who are the operators of the Florida Managed Facilities, as defined in the
Settlement and Restructuring Agreement), obtain, concurrently with or after the date of this
Amendment, a working capital line of credit (the “Line of Credit”) from a
third-party working capital lender that requires that, in order to secure the Line of
Credit, Lessee and/or the Sublessees must grant to the working capital lender a first
priority security interest in the accounts receivable from the Facilities accruing during
the Term, then Lessor will subordinate its security interest in the accounts receivable from
the Facilities accruing during the Term to the security interest of such working capital
lender, provided that:

     (i) The working capital lender executes and delivers to Lessor an intercreditor
agreement in form and substance reasonably satisfactory to Lessor; and

     (ii) The lien of Lessor in accounts receivable from the Facilities shall be
subordinated to the lien of the working capital lender therein only to the extent of
amounts advanced from time to time by the working capital lender to Lessee and/or
the Sublessees with respect to the Facilities and only in the amount of
$17,400,000.00, plus interest, penalties and other charges under the loan documents
evidencing the Line of Credit (the “Line of Credit Documents”) with respect
to principal amounts advanced;

     (iii) Lessee delivers to Lessor the A/R Replacement Security Deposit and the
Letter of Credit Agreement (as defined below);

     (iv) The LaSalle Loans have been repaid in full or, in the alternative, the
Temporary Revolving Loan and the Term Loan have been repaid, and an amendment to the
Intercreditor Agreement with the holder of the remaining LaSalle Loans is entered
into providing for the priority cap contemplated by sub-paragraph 39(a)(ii) above
(the “LaSalle Amendment”) in form and substance reasonably satisfactory to
Lessor; and

     (v) As of the date of entry by Lessor into the intercreditor agreement of the
LaSalle Amendment, no Event of Default has occurred and is continuing.

     (b) Lessee acknowledges and agrees that on the occurrence of a “Default”, “Event of
Default” or similar event or occurrences which causes the lender under the Line of Credit
Documents to accelerate any or all of the indebtedness thereby or to exercise any rights or
remedies under such documents to realize on its interest in the accounts receivable from the
Facilities, or to cease funding under the Line of Credit, which is not cured within any
applicable cure period under the Line of Credit Documents or any written agreement by
lender, shall constitute an Event of Default under this Lease.

     (c) Concurrently with the delivery of the intercreditor agreement by Lessor pursuant to
Section 39.5(a)(i) above or the LaSalle Amendment, Lessee shall deliver to

12

 

Lessor a Security Deposit in an amount equal to the sum of (i) six (6) times the
monthly Non-Texas Base Rent (the “Initial Amount”) plus (ii) three (3) times the
monthly Texas Base Rent then payable under this Lease, in the form of an absolute,
unconditional site draft letter of credit for a term of one (1) year (renewable
automatically) issued by an “A” rated financial institution (“A/R Replacement Security
Deposit”), which Lessor shall hold as security for the full and faithful performance by
Lessee of each and every term, provision, covenant and condition of this Lease in accordance
with, and subject to, the terms and conditions of the Letter of Credit Agreement. On August
31, 2008, and each subsequent anniversary of such date thereafter, the amount of the A/R
Replacement Security Deposit required to be maintained by Lessee on deposit with Lessor
shall be reduced by 16.66% (or 1/6) of the Initial Amount if and only if on the applicable
anniversary date (i) Lessee has maintained a Stressed Coverage Ratio for the trailing twelve
months of at least 1.45 and (ii) no Event of Default exists. Notwithstanding the foregoing,
at no time shall the A/R Replacement Security Deposit be less than an amount equal to three
times the monthly Base Rent payable under this Lease on the date of delivery of the A/R
Replacement Security Deposit. Upon delivery to Lessor of the A/R Replacement Security
Deposit and the intercreditor agreement pursuant to this Section 39.5(a)(i) or the LaSalle
Amendment, the amount of the Security Deposit required under Section 39.1 shall be set equal
to the A/R Replacement Security Deposit.

11. Single, indivisible Lease. The Master Lease constitutes one indivisible lease of the
Leased Properties, and not separate leases governed by similar terms. The Leased Properties
constitute one economic unit, and the Base Rent and all other provisions have been negotiated and
agreed to based on a demise of all of the Leased Properties as a single, composite, inseparable
transaction and would have been substantially different had separate leases or a divisible lease
been intended. Except as expressly provided herein for specific, isolated purposes (and then only
to the extent expressly otherwise stated), all provisions of this Lease apply equally and uniformly
to all the Leased Properties as one unit. An Event of Default with respect to any Leased Property
is an Event of Default as to all of the Leased Properties. The parties intend that the provisions
of this Lease shall at all times be construed, interpreted and applied so as to carry out their
mutual objective to create an indivisible lease of all the Leased Properties and, in particular but
without limitation, that for purposes of any assumption, rejection or assignment of this Lease
under 11 U.S.C. 365, this is one indivisible and non-severable lease and executory contract dealing
with one legal and economic unit which must be assumed, rejected or assigned as a whole with
respect to all (and only all) the Leased Properties covered hereby.

