Document:

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                                                                  EXHIBIT 10.39

                    AMENDMENT TO STERLING - MEDITRUST LEASES

         This AMENDMENT is made as of the 23rd of December, 1999 by and among
(i) ASSISTED LIVING PROPERTIES, INC., a Kansas corporation having its principal
place of business c/o Sterling House Corporation, 450 North Sunnyslope Road,
Suite 300, Brookfield, Wisconsin 53005 ("ALP"); (ii) STERLING HOUSE CORPORATION,
a Kansas corporation having its principal place of business at 450 North
Sunnyslope Road, Suite 300, Brookfield, Wisconsin 53005 ("Sterling"); (iii)
ALTERRA HEALTHCARE CORPORATION, a Delaware corporation formerly known as
ALTERNATIVE LIVING SERVICES, INC., a Delaware corporation having its principal
place of business at 450 North Sunnyslope Road, Suite 300, Brookfield, Wisconsin
53005 ("Alterra"); (iv) ALS LEASING, INC., a Delaware corporation, having its
principal place of business at 450 North Sunnyslope Road, Suite 300, Brookfield,
Wisconsin 53005 ("ALS Leasing"); (v) MEDITRUST OF KANSAS, INC., a Delaware
corporation, having a principal place of business c/o MEDITRUST CORPORATION, 197
First Avenue, Needham Heights, Massachusetts 02494 ("MOK"); (vi) NEW MEDITRUST
COMPANY LLC, a Delaware limited liability company and successor by merger to
MEDITRUST COMPANY LLC (the successor by merger to MEDITRUST OF FLORIDA, INC., a
New York corporation, MEDITRUST OF TEXAS, INC., a Delaware corporation, and
MEDITRUST OF OHIO, INC., a Delaware corporation), having a principal place of
business c/o MEDITRUST CORPORATION, 197 First Avenue, Needham Heights,
Massachusetts 02494 (collectively, "Meditrust"); (vii) T AND F PROPERTIES, LP, a
Delaware limited partnership (successor in title to certain Meditrust/ALS
Facilities (as such term is defined in the Meditrust Agreements) located in
Texas), having a principal place of business c/o MEDITRUST CORPORATION, 197
First Avenue, Needham, Massachusetts 02494 ("T and F"); and (viii) MEDITRUST
ACQUISITION COMPANY LLC, a Delaware limited liability company (the successor by
merger to MEDITRUST ACQUISITION CORPORATION III, a Delaware corporation), having
its principal place of business c/o MEDITRUST CORPORATION, 197 First Avenue,
Needham Heights, Massachusetts 02494 ("MAC").

                              W I T N E S S E T H:

         WHEREAS, ALP, Meditrust and MOK are parties to that certain Amended and
Restated Agreement Regarding Related Transactions ($35,000,000 Combined
Sale/Leaseback) dated as of March 31, 1997, as amended (the "$35,000,000
Meditrust Agreement"); and

         WHEREAS, ALS Leasing, Alterra and MAC are parties to that certain
Amended and Restated Agreement Regarding Related Lease Transactions
($100,000,000 Meditrust Investment) dated as of April 30, 1997, as amended (the
"$100,000,000 Meditrust Agreement"); and

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         WHEREAS, ALP, Meditrust and MOK are parties to that certain Agreement
Regarding Related Transactions ($50,000,000 Combined Sales/Lease Back) dated as
of September 30, 1997, as amended (the "$50,000,000 Meditrust Agreement"); and

         WHEREAS, ALS Leasing, Alterra and MAC are parties to that certain
Agreement Regarding Related Lease Transactions ($150,000,000 Meditrust
Investment) dated as of November 21, 1997, as amended (the "$150,000,000
Meditrust Agreement"). The $35,000,000 Meditrust Agreement, the $100,000,000
Meditrust Agreement, the $50,000,000 Meditrust Agreement and the $150,000,000
Meditrust Agreement may be referred to herein collectively as the "Meditrust
Agreements"; and

         WHEREAS, Alterra and Sterling (as the sole shareholder of ALP)
consummated on or about October 23, 1997 an Agreement and Plan of Merger dated
as of July 30, 1997, as amended, pursuant to which Sterling became a
wholly-owned subsidiary of Alterra and a sister corporation to ALS Leasing; and