12. Representations and Warranties of Lessee. Lessee hereby represents and warrants to
Lessor that (i) it has the right and power and is duly authorized to enter into this Agreement; and
(ii) the execution of this Agreement does not and will not constitute a breach of any provision
contained in any agreement or instrument to which Lessee is or may become a party or by which
Lessee is or may be bound or affected

13. Execution and Counterparts. This Amendment may be executed in any number of
counterparts, each of which, when so executed and delivered, shall be deemed to be an original, but
when taken together shall constitute one and the same Amendment.

13

 

14. Headings. Section headings used in this Amendment are for reference only and shall not
affect the construction of the Amendment.

15. Enforceability. Except as expressly and specifically set forth herein, the Existing
Master Lease remains unmodified and in full force and effect. In the event of any discrepancy
between the Existing Master Lease and this Amendment, the terms and conditions of this Amendment
will control and the Existing Master Lease is deemed amended to conform hereto.

[SIGNATURE PAGES, ACKNOWLEDGEMENTS, AND JOINDER FOLLOW]

14

 

Signature Page to

FIFTH AMENDMENT TO CONSOLIDATED

AMENDED AND RESTATED MASTER LEASE

	 	 	 	 	 	 	 
	 	 	LESSOR:	 	 
	 
	 	 	 	 	 	 
	 	 	STERLING ACQUISITION CORP., a	 	 
	 	 	Kentucky corporation	 	 
	 
	 	 	 	 	 	 
	 

	 	By:

Name:
	 	/s/ Daniel J. Booth
 

Daniel J. Booth
	 	 
	 

	 	Title:
	 	Chief Operating Officer	 	 

	 	 	 	 	 	 	 
	STATE OF MARYLAND

	 	 	)	 	 	 
	 

	 	 	)	 ss.	 	 
	COUNTY OF BALTIMORE

	 	 	)	 	 	 

     This instrument was acknowledged before me on the  9th day of August, 2007, by
_Daniel J. Booth                    , the COO of STERLING ACQUISITION
CORP., a Kentucky corporation, on behalf of said company.

	 	 	 	 	 
	 

	 	/s/ Judith A. Jacobs
 

Notary Public, Baltimore County, Maryland
	 	 
	 

	 	My commission expires: May 1, 2008	 	 

Signature Page 1 of  2

 

 

Signature Page to

FIFTH AMENDMENT TO CONSOLIDATED

AMENDED AND RESTATED MASTER LEASE

LESSEE:

	 	 	 	 	 	 	 
	 	 	DIVERSICARE LEASING CORP., a	 	 
	 	 	Tennessee corporation	 	 
	 
	 	 	 	 	 	 
	 

	 	By:

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Title:
	 	EVP & CFO	 	 

	 	 	 	 	 	 	 
	STATE OF TENNESSEE

	 	 	)	 	 	 
	 

	 	 	)	 	 	SS
	COUNTY OF WILLIAMSON

	 	 	)	 	 	 

     This instrument was acknowledged before me on the 9TH  day of August,
2007, by Glynn Riddle, the EVP & CFO of DIVERSICARE LEASING
CORP., a Tennessee corporation, on behalf of said company

	 	 	 	 	 
	 

	 	/s/ Brenda Wimsatt
 

Notary Public, Williamson County, Tennessee
	 	 
	 

	 	My commission expires: 7/25/2009	 	 

Signature Page 2 of  2

 

 

Acknowledgement to

FIFTH AMENDMENT TO CONSOLIDATED

AMENDED AND RESTATED MASTER LEASE

     The undersigned hereby consent to the transactions contemplated by this Fifth Amendment to
Consolidated Amended and Restated Master Lease (the “Fifth Amendment”), ratify and affirm
their respective Guaranties, Pledge Agreements, Security Agreements, Subordination Agreements and
other Transaction Documents, and acknowledge and agree that the performance of the Master Lease
and obligations described therein are secured by their Guaranties, Pledge Agreements, Security
Agreement, Subordination Agreement and other Transaction Documents on the same terms and conditions
in effect prior to this Amendment.

	 	 	 	 	 	 	 
	 	 	ADVOCAT, INC. a Delaware corporation	 	 
	 
	 	 	 	 	 	 
	 

	 	By:

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Title:
	 	Executive Vice President and Chief	 	 
	 

	 	 	 	Financial Officer	 	 

	 	 	 	 	 	 	 
	STATE OF TENNESSEE

	 	 	)	 	 	 
	 

	 	 	)	 	 	ss.
	COUNTY OF WILLIAMSON

	 	 	)	 	 	 

     The
foregoing instrument was acknowledged before me this 9th day of August, 2007, by
GLYNN RIDDLE , who is Executive Vice President and Chief Financial Officer of
ADVOCAT, INC. a Delaware corporation, on behalf of the corporation, who acknowledged the same to be
his or her free act and deed and the free act and deed of the corporation.