         WHEREAS, Meditrust consented to the aforesaid merger on certain terms
and conditions, including, without limitation, that Alterra guaranty the Lease
Obligations, as such term is defined in those certain Facility Lease Agreements
by and among Meditrust and ALP (the "Sterling Leases");

         WHEREAS, in conjunction with the aforesaid merger of Sterling and upon
receipt of the aforesaid Alterra guaranty, Meditrust agreed to amend the
Sterling Leases to make certain provisions thereof consistent with certain
provisions of the Facility Lease Agreements by and between MAC and ALS Leasing
(the "ALS Leases"); and

         WHEREAS, Alterra and Sterling now desire to merge Sterling with
Alterra, with Alterra to become the surviving entity, and MOK, Meditrust, MAC
and T and F agree to consent to such merger, contingent upon the execution of
this Amendment.

         NOW THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged, the parties hereto agree as
follows:

         1. DEFINED TERMS. Initial capitalized terms used herein and not
otherwise defined shall have the meanings respectively ascribed to such terms in
the ALS Leases.

         2. CONSENT TO MERGER. MOK, Meditrust, MAC and T and F hereby (i)
consent to the merger of Sterling with Alterra, with Alterra to be the surviving
corporation following such merger, (ii) accept Alterra as the guarantor under
the Sterling Leases immediately following the merger and (iii) agree that such
merger and the failure of Sterling to be the surviving corporation shall not be
or constitute a Default or Event of Default under the Sterling Leases, the ALS
Leases, the Meditrust Agreements or any documents or instruments executed or
delivered in connection therewith. MOK, Meditrust, MAC and T and F further
represent and warrant that they collectively are the owners of all of the
Facilities subject to the Sterling Leases and the ALS

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Leases and no other persons or entities claiming by, through or under MOK,
Meditrust, MAC or T and F are required to consent to the merger or the other
matters set forth in this Amendment. As partial consideration to the
aforementioned consent to merger, ALP, Sterling (if prior to the date said
merger is consummated), Alterra and ALS Leasing shall, within ten (10) business
days of the request of any of MOK, Meditrust, T and F or MAC, execute any
amendments to the Meditrust Agreements reasonably requested by any such party to
reflect the facts as they currently exist and/or to make modifications
consistent with this Amendment. Alterra shall notify MAC as soon as the
aforementioned merger is consummated.

         3. ALTERRA AS GUARANTOR OF STERLING LEASES. Simultaneously with the
consummation of the merger of Sterling with Alterra, resulting in Alterra as the
surviving corporation, all references in the Sterling Leases to the Guarantor
shall mean and refer to only Alterra. Effective upon the consummation of such
merger, ALP shall be a wholly-owned subsidiary of Alterra.

         4. CHANGES IN EXECUTIVE OFFICERS. The following language (or any
substantially similar language) appearing in each Sterling Lease shall be
deleted in its entirety:

         "CHANGES IN EXECUTIVE OFFICERS. Lessee shall not suffer of permit to
         exist any circumstance in which any of the executive officers listed on
         EXHIBIT J hereto ceases for any reason to serve as an executive officer
         of Lessee, unless succeeded in such position within thirty (30) days by
         another individual reasonably satisfactory to Lessor, and this
         provision will, in turn become effective as to each such successive
         executive officer."

         5. DEFAULT: CHANGE IN CONTROL. The following language (or any
substantially similar language) appearing in the Article entitled "Default"
under each Sterling Lease shall be deleted in its entirety:

                  "(h) in the event that, without the prior written consent of
         Lessor, in each instance, which consent may be withheld by Lessor in
         its sole and absolute discretion: (i) there shall be a change in the
         Person or Persons presently holding management or ownership control of
         any member of the Leasing Group (other than changes in stock ownership
         of, or the individuals managing, Guarantor), whether by operation of
         law or otherwise; (ii) all or any portion of the interest of any
         partner or member of any member of the Leasing Group (other than
         changes in the stock ownership of Guarantor) shall be, on any one or
         more occasions, directly or indirectly, sold, assigned, hypothecated or
         otherwise transferred (whether by operation of law or otherwise), if
         such member of the Leasing Group shall be a partnership, joint venture,
         syndicate or other group; (iii) more than twenty-five (25%), in the
         aggregate, of the shares of the issued and outstanding capital stock of
         any member of the Leasing Group (other than changes of stock ownership
         of Guarantor) shall be, on any one or more occasions, directly or
         indirectly, sold, assigned, hypothecated or otherwise transferred
         (whether by operation of law or otherwise), if such member of the
         Leasing Group shall be a corporation; or (iv) all or any

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         portion of the beneficial interest in any member of the Leasing Group
         shall be, directly or indirectly, sold or otherwise transferred
         (whether by operation of law or otherwise), if such member of the
         Leasing Group shall be a trust;

                  (i) the death, incapacity, liquidation, dissolution or
         termination of existence of any member of the Leasing Group with any
         other Person;"

         Said language shall be replaced by the following:

                  "(h) in the event that, without the prior written consent of
         the Lessor, in each instance, which consent may be withheld by the
         Lessor in its sole and absolute discretion, and except as specifically
         permitted in subsection (h)(vi) or subsection (i) below:

                           i. there shall be a change in the Person or Persons
                           presently in control of any member of the Leasing
                           Group (other than changes in stock ownership of the
                           Guarantor or changes in the officers or directors of
                           either the Lessee or the Guarantor) (whether by
                           operation of law or otherwise);

                           ii. any member of the Leasing Group (other than
                           changes in the stock ownership of the Guarantor), all
                           or any portion of the interest of any partner or
                           member of any member of the Leasing Group shall be,
                           on any one or more occasions, directly or indirectly,
                           sold, assigned, hypothecated or otherwise transferred
                           (whether by operation of law or otherwise), if such
                           member of the Leasing Group shall be a partnership,
                           joint venture, syndicate or other group;

                           iii. any of the shares of the issued and outstanding
                           capital stock of any member of the Leasing Group
                           (other than changes of stock ownership of the
                           Guarantor) shall be, on any one or more occasions,
                           directly or indirectly, sold, assigned, hypothecated
                           or otherwise transferred (whether by operation of law
                           or otherwise), if such member of the Leasing Group
                           shall be a corporation;

                           iv. all or any portion of the beneficial interest in
                           any member of the Leasing Group shall be, directly or
                           indirectly, sold or otherwise transferred (whether by
                           operation of law or otherwise), if such member of the
                           Leasing Group shall be a trust;

                           v. except as otherwise expressly permitted herein, if
                           any Person other than the Lessee is the licensed
                           operator of the Facility; or

                           vi. more than fifty percent (50%), in the aggregate,
                           of the shares of the issued and outstanding capital
                           stock of the Guarantor are held by a single Person or
                           two (2) or more Affiliates (collectively, an
                           "Acquiror"),

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                           except in a Permitted Transaction (defined below). If
                           immediately after the date on which the Acquiror
                           acquire(s) more than fifty percent (50%) of such
                           stock, the "Net Worth" (defined as an amount
                           determined in accordance with GAAP) of the Guarantor
                           is equal to or greater than FIFTY-FIVE MILLION
                           DOLLARS ($55,000,000.00), then such acquisition shall
                           be deemed to be a "Permitted Transaction." However,
                           in the event that a Permitted Transaction occurs,
                           then the higher ratios and the Net Worth covenant
                           pertaining to the Guarantor specified in the
                           financial covenants of this Lease shall both become
                           operative and effective;

         (i) the death, incapacity, merger, liquidation, dissolution or
         termination of existence of any member of the Leasing Group (except (a)
         in the case of a merger or consolidation of some other Person with the
         Guarantor, which shall be a "Permitted Merger" or (b) in the case of a
         Permitted Transaction); provided however, if the Persons who were the
         shareholders of the Guarantor immediately prior to the Permitted Merger
         hold in the aggregate less than 50% of the outstanding voting stock of
         the surviving corporation which results from the Permitted Merger, then
         (i) the higher ratios specified in Section 11.3.5 and the Net Worth
         requirement for the Guarantor specified above shall both become
         operative and effective, and (ii) if Alterra Healthcare Corporation is
         not the surviving corporation which results from such Permitted Merger,
         the new surviving corporation will affirm in writing its obligations
         under the Guaranty;"