	 	 	 	 	 
	 

	 	/s/ Brenda Wimsatt
 

Notary Public, Williamson County, Tennessee
	 	 
	 

	 	My Commission Expires:
July 25, 2009	 	 

Acknowledgement — Page 1 of  4

 

 

Acknowledgement to

FIFTH AMENDMENT TO CONSOLIDATED

AMENDED AND RESTATED MASTER LEASE

	 	 	 	 	 	 	 
	 	 	DIVERSICARE MANAGEMENT SERVICES	 	 
	 	 	CO., a Tennessee corporation	 	 
	 
	 	 	 	 	 	 
	 

	 	By:

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Title:
	 	Executive Vice President and Chief	 	 
	 

	 	 	 	Financial Officer	 	 

	 	 	 	 	 	 	 
	STATE OF TENNESSEE

	 	 	)	 	 	 
	 

	 	 	)	 	 	ss.
	COUNTY OF WILLIAMSON

	 	 	)	 	 	 

     The
foregoing instrument was acknowledged before me this 9th day of August, 2007, by
Glynn Riddle, who is Executive Vice President and Chief Financial Officer of
DIVERSICARE MANAGEMENT SERVICES CO., a Tennessee corporation, on behalf of the corporation, who
acknowledged the same to be his or her free act and deed and the free act and deed of the
corporation.

	 	 	 	 	 
	 

	 	/s/ Brenda Wimsatt
 

Notary Public, Williamson County, Tennessee
	 	 
	 

	 	My Commission Expires:
July 25, 2009	 	 

Acknowledgement — Page 2 of  4

 

 

Acknowledgement to

FIFTH AMENDMENT TO CONSOLIDATED

AMENDED AND RESTATED MASTER LEASE

	 	 	 	 	 	 	 
	 	 	ADVOCAT FINANCE INC., a Delaware corporation	 	 
	 
	 	 	 	 	 	 
	 

	 	By:

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Title:
	 	Executive Vice President and Chief	 	 
	 

	 	 	 	Financial Officer	 	 

	 	 	 	 	 	 	 
	STATE OF TENNESSEE

	 	 	)	 	 	 
	 

	 	 	)	 	 	ss.
	COUNTY OF WILLIAMSON

	 	 	)	 	 	 

     The
foregoing instrument was acknowledged before me this 9th day of August, 2007, by
Glynn Riddle, who is Executive Vice President and Chief Financial Officer of
ADVOCAT FINANCE INC., a Delaware corporation, on behalf of the corporation, who acknowledged the
same to be his or her free act and deed and the free act and deed of the corporation.

	 	 	 	 	 
	 

	 	/s/ Brenda Wimsatt
 

Notary Public, Williamson County, Tennessee
	 	 
	 

	 	My Commission Expires:
July 25, 2009	 	 

Acknowledgement — Page 3 of  4

 

 

Acknowledgement to

FIFTH AMENDMENT TO CONSOLIDATED

AMENDED AND RESTATED MASTER LEASE

	 	 	 	 	 	 	 
	 	 	STERLING HEALTH CARE
MANAGEMENT, INC., a Kentucky corporation	 	 
	 
	 	 	 	 	 	 
	 

	 	By:

Name:
	 	/s/ Glynn Riddle
 

Glynn Riddle
	 	 
	 

	 	Title:
	 	Executive Vice President and Chief	 	 
	 

	 	 	 	Financial Officer	 	 

	 	 	 	 	 	 	 
	STATE OF TENNESSEE

	 	 	)	 	 	 
	 

	 	 	)	 ss.	 	
	COUNTY OF WILLIAMSON

	 	 	)	 	 	 

     This
foregoing instrument was acknowledged before me on the 9th day of August, 2007,
by Glynn Riddle, who is Executive Vice President and Chief Financial Officer of
STERLING HEALTH CARE MANAGEMENT, INC., a Kentucky corporation, on behalf of said corporation, who
acknowledged the same to be his or her free act and deed and the free act and deed of the
corporation.

	 	 	 	 	 
	 

	 	/s/ Brenda Wimsatt
 

Notary Public, Williamson County, Tennessee
	 	 
	 

	 	My Commission Expires:
July 25, 2009	 	 

Acknowledgement — Page 4 of  4

 

 

List
of Exhibits and Schedules to

FIFTH AMENDMENT TO CONSOLIDATED

AMENDED AND RESTATED MASTER LEASE

			
	Exhibit A	 	Legal Description of Texas Facilities

			
	Exhibit B	 	List of Facilities and Facility Trade Names

			
	Exhibit C	 	Permitted Encumbrances for Texas Facilities

			
	Exhibit D	 	Texas Environmental Matters

			
	Schedule C	 	Excepted Facilities to Radius Requirements

Page 1 of  1

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