         6. RENT COVERAGE RATIO. The financial covenant entitled "Rent Coverage
Ratio of Lessee" or "Debt Coverage Ratio of Lessee" contained in any of the
Sterling Leases shall be deleted in its entirety, and the Rent Coverage Ratio
provisions of the $35,000,000 Meditrust Agreement or the $50,000,000 Meditrust
Agreement, as applicable, shall control.

         7. GUARANTOR. Notwithstanding any provisions of the Sterling Leases to
the contrary, the definition of "Guarantor" shall mean and be Alterra Healthcare
Corporation and its successors and assigns.

         8. CURRENT RATIO - GUARANTOR. Notwithstanding any provisions of the
Sterling Leases to the contrary, the text of the financial covenant entitled
"Current Ratio - Guarantor" shall be deleted in its entirety, and the following
text shall be substituted therefor:

                  "CURRENT RATIO - GUARANTOR. The Guarantor shall achieve, as of
         December 31, 1997, a ratio of Consolidated Current Assets to
         Consolidated Current Liabilities equal to or greater than 0.5 to 1 and,
         as of December 31 of each year thereafter during the Term, a ratio of
         Consolidated Current Assets to Consolidated Current Liabilities equal
         to or greater than 1.0 to 1; provided however that if a Permitted
         Transaction (as defined in Section 16.1(h)(vi)) occurs, or if increased
         ratios are triggered by a Permitted Merger pursuant to

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         Section 16.1(i), then such ratios shall increase to 1.0 to 1.0 and 1.2
         to 1.0, respectively."

         9. NET WORTH OF GUARANTOR AFTER A PERMITTED TRANSACTION OR PERMITTED
MERGER. The following financial covenant shall be inserted in the Financial
Covenants section of each Sterling Lease:

                  "NET WORTH OF GUARANTOR AFTER A PERMITTED TRANSACTION OR
         PERMITTED MERGER. From and after the occurrence of a Permitted
         Transaction or if triggered by a Permitted Merger pursuant to Section
         16.1(i), the Guarantor shall maintain a "Net Worth" (determined in
         accordance with GAAP) of not less than FIFTY-FIVE MILLION DOLLARS
         ($55,000,000.00)."

         10. TANGIBLE NET WORTH - GUARANTOR. Notwithstanding any provisions of
the Sterling Leases to the contrary, the text of the financial covenant entitled
"Tangible Net Worth - Guarantor" shall be deleted in its entirety, and the
following text shall be substituted therefor:

                  "TANGIBLE NET WORTH - GUARANTOR. The Guarantor shall maintain,
         at all times, a Tangible Net Worth of not less than FORTY MILLION AND
         NO/100 DOLLARS ($40,000,000.00)."

         11. RESTRICTIONS RELATING TO THE GUARANTOR. Notwithstanding any
provisions of the Sterling Leases to the contrary, the text of the negative
covenant entitled "Restrictions Relating to the Guarantor" contained in the
Sterling Leases shall be deleted in its entirety, and the following text shall
be substituted therefor:

                  "RESTRICTIONS RELATING TO THE GUARANTOR. If, at any time
         during the Term, the Tangible Net Worth of the Guarantor is less than
         FORTY MILLION AND NO/100 DOLLARS ($40,000,000.00), the Guarantor shall
         not, without the prior written consent of the Lessor, in each instance,
         which consent may be withheld in the sole and absolute discretion of
         the Lessor, convey, assign, donate, sell, mortgage or pledge any real
         or personal property or take any other action which would have a
         materially adverse effect upon the Tangible Net Worth or general
         financial condition of Guarantor."

         12. ACCEPTABLE LICENSED OPERATOR.

         (a) DEFINITION. The following definition shall be added to the
definition section of each Sterling Lease:

                  "ACCEPTABLE LICENSED OPERATOR: Any of (a) the Current Manager,
         (b) the Lessee, (c) the Guarantor, (d) any Manager of the Facility
         (pursuant to a Management Agreement approved by the Lessor) that is
         wholly-owned by Alterra Healthcare Corporation and, during the Term, is
         engaged in no business or

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         venture other than the ownership and/or operation of any health care
         facility owned or financed by any Meditrust Entity, or (e) any
         Sublessee of the Facility (pursuant to a Sublease approved by the
         Lessor) that is wholly-owned or is controlled by Alterra Healthcare
         Corporation and, during the Term, is engaged in no business or venture
         other than the ownership and/or operation of any health care facility
         owned or financed by any Meditrust Entity."

         (b) AFFIRMATIVE COVENANT. The following covenant shall be added to the
Affirmative Covenant section of each Sterling Lease:

                  "ACCEPTABLE LICENSED OPERATOR. In the event that the Lessee
         proposes that any other Acceptable Licensed Operator become the
         licensed operator of the Facility, the Lessee shall so advise the
         Lessor and, subject to the Lessor's review and approval of any
         applicable Sublease or Management Agreement (pursuant to which the
         proposed Acceptable Licensed Operator shall operate the Facility), the
         Lessor shall consent to such operation of the Facility by the proposed
         Acceptable Licensed Operator, as long as, prior to or contemporaneously
         with the commencement of the operation of the Facility by such proposed
         Acceptable Licensed Operator and without limiting any other terms and
         conditions of the Lease Documents, the Lessor receives (a) such
         evidence as the Lessor may request evidencing that the proposed
         Acceptable Licensed Operator has received all Permits necessary for the
         operation of the Facility in accordance with its Primary Intended Use,
         (b) such documents executed by the proposed Acceptable Licensed
         Operator as the Lessor may request to maintain and protect the Lessor's
         security for the Lease Obligations (including, without limitation,
         documents in form and substance substantially similar to the Permits
         Assignment and Security Agreement), (c) a copy of the proposed
         Acceptable Licensed Operator's articles of incorporation as certified
         by the Secretary of State of the state of its incorporation, (d) a
         certificate of the Secretary of State of the state of incorporation of
         the proposed Acceptable Licensed Operator to the effect that the
         proposed Acceptable Licensed Operator is in legal existence and good
         standing on the records of such Secretary of State as of the date of
         such Certificate, (e) a copy of the by-laws of the proposed Acceptable
         Licensed Operator as certified by the Secretary of the proposed
         Acceptable Licensed Operator, (f) resolutions certified by the
         Secretary of the proposed Acceptable Licensed Operator evidencing the
         execution and delivery of the documents required under this Section by
         the Lessor and (g) if requested by the Lessor, a due authorization and
         enforceability opinion, addressed to the Lessor, in form and substance
         reasonably acceptable to the Lessor, rendered by counsel to the Lessee
         and the proposed Acceptable Licensed Operator, opining as to the due
         authorization, execution, delivery and enforceability of the documents
         required under this Section by the Lessor."

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         13. MISCELLANEOUS. Except as expressly modified above, the Sterling
Leases are hereby ratified and confirmed and shall remain in full force and
effect.

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         IN WITNESS WHEREOF the parties hereto have executed this Amendment
under seal as of the date first above written.

WITNESS:                                     ASSISTED LIVING PROPERTIES,
                                             INC., a Kansas corporation

                                             By:   /s/ Thomas E. Komula
----------------------------                    --------------------------------
Name:                                             Name: Thomas E. Komula
                                                  Title: Vice President

WITNESS                                      STERLING HOUSE CORPORATION,
                                             a Kansas corporation

                                             By:   /s/ Thomas E. Komula
----------------------------                    --------------------------------
Name:                                             Name: Thomas E. Komula
                                                  Title: Vice President:

WITNESS:                                     ALTERRA HEALTHCARE
                                             CORPORATION, a Delaware corporation

                                             By:   /s/ Thomas E. Komula
----------------------------                    --------------------------------
Name:                                             Name: Thomas E. Komula
                                                  Title: Senior Vice President

WITNESS:                                     ALS LEASING, INC, a Delaware
                                             corporation

                                             By:   /s/ Thomas E. Komula
----------------------------                    --------------------------------
Name:                                             Name: Thomas E. Komula
                                                  Title: Vice President

WITNESS:                                     MEDITRUST OF KANSAS, INC.,
                                             a Delaware corporation

                                             By:   /s/ Michael S. Benjamin
----------------------------                    --------------------------------
Name:                                             Name: Michael S. Benjamin
                                                  Title: Senior Vice President

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WITNESS:                                     NEW MEDITRUST COMPANY LLC, a
                                             Delaware limited liability company

                                             By:   /s/ Michael S. Benjamin
----------------------------                    --------------------------------
Name:                                             Name: Michael S. Benjamin
                                                  Title: Senior Vice President

WITNESS:                                     MEDITRUST ACQUISITION
                                             COMPANY LLC, a Delaware limited
                                             liability company

                                             By:   /s/ Michael S. Benjamin
----------------------------                    --------------------------------
Name:                                             Name: Michael S. Benjamin
                                                  Title: Senior Vice President

WITNESS:                                     T AND F PROPERTIES, LP, a Delaware
                                             limited partnership

                                             By:   /s/ Michael S. Benjamin
----------------------------                    --------------------------------
Name:                                             Name: Michael S. Benjamin
                                                  Title: Senior Vice President

                                       10<PAGE>   1
                                                                   EXHIBIT 10.40

                            SECOND OMNIBUS AMENDMENT

         This AMENDMENT (this "Amendment") is made as of the 28th day of
January, 2000, by and among (i) ASSISTED LIVING PROPERTIES, INC., a Kansas
corporation having its principal place of business c/o Alterra Healthcare
Corporation, 10000 Innovation Drive, Milwaukee, Wisconsin 53226 ("ALP"); (ii)
ALTERRA HEALTHCARE CORPORATION, a Delaware corporation formerly known as
ALTERNATIVE LIVING SERVICES, INC., a Delaware corporation having its principal
place of business at 10000 Innovation Drive, Milwaukee, Wisconsin 53226
("Alterra"); (iii) ALS LEASING, INC., a Delaware corporation, having its
principal place of business at 10000 Innovation Drive, Milwaukee, Wisconsin
53226 ("ALS Leasing"); (iv) MEDITRUST OF KANSAS, INC., a Delaware corporation,
having a principal place of business c/o MEDITRUST CORPORATION, 197 First
Avenue, Needham Heights, Massachusetts 02494 ("MOK"); (v) NEW MEDITRUST COMPANY
LLC, a Delaware limited liability company and successor by merger to MEDITRUST
COMPANY LLC (the successor by merger to MEDITRUST OF FLORIDA, INC., a New York
corporation, MEDITRUST OF TEXAS, INC., a Delaware corporation, and MEDITRUST OF
OHIO, INC., a Delaware corporation), having a principal place of business c/o
MEDITRUST CORPORATION, 197 First Avenue, Needham Heights, Massachusetts 02494
(collectively, "Meditrust"); (vi) T AND F PROPERTIES, LP, a Delaware limited
partnership (successor in title to certain Meditrust/ALS Facilities (as such
term is defined in the Meditrust Agreements) located in Texas), having a
principal place of business c/o MEDITRUST CORPORATION, 197 First Avenue,
Needham, Massachusetts 02494 ("T and F"); and (VII) MEDITRUST ACQUISITION
COMPANY LLC, a Delaware limited liability company (the successor by merger to
MEDITRUST ACQUISITION CORPORATION III, a Delaware corporation), having its
principal place of business c/o MEDITRUST CORPORATION, 197 First Avenue, Needham
Heights, Massachusetts 02494 ("MAC").

                              W I T N E S S E T H:

         WHEREAS, ALP, Meditrust and MOK are parties to that certain Amended and
Restated Agreement Regarding Related Transactions ($35,000,000 Combined
Sale/Leaseback) dated as of March 31, 1997, as amended (the "$35,000,000
Meditrust Agreement"); and

         WHEREAS, ALS Leasing, Alterra and MAC are parties to that certain
Amended and Restated Agreement Regarding Related Lease Transactions
($100,000,000 Meditrust Investment) dated as of April 30, 1997, as amended (the
"$100,000,000 Meditrust Agreement"); and

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         WHEREAS, ALP, Meditrust and MOK are parties to that certain Agreement
Regarding Related Transactions ($50,000,000 Combined Sales/Lease Back) dated as
of September 30, 1997, as amended (the "$50,000,000 Meditrust Agreement"); and

         WHEREAS, ALS Leasing, Alterra and MAC are parties to that certain
Agreement Regarding Related Lease Transactions ($150,000,000 Meditrust
Investment) dated as of November 21, 1997, as amended (the "$150,000,000
Meditrust Agreement"). The $35,000,000 Meditrust Agreement, the $100,000,000
Meditrust Agreement, the $50,000,000 Meditrust Agreement and the $150,000,000
Meditrust Agreement may be referred to herein collectively as the "Meditrust
Agreements"; and

         WHEREAS, each of the Meditrust Agreements have been amended by Omnibus
Amendment dated December 29, 1999, by and among the parties hereto (the "First
Omnibus Amendment"); and

         WHEREAS, the parties desire to further amend each of the Meditrust
Agreements as more specifically set forth herein.

         NOW THEREFORE, for good and valuable consideration, the sufficiency and
receipt of which is hereby acknowledged, the parties hereto agree as follows:

         1. RELEASE OF COLLATERAL. The parties acknowledge that the following
properties have been sold by the applicable Meditrust subsidiary to an affiliate
of Alterra, and that accordingly, effective as of the date of such sale, such
properties no longer serve as collateral for any of the lessees' obligations
under any of the Meditrust Agreements or any other documents or instruments in
effect with respect to the entire Alterra/Meditrust Pool (as hereinafter
defined), including, without limitation, those documents and instruments by and
among or between MOK, Meditrust, T and F, MAC, or any affiliate of the
foregoing, on one hand, and ALP, ALS Leasing, Alterra or any affiliate of the
foregoing, on the other hand:

         Sterling House at Tallgrass, Wichita, KS;
         Sterling House of Hays, Hays, KS;
         Sterling House of Abilene II, Abilene, KS;
         Woven Hearts of Sussex, Sussex, WI;
         Sterling House of West Melbourne, Melbourne, FL;
         Sterling House of Tequesta I (Jupiter), Tequesta, FL;
         Sterling House of Stuart, Stuart, FL;
         Sterling House of Leesburg, Leesburg, Fl;
         Sterling House of Port Orange, Port Orange, FL;
         Sterling House of Deland, Deland, FL;

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         Sterling House of West Melbourne II, Melbourne, FL; and
         Sterling House of Tequesta II, Tequesta, FL.

         2. REPRESENTATIONS AND WARRANTIES. The following representations and
warranties are made by the Waiving Parties (as hereinafter defined), with
knowledge that they will be relied upon by ALP, Alterra, ALS Leasing and AHC
Purchaser, Inc.:

         a.       There are no persons or entities holding any of the interests
                  of the landlords or lessors with respect to the entirety of
                  the Alterra/Meditrust Pool, other than MOK, Meditrust, T and F
                  and MAC, all of which are parties hereto;

         b.       With respect to all properties within the Alterra/Meditrust
                  Pool, except with respect to the Acquisition Facility Lease
                  related to a facility known as "Liberty Commons" in Manlius,
                  New York, as to which no representation or warranty is made,
                  (i) the only holders of any mortgages, deeds of trust or
                  "Encumbrances", including, without limitation, "Fee
                  Mortgagees" (as such terms are defined in the various facility
                  lease agreements that exist with respect to the entire
                  Alterra/Meditrust Pool (collectively "Holders")) are
                  affiliates of MOK, Meditrust, T and F and MAC and per se fall
                  with the definition of "Waiving Parties" and (ii) no such
                  Holders are required to consent to any modification or
                  amendment to any facility lease agreement or any other
                  Meditrust Agreement.

         c.       As used herein, "Waiving Parties" means MOK, Meditrust, T and
                  F and MAC, on their own behalf and on behalf of any affiliates
                  of the foregoing or of Meditrust Corporation. As used herein,
                  the "Alterra/Meditrust Pool" means and refers to each and
                  every assisted living facility subject to a facility lease
                  agreement with MOK, Meditrust, T and F or MAC, or any
                  affiliate thereto, on the one hand, as lessor and landlord,
                  and ALS Leasing or ALP or any affiliate thereof, as lessee or
                  tenant, on the other hand. As used herein, "affiliate" means
                  any person or entity controlled by, controlling or under
                  common control with such other person.

         3. MISCELLANEOUS. The parties hereto acknowledge and agree that, except
as specifically amended by the terms of this Amendment, all terms, covenants and
provisions of the Meditrust Agreements are hereby ratified and confirmed and
shall remain in full force and effect. This Amendment constitutes an amendment
supplemental to each of the Meditrust Agreements which is to be construed
together with and as part of the Meditrust Agreements. All references to the
Meditrust Agreements shall refer to the Meditrust Agreements as amended hereby.

                                       3

<PAGE>   4

         4. COUNTERPARTS. This Amendment may be executed in several
counterparts, each of which when executed and delivered shall constitute one
instrument. In proving this Agreement it shall not be necessary to produce or
account for more than one such counterpart signed by the party against whom
enforcement is sought.

         5. EFFECTIVE DATE. This Amendment is executed as an instrument under
seal and shall be effective as of January   , 2000.

         6. ADDITIONAL DOCUMENTATION. The parties shall promptly execute and
furnish such other documentation, agreements and assurances as the parties shall
from time to time reasonably require in furtherance of the purposes of this
Amendment.

         7. CAPITALIZED TERMS. All capitalized terms used herein and not
otherwise defined shall have the meanings ascribed to them in the Meditrust
Agreements.

WITNESS:                                    ASSISTED LIVING PROPERTIES,
                                            INC., a Kansas corporation

  /s/ J. C. Hansen                          By: /s/ Mark W. Ohlendorf
--------------------------                     --------------------------------
Name: J. C. Hansen                             Name:  Mark W. Ohlendorf
                                               Title: Vice President

WITNESS:                                    ALTERRA HEALTHCARE CORPORATION, a
                                            Delaware corporation

  /s/ J. C. Hansen                          By: /s/ Mark W. Ohlendorf
--------------------------                     --------------------------------
Name: J. C. Hansen                             Name:  Mark W. Ohlendorf
                                               Title: Senior Vice President

WITNESS:                                    ALS LEASING, INC, a Delaware
                                            corporation

                                       4

<PAGE>   5

  /s/ J. C. Hansen                          By: /s/ Mark W. Ohlendorf
--------------------------                     --------------------------------
Name: J. C. Hansen                             Name:  Mark W. Ohlendorf
                                               Title: Vice President

WITNESS:                                    MEDITRUST OF KANSAS, INC., a
                                            Delaware corporation

  /s/AnnMarie Wasniewski                    By: /s/ Michael S. Benjamin
--------------------------                     --------------------------------
Name: AnnMarie Wasniewski                      Name: Michael S. Benjamin
                                               Title: Senior Vice President

WITNESS:                                    NEW MEDITRUST COMPANY LLC, a
                                            Delaware limited liability company

  /s/AnnMarie Wasniewski                    By: /s/ Michael S. Benjamin
--------------------------                     --------------------------------
Name: AnnMarie Wasniewski                      Name: Michael S. Benjamin
                                               Title: Senior Vice President

WITNESS:                                    MEDITRUST ACQUISITION COMPANY LLC,
                                            a Delaware limited liability company

  /s/AnnMarie Wasniewski                    By: /s/ Michael S. Benjamin
--------------------------                     --------------------------------v
Name: AnnMarie Wasniewski                      Name: Michael S. Benjamin
                                               Title: Senior Vice President

WITNESS:                                    T AND F PROPERTIES, LP, a Delaware
                                            limited partnership

                                            By:  MT GENERAL LLC, sole general
                                                 partner

   /s/AnnMarie Wasniewski                   By: /s/ Michael S. Benjamin
--------------------------                     --------------------------------
Name:  AnnMarie Wasniewski                     Name: Michael S. Benjamin
                                               Title: Senior Vice President

                                       5

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